You Are Not Broken 345. Ethics and Informed Consent in Hormone Care
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Nov 16, 2025 Jennifer Lanoff, a board-certified women's health nurse practitioner and attorney, shares her journey from law to clinical care focused on reproductive health. She discusses the ethical implications of healthcare, emphasizing that informed consent goes beyond just signatures. Topics include the role of hormones in women's health, the challenges posed by social media misinformation, and the importance of shared decision-making. Lanoff advocates for thorough patient discussions to empower informed choices, highlighting the evolving conversation around menopause and hormone therapy.
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Contextualize Risks With Data
- Show patients comparative mortality risks (cardio, osteoporosis, breast cancer) to contextualize hormone decisions.
- Explain that severe hot flashes link to sleep disruption, cardiovascular risk, and brain white matter changes.
Explain Risks In Plain Numbers
- Break clinical risks into plain language and absolute numbers to aid patient understanding.
- Specifically disclose non-obvious medication harms like antidepressant sexual side effects and withdrawal difficulties.
Social Media Creates New Ethics
- Social media creates false familiarity, blurs licensing boundaries, and raises new ethical dilemmas.
- DMs and telehealth queries complicate state licensing, clinician professionalism, and patient trust.
