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Your heart health starts BEFORE your first period! An exciting new framework for women's health changes the game.
I wasnât planning to come back to the podcast just yet, but this news was too big to sit on. Four major US medical organizations have just published three coordinated papers in Circulation: the American Heart Association, the American Academy of Pediatrics, ACOG and the Society for Maternal-Fetal Medicine. Together they lay out a new framework for cardiovascular health in girls and women. Right in the middle of it are puberty, periods and perimenopause, now formally named as cardiovascular life stages.
In this solo episode, I walk through the four stages of the framework and why pregnancy is treated as a âcardiovascular stress testâ. I explain why your menstrual cycle is now being called a vital sign. Then I get to the part everyone wants to know about: what this means for hormone therapy. Short answer: itâs not all about the estrogen.
This is joined-up, life-course thinking in womenâs health, and itâs about damn time. Iâm also kicking off a new run of shorter solo episodes, where I pull together what Iâve learned from more than 300 expert interviews, the research, and all of you. Listen wherever you get your podcasts.
Highlights
02:44 â Periods and perimenopause as cardiovascular stages
03:37 â The four stages of the new framework
04:09 â Pregnancy as a cardiovascular stress test
04:30 â How medicine splits us into parts
05:30 â The clues have been there for decades
05:57 â Your period is a vital sign
06:35 â Anovulatory cycles and missing progesterone
07:09 â Heavy bleeding, iron and long-term health
07:39 â Preeclampsia, early menopause and risk
08:09 â Hormone therapy is not a magic pill
09:10 â What cardiologist Dr. Kathryn Lindley told me
09:41 â My own cardiologistâs surprising answer
10:51 â Treating symptoms versus preventing heart disease
13:52 â Why itâs almost never just one thing
Keywords: women's cardiovascular health, perimenopause, menopause, menstrual cycles, hormone therapy, cardiovascular disease, pregnancy complications, life course medicine
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Disclaimer
This podcast is for informational purposes only and is not a substitute for medical advice. Always speak with a qualified healthcare professional before making changes to your treatment, supplements, or lifestyle.