Note sull'episodio
This incredibly comprehensive presentation given by Dr. Amanda Clark explores the menopause transition and its profound impact on women’s bone health and overall well-being. Drawing on landmark research, including the SWAN study and Women’s Health Initiative, Dr. Clark explains what happens hormonally during perimenopause and menopause and why this is a critical period for bone loss. She reviews the different forms, doses, and regimens of estrogen and progesterone and how women and their clinicians can approach individualized hormone therapy decisions. The presentation examines the benefits and potential risks of hormone therapy, including its effects on breast cancer, cardiovascular health, diabetes, cholesterol, dementia, and bone mineral density. Particular attention is given to preventing and managing menopause-related bone loss and developing long-term strategies to preserve bone strength. She also discusses vaginal estrogen and its role in treating genitourinary symptoms, providing women with an evidence-based framework for making informed decisions about their health. A highly informative Q&A will follow the presentation.
Dr. Clark is Professor Emerita at Oregon Health & Science University (OHSU) and a Senior Affiliate Investigator at the Kaiser Permanente Northwest (KPNW) Center for Health Research. She completed an OBGYN residency at OHSU, followed by a fellowship in urogynecology in London, England. She completed a Master's Degree in Clinical Research (MCR) at OHSU. She is board-certified in Obstetrics and Gynecology and in Urogynecology and Reconstructive Pelvic Surgery. She is also a Certified Practitioner of The Menopause Society. She held a full-time faculty appointment at OHSU for 23 years followed by 10 years in practice at Kaiser Permanente. In addition to clinical practice, she has been academically active in both teaching and research at both institutions. She has over 40 years of experience teaching students, residents and fellows, and has broad experience in curriculum development and assessment. Her research has generated numerous publications and she does peer review for several journals and is on the editorial board of the Menopause Society. Currently she serves as faculty in an OHSU ECHO program, Menopause in Primary Care, supported by the Oregon Rural Practice based Research Network and the OHSU Center for Women's Health.