Philadelphia Experts Warn Against Quick Online Hormone Prescriptions

Women over 40 in the Philadelphia area and beyond are increasingly encountering online advertisements for hormone therapies that promise quick relief from menopause symptoms. This trend has raised concerns among local healthcare providers about the safety and appropriateness of such treatments. Experts warn that the ease of obtaining online prescriptions may lead to inadequate medical evaluations and potential health risks.

Dr. Robyn Faye, an OB-GYN and certified menopause practitioner at Jefferson Health, described the current state of online hormone prescriptions as akin to “the wild, wild West.” She noted that many women, feeling overwhelmed by disruptive symptoms like weight gain, insomnia, and mood swings, turn to the internet for fast solutions. “Women are going online because they’re so desperate for information,” Faye explained.

During brief online consultations, patients may receive prescriptions without a thorough assessment of their medical histories. Faye recounted a recent case where a patient with a heightened risk for cardiovascular disease was prescribed estrogen and progesterone without proper evaluation. “She really should not have been on it,” Faye said, emphasizing the potential dangers of such oversight.

Understanding Hormone Therapy Risks and Benefits

Hormone therapy can be beneficial for many women experiencing perimenopause or menopause. It is widely recognized for alleviating symptoms such as hot flashes, night sweats, and sleep disruptions. “Once terrible hot flashes and night sweats are managed, people usually sleep better,” noted Dr. Arina Chesnokova, an OB-GYN at Penn Medicine and certified menopause practitioner. Improved sleep can lead to enhanced cognitive function and mood, positively impacting relationships and overall quality of life.

Despite these benefits, Faye and Chesnokova caution that hormone therapy is not suitable for everyone. Women with a family history of breast cancer, heart disease, or blood clots may face increased risks. Additionally, hormone therapy is generally not recommended for women over 60 or those who are more than ten years past their last menstrual period.

Chesnokova added, “You might go back to the gym because you’re finally feeling better, but they’re not going to make you lose weight. It’s not going to make your face all of a sudden that of a 20-year-old.”

Legislative Efforts and Patient Education

In response to growing awareness about menopause treatments, a proposed bill in New Jersey aims to require insurance companies to cover menopause-related therapies. This legislation seeks to improve access and raise awareness about treatment options available to women.

While acknowledging the challenges in accessing qualified menopause care providers, both physicians advocate for women to seek healthcare professionals who can provide comprehensive assessments. They encourage considering lifestyle changes, such as improved nutrition and regular exercise, to help alleviate menopause symptoms.

For those interested in further discussion, a free event titled “Reimagining Menopause” will take place on October 21, 2023, at WHYY in Philadelphia. Attendees will have the opportunity to engage with Dr. Faye and Dr. Chesnokova in a panel discussion aimed at spreading awareness about menopause.

As the landscape of menopause treatment continues to evolve, experts emphasize the importance of informed decision-making and appropriate medical guidance. Women are encouraged to be cautious of the myriad online options and to seek professional advice tailored to their individual health needs.