Menopause Medicine Malpractice: Amy Alkon on Why Most Doctors Don’t Know How to Treat Women
Millions of women suffer through menopause and perimenopause—yet most doctors are shockingly untrained in how to treat it. In this Quillette feature, award-winning science writer Amy Alkon exposes the medical ignorance, outdated guidelines, and systemic negligence that leave patients misdiagnosed, mistreated, or ignored altogether.
Excerpted from her new book, Going Menopostal: What You (and Your Doctor) Need to Know About the Real Science of Menopause and Perimenopause, Alkon reveals:
Why most ob-gyns receive little or no training in menopause.
How outdated research and poor diagnostic skills harm patients.
Why evidence-based care is so often missing from women’s health.
What women can do to demand better treatment and protect themselves.
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[00:00 - 01:10] Introduction by Amy Alkon; mentions the lack of menopause training in OB/GYN education.
[02:01 - 02:43] Explanation of medical ethics and the importance of doctors staying within their scope of practice.
[03:24 - 06:07] Discussion on medical ignorance as a norm and personal anecdotes highlighting systemic issues.
[06:47 - 07:01] Critique on the lack of evidence-based medical care.
[07:55 - 08:51] Myths about medical decision-making, and the challenges doctors face in staying updated.
[09:04 - 10:01] Mention of doctors not reading scientific research post-medical school.
[11:46 - 13:51] Issues with doctors’ statistical literacy affecting patient care.
[14:17 - 15:37] Lack of formal diagnostic training leading to diagnostic errors.
[16:17 - 17:09] Outdated practice standards and the implications for menopause treatment.
[19:11 - 20:06] Misinterpretations of the Women's Health Initiative study and its impact.
[21:02 - 22:37] Importance of timely estrogen therapy for cardiovascular protection.
[25:05 - 25:32] Benefits of hormone therapy beyond symptomatic relief in menopause.
[26:01 - 26:42] Shift in perspective regarding estrogen use based on scientific evidence.
[27:23 - 28:05] Empowerment through understanding and advocating for evidence-based care.
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Quillette is an Australian-based online magazine that focuses on long-form analysis and cultural commentary. It is politically non-partisan, but relies on reason, science, and humanism as its guiding values.
Quillette was founded in 2015 by Australian writer Claire Lehmann. It is a platform for free thought and a space for open discussion and debate on a wide range of topics, including politics, culture, science, and technology.
Quillette has gained attention for publishing articles and essays that challenge modern orthodoxy on a variety of topics, including gender and sexuality, race and identity politics, and free speech and censorship.
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