Dr. Jen Gunter

Probably a woman over age 50.

So I think that for that reason alone, yes, absolutely.

And we know there's women being undertreated.

We know there's people suffering with hot flashes.

We know there's people suffering with not sleeping well.

We know there's people suffering with joint pain.

And we also have lots of options for those.

When it comes to depression, that's kind of complicated because it can sometimes be both.

And so again, we actually have also good quality data for using antidepressants for depression in the menopause transition and in menopause.

And so I think it just depends on the situation.

So for example, one of the biggest risk factors, if not the biggest risk factor for depression in the menopause transition is previously having had depression before.

So if somebody comes in and they have a return of their depression,

If they said that that was incredibly well treated with whatever, citalopram, would it be wrong to restart them on the medication that was incredibly useful for them before?

No, it wouldn't be wrong to do that.

If they're suffering from hot flashes and night sweats and not sleeping well, would it be wrong to say, well, what do you think about trying this menopause hormone therapy to see if we get you sleeping better?

And I also wouldn't be wrong to do both.

And so, again, it's very easy on social media to sort of to say, oh, antidepressants are wrong, but there's definitely a tie.

Like, are you going to tell me if you have somebody in your office with a PHQ-9 of 29 that you're, you know...

you're going to give them an estrogen prescription and just send them out the door.

I'd like to think that you're going to marshal some other things.