214 - Dry eyes and menopause: what’s the link?

This week on the podcast, Dr Louise is joined by Dr Corinne Menn, a New York-based, board-certified OB-GYN and North American Menopause Society Certified Menopause Practitioner, with more than 20 years of experience caring for women.

When she was 28, Corinne was diagnosed with breast cancer. Following her BRCA2+ diagnosis, she underwent multiple surgeries and chemotherapy then navigated pregnancy and menopause plus longer term survivorship issues.

Corinne received support from the Young Survival Coalition, an organisation that advocates for women under 40 with breast cancer, and worked with her oncologists to manage her pregnancy, menopause and treatment options.

She feels passionately that women who have or have had breast cancer receive individualised care and treatment for their cancer and menopause symptoms, and shares three tips to help with quality of life:   

1. Do not minimise your menopausal symptoms, your hot flushes, your night sweats, sleep etc. So whether you use hormonal therapy or non-hormonal medications, make sure you get help and can sleep so you function better and breaking the vicious cycle of spiralling menopausal symptoms.
2. Please do not neglect vaginal sexual health. Again, if you can preserve a little bit of that, it can stop a negative cycle of suffering, of urinary tract infections and relationship and intimacy issues.
3. Scheduling time to have a separate appointment with your oncologist and your GYN. Come prepared. Listen to Louise's podcast. Listen to Menopause in Cancer podcast and Instagram page. Be empowered because you and your quality of life are worth it.

You can follow Corinne on Instagram at @drmennobgyn

Click here to find out more about Newson Health.

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

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

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

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

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.

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.

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.

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.

2. 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.
3. 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.

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.

 In this episode we’re going to talk about women’s health - specifically around how trauma affects womens’ hormones. We will discuss how if you feel something is off, it probably is, the wrong advice doctors are giving about hormones, and the times in our lives when we are more prepared to deal with past traumas due to hormonal changes. We will also cover why the term “estrogen dominance” is misleading and the two main hormones that are really affecting you (and they aren’t estrogen and progesterone!).

For more information and links for this episode, please visit our website: https://biologyoftrauma.com/biology-of-trauma-podcast/

Carotenoids are essential nutrients for the eye. They include lutein, meso-zeaxanthin, and zeaxanthin. Carotenoids are powerful antioxidants found in certain vegetables. They are not naturally generated by animals and humans. This is why we all need to get them through food.

Learn more about how to protect your eye health and get enough carotenoids into your body by listening to this second of a two-part podcast by Dr. Marc Grossman.

Why is Movement like medicine?  How can it improve your health and wellbeing?  Allow Heidi to answer many burning questions in this area of Somatic Movement.
What is happening within people who suffer with depression?  What is happening with unresolved feelings?  What happens when emotions are pushed down?  Did you know headaches, muscle pain, insomnia, digestive and reproductive dysfunction and apathy are all linked with emotional factors?

Within this episode, you will learn how a common habit can reveal how exhausted a person's internal system actually is and the reliance on external substances assist with every day functioning.

When Somatic Movement is part of your lifestyle, you will feel and experience the benefits.  Within this episode, Heidi discusses the many benefits.  These include hormonal changes (for the better!) and improved sleep patterns.  Learn of the latest research within the field of movement and brain health.

Heidi refers to a previous episode regarding somatic movement before sleep.
LINK: https://www.buzzsprout.com/1220111/4949510-the-importance-of-using-somatic-movement-to-help-improve-the-quality-of-your-sleep.mp3?blob_id=19781477&client_source=large_player&download=true

TO LEARN MORE:
https://TotalSomatics.com
https://HeidiHadley.com 

It is with a very heavy heart that we let you know that Dr Uchenna Okoye died just a few weeks after this episode was recorded. She passed away at her home on the 15th September 2023.

We are heartbroken and shocked beyond measure at this news. At the wishes of her family and colleagues we’re sharing this episode with you as a tribute to her tremendous tenacity and talent, and to acknowledge the legacy she leaves in the world of dentistry. We really hope you can enjoy this episode in the spirit it was intended. 

For Menopause Awareness Month, leading cosmetic dentist Dr Uchenna Okoye joined Liz to help us better understand the changes the menopause can have on the mouth.

Uchenna shared the effects changing hormone levels can have on our mouth health at different life stages, such as pregnancy and menopause.

Liz and Uchenna discussed common oral symptoms of the menopause, such as gum disease and burning mouth syndrome, and shared oral hygiene hacks to care for our mouths.

The episode also covered the benefits of mouth taping, tongue scraping and chewing gum.

Links mentioned in the episode:

• Read Dr Uchenna Okoye and Dr Louise Newson’s oral health and menopause fact sheet
• Shop MYSMILE by Dr Uchenna Okoye
• Listen to our podcast on bladder health with Professor Vik Khullar

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