Madina Medicine: Omar Akhter, MD

03/20/2025

I did a talk on perimenopause last week for the Georgetown women’s networking group. Thank you to .montoto for inviting me. It’s always great to openly discuss these topics.

Perimenopause is something many women struggle with and unfortunately, are not able to get good treatment for.

While Perimenopause is not technically a medical diagnosis with certain diagnostic criteria, or labs that can precisely diagnosed it, it can present with a variety of symptoms that can indicate its presence.

Those symptoms include:
– Irregular cycles, change in cycles.
– Insomnia/poor sleep
– fatigue
– hot flashes/night sweats
– low libido
– poor mood/anxiety
– palpitations
– weight gain.
– dry skin.
– vaginal dryness
– poor oral hygiene
– ear itching

It’s important to try and identify the signs of Perimenopause as soon as possible.

While there isn’t one particular lab test that diagnoses perimenopause, it’s important to do thorough lab investigations to ensure there isn’t any other abnormality.

There’s always a dietary and lifestyle foundation that can be implemented first in order to improve symptoms.

Often times bioidentical hormones, especially progesterone are necessary and very effective for combating the symptoms of perimenopause. Estrogen, primarily in the form of estradiol should also be a strong consideration, especially in late perimenopause.

If you’re struggling with perimenopause symptoms, don’t hesitate to reach out!

10/17/2024

I will be doing a webinar on Thyroid and Mental health along with . Please attend if you’re interested. Link for zoom registration is in the bio.

09/07/2024

I will be at .aesthetics this upcoming Thursday Sept 12th at 6pm doing a talk on Polycystic Ovarian Syndrome (PCOS). Join us!

02/12/2024

New Podcast Episode!

Title: Monitoring Hormone Replacement Therapy (HRT) - Best Practices with Mark Newman, M.S.

Hormone replacement therapy continues to be one of the most confusing topics in medicine.

There is so much misinformation around the use of Estrogen, Progesterone, and Testosterone from false claims about its safety profile to dosing and route of administration to best practices for its monitoring.

In this episode, I get to discuss all of that with Mark Newman who has a wealth of knowledge in this area having created the Dutch test with Precision Analytical.

He very skillfully breaks down very complex Information into an easy to understand way and is really pioneering the best approaches to monitoring hormones.

We discuss:
- History of the DUTCH test and why he created it?
- Why Hormones are so misunderstood?
- The data is so overwhelming, how should we approach it?
- How conventional medicine, especially various academies like ACOG and NAMS, doesn't recommend testing.
- Urine or serum testing, which is better? Is Saliva valid?
- Estrogen dosing or monitoring.
- Progesterone dosing or monitoring.
- Testosterone dosing or monitoring.

Link to full Episode:

Hormone replacement therapy continues to be one of the most confusing topics in medicine. There is so much misinformation around the use of Estrogen, Progest...

02/10/2024

Thank you to .montoto for inviting me to speak again at the Georgetown Women’s Networking group! It was a great chance to discuss Hypothyroidism and Hashimoto’s again. Full talk is on my YouTube page. Link in bio.