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Estrogen Matters: Why Taking Hormones in Menopause Can Improve Women's Well-Being and Lengthen Their Lives -- Without Raising the Risk of Breast Cancer Hardcover – September 4, 2018
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"Estrogen Matters was my antidote to the misinformation surrounding menopause. This book should be the bible for every single person going through menopause.”―Naomi Watts
For years, hormone replacement therapy (HRT) was the medically approved way to alleviate menopausal symptoms (ranging from hot flushes to brain fog) and reduce the risk of heart disease, Alzheimer's, and osteoporosis. But when a large study by the Women's Health Initiative (WHI) announced, with national fanfare, that women taking HRT had an increased risk of breast cancer, women were scared off, and the treatment was abandoned.
Now, Dr. Bluming, a medical oncologist, and Dr. Tavris, a social psychologist, reveal the true story of the WHI’s efforts to distort their data to exaggerate unsupported claims of estrogen’s harms. Important updates in this edition include:
- Evidence that demolishes the WHI’s claim that HRT causes breast cancer.
- A list of the WHI’s retractions of their original scare stories.
- Updated findings on estrogen’s benefits on heart, brain, bones, and longevity.
- A critical review of the alternative products and medications being marketed to treat symptoms of menopause.
A sobering and revelatory read, Estrogen Matters sets the record straight on estrogen’s benefits, providing a light to guide women through this inevitable phase of life.
- Print length320 pages
- LanguageEnglish
- PublisherLittle, Brown Spark
- Publication dateSeptember 4, 2018
- Dimensions5.9 x 1 x 8.5 inches
- ISBN-100316481203
- ISBN-13978-0316481205
Book recommendations, author interviews, editors' picks, and more. Read it now.
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Both estrogen and progesterone stimulate bone formation and inhibit bone loss, and, to date, no therapy studied has been better than ERT or HRT in preventing osteoporosis and fractures in the spine and hips.Highlighted by 368 Kindle readers
When women go off estrogen, the risk of hip fractures rapidly increases, and within six years it is where it would have been had they never taken hormones at all.Highlighted by 343 Kindle readers
While exercise may improve bone strength and resistance to fracture in premenopausal women, however, it does not improve bone strength or resistance to fracture among postmenopausal women who are not on HRT.Highlighted by 167 Kindle readers
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Editorial Reviews
Review
"How could one flawed scientific conclusion become a persuasive juggernaut that changed the practice of women's health worldwide? In their fascinating account, Bluming and Tavris challenge that conclusion and unpack the reasons for its remarkable impact."―Robert B. Cialdini, author of Influence
"Given breast cancer's substantial morbidity, mortality, emotional toll and the vast consequences of its treatment, the frontal salvo on the conventional wisdom of estrogen use by Avrum Bluming and Carol Tavris is refreshing and welcome. The book will stir a lively debate about the merits of decades of existing clinical research on estrogens and help reframe the way clinicians and patients view the tradeoff between the benefits and risks of hormone therapy."―Jerome P. Kassirer, MD, Distinguished Professor, Tufts University School of Medicine; Editor-in-Chief, New England Journal of Medicine
"This is such an important book, I want to do all I can to encourage every woman to read it. Groundbreaking and carefully researched, Estrogen Matters provides essential information about the many benefits of estrogen at menopause and even after a diagnosis of breast cancer. It reveals the misinterpretation of study results that led women (and their doctors) to have unwarranted concerns about estrogen use. The thoughtful information presented here will help women feel more comfortable taking estrogen, leading to healthier, longer lives for many."―Patricia T. Kelly, PhD, specialist in cancer risk assessment and author of Assessing Your True Risk of Breast Cancer
"This book is long overdue, and I salute the authors for their courage and effort (and their clear, witty writing). I believe it is an ethical imperative for all clinicians who treat women in menopause or women with breast cancer to alert their patients to this book. It will not only improve women's quality of life, but also, on balance of probabilities, extend women's lives by delaying death from all other causes."―Michael Baum, MD, professor emeritus of surgery and visiting professor of medical humanities, University College London
"Once considered a veritable fountain of youth, estrogen replacement got a bad rap with the Women's Health Initiative study. This book is an exhaustively researched and meticulously reasoned vindication of hormone replacement therapy. Estrogen matters: it's the most effective treatment for hot flashes and other symptoms of menopause, and when started early and used continuously, it has important health benefits and can actually prevent some of the adverse events it was thought to cause. Bluming and Tavris tell estrogen's story in a way that is both accessible to the general public and appropriate for professionals. What's more, they provide valuable insights into understanding research and how even the best randomized controlled studies can lead to unjustified public fears and injudicious clinical recommendations. Very enlightening!"―Harriet Hall, editor, Science-Based Medicine
"Well written, insightful, and hard hitting, Estrogen Matters successfully rebuts the billion-dollar, government-led study known as the Women's Health Initiative, which claimed that hormones for post-menopausal women are harmful. That study was wrong. It turns out estrogens do matter for women's health."―Vincent T. DeVita Jr., MD, Professor of Medicine, Yale School of Public Health and Yale Cancer Center
"This book is long overdue. Having spent over two decades advancing women's health, I was appalled by the Women's Health Initiative's efforts to sensationalize and distort their own findings to promote an anti-hormone-therapy agenda. Personally I have been taking HRT for over 25 years and have no intention of stopping. I hope Estrogen Matters draws enough attention to counter the fears and misinformation about HRT that so many women, and their physicians, still hold."―Phyllis Greenberger, MSW, former President and CEO of the Society for Women's Health Research
"If you're one of the many menopausal women who reflexively avoid hormone replacement therapy to treat your symptoms because of all the scary headlines, this book is a must-read. The authors deftly cut through the hype to build a strong, well-reasoned case for challenging the current accepted wisdom."―Jennifer Ouellette, author of Me, Myself and Why and The Calculus Diaries
"For far too many years women and their doctors have been held in fear of prescribing estrogens -- believing that they were dangerous because of a widely quoted study purporting to show that they were too damaging. Now it turns out that this seems to have been an example of 'fake' news. In a thorough, careful, and unbiased assessment of all the scientific evidence, Bluming and Tavris debunk this most widely quoted work and show that estrogens are not only not dangerous but beneficial for the vast majority of women suffering from post-menopausal symptoms, whether or not they have had breast cancer. This extremely valuable message deserves to be widely disseminated."―Lord Turnberg, former President of the Royal College of Physicians
About the Author
Carol Tavris, PhD, is a social psychologist who has written widely about psychological science. Her trade books include Anger; The Mismeasure of Woman; and, with Elliot Aronson, Mistakes Were Made (But Not by Me). She has won numerous awards for her science writing and contributions to skepticism and gender equity.
Product details
- Publisher : Little, Brown Spark; 1st edition (September 4, 2018)
- Language : English
- Hardcover : 320 pages
- ISBN-10 : 0316481203
- ISBN-13 : 978-0316481205
- Item Weight : 14.9 ounces
- Dimensions : 5.9 x 1 x 8.5 inches
- Best Sellers Rank: #129,132 in Books (See Top 100 in Books)
- #45 in Endocrinology & Metabolism (Books)
- #99 in Menopause (Books)
- #482 in General Women's Health
- Customer Reviews:
About the authors

Carol Tavris is a social psychologist, writer, and lecturer whose goal is to promote psychological science and critical thinking in improving our lives. She is coauthor, with Elliot Aronson, of "Mistakes Were Made (But Not by ME): Why we justify foolish beliefs, bad decisions, and hurtful acts" and, with Avrum Bluming, "Estrogen Matters: Why taking hormones in menopause can improve women's well-being and lengthen their lives--without raising the risk of breast cancer." Her other major books include the landmark "Anger: The misunderstood emotion” and the award-winning "The Mismeasure of Woman: Why women are not the better sex, the inferior sex, or the opposite sex." She has written hundreds of essays, op-eds, and book reviews on topics in psychological science, writes a column for Skeptic magazine, and is a highly regarded lecturer who has spoken to groups around the world. She is a Fellow of the Association for Psychological Science.

Avrum Bluming received his Bachelor of Arts degree from Columbia College, where he majored in music, and his M.D. degree from the Columbia College of Physicians and Surgeons where he was elected to the academic honor society, Alpha Omega Alpha.
He spent 4 years as a Senior Investigator for the National Cancer Institute and, for two of those years, was Director of the Lymphoma Treatment Center in Kampala, Uganda, where he was also an Honorary Lecturer at Makerere University.
He has taught at medical and academic institutions around the country, including Harvard, Princeton, Johns Hopkins and Columbia Universities, as well as UCLA and USC. He is an Emeritus Clinical Professor of Medicine at USC, and has been an invited speaker at the Royal College of Physicians in London, the Pasteur Institute in Paris, and the International Society of Hematology in Jerusalem.
He has served as Director of Oncology, Chief of Medicine and Chief of Staff at both Encino Hospital and at the Tarzana Regional Medical Center, now called the Providence - Cedars Sinai Tarzana Medical Center, where he was Director of Continuing Medical Education for four years. He was a practicing hematologist and medical oncologist in Encino from 1975 - 2016.
In 1994, he was elected to Mastership in the American College of Physicians, an honor accorded to only 500 of the over 100,000 Board-certified Internists in this country. From 1994 until his retirement in 2016, he was consistently listed in the Woodward-White book, The Best Doctors in America.
In the 1970’s he was a fellow panelist with Lewis Thomas at Johns Hopkins University at an NCI sponsored conference on Spontaneous Regression of Cancer (Bluming AZ: Spontaneous regression of sarcoma. Nat Cancer Inst Monogr 1976;44:55-57.)
In 1998, he was a speaker at the 9th Roundtable of the Council for Technology and the Individual (CTI). Other speakers at that program included: Jeff Bezos, Stewart Brand, Leonard Kleinrock, Alan Kay, Ray Kurzweil, Paul MacCready, Steven McGeady, Walt Mossberg, Paul Saffo, John Scully, and Rick Smolan.
He has been a reviewer for many medical journals including: Blood, Cancer Research, Johns Hopkins Medical Journal, Journal of Clinical Investigation, Journal of Clinical Oncology, Journal of the American Medical Association, Journal of the National Cancer Institute, New England Journal of Medicine, and Science.
He has been profiled in the Los Angeles Times and the British medical publication, The Lancet. He has been quoted in the Economist, Forbes, the New York Times, Newsweek, Scientific American, and the Wall Street Journal. He is mentioned in Norman Cousin’s book, Head First - The Biology of Hope, in Jack Canfield’s book, Chicken Soup for the Surviving Soul, in Gail Sheehy’s book, The Silent Passage, and in Berry Gordy’s book, To Be Loved.
He has cooked with Danny Kaye, played Balalaika - guitar duets with Theodore Bikel, jogged with Frank Shorter, long distance running Olympic medalist, performed in front a medical audience with Patch Adams, was introduced by Gregory Peck at an LA Free-Net kickoff fundraiser event, flew a T33 jet fighter, flew over the Taklamakan Desert in an ultralite, traveled with the Tuareg in the Southern Sahara, spent time in a Buddhist Monastery on Mount Koya in Japan, and was the official Mohel for the Jewish community in Uganda, where, for a very brief time, he was also physician to Idi Amin.
He is a founder and was President for over 20 years of the H.O.P.E. Foundation, established to provide both information and bereavement counseling to families touched by cancer, and is a founder and first President of the Los Angeles Free-Net, a non-profit organization, inaugurated in 1994, providing inexpensive internet access (free to K-12 students) and extensive medical information resources on the World Wide Web. In 1996, the Clinton White House identified the Los Angeles Free-Net as the prototype for community information resources that should be emulated around the country.
He organized the first study of lumpectomy for the treatment of breast cancer in Southern California in 1978; he was a co-investigator on the original study evaluating the relationship between the timing of initial breast cancer surgery within the menstrual cycle and prognosis, and for the past 3 decades, he has been studying and publishing the benefits and risks of hormone replacement therapy administered to women with a previous history of treated breast cancer.
His book, written with Dr. Carol Tavris, a Social Psychologist and author, is entitled:
Estrogen Matters: Why taking hormones in menopause can improve women’s well-being and lengthen their lives - without raising the risk of breast cancer. It was first published in September, 2016. A second edition is scheduled for publication in September, 2024.
Customer reviews
Customer Reviews, including Product Star Ratings help customers to learn more about the product and decide whether it is the right product for them.
To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzed reviews to verify trustworthiness.
Learn more how customers reviews work on AmazonCustomers say
Customers find the book informative and well-researched. They say it's an easy read that women considering hormone replacement should have in their library. Many mention that the book helps them improve their quality of life and overall well-being. However, opinions are mixed on the reading quality - some find it engaging and entertaining, while others find it boring and dishonest.
AI-generated from the text of customer reviews
Customers find the book informative and well-researched. They appreciate the citations and references for its information. The authors dissect myths and misinformation about the risks and benefits of HRT, using an evidence-based approach that's easy to understand. Readers consider the book groundbreaking on this subject and appreciate the unbiased reviews of studies.
"...and caring for patients, and Carol Tavris MD who is an also distinguished science (among other subjects) writer. The writing is so clear...." Read more
"...Very important evidence based research into HRT and the argument in favor of it. How flawed the WHI study was...." Read more
"Finally the real truth and positive evidence based information for women about estrogen This book by Dr Bluming dispels the poorly done WHI study..." Read more
"...finished reading the book, Estrogen Matters, and found it to be very interesting...." Read more
Customers find the book easy to read and well-written. They say it's an important read for women considering hormone replacement therapy, especially those with breast cancer. The author provides a clear, understandable approach that is easy to digest.
"...This book is written by Avrum Bluming MD who devoted his life to breast cancer research and caring for patients, and Carol Tavris MD who is an also..." Read more
"...How we’ve been lied to all these years. Very well written by an oncologist." Read more
"...It is a great read that very woman should have in her library and share with other women and their physicians who may be uninformed!" Read more
"...I have had absolutely no problems with taking bioidentical estrogen and bioidentical progesterone...." Read more
Customers are satisfied with the book's impact on their quality of life. They say it helps them feel stronger and healthier, allowing them to stay healthy and live longer.
"...and up needs to read this book if she wants to have a good quality of life (avoiding diseases of hormone deficiency) for as long as possible...." Read more
"...What a huge change in my quality of life! My hot flashes are gone! I sleep 7-9 hours a night again...." Read more
"...it for everyday life to help us with the aging process, and to feel stronger and healthier in our bodies...." Read more
"...I’ve now made informed decisions about my health and quality of life. Wish I knew this ten years ago. Highly recommend." Read more
Customers have different views on the book's reading quality. Some find it engaging and entertaining, while others find it boring, ridiculous, and dishonest.
"...In short, I can’t recommend this engaging book more highly — for women in the years before and during menopause, for doctors, and for anyone..." Read more
"This book seems fundamentally dishonest. I'm not saying that because I think taking estrogen is all bad...." Read more
"...for fellow doctors (who seem to love this book), these stories were entertaining, but for a woman just wanting the nutshell of "Is this going to..." Read more
"Boring, but informative..." Read more
Reviews with images
Ranked it #24 out of 45 books on menopause and HRT (there are many better choices)
Top reviews from the United States
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- Reviewed in the United States on October 16, 2024I believe every woman 35 (that's when your hormones start decreasing) and up needs to read this book if she wants to have a good quality of life (avoiding diseases of hormone deficiency) for as long as possible. I'm buying this new edition because I'm always lending out my current copy to the women I know. This book is written by Avrum Bluming MD who devoted his life to breast cancer research and caring for patients, and Carol Tavris MD who is an also distinguished science (among other subjects) writer. The writing is so clear. The facts so solid. Look up their names and listen to interviews with them. Take this book to you GYN (who probably is totally clueless and thinks HRT is poison).
- Reviewed in the United States on November 11, 2024Every woman needs to read this book regardless of age. Very important evidence based research into HRT and the argument in favor of it. How flawed the WHI study was. How we’ve been lied to all these years. Very well written by an oncologist.
- Reviewed in the United States on November 29, 2024Update your knowledge and understand why menopausal hormone replacement became out of vogue and why you should consider it now
- Reviewed in the United States on September 21, 2024Finally the real truth and positive evidence based information for women about estrogen This book by Dr Bluming dispels the poorly done WHI study that caused millions of women to stop hormones over 20 years ago! It is a great read that very woman should have in her library and share with other women and their physicians who may be uninformed!
- Reviewed in the United States on January 14, 2019I just finished reading the book, Estrogen Matters, and found it to be very interesting. I have been taking bioidentical hormones for about 10 years, and I agree that estrogen matters, a lot. However, Dr. Bluming recommends taking Premarin and Provera. In case Dr. Bluming isn't aware, Premarin in a dosage of 0.625 mg. comes at a cost of $192.14 for a one-month supply, and that's not including the cost of a progesterone which is also necessary if a woman has her uterus. I have my bioidentical hormones made in a compounding pharmacy, which has worked very well for me. The information provided in the book, Estrogen Matters, is very much appreciated, particularly on bones and brains, and I agree with what the book has to say on these important concerns. Most women are in a difficult position when they become menopausal. It's either take hormone replacements or suffer from hot flashes, bone loss and Alzheimer's, all to come sooner or later. Women's bone loss starts as soon as menopause begins; that is, in most women. All this can be helped by taking hormones, and I agree that taking bioidentical hormone replacement has been a great help to my health. At age 70 (I entered menopause at age 53) I was diagnosed with severe osteoporosis. So I started taking bioidentical hormone replacement, even though I had a very difficult time finding a doctor who would prescribe them for me. I did locate a doctor who was listed in one of Suzanne Somers' books, but I had to drive 6 hours one way to his office. When I started taking bioidentical hormones (estrogen and progesterone), my bone scan showed my BMD in my lumbar spine to be .637. Through taking bioidentical hormones since 2009, my BMD in 2017 was .956. I exercise every day, eat well, and I credit bioidentical hormones with the improvement in my BMD where it is now. I am so grateful to Suzanne Somers and her books for the information she and doctors she interviewed provided for me and for women. I am grateful to Dr. Bluming and Carol Tavris for providing the information they provide in Estrogen Matters. I would like them to know that bioidentical hormones are very helpful, even essential for my bone health. I also at one time took Premarin and Provera. I did not do well on Provera or on any progestin. I have had absolutely no problems with taking bioidentical estrogen and bioidentical progesterone. I think Premarin is too expensive for most women. Health care and pharmaceuticals seem to be available only for the rich. This is not right.
- Reviewed in the United States on October 6, 2024This author is absolutely brilliant. He is also an advocate for HRT, which is of great importance due to the fact that he is an oncologist and a strong advocate for those who are suffering through menopause and are also breast, cancer, survivors, like myself.
- Reviewed in the United States on December 27, 2024As a surgical oncology nurse navigator, I was against taking estrogen. However, my hot flushes and insomnia were life-altering. I found a women’s clinic, run by female doctors and nurse practitioners, and reluctantly started HRT. They suggested this book. My opinion has changed! Shame on the WHI for their scare tactics. My hot flushes are now almost nonexistent and my sleeping patterns are greatly improved. I highly recommend this book, especially if you’re on the fence regarding HRT.
- Reviewed in the United States on November 15, 2024Lots of great information. I read it then bought it for several friends.
Top reviews from other countries
Gloria MorrisReviewed in Canada on November 14, 20245.0 out of 5 stars Eye opening!
I’m so glad I was encouraged to read this book. I am suffering miserably in post-menopause (3 years). I had not entertained HRT due to the hysteria about it causing breast cancer. But now, my symptoms are so bad, that I’m seeing my doctor this very week because I want my estrogen back! I’ve read this book in 3 days and all my concerns have disappeared. I am confident that HRT will benefit me, certainly in the short-term, and hopefully the long-term. My mother had osteoporosis, vascular dementia, and heart disease. She had already suffered a stroke and minor heart attack. She later suffered a severe heart attack that caused her to fall and break her hip, which ultimately resulted in her death. She was 92. Bring on HRT…let’s go!
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LeninhaReviewed in Brazil on October 2, 20222.0 out of 5 stars Bonzinho
É bom!!! Mas não vale a pena gastar dinheiro com ele.
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Edzia C.Reviewed in Mexico on July 20, 20205.0 out of 5 stars Buena información acerca de la terapia de reemplazo hormonal
Muy buen libro, explica perfectamente la importancia del estrógeno en las mujeres, habla de la terapia de reemplazo hormonal, por qué es importante y cuando se recomienda; así como también explica por qué el estudio del 2002 del WHI estuvo muy sesgado y a pesar de eso la reputación de la terapia de reemplazo hormonal sigue muy dañada. Habla de todos los riesgos de salud para las mujeres en esa etapa. Definitivamente es algo que todas las mujeres alrededor de los 40 años deberían leer, porque las decisiones que se tomen cuando empiezan con la perimenopausia definitivamente impactarán su vida.
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SGReviewed in France on September 3, 20205.0 out of 5 stars Top
En tant que médecin je suis très contente que ce livre soit enfin publié. Je le conseille à tous les gynécologue et à toutes les patientes. Même si j'utilise fréquemment les hormones bioidentiques et pas toujours THS, il m'a été très utile et un bon appui dans la discussion et les explications aux patientes.
AnnaReviewed in Australia on March 2, 20245.0 out of 5 stars An important book to have
This was an outstanding, easy & factual read regarding the fear around natural hormones. The author has provided footnotes to back up all of his claims & most importantly argues how the WHI sabotaged the findings.
Every woman will suffer menopausal symptoms, some not bad but others chronic & this book draws clear conclusions, factoring in risk & benefit. It outlines how the medical industry has medicalised natural hormones & how women suffering are having to advocate for themselves because doctors are just not listening. The question is why are women being over medicated with pills when there is a safe & effective treatment that will replace & balance out hormones.
Grateful for this knowledge & the time this author spent putting this together, every woman should own a copy.
A final note, some strong & inspiring women to follow who will teach you to advocate for yourself are Dr.Louise Newson, Menopause Taylor & Dr.Mary Claire.





