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: It's extraordinarily safe. No risk of any cancer or blood clots, 100% safe. It can prevent you from needing so many other unnecessary treatments that don't address root causes, and so you will probably save money. 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

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: 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.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.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

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.

Raquela Mosquera joins Dr Louise Newson in this episode to talk about the turmoil, anxiety and unexplained bleeding she went through during her menopause. Raquela is the mum of Joe Wicks, the fitness coach who kept the country moving during lockdown and who has also appeared on Dr Louise’s podcast. Joe put Raquela in touch with Dr Louise after she confided her worries over her symptoms. The anxiety, brain fog and isolation led to Raquela leaving the job she loved, but adjusting her HRT has transformed her life. Listen to Raquela and Dr Louise share tips about how to get the right HRT dose and type to suit you to get the maximum benefit. Raquela’s three tips:  Educate yourself on the symptoms of the menopause and right down all your symptoms before seeing your GP, including when these symptoms started and what can make them worse.Be a menopause warrior. Chat about your experience to friends and family to reduce the stigma around the menopause.Don’t be scared of HRT. Go to your GP and talk about whether it could work for you before making any decisions.Listen to Dr Louise’s podcast with Joe Wicks here

Testosterone is an important sex hormone for both men and women (although women have much lower levels) produced by your ovaries and adrenal glands and declines during the menopause. When it comes to menopause, testosterone is a hormone that can be misunderstood, and many women struggle to access testosterone treatment on the NHS. Here Dr Louise and her Newson Health colleague, GP and Menopause Specialist Dr Catherine Coward, talk about how it can be a valuable addition to HRT for women around the menopause and beyond. NICE menopause guidance recommends testosterone can be beneficial for women experiencing low libido where HRT alone hasn’t helped. Yet Dr Louise and Dr Catherine talk how in their clinical experience, testosterone benefits can extend beyond sex drive-related symptoms, with patients reporting improvements including having more energy, and reduced brain fog and anxiety.   Click here for more about Dr Catherine.

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: Start strength training and prioritise building your muscle mass over losing weight.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.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.

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 Have a conversation about the menopauseLog your conversation on the balance app or websiteShare that you’ve got involved by tagging us on social media, using the hashtag #PauseToTalk

Content advisory: this podcast episode contains themes of mental health and suicide* It’s a family affair on this week’s podcast as Dr Louise is joined by her eldest daughter Jessica for a special episode on the eve of World Menopause Day. Jessica talks frankly about the impact of PMS and coping with hormone changes with migraine, as well as the strategies that helped her. Mother and daughter also discuss the importance of demystifying menopause and hormone changes through honest conversations between families, friends – and even complete strangers. 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 Have a conversation about the menopause Log your conversation on the balance website Share that you’ve got involved by tagging us on social media, using the hashtag #PauseToTalk *Contact the Samaritans for 24-hour, confidential support by calling 116 123 or email jo@samaritans.org

This week, Dr Louise speaks to Italian Menopause Society president Dr Marco Gambacciani. Early in his career Dr Marco specialised in reproductive endocrinology. He became interested in the occurrence of cardiovascular disease and osteoporosis during the menopause, and his menopause clinic was the first in Italy to have a bone density scanner. On a personal level, Dr Marco saw the devastating effects of osteoporosis first-hand after his grandmother was diagnosed with the condition. Dr Marco also shares his frustrations on the lack of understanding of how hormones can affect women’s cardiovascular health. On a more hopeful note, he is urging the Italian government to make menopause clinics available all over Italy.                                                              Finally, Dr Marco shares the three reasons why he believes women should consider HRT when they're younger: To improve quality of life. By reducing menopause symptoms, you improve quality of life and you help prevent chronic diseases.To help improve your performance at work – why should a woman have to lose opportunities just because she's having flushes or not sleeping well?It’s important for women to maintain the possibility of an enjoyable sex life ­ – low oestrogen levels can lead to low sexual desire or painful sex.Follow Dr Marco on Instagram @m.gambacciani 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 Have a conversation about the menopauseLog your conversation on the balance websiteShare that you’ve got involved by tagging us on social media, using the hashtag #PauseToTalk

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: 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.You will be able to appreciate the wide variety of symptoms that women can experience whilst undergoing hormonal changes.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 Have a conversation about the menopauseLog your conversation on the balance websiteShare that you’ve got involved by tagging us on social media, using the hashtag #PauseToTalk

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

In this week’s podcast, food writer, author and award-winning entrepreneur Freda Shafi talks about her work raising awareness of menopause, and recording the experiences in the Pakistani community in West Yorkshire. Freda shares her own menopause story, and she and Dr Louise discuss key barriers women face accessing care, and ways to improve knowledge to empower women to advocate for themselves. ‘I'm a South Asian woman, I'm a Pakistani, I'm a British Pakistani woman, and I know I represent a certain demographic,’ says Freda. ‘I feel as though I can reach many women through the fact that I am from the community. That may be platforms for women like myself who are able to cascade that information and let that reverberate across those communities.’ Freda’s top three tips:  Help represent your community to spread awareness of menopause symptoms, treatments and services and help tackle the stigma that still surrounds this area.Get a second opinion if you don’t feel your healthcare professional has given you the right diagnosis. Explore the materials that are out there, including the balance app, so that you’re informed when you see your doctor. Boost training in the menopause for community leaders so that they can signpost women to local services that can help support them.Follow Freda on Instagram @fredishafi_spiceitup

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.

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:  Educate yourself on the role of hormones and the impact these can have on your health, so that you are informed.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.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.

Content advisory: this podcast contains themes of mental health and suicide.   Joining Dr Louise on the podcast this week are Lynsey and her husband Kieran. In this episode, Lynsey movingly describes a rapid deterioration in her mental health during the perimenopause which saw her sectioned under the Mental Health Act. ‘I just felt desperate that this was a new version of me and I couldn't work out why,’ she recalls. Lynsey and Kieran, who is a GP, speak to Dr Louise about the need for greater understanding of how hormonal changes during the perimenopause and menopause can impact on mental health, coupled with improved access to HRT. 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 award-winning US broadcast journalist, podcast host and menopause campaigner Tamsen Fadal. Tamsen describes how she didn’t recognise she was menopausal after suffering from hot flushes, brain fog and heart palpitations, as she believed she was still having periods. This prompted her to find out more and support other women along the way, including spreading awareness via the #MenopauseTok campaign on social media. Dr Louise and Tamsen discuss the impact of menopause on careers, barriers to accessing treatment, the importance of being informed – and the growing voice of menopausal women on social media. Here are Tamsen’s top three tips:  Listen to yourself and your body and don’t miss signs that could be the perimenopause by putting them down to being busy or stressed.Try and carve out time just for yourself, even when things are really busy.Find your people: surround yourself with a community to support you through the perimenopause, menopause and beyond.Follow Tamsen on Instagram @tamsenfadal and Tiktok @tamsenfadal.   Tamsen photo credit: Jenny Moloney

Regular listeners will know there is much more to the menopause than hot flushes – but how do hormone changes affect your memory, mood and cognition? This week Dr Louise is joined by Dr Dan Reisel, Specialist Registrar in gynaecology at University College London and Newson Health Clinical Research Lead, to take a closer look at the relationship between hormones and brain health. Dr Dan says awareness is improving, but researchers must up their game when it comes to studying the female brain. While mood and memory symptoms are common in menopause, too often, studies focus on male brains as they don’t want to deal with the complexity of female sex hormones, he adds. Dr Dan’s three take home tips:  1. If you’re going through the perimenopause or menopause and struggling with symptoms, don’t just accept how you feel. Seek out options for treatment such as HRT that can improve your symptoms. 2. Become an advocate for better care for women going through the menopause – speak to your friends, healthcare professionals and colleagues about your experiences. 3. If you are offered the chance to take part in research seize that opportunity to make your voice heard and improve the experience for women in the future. You can follow Dr Dan on Twitter at @danreisel

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.

Are you experiencing symptoms like burning and itching around your vulva and vagina, or painful sex? Or perhaps you have the urge to wee more often or are plagued by recurrent urinary tract infections? Joining Dr Louise this week is trailblazing US urologist and sexual health doctor Dr Rachel Rubin, to address these common menopause symptoms and the relief vaginal hormones – often used alongside systemic HRT – can bring. Dr Rachel explains why we need to stop using terms like vaginal dryness and vaginal atrophy, which hugely downplay the impact of declining hormones on your whole genitourinary system. ‘When we say women have vaginal dryness, we minimise their symptoms, we minimise that it's no big deal, that you can just use a little lubricant, a little moisturiser,’ says Dr Rachel. Plus, Dr Rachel and Dr Louise also discuss DHEA – a hormone treatment which converts to estrogen and testosterone in the vagina – and the benefits this can bring to women struggling with genitourinary syndrome of the menopause (GSM), again often alongside systemic HRT. Dr Rachel’s three tips if you are struggling with GSM: Know that if you have any symptoms that affect your vagina, vulva or urinary system and you’re over the age of 45, you deserve a vaginal hormone product.Talk to your healthcare professional about access to this treatment that can prevent urinary tract infections, decrease your frequency and urgency of needing to urinate, decrease your pain in intercourse and lead to better lubrication, arousal and orgasm.Keep using your localised hormone replacement: it is a safe product, so can be used long term to sustain the benefits. Click here to visit Dr Rachel’s website, and follow her on Instagram @drrachelrubin.

Noticed that your eyes are feeling drier, grittier or even more watery lately? It could be dry eye syndrome. July marks Dry Eye Awareness Month, and what you may not know is dry eyes can be a hidden symptom of menopause. In fact, one in four of the nearly 6,000 women surveyed ahead of the release of Dr Louise’s book, the Definitive Guide to the Perimenopause and Menopause, said they experienced dry eyes during the menopause. Joining Dr Louise on this week’s podcast is Maria McGoldrick, a clinical performance consultant for Specsavers who is based in Scotland. Maria, who is an optometrist with 13 years’ experience, gives us the lowdown on the typical symptoms of dry eyes and treatments that can help. Maria’s top three tips to optimise your eye health: Have a regular eye test, ideally once every two years.If you suspect you may have dry eyes, make an appointment with an optometrist so this can be assessed and a treatment plan devised.If you are perimenopausal or menopausal and have an eye appointment coming up, mention this to your optometrist. This will help them support you and make the right treatment plan for you.