Interviewer: So if somebody starts a hormone treatment before they get to
that stage, before they get to the 70's or 80's, can they maybe ward off
some of the issues that you're talking about when they get to that age?
Dr. Rosensweet: And there is the answer. And if people would understand
what Scott is saying right now, that this is how you... The very best thing
for a woman, for example, is to catch them in the perimenopause. And you
can do so much good and hardly have them miss a beat. They're not going to
be 20, but who needs to be? A healthy strength and being able to walk and
talk and feel alive and have energy, and of course what you're naming Scott
is the way to do this. I couldn't underline that enough: catch the women in
perimenopause. If you don't catch them in perimenopause you can do a lot of
good things in their 50's and even their 60's. I'm talking about the women
who haven't had hormones, and there's a lot of them out there. The World
War 2 generation, there's a lot of them out there. And the Korean War
generation. And so, ok well they haven't had them? Well you can get some
stuff back. Things that matter to them. They can walk; the difference
between walking and a wheelchair is big difference. The ability to have a
strong levator ani, the muscle that suspends the bladder. When women lose
that muscle strength... Talk about muscles, this is one of the most
important muscles in an elderly woman's body because once she loses that
muscle she starts getting urinary symptoms, and she starts getting
incontinent, and it's diapers. I see patients of all ages and I can tell
you the problems of the elderly: they hate that. They hate being out in
public and having to wear diapers and really being afraid they're going to
get incontinent if they cough. So the restoration of that levator ani,
which is a muscle, from androgen replenishing and Kegel exercises,
squeezing that muscle. So you can do so much good for the elderly and yes,
catch them early. You named it: prevention. Where have we heard that
before? An ounce of prevention is worth a ton of cure.
Dr. Daved Rosensweet previously mentioned the benefits of hormone replacement therapy for people in their 70's and even 80's. But here he discusses the greater benefits of starting those replacement therapies before you get to that age.
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