Addressing Challenges Women with an MPN Face

MPN Advocacy & Education International spoke with Dr. Michele Couri, The Couri Center for Gynecology and Integrative Women's Health, discussed hormone replacement therapy for women in perimenopause and menopause, and discussed the emerging research in the field.

TIMESTAMPS
00:00 Addressing Challenges Women with an MPN Face
38:54 I am 45 and JAK2+ and already diagnosed with osteoporosis due to genetics. I also already have fractured and had my first reclast treatment. I still get very regular periods. Should I consider HRT now? How do we know when to begin?
41:59 I was on BHRT (bioidentical HRT) but removed from last year by my oncologist and gynecologist. I switched to an MPN Specialist who game me permission but I can't find a provider willing to treat me for my hormones. What can we do to find providers willing to treat us?
45:18 Does transdermal HRT help with anxiety, brain fog, and muscle loss? It seems to usually focus on helping with hot flashes and vaginal dryness which I do not suffer from.
46:25 How long do you recommend women stay on HRT if they begin within 5 years of menopause?
48:02 Can testosterone help with anemia?
48:35 How does one know if they need testosterone or progesterone?
50:02 Can women with an MPN take weight loss drugs?
51:23 Do women with an MPN experience a difference in blood counts as they transition from peri to menopause? I'm curious if my need for phlebotomies will shift.
52:00 I'm 56 and just diagnosed with PV. My last period was one year ago. I've always been healthy and have night sweats, no energy, and no sexual desire. When and what would you recommend?
53:13 How do you confirm perimenopause without cycles? I had a hysterectomy but still have my ovaries.
53:50 Have you have any patients on Besremi and seen higher anxiety?
54:29 How do I know if I need to also add progesterone to my estradiol?