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June 28, 2017  
COMMUNITY: Frequently Asked Questions
Uterus1: Is the use of hormones beneficial?
Dr. Joseph Talvacchia: I think you have to individualize recommendations for each patient. There is no one answer that you should give to everyone. Unfortunately there is a lot of misinformation out there. A lot of misinformation made it to the media a couple of years ago when this WHI study was first published and patients heard tidbits, and a lot of them don’t know all the facts of it. So I try and give patients the real facts in terms of what the true risks and benefits are of hormone replacement. Then the patient has to make her own decision in terms of whether she wants to go on hormone therapy for a period of time, knowing what the risk is in her particular situation.
Dr. John McNamara: The most frequently asked question has to do with the use of hormones. My response is very individualized because each patient has to look at the risks and benefits that apply to her situation. Unfortunately, at the moment our science is a little bit uncertain as to the exact risks and for whom, so we have to use a lot of judgment, and the patient needs to be involved in the decision process. I provide my best opinion, but they ultimately have to decide what seems best for them.
Dr. Joseph Talvacchia: I think you have to individualize recommendations for each patient. There is no one answer that you should give to everyone. Unfortunately there is a lot of misinformation out there. A lot of misinformation made it to the media a couple of years ago when this WHI study was first published and patients heard tidbits, and a lot of them don’t know all the facts of it. So I try and give patients the real facts in terms of what the true risks and benefits are of hormone replacement. Then the patient has to make her own decision in terms of whether she wants to go on hormone therapy for a period of time, knowing what the risk is in her particular situation.
Dr. John McNamara: The most frequently asked question has to do with the use of hormones. My response is very individualized because each patient has to look at the risks and benefits that apply to her situation. Unfortunately, at the moment our science is a little bit uncertain as to the exact risks and for whom, so we have to use a lot of judgment, and the patient needs to be involved in the decision process. I provide my best opinion, but they ultimately have to decide what seems best for them.
Dr. Talvacchia

Dr. Joseph Talvacchia


Joseph Talvacchia, D.O. is a gynecologist in the Philadelphia area. Dr. Talvacchia received his Doctor of Osteopathy from the New Jersey College of Osteopathic Medicine. He then completed a four-year residency training at Hahnemann University Hospital in Philadelphia, PA and has now been in practice for 18 years. In addition to his practice, Dr. Talvacchia has always been involved in teaching at various hospitals in the Philadelphia area, including Thomas Jefferson University Hospital. Dr. Talvacchia resides in Moorestown, NJ with his wife and three kids. His hobbies include wine, travel, and golf.

Dr. John McNamara


Dr. John McNamara completed residensy in OB/GYN in what is presently called Carolinas Medical Center, in Charlotte, North Carolina in 1980 and then did a preceptorship in Urogynecology in Long Beach California. He started and was Director of the Urogynecolgy Clinic and Urodynamics lab at the present Carolinas Medical Center from 1980-1992 teaching the residents in OB/GYN. Presently he is in private practice in both Obstetrics and Gynecology, concentrating on pelvic surgery and Urogynecology.

Dr. Talvacchia

Dr. Joseph Talvacchia


Joseph Talvacchia, D.O. is a gynecologist in the Philadelphia area. Dr. Talvacchia received his Doctor of Osteopathy from the New Jersey College of Osteopathic Medicine. He then completed a four-year residency training at Hahnemann University Hospital in Philadelphia, PA and has now been in practice for 18 years. In addition to his practice, Dr. Talvacchia has always been involved in teaching at various hospitals in the Philadelphia area, including Thomas Jefferson University Hospital. Dr. Talvacchia resides in Moorestown, NJ with his wife and three kids. His hobbies include wine, travel, and golf.

Dr. John McNamara


Dr. John McNamara completed residensy in OB/GYN in what is presently called Carolinas Medical Center, in Charlotte, North Carolina in 1980 and then did a preceptorship in Urogynecology in Long Beach California. He started and was Director of the Urogynecolgy Clinic and Urodynamics lab at the present Carolinas Medical Center from 1980-1992 teaching the residents in OB/GYN. Presently he is in private practice in both Obstetrics and Gynecology, concentrating on pelvic surgery and Urogynecology.

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