Logo
    Search

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

    enApril 23, 2024

    Podcast Summary

    • Women's health takes a back seat during perimenopause and menopause yearsDespite personal challenges, it's crucial for women to prioritize their health during perimenopause and menopause years, seeking individualized care to maintain wellbeing.

      Women's health, particularly during the perimenopause and menopause years, often takes a back seat due to various responsibilities and caring for loved ones. This was highlighted in a moving conversation between Dr. Louise Newson and Tobo, a mother of two who experienced the devastating effects of oxygen deprivation during her oldest daughter's birth, resulting in severe brain damage. Despite her daughter's numerous health challenges, including quadriplegic cerebral palsy, severe learning delays, non-verbal communication, non-mobility, feeding tube dependency, and complex epilepsy, Tobo continues to share her story to inspire and raise awareness about the importance of focusing on one's own health amidst life's challenges. This conversation underscores the need for women to prioritize their wellbeing and seek individualized care during the perimenopause and menopause years.

    • Caring for a loved one impacts caregiver's health during menopauseRecognize the importance of self-care and seek support to maintain health during caregiving and menopause

      Caring for a loved one, whether it's a child with special needs or anyone going through a challenging time, can make it difficult for individuals to prioritize their own well-being, including their physical and emotional health during perimenopause and menopause. The speaker shared her personal experience of neglecting her own needs during a difficult period in her life, which led to burnout, anxiety, and other symptoms common to both caregiving and menopause. It's crucial for caregivers to recognize the importance of self-care and seek support when needed to maintain their overall health and well-being.

    • Irritability during perimenopause: A red flag for underlying hormonal changesRecognizing and addressing irritability as a potential symptom of perimenopause can help reduce suffering. Doctors should ask the right questions to diagnose hormonal changes, which can be easily misdiagnosed as depression or anxiety.

      Irritability during perimenopause can be a red flag for underlying hormonal changes, and it's essential to address these symptoms before they worsen. The woman in this discussion shares her experience of feeling overwhelmed and irritable due to the demands of caring for a child with special needs and working long hours. She believed her irritability was justified, but it wasn't until a bottle of vinegar accident that she realized she needed help. She booked an appointment with her GP and was diagnosed with perimenopause and started on HRT. She emphasizes the importance of doctors asking the right questions to diagnose hormonal changes, which can be easily misdiagnosed as depression or anxiety. The woman expresses her gratitude for her GP surgery having women's health specialists and encourages women to seek help early to reduce suffering. She wishes she could go back in time as a GP to ask women about hormonal symptoms and potential hormonal causes. Overall, the discussion highlights the importance of recognizing and addressing irritability as a potential symptom of perimenopause and the significance of asking the right questions to diagnose hormonal changes.

    • Women need to discuss menopause symptoms with healthcare providersWomen in perimenopause or menopause should openly discuss symptoms with healthcare providers to find effective treatments and improve quality of life.

      Women, especially those in perimenopause or menopause, need to be proactive in discussing their symptoms with their healthcare providers. The speaker shared her experience of experiencing night sweats and other symptoms, but initially not recognizing them as potential menopause-related due to the stigma surrounding the topic. She was fortunate to attend a presentation by a menopause specialist through a local charity, which helped her understand the possible connection. The speaker tried various forms of Hormone Replacement Therapy (HRT) and found that patches worked best for her, but she eventually needed to increase her dosage to manage her symptoms. The process of finding the right treatment took time and experimentation, but ultimately made a significant difference in her quality of life. It's important for women to join the dots and bring up their symptoms with their healthcare providers, as these conversations can lead to effective treatment and improved well-being.

    • Menopause's far-reaching consequencesMenopause affects families and loved ones, causing memory loss, difficulties in caring for dependents, and potential harm to children if evidence-based treatments are inaccessible. Historical misogyny towards women's health compounds the issue, and menopause can contribute to domestic abuse, often unintentionally.

      The impact of menopause extends beyond the workplace and affects the lives of families and loved ones. Women suffering from menopause may struggle with memory loss and other symptoms, which can lead to difficulties in caring for their dependents. This issue is compounded when these women are unable to access evidence-based treatments, leading to further stress and potential harm to innocent parties, especially children. The historical misogyny towards women's health and refusal of transformational treatments adds to the injustice. It is crucial to recognize the far-reaching consequences of menopause and advocate for equitable access to effective treatments. Additionally, the emotional and physical toll of menopause can contribute to domestic abuse, often in the form of emotional abuse, which can be unintentional and lead to self-blame and internalized feelings of inadequacy.

    • Managing Menopause Fatigue as a ParentMenopause fatigue is different from regular tiredness and can significantly impact a parent's ability to care for their family. Hormone replacement therapy can help improve energy levels and overall quality of life.

      Hormone replacement therapy (HRT) can significantly improve the quality of life for individuals experiencing perimenopause and menopause, benefiting not only themselves but also their families. The fatigue associated with this stage of life can be all-consuming and unpredictable, making it particularly challenging for parents, especially those with complex needs children. This exhaustion is not the same as regular tiredness and cannot be easily remedied with rest or caffeine. The speaker shares her personal experience of struggling to keep up with the demands of parenting due to this debilitating fatigue, which was compounded by the needs of her child with complex medical needs. The lack of consistent sleep further exacerbated her situation. Despite these challenges, the speaker emphasizes the importance of pushing through and remaining the most capable person for her family during these trying times. HRT has been instrumental in helping her regain some energy and stability, allowing her to better care for herself and her children.

    • Navigating menopause and additional responsibilitiesSeek support, normalize treatment, understand unique experiences, prioritize self-care, and educate yourself about menopause's impact on life.

      Managing menopause, especially for those with additional responsibilities and dependents, can be a challenging experience. The speaker shares her personal experience of navigating seizures and menopause, emphasizing the importance of support and normalizing treatment. She also highlights the unpredictability and demands of caring for a child with disabilities, and the need for self-care and education. The speaker encourages understanding the unique experiences of individuals, as symptoms can overlap with other conditions. Ultimately, she encourages open conversations and education about menopause and its impact on all aspects of life.

    • Misdiagnoses and lack of appropriate treatment during menopause for women with disabilitiesHealthcare professionals need to acknowledge their limitations, consult colleagues, and provide accurate information about available treatments for women with disabilities during menopause to ensure effective care. Raising awareness and education is crucial to recognize early symptoms and provide appropriate care.

      During menopause and perimenopause, many women with physical disabilities, including cerebral palsy, face misdiagnoses and a lack of appropriate treatment options due to misunderstanding of hormonal effects on their conditions. Doctors may unintentionally misdiagnose or provide incorrect information, leading to frustration and lack of effective care. It's crucial for healthcare professionals to acknowledge their limitations, consult with colleagues, and provide accurate information about available treatments, such as hormone replacement therapy with natural body identical hormones, to ensure the best possible care for these patients. Additionally, it's essential to recognize that women with disabilities may experience menopause at younger ages and may not recognize hormonal symptoms, making it crucial to raise awareness and educate both medical professionals and the public about the complex relationship between hormones and various disabilities.

    • Hormones like progesterone and estrogen impact brain development and functionHormones play vital roles in brain health, benefiting normal and impaired brains. Research is lacking due to underfunding. Prioritize self-care during perimenopause and menopause, focusing on mental health and seeking help from healthcare providers.

      Hormones like progesterone and estrogen, which are often associated with women's reproductive health, also play crucial roles in brain development and function. These hormones have the potential to benefit people with normal brain function as well as those with conditions like cerebral palsy. However, research in this area is lacking due to the lack of prioritization and funding. Another key takeaway is the importance of self-care, especially during perimenopause and menopause. People should learn to ask for and accept help from others and prioritize their mental health. Simple acts of gratitude and focusing on the positive can make a big difference in managing the challenges of these stages of life. Lastly, if you or someone you know is experiencing health issues, don't hesitate to reach out to your healthcare provider. Be specific about your concerns and ask for a specialist if needed. Remember, taking care of yourself is essential, and you don't have to face these challenges alone.

    • Focusing on the positive and letting negativity roll offTrain yourself to look for good experiences and visualize deflecting negativity to prevent being overwhelmed and improve care for others.

      Focusing on the positive and letting negativity roll off is an effective way to manage stress and better care for others. The speaker shares how they have trained themselves to look for good and positive experiences, even in small moments, and to visualize having a Teflon jacket or armor to deflect negativity. This approach helps prevent being overwhelmed by negativity and wallowing in self-pity, which is not the best for oneself or those being cared for. It's been an enlightening and emotional discussion, and for more information about Newson Health Group and their free balance app, visit their website at www.newsonhealth.co.uk.

    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.