Hormone Myths with Cassie Milligan

The episode continues the discussion between Dr Bree Allred speaking and Cassie Milligan, FNP on who may be a good candidate for hormone therapy, emphasizing individualized assessment beyond sex hormones and noting that many men and women—including some cancer survivors—may still be candidates with different approaches (e.g., estriol/bi-est, localized vaginal use). It reviews the Women’s Health Initiative, stating the black box warning stemmed from synthetic estrogen/progestin combinations and that later large-scale research and the FDA’s removal of the warning increased estrogen demand, contributing to patch shortages. The conversation compares delivery methods (patch, cream, pellet, troche, capsule, injections) and highlights why tablets are not preferred by the clinician. It covers when not to prescribe (e.g., high labs, recent cancer, estrogen blockers, prostate cancer) and stresses lab testing, conservative dosing, and monitoring. Hormone changes’ effects on vaginal dryness, atrophy, painful intercourse, GSM, UTIs/yeast infections, and pelvic floor issues are outlined, along with the role of probiotics and pelvic floor therapy. 00:00 Who Is a Candidate 01:58 Black Box Warning Explained 04:41 Estrogen Patch Shortage 10:44 Who Should Avoid HRT 15:17 Vaginal Health and Atrophy 16:55 Postpartum Pain and Pelvic Floor 19:55 Pelvic Pain and Prolapse 20:19 GSM and Bladder Symptoms 26:23 Rapid Fire Symptom Check 27:50 Perimenopause Myth Busting 28:57 Find the Right Practitioner 31:23 Whole Body Team Approach 33:35 Feeling Like Yourself Again Thank you for listening to *Healing at Your Core*. If today's conversation resonated with you, please share this episode with someone who could benefit from it. Every share helps us reach more women who may be silently living with symptoms they think they have to accept, when healing is truly possible. Have a wonderful day. **Bree Allred, PT, DPT, PRPC** *"Common does not mean normal. Healing begins when we start the conversation."* ## CONNECT with Bree & Access Trusted Pelvic Health Resources Discover expert education, practical tools, and evidence-based guidance designed to help you better understand your body and take the next step toward healing. You'll also gain access to valuable resources and become part of a supportive community of women who are restoring comfort, confidence, and quality of life through every season. **Join FREE at:** www.aylarapelvichealth.com **Follow Bree on Social Media:** Facebook | Instagram | YouTube | LinkedIn **Bonus Resource:** Schedule your **FREE Discovery Call** and learn how personalized pelvic floor physical therapy can help you restore movement, comfort, and confidence. Links Website: reviveutah.org Facebook: https://www.facebook.com/revivewellaesthetics Instagram: https://www.instagram.com/revivewellnessaesthetics/ LinkedIn: www.linkedin.com/in/cassie-milligan-502aa0132