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Review
"How could one flawed scientific conclusion become a persuasive juggernaut that changed the practice of women's health worldwide? In their fascinating account, Bluming and Tavris challenge that conclusion and unpack the reasons for its remarkable impact."―Robert B. Cialdini, author of Influence "Given breast cancer's substantial morbidity, mortality, emotional toll and the vast consequences of its treatment, the frontal salvo on the conventional wisdom of estrogen use by Avrum Bluming and Carol Tavris is refreshing and welcome. The book will stir a lively debate about the merits of decades of existing clinical research on estrogens and help reframe the way clinicians and patients view the tradeoff between the benefits and risks of hormone therapy."―Jerome P. Kassirer, MD, Distinguished Professor, Tufts University School of Medicine; Editor-in-Chief, New England Journal of Medicine"This is such an important book, I want to do all I can to encourage every woman to read it. Groundbreaking and carefully researched, Estrogen Matters provides essential information about the many benefits of estrogen at menopause and even after a diagnosis of breast cancer. It reveals the misinterpretation of study results that led women (and their doctors) to have unwarranted concerns about estrogen use. The thoughtful information presented here will help women feel more comfortable taking estrogen, leading to healthier, longer lives for many."―Patricia T. Kelly, PhD, specialist in cancer risk assessment and author of Assessing Your True Risk of Breast Cancer"This book is long overdue, and I salute the authors for their courage and effort (and their clear, witty writing). I believe it is an ethical imperative for all clinicians who treat women in menopause or women with breast cancer to alert their patients to this book. It will not only improve women's quality of life, but also, on balance of probabilities, extend women's lives by delaying death from all other causes."―Michael Baum, MD, professor emeritus of surgery and visiting professor of medical humanities, University College London"Once considered a veritable fountain of youth, estrogen replacement got a bad rap with the Women's Health Initiative study. This book is an exhaustively researched and meticulously reasoned vindication of hormone replacement therapy. Estrogen matters: it's the most effective treatment for hot flashes and other symptoms of menopause, and when started early and used continuously, it has important health benefits and can actually prevent some of the adverse events it was thought to cause. Bluming and Tavris tell estrogen's story in a way that is both accessible to the general public and appropriate for professionals. What's more, they provide valuable insights into understanding research and how even the best randomized controlled studies can lead to unjustified public fears and injudicious clinical recommendations. Very enlightening!"―Harriet Hall, editor, Science-Based Medicine"Well written, insightful, and hard hitting, Estrogen Matters successfully rebuts the billion-dollar, government-led study known as the Women's Health Initiative, which claimed that hormones for post-menopausal women are harmful. That study was wrong. It turns out estrogens do matter for women's health."―Vincent T. DeVita Jr., MD, Professor of Medicine, Yale School of Public Health and Yale Cancer Center"This book is long overdue. Having spent over two decades advancing women's health, I was appalled by the Women's Health Initiative's efforts to sensationalize and distort their own findings to promote an anti-hormone-therapy agenda. Personally I have been taking HRT for over 25 years and have no intention of stopping. I hope Estrogen Matters draws enough attention to counter the fears and misinformation about HRT that so many women, and their physicians, still hold."―Phyllis Greenberger, MSW, former President and CEO of the Society for Women's Health Research "If you're one of the many menopausal women who reflexively avoid hormone replacement therapy to treat your symptoms because of all the scary headlines, this book is a must-read. The authors deftly cut through the hype to build a strong, well-reasoned case for challenging the current accepted wisdom."―Jennifer Ouellette, author of Me, Myself and Why and The Calculus Diaries"For far too many years women and their doctors have been held in fear of prescribing estrogens -- believing that they were dangerous because of a widely quoted study purporting to show that they were too damaging. Now it turns out that this seems to have been an example of 'fake' news. In a thorough, careful, and unbiased assessment of all the scientific evidence, Bluming and Tavris debunk this most widely quoted work and show that estrogens are not only not dangerous but beneficial for the vast majority of women suffering from post-menopausal symptoms, whether or not they have had breast cancer. This extremely valuable message deserves to be widely disseminated."―Lord Turnberg, former President of the Royal College of Physicians
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About the Author
Avrum Bluming, MD, is a hematologist and medical oncologist, and a Master of the American College of Physicians, an award bestowed on fewer than 500 of the 100,000 board-certified internists in the United States. He is Emeritus Clinical Professor of Medicine at the University of Southern California and a former senior investigator for the National Cancer Institute. Carol Tavris, PhD, is a social psychologist who has written widely about psychological science. Her trade books include Anger; The Mismeasure of Woman; and, with Elliot Aronson, Mistakes Were Made (But Not by Me). She has won numerous awards for her science writing and contributions to skepticism and gender equity.
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Product details
Hardcover: 320 pages
Publisher: Little, Brown Spark; 1 edition (September 4, 2018)
Language: English
ISBN-10: 0316481203
ISBN-13: 978-0316481205
Product Dimensions:
6.1 x 1.1 x 8.8 inches
Shipping Weight: 15 ounces (View shipping rates and policies)
Average Customer Review:
4.4 out of 5 stars
12 customer reviews
Amazon Best Sellers Rank:
#5,497 in Books (See Top 100 in Books)
I saw Dr Harriet Hall's review of this in a recent edition of Skeptical Inquirer & could not be more grateful to her or the authors. I began menopause at about 50 & shortly after was prescribed pharmaceutical HRT, which worked wonders until my Gynecologist moved out of state 5 years ago. Every reputable doctor I've asked since to prescribe HRT to me has said, "It would be malpractice for me to give a 55+ year old woman more HRT." I gave up because having had a brief stint of "Bioidentical" HRT, I can tell you it's dicey, the dosages are uneven & oh yeah completely unregulated. It's like your cousin Ralph whipped up your meds up in his kitchen - what could possibly go wrong!?! So = Thanks WHI for nearly ruining my life! For the past 5 years I've suffered horribly & as it turns out, apparently unnecessarily due to a slightly elevated risk of strokes or breast cancer. My life has barely been worth living since I developed every single side effect of low estrogen, progesterone & testosterone. I've been suicidal, depressed & anxious to the point I nearly lost my soulmate of 30 years from an absolute total lack of libido & constant talk of wanting to die. It's now been 2 weeks since my first Premarin & micronized progresterone pills & I'm already starting to feel good again. My gratitude knows no bounds & by the way, if I have a stroke or heart attack now at least I'll die happy!
I just finished reading the book, Estrogen Matters, and found it to be very interesting. I have been taking bioidentical hormones for about 10 years, and I agree that estrogen matters, a lot. However, Dr. Bluming recommends taking Premarin and Provera. In case Dr. Bluming isn't aware, Premarin in a dosage of 0.625 mg. comes at a cost of $192.14 for a one-month supply, and that's not including the cost of a progesterone which is also necessary if a woman has her uterus. I have my bioidentical hormones made in a compounding pharmacy, which has worked very well for me. The information provided in the book, Estrogen Matters, is very much appreciated, particularly on bones and brains, and I agree with what the book has to say on these important concerns. Most women are in a difficult position when they become menopausal. It's either take hormone replacements or suffer from hot flashes, bone loss and Alzheimer's, all to come sooner or later. Women's bone loss starts as soon as menopause begins; that is, in most women. All this can be helped by taking hormones, and I agree that taking bioidentical hormone replacement has been a great help to my health. At age 70 (I entered menopause at age 53) I was diagnosed with severe osteoporosis. So I started taking bioidentical hormone replacement, even though I had a very difficult time finding a doctor who would prescribe them for me. I did locate a doctor who was listed in one of Suzanne Somers' books, but I had to drive 6 hours one way to his office. When I started taking bioidentical hormones (estrogen and progesterone), my bone scan showed my BMD in my lumbar spine to be .637. Through taking bioidentical hormones since 2009, my BMD in 2017 was .956. I exercise every day, eat well, and I credit bioidentical hormones with the improvement in my BMD where it is now. I am so grateful to Suzanne Somers and her books for the information she and doctors she interviewed provided for me and for women. I am grateful to Dr. Bluming and Carol Tavris for providing the information they provide in Estrogen Matters. I would like them to know that bioidentical hormones are very helpful, even essential for my bone health. I also at one time took Premarin and Provera. I did not do well on Provera or on any progestin. I have had absolutely no problems with taking bioidentical estrogen and bioidentical progesterone. I think Premarin is too expensive for most women. Health care and pharmaceuticals seem to be available only for the rich. This is not right.
Estrogen Matters is an important book that will help guide women in talking with their doctors about whether HRT (hormone replacement therapy) is appropriate for them. Many women today fear taking hormones because they are “unnatural†or “unsafe,†but this well-written, thoroughly referenced book shows persuasively why those fears are wrong.The authors answer many questions that women face: What is the relationship between HRT and heart disease and bone fractures/osteoporosis? (It significantly reduces the risk of both.) Does estrogen cause breast cancer? (No.) What does science say about HRT and cognitive function? (It is the one thing that helps women in their later years.) Can women who have had breast cancer take HRT to reduce symptoms of menopause and achieve better health and quality of life? (Yes.)The authors recount the untold story of the Women’s Health Initiative (WHI), which profoundly changed the way physicians think about HRT and frightened millions of women from taking it; their fascinating and shocking account reveals the WHI’s shortcomings, exaggerated fear-generating “findings,†and statistical deceptions—and the WHI’s own unwillingness to report any good news about HRT.“In short, I can’t recommend this engaging book more highly — for women in the years before and during menopause, for doctors, and for anyone interested in science and medicine.â€
I just finished reading Estrogen Matters. Sound of trumpets. And with the usual 15 "must reads" piled up on my bedside table. What this book now needs is its selection as required reading in a med school course. In a perfect world, the AMA would see that every gynecologist, if not every internist, has a copy. My own copy now goes to my 47-year-old granddaughter, who's just the right age to read it.
Every woman should read this book. Every man who knows a woman should read this book. It is long past time to correct the myths around HRT and this book is a great start. Thank you to the authors!
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