Commune with Jeff Krasno The New Science of Menopause With Dr. Amy Killen
Aug 21, 2025
In this enlightening conversation, Dr. Amy Killen, a physician and entrepreneur specializing in women's health and longevity, unpacks the outdated myths surrounding menopause and hormone therapy. She discusses how recent research is reshaping our understanding of women's wellness. Topics include the importance of hormone therapy, hydration for pelvic health, and the intricate ties between lifestyle choices and hormonal balance. Dr. Killen also emphasizes the value of social connections and managing alcohol intake as we age, offering a holistic approach to vibrant living.
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When To Start Menopausal Hormones
- If a woman has gone 12 months without a period she is in menopause and can be started on hormone therapy without waiting on tests.
- Checking hormone levels is optional but useful to confirm low levels.
Preferred Vaginal Estrogen Methods
- Low‑dose vaginal estradiol comes as creams, suppositories, or rings and stays local at appropriate doses.
- Use a 0.01% prescription cream or a clean compounded base (Elage Anhydra) for better adherence and fewer fillers.
Vaginal Estrogen Heals Pelvic Health
- Vaginal estradiol improves many pelvic health issues beyond dryness, including painful sex, recurrent UTIs, and some incontinence.
- Low local estrogen maintains pelvic floor tissues and reduces infections and leakage.