Logo
    Search

    Podcast Summary

    • Importance of timely and accurate menopause diagnosisEffective communication between patients and healthcare professionals is crucial for accurate menopause diagnosis. Patients should advocate for themselves and seek a second opinion if needed.

      Learning from this podcast episode is that timely and accurate diagnosis of menopause is crucial, but not always straightforward. Jo shared her personal experience of experiencing a heavy bleed while on holiday, which led her to seek medical help. However, her GP initially misdiagnosed her and dismissed her symptoms, advising against Hormone Replacement Therapy (HRT) due to her age. This experience highlights the importance of open communication between patients and healthcare professionals, and the need for healthcare providers to consider all symptoms and not just the absence of specific diagnostic markers. It also emphasizes the importance of patients advocating for themselves and seeking a second opinion if they feel their concerns are not being addressed adequately.

    • Unexplained symptoms during menopause could be relatedPersist in seeking answers for unexplained symptoms and advocate for yourself with healthcare providers.

      Menopause symptoms can vary greatly from person to person, and what may seem like an unrelated symptom, such as vertigo, could be a menopause-related issue. In this case, the woman experienced vertigo for over a year, which worsened before her period. She also dealt with other symptoms like hair loss, dry skin, and dry eyes. Despite her doctor's initial belief that it was depression, she eventually learned that these symptoms were a result of Sjogren's syndrome, an autoimmune condition that affects the glands that produce tears and saliva. This experience highlights the importance of persisting in seeking answers for unexplained symptoms and advocating for yourself with healthcare providers.

    • Misdiagnosis of Menopause SymptomsMenopause can present with a wide range of symptoms, often leading to misdiagnosis and ineffective treatments. Recognizing the complexity and diversity of symptoms and ensuring accurate and timely diagnosis is crucial for effective treatment.

      The menopause transition can present with a wide range of symptoms that may not be immediately associated with menopause, leading to misdiagnosis and ineffective treatments. The woman in this discussion experienced various symptoms including joint pain, dry mouth, itching, and discomfort in her vagina and nose. She went through multiple rounds of antidepressants, nerve pain medication, and even dental procedures before being diagnosed with menopause. Her symptoms worsened over time, and she found relief only after being prescribed Hormone Replacement Therapy (HRT). This experience highlights the importance of recognizing the complexity and diversity of menopause symptoms and the need for accurate and timely diagnosis and appropriate treatment.

    • Advocating for oneself during menopauseSeek support from loved ones, be persistent with healthcare professionals, and adapt treatment plans for optimal relief during menopause.

      When an individual's quality of life reaches a point where they feel they can no longer cope, it's crucial to advocate for oneself and seek help from healthcare professionals. The speaker's story illustrates the importance of having a supportive network, as her daughter's intervention led her to receive appropriate treatment for her menopause symptoms. Despite following medical advice and trying various medications, the speaker's condition worsened, and it took a change in approach and a compassionate healthcare provider to ultimately provide her with the relief she needed. The experience highlights the importance of listening to patients, considering their unique circumstances, and adapting treatment plans accordingly.

    • Menopause and Post-Pregnancy Hormonal ImbalancesHormonal changes during menopause and post-pregnancy can lead to various symptoms and impact overall well-being. Proper diagnosis, understanding, and treatment, including HRT absorption and dosage adjustment, are crucial for effective management.

      Hormonal imbalances during menopause and post-pregnancy can significantly impact a woman's mental and physical health. The speaker in this discussion shared her experience of struggling with menopausal symptoms for months after giving birth, despite feeling great during pregnancy. Her healthcare provider explained that her high estrogen levels during pregnancy had depleted her estrogen stores, leaving her in a "mini-menopause" state after delivery. The healthcare provider also emphasized the importance of proper hormone replacement therapy (HRT) absorption and dosage adjustment to effectively manage menopausal symptoms. The speaker's journey to find relief from her symptoms, including hot flashes, burning mouth, and depression, highlights the importance of recognizing the connection between hormonal changes and overall well-being. Proper diagnosis, understanding, and treatment can help women navigate these challenging transitions more effectively.

    • Personal journey with HRT during menopauseFinding the right HRT method and dosage can significantly improve menopause symptoms and overall quality of life. Patience and advocacy for oneself are key in the process.

      Hormone replacement therapy (HRT) can be a game-changer for women experiencing menopause symptoms, even if they don't notice any obvious changes. The speaker in this discussion shares her experience of trying different forms of HRT, including patches and testosterone, to manage her symptoms and improve her quality of life. She emphasizes the importance of finding the right method and dosage for each individual, as everyone's experience of menopause is unique. The speaker also shares that it took time and patience to find the right combination of medications and dosages, but the results were worth it. She encourages women to keep advocating for themselves and seeking help from healthcare professionals if they are struggling with menopause symptoms. It's important to remember that even if symptoms are not immediately noticeable, they can still be affecting the body in ways that are not visible, such as bone health or cognitive function.

    • Hormonal Imbalances in MenopauseHormone Replacement Therapy (HRT) can provide relief from debilitating menopause symptoms for some women, but individual circumstances and preferences should guide the decision-making process.

      Hormonal imbalances, particularly in women approaching menopause, can have profound effects on both physical and mental health. These effects can be debilitating and may not respond to traditional treatments. Hormone Replacement Therapy (HRT) has been a game-changer for some women, providing relief from symptoms and improving overall quality of life. However, it's essential to remember that HRT is not for everyone, and individual circumstances and preferences should guide the decision-making process. The risks associated with HRT are often exaggerated, and the benefits can be significant for some women. Ultimately, it's crucial for patients to be fully informed and involved in the decision-making process with their healthcare providers.

    • Women's healthcare choices matterEnsure women's voices are heard in healthcare consultations, prioritize education for professionals and women, and recognize the importance of informed decisions in healthcare

      Women's choices in healthcare, particularly regarding hormone replacement therapy (HRT), should be prioritized. The speaker shared her personal experience of being denied HRT, leading to significant distress and health issues. She emphasized the importance of education for both healthcare professionals and women to recognize the symptoms and advocate for themselves. The financial implications of prolonged consultations and medication usage for untreated conditions were also highlighted. Unfortunately, stories like this are not uncommon, and it is crucial to ensure that women are central to consultations and allowed to make informed decisions about their healthcare.

    • Encouraging Women to Track Symptoms, Educate Themselves, and Open Up About MenopauseEncouraging women to use a period tracking app, self-educate, and openly discuss menopause symptoms can significantly improve their experience during perimenopause and menopause stages.

      If you notice changes in yourself or someone you know, particularly women, and they mention struggling with new symptoms or medication, it's essential to encourage them to use a period tracking app, educate themselves about their body, and open up about their experiences. This could potentially be life-changing, especially during the perimenopause and menopause stages. Jo, a guest on this podcast, shared her personal journey of dealing with perimenopause symptoms and how these three actions could have made a significant difference for her. Having a period tracking app like Balance can help women log and monitor symptoms, making it easier to identify patterns and changes. Self-education through evidence-based resources is crucial to understanding what's happening to the body. Lastly, talking openly about these experiences can help normalize the conversation around menopause and encourage others to seek help and support. For more information and resources, visit balance-menopause.com or download the free Balance app.

    Recent Episodes from The Dr Louise Newson Podcast

    262 - Acne: from teen years to menopause and beyond

    262 - Acne: from teen years to menopause and beyond

    This week on the podcast with Dr Louise, Consultant Dermatologist Dr Sajjad Rajpar returns to talk about acne and its effect on women during the perimenopause and menopause, including on their self-confidence and mental health.

    Dr Saj explains the causes of acne and the different treatments available, including an encouraging new treatment that could make a big difference to acne sufferers in the long term.

    Finally, Dr Saj shares his three tips for anyone who might have acne:

    1. Keep skincare simple and targeted. Pick one of three active ingredients – retinoids, benzoyl peroxide or azelaic acid – and give it three to six months to work. Only supplement it with a very simple supporting skincare regime.
    2. Assess the impact of the acne – if it is leaving persistent blemishes, pigmentation or scars, then escalate the treatment. If the first line treatment hasn’t worked, give it three months and see a medical professional to try to get it under control because prevention of scars is so much easier than trying to reverse and cure them.
    3. Be mindful about all the different risk factors and triggers, and do not underestimate the impact of diet and stress. Where we can treat acne holistically, we should.

    You can follow Dr Saj on Instagram @dr.rajpar_dermatologist

    There is a chapter dedicated to skin and hair in menopause in Dr Louise’s bestselling book, The Definitive Guide to the Perimenopause and Menopause, which includes expert contributions by Dr Saj. Order your copy by clicking here.

    Click here to find out more about Newson Health

    261 - Chronic pain and menopause: what’s the link?

    261 - Chronic pain and menopause: what’s the link?

    About 28 million people in the UK are thought to be living with chronic pain – that’s 43% of the population, according to the 2011 Census.

    But what is chronic pain, and how can it overlap with the perimenopause and menopause?

    In this week’s episode Dr Louise is joined by Dr Deepak Ravindran, a consultant in pain medicine and author of The Pain-Free Mindset: 7 Steps to Taking Control and Overcoming Chronic Pain.

    Dr Deepak unpicks the science behind chronic, or persist, pain and the two discuss the relationship between hormones, inflammation and pain.

    Dr Louise and Dr Deepak have co-authored a new article which offers 10 top tips for primary care practitioners on improving care for women with fatigue and/or pain. You can access the article here.

    Follow Dr Deepak on YouTube, Instagram, LinkedIn and X.

    Click here to find out more about Newson Health

    260 - Get comfortable with the uncomfortable: mental health and the menopause

    260 - Get comfortable with the uncomfortable: mental health and the menopause

    Content advisory: this podcast contains themes of suicide and mental health.

    This week on the podcast, Dr Louise is joined by Andrea Newton, a postmenopausal woman whose own experience of mental health during the menopause lead her to train as a tutor with the National Centre for Suicide Prevention Training. Over the last six years, Andrea has trained thousands of people in suicide intervention skills and she is now training to become a menopause coach.

    Andrea explains how her work in the corporate world has allowed her to share the importance of educating line managers, HR managers, and everyone about the menopause. She is also the author of the book, Could it be Your Hormones Love? (And Other Questions Not to Ask a Menopausal Woman).

    Andrea shares her tips on widening the conversation about menopause:

    1. Women need to educate themselves more about how the menopause affects all aspects of their health and be better at advocating for themselves.
    2. Let’s take the conversation to the wider audience and stop the awful, narrow, stereotypical view of menopause. Instead, educate people so we can avoid tribunals, retain talent and have more menopause-friendly businesses.
    3. Get comfortable with the uncomfortable and have conversations about things like menopause, mental health, suicide risk. We need to stop waiting for people to reach out, and we need to get better at reaching in and being proactive.

    You can follow Andrea on LinkedIn, Instagram @in.her.right.mind and Facebook @InHerRightMind  

    Click here to find out more about Newson Health

    Contact the Samaritans for 24-hour, confidential support by calling 116 123 or email jo@samaritans.org.

     

    Related articles

    Westlund Tam L, Parry BL. (2003), ‘Does oestrogen enhance the antidepressant effects of fluoxetine?’, J Affect Disord. 77(1):87-92. Doi: 10.1016/s0165-0327(02)00357-9

    Ibrahim WW, Safar MM, Khattab MM, Agha AM. (2016), ‘17β-Estradiol augments antidepressant efficacy of escitalopram in ovariectomized rats: Neuroprotective and serotonin reuptake transporter modulatory effects,’ Psychoneuroendocrinology. 74: 240-250. 10.1016/j.psyneuen.2016.09.013

     

     

    259 - All about Dr Louise’s theatre tour Hormones and Menopause: The Great Debate

    259 - All about Dr Louise’s theatre tour Hormones and Menopause: The Great Debate

    This week on the podcast Dr Louise meets comedian Anne Gildea, who will be joining Louise on her 34-date theatre tour this autumn, Hormones and Menopause: The Great Debate.

    Anne, a founding member of Irish musical-comedy trio The Nualas talks to Louise about her diagnosis of breast cancer, aged 45, and her ensuing menopausal symptoms, which she was unprepared for. She explains how her research inspired her to create her own show, How to Get the Menopause and Enjoy It.

    Louise and Anne discuss why they’ve come together to create a new show that will take you on a journey through the history of women’s health and lead you to see menopause and hormones in a whole different light.

    Finally, the pair share some of the reasons they think people should come to the show:

    1. It'll be a wonderful night out - a real sharing experience where you can also have a laugh.
    2. There’ll be lots to learn with new content and a sharing of knowledge.
    3. You’ll be able to ask questions and gets answers. Some shows will also have doctors available in the interval but Louise will answer questions on the stage as well.

    You can follow Anne on Instagram @annegildea  

    To buy tickets to the show click here

    Click here to find out more about Newson Health

     

    258 - I’m 27 and perimenopausal: how testosterone helped my symptoms

    258 - I’m 27 and perimenopausal: how testosterone helped my symptoms

    This week on the podcast, Dr Louise is joined by Elin Sullivan, a young woman who suffered a myriad of symptoms for years before getting the right treatment.

    Elin first experienced recurring urinary tract infections at 19 years old, and twice required hospitalisation. She also suffered from sweats, sleep disruption and fatigue, shaking and lichen sclerosus. After a chance encounter with Louise, she tried local HRT, which was transformative, and now takes testosterone to balance her low levels.

    Elin talks about how hard it can be to experience perimenopausal symptoms at a young age and shares her tips for other younger women experiencing issues that they think might be down to their hormones:  

    1. Although it can feel really hard, don't stop advocating for yourself. You may have self-doubt or worry that you’re wrong but keep pushing. My doctor was sick of seeing me, I was there probably every week, but don’t give up.
    2. Rather than just giving your doctor a list of your symptoms, show them when they were happening as well. Have a log of symptoms and anything that might have affected them on that day. This will help your doctor rule out things but also show if your diet, etc, has an influence.
    3. Don't be scared to try medications or suggestions. It might help but if it doesn’t it can potentially help your doctor decide the next step. I never believed local HRT could make such a big difference but am so glad I tried it.

    Click here to find out more about Newson Health.

    257 - Oestrogen, your heart and the menopause

    257 - Oestrogen, your heart and the menopause

    This week on the podcast Dr Louise is joined by Dr Felice Gersh, who is double board-certified in OB-GYN and Integrative Medicine, and specialises in female health, with a focus on managing female hormonal dysfunctions.

    She is the author of the book PCOS SOS: A Gynecologist’s Lifeline to Naturally Restore Your Rhythms, Hormones, and Happiness, and recently published a paper on oestrogen and cardiovascular disease, and a 2021 paper on HRT.

    Here she talks about the family of oestrogens and the important role of hormones on the heart. Finally, she shares three tips on improving heart and whole body health:

    1. Eat a lot of phytoestrogen-containing foods - so every kind of plant in all the different colours, including beans, nuts, seeds, fruits, vegetables. They are nature's gift to us.
    2. Sunlight is like happy medicine. Try to get sunlight in the morning, midday and watch the sunset every chance you get. This will help you to sleep better, make more serotonin, and help to set your master clock in your brain, which tends to drift when we lose our oestrogen production.
    3. Move. Your fitness status is more predictive of healthy longevity than your blood pressure. Think of your fitness, strength, flexibility and balance as a critical part of your life so get active in every way you can.

    You can follow Dr Felice on Instagram @felicegershmd.

    Click here for more about Newson Health.

    256 - Spreading the word about menopause care in the US, and beyond

    256 - Spreading the word about menopause care in the US, and beyond

    This week Dr Louise is joined by Aoife O’Sullivan, a family medicine doctor who trained in Dublin before completing a second family medicine residency at the University of Maryland.

     

    After taking some time out to complete extra training in perimenopausal and menopausal care, including Newson Health’s Confidence in the Menopause course, Dr Aoife is passionate about providing more comprehensive and holistic care to women during midlife.

     

    Dr Aoife share the ways clinicians, and all people, can educate themselves in order to improve the health of women in the US, and across the world:

    1. Take every opportunity to learn and educate. So join any local healthcare Facebook groups and pass on links to the Confidence in the Menopause website, the balance app, etc. Even if you reach one or two people like that, it will make a difference and they might reach another one or two people.
    2. Share small bites of information because it can be a little overwhelming. So when you're trying to reach somebody, give them small amounts of information at a time.
    3. Harness the power of friends. If everyone informs their friends and they all go to their doctors, obstetricians, gynaecologists and urologists, and ask questions, it will fuel discussion and increase knowledge.

    You can follow Dr Aoife on Instagram @portlandmenopausedoc

    Find out more about the Confidence in the Menopause course and click here for more about Newson Health.

     

     

    255 - Mental health issues and hormones: introducing Newson Health’s psychiatrist Dr Louisa James

    255 - Mental health issues and hormones: introducing Newson Health’s psychiatrist Dr Louisa James

    This week on the podcast Dr Louise is joined by a new colleague, Dr Louisa James, a psychiatrist who has recently joined the team at Newson Health.

    Dr Louisa’s personal experience of the menopause prompted her to learn more about the impact of hormones, and incorporate her knowledge in her role as an NHS consultant psychiatrist in a home treatment service. Here she discusses the importance, and power, of asking patients about their hormones during a psychiatric appointment.

    Finally, Dr Louisa shares her tips for thinking about your hormones alongside your mental health:

    1.Consider whether this feels different to any previous episodes of depression you may have experienced or if your symptoms are fluctuating. Some women have suicidal thoughts or are depressed at certain times of the month. Track your symptoms and look at the fluctuations.

    1. Your history can affect your menopause. If you’ve had an episode of postnatal depression or PMDD, then you're more likely to experience mental health difficulties in the perimenopause.
    2. How do you feel about your life? Lack of joy rather than a sadness, the emotional lability, is often greater with a hormonal mental health problem whereas irritability, rage and impulsiveness can be greater with mental health problems.

    Dr Louisa James is now offering consultations to existing Newson Health patients. Click here for details.

     

     

    254 - Dr Louise’s new paperback book: what’s new and who’s it for?

    254 - Dr Louise’s new paperback book: what’s new and who’s it for?

    This week is a celebration of Dr Louise Newson’s new paperback book, a revised and updated version of the bestselling The Definitive Guide to the Perimenopause & Menopause. Dr Louise is joined by Kat Keogh, who worked on the book with her and is the head of editorial at Newson Health and across the balance website and app.

    Here Kat turns the tables and asks Dr Louise the questions, discovering why the subject of HRT doses warranted more attention in the book, the importance of hearing directly from women experiencing the menopause as well as experts in their fields, plus how Louise felt sharing her personal experiences.

    Finally, Dr Louise shares three reasons she thinks people should buy the book:

    1. The bright yellow cover is uplifting, and when you’re happier you’re healthier.
    2. It’s packed with information so you’ll learn something that will either help you or a loved one.
    3. Increasing awareness of hormones, perimenopause, menopause, plus PMS and PMDD will help women feel less lonely, more included and more listened to.

    Pre-order the paperback book here

    Click here to find out more about Newson Health.

     

    253 - Coping with the perimenopause when you’re a carer

    253 - Coping with the perimenopause when you’re a carer

    This week on the podcast, Dr Louise is joined by Tova Gillespie, a working single parent to two daughters, one of whom has severe disabilities and complex medical needs. Here she talks about the challenges of being perimenopausal while being a carer and how it’s easy to not recognise or understand your symptoms.

     

    Louise and Tova discuss how it’s easy for your own needs to end up at the bottom of the to-do list when you’re a carer or have a busy family life, and Tova shares three tips for anyone who may not be looking after themselves:

    1. Learn to ask for and accept help. People want to help, but very often they don't know how to offer it and our usual response can be ‘no, I don't need anything’. Instead, say straight out: ‘Please do my washing up. Or I have five loads of clean laundry that needs sorting. Or can you bring over some food?’ Anything really.
    2. If your health isn't what it should be, go to your GP. When you ring your GP, ask for an appointment to talk about perimenopause and hormones. They’ll know from the get go what it is you're after and if they have anyone in the clinic with an interest in that area, they’ll put you in with that person.
    3. Try to see the good every day. I do gratitude journalling, where I write down a minimum of three positive things that have happened that day, and they're not big. It could be the sun is shining. It could be the taste of that first sip of coffee in the morning. I train myself to look for the positive because it's so easy to get overwhelmed in the bad stuff.

    Learn more about Tova on her YouTube channel. Or follow her on Instagram @parentXP

    Click here to find out more about Newson Health.

    Related Episodes

    Navigating Bioidentical Hormone Replacement Therapy with Karen Martel

    Navigating Bioidentical Hormone Replacement Therapy with Karen Martel

    Get ready for a deep dive into everything hormones - both bioidentical and HRT - with our guest Karen Martel. 

    To view full show notes, more information on our guests, resources mentioned in the episode, discount codes, transcripts, and more, visit https://www.drmindypelz.com/ep192.

    Karen Martel, a Certified Hormone Specialist, Transformational Nutrition Coach, and renowned authority on women's weight loss, is dedicated to transforming lives and empowering women to achieve their wellness goals.

    Check out our fasting membership at resetacademy.drmindypelz.com.

    Please note our medical disclaimer.

    Can mushrooms help with menopause?

    Can mushrooms help with menopause?

    It’s the final podcast of the season and what better way to end the season than a conversation about …. MUSHROOMS! Hold your horses though – we’re not talking about the woo-woo kind.

    I am talking to the founder of Micropause - Functional mushrooms, plant powered adaptogen perimenopause symptom relief gummies for all stages of your evolving midlife journey.

    Emily Wagner is a longtime authority in the health and wellness space - 30 years as a trainer, 15 years as Editor-in-Chief of Groomed LA, and a stint as Managing Editor of The Chalkboard Mag with a beat on the pulse of cutting-edge wellness trends. She has literally experimented with every supplement, powder, and potion on the market.

    As she was experiencing the distressing and often demoralizing symptoms of perimenopause, Emily was discouraged by the limited natural relief available beyond traditional hormone replacement therapy. Emily started researching the benefits of her beloved superfoods - functional mushrooms, apoptogenic roots, plants, and herbs – and was amazed to discover their potential to bolster overall well-being during the perimenopause and menopausal stage of life.

    And then ‘voila’! Emily found the relief she was looking for when she combined various supplements into her daily routine and couldn’t wait to share her discovery. But she knew that when it came to the delivery system, it was imperative to offer a simple, perfectly dosed, delicious alternative to yet another pill to swallow.

    Want to know more? You’ll have to tune in!

    What Makes a Great Leader Stand Out with Stephen M. R. Covey

    What Makes a Great Leader Stand Out with Stephen M. R. Covey
    On today’s episode of Here's Where It Gets Interesting, Sharon has a conversation with bestselling author Stephen M. R. Covey about effective leadership and high trust culture. The most underrated attribute in great leaders is humility which means that effective and trustworthy leaders are those who seek to understand first and be understood second. The working world has evolved since the start of the Covid pandemic and its leadership needs to reflect new practices built on the principles of “trust and inspire”. But what does good leadership in our communities and in our country look like? How can we apply the same principles about working leadership to leadership within our interpersonal relationships, and as we seek to lead change in our communities?

    Hosted on Acast. See acast.com/privacy for more information.

    210 - What is the right dose of HRT for you? Hormones and premature ovarian insufficiency

    210 - What is the right dose of HRT for you? Hormones and premature ovarian insufficiency

    How do you work out what the right dose of HRT is for you and balance the benefits with any potential risks?

    In this episode, Dr Louise talks about HRT doses with Corinna Bordoli, who began experiencing menopausal symptoms when she was just 10 years old.

    Corinna shares her experience of premature ovarian insufficiency (POI) – menopause before the age of 40 – and of the challenges she faced in getting a prescription for a higher dose of estrogen to help both her symptoms and future health.

    Dr Louise and Corinna discuss why hormone needs and absorption can vary from woman to woman, particularly for those with POI.

    Corinna’s three tips for those who may suspect they have POI: 

    1. Keep track of your perimenopausal and menopausal symptoms so that you have evidence when you go to see your doctor.

    2. If you are diagnosed with POI make sure you seek out a specialist in the condition to get the best care.

    3. If you have POI, find a community of other people with similar experiences for support, such as through the Daisy Network. Sharing your story and hearing other people’s stories can make a huge difference and be healing.

    Find out more about the charity the Daisy Network mentioned in the podcast here, or on Twitter  @thedaisynet.