HRT: They Still Don’t Get It


Michael E. Platt, M.D.

The latest study on HRT (hormone replacement therapy) was released at the annual meeting of the North American Menopause Society. Their findings were as follows: there was no indication of any adverse cardiovascular effects, and that HRT should be used in women only to try and relieve menopausal symptoms.

This study utilized two different types of estrogen. One was a low dose of Premarin, and the other was Estrace given as a patch. In both cases, they utilized a bio-identical progesterone preparation which was an improvement over the synthetic progestin that was used in the WHI study. However, they cycled it for two weeks on and two weeks off, which made no sense since these women were not trying to get pregnant. Also, they used an oral preparation which goes straight to the liver and converts into a different hormone called allopregnanolone.

There appears to be a profound ignorance amongst traditional physicians about the correct use of bio-identical hormones, especially progesterone. Used correctly, in most cases, progesterone by itself will eliminate hot flashes. Additionally, it is a natural antidepressant, and can certainly improve any emotional issues a woman might have going through the change. Progesterone also helps to control insulin, the number one hormone that creates fat. In addition, along with testosterone, it improves a woman’s libido – something that estrogen does not.

For the most part, women never stop making estrogen. Unless a woman is very thin, the need to replace it should be primarily to eliminate vaginal dryness. In this case, estriol cream is used, which is the only estrogen that does not cause cancer.

This latest study appeared to emphasize the fact that there were no deleterious cardiovascular effects from the hormones used. Consistent with the lack of preventive medicine in this country, the doctors responsible for running these studies fail to realize that the hormone testosterone provides exceptional cardiac benefits for women. It is well known, that the heart has more testosterone receptor sites then any other tissue in the body. After the menopause, a woman’s testosterone level plummets. I feel this is responsible for the fact that heart attacks are the number one cause of death in women, and are six times more common than any other cause of death.

For those interested in a better approach to the menopause, please take advantage of my offer to make free copies of my e-book available – “The Miracle of Bio-identical Hormones”. Healthcare practitioners should note that my manual is available from my website as well which provides my unique approach to hormone replacement. It also includes a chapter on managing adrenaline, something that is not available anywhere else.

My website is: and my email

Important Note: All materials in these blogs are provided as opinion only and should not be construed as medical advice or instruction.  No action should be taken based solely on the contents of this information; instead, readers should consult appropriate health professionals on any matter relating to their health and well-being. 

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