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Dr. Susan Hardwick-Smith
United States
เข้าร่วมเมื่อ 7 ม.ค. 2019
Meet Dr. Susan, a renowned Board-Certified Gynecologist and Certified Menopause Practitioner through the Menopause Society (former NAMS), focused on hormone optimization, sexual wellness, and longevity. She's the pioneering force behind the Complete Midlife Wellness Center in Houston, TX, and the best-selling author of "Sexually Woke." Tune into her engaging podcast, "Empowering Midlife Wellness," for insightful conversations.
Boasting numerous accolades, including the Texas Super Doctor award and being consistently rated among Houston's top gynecologists, Dr. Susan combines her medical expertise with her passion as an ICF-certified life and leadership coach. Outside the clinic, she's a fitness enthusiast, marathon runner, Ironman triathlete, and mother of three young adults. Join her TH-cam channel for empowering wellness strategies designed for midlife and beyond.
Boasting numerous accolades, including the Texas Super Doctor award and being consistently rated among Houston's top gynecologists, Dr. Susan combines her medical expertise with her passion as an ICF-certified life and leadership coach. Outside the clinic, she's a fitness enthusiast, marathon runner, Ironman triathlete, and mother of three young adults. Join her TH-cam channel for empowering wellness strategies designed for midlife and beyond.
How Breast Density Impacts Your Breast Cancer Risk | Empowering Midlife Wellness
Most of us have heard that the lifetime risk of breast cancer for a woman in the United States is 1 in 8, which is alarmingly high. It’s important to keep in mind that this is a population based risk, and that your own personal risk might be significantly lower or higher than this.
Today I’m talking about a new FDA regulation requiring that mammograms assess our level of breast density, since this is one of the factors that can increase our breast cancer risk. For patients with high breast density (in the level C or D range), which is more than 50% of patients, the recommendation is to use a risk calculator and consider additional testing (with ultrasound or MRI) for a patient whose calculated lifetime breast cancer risk is greater than 20%.
Anyone can do this risk assessment themselves using the link below. If your risk is 20% or greater you can talk to your physician about ordering additional testing.
bcrisktool.cancer.gov/calculator.html
~
Dr. Susan Hardwick-Smith is a Board-Certified Gynecologist and Certified Menopause Practitioner specializing in women's midlife wellness, hormone optimization, and sexual wellness. She is the founder of Complete Midlife Wellness Center in Houston, TX, and the best-selling author of "Sexually Woke- Awaken the Secrets to Your Best Sex Life in Midlife and Beyond." She also hosts the popular podcast "Empowering Midlife Wellness."
Dr. Susan is the recipient of the Texas Super Doctor award over a dozen times, as well as a multiple-time recipient of H-Texas magazine's Top Doctor and Top Doctor for Women awards. She also has been chosen as one of Houston's "3 best-rated" gynecologists for several consecutive years. Dr. Susan is also an ICF-certified life and leadership coach, multiple-time marathoner and Ironman triathlete, and mother of 3 young adults.
====================================
Interested in booking an appointment? Click here: completemidlifewellnesscenter.com
Get my best-selling book, Sexually Woke: Awaken the Secrets to Your Best Sex Life in Midlife & Beyond: amzn.to/3rm47IU
Follow me on social media:
Instagram: bit.ly/3guuEg4
Facebook: bit.ly/300hzbW
Podcast: apple.co/3ePe5NJ
TikTok: bit.ly/3VaLBAW
Learn more about me: drsusan.com/
DISCLAIMER
Content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your health care provider with any questions you have regarding a medical or mental health condition, and before undertaking any diet, dietary supplement, exercise, or other health program.
Today I’m talking about a new FDA regulation requiring that mammograms assess our level of breast density, since this is one of the factors that can increase our breast cancer risk. For patients with high breast density (in the level C or D range), which is more than 50% of patients, the recommendation is to use a risk calculator and consider additional testing (with ultrasound or MRI) for a patient whose calculated lifetime breast cancer risk is greater than 20%.
Anyone can do this risk assessment themselves using the link below. If your risk is 20% or greater you can talk to your physician about ordering additional testing.
bcrisktool.cancer.gov/calculator.html
~
Dr. Susan Hardwick-Smith is a Board-Certified Gynecologist and Certified Menopause Practitioner specializing in women's midlife wellness, hormone optimization, and sexual wellness. She is the founder of Complete Midlife Wellness Center in Houston, TX, and the best-selling author of "Sexually Woke- Awaken the Secrets to Your Best Sex Life in Midlife and Beyond." She also hosts the popular podcast "Empowering Midlife Wellness."
Dr. Susan is the recipient of the Texas Super Doctor award over a dozen times, as well as a multiple-time recipient of H-Texas magazine's Top Doctor and Top Doctor for Women awards. She also has been chosen as one of Houston's "3 best-rated" gynecologists for several consecutive years. Dr. Susan is also an ICF-certified life and leadership coach, multiple-time marathoner and Ironman triathlete, and mother of 3 young adults.
====================================
Interested in booking an appointment? Click here: completemidlifewellnesscenter.com
Get my best-selling book, Sexually Woke: Awaken the Secrets to Your Best Sex Life in Midlife & Beyond: amzn.to/3rm47IU
Follow me on social media:
Instagram: bit.ly/3guuEg4
Facebook: bit.ly/300hzbW
Podcast: apple.co/3ePe5NJ
TikTok: bit.ly/3VaLBAW
Learn more about me: drsusan.com/
DISCLAIMER
Content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your health care provider with any questions you have regarding a medical or mental health condition, and before undertaking any diet, dietary supplement, exercise, or other health program.
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Important!!Are you still following these recommendations?
A great and easy GP check for cortisol is having the patient collect urine for exactly 24 hours and that is tested for overall cortisol. It was one of the tests done for Long Covid. Cortisol was regular with morning blood draws. 24 hour average put me at the lowest point of the "regular cortisol levels". It's (atm) consodered an important health biomarker for Long Covid (same as levels of serotonine).
That is what happened to be, I was suddenly denied HRT after being on it 10 years, and it brought me lots of physical problems.
17:52 12/22/24
63 years fit young man. Secret? Eat once a day, low, low carb diet, run 2-miles and lift weights at home 4-5 times a week, play tournament golf and work at my golf game a lot, zero stress on the job since I own the company and am my own boss, a great wife for 36+ years, 8+ hours of sleep daily, eat junk food or fast food VERY rarely, zero meds, zero drinking or smoking for over 40 years, and love the Lord above all else.
Getting my first Ultrasound Monday, dense breast all these years and they finally recommend I get an ultrasound. Thanks for this information!
Hi Dr I know this is a older video but I am scheduled for a hysterectomy the dr has asked me if I want my ovaries out too I am age 59, my mother had breast cancer from estrogens, I was thinking I probably should have them removed? He is doing it all vaginal. He says he can get the ovaries normally 97 percent of the time with out laparoscopic. I was just wondering what you think? Thank you
I am 63 and had my uterous removed 20 years ago. I started estrace about 10 years ago as life was miserable. I am on 1 mg tablet. My Dr says stop due to health risks. Would a patch be worth it or just stop. I am overweight....no other health problems.
Perfect video! Thank you!
I was on estradiol cream, testosterone cream and progesterone cream for 12 years. I gained 28 pounds since I went on all this. It didnt seem to help with the night sweats or my sleep. So my dr switched me to the low dose of the estradiol patch, 100mg of Prometrium and no more testosterone. The Prometrium made me so lethargic in the morning. The patch made me bloated and gave me a discharge. So I went off everything. So far I haven’t had any hot flashes or night sweats and I sleep well. Now I’m just trying to get the weight off.
Women need estrogen their whole life according to Doctors that are up to date with new studies. It helps prevent osteoporosis, Alzheimer's, and a host of other issues
Is anyone else watching this in their 20's because their hormones are so messed up? My estrodiol is at a 40 in my follicular phase at 28 lolllll
That was very informative, except I don't believe as you said in regard to insurance guidelines re: risk factors. You said " this is just the way the world works" it's not the way the world works it's the way this country works, because we have for profit healthcare.
Fantastico!
What is your estrogen levels supposed to be?
Progesterone: In Germany (maybe in all of Europe) you can get small vaginal progesterone capsules, that combine both benefits. It makes you sleepy and it's more effective than going through the stomach-liver-route. Only drawback is that you need to wear period panties or such at night and when first getting up. They are tiny, so it's not a lot of hassle.
Estrogen is a killer
I keep reading (and hearing from other specialists) in Europe that estrogen (estradiol) should be ALWAYS combined with progesterone (bio-identical). 100 mg for 0,6g (1 dose) of estrogen gel; 200 mg progesterone if you are taking more estrogen. To not get all the side-effects of estrogen dominance and to prevent some cancers that might be more of a (small) risk with estrogen-only.
I heard that having mammograms can cause breast cancer? There was a well known breast surgeon that mentioned it in a podcast but I can’t remember her name.
Not true. It's not so much about cholesterol as it is triglycerides. Our own body makes cholesterol and people who go keto have their cholesterol go up and triglycerides go down. I'm one of them.😉
You need to check out Dave Feldman, Dr. Ken Berry, Dr. Shawn Baker and any of the other doctors that promote the keto/carnivore way of eating.
I'm 65 and have never taken any hormones after menopause because I had no hot flashes/night sweats at all, but am starting estriol 0.03% for my skin (face, neck, hands), prescribed by my dermatologist. Do you know if there are any issues I should look out for/be tested for? None were brought up when I asked if I could try this to improve my skin. Has anyone else here used it? Thanks in advance for any information.
Any news on the horizon of how to treat high ApoB?
So wrong… 👎
Dr Susan, God bless you for volunteering to publish this information to us men.
You're just wrong.
Because hormone therapy can solve many physical problems. The drug companues would hate that. Treat for diabetes ..antidepressants for lack of sleep. The drug companies have a lot to answer for
Where are is the studies that show that high LDL causes heart disease. All we need to worry about is having low triglycerides and a high HDL. LDL over 270 is the only time a stain would be needed.
Gosh, that was so enjoyable. You guys knocked it out the park. I will add another 30, as you mentioned, 30 minutes of movement, your way, once or throughout the day, just as a start you know.
Thank you for your video!
Amen! I think many women are fearful of weights, especially mature women. I promote women lifting weights. Sadly, many "trainers" start mature women with 3 pound hand weights.
There are also many studies that show people on statins that LOWERED their LDL still dropped dead heart attacks.
I just had a 3D Mammogram and my result letter did not mention any category A-B-C or D even though it always says I have dense tissue. Why would it not include that info?
Thank you for making this video with this info. Im in perimenopause and just started progesterone and had bleeding a few days afterwards. ..my Dr. Didn't warn me of this as a side effect of hormone therapy. Now I know and can stop worring.
is Evexias a good place to go?
Thank you!!
So I have to see holistic to get bio test!? I’m about to get synthetic from anti aging clinic ow I’m rethinking ugh
Thanks Dr. Susan. The “test” is super easy and fast.
Godblessyou
I was thinking about taking the mini pill for heavy periods, but I heard it can cause breast cancer. Is it true?
I had a my first mammogram and it was one of the most painful experiences I’ve had. The technician seems like she had very little concern for my pain and almost seems like she thought I was exaggerating my pain. I never want to go back again.
It should not be painful. Only slightly uncomfortable for mere seconds. Maybe the tech had no experience or bad training?
How do I get my doctor to find this research
Thanks Dr! Did the assessment..
My risk is 1.1% 5 yr and 5.9% lifetime risk. I do have dense tissue and had my last mammogram in March. I’m glad they will be letting us know the level now. I’ve never been told anything g other than they are very dense. Thanks for the information and the link to the test.
What about the issue of taking progesterone by mouth , and you not getting the full amount because of being metabolised by the liver?
Dr Susan thank you for this information. I wonder did you follow up with akkermansia levels after taking the supplement?
Too many mammograms cause breast cancer by smashing down the breast tissue causing inflammation. dense breasts are just harder to see. Not an increase in breast cancer. Do ultrasound or MRI. Not to mention radiation on a concentrated place
I enjoy all of your content. I'm surprised no mention of abbreviated Breast MRI which are now offered that are shorter and cheaper, though I think they require contrast.
I agree. Also, what about thermography which is another fantastic tool with zero radiation or risk.
Thank you so much for the information!
That questionnaire didn’t ask about breast density? Did I miss it? I have level D with multiple biopsies.