Why Didn't Anyone Tell Me This?

Joyce Harper

This podcast is about health education with an emphasis on reproductive health. We do not cover these topics enough in school or beyond. Joyce Harper and her guests want to give you the tools to empower you to live a healthy, happy and fulfilled life. And on the way, we will debunk some of the myths around our health. This podcast will include a wide range of amazing guests, discussing topics such as nutrition, exercise, sleep, mental health, happiness, cancer, periods, fertility, infertility, fertility treatment, preconception health, pregnancy, miscarriage, PCOS, endometriosis, menopause and much more. Joyce is a cold-water swimmer so expect some episodes about swimming! They will tell you about their work and life journey, what are the key messages they want you to know, their motivation, what makes them happy and their advice to their younger self. Joyce Harper is an award winning author, educator, academic, and scientist with over 30 years’ experience in reproductive health. She is Professor of Reproductive Science at the Institute for Women’s Health at University College London where she heads the Reproductive Science and Society group. Her latest book, Your Fertile Years, is published by Sheldon Press, 2021. She is chair of the International Fertility Education Initiative and co-chair of the UK Fertility Education Initiative. She is founder of Reproductive Health at Work. read less
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Dr Nicky Keay: Exercise 4 Woman’s Health
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Dr Nicky Keay: Exercise 4 Woman’s Health
Nicky studied medicine at the University of Cambridge. She was part of the international medical team that developed an anti-doping test for growth hormone. Nicky is an honorary clinical lecturer in the division of medicine, UCL. She lectures and researches in the areas of exercise endocrinology. She works mainly with exercisers, dancers and athletes and with women experiencing perimenopause and menopause. She is part of the UCL team developing a UK menopause education and support programme. Nicky is medical advisor to the Scottish Ballet. She is author of the book Hormones, health and human potential which we will talk about today. In this episode Nicky talks about her passion for dance and explains why she is fascinated by the amazing dance our hormones perform throughout our lives. Exercise is key for our mental and physical health. Nicky explains the importance of looking after our heart, bones, muscles, flexibility and balance. She talks about how exercise can help women with menstrual and menopause symptoms and why it is important to exercise when trying to get pregnant and throughout pregnancy. Nicky suggests different ways women can exercise, especially exercising in nature and with friends. Our social connections, our gut health and our sleep are also important for good health. For more information and to access the transcript: https://joyceharper.com/podcasts/ Date of episode recording: 2023-11-20Duration: 01.16.12Language of episode: EnglishPresenter: Joyce HarperGuests: Nicky KeayProducer: Joyce Harper
Dr Elina Berglund Scherwitzl: The power of big data in women's health
08-11-2023
Dr Elina Berglund Scherwitzl: The power of big data in women's health
Dr. Elina Berglund Scherwitzl is the co-founder and CEO of Natural Cycles, the women’s health company that developed the world’s first birth control app. The app is powered by an algorithm that uses body temperature to determine each user’s daily fertility status.  As a Class II medical device, the NC° app is cleared by the FDA in the United States and certified to be used as a contraceptive in Europe, Australia, and Singapore. It has also received regulatory clearances to integrate with third party wearables. Prior to founding Natural Cycles, Elina was part of the team that discovered the Higgs boson at the CERN laboratory, which led to the Nobel Prize in physics in 2013. Following this success, Elina was looking for an effective, natural birth control and decided to apply her skills from particle physics to create a unique algorithm that could accurately pinpoint when a woman was fertile using body temperature. From there, Natural Cycles was born. Today, Natural Cycles has over 3million registered users. In this episode Elina tells us about the amazing start to her career, working in the CERN laboratory and why she wanted to develop a contraception app. Natural Cycles went through many issues to become the only contraceptive app to be certified, being both CE marked and FDA cleared, which was not an easy process. Elina explains how the app works as a form of contraception or is flipped to be a fertility app. It is important for new techniques to have academic and scientific collaborations. Natural Cycles have published many scientific studies, including two with me. And Natural Cycles have now joined with the Oura Ring and Apple Watch to make it easier for women to determine when they are ovulating and when is their fertile time. We discuss how apps generate big data and how this can be used for scientific studies.For more information and to access the transcript: https://joyceharper.com/podcasts/Date of episode recording: 2023-09-15Duration: 00.55.44Language of episode: EnglishPresenter:Joyce HarperGuests: Dr Elina Berglund ScherwitzlProducer: Joyce Harper
Rachel Lankester: Magnificent Midlife
18-10-2023
Rachel Lankester: Magnificent Midlife
Rachel Lankester is the author of Magnificent Midlife: Transform Your Middle Years, Menopause and Beyond, and host of the Magnificent Midlife podcast. After a shocking early menopause diagnosis at 41, she scratched her own itch and created what she wasn't able to find to help herself. This includes 1-1 and group midlife mentoring, courses and educational resources to help women vibrantly transition through the sometimes messy middle of life. She’s also a founder of MenoClarity, the information hub about menopause. In her spare time, she’s doing a Masters in Gerontology! In this episode, we discuss why Rachel wrote a book called Magnificent Midlife. The podcast is in two parts – our discussion of the menopause and then a discussion of positive aging. We start with big questions, such as why Rachel does not think menopause is a hormone deficiency disorder and why she does not think everyone should take hormone therapy. Rachel is often misquoted about her views of hormone therapy – she took it for 7 years and feels it has a place for some women. But will it prevent dementia and other disorders? Rachel and I both feel that for us, the fog lifted when we hit post menopause and there are many advantages of being post menopause. It is not a mid-life crisis – it is the upward part of the U curve of happiness. Now is our time. For more information and to access the transcript: https://joyceharper.com/podcasts/Date of episode recording: 2023-10-12Duration: 01.07.22Language of episode: EnglishPresenter:Joyce HarperGuests: Rachel LankesterProducer: Joyce Harper
Mr Vikram Talaulikar : A clinicians perspective on current menopause treatment
12-10-2023
Mr Vikram Talaulikar : A clinicians perspective on current menopause treatment
Mr. Vikram Talaulikar is an associate specialist at the reproductive medicine unit in University College London Hospitals NHS Foundation Trust and hon. associate professor at University College London. In this episode, Vikram is asked similar questions to the previous 2 clinicians; Susan Davis and Isaac Manyonda. How does Vikram define the perimenopause, menopause and postmenopause? He explains what he thinks about menopause testing and what are the main menopause symptoms. Vikram explains why he thinks that lifestyle is really key to help control menopause symptoms. We tackle the controversial topics such as whether HRT will reduce the risk of dementia and what Vikram thinks about high doses of HRT. Vikram does a lot of important research on menopause and we discuss some of his current studies. Vikram has been working hard on education and it is great to hear his clear and concise answers to these key questions. He graduated in medicine in India in 2003 and completed postgraduate degree in obstetrics and gynaecology in 2007. He was awarded FRCOG in 2022 and completed PhD degree at St. George's University of London in 2016. He cares for women and couples who have difficulty conceiving, and his clinical interests include reproductive endocrinology, premature ovarian failure, polycystic ovary syndrome, recurrent miscarriage, menopause and male factor subfertility. He is a certified ‘menopause specialist’ by the British Menopause Society. He has published widely in the area of reproductive medicine. His research focuses around events at the embryo-maternal interface in early pregnancy, ovarian response to stimulation in various endocrine conditions and menopause. Vikram is the co-founder of the Menopause Clinic London on Harley Street along Professor Isaac Manyonda.
Isaac Manyonda, Menopause and HRT - medicalising a natural transition or addressing a vast unmet need in women’s health!?
27-09-2023
Isaac Manyonda, Menopause and HRT - medicalising a natural transition or addressing a vast unmet need in women’s health!?
Isaac has recently retired from being a consultant Obstetrician and Gynaecologists at St George's University Hospital in London. Where he specialised in • Recurrent miscarriage • Fibroid disease • Menopause • Minimal access surgery • High risk obstetrics He was instrumental in establishing the first and still one of the few cutting-edge dedicated centres for research and treatment of fibroid disease and was lead author in a recent major national trial on myomectomy versus uterine artery embolization published in the New England Journal of Medicine. He has published more than 250 publications in peer review journals including Nature, the BMJ, the Lancet, NEJM, BJOG, Circulation and Hypertension. He has published 4 books and numerous chapters, letters and reviews. In this episode we discussed many controversial topics relating to menopause – several of which are in opposition to the last podcast episode with Prof Susan Davis. Isaac and I had previously debated the motion: This house believes that menopause is a hormone deficiency disorder. Hear what Isaac really thinks about this question. Doctors vary in their definition of menopause symptoms and how to treat them. Isaac gives his option and explains why he does not think all women need HRT and that the extremes some doctors practice such as the extreme of giving every women HRT and the other extreme of giving no women HRT, are not correct. Does he think HRT is a drug? What about giving testosterone? What about high doses of HRT? He answers all these questions. He also explains why he does not think that doing a menopause test is beneficial to perimenopausal women. For more information and to access the transcript: https://joyceharper.com/podcasts/ Date of episode recording: 2023-09-19Duration: 1.25.31Language of episode: EnglishPresenter:Joyce HarperGuests: Prof Isaac ManyondaProducer: Joyce Harper
Prof Susan Davis: Making sense of the Menopause
13-09-2023
Prof Susan Davis: Making sense of the Menopause
In this episode, we discuss the definitions of perimenopause, menopause and post menopause. Susan, being an endocrinologist, which is someone who studies hormones, is a world expert on menopause hormones. Is the menopause a hormone deficiency disorder? Susan explains that it is if menopause happens early, it should be treated with hormones, but it is not a "deficiency disorder" if menopause happens at the average age.. We talked about symptoms and treatments, and how not everything that happens in mid-life is due to the menopause. Why does Susan refers to hormone therapy as menopause hormone therapy (MHT) and not a replacement therapy (HRT). What about testosterone? Susan explains that it will not improve energy or cognition. We discuss the problem we are seeing in the UK with some doctors prescribing high doses of MHT and Susan explains why this is dangerous and should not be done. She explains the lack of evidence that taking MHT will decrease the risk of some long-term conditions such as cardiovascular disease and dementia.  This episode really does address many of the myths that have sprung up about menopause. Susan was happy to set the record straight as she is so often misquoted in the UK. We should be listening to the endocrinologists such as Susan and Annice who was on episode 3 of my podcast.For more information and to access the transcript: https://joyceharper.com/podcasts/Date of episode recording: 2023-09-04T00:00:00ZDuration: 00.46.34Language of episode: EnglishPresenter: Joyce HarperGuests: Professor Susan DavisProducer: Joyce Harper
David Wood: Abolition of Aging
16-08-2023
David Wood: Abolition of Aging
#16: David Wood: Abolition of Aging David spent 25 years as a trailblazing pioneer of the mobile computing and smartphone industries. He envisioned what the future might look like, and then worked with many colleagues as part of a large ecosystem to bring that vision into reality. He sits on a number of boards, including the Institute for Ethics and Emerging Technologies, and the Longevity Escape Velocity Foundation. He chairs the world's largest meetup organisation with a focus on future foresight, called London Futurists. David regularly gives keynotes or leads workshops on aspects of envisioning and shaping the future. David has written many books including Smartphones and Beyond, Transcending Politics, Vital Foresight, Sustainable Superabundance, The Singularity Principles and the Abolition of Aging. In this episode, David explains transhumanism, humanity+, futurists, and the singularity. How can we abolish aging? He discusses regenerative therapies including techniques that are being developed to extend the telomeres of our chromosomes. But there are changes we can make now to fight off aging, such as changing our lifestyle. Are there any supplements we can take? And hear what David thinks of Black Mirror and Chat GPT. For more information and to access the transcript: https://joyceharper.com/podcasts/Date of episode recording: 2023-07-18Duration: 01.09.54Language of episode: EnglishPresenter: Joyce HarperGuests: David WoodProducer: Joyce Harper
Dr Nighat Arif: The Knowledge Your Guide to Female Health - From Menstruation to the Menopause
02-08-2023
Dr Nighat Arif: The Knowledge Your Guide to Female Health - From Menstruation to the Menopause
Nighat is a GP specialising in women's health, family planning and menopause care with over 15 years of experience in the NHS and she runs her own private practice. She is the resident Doctor on BBC Breakfast and ITV This Morning. She is a radio presenter at BBC Three Counties. As well as an Ambassador for Wellbeing of Women and member of the UN backed Team Halo initiative. She is the honorary recipient of the 2023 SHE Awards for her work around Women's Health and author of her new book 'The Knowledge. Everything you need to know from Menstruation to Menopause’. It is an illustrated, inclusive book for all things Women's Health. Socials: @DrNighatArif In this episode, Nighat talks about why she became a doctor and what inspired her to start making videos to increase awareness about women’s health.  Check out her videos on Tiktok. Her book, The Knowledge, came out in August 2023. The book is a comprehensive guide that is essential reading for all women, from teenagers through to those in the perimenopause. It covers puberty, the fertile years and menopause. Nighat ensured that the images in her book show women of colour and discusses the specific issues affecting women from ethnic minorities. In this episode, important issues affecting women’s health are discussed. Having The Knowledge will save lives.For more information and to access the transcript: https://joyceharper.com/podcasts/Date of episode recording: 2023-07-11Duration: 54.56Language of episode: EnglishPresenter:Joyce HarperGuests: Dr Nighat Arif
Dr Liz O’Riordan: Under The Knife – Life Lessons From The Operating Theatre
19-07-2023
Dr Liz O’Riordan: Under The Knife – Life Lessons From The Operating Theatre
Liz O’Riordan is an international speaker, broadcaster and award-winning co-author of ‘The Complete Guide to Breast Cancer: How to Feel Empowered and Take Control’. In 2015 (aged 40) she was diagnosed with Stage 3 breast cancer whilst working as a Consultant Breast Surgeon. A locoregional recurrence in 2018 forced her to retire as a surgeon. Her memoir, ‘Under The Knife’, is released on July 6th 2023 (pre-order here https://unbound.com/books/under-the-knife/) During chemotherapy she started an award-winning blog about her experiences (www.liz.oriordan.co.uk) and now talks all over the world about how to improve patient care. In 2020 she launched her podcast – Don’t Ignore The Elephant – that talks about the things no-one else does, like sex, death and body image. Liz is passionate about promoting the benefits of exercise for cancer patients. Dr Liz O'Riordan Speaker, Author and Storyteller - liz.oriordan.co.uk Pre-order my memoir with Unbound https://unbound.com/books/under-the-knife Podcast Host – Don’t Ignore The Elephant Co-author of ‘The Complete Guide to Breast Cancer’ Instagram @oriordanliz Twitter @Liz_ORiordan.During this episode, Liz explains why she decided to write her memoir – Under the Knife, where she shares how she trained to be a doctor but how her life dramatically changed when she was diagnosed with breast cancer. Liz explained what it was like to be a breast cancer surgeon who has breast cancer. She has also suffered with depression and suicidal thoughts. She wrote her book as she felt she could help people understand some of these issues. We also discuss the importance of exercise, Liz has done some serious challenges, and Liz’s love of wild swimming. And her love of hedgehogs. For more information and to access the transcript: https://joyceharper.com/podcasts/Date of episode recording: 2023-05-31Duration: 01.01.50Language of episode: EnglishPresenter:Joyce HarperGuests: Liz O'RiordanProducer: Joyce Harper
Toby Trice; Racing for fertility
05-07-2023
Toby Trice; Racing for fertility
Toby began Karting with Russ Mead to help him overcome depression, give him a new focus and a chance to escape from dealing with fertility issues. In 2019 Toby started a campaign to raise awareness for fertility with the goal to end the stigma of fertility through motorsport and the same year he claimed his first podium at Donington Park. In 2022, Toby joined Porsche to compete in the Porsche Visit Cayman Island Sprint Challenge in the Pro category. He is continuing with SVG Motorsport taking the step on the Porsche Motorsport Pyramid. In 2023, Toby joins Redline Racing for season four of Racing For Fertility with the goal to attack the title for the top step. In this episode Toby talks about his successful career as a racing driver and how this has been affected by his infertility. He wants to remove the stigma and taboo and get guys talking. After Toby was in a BBC documentary, in 2019 he started his campaign, Racing For Fertility, is to ensure everyone knows about male fertility and infertility. He loves it when he gets the commentators and the fans at the racetrack talking about fertility. Katie and Toby had two unsuccessful rounds of IVF before Toby was diagnosed with a varicocele – a large vein in the testes. Toby and Katie have a happy story, as they have a little boy conceived naturally after Toby had surgery. Next time the lads are in the pub – we would love them to talk about their balls, sperm, and fertility. For more information and to access the transcript: https://joyceharper.com/podcasts/Date of episode recording: 2023-05-10Duration: 56.12Language of episode: EnglishPresenter:Joyce HarperGuests: Toby TriceProducer: Joyce Harper
Dr Shema Tariq: Mothering against the odds: surviving infertility, baby loss & postnatal depression
21-06-2023
Dr Shema Tariq: Mothering against the odds: surviving infertility, baby loss & postnatal depression
Shema is a Senior Research Fellow at UCL’s Institute for Global Health and Honorary Consultant HIV Physician at Mortimer Market Centre. Her research focuses on health inequities in HIV care. In 2014, Shema was awarded a prestigious Fulbright Scholarship to conduct HIV research at Columbia University. Since coming to UCL in 2015, Shema has built a programme of work focusing on the health and wellbeing of women living with HIV. She leads the PRIME Study, one of the largest studies in the world exploring menopause among women living with HIV. In addition to her research , Shema provides HIV and sexual health care in the NHS. She developed and leads a specialist HIV and menopause service, supporting clinics across the UK to set up similar clinics. She is former Vice-Chair of the national HIV and pregnancy guidelines, and has authored national and European guidelines on managing menopause in women living with HIV. Shema is a Trustee of Positively UK, the UK's leading HIV peer support charity, and Tommy's, which funds research into babyloss. This has allowed her to use her own experience of stillbirth to lobby for change. In this episode, Shema shares her journey to have her two children, where she experienced infertility, fertility treatment, donation, miscarriage, babyloss, and post-natal depression. If you saw this in a TV drama you would think it was too unbelievable. Shema shares her huge experience working with women with HIV and updates us on how lives have been improved with medical advances. Shema is very active on social media and we talk about the ups and downs of being a doctor on social media. And we discuss the importance of reproductive health education. This honest and educational episode will teach you many things. For more information and to access the transcript: https://joyceharper.com/podcasts/Date of episode recording: 2023-04-12Duration: 53.55Language of episode: EnglishPresenter:Joyce HarperGuests: Shema TariqProducer: Joyce Harper
Dr Marieke Bigg: This won’t hurt: how medicine fails women
10-05-2023
Dr Marieke Bigg: This won’t hurt: how medicine fails women
Marieke Bigg writes about bodies and culture. She holds a PhD in Sociology from the University of Cambridge, where she studied the technological transformation of human reproduction. She now writes both non-fiction and fiction about the cultural dimensions of biology and bodies. In addition to her books, Marieke writes freelance, hosts podcasts and panels, and collaborates with scientists and biologists to discuss and produce art that conjures new social worlds.Here latest non-fiction book called This Won’t Hurt (Hodder, Feb 2023). This book is about all the ways medicine is not gender-neutral, from research to treatment to diagnosis. Throughout history, flawed mindsets have paved the way for sub-par treatment, and the prevailing attitudes that still exist today have had terrible repercussions for women and their bodies.Her current fiction is called Waiting for Ted (Dead Ink Books, October 2022) “After all these years, I was surprised to find that we were still in the process of trying to assemble two fully self-sustaining parts into one.”In this episode, Marieke will explain how research into women’s bodies has failed women so far.  The conversation opens with a discussion of female ejaculation and how Masters and Johnson ignored this, even though 40% of women experience it. We discuss how Marieke feels about medicalising women’s health, such as the narrative that all menopausal women need HRT. And how so many diseases are misunderstood in women as we are not the same as men, such as heart disease, cancer and pain. And we talk about the future of sexy science, such as Femtech and artificial wombs.For more information and to access the transcript: https://joyceharper.com/podcasts/Date of episode recording: 2023-03-22Duration: 35.57Language of episode: EnglishPresenter: Joyce HarperGuests: Marieke BiggProducer: Joyce Harper
Dr Heather Massey: A dip into nature; swimming outdoors
26-04-2023
Dr Heather Massey: A dip into nature; swimming outdoors
Heather is a senior lecturer within the School of Sport, Health and Exercise Science. She has been a member of the Extreme Environments Laboratory since 2007 where she completed a PhD in the area of Environmental Cross-adaptation in Humans. Prior to that she worked at the Institute of Naval Medicine within the Environmental Medicine Unit for six years. Heather’s research interests are in the area of human exposure to heat, cold and altitude and how we can prepare and mitigate the effects of these environments. More recently, she has become interested in establishing if these extreme environments have any benefits to health and wellbeing. She has published 50 research papers and co-authored two book chapters. She is a trustee of Swim the Wright and sits on the medical board of the Ectodermal Dysplasia Society. As well as her teaching and research, Heather provides advice and support to a range of companies, charities and the media on questions associated with her research. In her spare time Heather is a keen open water swimmer having successfully completed a solo crossing of the English Channel, numerous other open water swims including relay swims round Jersey, Jersey to France, round the Isle of Wight as well as representing GB in the World Ice Swimming Championships 1k event in 2017. In this episode, Heather tells us about how she started cold water swimming. She gives important advice for anyone who is thinking of taking up cold water swimming, and for those of us already doing it. She discusses what research has been done into cold water swimming and general health, pregnancy, menstrual and menopause symptoms. She will tell us her views about cold showers and sitting in an ice bath in our garden. Heather will share her experience of swimming the channel which ended successfully but with only seals to celebrate her arrival in France. We also discuss team sports and how we might want to revisit these. Follow Heather: Twitter: @H_Massey1979 / Instagram: @drheathermassey Date of episode recording: 2023-03-30Duration: 43.43Language of episode: EnglishPresenter: Joyce HarperGuests: Heather MasseyProducer: Joyce Harper
Professor Mats Brännström: Transplanting wombs
12-04-2023
Professor Mats Brännström: Transplanting wombs
Professor Mats Brännström is an internationally renowned specialist in reproductive medicine and fertility. He has extensive expertise in women’s health, particularly infertility and IVF treatments, as well as medical research. Professor Brännström is currently the Chair of Obstetrics and Gynaecology at the Karolinska Institute in Stockholm and Medical Director at Karolinska University Hospital. His passion for improving women’s health outcomes has led him to become one of the leading experts in his field. Through his research, teaching, and activism he hopes to improve care for women around the world. In this episode Mats tells us what the hurdles for women’s health have been and where we still need to improve it.  We discuss his work on gynaecological oncology, infertility, and egg freezing. Mats debunks some of the myths and talks about where the future might lead. Mats is the world pioneer of womb transplants and he tells us how this started, how many cases his team have done and how many women have had babies and are currently pregnant. Mats discusses what the procedure involves and where he feels this could go in the future.  We have a growing number of celebrities who use assisted conception treatments, including surrogacy. Mats gives us his view on this. Are we entering a Brave New World?For more information and to access the transcript: https://joyceharper.com/podcasts/Date of episode recording: 2023-03-27Duration: 40.06Language of episode: EnglishPresenter:Joyce HarperGuests: Mats BrännströmProducer: Joyce Harper