Podcasts about Hormone therapy

A drug company that had been planning to remove a breast cancer and endometriosis medication from Australian shelves now says it will offer it for free to all patients who need it, indefinitely.

The Dean's List with Host Dean Bowen – Both males argued that the law should not apply to them since they had no biological advantage over girls because they were taking female hormones and/or puberty blockers. “States and leading athletic organizations disagree with the plaintiffs and have concluded that biological males still retain a physical advantage after taking puberty blockers and hormones...

Hormones aren't the problem. Misunderstanding them is. On this episode of BackTable Women's Health, Dr. Karen Toubi sits down with Dr. James Simon to discuss menopause, sexual medicine, and his career journey from early IVF research to treating aging women. They also unpack his Green Journal paper with Dr. Barbara Levy, challenging common misconceptions about hormone therapy and explaining why treatment should be individualized because not all estrogens and progestogens are the same. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction03:11 - Why Menopause Medicine07:51 - Hormone Therapy Paper11:48 - Counseling Perimenopause16:14 - Unopposed Estrogen Strategy23:01 - IUDs And Progesterone26:54 - Estrogen Types Explained34:59 - Thrombosis Risk Approach43:11 - Oral Estrogen Use Cases44:48 - Breast Cancer Risk Counseling46:49 - Estrogen Risk Myth48:11 - Pregnancy and Breast Cancer50:09 - Counseling BRCA Patients53:26 - Duavee: Who Benefits?55:32 - Bazedoxifene Access Limits57:47 - Ospemifene for Genitourinary Syndrome of Menopause (GSM)01:00:37 - Dryness Explained01:02:41 - Thrombosis Risk Screening01:05:01 - UTIs and Vaginal Estrogen01:07:18 - Starting HRT After 6001:12:47 - Window of Opportunity01:14:46 - Staying on HRT01:16:43 - Blood Levels and Absorption01:20:13 - Clinician Takeaways --- More about this episode The conversation explores strategies for managing perimenopause, including when hormonal contraception is the best option and when symptom-focused hormone therapy may be more appropriate. They cover practical guidance on using transdermal estradiol, Mirena and Liletta for contraception and endometrial protection, and how thrombosis risk differs depending on the type and route of hormone therapy. The episode wraps up with a discussion on newer treatments for genitourinary syndrome of menopause, when to consider hormone therapy, and why clinical experience is so important in menopause care. --- Resources A Contemporary View of Menopausal Hormone Therapy https://journals.lww.com/greenjournal/abstract/10.1097/aog.0000000000005553~a-contemporary-view-of-menopausal-hormone-therapy?redirectionsource=fulltextview --- BackTable Women's Health is the go-to podcast for gynecologists, gynecologic surgeons, and other healthcare professionals focused on women's health. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Send us Fan MailIn this conversation, Dr. Jaime Seeman joins host Dr. Jaclyn Smeaton to discuss muscle as an underappreciated cornerstone of women's metabolic and hormone health, particularly during perimenopause and menopause, and the importance of resistance training.This episode also highlights:Muscle as a metabolic organ, not just a cosmetic one, and the importance of muscle tissue qualityHow resistance training and cardio affect body composition differentlyThe importance of preserving fast-twitch muscle fibers for longevity later in lifeStrategies for protein and carbohydrate intakeHow the DUTCH Test can help identify where hormonal intervention can fill the gaps beyond lifestyle habits, particularly with estrogen, DHEA, and androgen levels post-menopauseShow NotesLearn more about Dr. Jaime Seeman and follow her on Instagram @doctorfitandfabulous!Become a DUTCH Provider to discover how the DUTCH Test can profoundly change the lives of your patients.

I answer questions submitted by listeners about topics ranging from how to ensure great sleep after nighttime exercise, effective no-caffeine pre-workouts (that also improve your sleep quality), neuroscience-supported tools for improving your memory and sense of smell, nutrition and supplementation for improving female and male fertility, the link between (peri)menopause and mental health, accelerating recovery from surgery, how to find your life's passion, and more. Please note that if your question was not answered this time, we will keep it to consider for future Q&A episodes. A special thank you to everyone who submitted a question! Read the episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman Eight Sleep: https://eightsleep.com/huberman BetterHelp: https://betterhelp.com/huberman LMNT: https://drinklmnt.com/huberman Timestamps (00:00:00) Your Questions Answered (00:01:42) Late-Day Training & Pre-Workout, Cortisol; Tools: Alpha-GPC, Garlic & TMAO, Hot Shower, Physiological Sigh, Post-Workout Food (00:13:57) Sponsors: Eight Sleep & BetterHelp (00:16:12) Morning Daylight, East vs West Facing, Melanopsin Cells; Tool: Ambient Daylight, Prior Light History (00:22:54) Over-Optimization & Protocol Overwhelm, Core Pillars, Consistency, Resentment, Alcohol (00:33:32) Sponsor: AG1 (00:34:48) Memory, Hippocampus & Neocortex, Exercise & Arousal, Errors, Sleep, Tool: Self-Testing; Sense of Smell, Tool: Sniff Training, Anosmia (00:53:11) Fertility & Nutrition, Body Fat, Testosterone Therapy, HCG & Sperm; Low-Inflammation Diet, Fermented Foods, CoQ10, L-Carnitine (01:08:24) Sponsor: LMNT (01:09:46) Perimenopause & Menopause, Anxiety, Hormone Therapy, Sleep (01:18:08) Sunrise vs Sunset Wedding, Chronotypes (01:22:52) Kidney Donation & Surgery Recovery; Tools: Prehabilitation, Circadian Rhythm in the Hospital; Muscle Memory (01:30:57) Careers in Science (01:32:05) Finding Your Passion, Structure & Work, “No Input, No Output”; Tool: Chop Wood, Carry Water (01:43:49) Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Sponsors, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices

Feeling like yourself again often starts with zooming out instead of chasing the latest wellness trend. In this conversation, we sit down with Nurse Practitioner Carmen Stansberry to explore the bigger picture of women's health that focuses on the  idea of longevity vs a quick fix. We cover everything, from finding the right healthcare provider to understanding hormones, inflammation, sleep, and the daily habits that have the biggest impact over time. If you've been wondering where to start when you don't feel your best, this conversation offers practical guidance to help you make informed decisions and focus on what truly moves the needle.Key Topics Covered:How to find a qualified healthcare provider who looks at the full picture instead of offering quick fixesWhat heart rate variability (HRV) can reveal about stress, hormones, and overall healthThe truth about peptides, GLP-1s, and why personalized care mattersHow inflammation affects aging and simple ways to reduce it through everyday habitsWhat to know about hormone therapy, hair health, collagen, and protein as you get olderThe best longevity tips for womenCONNECT WITH CARMEN:Follow Carmen on Instagram: https://www.instagram.com/carmen.stansberry.np LINKS AND RESOURCES:LMNT: Free Sample Pack with purchase:  drinkLMNT.com/HERSELFMARY RUTH HAIR SUPPLEMENT: https://amzlink.to/az0kELnE6fNiV Check out episode 342: Our Unfiltered Thoughts About Turning 40, where we talk about aging and our thoughts on it: https://podcasts.apple.com/us/podcast/herself/id1489878793?i=1000772765470 Let's connect!HERSELF PATREON: https://www.patreon.com/herselfpodcastHERSELF INSTAGRAM: http://instagram.com/herselfpodcastMEET AMY: http://instagram.com/ameskieferMEET ABBY: http://instagram.com/abbyrosegreenThis episode was brought to you by the Pivot Ball Change Network.

For decades, men with high-risk prostate cancer have routinely been told they need 18 to 36 months of androgen deprivation therapy (ADT) alongside radiation.But what if 12 months is enough?In this episode of the Dr. Geo Prostate Podcast, Dr. Geo Espinosa welcomes internationally recognized radiation oncologist Dr. Dan Spratt, Chair of Radiation Oncology at University Hospitals/Case Western Reserve University, to discuss groundbreaking research that could change how advanced prostate cancer is treated.Together they explore the latest MARCAP consortium data suggesting many men may receive the same cancer control with significantly less hormone therapy—potentially reducing years of unnecessary side effects while maintaining excellent outcomes. They also discuss how physicians personalize treatment decisions, the growing role of artificial intelligence with Artera AI, and why the future of prostate cancer treatment may involve doing less, not more.If you or someone you love is facing radiation therapy for prostate cancer, this episode provides one of the most important conversations happening in prostate cancer care today.What You'll Learn✔ Why 2-3 years of ADT may not be necessary for many patients✔ The new evidence supporting approximately 12 months of hormone therapy✔ Why longer hormone therapy can permanently affect testosterone recovery✔ How physicians balance cancer control with quality of life✔ The difference between NCCN guidelines and individualized patient care✔ Which patients may still benefit from longer hormone therapy✔ How AI (Artera AI) is helping personalize prostate cancer treatment✔ Why prostate cancer care is shifting toward treatment de-intensification✔ The future of precision medicine in radiation oncologyEpisode Timestamps00:00 Introduction01:30 Meet Dr Dan Spratt02:22 Why ADT Lasts Years05:42 How ADT Helps Radiation08:49 Personalizing ADT Duration12:39 Guidelines and Real World Use18:03 Who Needs Long Term ADT21:13 Artera AI Explained23:19 Old Data and Modern Outcomes27:28 De Intensification Future31:33 Biomarkers for Urologists33:57 Choosing Artera vs Decipher37:28 Final Takeaways and OutroKey Discussion PointsNew MARCAP consortium analysis on ADT durationRadiation sensitivity and androgen deprivationWhy many men never fully recover testosterone after prolonged ADTBalancing survival outcomes with quality of lifeShared decision-making between physician and patientGenomic classifiers including DecipherAI biomarkers and Artera AIPersonalized radiation oncologyModern imaging and PSMA PETDe-intensifying prostate cancer treatmentPrecision medicine in localized prostate cancerThe future of individualized prostate cancer careResources Mentioned• MARCAP Consortium research on androgen deprivation therapy duration• NCCN Prostate Cancer Guidelines (discussed throughout the episode)• Artera AI clinical decision support platform (discussion)• Decipher genomic classifier• PSMA PET imaging• MRI-guided prostate cancer staging___________________________________

In this episode, Dr. Rena Malik, MD pulls together expert voices to tackle myths and deliver evidence-based insights on women's health, from misunderstood anatomy to the realities of menopause. She explores how hormones, birth control, and societal misconceptions affect everything from libido to bone health, providing practical advice on navigating sexual well-being and aging. Become a Member to Receive Exclusive Content: ⁠renamalik.supercast.com⁠ Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00:00 Introduction 00:01:40 Female Genital Anatomy and Labia Changes 00:06:26 Vulvar Vestibule and Pain 00:11:23 Birth Control, Hormones, and Hysterectomy 00:26:24 Female Arousal and Desire 00:41:18 Perimenopause & Menopause Basics 00:47:55 Hormone Therapy & Unusual Symptoms 01:05:00 Bones, Heart Health, & Prevention 01:18:15 Lifestyle, Supplements, Weight, & Hair 01:28:22 Vaginal Hormones, Devices, & Sexual Health Thanks to today's sponsor, Ogee: A higher standard for beauty. Go to ogee.com/RENA and use code RENA to get 20% off certified organic makeup that performs like luxury. Get your menopause treatment plan today. Visit https://myalloy.com and use code RENA for $20 off your first order! #AgeGracefully  Don't forget to check out: Dr. Mary Claire Haver FB: https://www.facebook.com/drmaryclaire/ IG: https://www.instagram.com/drmaryclaire/ Dr. Vonda Wright FB: https://www.facebook.com/DrVonda/ IG: https://www.instagram.com/drvondawright/ Dr. Rachel Rubin FB: https://www.facebook.com/drrachelrubin/ IG: https://www.instagram.com/drrachelrubin/ YT: https://www.youtube.com/@DrRachelRubin Dr. Kelly Casperson FB: ://www.facebook.com/youarentbroken IG: https://www.instagram.com/kellycaspersonmd/ YT: https://www.youtube.com/@KellyCaspersonMD Dr. Karen Tang FB: https://www.facebook.com/karentangmd/ IG: https://www.instagram.com/karentangmd/ X: https://x.com/karentangmd YouTube: https://www.youtube.com/@KarenTangMD Dr. Tami Rowen IG: https://www.instagram.com/drtamirowen/ Dr. Lauren Streicher FB: https://www.facebook.com/DrStreicher/ IG: https://www.instagram.com/drstreich/ Let's Connect!: WEBSITE: ⁠http://www.renamalikmd.com⁠ YOUTUBE: ⁠https://www.youtube.com/@RenaMalikMD⁠ INSTAGRAM: ⁠http://www.instagram.com/RenaMalikMD⁠ TWITTER: ⁠http://twitter.com/RenaMalikMD⁠ FACEBOOK: ⁠https://www.facebook.com/RenaMalikMD/⁠ LINKEDIN: ⁠https://www.linkedin.com/in/renadmalik⁠ PINTEREST: ⁠https://www.pinterest.com/renamalikmd/⁠ TIKTOK: ⁠https://www.tiktok.com/RenaMalikMD⁠ ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Karen Adams, obstetrician/gynecologist and Farwell Family Director of the Stanford Program in Menopause and Healthy Aging, studies menopause and, perhaps more importantly, perimenopause – the critical years preceding it. During this time, hormone-related symptoms like mood instability, sleep disruption, hot flashes, and joint pain can be severe even though periods continue. Adams explains that perimenopausal symptoms are often misdiagnosed and improperly treated. She says hormonal therapies are safe and effective in perimenopause and menopause, and can even have heart and bone benefits. “Menopause is inevitable, but suffering is not,” Adams tells host Russ Altman on this episode of Stanford Engineering's The Future of Everything podcast. Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu. Episode Reference Links: Stanford Profile: Karen Adams Connect With Us: Episode Transcripts >>> The Future of Everything Website Connect with Russ >>> Threads / Bluesky / Mastodon Connect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / Facebook Chapters: (00:00:00) Introduction Russ Altman introduces guest Karen Adams, a professor of obstetrics and gynecology at Stanford University. (00:02:11) Path into Menopause Medicine How Adams built one of the first clinical programs focused on women over 40. (00:04:19) Menopause and Perimenopause What menopause is and how the hormonal transition often begins years earlier. (00:06:19) Beyond Hot Flashes The wide range of symptoms that can appear during perimenopause. (00:11:09) Pregnancy Risk During Perimenopause Why contraception can still matter until a full year without a period. (00:11:11) Unpredictable Symptoms Why perimenopausal symptoms can be harder to recognize than PMS. (00:13:37) Hormone Therapy How treatment differs during perimenopause and after menopause. (00:22:57) The Women's Health Initiative What the landmark hormone therapy study showed. (00:27:53) Sexual Health and Vaginal Estrogen Why local estrogen can safely treat genitourinary symptoms for many women. (00:30:36) Future In a Minute Rapid-fire Q&A: menopause care, women's health, and better clinical support (00:32:58) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Every day, women are exposed to endless hormone therapy advice on social media, but not all of it is accurate. In this episode, Dr. Brendan McCarthy explains why fear-driven decisions about hormone replacement therapy (HRT) can lead to unnecessary symptoms, confusion, and setbacks. He shares what he's learned after more than 20 years of prescribing hormones and why education, trust, and an ongoing relationship with your healthcare provider matter more than any viral post. You'll learn: Why patients sometimes stop hormone therapy abruptly How social media can both educate and create unnecessary fear The difference between nuanced medical advice and absolute claims Why the route of estrogen matters when discussing clotting risk The five medication changes you should never make based on a social media post How informed consent is an ongoing conversation—not just paperwork Whether you're currently on hormone therapy, considering treatment, or simply trying to make sense of conflicting information online, this episode will help you approach HRT with confidence instead of fear. If you found this episode helpful, please like, subscribe, and share it with someone who could benefit from a more balanced conversation about hormone health.

Karen Bigman's path to becoming a menopause sex educator is one of the most unexpectedly compelling origin stories we've heard on this podcast. She started in technology. She raised children. She worked in restaurants. And then, in her early 50s, newly separated after a 25-year marriage and struggling to orgasm with a new partner, she found her way to a sexual medicine practice run by Dr. Bat Sheva Marcus, where a nurse practitioner handed her a little blue bullet vibrator, suggested she try it in the next room, and Karen came back five minutes later saying "you just changed my life". That moment is the seed of everything Karen has built since. Her platform, Taboo to Truth, is dedicated to dismantling the two most pervasive myths she encounters in her work: that sex is something people stop having at a certain age, and that it's a topic too taboo to discuss openly. Her course, Men Meet Menopause, is built on the radical premise that male partners, often the most confused and the most shut out from the conversation, deserve their own education, their own language, and their own practical tools for showing up during one of the most significant transitions their partner will experience. In this episode, Karen joins Jenni and Daniel for a conversation that covers a remarkable amount of ground with warmth, humor, and genuine clinical depth. They dig into why menopause remains under-discussed even in 2026, the lingering shadow of the Women's Health Initiative, the male reluctance to name what they're observing, the shame women carry about bodies that are changing in ways they didn't expect. Daniel introduces the compassion sandwich, leading with care rather than observation, as the reframe that changes how every difficult conversation lands. Karen talks about the five pillars underlying sexual disconnection in midlife couples, and what it looks like when one of them wobbles. Jenni brings in the Cheesecake of Pleasure- her clinical framework for expanding a couple's repertoire beyond intercourse as the only available flavor, and the conversation around grief, creativity, and what it means to look forward to something bigger than what you're losing becomes one of the richest exchanges of the season. Karen's concept of sex snacks sits beautifully alongside it. Both frameworks point to the same clinical truth: when intercourse is temporarily or permanently off the table, the answer is not resignation. It's creativity. It's building a palette of pleasure that belongs to this season rather than mourning the one that's passed. Karen closes with the line that may be the most important thing in the episode: don't give up. Don't accept the myth that this is done. Don't believe that sex is only for young people or for other people or for the version of your relationship that existed before all of this. The research shows that women over 60 can have the best sex of their lives if they want. The invitation: for women navigating menopause and for the partners who love them, is to join the journey together and find out what's on the other side.See omnystudio.com/listener for privacy information.

Text me!In this episode, Erin Gagne, FNP-C shares her personal journey from healthcare challenges to founding Revived Wellness, focusing on hormone health, functional medicine, and longevity. Discover how she helps women navigate perimenopause, hormonal shifts, and chronic health issues with a root-cause approach.Key TopicsErin's personal health journey and founding of Revived WellnessLimitations of traditional healthcare in chronic disease managementImportance of root-cause analysis in hormone healthSigns and timing of hormonal shifts in womenImpact of lifestyle, diet, and stress on hormonal healthThe history and misconceptions around menopause and hormone therapyStrategies for supporting women through perimenopause and menopauseThe role of testosterone and other hormones in libido and moodBuilding a healthcare practice focused on personalized careResources for women seeking hormone and longevity supportMore on Revive Wellness HERE you can also find her on IG @erinlynnewellnessFor 20% off of Initial Consult at Revive Wellness use code REVIVESupport the showLINKS TO FREEBIES BELOW: WEEKLY NEWSLETTER where I share all the tips and tricks on how to grow organically online HERE If you are interested in sponsoring the show, send me a DMABOUT THE HOST: Former Executive Recruiter turned Digital Marketing Expert & Entrepreneur.  I'm here to show you that you can do it too! I help small business owners to start, grow and scale their personal brand and business online through social media. In 2021 I launched ChilledVino, my patented wine product and in 2023 I launched The Caroline Pennington Show Podcast and in 2025 I launched my Digital Marketing Agency called CPM. I live in South Carolina with my husband Gary and 2 Weimrarners, Zena & Zara. This podcast is a supportive and inclusive community where I interview and bring women together that are fellow entrepreneurs and workplace experts. We believe in sharing our stories, unpacking exactly how we did it and talking through the mindset shifts needed to achieve great things.Let's connect further!!LinkedIn HERE IG @cpennington55 FB HEREChilledVino HERE

Menopause and healthy aging affect women's health and well-being in important ways. Dr. Tami Rowen explains how the best available evidence shapes menopausal management, with a focus on the data and safety around hormone therapy. Dr. Riley Bove examines brain, heart, gynecological, bone, and emotional health during the postmenopausal years, helping clarify how women can support health in this next phase of life. This work helps explain why evidence-based care matters and points toward practical strategies for healthy aging. Series: "Osher WISE: Well-being and Integrative Science for Everyone" [Health and Medicine] [Show ID: 41548]

Menopause and healthy aging affect women's health and well-being in important ways. Dr. Tami Rowen explains how the best available evidence shapes menopausal management, with a focus on the data and safety around hormone therapy. Dr. Riley Bove examines brain, heart, gynecological, bone, and emotional health during the postmenopausal years, helping clarify how women can support health in this next phase of life. This work helps explain why evidence-based care matters and points toward practical strategies for healthy aging. Series: "Osher WISE: Well-being and Integrative Science for Everyone" [Health and Medicine] [Show ID: 41548]

Menopause and healthy aging affect women's health and well-being in important ways. Dr. Tami Rowen explains how the best available evidence shapes menopausal management, with a focus on the data and safety around hormone therapy. Dr. Riley Bove examines brain, heart, gynecological, bone, and emotional health during the postmenopausal years, helping clarify how women can support health in this next phase of life. This work helps explain why evidence-based care matters and points toward practical strategies for healthy aging. Series: "Osher WISE: Well-being and Integrative Science for Everyone" [Health and Medicine] [Show ID: 41548]

Menopause and healthy aging affect women's health and well-being in important ways. Dr. Tami Rowen explains how the best available evidence shapes menopausal management, with a focus on the data and safety around hormone therapy. Dr. Riley Bove examines brain, heart, gynecological, bone, and emotional health during the postmenopausal years, helping clarify how women can support health in this next phase of life. This work helps explain why evidence-based care matters and points toward practical strategies for healthy aging. Series: "Osher WISE: Well-being and Integrative Science for Everyone" [Health and Medicine] [Show ID: 41548]

Menopause and healthy aging affect women's health and well-being in important ways. Dr. Tami Rowen explains how the best available evidence shapes menopausal management, with a focus on the data and safety around hormone therapy. Dr. Riley Bove examines brain, heart, gynecological, bone, and emotional health during the postmenopausal years, helping clarify how women can support health in this next phase of life. This work helps explain why evidence-based care matters and points toward practical strategies for healthy aging. Series: "Osher WISE: Well-being and Integrative Science for Everyone" [Health and Medicine] [Show ID: 41548]

Menopause and healthy aging affect women's health and well-being in important ways. Dr. Tami Rowen explains how the best available evidence shapes menopausal management, with a focus on the data and safety around hormone therapy. Dr. Riley Bove examines brain, heart, gynecological, bone, and emotional health during the postmenopausal years, helping clarify how women can support health in this next phase of life. This work helps explain why evidence-based care matters and points toward practical strategies for healthy aging. Series: "Osher WISE: Well-being and Integrative Science for Everyone" [Health and Medicine] [Show ID: 41548]

Fill Me In: An Aesthetics Podcast | Episode 56Welcome back to Fill Me In: An Aesthetics Podcast! In this special live episode recorded on-site at Modern Beauty Con, hosts Jon LeSuer and Nicole Bauer sit down with master injector, Allergan trainer, and functional medicine pioneer Jenna Hilton, PA-C.As the medical aesthetics industry shifts rapidly toward cellular biology and systemic wellness, Jenna drops massive insights on how to achieve superior dermal filler and neuromodulator outcomes by starting from the inside out. If you are an injector looking to scale your practice, set yourself apart in a saturated market, or blend longevity medicine with aesthetic treatments, this episode is your blueprint.✨ In this episode, we dive into:How hormone replacement therapy (HRT) and gut health directly impact skin healing and anti-aging results.The physical signs of cellular inflammation Jenna looks for during a patient assessment (including teeth, bite, and red gums).Why she will intentionally withhold filler treatments from patients with high alcohol intake or poor lifestyle factors.Essential business advice for year-two injectors looking to discover their niche and build unbreakable patient trust.Practical strategies for implementing functional wellness and hormone evaluation into a 30-minute aesthetic consultation.

Many women are handed a prescription for hormone replacement therapy (HRT), sign a consent form, and are sent on their way—but is that really informed consent? In this episode, Dr. Brendan McCarthy explains why true consent is much more than signing paperwork. Understanding what you're taking, why you're taking it, how it's being monitored, and when your treatment should change are essential parts of safe, personalized hormone therapy. The 5 Questions Every Patient Should Ask: ✔️ What hormone am I taking? ✔️ Why am I taking it? ✔️ How does it get into my body? ✔️ How will we monitor it? ✔️ What would make us change the treatment plan?

In our first summer series episode, we review a topic that keeps coming back. Hormone therapy for menopause. It was a thing, then it stopped being a thing, now it's a thing again.   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References:  Geographic variability of menopausal symptoms   1) Nappi RE et al. Global cross-sectional survey of women with vasomotor symptoms associated with menopause: prevalence and quality of life burden. Menopause. 2021 May 24;28(8):875-882. doi: 10.1097/GME.0000000000001793.    2) Nappi RE, et al.  Prevalence and quality-of-life burden of vasomotor symptoms associated with menopause: A European cross-sectional survey. Maturitas. 2023 Jan;167:66-74. doi: 10.1016/j.maturitas.2022.09.006.    What's the normal duration of symptoms   3) Avis NE, et al. Study of Women's Health Across the Nation. Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med. 2015 Apr;175(4):531-9. doi: 10.1001/jamainternmed.2014.8063.  The Women's Health Initiative (WHI) studies   Rossouw JE et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. JAMA. 2002 Jul 17;288(3):321-33. doi: 10.1001/jama.288.3.321.    Anderson GL et al. Effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women's Health Initiative randomized controlled trial. JAMA. 2004 Apr 14;291(14):1701-12. doi: 10.1001/jama.291.14.1701.   Decline in HRT after WHI studies   Sprague BL, Trentham-Dietz A, Cronin KA. A sustained decline in postmenopausal hormone use: results from the National Health and Nutrition Examination Survey, 1999-2010. Obstet Gynecol. 2012 Sep;120(3):595-603. doi: 10.1097/AOG.0b013e318265df42.   Danish Osteoporosis Prevention Study Schierbeck LL metal. Effect of hormone replacement therapy on cardiovascular events in recently postmenopausal women: randomised trial. BMJ. 2012 Oct 9;345:e6409. doi: 10.1136/bmj.e6409.   Kronos Early Estrogen Prevention Study (KEEPS) Harman SM, et al. Arterial imaging outcomes and cardiovascular risk factors in recently menopausal women: a randomized trial. Ann Intern Med. 2014 Aug 19;161(4):249-60. doi: 10.7326/M14-0353.   Kronos Early Estrogen Prevention Study (KEEPS) Hodis HN et al. Vascular Effects of Early versus Late Postmenopausal Treatment with Estradiol. N Engl J Med. 2016 Mar 31;374(13):1221-31. doi: 10.1056/NEJMoa1505241.    Stopping hormonal therapy   Berman RS et al. Risk factors associated with women's compliance with estrogen replacement therapy. J Womens Health. 1997 Apr;6(2):219-26. doi: 10.1089/jwh.1997.6.219.   Grady D, Sawaya GF. Discontinuation of postmenopausal hormone therapy. Am J Med. 2005 Dec 19;118 Suppl 12B:163-5. doi: 10.1016/j.amjmed.2005.09.051.   Tapering vs. abrupt stop or hormonal therapy   Haimov-Kochman R et al. Gradual discontinuation of hormone therapy does not prevent the reappearance of climacteric symptoms: a randomized prospective study. Menopause. 2006 May-Jun;13(3):370-6. doi: 10.1097/01.gme.0000186663.36211.c0. PMID: 16735933.

Matt and Jen discuss the rise of interest in peptides, GLP-1 medications, and hormone therapy. They emphasize the importance of education over sales and address common misconceptions, such as peptides causing muscle loss or being a fad. Jen shares her personal journey and extensive research, highlighting the need for proper medical evaluation and coaching. They also outline three main "flight paths": reset (foundation building), rebuild (enhancing existing habits), and optimize (for healthy aging and recovery). The conversation underscores the importance of individualized approaches and comprehensive support for achieving health goals..Listen In!Thank you for listening to this episode of Ignite Your Impact!As referenced in the show you can visit our website at phenixmethod.comJoin our Private Group at https://www.facebook.com/groups/phenixmethodbodyandlifestyletransformations for lifestyle transformation hacks that the pros use.

In this episode of MENO with Jacqueline Buckingham, we sit down with Board-Certified Urologist and Sexual Medicine Specialist Dr. Rachel Rubin to discuss why hormone therapy is a fundamental element of women's healthcare. Dr. Rubin challenges the historical stigma surrounding hormones, explaining that past concerns were often based on flawed data from synthetic products that are no longer standard practice. She advocates for an individualized approach to hormone therapy where patients are empowered with information to make the best decisions for their specific goals, whether they are seeking relief from hot flashes, prevention of osteoporosis, or improvement in libido and sexual function. The conversation delves into the specific benefits of various hormone treatments: ➡️ Vaginal Hormone Therapy: Dr. Rubin describes low-dose local vaginal hormones (estrogen or DHEA) as highly effective, evidence-based treatments for symptoms like dryness, pain, and urinary urgency. She notes these treatments are safe for most women and can reduce urinary tract infections (UTIs) by more than half. ➡️ The "Female Viagra": Dr. Rubin refers to vaginal hormones as the equivalent of "female Viagra" because they improve blood flow to sexual organs, enhancing arousal and making orgasms better. ➡️ Systemic Hormone Therapy: The discussion covers whole-body hormone therapy—including estrogen, progesterone, and testosterone—which can be administered via patches, rings, or creams to address a broader range of menopausal symptoms. ➡️ Mental Health Connection: Dr. Rubin highlights the "amazing benefit" of hormone therapy in managing anxiety and depression that often emerges during perimenopause. ➡️ Bioidentical Hormones: She clarifies that there are FDA-approved bioidentical hormones available that are both safe and often covered by insurance. ➡️ Jacqueline and Dr. Rubin also discuss pelvic floor rehab, the neurological connection between the spine and sexual organs, and how patients can find knowledgeable specialists to build their own "medical pit crew". RESOURCES The Menopause Society: menopause.org ISSWSH (International Society for the Study of Women's Sexual Health): isswsh.org American Physical Therapy Association (for Pelvic Floor Therapy): apta.org ABOUT MENO MENO is the definitive platform for menopause and perimenopause care — connecting women to trusted experts, solutions, and support https://joinmeno.com/ https://www.instagram.com/join.meno https://www.tiktok.com/@join.meno Follow our Founder/CEO on Instagram @jacquelinebuckingham Disclaimer: MENO is for general information and entertainment purposes only and does not constitute the practice of medicine in any way. MENO does not constitute professional health care services or medical advice. No doctor/patient relationship is formed as a result of this podcast. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of MENO is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard getting medical advice for any such medical condition they may have and should seek the assistance of their healthcare professionals for any conditions. Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to How Humans Heal. In this episode, I'm covering one of the most common topics I get asked about every day: hormone therapy during perimenopause and menopause. Whether you have fears about estrogen, your doctor recently recommended hormone therapy, or you're simply trying to figure out what to do, I want this to be your one-stop place to get informed and start making decisions. There's a lot to understand, so I'll break it down as simply as possible. Keep in mind that this is never one-size-fits-all, everything needs to be individualized, monitored, and adjusted over time with a knowledgeable practitioner. I'm Dr. Doni Wilson, a Naturopathic Doctor and Certified Professional Midwife with over 26 years in practice. I learned about hormone therapy over 30 years ago in naturopathic medical school, so this is not a new topic for me. I've been helping women navigate hormones for decades, and I'm recording this in 2026. Research over the past few years, particularly since 2023, has completely changed how both naturopathic and conventional medicine approach menopause. I'm here to help you! LINKS FROM THE EPISODE:   Join Dr. Doni's Menopause Masterclass: https://doctordoni.com/menopausemasterclass/   Schedule A Chat With Dr. Doni: https://intakeq.com/new/hhsnib/vuaovx    Read the full episode notes and find more information: https://doctordoni.com/blog/podcasts/ MORE RESOURCES FROM DR. DONI:   Quick links to social media, free guides and programs, and more: https://doctordoni.com/links     Disclosure: Some of the links in this post are product links and affiliate links and if you go through them to make a purchase I will earn a commission at no cost to you. Keep in mind that I link these companies and their products because of their quality and not because of the commission I receive from your purchases. The decision is yours, and whether or not you decide to buy something is completely up to you.

There is an undeniable buzz around testosterone for women right now. While many patients report feeling more energized, happier, and clearer of mind after adding it to their hormone therapy regimen, clinical questions and nuances still remain. In this episode, Dr. Rachel Pope sits down with world-renowned urologist Dr. Mohit Khera, Professor and Director of the Laboratory for Andrology Research at the Baylor College of Medicine, to demystify testosterone's role in midlife optimization, the safety data behind it, and why sexual health is the ultimate check-engine light for your overall well-being.Key Takeaways: The Hormonal Triangle (Triple Therapy): Modern midlife medicine must evolve past dual hormone therapy (estrogen and progesterone). True optimization requires Triple Therapy—adding systemic testosterone to balance the triangle—alongside localized vaginal estrogen therapy for complete quality of life restoration. Women naturally produce nearly five times more testosterone than estradiol. When testosterone declines, replacing it can significantly augment bone mineral density, lean muscle mass, cognitive focus (brain fog), mood stability, and all four domains of sexual function (desire, arousal, orgasm, and pain mitigation). The Clinical Safety Reality: Historical fears that testosterone causes breast cancer or cardiovascular events are not backed by data. Large-scale charts and transgender health studies (using ten times the standard female dose) demonstrate excellent safety profiles. In fact, emerging data suggests testosterone may even help decrease breast cancer risk. The "Sex Factor" & Overall Health: Sexual health is a bidirectional barometer for physical and mental health. Rather than just a recreational activity, sexual function acts as a "check engine light." Dysfunction is often an early clinical indicator of undiagnosed depression, diabetes, or future cardiovascular events. The 50/50 Rule: Hormones are not a standalone holy grail; they are synergistic with lifestyle modification. Clinical optimization requires medical therapy (50%) to meet lifestyle modifications (50%) halfway through intentional diet, exercise, sleep, and chronic stress reduction.Upcoming Frontiers in Healthcare:The landscape of hormone therapy regulation is rapidly shifting. Dr. Khera shares recent monumental policy wins, including the FDA's removal of major historical warnings on local estrogens and male testosterone labels. For women, clinical discussions are currently underway with the FDA to bring regulatory approval for female-specific testosterone gels and oral formats to the US market within the next two to three years.

The grand opening of Revival Women's Health marked more than the opening of a new medical practice—it represented the culmination of a journey shaped by courage, grief, entrepreneurship, and a deep commitment to improving healthcare for women in midlife.In this special episode of Midlife Revival, Dr. Taniqua Miller reflects on the experience of building Revival Women's Health from the ground up and shares the vision that continues to guide the practice today.From leaving academic medicine and navigating professional burnout to caregiving for her mother during a battle with stage IV lung cancer, Dr. Miller shares the personal experiences that inspired her to create a different model of care—one designed specifically around the needs of women in midlife.Listeners will get an inside look at the philosophy behind Revival Women's Health and why Dr. Miller believes women deserve more than symptom-focused healthcare during perimenopause and menopause.In This EpisodeReflections from the grand opening of Revival Women's HealthThe emotional journey from burnout to entrepreneurshipHow caregiving and grief shaped Dr. Miller's perspective on purpose and possibilityWhy menopause care alone is not enough for women in midlifeThe evolution of the Revival Women's Health modelThe importance of creating a trusted healthcare ecosystemThree powerful lessons learned from building Revival Women's HealthWhat Midlife Women Actually Need From HealthcareDr. Miller shares the four foundational areas that guide care at Revival Women's Health:Preventive Women's HealthA focus on prevention, risk assessment, screenings, and comprehensive women's healthcare.Hormone HealthEvidence-based support for women navigating perimenopause, menopause, and hormonal transitions.Sexual HealthAddressing libido, intimacy, vaginal health, urinary health, and the often-overlooked impacts of aging on sexual wellness.Cardiometabolic HealthSupporting heart health, metabolic health, weight management, muscle preservation, and long-term vitality.Together, these pillars create a more comprehensive approach to caring for women during the second half of life.Three Lessons From Building RevivalYou don't need permission to take the next step.The messy middle is not failure.Build your life around what matters most.Women in the Metro Atlanta area interested in learning more about the practice are invited to schedule a complimentary Meet & Greet to explore whether the Revival model is the right fit for their healthcare journey.Follow Dr Taniqua Miller on Instagram @taniquamillermd and Revival Women's Health @joinrevival.Georgia listeners! Dr. Miller has created the medical wellness space for YOU! If you are over the age of 40 and looking for a medical home that listens and honors you, visit us at Revival Women's Health in Decatur, GA. joinrevival.co

Menopausal Hormone Therapy: Separating Fact from Fiction Hot flashes, night sweats, sleep disruption, brain fog, mood changes—menopause can bring a host of symptoms that affect daily life. But is menopausal hormone therapy (MHT) right for you? In this episode of MamaDoc BabyDoc, Dr. Renda Knapp dives into the science behind menopausal hormone therapy. They discuss who may benefit from treatment, the different types of hormone therapy available, and the real risks and benefits based on the latest evidence. You'll learn: • What menopausal hormone therapy is and how it works • Which symptoms respond best to treatment • The difference between estrogen-only and combined hormone therapy • Common misconceptions and fears surrounding hormone therapy • Who should and should not consider MHT • Non-hormonal options for managing menopausal symptoms Whether you're approaching menopause, in the middle of it, or simply planning for the future, this episode will help you make informed decisions about your health and understand the options available to help you feel your best. Tune in for an evidence-based conversation that cuts through the confusion and empowers women to navigate menopause with confidence.

Send us Fan MailHormone therapy is used across a wide range of clinical settings—from contraception and menopause management to pregnancy care and gender-affirming therapy. But how do these treatments influence thrombosis risk, and how should clinicians approach these decisions in practice?In this episode of CLOT Conversations, hosts Dr. Jameel Abdulrehman and Dr. Maha Othman speak with Dr. Leslie Skeith and Dr. Shannon Bates about their recent New England Journal of Medicine review on sex hormone influences on venous thrombotic and cardiovascular risk.The discussion explores the thrombotic effects of estrogen, progestogens, and testosterone; differences between hormone formulations; management considerations for patients with prior thrombosis; gender-affirming hormone therapy; and practical approaches to perioperative care.Whether you care for patients receiving contraception, hormone replacement therapy, or gender-affirming care, this episode provides evidence-based guidance to support informed clinical decision-making.For the full publication: https://www.nejm.org/doi/abs/10.1056/NEJMra2202438Support the showhttps://thrombosiscanada.caRegister today for our upcoming conference on November 7, 2026 in Montreal at https://thrombosiscanada.ca/2026ConferenceTake a look at our healthcare professional and patient resources, videos and publications on thrombosis from the expert members of Thrombosis Canada

Could your sleepless nights, mood swings, joint pain, or "I just don't feel like myself" feelings be connected to perimenopause? Do you really need hormone testing to know what is happening? And is menopause hormone therapy actually as scary as we were once told?  Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch, hosts of OvaryActive and co-authors of Estrogen, Interrupted, join Dr. Lora Shahine for this episode of Brave & Curious. Their conversation opens up a thoughtful, funny, and myth-busting conversation about menopause, perimenopause, hormone health, and why women deserve to understand their bodies. They also explain the difference between menopause and perimenopause, why symptoms can start years before periods stop, why hormone labs often do not tell the full story, and how symptoms like hot flashes, night sweats, insomnia, anxiety, vaginal dryness, weight changes, itchy ears (yes, we said "itchy ears"), burning mouth, and joint pain can all fit into the bigger picture. Perimenopause is often a "story-based" diagnosis rather than a single lab result, and treatment options are available. This conversation will walk listeners through all of that and more. Listeners will feel informed, validated, and ready to ask better questions. In this episode you'll hear: [0:24] Meet The Doctors of Ovaryactive Podcast [10:45] Defining menopause and perimenopause [14:55] Common Symptoms (More than Hot Flashes) [18:37] Why labs fall short [23:07] Unusual menopause symptoms [28:05] Diagnosing perimenopause and menopause [32:17] Non-hormonal treatment options [42:18] The WHI study [50:45] Breast cancer risk and Hormone Therapy [59:51] Talking to your doctor   Resources mentioned:  perimenopausedrs.com/ovaryactive Follow the show @OvaryActive Instagram | YouTube  Estrogen, Interrupted by Dr. Rebecca Dunsmoor-Su & Dr. Amy Voedisch   More information about Dr. Rebecca Dunsmoor-Su:  Gennev:  www.gennev.com/clinician/dr-rebecca-dunsmoor-su LinkedIn @rebecca-dunsmoor-su   More information about Dr. Amy Voedisch: Stanford Medical Clinic: stanfordhealthcare.org/doctors/v/amy-voedisch.html   Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!   This episode was produced by Audiotocracy Podcast Production.  

The importance of HRT for strong bones for both men and women!!www.drericprimex.com

Navigating your hormone replacement therapy journey isn't a one-stop shop, and after treating thousands of women, I've found that 95% of you will need more than a few visits to truly find your balance. In this video, I break down the three common paths, the Titrator, the Superstar, and the Highly Sensitive, to help you identify your own experience and understand why tweaking and titrating is a normal, necessary part of the process. Whether you're dealing with perimenopause shifts, pharmacy shortages, or unexpected sensitivities, I'm here to show you that while the journey is unique for everyone, you are definitely not alone.

I've brought together some of my best conversations on menopause and perimenopause with Dr. Jessica Shepard, Dr. Vonda Wright, and my wife Sage.  Covering why your "normal" labs miss it, how a frozen shoulder can signal hormone changes, and the truth about hormone therapy. If you're navigating midlife, this video is for you. CLICK HERE TO BECOME GARY'S VIP!: https://bit.ly/4ai0Xwg Connect with Dr. Jessica Shepherd Website: https://bit.ly/3Pf6ZHG  YouTube: https://bit.ly/47La74k  Instagram: https://bit.ly/3NG17Xu  TikTok: https://bit.ly/416VYLb  Facebook: https://bit.ly/4ryjyeE  X.com: https://bit.ly/4192QaQ  LinkedIn: https://bit.ly/3Nhrm6x  Connect with Dr. Vonda Wright Website: https://bit.ly/439JGmN YouTube: https://bit.ly/43EDGTe Instagram: https://bit.ly/47UjwHl TikTok: https://bit.ly/3X7Mcq2 Facebook: https://bit.ly/3JGqEhi X.com: https://bit.ly/4oiKJt1 LinkedIn: https://bit.ly/3Lj4T7K Connect with Sage Workinger-Brecka Instagram: https://bit.ly/44sN390 Thank you to our partners A-GAME: “ULTIMATE15” FOR 15% OFF: http://bit.ly/4kek1ij  AION: “ULTIMATE10” FOR 10% OFF: https://bit.ly/4h6KHAD   AIRES: "ULTIMATE20 " FOR 20% OFF: https://bit.ly/4a3Duze  BAJA GOLD: "ULTIMATE10" FOR 10% OFF: https://bit.ly/3WSBqUa  BODYHEALTH: “ULTIMATE20” FOR 20% OFF: http://bit.ly/4e5IjsV  COLD LIFE: THE ULTIMATE HUMAN PLUNGE: https://bit.ly/4eULUKp  CYMBIOTIKA: "ULTIMATE10" FOR 10% OFF: https://bit.ly/4tjyluP  GENETIC METHYLATION TEST (UK ONLY): https://bit.ly/48QJJrk  GENETIC TEST (USA ONLY): ⁠https://bit.ly/3Yg1Uk9  GOPUFF: GET YOUR FAVORITE SNACK!: https://bit.ly/4obIFDC  H2TAB: “ULTIMATE10” FOR 10% OFF: https://bit.ly/4hMNdgg  HEALF: 10% OFF YOUR ORDER: https://bit.ly/41HJg6S  PEPTUAL: “TUH10” FOR 10% OFF: https://bit.ly/4mKxgcn  SNOOZE: LET'S GET TO SLEEP!: https://bit.ly/4pt1T6V  WHOOP: JOIN & GET 1 FREE MONTH!: https://bit.ly/3VQ0nzW  Watch  the “Ultimate Human Podcast” every Tuesday & Thursday at 9AM EST: YouTube: https://bit.ly/3RPQYX8 Podcasts: https://bit.ly/3RQftU0 Connect with Gary Brecka Instagram: https://bit.ly/3RPpnFs TikTok: https://bit.ly/4coJ8foX: https://bit.ly/3Opc8tf Facebook: https://bit.ly/464VA1H LinkedIn: https://bit.ly/4hH7Ri2 Website: https://bit.ly/4eLDbdU Merch: https://bit.ly/4aBpOM1 Newsletter: https://bit.ly/47ejrws Ask Gary: https://bit.ly/3PEAJuG Timestamps 00:00 - Intro of Show 04:23 - Perimenopause begins in your late 30s 05:16 - Why hormone symptoms don't show on labs 06:55 - The earliest warning signs to watch for 11:38 - Why the whole picture matters more than one number 13:33 - Frozen shoulder reversing after hormone therapy 13:46 - The misquoted study and the FDA reversal 15:37 - Good, better, best: when to start 20:11 - Frozen shoulder as a midlife inflammation sign 23:35 - Dispelling the estrogen and breast cancer myth 24:14 - Why estrogen affects every tissue in the body 29:44 - What "natural" hormone therapy really means 32:37 - Vaginal and facial estrogen, and collagen loss 35:31 - New data in 120 million women 37:59 - Sage's story: brain fog and frozen shoulder 43:31 - Reading the Dutch test results 46:36  - When mold and toxins muddy the picture 48:27 - Three weeks later: everything changed 52:37 - Don't let anyone say it's in your head Disclaimer: This podcast is for informational purposes only and does not provide medical advice. It is not intended for diagnosing or treating any health condition. Always consult a licensed healthcare professional before making health or wellness decisions.  Gary Brecka is the owner of Ultimate Human, LLC which operates The Ultimate Human podcast and promotes certain third-party products used by Gary Brecka in his personal health and wellness protocols and daily life and for which Ultimate Human LLC and/or Gary Brecka directly or indirectly holds an economic interest or receives compensation.  Accordingly, statements made by Gary Brecka and others (including on The Ultimate Human podcast) may be considered promotional in nature. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this deeply personal episode of Midlife Revival, Dr. Taniqua Miller shares the story behind the creation of Revival Women's Health and why she ultimately walked away from academic medicine to build a new model of care for women in midlife.After years working inside a traditional healthcare system shaped by volume, rushed visits, insurance limitations, and physician burnout, Dr. Miller realized something profound:The way we were caring for women — especially women navigating perimenopause and menopause — simply wasn't working.In this episode, she opens up about:Her journey from OB/GYN residency to becoming a Certified Menopause SpecialistThe patient encounter that changed how she viewed menopausal medicine foreverThe hidden realities of physician burnout and moral injuryWhy 7-minute appointments fail women in midlifeThe emotional and logistical burdens women face in fragmented healthcare systemsThe impact of the COVID-19 pandemic on healthcare delivery and physician well-beingWhy she chose a concierge/direct specialty care model for Revival Women's HealthHow Revival integrates gynecology, hormone therapy, sexual health, and cardiometabolic care under one roofThe importance of community, partnership, and relationship-centered care for women in midlifeDr. Miller also shares the deeply personal experiences — including caregiving for her mother during cancer treatment — that reinforced her desire to build a practice where women feel truly seen, supported, and held.This episode is for the woman who knows there has to be a better way to navigate midlife healthcare.Because midlife care should be more than prescriptions and rushed appointments.It should feel like partnership.It should feel intentional.It should feel like coming home.Connect with Revival Women's Healthhttps://www.joinrevival.co/Follow Dr Taniqua Miller on Instagram @taniquamillermd and Revival Women's Health @joinrevival.Georgia listeners! Dr. Miller has created the medical wellness space for YOU! If you are over the age of 40 and looking for a medical home that listens and honors you, visit us at Revival Women's Health in Decatur, GA. joinrevival.co

Episode#336-Taped April 22, 2026 We talk about hormone health and hormone therapy. Research has shown that if we use hormone therapy safe and effectively within 10 years of menopause or before age 60 it can offer significant benefits including reduced bone fractures, improved cardiovascular health and reduced cognitive decline. But how does bioidentical hormone replacement therapy and personalized care play a significant role in hormone therapy? Joining us is Nayan Patel, PharmD, he is a clinical pharmacist, and founder of Central Drugs Compounding Pharmacy, a nationally respected facility specializing in bioidentical hormone therapy and personalized care. He will talk about hormone therapy, improving our energy, and our overall health and wellbeing from a pharmaceutical perspective. Dr. Patel will discuss his new book-“The Glutathione Revolution” and how this master antioxidant can help us fight disease, slow aging, and increase energy all the things that we need to have quality of life. Check out Dr. Patel's website Auro Wellness to find out about him and topical glutathione and his patent skincare products. Website: Auro Wellness Go buy Dr. Nayan Patel's Book The Glutatione Revolution It's All About Health & Fitness-Vicki Doe Fitness podcast Ranked on the Top 25 Midwest Fitness Podcasts to Listen to… with additional national recognition on the Top 100 US fitness podcast. Rate This Podcast Give us a 5-star review.  We appreciate you! Take this quick audience survey. Thank you! FREE Metabolic Makeover Masterclass Webinar Replay! Learn how to reset your metabolism, boost energy, and support sustainable weight loss using simple, science-backed strategies. Enroll in the Vicki Doe Fitness Academy to get instant access to the replay and begin your healthy living journey today. Vicki Doe Fitness-STORE Discover the Vicki Doe Fitness-STORE—your destination for stylish apparel, fitness gear, and wellness essentials like yoga mats, water bottles, candles, and premium supplements. Shop now and elevate your health journey! Resources *Note: Some of the resources below may be affiliate links, meaning Vicki Doe Fitness receives a commission (at no extra cost to you) if you use the link to make a purchase. Thank you for your support! Herbs and spices are the keys to delicious, flavorful, and sophisticated meals! FREE DOWNLOAD- Herbs and Spices Cheatsheet Let's get ECO-friendly.  Try ECOLunchbox.com ECOlunchbox specializes in stainless steel bento boxes, artisan fair trade lunch bags, napkins, snack sacks, and other eco-friendly lunchware. They are a certified green business.  ECOlunchbox is a consumer products company started by an eco mom in the San Francisco Bay Area. ECOLunchbox.com Go to our Resources page-   For the most recommended tools, you need to succeed on your healthy living journey!! Listen and share our podcast show- “It's All About Health & Fitness-” Vicki Doe Fitness Subscribe to Apple Podcast Subscribe on Stitcher Or on any of the platforms that you listen to your podcast! Watch & Subscribe on YouTube! Catch our latest health & wellness videos on YouTube at Vicki Haywood Doe – Vicki Doe Fitness YouTube-Vicki Haywood Doe-Vicki Doe Fitness Join us to receive a health wellness message!

Are your hormones changing—or are you simply being told that feeling exhausted, anxious, gaining weight, losing sleep, and struggling with brain fog is just a normal part of aging?In this eye-opening episode of the V.I.B.E. Living Podcast, we sit down with women's health expert and nurse practitioner Carolyn Zaumeyer to uncover the truth about menopause, hormone health, and why so many women are suffering unnecessarily.Carolyn breaks down the critical roles of estrogen, progesterone, and testosterone and explains how declining hormone levels can impact nearly every system in the body. From hot flashes and night sweats to anxiety, mood changes, low libido, joint pain, vaginal dryness, skin changes, fatigue, and disrupted sleep, we explore the symptoms many women experience but rarely connect to hormones.You'll also learn:• The most common signs of hormone imbalance during perimenopause, menopause, and postmenopause• How bioidentical hormone replacement therapy (BHRT) works• The differences between estrogen patches, vaginal estrogen, progesterone, testosterone therapy, and hormone pellets• Why outdated hormone research created decades of confusion and fear around HRT• How proper hormone dosing and individualized treatment plans can improve quality of life• The important lab tests women should consider, including estradiol, testosterone, FSH, thyroid markers, vitamin D, and B12• How to advocate for yourself during medical appointments and get your concerns taken seriously• Why treating root causes is often more effective than adding medication after medicationWe also discuss men's hormone health and how optimizing testosterone can impact energy, mood, vitality, confidence, intimacy, and overall well-being.Whether you're navigating perimenopause, menopause, postmenopause, or simply want to better understand your body's changing needs, this conversation provides practical guidance, expert insights, and hope for the years ahead.If you're ready to feel vibrant, energized, and empowered in midlife and beyond, this episode is for you.

Click to Text Thoughts on Today's EpisodeDoes your sleep tracker know you better than you know yourself — or is it just stressing you out? If you've ever woken up more anxious about your sleep score than actually rested, this episode is for you. We're cutting through the noise, the supplements, and the sleep-maxing culture to get back to what actually works — a common-sense, no-fuss approach to sleeping better in midlife. Because you're not broken. You're just navigating a body that's changing, and there's a lot you can do about it.In this episode we cover:Why your sleep target might not actually be 8 hours — and what the research really saysMorning light exposure and why it's one of the most powerful (and free) sleep tools availableThe concept of "orthosomnia" — sleep anxiety caused by your wearable data — and when to just take it offHow the narrative in your head affects your sleep (and a simple CBT-I reframe to try tonight)Caffeine's half-life and why that afternoon coffee may still be in your system at midnightAlcohol's impact on REM sleep and a simple habit to reduce the damageBlood sugar balance and how overnight crashes could be waking you up at 3 AMMagnesium — what the research supports, which forms to look for, and how to get more through foodBlue light, screens, and practical ways to protect your melatonin production at nightPre-sleep nutrition: why going to bed hungry is just as disruptive as eating a heavy mealHormone therapy as a legitimate sleep tool — and why it's worth a conversation with your doctorBreathing techniques (4-7-8 and box breathing) for falling back asleep in the middle of the nightThe eye movement trick that works for falling back asleepTemperature regulation and the ideal bedroom temp for quality sleepConsistent sleep and wake schedules — and why weekends matter more than you thinkExercise timing and why a late intense workout might be costing you sleepThe truth about melatonin dosing — why less is almost always moreCBT-I as a first-line clinical recommendation and the free app that can help you implement itSource Links1. Seven hours optimal in midlife Cambridge/Fudan University study, Nature Aging (2022): https://www.cam.ac.uk/research/news/seven-hours-of-sleep-is-optimal-in-middle-and-old-age-say-researchersAASM/Sleep Research Society joint consensus (seven or more hours): https://aasm.org/seven-or-more-hours-of-sleep-per-night-a-health-necessity-for-adults/2. Morning light / suprachiasmatic nucleus Frontiers in Neural Circuits (2024) — SCN as master circadian pacemaker: https://www.frontiersin.org/journals/neural-circuits/articles/10.3389/fncir.2024.1385908/full3. Magnesium L-threonate for sleep 2024 randomized controlled trial, Sleep Medicine X (ScienceDirect): https://www.sciencedirect.com/science/article/pii/S25901427240001934. Melatonin dosing Sleep Foundation — melatonin dosage guide (reviewed by board-certified sleep physician): https://www.sleepfoundation.org/melatonin/melatonin-dosage-how-much-should-you-takeMelatonin content variability in supplements (the 83–478% finding): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10053496/5. CBT-i as first-line treatment American College of Physicians recommendation: https://www.acponline.org/acp-newsroom/acp-recommends-cognitive-behavioral-therapy-as-initial-treatment-for-chronic-insomnia6. The Atlantic article "American Insomnia" by Jennifer Senior, The Atlantic, August 2025: https://www.theatlantic.com — search "American Insomnia Jennifer Senior" (may be behind paywall; Apple News+ has audio version)My latest recommended ways to nourish and move your body, mind and spirit: Nourished Notes Bi-Weekly Newsletter30+ Non-Gym Ways to Improve Your Health (free download)Connect with Amy: GracedHealth.com Instagram: @GracedHealthYouTube: @AmyConnell

What happens when hormone loss after a hysterectomy leaves you feeling exhausted, depressed, and disconnected from the life you once loved? In this episode, Dr. Steve Hotze sits down with longtime guest Tammy Boren to discuss her journey back to health after years of hormonal imbalance, fatigue, gut issues, and emotional struggles following a complete hysterectomy. Tammy shares how her symptoms worsened after surgery and her search for answers. Now, years later, Tammy reflects on reclaiming her strength, energy, and passion for life. At 66 years old, she recently completed a four-day Houston Rodeo trail ride on horseback, something she once thought would never be possible again. Her story is a powerful reminder that taking ownership of your health and addressing root causes can help restore vitality and purpose at any age. Watch now and subscribe to our podcasts at www.HotzePodcast.com. To receive a FREE copy of Dr. Hotze's best-selling book, “Hormones, Health, and Happiness,” call 281-698-8698 and mention this podcast. Includes free shipping!

In today's episode, Dr. Mark Holthouse dives into the fears surrounding breast cancer and hormone replacement therapy, separating myth from evidence with a critical look at the real data. Our expert speaker unpacks the latest clinical trials and position statements, clarifying the nuanced relationship between various hormone therapies and breast cancer risk.We'll explore what the research says about synthetic versus bioidentical hormones, address common patient concerns, and provide actionable insights for risk assessment and individualized care. This episode delivers an integrative approach to hormone therapy and breast cancer, bridging the gap between scientific literature and real-world practice. To enroll in the Sex Steroid Optimization Master Class with Dr. Mark Holthouse, go to https://pages.kharrazianinstitute.com/holthouse-hormoneTo become a Certified Functional Medicine practitioner, visit https://kharrazianinstitute.com/⁠. Try our 7-day free trial, no credit card required. 00:00 WHI study on hormone therapy04:45 Hormone therapy risks discussion07:58 Discussing natural vs synthetic HRT13:11 Transdermal hormone therapy studies17:55 Rethinking full-fat dairy for women21:11 Time restricted eating for women22:57 Assessing breast cancer risk25:30 Understanding genetic risk factors29:37 Evaluating breast cancer risk factorsSupport this show http://supporter.acast.com/solving-the-puzzle-with-dr-datis-kharrazian. Hosted on Acast. See acast.com/privacy for more information.

Send us Fan MailEstradiol patches on backorder, progesterone capsules hard to find, and a lot of anxious scrolling in between. Speaking of Women's Health Podcast host Dr. Holly Thacker recorded this because the hormone therapy supply chain is colliding with a surge in demand, and too many women are getting stuck without a plan. She walks through what's actually driving the patch shortage, how WHI-era fear still shows up in exam rooms, and why “everyone needs a patch” is just as misleading as “no one should take hormones.”If you can't get your usual prescription, you'll hear concrete alternatives: switching patch schedules, considering gels or sprays, using combined estrogen-progestin products, and when nonhormonal therapies for hot flashes and sleep may fit. She ends with a simple preparedness point: don't wait until the last refill day to protect your health. Subscribe, share this with a friend who's struggling to get her meds, and leave a review so more women can find evidence-based menopause care.Support the show

Hormone therapy after breast cancer is one of the most nuanced and emotionally charged conversations in women's health.For decades, many women have been told the answer is simply: no.No discussion.No nuance.No consideration of quality of life, sexual health, bone health, brain health, or the individual woman sitting in the exam room.But what does the research actually say?In this episode of Pleasure in the Pause, I welcome back Dr. Susan Hardwick-Smith, board-certified gynecologist and certified menopause practitioner, for a grounded, evidence-informed conversation about hormone therapy after breast cancer.This is not a conversation about ignoring risk.It is a conversation about understanding risk clearly, asking better questions, and making informed decisions in partnership with your physician.About our guest: Dr. Susan Hardwick-Smith is a Board-Certified Gynecologist and certified menopause practitioner specializing in women's midlife wellness, hormone optimization and sexual wellness. She is the founder of Complete Midlife Wellness Center in Houston, TX, and the best-selling author of "Sexually Woke- Awaken the Secrets to Your Best Sex Life in Midlife and Beyond." She also hosts the popular podcast "Empowering Midlife Wellness." Dr. Susan is the recipient of the Texas Super Doctor award over a dozen times, as well a multiple time recipient of H-Texas magazine's Top Doctor and Top Doctor for Women awards. She also has been chosen as one of Houston's "3 best rated" gynecologists several consecutive years. Dr. Susan is also an ICF certified life and leadership coach, multiple time marathoner and Ironman triathlete, and mother of 3 teenagers. Highlights from our discussion include:What the Women's Health Initiative actually found — and why the headlines created so much confusionWhy breast cancer type matters when discussing hormonesWhat the research shows about hormone therapy and breast cancer recurrenceWhy some women on aromatase inhibitors may still be able to discuss options like progesterone, testosterone, and vaginal estrogen with their doctorHow to prepare for a more informed conversation with your physicianWhy collaborative decision-making matters in women's healthcareThe importance of considering quality of life, sexual health, bones, heart, and brain health — not just risk My hope is that this episode helps you feel more informed, more empowered, and more confident asking questions about your own body and care. If you're seeking to reclaim your pleasure and vitality, join Gabriella at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.Resources:Dr. Susan Hardwick Smith: https://drsusan.com/ Instagram: https://www.instagram.com/drsusanofficial/ Bluming review article in Cancer journal (2022): https://pubmed.ncbi.nlm.nih.gov/35594465/ Menopause Society consensus paper (January 2026): https://www.imsociety.org/statements/position-papers-and-consensus-statements/ Hormone Replacement Therapy After Breast Cancer: It Is Time Avrum Z. Bluming, MD LINK - https://bit.ly/4st0uji Menopausal Hormone Therapy for Breast Cancer Patients: What Is the Current Evidence? LINK - https://bit.ly/41leKytAmerican Urological Association Guidelines on GSM 2025 https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopauseCONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInWork with Gabriella! Full episodes on YouTube.The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

Are hot flashes really just about low estrogen? In this eye-opening episode of the Wise Divine Women Podcast, Dana Irvine explores the deeper root causes behind hot flashes, night sweats, and hormone chaos during perimenopause and menopause.Many women are told that suffering through menopause is simply part of aging — but Dana explains why the body is not broken and why symptoms are often signals of deeper imbalances within the body.In this educational solo episode, Dana uncovers how adrenal stress, cortisol dysfunction, mineral imbalances, thyroid health, gut dysfunction, blood sugar instability, heavy metals, and poor estrogen clearance can all contribute to hot flashes and hormone symptoms.You'll learn why a personalized “test, don't guess” approach matters and how functional testing and thermography can help uncover hidden stress patterns and inflammation before symptoms worsen.Why hot flashes are not always caused by estrogen declineHow stress and adrenal exhaustion impact hormone productionThe connection between cortisol rhythms and night sweatsWhy gut health affects estrogen recycling and detoxificationHow thyroid function influences temperature regulationThe role of magnesium, copper, and mineral imbalancesWhy nighttime blood sugar crashes can trigger hot flashesHow heavy metals may mimic estrogen and disrupt hormonesWhy personalized testing creates better long-term outcomesHow thermography helps visualize stress and inflammation patterns in the bodyTimeline00:00 – Introduction: Hot Flashes and Misconceptions00:52 – The Body Is Not Broken: Understanding Menopause02:50 – Common Misunderstandings About Hot Flashes03:44 – Hormone Therapy and Its Limitations04:25 – Estrogen and Its Role in Hot Flashes05:33 – Adrenal Exhaustion and Hormone Production06:47 – Cortisol Rhythm and Night Sweats07:59 – Estrogen Clearance Pathways and Methylation09:16 – Gut Recycling of Estrogen10:34 – Mineral Imbalances and Thyroid Function12:16 – Magnesium and Copper's Role in Hot Flashes13:11 – Blood Sugar Fluctuations and Night Sweats13:59 – Heavy Metals and Estrogen Mimicry15:39 – The Power of Testing and Personalized Protocols15:57 – Visualizing Stress with Thermography17:55 – Empowering Women with Knowledge and Tools18:50 – Next Steps: Testing and Support19:41 – Book a Health Clarity Call and Take ActionIf you're struggling with hot flashes, night sweats, exhaustion, brain fog, or hormone chaos, know this: your body is speaking — and there are answers.At Wise Divine Women, Dana Irvine combines functional testing, thermography, nutrition, and personalized wellness strategies to help women uncover the true root causes behind their symptoms.✨ Ready to stop guessing and start understanding your body?Visit DanaIrvine.com to book your personalized Health Clarity Call and take the next step toward balanced hormones, restored energy, and empowered health. keywordsmenopause, hot flashes, hormone health, adrenal function, estrogen, cortisol, gut health, mineral analysis, thermography, personalized treatment

In Part 2 of our menopause series, we move beyond the basics and into the nuanced, often misunderstood realities of hormone therapy. This episode tackles some of the most common concerns women face in midlife—from unexpected bleeding to the role of testosterone—and revisits the cultural fears that have shaped menopause care for decades. We begin with an important and often alarming symptom: spotting while on menopause hormone therapy (MHT). While it can be common, it is never something to ignore. Using a simple but powerful analogy, estrogen acts like the “bricks,” building the uterine lining, while progesterone serves as the “mortar,” stabilizing it. When that balance is off, the lining can shed—resulting in bleeding. But because postmenopausal bleeding can also signal more serious conditions, including cancer, proper evaluation is essential. We walk through what that evaluation typically looks like, from pelvic ultrasound to endometrial biopsy when needed, helping women understand both the “why” and the next steps without unnecessary fear. From there, we revisit one of the most pivotal moments in women's health history: the 2002 Women's Health Initiative (WHI) study. Its findings were widely misinterpreted, creating lasting fear around hormone therapy that impacted both patients and providers for over two decades. One of the most significant consequences was the black box warning placed even on low-dose, localized vaginal estrogen, despite its strong safety profile. In a long-overdue shift, that warning was finally removed in November 2025, opening the door for more women to access effective treatment without hesitation or stigma. We then turn to a topic gaining increasing attention: testosterone therapy for women. For many postmenopausal women, it can be truly transformative, supporting libido, energy, motivation, and even muscle mass. However, this is not a one-size-fits-all solution. Testosterone requires careful, individualized dosing and monitoring by a knowledgeable clinician. While some side effects like acne or increased facial hair can occur, excessive dosing carries the risk of irreversible changes, such as voice deepening. We also discuss the different delivery methods and why precision matters when it comes to hormone balance. Throughout this episode, the goal is not just to inform, but to reframe. Menopause is not a condition to fear, and hormone therapy is not the enemy it was once made out to be. Instead, this is an invitation to approach midlife with both knowledge and confidence, understanding that the female body is complex, but not unknowable. We're also setting the stage for Part 3, where we'll zoom out even further to explore the role of lifestyle, metabolic health, and the nervous system in shaping the menopause experience. If you've ever felt confused, dismissed, or unsure about your options in this season of life, this conversation is for you. Second, our brand-new Perimenopause Course is officially live. For just $97, women can dive into a simple, science-backed approach to navigating hormonal shifts with clarity, confidence, and peace. WonderCow uses high-quality, thoughtfully sourced bovine colostrum that's easy to use daily and fits well into a foundational, root-cause approach to health. ✨ Exclusive Listener Discount Hormone Genius listeners get 15% off a one-time purchase or 30% off your first subscription. Use code HORMONEGENIUS or visit:

Send us Fan MailThe hardest part of health care isn't always treatment, it's figuring out who should treat you in the first place. Speaking of Women's Health Podcast host Holly L. Thacker, MD sits down with Laura Lipold, MD, Director of Primary Care Women's Health at Cleveland Clinic, to map out how primary care, OB-GYN care and consultative women's health specialists can work together across every life stage.They talk candidly about why so many patients feel stuck right now, from limited access to primary care to the long shadow of menopause misinformation after the Women's Health Initiative. You'll hear practical guidance on what primary care can often handle (Pap tests, HPV and cervical cancer screening, mammogram orders, chronic disease management, obesity and metabolic health, behavioral health support) and when it's time to bring in a specialist for complex menopause and hormone therapy decisions, severe osteoporosis, cancer survivorship, blood clots, transplants, or major cardiovascular history.Support the show

In this episode, I'm back with Dr. Sameena Rahman for Part 2 — and we go places most medical appointments never do. We open with PCOS, GLP-1s, peptides, and ketamine, then shift into what may be the most important hormone conversation I've had on this show: is hormone therapy actually safe for women over 60?Dr. Rahman breaks down why the original Women's Health Initiative study was mismarketed, not flawed — and how that bad marketing set back women's health by two decades. She explains how to think about the risk-benefit calculation for starting hormones later in life, and what screenings actually matter before making that call.We then get into the reality of concierge medicine — why so many doctors are leaving insurance-based practices, and what women who can't afford private care can actually do. And we close on a myth that genuinely alarmed me: the idea that women over 65 no longer need pelvic exams. Dr. Rahman sets the record straight — and explains why genitourinary syndrome menopauIn This Episode: 00:00 - Welcome Back & Recap of Part 101:20 - PCOS Explained: What It Is and Who It Affects02:50 - GLP-1s, Peptides & Ketamine: What the Evidence Actually Says05:10 - Hormone Therapy After 60: Is It Safe?07:30 - The WHI Study: Bad Marketing, Not Bad Science09:20 - Heart Health, Bone Health & Who Should Consider Starting Late11:45 - Why Doctors Are Moving to Concierge Medicine14:00 - The Insurance System Is Rigged Against Women16:05 - What to Do If You Can't Afford a Specialist17:45 - The Pelvic Exam Myth Putting Women at Risk19:15 - Genitourinary Syndrome, Vaginal Estrogen & UTI Prevention20:50 - Final Thoughts & Where to Find Dr. RahmanWant a deeper look? Watch the full episode on YouTube for a more visual experience of today's discussion. This episode is best enjoyed on video—don't miss out!Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.Looking for some fresh perspective on sex in midlife? You can find me here:Email: karen@taboototruth.comWebsite: https://www.taboototruth.com/Instagram: https://www.instagram.com/taboototruthYouTube: https://www.youtube.com/@taboototruthpodcastAbout the Guest:Dr. Sameena Rahman is a board-certified OB/GYN and certified Menopause Practitioner with over a decade of expertise in midlife care, sexual medicine, and concierge gynecology. After training and practicing at leading institutions including USC, the University of Chicago, and Northwestern, she founded The GSM Collective in downtown Chicago to deliver a more personalized, patient-first model of women's healthcare.Nationally recognized for her leadership in sexual and menopausal health, Dr. Rahman serves on the Board of Directors and as Scientific Committee Chair for the International Society for the Study of Women's Sexual Health (ISSWSH), where she is also a Fellow (IF). She is a Menopause Certified Practitioner and active member of The Menopause Society's Education Committee, frequently speaking at national and international conferences on culturally informed care and sexual health.Connect with Dr. Sameena Rahman:Website: https://www.thegsmcollective.com/Instagram: https://www.instagram.com/gynogirl/Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.Looking for some fresh perspective on sex in midlife? You can find me here:Email: karen@taboototruth.comWebsite: https://www.taboototruth.com/Instagram: https://www.instagram.com/taboototruthYouTube: https://www.youtube.com/@taboototruthpodcastSubstack: https://karenbigman.substack.comLINKS, EXCLUSIVE VIP DISCOUNTS, COURSES & FREEBIES

Menopause hormone therapy and your brain: what the evidence says vs. what the algorithm is selling you. Two-thirds of Alzheimer's patients are women. That statistic has fueled a social media narrative that hormone therapy can prevent dementia, but the current evidence doesn't support that claim. In this episode, Drs. Ayesha and Dean Sherzai sit down with OBGYN Dr. Jen Gunter and neuroscientist Dr. Sarah McKay to separate the science from the soundbites. Your Brain On... Menopause Hormone Therapy [Season 7, Episode 1] Get our FREE NEURO Plan Brain Health Playbook: https://thebraindocs.com/playbook In this episode: Why menopause hormone therapy is the gold standard for hot flashes and night sweats but not a proven tool for dementia prevention The Women's Health Initiative: what it actually found, how the press conference distorted the findings, and what we've learned since Why "bioidentical hormones" is a marketing term, not a medical one, and what that means for the products being sold to you How the hypothalamus drives vasomotor symptoms and why sleep disruption may explain much of the cognitive fog women experience at midlife The high placebo response rate with hormone therapy and why dose escalation can mask a missed diagnosis Why the simplistic narrative of "women get more Alzheimer's, so it must be menopause, so give hormones" falls apart under scrutiny How over-testing, unregulated lab panels, and wearable hormone data can create more anxiety than answers The case for perimenopause as a life stage, not a disease, and why medicalizing normal midlife stress upholds harmful structures What the aging brain actually gains: vocabulary, emotional processing, wisdom, complex problem-solving, and the capacity to hold nuance 7 evidence-based actions you can take this week for your brain health, no prescription required Why the FDA's removal of the black box warning on hormone therapy was released without context and what happened next on social media The new neurokinin receptor antagonists and why they could change how we study the relationship between hot flashes and brain health 00:00 Intro 01:09 Why the menopause hormone therapy conversation matters 07:10 Dr. Jen Gunter: the dangerous dichotomy around MHT 10:20 The Women's Health Initiative, revisited 16:25 Who is menopause hormone therapy actually for? 18:20 The placebo response nobody talks about 22:33 When does perimenopause actually start? 26:00 Does MHT actually prevent dementia? 29:11 "Bioidentical" is not a medical term 36:27 The problem with unregulated hormone testing 41:08 How to advocate for yourself at the doctor 44:36 New drugs that could change menopause research 47:17 The pTau217 study and what it means for women on MHT 52:20 Dr. Sarah McKay: what happens in your brain during menopause 59:34 The oversimplified estrogen-Alzheimer's story 1:04:13 When social media primes your symptoms 1:11:18 What the aging brain actually gains 1:21:35 Grandmothers rule the world! 1:25:43 What MHT is actually good for 1:26:28 7 things to do for your brain Dr. Jen Gunter is an OBGYN, pain medicine physician, New York Times columnist, and bestselling author of The Menopause Manifesto, The Vagina Bible, and Blood. She writes The Vajenda on Substack and is one of the most prominent voices challenging misinformation in women's health. Dr. Sarah McKay is a neuroscientist, science communicator, and author of The Women's Brain Book. She is the founder of The Neuroscience Academy and Think Brain training programs. References: North American Menopause Society 2022 Hormone Therapy Guidelines: menopause.org Australasian Menopause Society: menopause.org.au The Vajenda (Substack): jenssubstack.com Get our FREE NEURO Plan Brain Health Playbook: https://thebraindocs.com/playbook Hosted by Drs. Ayesha & Dean Sherzai. Subscribe to The Synapse (free weekly newsletter): thebraindocs.com/newsletter Follow @TheBrainDocs on Instagram

Most conversations about hormone therapy focus on the prescription itself- what to take, how much, and when. But far fewer ask a more important question: what kind of body are those hormones entering?In this episode, I sit down with FDNP and co owner of Ryze Wellness, Matt Cusano to take a deeper look at why hormone therapy sometimes falls flat, even when it's “done right” on paper. Because hormones don't create outcomes in isolation, they send signals. And those signals are only as effective as the environment they land in.We break down the physiology that often gets missed: how chronic stress, poor metabolic health, low muscle mass, blood sugar instability, inflammation, GI issues and impaired detoxification pathways can all blunt your response to hormone therapy. This is the difference between temporarily changing lab numbers and actually creating a body that can respond, adapt, and improve.Because the goal isn't just to take hormones. It's to become a body that can actually use them.Follow Matt on IG: @_mcusanoContact Ryze: https://www.ryzehrt.com/ryze-wellnessReady to go deeper? If you're a woman over 40 who feels like you're doing everything right, but your body still isn't responding the way it used to...this is exactly the work I do.My coaching is built around identifying what's keeping your body stuck, rebuilding the environment your hormones need to function, and creating a strategy you can actually execute long enough for it to work.You don't need more random inputs.You need a body that can respond to the right ones.CLICK HERE TO LEARN MORE!Join me on Instagram! My coaching is for women who are ready to stop chasing quick fixes and start building a body that actually responds through smarter nutrition, strength-focused training, functional health insight, and a more sustainable strategy. You can learn more and apply for coaching at revivewellness.health.Not ready to invest full in coaching? Book a Clarity Consultation!Try Syntrax! To try to the most delicious, gluten free, lactose free "top of the line" whey isolate AND save 15% follow this link. Discount automatically provided at checkout!Want some FREE LMNT? Use this link for a FREE sample pack with any order!Save 10% on...

We have questions–lots and lots of questions–on hormone therapy during the menopause transition, and this week Dr. Heather Hirsch — menopause specialist and author of The Perimenopause Survival Guide — brings her signature blend of clinical wisdom and data-informed, personalized care to help answer them. Perimenopause is the most complex phase of the menopause transition, and this conversation goes deep on the pros and cons of hormone testing, the nuances of hormone therapy dosing, progesterone intolerance, breakthrough bleeding, receptor sensitivity, why it may never be too late to start hormone therapy, and much more.Dr. Heather Hirsch, MD, MS, MSCP is a board-certified internist, entrepreneur, and one of today's most trusted voices in women's midlife health. She is the Founder and CEO of The Collaborative, a concierge telemedicine practice for women navigating perimenopause and menopause, and Academy for Advanced Women's Health Medicine, where she trains clinicians worldwide in midlife women's care. A Menopause Society Certified Practitioner with over a decade of experience in menopausal medicine, she is the author of the bestselling book Unlock Your Menopause Type and, The Perimenopause Survival Guide. A featured expert on Oprah Winfrey's 2023 “The Life You Want” Series, Dr. Hirsch has also appeared in The New York Times, NPR, The Washington Post, The Drew Barrymore Show, Live with Kelly and Mark, Access Hollywood, and numerous other major media outlets. You can learn more about her and her work at heatherhirschmd.com.Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off Eternal - Get 15% off their services with code FEISTY15 at https://eternal.coMidi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Wahoo: Use the code FEISTY2026 to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/WVhdr

This episode unfolds as a candid Q and A, exploring some of the most common and often confusing questions women have about menopause, menopause hormone therapy MHT, and what it really means to age well as a woman. By the time women seek help, many feel unlike themselves. Common symptoms include hot flashes, night sweats, sleep disturbances, anxiety, irritability, and a noticeable decline in mood. Libido often drops. Weight gain can feel sudden and unexplained. Hair may thin. Skin becomes dry, and eyes can feel gritty. Vaginal dryness can lead to discomfort and even pain with intercourse. When women seek care, they are often met with what has historically been considered standard treatment, synthetic hormones, frequently in the form of birth control pills or hormonal IUDs. In some cases, therapies used in older studies such as the Women's Health Initiative are still being prescribed, despite those studies being widely reanalyzed and often misunderstood. This is where understanding the difference between bioidentical and synthetic hormones becomes critical. Bioidentical hormones, such as estradiol and progesterone, are chemically identical to the hormones produced by the human body. Synthetic hormones are structurally different. Over time, research has increasingly suggested that these synthetic compounds may carry more risk, while bioidentical hormones appear to be significantly safer. MHT has been shown to support cardiovascular health, reduce the risk of osteoporosis, and protect cognitive function. There is growing evidence that it may even reduce overall mortality when used appropriately. This reframes the entire conversation. Instead of asking how do I get through menopause, the question becomes how do I support my health for the next 30 to 40 years. A helpful framework is to think in five year increments. Every five years, a woman can reassess. Am I still benefiting from this. Do I want to continue protecting my bones, heart, and brain. For many women, the answer is yes. Others may choose to stop later in life as priorities shift or new health concerns arise. The key is ongoing, informed decision making. Another increasingly common scenario involves women who are well into postmenopause, sometimes 10, 15, or even 20 years beyond their last period, who are just now learning about hormone therapy and wondering if it is too late. We know that starting hormone therapy within 10 years of menopause offers the most significant cardiovascular benefit. Starting later may still help with symptoms, but the protective effects are less clear. There may also be a slightly increased risk of cardiovascular events, particularly when using oral estrogen. When it comes to safety, bioidentical hormones, especially when delivered through the skin via a patch, gel, or cream, carry a very low risk of blood clots. Oral estrogen has a slightly higher risk, which is why transdermal options are often preferred, particularly for women with additional risk factors. That said, no medical treatment is entirely without risk. What matters most is understanding the data, weighing the risks and benefits, and making an informed decision that aligns with personal health goals. Menopause is not simply an end point. It is a transition into a new phase of life. With the right information, support, and care, it can be a time of strength, clarity, and renewed health rather than decline. We Heart Nutrition 20% off with code: GENIUS Wonder Cow Colostrum Supports gut health, immune function 30% off your subscription with code: HORMONEGENIUS www.wondercow.com/hormonegenius

Dr. Natalie Crawford, MD, is a double board-certified OB-GYN and reproductive endocrinologist. We discuss how to improve hormone health at any age and the importance of fertility markers not just for pregnancy, but as a powerful window into overall health, vitality and longevity. We discuss hormone replacement therapy, egg freezing, IVF, and what biomarkers like AMH really indicate. Plus, how anti-inflammatory diets and specific supplements can be beneficial and the impact of microplastics and certain fragrances on hormones. We also discuss lesser-known factors that deplete male and female fertility, vitality and health. This conversation highlights how better understanding of hormones and your reproductive markers can empower better informed choices at every stage of life. Read the show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman David: https://davidprotein.com/huberman BetterHelp: https://betterhelp.com/huberman Eight Sleep: https://eightsleep.com/huberman Function: https://functionhealth.com/huberman Timestamps (00:00:00) Natalie Crawford (00:02:26) Fertility as a Health Marker, Infertility (00:05:34) Perimenopause, Menopause, Hormone Replacement Theory (00:11:01) Sponsors: David & BetterHelp (00:13:35) Hormone Therapy, Extending Ovarian Lifespan (00:19:11) Plastics, Toxins & Fertility (00:22:02) Does Prior Pregnancy Make Conception Easier?, Secondary Infertility (00:29:02) Testing Sperm; Pregnancy Loss & Conceiving Again, Fertility Testing (00:38:17) Sponsor: AG1 (00:39:40) Menstrual Cycle, Egg Number & Quality, AMH Test (00:48:17) Tool: AMH Test; Fertility Education & Patient Choices (00:53:13) Tool: Tracking Ovulation; Ovulation Disorders (00:55:11) AMH Test Cost; Genetic Testing & Patient Choice (01:01:13) Does Egg Freezing Cause Early Menopause?, In Vitro Fertilization (IVF) (01:05:29) Egg Freezing, IVF, Ethical Concerns; Embryo Banking (01:15:21) Sponsor: Eight Sleep (01:16:39) Egg Freezing, Cost & Patient Choices (01:21:22) Concieving After Hormonal Birth Control, IUD or Depo-Provera (01:27:17) Pregnancy Termination & Concieving Again (01:29:28) Support Egg Quality, Tools: Ovulation & Avoiding NSAIDs; 5 Lifestyle Non-Negotiables (01:34:03) Sleep, Melatonin; Cold Plunge (01:38:41) Curcumin, NAD/NR, CoQ10, Supplements for Prenatal Care & Sperm Health (01:42:05) Sponsor: Function (01:43:16) Fertility Research into Supplements & Lifestyle Factors (01:48:21) Inflammation, Red Light (01:53:12) Cannabis & Detriments to Egg & Sperm Health (01:58:57) Nicotine, Smoking, Egg Health & Sperm Count; Healthy Lifestyle Practices (02:02:21) GLP-1s, PCOS, Endometriosis; Human Growth Hormone (02:10:58) Platelet-Rich Plasma; Paternal Age & Sperm Quality; Biotin (02:17:27) Endocrine Disruptors, Fragrances, Receipts, Tool: Fragrance-Free (02:22:48) Patient Education & Empowerment; Inflammation, Celiac Disease (02:25:40) Anti-Inflammatory Diet, Protein, Fiber, Red Meat (02:33:25) Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Sponsors, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices