by drhcquaile@gmail.com | Sep 20, 2026 | Uncategorized
We spend the perimenopause visit asking about cycles, sleep, mood, and labs. We rarely ask a question that shapes almost all of those: how is this landing at home? Relational strain is not a footnote to perimenopause. It’s frequently part of the presenting...
by drhcquaile@gmail.com | Jul 30, 2026 | Uncategorized
Every risk calculator, PREVENT included, is a data point not a diagnosis. That distinction matters most in perimenopausal and postmenopausal women, where several of the highest-yield risk enhancers live entirely outside the calculator’s inputs. The Calculator...
by drhcquaile@gmail.com | Jul 6, 2026 | Uncategorized
The terminology shift from PCOS to PMOS Polyendocrine Metabolic Ovarian Syndrome carries direct clinical implications for how we assess, diagnose, and manage one of the most common endocrine conditions affecting reproductive-age women. If you are a clinician in...
by drhcquaile@gmail.com | Jul 6, 2026 | Uncategorized
Testosterone therapy for women remains one of the most underutilized, underappreciated, and under-taught areas of women’s health clinical practice. Despite a growing evidence base and clear guideline support from the International Society for the Study of...
by drhcquaile@gmail.com | May 10, 2026 | Uncategorized
The problem: patients want an answer, not a lecture In midlife, weight conversations often go sideways either we over-medicalize (“it’s hormones”) or we moralize (“eat less, move more”). Neither helps. Your goal is to communicate what’s true, what’s actionable, and...