Menu
Sign In Search Podcasts Charts People & Topics Add Podcast API Pricing

Jennifer Gunter

đŸ‘€ Person
484 total appearances

Appearances Over Time

Podcast Appearances

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

And women evolved very differently.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

And if you look at the history of our evolution as a species,

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

Women had 20 years post-menopause where they were contributing to society.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

I mean, if you look at the wise woman hypothesis, which is the idea that women in menopause basically helped drive evolution because they were there to care for, provide assistance to their own children and their grandchildren.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

And that being healthy and being active, doing all that actually was what drove our longevity as a species.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

So yeah, I think when people talk about ovarian failure, to me, that means that they have a very poor understanding of kind of the biology of ovulation and the biology of a menstrual cycle versus estrus.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

And yeah, we're not mice.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

Mice can tell us a lot of stuff, but it's all preclinical work and we have to then apply that to humans.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

And this idea that

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

that ovaries are like die and they're deficient and they stop working is also not true.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

So the postmenopausal ovary is still contributing to the pool of testosterone, for example.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

So I think that we should be careful how we're talking about things.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

Yeah.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

I mean, I think that, you know, none of these people ever talk about the negatives, which I always like to say.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

So, for example, when women sort of approach their late 30s, early 40s, their incidence of two conditions, adenomyosis and fibroids, starts to increase dramatically.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

Right.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

And, you know, that is probably related in part to lifetime exposure to estrogens.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

And so what is going to happen to those uteruses if they're keeping getting exposed to sort of estrogen in their 50s and 60s and 70s, like from ovulation, not from menopausal hormone therapy, which is a lower amount, right?

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

And so...

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

you know, I think that we have to be super careful about the assumptions that we make and about the cherry picking and this idea that longevity is going to be expanded by expanding ovulation.