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    Podcast Summary

    • Menopause and pelvic area weaknessMenopause causes weaker muscles and thinning tissue, leading to incontinence and bladder weakness. A holistic approach combining hormone therapy and pelvic floor exercises is essential.

      During menopause, the loss of estrogen leads to weaker muscles and thinning tissue in the pelvic area, including the vagina and bladder. This can result in incontinence and bladder weakness. It's important to note that this issue isn't just about physically strengthening the muscles with pelvic floor exercises. The estrogen plays a crucial role in maintaining the texture and tensile strength of the affected areas. Therefore, addressing menopause-related incontinence requires a holistic approach that includes hormone replacement therapy and pelvic floor exercises. Additionally, Bombas, a socially conscious brand, offers super soft essentials for personal comfort, and for every purchase made, one is donated to those in need.

    • Overlooking women's health during perimenopause and menopauseAddressing vaginal health issues early with localized estrogen treatment can prevent unnecessary discomfort and potential health risks, equivalent to taking one HRT tablet per year.

      Women's health during perimenopause and menopause is often overlooked, and the symptoms, such as urinary tract infections and vaginal issues, could be a sign of declining estrogen levels. These symptoms can lead to unnecessary antibiotic use and other health complications, including urinary incontinence. Localized estrogen treatment is a safe and effective solution to restore vaginal health and improve quality of life. This treatment, used twice a week, is equivalent to taking one HRT tablet per year. By addressing these issues early and properly, women can prevent unnecessary discomfort and potential health risks.

    • Menopause symptoms aren't normal or inevitableSimple solutions like pelvic floor exercises and local estrogen can help prevent or alleviate urinary incontinence and vaginal changes during menopause. Seek treatment to maintain sexual fulfillment and avoid using disposable incontinence pads that harm the environment.

      Urinary incontinence and vaginal changes during the menopause are not normal or inevitable signs of aging. Women should not accept these issues as part of growing older, but instead seek treatment. Simple solutions like pelvic floor exercises and local estrogen can help prevent or alleviate these symptoms. Moreover, the use of disposable incontinence pads, which contain high amounts of plastic, is not only detrimental to the environment but also perpetuates a harmful narrative about accepting incontinence as a normal part of aging. Additionally, these issues can significantly impact women's sex lives due to vaginal changes, loss of lubrication, and discomfort during intercourse. Treatment, such as vaginal pessaries and gels, can help manage these symptoms and maintain sexual fulfillment. It is essential to communicate openly with partners about these physical changes and seek professional help if needed.

    • Vaginal estrogen for pelvic health and beyondVaginal estrogen is vital for pelvic health, reduces urinary incontinence, safe for long-term use, and crucial for menopause symptoms. It's important for women to access proper care and modern HRT forms have minimal risks.

      Vaginal estrogen is crucial for pelvic health and can help alleviate urinary incontinence. It's safe for long-term use and should be considered alongside pelvic floor exercises. Women with chronic conditions like coughs that increase abdominal pressure can also benefit. The importance of vaginal estrogen goes beyond pelvic health, as many women struggle to access proper care and treatment for menopause-related symptoms. Unlike some private clinics, the goal is not to keep patients coming back, but to provide a prescription and send them back to their GP for ongoing care. Recent scare stories, such as the one reported in The Lancet, can set women back in their understanding of the benefits of HRT. However, modern HRT forms like patches and gels have minimal risks, particularly for breast cancer, when compared to other risk factors like being overweight or consuming sugary drinks. Women under 50 with early menopause also do not face an increased risk of breast cancer from HRT.

    • Estrogen-only HRT decreases breast cancer risk with right type of progesteroneEstrogen-only HRT with micronized progesterone decreases breast cancer risk, debunking misconceptions and improving women's quality of life

      Estrogen-only HRT, which is used by women over 50 who have had a hysterectomy, has been shown to decrease the risk of breast cancer instead of increasing it. This is due to the type of progesterone used in combination with estrogen being crucial. Micronized progesterone, derived from the yam root vegetable and identical to the progesterone in our bodies, does not increase the risk of breast cancer after five years of use, according to a French study. However, it's important to note that older studies on this topic have been excluded from some reports, leading to confusion and unnecessary worry for women during menopause. It's essential to clarify the benefits of HRT for women's quality of life and debunk misconceptions that may cause anxiety and even prevent them from working. Overall, the type of hormones used matters, and understanding the facts can make a significant difference.

    • Celebrating special occasions and taking care of health needsShop for Mother's Day gifts at 1800flowers.com and Whole Foods Market, consider flexible health insurance plans like UnitedHealth TriTerm, and assess the benefits and risks of Hormone Replacement Therapy for long-term health benefits.

      There are various ways to show appreciation and celebrate special occasions, such as Mother's Day. Shopping at places like 1800flowers.com and Whole Foods Market can help you find the perfect gifts and enjoy perks and rewards. Additionally, there are important matters to consider in our daily lives, like health insurance. UnitedHealth TriTerm medical plans offer flexible and budget-friendly coverage for those in between jobs or missed open enrollment. Furthermore, Hormone Replacement Therapy (HRT) can have significant long-term benefits, including reducing the risk of heart disease, osteoporosis, bowel cancer, dementia, and type 2 diabetes. While there is a small increased risk of breast cancer, it is much smaller than the risk associated with being overweight or consuming alcohol. Ultimately, it's essential to weigh the potential benefits and risks and make informed decisions for our overall well-being.

    • Maintaining pelvic floor health is crucial during menopausePractice pelvic floor exercises daily, maintain a healthy weight, avoid straining during bowel movements, and choose appropriate exercises to improve pelvic health and prevent issues.

      While Hormone Replacement Therapy (HRT) is an effective solution for managing menopausal symptoms, it's essential not to overlook other crucial aspects of women's health, particularly pelvic floor health. Pelvic floor exercises are vital for maintaining pelvic floor strength and can be practiced daily, just like brushing teeth. The habit of doing pelvic floor exercises regularly from a young age can significantly improve pelvic health and prevent issues in the future. Other factors, such as weight loss, avoiding straining during bowel movements, and choosing appropriate exercises, can also contribute to better pelvic health. It's never too late to start these practices, even for older adults. Overall, addressing pelvic floor health alongside HRT can lead to improved quality of life for women during and beyond menopause.

    • Combining pelvic floor exercises and vaginal estrogen therapy for women's stress incontinenceImprove stress incontinence in 3 months with pelvic floor exercises and vaginal estrogen therapy, often preventing surgery.

      For women experiencing stress incontinence, a simple and effective solution lies in the combination of pelvic floor exercises and local vaginal estrogen therapy. This approach, which can yield dramatic improvements within three months for many individuals, often prevents the need for more invasive surgical interventions. As a GP and menopause specialist, I've seen numerous success stories, including women who had given up hope and were wearing pads due to their severe symptoms. By addressing both pelvic floor weakness and hormonal imbalance, women can regain their confidence and improve their quality of life. If you notice an older woman relying on pads during your weekly errands, consider starting a conversation about this non-surgical treatment option. It could make a significant difference in her life.

    • Effective treatment for incontinence saves money and helps the environmentEarly intervention for incontinence can make a big difference for those over 50, saving money and contributing to sustainability. Discover resources online, consider discussing with family, and explore flexible insurance options.

      There is a simple, effective treatment for incontinence issues that can help individuals save money and contribute to environmental sustainability. This treatment, which involves early intervention, can make a significant difference for the large percentage of people over 50 who experience such problems. Additionally, it's important to raise awareness about this solution and consider discussing it with family members. Furthermore, there are various resources available online, such as articles and recipes, for those interested in learning more about menopause. Lastly, there are various ways to celebrate special occasions, like Mother's Day, with thoughtful gifts and savings from retailers like 1800flowers.com and Whole Foods Market. Flexibility is also important in various aspects of life, including insurance coverage, which is where UnitedHealthcare Insurance Plans come in, offering budget-friendly and customizable options.

    Recent Episodes from The Liz Earle Wellbeing Show

    Vaginal oestrogen could save your life, with Dr Rachel Rubin

    Vaginal oestrogen could save your life, with Dr Rachel Rubin

    With more than half of women experiencing at least one urinary tract infection in their lifetime, Liz chats to urologist and sexual medicine specialist Dr Rachel Rubin to reveal why UTIs must be taken more seriously.


    Rachel shares the realities of how dangerous UTIs can be, plus how the lack of knowledge on this common infection is just another example of medical misogyny.


    Rachel talks Liz through the symptoms of genitourinary syndrome of menopause (GSM) and how vaginal oestrogen could be lifesaving.


    Links mentioned in the episode:




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


    Get fit in just 11 minutes, with Lavina Mehta

    Get fit in just 11 minutes, with Lavina Mehta

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    Lavina talks Liz through exercise ‘snacking’ and why this can be a better approach for midlife women, plus why we should exercise for sanity not vanity and prioritise strength over cardio. Liz and Lavina also reveal a simple trick to help mitigate glucose spikes after meals, and try out a live exercise snacking session.


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


    Finding love online in midlife, with Garance Doré

    Finding love online in midlife, with Garance Doré

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    Are weight loss drugs too good to be true? – with Johann Hari

    Are weight loss drugs too good to be true? – with Johann Hari

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    Johann reveals his motivations to use weight loss drugs personally, plus talks through shocking statistics on the realities of being overweight on our health.


    He also shares some of the positive effects that may come with these anti-obesity drugs beyond fat loss, along with the risks - including malnutrition and eating disorders.


    Meanwhile, Liz questions the true cost to our health here and whether we’re opening a Pandora’s box of unknown adverse effects when considering these drugs.


    CONTENT WARNING: This episode contains bad language and frank chat about suicide, sexual assault, and eating disorders, so please take care while listening.


    Links mentioned in the episode:



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


    Why your UTIs keep coming back, with Dr Kate Stephens

    Why your UTIs keep coming back, with Dr Kate Stephens

    Do you struggle with urinary tract infections (UTIs)? Dr Kate Stephens, a doctor of microbiology specialising in the human microbiome, joins Liz to share how we can better support our vaginal microbiome and avoid recurring UTIs.


    In this episode, brought to you in partnership with Optibac, Kate and Liz discuss the common causes of UTIs and why perimenopause and menopause often leave us more vulnerable to them.


    Liz and Kate talk through the best bacteria strains for intimate health, and address old wives’ tales - like whether cranberry juice can fight a UTI.


    Links mentioned in the episode:




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


    Are we too shy of the sun? - with Dr Leland Stillman

    Are we too shy of the sun? - with Dr Leland Stillman

    Have we become too shy of the sun or are we right to be extra cautious? Dr Leland Stillman joins Liz to share why he believes current advice about sun exposure is only skin deep.


    Leland discusses his perspective on how light impacts our eyes and our overall wellbeing, and Liz questions whether we can really avoid damaging our skin when seeking more sunlight.


    Leland shares how he keeps his skin safe in the sun plus how light may impact the gut, while Liz asks whether a vitamin D supplement is the same as getting it from light itself.


    Links mentioned in the episode:




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


    Healthy fats, weight loss and ‘reversing’ diabetes, with Eric Edmeades

    Healthy fats, weight loss and ‘reversing’ diabetes, with Eric Edmeades

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    Liz and Eric discuss why we should view type 2 diabetes as more of an injury rather than a disease with a life-long sentence, plus why it’s important to distinguish between pre- and post-diabetic in healthcare plans.


    They also cover the benefits of ketosis and autophagy, the importance of cutting down on sugar for our health, and other lifestyle changes that we can make to cut the risk of pre-diabetes.


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


    Is mould sabotaging your health? - with Dr John Kim

    Is mould sabotaging your health? - with Dr John Kim

    Do you struggle with keeping mould at bay in your home? Functional medicine pharmacist Dr John Kim joins Liz to take a deep dive into the impacts mould may be having on our health.


    Inside this episode, John and Liz discuss whether everyday household mould might be the cause of sickness, and how mould could have even played a role in Liz’s daughter's own ill-health over the years.


    John and Liz also cover how to avoid mould getting inside food - such as coffee and grains - why juice cleanses can't actually detox the body effectively, and other endocrine disruptors that may be lurking in our homes.


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


    Reduce your risk of Alzheimer's disease, with Patrick Holford

    Reduce your risk of Alzheimer's disease, with Patrick Holford

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    Patrick, who is also the chief executive of the Food for the Brain Foundation, talks Liz through the role omega-3s and B vitamins play in protecting our brains, and they also discuss 30 factors associated with a heightened risk of Alzheimer's.


    Liz and Patrick cover foods to include in your diet, such as eggs and nuts, and the foods to avoid (spoiler: sugar!), plus key supplements that might help to protect our brains from cognitive decline.


    Links mentioned in the episode:




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


    What are your dreams trying to tell you? With Dr Rahul Jandial

    What are your dreams trying to tell you? With Dr Rahul Jandial

    How much thought do you give to your dreams? Neurosurgeon and neuroscientist Dr Rahul Jandial joins Liz to reveal what your dreams are really trying to tell you.


    Liz and Rahul unpack where our dreams stem from, what recurring ones actually mean, and how what we dream about at night can impact our capabilities during the day.


    The episode also covers 'sleep pressure', techniques that can enhance our dreams, and whether doctors can use our dreams as diagnostic tools.


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    Related Episodes

    Incontinence, menopause and pregnancy with Elaine Miller (aka Gusset Grippers)

    Incontinence, menopause and pregnancy with Elaine Miller (aka Gusset Grippers)
    Liz sat down with physiotherapist turned stand-up comedian Elaine Miller who's award-winning show Gusset Grippers is breaking taboos surrounding incontinence. Tune in to hear how you can help your pelvic floor recover from pregnancy and get advice on looking after your vagina during the menopause. This podcast series is sponsored by Pelviva. You can find the show notes and all the resources mentioned in the episode at lizearlewellbeing.com/menopause-pregnancy-and-incontinence-with-elaine-miller/

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

    91. Better Sex & Lives in Menopause with Dr. Jen Gunter

    91. Better Sex & Lives in Menopause with Dr. Jen Gunter
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    How menopause and ageing affect the vagina, with Dr Shirin Lakhani

    How menopause and ageing affect the vagina, with Dr Shirin Lakhani

    Have you experienced any vaginal or vulval changes as a result of the menopause?


    On this episode of The Liz Earle Wellbeing Show, Liz is joined by former GP and now aesthetic physician Dr Shirin Lakhani to learn more about how the menopause and ageing affect the vagina and pelvic floor.


    Shirin covers physical symptoms related to discomfort, incontinence and sexual dysfunction often caused by changing hormone levels, and why recurrent UTIs (urinary tract infections) can be more common later in life.


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


    104 To HRT or Not?

    104 To HRT or Not?

    This is an edited-down version of podcast episode 91 in which Menopause specialist Sharon Hartmann discusses hormone change with me and how we can best navigate it.

    She covers things like when hormone change begins, what can instigate it outside of the natural rhythm of life, and then she covers various symptoms, some more unknown than others.

    We also discuss natural v HRT (spoiler: topically applied HRT IS a natural product), the difference between gel, patches and spray; the importance of how you apply, testosterone, the Mirena coil, and also the length of time to take HRT and if it's ever too late to get on board (spoiler: forever, and not usually) 

    Sharon is an NHS nurse practitioner and runs a private practice to support women going through menopause. You can find her online here.

    Please do subscribe to the podcast, you can find it on all platforms and if you'd like to subscribe to the blog as well, head over to Women What Whistle website.

     

    Hot and bothered

    Hot and bothered
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