The Dr Louise Newson Podcast (Dr Louise Newson)

Leading US oncologist Dr Avrum Bluming joins Dr Louise Newson to talk about the crucial role of oestrogen in women’s health.

Despite HRT’s proven benefits in protecting against heart disease, bone fracture and cognitive decline, many women still avoid it over breast cancer fears.

It’s been more than 20 years since media headlines about a study called the Women’s Health Initiative linked HRT to an increased risk of breast cancer. In this podcast, Dr Bluming says that in fact we now know oestrogen alone decreases the risk of breast cancer development by 23% and risk of death from breast cancer by 40%. 

He also disputes the findings of the WHI study that combined progesterone and oestrogen HRT leads to a small increase in breast cancer cases.

‘It is very upsetting when such an influential study continues to misquote their own data,’ says Dr Bluming, who has spent 25 years studying the benefits and risks of HRT in breast cancer survivors.

Dr Bluming points out that oestrogen used to be a treatment for breast cancer before chemotherapy was developed, and that rates of breast cancer increase as we age, despite the fact our oestrogen levels fall as we get older.

You can read about Dr Bluming's latest paper here, and listen to an earlier podcast Dr Newson and Dr Bluming recorded here.

Victoria Jones is a community pharmacist at Bonnybrook Pharmacy in Coolock, Dublin. She received very little education on the menopause when training and became more interested in hormone health after her sister experienced severe symptoms at 40 and began taking HRT. The dramatic return of her sister’s health and wellbeing prompted Victoria to move away from running a chain of pharmacies to set up her own independent pharmacy with a focus on women’s health. When Victoria experienced her own perimenopause and she saw the profound benefits of HRT for herself, her passion escalated and Victoria now takes a very active role in raising awareness in her community with the public and local healthcare professionals, and in educating others through her social media.

Victoria’s advice to women:

1. Ask your pharmacist if they’ve done any training on the menopause and if not, mention the resources available such as on balance website and the Confidence in the Menopause course on fourteenfish.com. Find the right pharmacist for you.
2. Don’t be fobbed off by healthcare professionals, if you aren’t listened to the first time, go in more empowered with information the next time. Ask for a specific clinical reason why they will not prescribe HRT, and ask them to write it down for you.
3. Your pharmacist can explain how and when to take your HRT medication if your doctor wasn’t sure, or you didn’t have time to discuss thing fully.
4. Your pharmacist can also help with information on improving health through lifestyle measures such as nutrition and exercise.

Victoria’s pharmacy website is www.BonnybrookPharmacy.ie

Follow Victoria on Instagram and Facebook @The_menopause_pharmacist

In a departure from our usual format, as we reach the end of 2024, Dr Louise looks back on her highlights of this year, including her recent theatre tour, her education work and the work of the Newson Health research team.

She looks at some of the key developments for menopause in 2024, and busts some myths around hormones and hormone replacement therapy. Plus, she’ll be looking forward to 2025, and sharing details of some exciting work for the year ahead.

For more information on Newson Health, click here.

Dr Marianne Tinkler is a respiratory consultant from Swindon. In March 2020, Marianne contracted Covid-19 and had to take a month off work with a severe cough and extreme fatigue. She returned to frontline work on the wards at the height of the pandemic but found it difficult due to ongoing symptoms of tiredness, breathlessness, a racing heart rate and significant brain fog. Later that year, when long COVID became more recognised and Marianne was continuing to experience severe symptoms, she was encouraged to take an extended break from work, and this gave her time to reflect on her hormonal journey as well as learning how to navigate life with long COVID.

In this episode, the experts discuss the relationship between long COVID and the perimenopause/ menopause, the barriers to accessing treatment and some of the benefits of diet, movement and HRT for those suffering with long COVID.

Marianne’s advice if you have long COVID:

1. Pace yourself carefully and don't ‘push through’.
2. Track your symptoms on the balance app and consider HRT if you think some of your symptoms may be due to perimenopause or menopause – even if you think you’re ‘too young’.
3. Look at your diet and activity levels and eat foods that are good for your gut microbiome. Try and get outside every day, even if your energy levels will only allow you to sit on a bench.

Professor Isaac Manyonda is back by popular demand to discuss perhaps the most important issue for women considering and taking HRT; what is the risk of breast cancer if I take HRT? Professor Manyonda expertly takes the listeners through the different issues, one by one, including comparing the level of risks of breast cancer from HRT with lifestyle factors such as weight and alcohol intake. He outlines the risks according to different types of estrogen and progesterone, and explains the difference between estrogen receptor positive and negative breast cancers.

This episode is a must-listen for anyone who wants to be able understand – and clearly explain to others – the evidence-based picture around breast cancer and HRT, for both healthcare professionals and anyone interested in the topic.

Prof. Manyonda’s 3 take-home messages:

1. The strong evidence shows that estrogen does not increase the risk of breast cancer and it could even have a protective effect.
2. If you take estrogen and develop breast cancer you have a lower risk of dying from the cancer than women not taking estrogen.
3. The benefits of HRT extend way beyond the improvement of your symptoms and include protection of the cardiovascular system, your bone health, your immune system, and potentially prevention of dementia.

This week on the podcast, Dr Louise is once again joined by her friend, retired consultant urologist Steve Payne.

Together they look at the similarities and differences in women and men’s experiences of menopause and andropause, and the effect of low testosterone levels, including loss of libido and lust for life, lethargy, mood changes, depression and muscular weakness.

They address the issues surrounding testosterone replacement and Steve questions if medical professionals can learn from the treatment of men with prostate cancer with testosterone supplementations when treating women with breast cancer with hormones.

Steve has written a factsheet about making informed decisions during cancer care. You can also read more about his and his wife Jan’s experience, plus practical advice, here, and listen to the podcast  Making decisions about cancer treatment and the importance of quality of life with Steve Payne.

Click here for more about Newson Health.

In this episode, Dr Thulasi Naveenan talks to Dr Louise Newson about her experiences as a 3rd year GP trainee working in a central Manchester practice and learning on the job when it comes to HRT prescribing. The conversation covers working with patients from different cultures and with interpreters or family members, challenging misinformation, health risks after menopause and gender differences, and introducing the topic of hormones at 40-year health checks. Thulasi gives an honest and reflective account of what she has learnt about women’s health and hormones in her last 7 years of practising as a doctor.

Thulasi’s advice to clinicians learning about menopause:

1. Always have hormones in the back of your mind and there is no younger age limit cut off. Don’t be afraid to ask patients about their periods, vaginas and symptoms.
2. Don’t be afraid to ask about what you don’t know, use resources like the balance app and NHMS to find out more information. Find your local expert and seek out their knowledge and experience.
3. If you’re ‘junior’, don’t be afraid to challenge more senior clinicians – they may not be as up-to-date on the latest practice.

You can follow Dr Thulasi Naveenan on Instagram at @tnaveenan and on Twitter at @ThulasiNaveenan

Since the recording of this podcast, there has been further discussions with Cancer Research UK.

In a special episode to mark World Menopause Month, and ahead of World Menopause Day on 18 October, Dr Louise is joined by Dr Rebecca Lewis, co-founder of Newson Health.

Together they cover some of the most frequently asked questions about perimenopause, menopause and HRT, including:

• When should I expect symptoms to improve after starting HRT?
• How long can I take HRT for?

Plus advice on taking a holistic approach to menopause, tracking your symptoms, and talking to your healthcare professional.

Dr Rebecca also suggests three things women and healthcare professionals should consider about hormones:

1. Know there is a difference between older synthetic hormones and body identical, natural hormones
2. Be aware of the health benefits of HRT
3.  The importance of shared decision making and patient-centred care.

You can download the balance app here, and the Easy HRT prescribing guide mentioned in the episode here.

For more information on Newson Health, click here.

Dr Louise Newson’s first-ever live theatre tour, Hormones and Menopause – The Great Debate, runs until 12 November. For more information and tickets, click here.

On this week’s episode, Dr Sumi Rampling, a GP and Menopause Specialist who works alongside Dr Louise at Newson Health, shares her personal story of attention deficit hyperactivity disorder (ADHD).

Diagnosed in early adulthood, Dr Sumi talks openly about the challenges of her ADHD diagnosis, as well as the impact that hormone changes, including perimenopause, can have on women with ADHD.

She talks about the determination her condition has given her, and also offers advice for women navigating hormone changes and ADHD.

Download balance’s ADHD and menopause booklet here.

Click here for more about Newson Health.

Joe Wicks really needs no introduction: he’s a fitness coach, presenter and bestselling author who kept the nation moving during the COVID-19 lockdowns. Joe is also one of the expert contributors in Dr Louise Newson’s new book, The Definitive Guide to the Perimenopause and Menopause.

In this episode, Joe and Dr Louise discuss the importance of keeping active, and finding the motivation and time to exercise during the perimenopause and menopause.

Joe offers tips on setting achievable goals, plus beneficial exercises, and they talk about how replacing hormones with HRT will help ease symptoms so women can also better focus on exercise and nutrition.

Joe’s top three tips if you are struggling with motivation to exercise:

1. Prioritise your sleep: see sleep as an investment to give you more energy to work out
2. Work out in the morning: working out earlier can be transformative to how you take on stress at work, and for your relationships too
3. Prep like a boss: meal prepping on a weekend will protect you against fast foods and convenience foods during the week.

Follow Joe Wicks on Instagram @thebodycoach

Find out more about the Body Coach app on Instagram @bodycoachapp and online at www.thebodycoach.com

Popular online personal trainer, James Smith, admits he only read Dr Louise Newson’s most recent book to check out the literary competition when their new books were released back-to-back. He bought a copy and read it on holiday and while he may have got some funny looks for his poolside choice of reading, James discovered many new insights about the perimenopause and menopause that he knew would really help his female clients in their quest to reach fitness and weight loss goals.

Louise and James discuss the common pitfalls many people go through when trying to exercise, perhaps out of obligation or to lose some of that midlife spread around the middle, and they warn against the plethora of misinformation on the internet about nutrition and training.

James’s 3 exercise tips for you:

1.  Ask yourself ‘how much do you want to train on a daily basis out of 10?’ If your answer is below a 5, don’t train but ask yourself ‘why?’ and tackle those things first, whether it be stress, lack of sleep or nutrition. Understand why you’re not motivated and fix that first.
2.   If you want to lose fat and/or manage your calorie intake, figure out your daily allowance and x7 for the week. You can overconsume on the weekend if you wish, but then divide what’s left by 5 for the days in the week and you’ll be surprised by how low it is. You will get a clear picture of how much you’re overeating on the weekend and it may make you think again about patterns of over-restricting then binging.
3.   Pick any exercise that you like and find rewarding, there isn’t a hierarchy of the ‘best’ ones, you have to enjoy it and want to do it.

For help with a personalised exercise programme and meal plans, check out James’ website at www.jamessmithacademy.com

James’ bestselling books, ‘Not a Diet Book’ and ‘Not a Life Coach’ are published by Harper Collins.

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

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

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

Andrea shares her tips on widening the conversation about menopause:

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

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

Click here to find out more about Newson Health

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

Related articles

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

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

Dr Andrew Weber is Medical Director of the Bodyvie Medi-Clinic in London and has more than 40 years of experience as a GP and 25 years specialising in advanced medical aesthetics and cosmetic procedures.

In this episode, Dr Weber and Dr Louise Newson discuss the impact of the perimenopause and menopause on the skin and throughout the body, the importance of hormones and benefits of HRT, and why it is crucial healthcare professionals listen to their patients.

The episode also covers how HRT has advanced and the importance of individualising treatment to find the right dose – Dr Weber likens HRT to buying a bespoke, made to measure Savile Row suit, rather than an off-the-peg outfit.

For more about Dr Andrew Weber and the Bodyvie Medi-Clinic visit bodyvie.com

Follow Dr Andrew Weber on Twitter at @drandrewweber

Advisory: we would like to apologise for the sound quality in this episode, which was due to technical issues experienced during recording.

Dr Pooja Saini is a Chartered Psychologist and Reader in suicide and self-harm prevention based at Liverpool John Moores University. Her work has a particular focus in suicide prevention in primary care and developing community-based interventions for high-risk groups.

Since connecting, Louise and Pooja have been discussing the impact of perimenopause and menopause on mood, mental health and suicide and the many research gaps and unanswered questions in this space. In this episode, Pooja explains more about what is known and unknown regarding the effect of hormones on suicidal thoughts and outlines the research plan for a PhD funded by Newson Health Research and Education.

Pooja’s tips for those with suicidal thoughts:

1. Early intervention is key; seek help as soon as you feel you are not yourself
2. Change your habits to do more of what you really enjoy
3. Talk to your loved ones, family and friends. Don’t try and hide or mask it.

If you need support, you can call the Samaritans on 116 123 for free from any phone or email them at jo@samaritans.org

Pooja's Social Channels

Twitter

Work Website

Reference for BMJ article discussed:

McCarthy M, Saini P, Nathan R, McIntyre J. Improve coding practices for patients in suicidal crisis. BMJ. 2021 Oct 15;375:n2480. doi: 10.1136/bmj.n2480. PMID: 34654729.

On this week’s podcast, Dr Louise Newson is joined by Dr Rebecca Walker, a GP who specialises in headache medicine and migraines.

In this episode, Dr Rebecca and Dr Louise (who suffers from migraines herself) get back to basics, looking at what migraines are, why they can occur and management approaches, from lifestyle measures to medication. They also talk about how hormone changes during perimenopause and menopause can impact the frequency and severity of migraines, and bust some myths around taking HRT if you have a history of migraines.

Follow Dr Rebecca on Instagram @dr_rebeccawalker.

For more information on migraines, visit the National Migraine Centre here, and you can find resources about migraine and menopause on the balance website here.

You can also listen to an earlier episode of the Dr Louise Newson Podcast with Dr Katy Munro, author of Managing Your Migraine, by clicking here or searching for episode 115 on your favourite streaming app.

For more information on Newson Health, click here.

In this episode, Dr Louise is joined by renowned American OB-GYN, integrative medicine specialist and globally renowned women’s health expert, Dr Felice Gersh. Together Louise and Felice delve into the science of hormones, how menopause care differs between the US and UK, and the harmful past of women’s medicine – from the vaginal mesh scandal to the 2002 Women’s Health Initiative (WHI) study which continues to impact access to HRT for women globally. Louise also speaks to Felice about the impact of weight loss drugs like Ozempic on women experiencing hormonal changes, and the impact of oestradiol on weight management.  

With decades of experience, Felice is Medical Director of the Integrative Medical Group Irvine, which provides integrative services to support female longevity and complex disease management. Having witnessed the changes to women’s health over the years, she speaks candidly about her own concerns about the use of vaginal mesh, before its true harms came to light many years later. Felice and Louise also shed light on the infamous WHI study, which dramatically cut the number of women using HRT across the world.  

To learn more about Felice, visit her Instagram here.  

Available on watch on YouTube

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DISCLAIMER: The information provided in this podcast is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. The views expressed by guests are their own and do not necessarily reflect the views of Dr Louise Newson or the Newson Health Group.  

LET'S CONNECT   

Website: Dr Louise Newson  

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Email dlnpodcast@borkowski.co.uk for any media enquiries. 

LEARN MORE  

Sign up to my Menopause Masterclass here  

Sign up for my Confidence in Menopause course here  

Sign up to my Upcoming Webinar for healthcare professionals here 

Check out the new edition of Dr Louise Newson’s Definitive Guide to the Perimenopause and Menopause 

This week on the podcast Dr Louise speaks to Dr Ashley Winter, a urologist and sexual medicine specialist, based in Los Angeles.

Dr Ashley has seen the transformative effects of vaginal hormones on women – not only those who are menopausal, but also women who experience cyclical symptoms of bladder pain, UTIs and painful sex.

She shares her frustration on the situation in the US, where inaccurate and harmful warnings are included in every oestrogen product available, and her hopes of dispelling the fearmongering by talking, looking at the evidence and sharing her clinical experience.

Finally, Dr Ashley gives three reasons why women should use vaginal hormones:

1. It's extraordinarily safe. No risk of any cancer or blood clots, 100% safe.
2. It can prevent you from needing so many other unnecessary treatments that don't address root causes, and so you will probably save money.
3. It is not just a vaginal treatment. It is a bladder treatment, a urethral treatment, a vulva treatment. The medication acts locally, but acts locally throughout the pelvis.

Follow Ashley on X and Instagram @ashleygwinter

Joining Dr Louise on this week’s podcast are US-based Kristin Johnson and Maria Claps, authors of new book The Great Menopause Myth: The Truth on Mastering Midlife Hormonal Mayhem, Beating Uncomfortable Symptoms, and Aging to Thrive.

Kristin and Maria share their own menopause stories, why they wanted to write a book to help others and why menopause can be the best time of your life.

The pair also share the four things, besides hormones, that can help women during this time:

1. Education
2. Exercise
3. Nourishing your body with the right foods
4. Managing stress

For more information on The Great Menopause Myth, which will be released in the UK on 26 September, click here.

For more information on Newson Health, click here.

Dr Louise Newson’s first-ever live theatre tour, Hormones and Menopause – The Great Debate, takes place 27 September to 12 November. For more information and tickets, click here.

This week Dr Louise is joined by Dr Hussain Al-Zubaidi, our brand-new fitness and longevity coach on the balance app. Dr Hussain is a GP who runs an NHS-based fitness and lifestyle clinic that helps patients to eat better, move more and connect with their community.

Dr Hussain is a long-distance triathlete but he hasn’t always been fit – a shock medical appointment prompted him into action after years of inertia and slowly but steadily he lost 24 kilos.

Here Dr Hussain shares what he’s learnt, including shifting your mindset from thinking about exercise as an obligation to choosing which movements you enjoy, be it a walk with friends or dancing. He explains why menopause can pose a challenge but also an opportunity to figure out what positive steps you can take for a healthier, happier you.

Finally, Dr Hussain shares three things you can do in this new year to improve your quality of life and longevity:

Get a partner in crime – someone who can support you. Without my wife, I wouldn't have made these changes.

Try to control the cues in your life - we all have cues that trigger behaviours that we're not happy with. You might need to change your evening routine, for example.

Harness self-belief. It really matters and is so powerful.

You can access Dr Hussain’s new content on the balance app, and follow him on Instagram @irondoctorhaz.

Click here for more about Newson Health

On this week’s podcast Dr Louise is joined by Dr Rupy Aujla, founder of The Doctor’s Kitchen, which aims to inspire and educate about the joy of food and the medicinal effects of eating well.

Dr Rupy shares his thoughts on how to best enjoy a healthy and fulfilling diet and looks at some of the challenges food can bring during the perimenopause and menopause, but also how it can be a time to rethink and set new nutrition habits.

While the new year is often a time to set goals or resolutions, Dr Rupy believes that consistency is the key to success and it can come through small steps, such as simply adding on vegetable to every single meal.

Finally, Dr Rupy shares his three top tips for healthy eating:

1. Master one meal that you’re proud of and make it a solid base to then adapt, add twists with different vegetables, flavour bases, herbs, etc.
2. If you have a child who doesn't like a particular ingredient, don't force it because that will introduce animosity towards that ingredient. When they're older, they may have developed different taste buds that allow them to appreciate it better.
3. Aim for 90/10 because you probably will get to 80/20. And if you do have a cheeky take out, indulge, allow yourself to indulge without any guilt, particularly as it pertains to food, and then make yourself a pact to get back on it the following day.

Follow Dr Rupy on socials @doctors_kitchen

Click here for more on Newson Health

This episode contains reference to suicide

Professor Jayashri Kulkarni is a psychiatrist working in Melbourne, Australia, specialising in women’s mental health and researching the role of estradiol in mental illnesses such as schizophrenia and depression. She founded and directs the Monash Alfred Psychiatry Research Centre, a large clinical research group in Melbourne.  In 2022, Professor Kulkarni launched and directs HER Centre Australia – a Monash University Centre delivering Health, Education and Research in women’s mental health - dedicated to improving the quality of care for women with mental illnesses by developing specific treatments tailored to suit women’s needs.

In this episode, the experts discuss the different ways estradiol influences brain health and function, what this means for healthy brain aging and longevity, and they share some of their experiences when helping women with mental health changes during the perimenopause and menopause.

Prof. Kulkarni’s tips for women experiencing mental health changes:

1. Trust your instinct – you know you best. If you think it might be hormones, help is available.
2. Look at your background history. If you had premenstrual mood changes or postnatal depression in the past, this may mean you are particularly sensitive to hormonal changes.
3. Early life trauma (e.g. neglect or emotional/physical/sexual abuse) can disrupt hormone signals and brain chemistry and this may make you more vulnerable to mental illness.
4. Whatever your past history, there is help available in the form of HRT. See your local healthcare provider or a menopause specialist if needed.

You can find the Meno-D questionnaire here. This tool identifies the specific mood changes that are more typically present in perimenopause and menopause related depression.

For more information on Professor Kulkarni’s work and research, visit www.maprc.org.au

Content warning: This episode contains discussion of suicide

Vanessa had always suffered with PMS and struggled with her mood and emotions after the birth of each of her children. After her fourth child was born, Vanessa’s mental health took a severe turn and she became suicidal. When her husband intervened and insisted she received specialist care, a psychiatrist realised how unwell Vanessa was and this was the beginning of an eighteen year journey of taking medication and receiving mental health support, including spells of inpatient care. It was all Vanessa could do to wake up every day and look after her children. Vanessa had wondered whether her mood was linked to her hormones as she would have 2 good weeks in every month before two bad weeks would inevitably creep in. In more recent years, friends persuaded her to see a menopause specialist and begin topping up her declining hormones and, as Vanessa explains, this has been lifechanging.

Vanessa’s advice:

1. You may not be well enough to go and ask for help yourself, allow family and friends to support you with this.
2. Don’t always accept everything you’re told by healthcare professionals, challenge thoughts and negative attitudes towards mental health and the link with hormones.
3. We develop lots of coping strategies to mask how we are really feeling. Don’t carry on hiding how you really are, speak to someone.

Help is available if you are struggling. Please contact the Samaritans by phone on 116 123, download the Samaritans Self-Help app or email jo@samaritans.org

Carolyn Harris MP left school at 16, had two children at a young age and worked as a barmaid. Her young son, Martin, was tragically killed in a road accident in 1989 and this changed her life forever. She sank into a black hole for the next few years but turned things around when at 34 she became the first person in her family to go to university. Carolyn never dreamt that 20 years later she would be the MP for her community, Swansea East, and although she continues to experience imposter syndrome regularly, once she has decided to fight for change, she does not give up.

Carolyn has campaigned on topics such as child funerals and gambling. She did not realise her collection of health problems were related to the menopause at first, but when she joined the dots and learnt more about the effects of the menopause, especially in the workplace, she set up an All Party Parliamentary Group on menopause and was successful in changing the law in Wales in removing the prescription fee for HRT.

Carolyn’s advice to women:

1. Be part of the menopause revolution. Find us on social media, there’s a template letter on the APPG website so you can write to your local MP, and contact my office or on Twitter if you’d like to get involved. Join us in London in Parliament Square for the Menopause Support Bill on the 29th
2. Dreams can come true. Don’t think you can’t achieve something. You are brilliant and strong. You can be what you want to be, you just need to be brave.
3. We are using our platforms to call for change, but you can go into your place of work, talk about your own experience, ask others about theirs, say ‘do you think this could be the menopause?’

Carolyn Harris MP details:

Website: www.carolynharris.org.uk

Twitter  @carolynharris24 and @AppgMenopause

Email: carolyn.harris.mp@parliament.uk

Dr Louise Newson met Dr Naomi Jiagbogu over a decade ago at Birmingham Medical School when Louise was mentoring students who were studying medicine as a post-graduate degree. Naomi subsequently qualified, began her GP training and moved to Manchester with husband, Aria, who was training to be a paediatrician. Louise and Naomi discuss their memories of the post-graduate course and reflect on how the students were older, from more varied backgrounds and had broader life experiences than you would typically find on an under-graduate course and how these factors enhanced the student’s skills and learning, especially when relating to patients.

After beginning her GP training, Naomi’s husband Aria sadly developed a brain tumour and after surgery, treatments and a yearlong remarkable recovery, the cancer returned and Aria died in 2020.  During his illness, Aria wrote two children’s books for their young son about sickness, loss and family, and he also wrote a memoir for adults titled, ‘Broken Brain: Brutally Honest, Brutally Me’. Together, Naomi and Louise discuss the importance of looking beyond the disease and connecting with the person not just the patient, and consider how personal suffering can transform the way you communicate as a clinician.

For more details about Aria’s story and books please visit his website https://www.ariatheauthor.com/

The books can be purchased from https://theendlessbookcase.com/authors/aria-nikjooy/

Or Amazon https://www.amazon.co.uk/Broken-Brain-Brutally-Honest-Me

The royalties from Arias children's books are going to Brain Tumour Research, Royal Medical Foundation, Society for the Assistance of Medical Families and Royal Medical Benevolent Fund. 

If you have listened to Naomi’s story and would like read more and donate to Brain Tumour Research, please go to

https://www.braintumourresearch.org/stories/in-our-hearts/in-our-hearts-stories/aria-nikjooy You can follow Aria on Instagram at @ariatheauthor64

On this week's episode, Charlotte Craig, a hugely successful content creator with nearly one million followers on TikTok joins Dr Louise Newson in the studio to share her journey to recovery from a traumatic injury – the highs, the lows, and the profound shift in perspective that followed. The pair also touch on the importance of understanding your hormone health at any stage.   

In 2022, Charlotte, then a secondary school teacher, saw her life take an unexpected turn. What was meant to be a fun day of paddleboarding ended in a devastating leg injury. Forced to leave teaching behind, she found a new path in content creation, using social media to document her experiences and inspire others to embrace their authentic selves.  

Now 27, Charlotte has also become more mindful of what she puts into her body, including her choices around contraception. She admits that when she first got the contraceptive implant, she didn’t fully understand how it worked – an experience many young women can relate to. The conversation delves into contraception, with a focus on the need for better education around the hormones, and the differences between synthetic and natural hormones. 

This honest and empowering discussion highlights the importance of asking questions, making informed choices, and owning your decisions with confidence. As Charlotte puts it: ‘My outlook has always been, who cares? Whether it’s not wearing makeup, staying in pyjamas all day, or not shaving your legs, just do what feels right for you.’ 

To learn more about Charlotte, visit her Instagram here and TikTok here 

Watch the episode on YouTube 

Episode transcript 

We hope you're loving the new series! Share your thoughts with us on the feedback form here and if you enjoyed today's episode, don't forget to leave a 5-star rating on your podcast platform. 

LET'S CONNECT  

• Website: Dr Louise Newson 
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Email dlnpodcast@borkowski.co.uk for any media enquiries

LEARN MORE 

• Sign up to my Menopause Masterclass Here 
• Sign up for my Confidence in Menopause Class Here 
• Sign up to my Upcoming Webinar Here 

DISCLAIMER: The information provided in this podcast is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. The views expressed by guests are their own and do not necessarily reflect the views of Dr Louise Newson or the Newson Health Group. 

This week Dr Louise is joined by feminist cultural historian Dr Elinor Cleghorn, author of Unwell Women, which unpacks the roots of the misunderstanding, mystification and misdiagnosis of women’s bodies, illness and pain. From the ‘wandering womb’ of ancient Greece to today’s shifting understanding of hormones, menstruation and menopause, Unwell Women is the story of women who have suffered, challenged and rewritten medical misogyny.

Elinor tells Dr Louise how the book draws on her own experience of being dismissed by doctors for years before finally being diagnosed with systemic lupus, an autoimmune condition which is nine times more prevalent among women than men.

In the episode, Dr Louise and Elinor discuss how women’s health, including menopause, has been viewed through the ages, and the misconceptions that need to be consigned to the history books once and for all.

Follow Dr Elinor on Instagram @elinorcleghorn

Click here to find out more about Newson Health

Rupa Lyall is a clinical pharmacist who works in a GP practice in Buckinghamshire seeing patients with minor illnesses and prescribing medications. In this episode she tells Dr Louise Newson how she became interested in the perimenopause and menopause and how, through the training on fourteenfish.com and resources on the balance website, Rupa now supports and educates other clinicians in HRT prescribing.

Their conversation covers raising awareness among professionals, working with patients from BAME communities, the importance of empowering women to improve their quality of life and the transformational effects of hormone replacement.

Rupa’s 3 tips for pharmacists interested in the menopause:

1. Go to fourteenfish.com and do the ‘Confidence in the Menopause’ course
2. Don’t be frightened of the menopause, learn more and talk to others
3. Speak to patients about their HRT, ask them how they’re doing, especially in the community. You will learn a lot by doing this.

In a special episode on the eve of International Nurses Day, this week’s guest is Sue Thomas, an advanced nurse practitioner with an interest in menopause who works alongside Dr Louise at Newson Health Menopause and Wellbeing Centre.

They discuss Sue’s 30-year nursing career, including her work in cardiovascular disease prevention, and talk about the vital role nurses play in raising awareness and treating women during the perimenopause and menopause.

And with figures showing nine out of ten UK nurses are women, and more than half aged over 41, Sue and Dr Louise discuss the impact of the perimenopause and menopause on the nursing profession, with Sue sharing her own menopause experience and the barriers she faced when trying to access HRT.

Sue’s three take home tips for fellow nurses and healthcare professionals are:

1. Look for more education about the menopause, such as the free Confidence in the Menopause course
2. If you are struggling with menopause yourself, be open with colleagues and line managers – we need to look after each other
3. Let’s make the menopause a positive thing.

Click here to read an advice article by Sue for healthcare professionals on coping with menopause in the workplace.

Personal trainer, wellness coach and mum-of-three Lavina Mehta MBE joins Dr Louise in this week’s episode to share her advice on boosting your activity levels during the perimenopause and menopause.

As a British Asian, Lavina is passionate about ensuring her message of the benefits of exercise reaches all communities, and highlights how exercise can treat, prevent and reduce the risks of chronic diseases like Alzheimer’s, diabetes and heart disease.

Lavina encourages busy women to begin ‘exercise snacks’, which are short bursts of activity that can be slotted into full days. Finally, Lavina shares her three easy wins to improve future health:

1. Start strength training and prioritise building your muscle mass over losing weight.
2. Start off small with exercise ‘snacks’, which means adding little bite-sized chunks of exercise throughout your day. It all counts and it is never too late to start.
3. Keep talking, keep learning, keep educating yourself and keep sharing your journey with everyone around you.

For more about Lavina, visit her website and follow her on Instagram @feelgoodwithlavina, plus feel good workouts and exercise snacks on her YouTube channel @feelgoodwithlavina.

Menopausal women are the fastest-growing demographic in the UK workforce, yet a 2022 survey by the Fawcett Society found one in ten women leave work due to their menopause symptoms.

This week, Dr Louise is joined by Oonagh Ferson, who researched the experiences of perimenopausal and menopausal women in the workplace as part of her MSc in HR management at Queens University Belfast.

Oonagh shares her research findings and some of the stories of women she interviewed, and with Dr Louise discusses the impact of perimenopause, menopause and other conditions such as PMS and PMDD in the workplace.

Oonagh offers advice on how women can thrive at work, including the three things she believes would make the biggest difference to women in the workplace:

1. A bottom up approach, where employers sit down with women and ask them: what would help you? What can we do?
2. Even though it may be difficult at times, advocate for yourself: be open with your employer to secure the support or adjustments you need
3.  Having open discussions, using clear language and avoiding terms like ‘the change’, can help dispel the stigma around menopause  

There is a chapter dedicated to menopause and the workplace in Dr Louise’s bestselling book, The Definitive Guide to the Perimenopause and Menopause. Order your copy by clicking here.

Click here for more about Newson Health.

In this week’s episode, Dr Louise Newson is joined by Donna Francis, an award-winning Beauty Editor with over 25 years of experience in the industry, having worked with magazines such as InStyle, Company, and Cosmo/Fabulous. Now Beauty Editor At Large at Hello! Magazine, Donna shares her personal experience with perimenopause, opening up about the profound impact it had on her life. She discusses the pressures around alcohol in midlife, how exercise became her mental health saviour, and how addressing her wellbeing helped her regain a sense of self during this challenging time. Now over six months sober, Donna is passionate about supporting women facing similar struggles and is on a mission to rebrand menopause as meno-power!    

To learn more about Donna, visit her Instagram: here and check out her podcast, Smiling Gives You Wrinkles, here. 

Available to watch on YouTube 

We hope you're loving the new series! Share your thoughts with us on the feedback form here and if you enjoyed today's episode, don't forget to leave a 5-star rating on your podcast platform. 

Email dlnpodcast@borkowski.co.uk if you have any suggestions for new guests!  

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LEARN MORE 

• Sign up to my Menopause Masterclass Here 
• Sign up for my Confidence in Menopause Class Here 
• Sign up to my Upcoming Webinar Here 

DISCLAIMER: The information provided in this podcast is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. The views expressed by guests are their own and do not necessarily reflect the views of Dr Louise Newson or the Newson Health Group. 

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

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

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

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

Click here to find out more about Newson Health.

Joining Dr Louise Newson on the podcast this week is Jen Moore, a campaigner dedicated to raising awareness of endometriosis and adenomyosis.

Jen started experiencing endometriosis symptoms at the age of 11, but it took her 22 years to receive a diagnosis of endometriosis, adenomyosis and fibroids. By this stage organ failure was a risk and she required multiple surgeries, including a hysterectomy.

She has since become committed to helping other women – from speaking out to creating research projects. Here, she shares three things she believes women with endometriosis can do to make a difference to their future health:

1. Find a specialist – someone you can ask as many questions as you want, because if they are genuinely a specialist, they will not be afraid of answering questions.
2. Don’t feel like you have to do it alone. You have your medical team, but you also need a team outside of the hospital. It doesn’t matter who it is, even if it’s somebody online, just reach out. There are so many of us who are just happy to help even if it’s just to talk.
3. Keep going. When you get your diagnosis, you can think awesome, everything’s going to change. But then you realise, that’s just the start of it – you’ve got this wait list to get treatment and it can be a long slog. It’s exhausting, but it’s important that we do.

You can follow Jen on Instagram at @jen.dometriosis and find out more at www.jenmoore.co.uk

For more information on Newson Health, click here.

Bestselling author, screenwriter and TV presenter Emma Kennedy joins Dr Louise Newson in this episode to talk candidly about her menopause experience.

Emma describes how she thought she had got through her menopause when terrifying heart palpitations and anxiety struck.

After always being fearful of HRT due to a strong family history of breast cancer, a careful and detailed discussion with a GP around the risks and benefits led to her starting a low dose of hormones.

‘It's the first time I've ever cried in front of a doctor,’ she says.

‘Ever, ever. I felt that terrible. [But] Just that tiny amount of estrogen and the heart palpitations stopped in 48 hours and they haven't come back. It's like a miracle.’

Dr Louise and Emma talk about the importance of a personalised discussion between a doctor and a patient to assess whether and what type of HRT may be the right choice. Emma also talks about the lifestyle changes she has made to reduce breast cancer risk and help control menopausal symptoms.

Emma, who wrote the bestselling The Tent, The Bucket and Me, also talks about her frustration with the pain and discomfort women are often expected to put up with during routine procedures.

She gives a stirring call to action for the speculum – the device used in many intimate procedures – to be, at the very least, radically improved.

For more about Emma visit her website and you can follow her on Instagram @emma67 or Threads @emmak67.

This week offers a chance to revisit a previous podcast conversation – or perhaps hear it for the first time. Lucy Holtom is an experienced Ashtanga yoga practitioner who has a particular passion for helping with women throughout all cycles of life whether it’s to help manage the fluctuation of hormones during menstruation, postnatal recovery, or perimenopause and postmenopause.  In this episode, Lucy and Louise discuss the different types of yoga, individual practices and the benefits they can bring. Lucy explains how her interest and experience in well woman yoga evolved and how she supports women in the perimenopause and menopause.

Lucy’s 3 tips for those interested in trying yoga for the first time:

1. If you want to try a class, look for recommendations from others and chat to different teachers to find what’s right for you.
2. Wear comfortable clothing – you don’t need to spend money on new yoga outfits, just wear whatever you can move freely in.
3. Go with an open mind and enjoy!

Visit Lucy’s website at www.livingyouryoga.co.uk

Follow Lucy on Instagram @xxlivingyouryogaxx

This podcast episode was first released in October 2019

Dr Rajvinder Khasriya is a urogynaecologist who leads the Lower Urinary Tract Symptoms clinic at the NHS Whittington Hospital in North London, and is also involved in research work at University College London.

In this episode, the experts discuss urinary tract infections (UTIs) and the role a lack of hormones play in their occurrence and ongoing recurrence. Dr Khasriya explains how common and debilitating UTIs can be for women in the peri/menopause, why traditional methods of testing and treatment are often unsuccessful, and she outlines the benefits of using vaginal hormonal treatments as part of a holistic approach for managing UTIs.

Dr Khasriya’s tips for women with UTIs:

1. As always, do your own research and find patient groups for support and information.
2. Understand all the factors that can contribute to UTIs such as weight gain, your general health, your diet and stress levels, as these are also important.
3. Be generous when using your vaginal estrogen, it is completely safe to use and in the long term.
4. Trust yourself, you know your body best.

The patient groups:

Embedded/Chronic UTI Support Group

Do you suffer from reoccurring UTIs? Many of us have been previously incorrectly diagnosed with Interstitial Cystitis (IC) and have come to learn our condition is actually an embedded or chronic UTI...

Home - CUTIC

1 in 3. women will have a UTI by the age of 24 1. 90%. of chronic urinary tract infections are missed by the standard MSU culture test 2. 70%. the risk of recurrence within a year 3.

Bladder Health UK

Women asked if bladder drug should be available to buy. A pill to help treat an overactive bladder - which affects millions of women - could soon be available to buy in the UK without prescription.

In this podcast, Jill Chmielewski, a nurse, educator and women’s advocate, talks about her mission to guide midlife women to greater wellbeing.

Dr Louise and Jill discuss the powerful and poorly understood role of hormones in women’s health throughout their life, HRT and the importance of women advocating strongly for their own needs. Jill advises women should prepare well in advance for the menopause, as hormonal changes can begin earlier than you may expect.

Jill’s three top tips: 

1. Educate yourself on the role of hormones and the impact these can have on your health, so that you are informed.
2. Start thinking about your menopause early – and probably earlier than you may expect. You may notice hormonal changes in your thirties, so be prepared and plan which healthcare professional may provide the support that you need to manage your perimenopause and menopause journey.
3. Embrace patient power – act as your own advocate and be persistent with your healthcare professionals about what you need. This includes if you are on HRT, as you may still benefit from tweaks to your current regime.

For more about Jill visit her website here and you can follow Jill on Instagram

@jill.chmielewski. 

On this week’s podcast, Dr Louise is joined by Dr Peter Greenhouse, a menopause specialist with 40 years’ experience in women’s sexual healthcare who is actively involved in postgraduate lecturing.

He has recently spoken out about NICE’s draft menopause guideline update, and tells Dr Louise it contains inappropriate and inaccurate statements, particularly concerning HRT and breast cancer safety, and ignores the cardioprotective effect of HRT when it’s started within 10 years of the menopausal transition.

Dr Peter challenges NICE’s stance on HRT for primary prevention and proposes a pre-emptive approach that could help reduce the amount of other medications GPs are prescribing menopausal women.

Finally, he shares his belief that women should be able to take as much HRT for as long as they need to.

You can read about Newson Health’s response to the NICE draft guideline consultation here.

Follow Dr Peter Greenhouse on X @GreenhousePeter

You can read Roger Lobo's paper, Back to the Future, which is referred to in the podcast, here.

Click here for more on Newson Health

Kate Muir returns to the podcast to discuss her ground-breaking new book on the menopause, which she describes as the most difficult and complex subject she has investigated to date. Dr Louise Newson speaks to Kate about the shoddy science and lies that women have been told over the years and what Kate has learnt about past and current research from speaking to over 100 experts, and the real life impact on women from the conversations she has every week.

In this episode, discussion also turns to the ‘Davina effect’, referring to the impact of Kate’s Channel 4 documentary that was aired in May 2021, presented by Davina McCall, and has been a game-changer in raising the social and medical profile of menopause within primary care and in helping to inform and empower women to seek help.

Kate’s 3 wishes over the next 3 years:

1. A symptom list to be given out at your local GP practice
2. Good quality research into body identical estrogen and micronised progesterone
3. Research happening in the UK into Alzheimer’s and the role of estrogen and testosterone in women’s brains

Kate’s new book is titled ‘Everything you need to know about the menopause (but were too afraid to ask)’ and is published by Gallery UK. A second documentary about the menopause with Davina McCall will be released in May 2022.

Advisory: this podcast contains themes of mental health and suicide.

In this episode, Jo shares a moving account of her menopause experience before finding the right treatment for her.

Struggling with numerous symptoms including vertigo, dry mouth and eyes, joint pain and vaginal dryness, Jo went from not visiting her GP for six years to monthly appointments. After being prescribed a cocktail of medication and spending thousands of pounds on dental treatment to no avail, Jo felt she was never going to get better.

She talks to Dr Louise about the effect of low hormones, and the transformative impact finding the right dose and type of HRT had on her mental and physical health.

Jo’s three top tips: 

1. Download a period tracker, such as the balance menopause support app, to track your periods. This will help you notice any changes and identify any patterns of other symptoms occurring.
2. Educate yourself: try to read as much as possible about the menopause so that you can understand what's happening with your body.
3. Reach out to friends: by being honest and saying how you're feeling, you can help others to open up too.

October marks World Menopause Month, and on this week’s podcast, Dr Louise is joined by Newson Health colleague Dr Penny Ward to talk about the relaunch of our Confidence in the Menopause.

Confidence in the Menopause is a CPD-accredited online course from Newson Health which is designed to increase your knowledge of, and confidence in, managing all aspects of the perimenopause and menopause. The course contains free and subscriber-only modules and is designed not only for those working in healthcare: it’s for everyone. We’ve included tailored information for non-healthcare professionals, whether you are a woman looking for information to help you make the right decisions and get the most out of their healthcare consultations, or a partner, friend or colleague who simply wants to know more.

Dr Penny’s top three reasons for completing Confidence in the Menopause:

1. It will give you an understanding what is inevitably going to happen to your own body or a loved one's body if you're a partner, friend or colleague.
2. You will be able to appreciate the wide variety of symptoms that women can experience whilst undergoing hormonal changes.
3. It’s an opportunity to listen to the presentations, particularly the one that is dispelling the myths about the menopause and HRT to understand exactly what's gone before us.

Find out more about Confidence in the Menopause here

This World Menopause Month, help us start the most menopause conversations - ever.

Everyone’s menopause is individual and to help others understand and manage their menopause, we must break taboos, educate and start the conversation.

How to get involved

1. Have a conversation about the menopause
2. Log your conversation on the balance website
3. Share that you’ve got involved by tagging us on social media, using the hashtag #PauseToTalk

Janet Birkmyre began her career racing as a track cyclist in her mid-30s and won her first elite medal at the age of 40. She went on to win three elite National Championship titles and multiple masters World and European titles.  Now at 55, Janet is continuing to improve her times and fitness, and she is a champion of women continuing to enjoy and excel at sport at any age.

In this episode, the conversation covers Janet’s experience of perimenopause and menopause and taking HRT. As an elite athlete however, there are sanctions for Janet if she takes testosterone replacement as there are currently no exemptions to the regulations for therapeutic use in women, only for men. Janet shares her frustration at the unfair choice imposed on her of continuing with the sport she loves and excels in or replacing her low testosterone levels to help with her ongoing menopausal symptoms.

Janet’s three positive steps to improve health through exercise:

1. Enjoy being active – make it fun
2. Exercise with a friend – you will motivate and encourage each other
3. Don’t be self-conscious or compare yourself with others – we come in all wonderful shapes and sizes.

So whatever you look like, whatever you’re wearing, be active and enjoy it!

Follow Janet on Instagram @janbirkmyre_torq_track_cycling

Dr Clare Bailey is a GP and health columnist with extensive experience in helping people lose weight and improve their health. Dr Michael Mosley is a science presenter, journalist and executive television producer. Together, they have authored several bestselling books on weight loss, diet and diabetes and created the popular 5:2 and fast 800 diets.

In this episode, the guests describe the evidence showing the positive effects of incorporating principles such as the Mediterranean style diet and time-restricted eating into your lifestyle and how the fast 800 diet can dramatically improve your health outcomes, particularly in reversing type 2 diabetes. The ‘metabolic car crash’ of poor sleep, low hormones, poor diet and weight gain for women during the perimenopause and menopause are also discussed.

Clare and Michel’s top tips:

1. Enjoy olive oil. You don’t have to be stingy with it – it’s good for you!
2. Eat oily fish – remember SMASH: Sardines, Mackerel, Anchovies, Salmon, Herring.
3. Avoid snacks (especially in the evenings) or if you have to, reach for a few nuts.

For more information on Clare and Michael’s diet books and the fast 800 diet, visit thefast800.com

Follow Clare’s recipes on Instagram @drclarebailey

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

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

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

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

You can follow Dr Saj on Instagram @dr.rajpar_dermatologist

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

Click here to find out more about Newson Health

Laura Bibby joins Dr Louise to share her experience of managing the perimenopause shortly after a life-changing spinal cord injury.

A senior nurse and an ambulatory wheelchair user, Laura shares her struggles to have urinary symptoms, crippling anxiety and joint pain recognised as being due to her perimenopause, and not just attributed to her injury.

In an empowering conversation, Laura and Dr Louise discuss the importance of persistence, and speaking out to help women with disabilities overcome barriers preventing them getting the menopause care and treatment they deserve.

Laura’s three tips: 

1. Be persistent – If something doesn’t feel right with your health, keep pushing and seeking for the right treatment. Even if a healthcare professional dismisses your request, keep going and explore other options
2. Speak up and don’t feel ashamed. Menopause affects everyone
3. Normalise conversations around women’s health, don’t have them in secret. Discuss periods and the menopause openly so that it is easier to go and ask for help when needed

Follow Laura on Instagram @blue__brick_disability and you can read more about her story in this article on the balance website.

Bone density for women can plummet around the time of the perimenopause and menopause.

An estimated one in two women over 50 (and who do not take HRT) worldwide will develop osteoporosis. This puts women at high risk of bone fractures, which can have a major impact on health and wellbeing.

Here Chicago-based Dr Kristi DeSapri, who specialises in bone health, joins Dr Louise Newson to talk about what can increase the risk of your bones becoming weak, the role of hormonal changes in this and what to do about it.

Hear what the latest research says about the valuable role that HRT can play in protecting bones to keep you fit and strong in the future.

Dr DeSapri shares her top three tips for listeners worried about their bone health:

1. Find out how healthy your bones are and whether you could be at risk of fractures.  This could include booking a bone density scan, or completing free online assessments and taking that information to your doctor
2. Increasing evidence suggests HRT can help protect bone health, so consider this treatment option to keep your bones strong
3. Find out about the importance of bone health so that you can be your own advocate - make sure you have the right information to make the right decisions.

You can follow Dr DeSapri on Instagram @boneandbodywh. Her website is www.boneandbodywh.com

This week we mark 250 episodes of the Dr Louise Newson Podcast!

And joining Dr Louise this week is Anita Nicholson, a nurse practitioner and menopause expert at Age Management Center in the US, where she aims to help patients lead the best quality of life for as long as they can.

Here, Dr Louise and Anita compare notes on the attitudes towards testosterone in the UK and the US, share their clinical experience of the benefits it can provide women, particularly in restoring their zest for life.

Finally, Anita shares three things she thinks could make a huge difference to women's health:

1. Women need to educate themselves. They have to be their own advocate.
2. I would love for hormones to become available and affordable. In the US, we don't even have vaginal oestrogen covered by some insurance here, never mind over-the-counter access.
3. More education of healthcare providers. So have a fellowship in menopause. Let's start very early with med students and nurse practitioner students so they understand that menopause and sexual medicine is very important for our life span and our health span.

You can follow Anita on Instagram @menopause_agewellfnp and the Age Management Center on Facebook /AgeManagementCenter and YouTube /@agemanagementcenter.

Click here for more information about Newson Health

Content advisory: this episode discusses themes of suicide and sexual assault.

In this week’s episode, Dr Louise Newson is joined by Christiane Gurner, who shares her story of endometriosis and PMDD, highlighting the challenges many women face in getting a proper diagnosis and treatment. Christiane also shares her experiences of IVF and menopause at the age of 42.

The conversation also covers the importance of listening to patients, individualising care and access to the right treatment, as well as the impact of hormone-related conditions on mental health.

Christiane has written about her IVF experiences in the Sydney Morning Herald here (subscription required) and here, and menopause at 42 here. She can be contacted via email at christianewrites@outlook.com.

Click here to find out more about Newson Health.

Dr Robert Lustig is Professor emeritus of Pediatrics at the University of California, San Francisco. He specialises in the field of neuroendocrinology and his research and clinical practice focuses on childhood obesity and diabetes. Dr Lustig has led a global discussion of metabolic health and nutrition, exposing some of the leading myths that underlie the current problem of diet-related disease. He is the author of several books including the books Fat Chance and Metabolical: The truth about processed food and how it poisons people and the planet.

In this episode, Dr Lustig talks to Dr Louise Newson about the influence of sugar, fats, and processed foods on our brains and health, changing minds of the public and health professionals and challenging the food industry. And – just as with changing public perception of HRT – challenging misconceptions about sugar and processed food starts with education.

Dr Lustig’s 3 tips to improve your diet:

1. Yoghurt is good but make sure it doesn’t have any added sugar
2. Juice is not healthy. Fruit is healthy and has fibre which is the good part. It’s food for your microbiome.
3. Trans fats are not good for you at all, try and avoid them at all costs including watching what oils you cook with.

Dr Lustig’s website is https://robertlustig.com/ and you can find out more about all his books here.

Dr Namugga Martha Monicah is one of four female urologists in Uganda.

She recently completed the Fellowship of the College of Surgeons (FCS) exam at the College of Surgeons East and Central and Southern Africa (COSECSA) exams, finishing top of her class. She was supported with a sponsorship from Newson Health.

This episode of the podcast, released on the eve of International Women’s Day which this year centres around equity for all, looks at women’s health and access to care in Africa.

Dr Monicah tells Dr Louise Newson about the barriers to women’s health in Africa, the shame surrounding it and the international support making a difference.

She also addresses the stigma around the menopause and the need to move past a ‘suffer in silence’ approach.

Guest’s three tips:

1. Anyone in the world who listens to the podcast, know that there is somewhere where menopause doesn’t have to be taken on humbly and that something can be done to improve your quality of life.
2. To the African girl child, know that despite all the challenges, the hurdles, you can still do it, you can still emerge victorious.
3. In whatever small way, any individual can do something to improve the life of another.

For more about Dr Namugga Martha Monciah, visit https://www.baus.org.uk/professionals/urolink/urolink_home.aspx.

In this week’s podcast Dr Louise is joined by Dr Mary Claire Haver, an obstetrics and gynaecology doctor and a menopause specialist in the US. Dr Louise and Dr Mary Claire discuss the challenges of ensuring all women have access to evidence-based information and treatment, and their hopes for change.

Dr Mary Claire shares her three tips to help menopausal women improve their health:

1. Really focus on your nutrition. Make sure you're getting adequate fibre in your diet every day. Fibre-rich goods are good for you gut microbiome, help you stay full for longer, and are good sources of vitamins, minerals and nutrients.
2. Limit added sugars – those that are added in cooking and processing - to less than 25g per day. Women who do that consistently have less visceral fat. Visceral fat is tied to increased risk of chronic inflammatory diseases.
3. Don't just focus on cardio for your movement. You really need to keep your muscles strong so at least two days a week pick up some weights. Multiple studies in menopausal women show much better outcomes for osteoporosis with resistance training.

You can follow Dr Mary Claire on Instagram at @drmaryclaire

Click here to find out more about Newson Health

Pre-order the revised and updated paperback edition of Dr Louise’s Sunday Times bestseller The Definitive Guide to the Perimenopause and Menopause here

References to studies discussed in this week's episode

J Gen Intern Med 2006; 21:363–6

J Gen Intern Med 2004;19:791–804

Am J Med 2009;122:1016 – 22

JAMA 2004; 291:2243 – 52

Int J Cardiol 2010;138:25 – 31

Urology 2024; Jan 29:S0090-4295(24)00006-2

This week Dr Louise is joined by broadcaster and former international gymnast, Gabby Logan. Gabby is the host of her own successful podcast The Mid Point where she speaks about midlife challenges, and here she shares her own experiences of the menopause.

Gabby reflects on the impact of the menstrual cycle on female athletes and the positive impact of speaking about it and increasing awareness. She shares how exercise is helping her to forge and cement friendships and make time for herself, and how HRT helped her to rekindle her vigour for exercise. 

Finally, Gabby shares three reasons why we should all be exercising, regardless of our age:

1. It’s future proofing. I want to be active in my 80s, playing golf, going for long walks and getting myself out of a chair without it being a kind of a national incident. So I’m doing things now that are going to help empower me.
2. It’s good for your mental health. In my 20s, I realised somehow that exercise was good for me mentally. I knew that going for a run was about clearing my brain, getting back on track if I'd had a wobbly day or starting the day well. That feeling has grown and I know exercise is vital for mental health.
3. It’s about balance. Think 80/20. If you are going to fall off, have a glass of wine or a gin and tonic at the weekends, don't feel bad about it. The exercise I'm doing will hopefully help to negate some of the toxins I might occasionally put inside me.

Follow Gabby on Instagram @gabbylogan

In this episode, Dr Louise Newson is joined by Lucy Chatwin, who is responsible for the not-for-profit organisation, Newson Health Research and Education. Lucy has had a portfolio career that has taken her through environmental science and operations, through human resources and management into health, in particular service improvement and transformation roles in the NHS. Her last role in the West Midlands Academic Health Science Network focussed on supporting the adoption of innovation into health services to improve health outcomes for people. Lucy is perfectly placed to bring together the often diverse worlds of industry, academia, and clinical organisations to drive improvements that will make a real difference to the lives of people in the perimenopause and menopause and those around them.

Lucy discusses the range of opportunities for innovation in menopause research, education and management and encourages those working in health and academia to ‘think hormones’ as an integral part of their practice. A key catalyst for this is the soon-to-be launched Newson Health Menopause Society that Lucy is leading on. The society will provide a global arena for integrating and energising research, driving education and upskilling professionals working in the field of menopause care.

Lucy’s tip for women is make time for yourself to unpick what is going on if you think you may be perimenopausal, don’t just assume it’s down to other things. Download the balance app at www.balance-menopause.com to help understand your hormones, the impact they’re having on you and how to get help for your symptoms.

Lucy’s tips for healthcare professionals:

1. Connect with other interested experts outside of your specialty, this is often the best way to expand your thinking
2. Make your mantra, ‘could it be hormones?’ If you treat women, don’t underestimate the influence of changing hormones in so many health conditions and presentations.

Register your interest in joining the Newson Health Menopause Society at www.nhmenopausesociety.org and follow them on Twitter at @NHMenoSociety or LinkedIn at Newson Health Menopause Society.

In this episode, Dr Louise Newson is joined by two women, Rhona and Tanya, who share their experiences of fertility support, pregnancy, and having symptoms of low hormones after the birth of their children.

Rhona asked the fertility specialists whether the hormone treatments she was taking to become pregnant would affect the onset of her menopause and she was told that it wouldn’t. 18 months after giving birth while still breastfeeding, Rhona experienced severe symptoms due to low hormones and spent 2 years suffering and seeking help before a friend suggested it could be her perimenopause. After seeing a menopause specialist and finding real improvements with HRT, Rhona wants other women to be aware that problems after childbirth might not simply be ‘baby blues’ but could be the start of perimenopause.

Tanya also had a child with the help of fertility treatments in her 40s, and during screening tests it revealed that indications of perimenopause had begun. The IVF was successful, but after the birth of her baby and a relocation, Tanya’s mood plummeted and she experienced a range of symptoms caused by low hormones. Her GP offered antidepressants, but Tanya didn’t think it was postnatal depression and knew her hormones were involved. Tanya is now pregnant again and is apprehensive about what will happen due to low hormones after her next birth.

Louise explains what is – and isn’t – known about hormones during pregnancy and in the postnatal period, and why this can affect women so much in the months and years after birth. She describes the benefits of topping up those hormones with HRT and the multiple improvements it could bring to women at this challenging time.

Rhona and Tanya’s advice for women thinking about pregnancy and perimenopause:

1. do you own research and seek medical help if you have perimenopausal symptoms
2. don’t be scared to try IVF, but know the possible effects of low hormones after birth, especially if you’re in your 40s
3. be aware of what your own body is telling you before you start fertility treatments, are there signs you could be in perimenopause?
4. If you choose to do extended breastfeeding, know that your hormones will be low and this may cause symptoms

For more information on breastfeeding and HRT, postnatal depression and another personal account relating to post-pregnancy hormones:

https://www.balance-menopause.com/menopause-library/breastfeeding-hrt/

https://balance-menopause.com/uploads/2022/02/What-is-reproductive-depressionfinal-with-links.pdf

https://www.balance-menopause.com/menopause-library/my-story-of-hormonal-depression-when-my-hormones-change-i-change/

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

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

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

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

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

You can follow Anne on Instagram @annegildea  

To buy tickets to the show click here

Click here to find out more about Newson Health

Dr Richard Hull teaches philosophy at the National University of Ireland, Galway. Due to a coming together of work life and home life in lockdown and his wife’s experience, Richard began thinking and writing about the menopause from an ethical and philosophical perspective. As an issue under our noses all the time, he was astounded that more isn’t written about it, and he queries the lack of ethical concern for women regarding this time of life and the impact on those around them.

Richard discusses with Dr Louise Newson the importance of raising awareness of perimenopause and menopause, sharing accurate information, training healthcare professionals and empowering women with the right knowledge to recognise what is happening to them and to get the help they need through treatment.

Richard’s 3 hopes for change:

1. Personal and public awareness of the impact of the menopause is crucial
2. For everyone to have the confidence to seek support in all its forms and find out about HRT
3. Talk more and spread awareness and knowledge with others. The more people are aware, the less it can be ignored.

You can read Richard’s article on the menopause here. Richard’s wife, Jaany, has written about her experience here.

Joining Dr Louise this week is Louise Mulley, who shares her experience of anxiety and menopause.

Louise shares the importance of speaking openly about menopause and mental health, and how a conversation with a close friend helped her recognise her symptoms and find the right support and treatment.

She also shares her top three tips on helping friends or loved ones who may be struggling with their mental health during perimenopause and menopause:

1. Help your friend unburden: ask them ‘would you like to talk to me about it?’. Make it clear they can talk to you with no judgement and in confidence.
2. Share your own menopause story to encourage your friend to open up about what they may be going through.
3. Keep an open mind: if you’re a woman of menopausal age and experiencing mood changes, consider that it might be your hormones.

For more information on Newson Health, click here.

This week, Dr Louise is once again joined by journalist and activist Kate Muir, who made the Davina McCall documentary Sex, Myths and the Menopause. In Kate’s new book, Everything You Need to Know About the Pill (but were too afraid to ask), she turns her attention to the hormones commonly used in the contraceptive pill.

Kate shares personal stories of how women have been negatively affected by synthetic hormones and uncovers the bad science and patriarchy that have had such an impact on women’s health. She also offers hope that women have options and can demand change.

Finally, Kate shares three things every women should know about hormones and the pill:

1. Progestins are not all the same. Some of them are androgenic and some of them are oestrogenic, and they have very different effects. So, women can be on the wrong pill for them.
2. You can always take a pill holiday. There's nothing wrong with taking a few months off and seeing how you feel. And you may be a different person, or there may be other reasons for why you are in that state of mental health.
3. There needs to be more research into every bit of what synthetic hormones do in our bodies, and particularly in our minds.

You can follow Kate on Instagram at @muirka and on @pillscandal

Click here to find out more about Newson Health.

Medical oncologist, Dr Avrum Bluming makes a welcome return to the podcast this week to re-visit the hot topic of menopause hormone therapy after breast cancer. Avrum has spent decades studying the research on the benefits and risks of HRT in women with a history of breast cancer and is passionate about giving women clear, evidence-based information that dispels myths and combats the misinformation that has unnecessarily frightened women and clinicians for over 20 years.

In discussion with Dr Louise Newson, Avrum clearly explains what his recent review of the literature reveals about the safety of HRT and the benefits it brings for your future health. The experts highlight the gender disparities that are commonplace in how women with cancer are treated with regard to their hormones compared to men, and they also discuss the importance of patient-centred medicine and giving women choice.

Avrum’s 3 tips for women interested in exploring their menopause treatment options after breast cancer:

1. Speak to your oncologist. Tell them about your menopause symptoms, ask to discuss the possibility of starting HRT and have a conversation about the benefits and risk for you individually.
2. When it is available, take Avrum’s article that will be published in the ‘Cancer’ journal in May/June 2022, and show it to your oncologist and GP. Don’t accept a dismissal of your views – engage them in discussion.
3. ‘Oestrogen Matters’ (2018, published by Little Brown) is a book co-authored by Avrum that is for women and clinicians, including a chapter on HRT after breast cancer, and it is heavily referenced to show all the evidence behind the information given.

Links to Avrum Bluming’s upcoming journal article will be published on the balance-menopause.com website when it is released.

Menopause specialist, Dr Sarah Ball, makes a record 4th appearance on the Dr Louise Newson podcast this week, to talk about an important group of women that often feel marginalised when it comes to menopause care and treatment. One in seven women will experience breast cancer, and many more of us have a close relative who has had breast cancer. Thankfully, thousands more women are living longer after breast cancer, but this often means living with the menopause and symptoms of a lack of hormones.

The experts discuss the risk factors of developing breast cancer and the complexities of the association between hormones and breast cancer. Dr Sarah Ball has researched the experiences of menopausal women having breast cancer treatment and her findings reveal women are having to endure menopausal symptoms for an average of 7 years before seeking, or being given, help and treatment, and sadly, only 10% of the women surveyed felt they were involved in decisions about their care.

Dr Ball and Dr Newson are both passionate about helping women after breast cancer and believe it is essential that these women are listened to, that healthcare professionals discuss in full the treatment options for their menopausal symptoms, and that women feel empowered to make a decision that’s right for them, at that time, being aware of all the relevant information.

Sarah’s 3 tips for women after breast cancer:

1. Don’t feel guilty for how you feel about your menopause, you’re not complaining, or moaning or being ‘weak’. It’s really important that your symptoms are addressed. You are your whole body, not just your breasts. Don’t lose sight of the health of your heart, your bones, your skin, your sex life, your mental health and brainpower – these are important too.
2. Symptoms relating to your vagina, vulva and urinary function are treatable by using vaginal estrogen. This is safe to use after breast cancer and is not absorbed by the whole body in the same way as HRT. You can tackle these symptoms successfully, even if you feel you do not want to take HRT.
3. Understand you do have a choice. Guidelines recommend you should be listened to and have a say in decisions about treatments. Tell your healthcare professionals what is most important to you in terms of living your life, treating your menopausal symptoms, and managing the risk of cancer returning.

Follow Dr Sarah Ball on Instagram @drsarahmollyball and Twitter @sarahball14

Making decisions around your cancer treatment and menopause is often a complicated and overwhelming process. There is a new factsheet on balance website about making informed decisions about cancer treatments here, and a personal story written by the partner of a woman having worsening menopause symptoms after breast cancer treatment here.

This week, Dr Louise Newson is joined by Professor Cassandra Szoeke, academic professor, general physician, consultant neurologist and multi-award-winning clinical researcher and author. As principal investigator of the Women’s Healthy Ageing Project, the longest study of women’s health in Australia, she authored the book Secrets of Women’s Healthy Ageing and has several hundred published articles in academic journals.

This week's episode explores the topic of healthy ageing, including the connection between inflammation and chronic diseases, the importance of physical activity, mental health, and the role of nutrition and gut health in inflammation. Dr Newson and Professor Szoeke also emphasise the need for a holistic approach to healthcare and the importance of prevention.

Click here to find out more about Newson Health.

Dr Anna Chiles is a GP and works in an NHS practice in Gloucestershire and at Newson Health as a menopause specialist. In this episode, the experts discuss the range of symptoms that can occur in the perimenopause and menopause and the impact of these on daily life, and they highlight what can be done for women when symptoms persist for many years.

Anna’s 3 tips for women who have struggled with symptoms for many years:

1. It’s never too late to start HRT and have that discussion with your health practitioner. If you choose to try it, you don’t have to continue with it if you don’t like it.
2. You don’t have to stop taking HRT when you reach a certain age
3. It’s so important to keep active, for your independence, your balance, joints, and muscle strength. This goes hand in hand with hormone replacement.

Dr Saira Hameed is a consultant endocrinologist working at the Imperial Weight Centre and at Imperial College London. Her work focusses on researching the drivers for appetite, obesity, and regulation of body weight to develop science-based interventions that help people manage their weight and lead healthier lives.

In this episode the experts discuss the impact of obesity on individuals’ health, on the NHS and wider society, and the science behind sugar, fats, and processed foods. Dr Hameed’s book, ‘The Full Diet’, explains the weight loss programme that is used in the NHS by clinicians and patients and was developed and trialled at Imperial College.

Saira’s 3 tips:

1. Short term – do everything you can to remove ultra-processed foods from your environment
2. Medium term – look at all the factors that contribute to your weight such as your stress levels, sleep, activity levels and seek to address those too
3. Longer term – be your own biggest fan. Feeling good about yourself will have a positive ripple effect on other areas of your life.

‘The Full Diet’ book is available now and published by Michael Joseph.

Find her on her social channels on Instagram https://www.instagram.com/drsairahameed/ and Facebook https://www.facebook.com/thefulldietbook 

The supply of HRT medication Utrogestan is being restricted by the UK government because of shortages amid increase demand.

Pharmacies will only dispense two months’ worth of Utrogestan 100mg capsules per prescription to help ensure continued access for women.

In this special episode, Newson Health pharmacist prescriber and menopause specialist Faiza Kennedy joins Dr Louise to talk about the restrictions, and where and how to seek advice and help.

They talk about the importance of taking a progesterone as part of your HRT regime if you still have a womb, as well as alternatives to Utrogestan, including progesterone in pessary form, the Mirena coil and combined forms of HRT containing both estrogen and progesterone.

Faiza’s top three tips: 

1. Only order the amount of Utrogestan you need to help everyone get through the shortfall
2. Be organised about ordering your HRT prescriptions. Do it about two weeks before you run out so you have time in case you have any difficulties getting your supply or need to seek an alternative
3. Reach out for help if you are struggling with your supply

Click here for a balance article for more information about the current Utrogestan supply restrictions, plus alternatives.

You can read more about Faiza here.

The focus of this year’s World Menopause Day is cognition and mood. In this episode, Dr Louise Newson talks to Dr Clair Crockett, a GP and menopause specialist with an interest in mood, mental health and hormones. Clair’s interest in the topic stems from her own experience of escalating anxiety, low mood and intrusive thoughts in the premenstrual phase of her cycle during her mid-to-late 30s. Through her own research, she looked for ways to help her symptoms including through lifestyle changes, supplements and antidepressants. While these all helped some aspects of her mental health, it wasn’t until she began taking HRT that the premenstrual mental health symptoms eased.

The experts discuss the importance of considering hormones when helping women experiencing mental health problems and outline some of the ways they are working to improve education about menopause and mental health amongst healthcare professionals.

Clair’s tips to women with mental health symptoms in perimenopause and menopause:

1. Track your symptoms and periods, the balance app is a good way to do this. This will make it easier to relay to your healthcare professional when you see them. Ask who has an interest in women’s health in your GP practice so you can see the most appropriate person.
2. Tackling mental health in perimenopause and menopause is multi-faceted, it can take a while to get it right through a combination of taking HRT, your food choices, exercise, and doing work that inspires you.
3. Make peace with your body image and don’t let it stop your progress.

If you’d like to read more about Clair’s personal experience of mental health and hormones, you can read her story here.

Joining Dr Louise on this week’s episode is Victoria Faulkner, who was diagnosed with type one diabetes in childhood. Victoria talks about day to day life managing menopause and diabetes, as well as her experiences of a surgical menopause due to treatment for endometriosis.

Finally she shares the three things she thinks women with type one diabetes should know about hormonal health, and what has helped her personally:

1. Familiarise yourself with the NICE guidelines on diabetes and see what you can access to monitor your diabetes
2. Use a body map to track your symptoms ahead of any appointments you have to help discussions on any symptoms you might be experiencing
3. Ask your healthcare professional for a continuous glucose monitor to help monitor your blood sugars and spot any patterns, and if possible, push for a sensor augmented pump system to monitor any highs or lows.

For more information on Newson Health, click here.

Dr Louise Newson’s first-ever live theatre tour, Hormones and Menopause – The Great Debate, takes place 27 September to 12 November. For more information and tickets, click here.

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

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

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

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

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

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

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

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

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

This week’s episode is all about Dr Louise Newson Menopause Masterclass, a brand new video-led, one-stop guide to perimenopause and menopause.

In this episode, Dr Louise chats to Kate Muir, journalist, author, documentary maker and menopause activist, who worked with Dr Louise on developing Menopause Masterclass.

Together they discuss the inspiration behind Menopause Masterclass, topics covered, featured experts and why it’s a must watch for everyone, whether you are menopausal, keen to be prepared for the future or simply want to know more to support loved ones.

To find out more and to sign up to the Menopause Masterclass, click here.

Click here to find out more about Newson Health.

Dr Devika Patel joins Dr Louise Newson in this episode of the podcast to share how a chance encounter when overhearing an educational webinar on the menopause was a light bulb moment for her practice as a psychiatrist. Devika takes us through her journey of how this knowledge from learning about menopause has transformed the psychiatric care she now offers to her patients.

Devika’s 3 tips for those with mental health challenges who are in perimenopause/menopause:

1. Don’t forget the important lifestyle changes (healthy diet, exercise, reduce stress, improve sleep and have meaningful connections with others) apply to mental health just as they do with menopause.
2. When seeking help, go with your own data to your healthcare appointment. Track your moods with your cycle and really make any links clear to your clinician.
3. If you don’t feel your healthcare professional is the right match for you, see someone else and advocate for yourself.

Website/socials details – Instagram @drdevikapatel Twitter @drdevikapatel

Podcast: “Our Extraordinary Stories with Dr Devika Patel”

Newson Health has recently appointed a Chief Medical Director to ultimately help more women improve their health. In this episode, Dr Magnus Harrison shares a whistlestop tour through his professional life so far as a Consultant in Emergency Medicine via New Zealand, Australia, and Manchester and his experiences in leadership at Stoke on Trent in the wake of the Mid Staffordshire NHS Trust’s ‘adverse mortality’ investigation. Via Harvard, USA and India, Magnus then oversaw the merger of Burton upon Trent and Derby NHS Trusts before the hardest time of his career to date – the COVID 19 pandemic where 8 staff members from his organisation lost their lives.

Magnus discusses with Louise what he hopes to bring to the medical leadership and management of Newson Health and the key values that underpin his mission.

Magnus’s aims for his leadership at Newson Health:

1. I will be humble and led by professional curiosity to learn how to help more women
2. I aspire to be a compassionate leader, will listen to understand, empathise and ask how I can help
3. Kindness is essential and should underpin all that we do.

Ava Vanderstarren is a performing artist, actor and public speaker. She is the co-author of Blossom Living With Premature Ovarian Insufficiency / Early Menopause Journal and is the co-founder of the charity Innocence Lost Foundation. She has over 10 years lived experience of POI & mental health maintenance.

In this episode, Ava discusses her experiences of her POI diagnosis when she was 17 and how confused and isolated she felt at the time. Ava has co-authored a supportive journal for young people to help readers through diagnosis of POI or early menopause and to provide clear information and help them feel less alone.

Ava’s 3 tips:

1. Advocate for yourself, even though its frustrating and exhausting
2. Remember self-care and your own health come first
3. Don’t underestimate the impact of hormones on your physical and mental health

For more about the Blossom Living with POI / EM Journal: https://amzn.to/3HZx4Cr

Connect with Ava on social media:

Instagram & TikTok: @avavanderstarren

Twitter: @AVAnderstarren

YouTube & Facebook: Ava Vanderstarren

Ava’s professional website: http://www.avavanderstarren.com/

Ava’s charity working with child soldiers in Sierra Leone https://innocencelostfoundation.com/  

GP and menopause specialist, Dr Sarah Glynne, joins Dr Louise Newson on the podcast this week to discuss menopause care after breast cancer.  The experts share more about the breast cancer steering group established as part of the Newson Health Menopause Society that is working towards producing a consensus statement to support clinicians and improve the quality of life for menopausal women who have had breast cancer.

Dr Sarah Glynne discusses the importance of individualising the risk-benefit ratio for every woman when making decisions around treating the cancer and weighing this up with treating menopausal symptoms. Sarah emphasises the importance of talking through the implications of each of these considerations using a shared decision making process.

Sarah’s three tips for women after breast cancer:

1. Understand the risks and benefits of the drugs used to treat your breast cancer and what this means for you personally. Ask your oncologist for more information about your own breast cancer, if you are not sure. You can then use the PREDICT tool online for understanding more about your own cancer risks and what additional benefits any treatments may offer.
2. Read about non-hormonal options to help your menopause symptoms and cancer recovery such as diet, yoga, or acupuncture. Try various approaches to find the ones that may bring some benefit to you. Vaginal moisturisers and lubricants may also help and these do not contain hormones, and there are other medications your GP may be able to prescribe for some of your symptoms such as hot flushes.
3. If your menopause symptoms are severe and your quality of life is suffering, ask your clinician to explain the risks for you regarding your cancer prognosis if you decide to take HRT, versus the risks to your quality of life and long-term health if you choose not to take HRT. If you have genitourinary symptoms of soreness and dryness, vaginal hormones are very safe for improving these symptoms. Read information on the balance website and the book ‘Oestrogen Matters’ by Avrum Bluming, and make a choice that is right for you through discussion with your clinician using a shared decision making process.

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

On this week’s episode of the Dr Louise Newson Podcast, Anna Geldard shares her story of how her mental health was severely affected by menopause.

Anna tells Dr Louise how therapy and medication had helped her successfully manage her obsessive compulsive disorder (OCD) and mild depression symptoms for over a decade. But out of the blue, Anna’s symptoms returned and quickly spiralled. Anna was admitted to hospital, on six psychiatric drugs but still didn’t feel better.

Thankfully, after learning about the impact of hormones on mental health and being prescribed HRT, things changed for the better.

Anna’s top three tips:

1. Have more open conversations, starting from at home with the kids. This will filter through society, making menopause less of an unspoken thing and more of a just another thing about the body.

2. Make sure your resources are evidence based. There's a lot of information on social media, so just make sure that whoever you're listening to is appropriately qualified.

3. Advocate for yourself. If your symptoms are hormone related and you're being told you're too young or whatever, try again and don't just give up at that first hurdle.

Anna is on Instagram @Hormones.on.her_mind. Find out more about OCD through charities OCD-UK and OCD Action.

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

On this week’s podcast, Dr Louise is joined by Dr Ashley Winter, a urologist and sexual medicine specialist, and Dr Sarah Glynne, a GP and menopause specialist who is a member of the research team at Newson Health and chairs a working party that promotes access to evidence-based menopause care for patients with breast cancer.

They discuss Fezolinetant – brand name Veoza – a new drug recently approved in the UK and other countries to treat moderate to severe hot flushes in menopausal women aged 45 to 60 years.

You can read an article about fezolinetant on the balance website here.

Related articles

Lederman S., Ottery F.D., Cano A., Santoro N., Shapiro M., Stute P., et al. (2023) 'Fezolinetant for treatment of moderate-to-severe vasomotor symptoms associated with menopause (SKYLIGHT 1): a phase 3 randomised controlled study', Lancet, 401(10382):1091-102. doi.org/10.1016/S0140-6736(23)00085-5

Johnson K.A., Martin N., Nappi R.E., Neal-Perry G., Shapiro M., Stute P., et al. (2023), 'Efficacy and safety of fezolinetant in moderate to severe vasomotor symptoms associated with menopause: a Phase 3 RCT', J Clin Endocrinol Metab, 108(8):1981-97. Doi:10.1210/clinem/dgad058

Douxfils J., Beaudart C., Dogne J.M. (2023), 'Risk of neoplasm with the neurokinin 3 receptor antagonist fezolinetant', Lancet, 402(10413):1623-5. doi.org/10.1016/S0140-6736(23)01634-3

Follow Dr Ashley Winter on X and Instagram @ashleygwinter

Follow Dr Sarah Glynne on Instagram @sarahglynne

Click here to find out more about Newson Health 

In this episode, Sam shares her moving account of the journey she has been on for the last five years when, after a miscarriage and losing her father, things started to unravel and her mental health suffered. A difficult few years followed spent navigating depression, trialling several antidepressants and anti-anxiety medications, and seeking help from psychiatrists to try and understand what was going on. At the time, Sam believed she was years away from becoming menopausal and through her own research sought treatment privately in the form of ketamine due to her desperation to feel better and function again. Through learning more about hormones and their effects on the brain and mental health, Sam has recently begun to take HRT and feels she has started on a more positive path to health and stability.

Sam’s three tips for those struggling with mental health:

1. Try and be assessed by a menopause specialist before accepting a diagnosis, medication or treatment from a psychiatrist – it may save you a lot of unnecessary suffering.
2. If you do start taking HRT, be patient. It can take time and the dose and type may need tweaking before you feel the beneficial effects.
3. Become as well informed as you can about your hormones and the menopause from good sources online. And talk to other women – you’re not alone.

In this episode, Dr Louise speaks to the youngest of her three daughters, Lucy, about all things menopause. Lucy, 12, recalls making her mother an HRT tote bag when she was six, plus hiding in her room when there were arguments at home, when Dr Louise was struggling with her symptoms.

Lucy shares her experience of having her mum in the public eye, gives Dr Louise sage advice for dealing with bullies and offers her views on why menopausal women need help to remain in the workplace. In a survey conducted for her book, Dr Louise discovered 75% of women had never discussed menopause in their home when they were growing up. Barriers included a lack of knowledge, embarrassment, lack of communication, being short on time and feelings of shame around the topic.

While Lucy has had lots of conversations about the menopause at home, she reveals that school education on the subject was limited. But conversations with children about the menopause are important as they can help normalise it. 

This World Menopause Month, help us start the most menopause conversations – ever. Everyone’s menopause is individual and to help others understand and manage their menopause, we must break taboos, educate and start the conversation.

How to get involved

1. Have a conversation about the menopause
2. Log your conversation on the balance app or website
3. Share that you’ve got involved by tagging us on social media, using the hashtag #PauseToTalk

In this episode, Dr Louise Newson is joined by a long-time friend, retired consultant urologist, Steve Payne. Together they discuss Steve and his wife Jan’s experience of her breast cancer and subsequent treatment that led to estrogen depletion. Steve describes the decision-making process they went through as a couple when Jan’s quality of life deteriorated due to severe urine and kidney infections, as well as other symptoms relating to a lack of estrogen.

The experts talk about how some people’s experience in cancer care clinics can fall short of patients and their partners being given full and balanced information into how cancer treatments will affect your hormones and what this potentially means for your quality of life. Steve shares his honest reflections and insights about cancer care clinics and offers invaluable advice for those navigating these complex and confusing decisions at such a difficult time.

Steve’s advice for making decisions about cancer treatments:

1. Ask what the benefits, and especially the downsides, of the treatment are. It is key that you understand all the pros and cons of a treatment being recommended to you.
2. If it’s treatment for cancer, ask about the pure cancer survival rates – once deaths from other causes have been removed from the data – to make sure you know the actual level of survival benefit that the suggested treatment offers.
3. If you’re having side effects from breast cancer treatment due to a lack of estrogen, have a discussion about the pros and cons of taking HRT, for your particular type of cancer. Ask how taking HRT could improve your daily life and wellbeing and what benefits HRT offers for bone and heart health in the future. Ask how would taking HRT affect your pure cancer survival rate.

Steve has written more about his and Jan’s experience and offers practical advice here, along with a new factsheet about making informed decisions during cancer care.

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

Dr Louise is joined by her patient Trudie Jennings in this episode to talk about the complexities around HRT during and after treatment for breast cancer.

Trudie describes how she started HRT to successfully manage crippling anxiety and other menopause symptoms and a few months later she was diagnosed with an aggressive breast cancer.

NICE guidance states women should stop taking systemic HRT if they are diagnosed with breast cancer. However, after careful discussion with her cancer doctor and nurse, Trudie decided to continue with HRT during her treatment as, for her, the menopause symptoms were more challenging than her cancer treatment.

Trudie and Dr Louise discuss shared decision making and informed consent, and how important it is for women with and after breast cancer to be fully informed about potential risks, benefits and uncertainties about HRT following a breast cancer diagnosis so they can make the best decision that is right for them.

Trudie’s three tips for women who have had breast cancer and are struggling with their menopause: 

1. Know that as a patient you do have choices about whether to start or continue HRT after breast cancer treatment.
2. Speak to your doctors and nurses and be informed so that you can make the right, personalised, decision for yourself. Trudie has found her healthcare professionals in cancer care open and helpful when discussing her need for HRT.
3. You know your own body best, so listen to your body to get the treatment that will be best support you.

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

Click here to find out more about Newson Health

Dr Samantha Newman is a British doctor working in Hawkes Bay, New Zealand. After training in obstetrics and gynaecology, a moving encounter with a patient led her to re-train as a GP and develop an interest in supporting women’s health and wellbeing. Samantha’s clinic, FemaleGP, was established in 2016 to improve access to focused healthcare for women including gynaecological and sexual health and treatments for perimenopause and menopause.

In this episode, the experts discuss shared decision making with their patients, symptom improvements with HRT, and supporting women to ‘listen’ to their hormones. Samantha also shares some of her experiences working with women from the Māori community and culture.

Dr Samantha’s three tips:

1. See your hormones as a journey and not as separate, distinct phases of life. Find support along the way – wherever in the journey you find yourself.
2. For healthcare providers: see your patients as a whole person and as part of their families and find out their true thoughts and desires.
3. Be honest with your patients and encourage them to be honest with you. If they haven’t taken your advice, revisit things and find out what didn’t align with their values rather than viewing it as a negative.

For more information about Samantha’s work, visit www.femalegp.co.nz

Follow Samantha on social media at https://www.facebook.com/FemaleGP and https://www.linkedin.com/in/samantha-newman-34223b230

In this week’s episode Dr Louise is joined by one of her patients, Lesley Henry, a nurse who lives in Northern Ireland. Lesley shares her experience of menopause, which started before she received a diagnosis of endometrial cancer.

Her treatment for cancer led to a surgical menopause, which she found debilitating. Lesley explains she feared her brain fog and fatigue would prevent her from returning to work and from caring for her mother.

A firm believer in the importance of quality of life, Lesley decided to resume taking HRT. She hopes to help other women who are going through similar experiences and shares the things that have given her the strength to make decision about her treatment and her life:

1. I have a faith. Not everybody will have the same faith as I have, and that's fine, but I think having a faith helps.
2. Be proactive and find support groups. Through Action Cancer I learnt about scar therapy, which has helped, plus I completed a positive living programme to learn how to re-energise and rebuild my life.
3. Be prepared to say goodbye to the old you. She's not coming back and in a way, she needs to go.
4. Trust in yourself and listen to your heart. You are worthwhile and your life matters.

Click here to find out more about Newson Health

In this episode Dr Louise is joined by world-renowned neuroscientist Dr Lisa Mosconi, PhD. Dr Lisa is Director of the Alzheimer’s Prevention Clinic and Women’s Brain Initiative at Weill Cornell Medicine in New York and author of bestsellers The XX Brain and Brain Food.

Dr Lisa was studying nuclear medicine and neuroscience when her grandmother and her grandmother’s three sisters all developed Alzheimer's. Dr Lisa became interested in the cause of Alzheimer’s and why women are more susceptible. Her research has shown that, rather than a disease of old age, it starts in midlife and menopause potentially plays a part.

Dr Lisa discusses her most recent paper, which found that women who took hormones in midlife to treat their menopause symptoms were less likely to develop dementia than those who hadn’t taken oestrogen.

Finally, Dr Lisa shares three things to consider about female hormones:

1. Oestrogen, and oestradiol in particular, is the master regulator of women's brains. It really is like saying that oestrogen is to your brain what fuel is for an engine. It keeps your brain running.
2. Endogenous oestrogen (produced within your body) is different from exogenous oestrogen (synthetic). The bioidentical oestradiol is probably the best one to use because it really maps on the same circuits for your own endogenous oestrogen.
3. I would love for all women to be able to make an informed decision about whether or not hormone therapy is a viable option for them. Many women who are eligible for HRT do not go on HRT out of fear and the fear comes from outdated information, mislabelling on some of the packages.

Follow Dr Lisa on Instagram @dr_mosconi

Click here to find out more about Newson Health

Content advisory: This episode contains themes that some listeners may find distressing.

Kicking off a brand-new series, Dr Louise Newson is joined by Gina Miller, founder of MoneyShe, co-founder of SCM Direct, who famously took the government to court over Brexit, for a powerful conversation about standing up for yourself, supporting others, and the financial struggles faced by menopausal women.

Gina shares what fuels her determination, the values instilled in her from childhood, and her experiences challenging injustice – whether in politics, finance, or education. She speaks candidly about the backlash she has faced, the importance of resilience, and why she refuses to stay silent in the face of inequality.

Together, Louise and Gina explore why women are often judged more harshly than men, how curiosity and questioning the status quo are essential for progress, and why empowering women is crucial for a fairer society. This inspiring discussion highlights the need for systemic change and the importance of speaking out—even when it’s difficult.

To learn more about the research and insights on closing the gender investment and pension gap discussed in this episode, visit: MoneyShe.com  Available to watch on YouTube  

LET'S CONNECT  

• Website: Dr Louise Newson 
• Instagram: @drlouisenewsonpodcast
• LinkedIn: Louise Newson | LinkedIn 
• Spotify: The Dr Louise Newson Podcast | Podcast on Spotify 
• YouTube: Dr Louise Newson - YouTube 

Email dlnpodcast@borkowski.co.uk for any media enquiries

LEARN MORE 

• Sign up to my Menopause Masterclass Here 
• Sign up for my Confidence in Menopause Class Here 
• Sign up to my Upcoming Webinar Here 

DISCLAIMER: The information provided in this podcast is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. The views expressed by guests are their own and do not necessarily reflect the views of Dr Louise Newson or the Newson Health Group. 

Dr Walter Rocca is a neurologist from the Mayo Clinic in Minnesota, USA, where he studies common neurological diseases as well as the aging processes between men and women. He has a particular focus on estrogen and the effects of menopause on health risks.

In this episode, Dr Rocca explains how sex hormones have a much greater role in many of the body’s functions than simply regulating the menstrual cycle and reproduction. He explains why it’s so important to treat women with hormone replacement after bilateral oophorectomy with or without hysterectomy or early menopause, especially younger women.

Dr Rocca’s three take home messages:

1. The ovaries are a tremendously important organ for healthy functioning of our heart, brain, bones, kidneys, lungs and more.
2. For healthcare professionals: be very careful when thinking about removing the ovaries and/or the uterus, unless there is a very clear clinical indication. The longer-term harmful effects of these surgeries are greater than the apparent short-term benefit to symptoms.
3. If a woman has a high genetic risk of ovarian cancer (>40% risk level), removal of the ovaries is appropriate, but she should be given estrogen therapy afterwards as the risk associated with this treatment is very low (including for BRCA carriers). If a natural menopause occurs early or prematurely, these women should also be offered estrogen therapy, unless there is a specific contraindication.

More about Dr Walter Rocca

Dr Sharon Malone is an eminent American physician who has worked as an obstetrician and gynaecologist for over 30 years in Washington DC. After 15 years of working mostly as an obstetrician, Sharon changed to specialise in menopause care around the time of her own perimenopause. She is passionate about educating women to understand their own hormone journey and empower them with evidence based information about hormone treatments.

The experts discuss the challenges of influencing and persuading medical colleagues on the benefits of hormone replacement, the importance of patient choice and agency, and the lack of menopause research and need for government funding.

Dr Malone’s advice to women:

1. Find your community of women who will support you and understand what you’re going through
2. Be active, keep exercising regularly
3. Maintain a healthy diet and eating habits; processed foods negatively affect so many aspects of your health

To read or listen to Dr Malone’s Washington Post op ed, visit https://www.washingtonpost.com/opinions/2022/04/28/menopause-hormone-therapy-nih-went-wrong/

Dr Malone is the Chief Medical Officer at US based menopause company Alloy, to find out more visit www.myalloy.com

On this week’s podcast Dr Louise Newson is joined by her friend Liz Earle MBE, writer, TV presenter, award-winning entrepreneur and best-selling author of A Better Second Half: Dial Back Your Age to Live a Longer, Healthier, Happier Life.

Liz is synonymous with wellbeing, and as we head into 2025, she talks about why most New Year’s resolutions fail because they are unachievable. Instead, Dr Louise and Liz together offer practical tips on making some small but meaningful changes to improve health and wellbeing in midlife and beyond, including nutrition, exercise, mental health and hormones.

They also talk about the importance of prioritising yourself – and why self-care is anything but selfish.

For more about Liz, visit www.lizearlewellbeing.com

You can follow Liz on Instagram @lizearleme

Click here for more about Newson Health.

Dr Louise Oliver, a GP and functional breathing practitioner and therapeutic life coach, joins Dr Louise Newson as a guest on the podcast this week. Louise Oliver has had a special interest in women’s health and menopause for many years and now incorporates her skills as a functional breathing practitioner to raise awareness of how breathing is altered by hormones, how this can lead to symptoms of inefficient breathing and how to improve the connection between our brain, body and breath.

Louise’s three tips to breathe more efficiently:

1. Be aware that your hormones affect the way you breathe and how you breathe affects your health and wellbeing. Learn more about breathing. The book ‘Breath’ by James Nestor and all Patrick McKeown books and podcasts are excellent.
2. Assess your breathing efficiency by observing your breathing at different times over the next week and see whether it matches the description of effective breathing as discussed.
3. Improve your breathing efficiency by learning the techniques and dedicating some time over a number of weeks and months to adjust your breathing style until it becomes more natural for you.

For more about Dr Louise Oliver, visit her website.

The video link mentioned in the episode from Mr Vik Veer, ENT consultant, to improve snoring and sleep apnoea can be found here.

Louise is on Instagram as @drlouiseolivertlc and on Facebook here.

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

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

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

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

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

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

Click here to find out more about Newson Health

Joining Dr Louise Newson on the podcast this week is A&E consultant Professor Rob Galloway, who talks about his career to date and pressures facing the health service.

He also shares the nutrition and exercise changes he’s made in his own life that have improved his physical and mental health, as well as his top tips on living healthier for longer.

You can follow Professor Galloway on X @DrRobgalloway

Click here for more about Newson Health.

Advisory: this podcast includes themes of mental health and suicide.

Do you find yourself easily distracted, with your attention rapidly shifting between different things?

If so, you could be one of the legion of women who are under-diagnosed for attention deficit hyperactivity disorder (ADHD).

Here, Australia-based psychiatrist and ADHD expert Dr David Chapman joins Dr Louise to discuss what ADHD is, how it affects women and the impact that female hormones – which have a powerful role in the brain – can have on symptoms.

He talks about how ADHD symptoms can worsen for women just before their periods and around their perimenopause, and sets out the common treatment options, including increasingly the role of HRT and the Pill, and how lifestyle changes such as mindfulness can help women affected by ADHD.

Dr Louise and Dr David also discuss how symptoms may only need treating if they are having an impact on a women’s life.

Download balance’s ADHD and menopause booklet here.

Click here for more about Newson Health.

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

This week, Dr Louise is joined by Dr Claudia DeGiovanni, a consultant dermatologist with a keen interest in the menopause. Dr Claudia has published a four-part review on the effect of menopause on skin and hair and has carried out research into the effect of menopausal skin issues on quality of life.

Here she talks about the prevalence of skin issues in menopause and their causes, the significance of oestrogen and what to look out for in products and what to avoid. Finally, she shares three tips for menopausal skin:

1. If you have got significant skin problems, if it's affecting your quality of life, seek help, see your GP, see a dermatologist, get a diagnosis and find some accurate treatments because we will take you seriously.
2. Look at your skincare routine and be aware of how your skin is changing. It’s likely to become more sensitive so avoid harsh exfoliants or anything that strips the skin of moisture, and include a good quality SPF into your regime.
3. When choosing products it’s more important to look at the ingredients list, and choose quality ingredients such as ceramides and hyaluronic acid, than buying those labelled for menopause.

You can follow Dr Claudia on Instagram @dr.degiovanni_dermatology and read her paper on menopause and skin disorders here.

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

Click here for more about Newson Health.

In this episode, Dr Louise is joined by Kat Keogh to talk about Dr Louise’s new book, The Definitive Guide to the Perimenopause and Menopause.

Packed with advice and information from leading experts, it is the definitive, accessible and evidence-based guide to help you navigate your perimenopause and menopause.

It covers key facts about hormones, family histories, the complete guide to HRT, libidos, mental and physical health, how menopause affects careers and relationships and so much more.

Kat, who works at Newson Health, shares her top three reasons to buy The Definitive Guide to the Perimenopause and Menopause: 

1. It gives clear, practical advice on talking about the menopause with your children.
2. If you’re starting, at any age, to feel like your hormones are off balance, buy this book to find out everything you need to know about the role of hormones in your health and how to manage that.
3. If you’re struggling and alone with the perimenopause or menopause, turn to this book for reassurance, support, knowledge and to be empowered.

Order your copy here

Dani Binnington was diagnosed with breast cancer as a young mum at 33. For the next few years her life did not feel under her own control amidst countless medical appointments, treatments and surgeries. After discovering she carried the genetic BRCA1 mutation, Dani chose to have a double mastectomy and at 39 she opted to have both her ovaries removed as several family members had died from ovarian cancer.

Previously a jewellery designer, Dani then embarked on a change of direction towards yoga and healthy living, and she now offers programmes for women on menopause after cancer. Dani is on a mission to empower women to learn about their choices, seek out specialist menopause care and her goal is for every women to have the conversations with healthcare professionals that they deserve.

Dani’s tips for women after cancer:

1. Talk about it with the right group of people that understand what you’re going through
2. Make time for yourself to check and understand your symptoms
3. Continue conversations with your healthcare team and ask for specialist menopause care
4. Learn all your treatment options, including hormonal and non-hormonal treatments, complementary therapies, lifestyle management, and how to avoid triggers.
5. Don’t sit back, show up for yourself and be empowered. Be active in your own recovery.

Visit Dani’s website at www.healthywholeme.com

And follow her on social media at:

www.instagram.com/healthywholeme/

www.facebook.com/healthywholeme

The Menopause And Cancer podcast:

Listen here on Apple https://podcasts.apple.com/gb/podcast/the-menopause-and-cancer-podcast/id1631842514

Listen here on Spotify https://open.spotify.com/show/3OhAwupemqzdI6sCXCZLSX?si=DsriNnCXSIee6i10Cd4kww

Progesterone is a hormone produced after ovulation and dominates the second half of your menstrual cycle. It balances the effects of oestrogen, supports the body during pregnancy and is known as the relaxing hormone.

But how can progesterone impact your mental health in the run up to periods, after childbirth and during the perimenopause and menopause?

Joining Dr Louise this week is Newson Health GP and Menopause Specialist Dr Hannah Ward, whose interest in the menopause and HRT was ignited following her own hormonal struggles after the birth of her children.

Here, Dr Hannah shares her personal experiences of progesterone treatment, and takes us through the key differences between body identical progesterone and synthetic progestogens.

Content advisory: this episode includes themes of mental health and suicide

In this week’s podcast, Dr Louise Newson is joined by Consultant Psychiatrist Dr Rachel Jones to delve into the critical role hormones, particularly progesterone, play in women's mental health. They discuss the importance of understanding hormonal changes throughout a woman's life, the differences between natural and synthetic hormones, and the need for individualised treatment plans.

The conversation emphasises the significance of balancing hormones and considering lifestyle factors that impact mental health. Dr Louise and Dr Rachel share insights on how natural progesterone can help with mental health symptoms, including mood and anxiety, and encourage women not to give up on finding the right hormonal balance for them.

Click here to find out more about Newson Health.

Find out more about Dr Rachel on Instagram @the_hormone_clinic

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

Vicki is 39 years and has struggled with heavy periods and related pain since she was 10 years old. She was eventually diagnosed with endometriosis at 22 but continued to suffer with severe pain, heavy bleeding and UTIs, despite treatments and multiple surgical interventions. As a last attempt to be pain free, Vicki chose to have a hysterectomy when she was 35. Even though her ovaries were not removed, she realised she was entering menopause after the operation when she began having night sweats, insomnia, anxiety and very dry hair and skin. The ‘cure’ Vicki was hoping for didn’t materialise – another battle just began instead, as it took 18 months to access the treatment she now needed for her menopause.

Vicki shares some of the struggles younger women have when trying to get help for endometriosis and/or a surgical or early menopause, and reflects on the decision she made and the lack of information provided to her at the time. Dr Louise Newson advises women in this situation to speak with their doctor about the likelihood of surgery triggering menopause and to find out about the symptoms and benefits of HRT in advance, so you are prepared.

Vicki’s tips if you have, or think you have, endometriosis:

1. Do your own research and be your own advocate, push for answers
2. Keep pushing your GP, make them listen to you, show them your pain diary and take someone with you who sees you when you have pain
3. Learn as much as you can about endometriosis; treatments are not just surgical, there’s exercise, diet, physiotherapy, and others
4. Understand that hysterectomy isn’t a cure for endometriosis but if it is the right decision for you, learn about the menopause and benefits of HRT in advance.

You can read more about Vicki’s experience here and follow her on Instagram

Vicki helped contribute to the booklet, ‘Endometriosis and You’

For more about endometriosis, visit Endometriosis UK

Dorothy Byrne returns to the podcast this week to discuss her previous role as former Head of News and Current Affairs for Channel 4 television and the commissioning of and reaction to the menopause documentaries. She also updates us on her new role as president of Murray Edwards College, Cambridge University – one of only two higher education institutions in the UK for women only – and how she hopes to inspire young women especially in the fields of medicine and science.

During the conversation, Dorothy shares some of her experiences of how a menopausal lack of sleep affected her at work, why she continues to take HRT in her 70s, and the ongoing systemic gender discrimination in medicine and the workplace.

Dorothy’s advice to women who are struggling to get menopause treatment:

1. Go to your doctor and ask for accurate, up to date information about HRT, and if they are not able to provide this, ask to see another doctor
2. Don't think you just have to put up with your symptoms
3. Don't be embarrassed by anything related to the menopause. If something’s going on ‘down below’, find out what the cause of it is, it may well be the menopause and there are effective treatments available.

Simona Stokes is an experienced counselling psychologist who uses CBT (Cognitive Behavioural Therapy) and EMDR (Eye Movement Desensitisation and Reprocessing) to help people with stress, depression and anxiety. After 20 years working in the NHS and voluntary sector, she then founded her own clinic in Birmingham, and has developed an interest and specialist knowledge in helping women with the emotional and psychological challenges of the peri/menopause. Simona’s personal experience of hormonal changes hit her hard and this led her to develop and successfully implement the psychological tools she had at her disposal to support her own journey and made her realise many women need help to understand the impact their hormones have on their moods, thoughts and emotions.

In discussion with Dr Louise Newson, Simona explains the power of estrogen as our primary fuel and the problems that can arise when estrogen falls. She explains the difference in perimenopausal depression compared to general depression, what CBT is and how it can help women at this time of life that can often be a pinch-point on our emotions. Simona advises how to look after yourself and your emotions and elaborates on why so many women feel a sense of loss of one’s role, of identity, and loss of purpose at this time.

Simona’s advice for women experiencing emotional challenges:

1. Menopause is unavoidable but suffering is optional. CBT helps us to change the narrative we create about the difficulties we’re facing, and allows us to let go of the struggle against the changes we’re feeling. An attitude of compassion, kindness and curiosity to yourself will help you understand your difficult emotion in a more helpful way than being harsh, self- critical, and just wanting a feeling to go away.
2. It’s really important to make peace with all your emotions. We’ve been conditioned to think that difficult emotions are undesirable and we must strive to feel happy and grateful. Increase your openness to difficult emotions and this will help you be more resilient and emotionally ‘fit’ to cope with your peri/menopause.
3. ‘Emotion follows motion’, so engage in physical activity, even if you don’t feel like it, as physical activity is a powerful tool to change how you feel. Use your body to calm down your mind either through breathing and relaxation techniques or getting out there and being active.

Simona’s clinic and website details can be found here.

The ‘Meno D’ rating scale to detect depression that Simona refers to can be found here.

If you would like to access psychological therapies via the NHS explore your options here.

You can find Simona on her social media pages a:

Instagram - https://www.instagram.com/menopausecbtclinic/ 

Facebook - https://www.facebook.com/ThrivingBeyond40 

Jonathan Wolf is the CEO and co-founder of ZOE, a health technology company that focusses on personalised nutrition. ZOE runs the world’s largest nutrition science study with universities such as Harvard and King's College London, investigating the gut microbiome and how nutrition can improve overall health and wellbeing. During the COVID pandemic, their valuable technology was utilised to help scientists understand more about the virus. The COVID-19 symptom study app was designed at record speed and had a million users within 24 hours of launch.

Dr Louise Newson speaks with Jonathan about the latest understanding of how the gut microbiome affects our health and weight, how much our genes our to blame (or thank) for our body shape, and about ZOE’s latest study into the menopause and metabolic responses, nutrition and the microbiome.

For more information on ZOE’s research and products, visit https://joinzoe.com/

The podcast mentioned and hosted by Jonathan is ‘ZOE Science and Nutrition’.

Advisory: this episode contains themes of suicide and topics which listeners may find upsetting.

In this week’s podcast Dr Louise Newson is joined by Lisa, who shares her deeply personal and challenging journey through perimenopause, mental health struggles, and the impact of her experiences on her family.

Lisa discusses the devastating effects of her mental health decline, which led to a crisis point and ultimately a prison sentence for attempted murder. She also reflects on her time in prison, the realisations she had about her health, and the transformative impact of HRT on her recovery.

The conversation also delves into the impact of hormonal changes on women's mental health and the often-overlooked connection between hormonal imbalances and criminal behaviour. Dr Louise and Lisa also discuss the importance of education around hormonal health, especially during perimenopause and menopause, to prevent tragic outcomes such as suicide and criminal behaviour.

Click here to find out more about Newson Health.

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

Breast cancer specialist, Dr Tony Branson returns to the Dr Louise Newson podcast two years since his first appearance. Tony is a Consultant Clinical Oncologist at the Northern Centre for Cancer Care, based at the Freeman Hospital in Newcastle upon Tyne.

In this episode the experts discuss the current situations women can find themselves in when having treatments for breast cancer and experiencing the onset of menopausal symptoms. Tony supports the women he sees through some challenging decisions around managing the risk of cancer recurrence while for some, treating menopausal symptoms with HRT to improve the quality of their lives.