Something Just Doesn't Feel Right Anymore
Something just didn't feel right anymore.
All of a sudden I had two more chin hairs than I've ever noticed, and as a Lebanese-Italian I have had my fair share of mustache and chin hairs. My ear itched, which I didn't even know was a thing until I saw it on my own Instagram feed about perimenopause. (I guess we should be putting Flonase in our ears now? — We will revisit this, please don't put Flonase in your ear.) And keep in mind, I'm a family medicine physician. We didn't learn this in school or training.
I started asking around. Talking to colleagues, peers, other physicians. And the honest answer is most of them don't feel comfortable treating perimenopause or menopause either. Not because they don't care. It just wasn't something we were really taught.
We trained during a time when one major study came out and changed everything. The Women's Health Initiative study basically told us hormone therapy increases the risk of cancer. If you use it, keep the dose as low as possible and get women off of it as quickly as possible. So that's what an entire generation of physicians learned.
Now fast forward to where we are today. Social media is everywhere. It's where people are getting their information, but it is really hard to know what to trust. And I say that as a physician who follows other physicians and still finds myself thinking… what is actually right?
You look one direction and peptides are the best thing ever. You look the other direction and peptides are going to give you cancer. The truth is probably somewhere in the middle. Same thing with GLP-1s. They're cheating, they're dangerous, or they're one of the most important tools we've had in treating obesity, which we are finally acknowledging is a disease that deserved treatment all along.
Menopause is no different.
Women have been dealing with this forever, but that doesn't mean we were ever supported through it. I've had this conversation with my own mom. "What are you doing? I went through it and I was fine." My husband said something similar. Women have been going through this for hundreds of years, why is this suddenly such a big deal?
And I get that perspective. I really do.
But I also see what's actually happening in clinic. I hear what women are saying. I feel it myself. So I went back and started learning this in a way I never had before. I spent hours reading, studying, digging into the data. I read a full textbook cover to cover in the last month and a half. I honestly don't think I've ever done that, not even in medical school.
This is not something I stumbled into. This is something I chose to go deep on because it matters. Because women deserve to be treated. That is what this blog is going to be.
Some posts will break down the science. Some will talk about symptoms you didn't even know were related. Some will help you understand what your options actually are. But the goal is simple. You feel seen, you feel heard, and if you didn't know where to start or who to trust, you have a place you can come back to.
I will always do my best to give you evidence-based information, but not the kind that is driven by fear. Because that is exactly what happened for years after the Women's Health Initiative study, and we are still undoing that.
If something feels off, you're not crazy. If you think you could feel better, you're probably right.
And this is where you start. I'm so happy you're here.
Dr. Caravelli
If you know a woman who has been told her labs are normal but doesn't feel normal, forward this to her. Send it to your sister, your friend, your mom, the woman at work who keeps saying she just feels off.
This blog is for informational and educational purposes only and is not intended to be medical advice, diagnosis, or treatment. Reading this content does not establish a physician-patient relationship. Please consult your own physician or qualified healthcare provider regarding any questions or concerns about your health or treatment options. Never disregard professional medical advice or delay seeking care based on something you have read here.