Menopause Rescue

Take the Smallest Bite of the Elephant! Lifestyle Medicine for the Overextended

In this episode of Menopause Rescue, Dr. Polly Watson discusses the importance of making small, manageable changes to improve health during midlife. She emphasizes the need to let go of perfectionism and focus on incremental progress. This conversation covers foundational aspects of health, including nutrition, movement, sleep, and stress management, while encouraging listeners to identify their unique paths to wellness. Dr. Watson also highlights the significance of setting boundaries and prioritizing self-care amidst the challenges of midlife.
 
Quotes
“Everybody's health goals don't have to look the same. We're all on this journey to get better, and your version of good could look really different than my version of good. As long as we're both moving towards our version of better, that's all that you need.”
“Stress management isn't something we do only when we're feeling uptight. Stress management is one other part of how we care for our bodies and our minds so that hopefully, when life throws us a curveball, we have some tools and are more resilient to handle that change.”
“Doing it all is an absolute fairy tale.”
 
Resources
Goal Setting Target
Easy Food Ideas
 
Connect with Dr. Polly Watson:
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
 
Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

End of Life Conversations with a Palliative Care Nurse Practitioner

In this conversation, Heather Boykin joins Dr. Polly Watson to discuss the essential aspects of palliative care, emphasizing its role in improving the quality of life for individuals facing serious illnesses both for themselves and family members. She highlights the importance of advanced care planning, navigating conversations about personal preferences, and redefining hope in the context of serious illness. Heather gives practical resources for normalizing these conversations with loved ones and planning for future healthcare decisions.
 
Quotes
“A lot of people think about advanced care planning as being purely document preparation, but you know, that's only one part of it. It is really reflecting on as we ourselves get along in this journey of life, what's important to us about our medical care.”
“Palliative care is a partner with you on the journey. If you have received some news that you know is going to impact your life, it is always a good time, the earlier the better.”
“Embracing other ways to care for us when we're sick, redefining hope means that things like hospice or end-of-life care can become an important tool.”
 
Links
The Conversation Project - National Healthcare Decisions Day (NHDD) — April 16
Begin the Conversation: Healthcare planning
Palliative Care | Serious Illness | Get Palliative Care
 
Connect with Dr. Polly Watson:
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
 
Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

Finding Focus

In this conversation, Dr. Polly Watson discusses the lack of focus and brain fog that many women experience during perimenopause and menopause. She explores various factors that can contribute to these symptoms, including hormonal changes, lifestyle factors, and medical conditions. Dr. Watson emphasizes the importance of addressing the basics, such as thyroid function, blood sugar levels, vitamin deficiencies, and sleep apnea. She also suggests herbal and nutraceutical options that may help improve cognitive function. This episode provides practical tips for enhancing focus and mental clarity during menopause.
 
Quotes
“Our brains are not designed to do multiple things at once. Multitasking is a myth. So many of us do much better by block scheduling. Create an environment where it's easier for you to focus.”
“Reset your mind by resetting your body. That can be so powerful for women that are maybe like me, maybe a little bit type A, a little bit in your head.”
“Holy Basil is neuroprotectant as well as helping with anxiety. It also is an adaptogen, meaning it helps us manage our cortisol, manage our stress a little bit.”
 
Links
https://us.fullscript.com/plans/hormonewellnessmd-finding-focus
 
Connect with Dr. Polly Watson:
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
 
Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

Why Isn't My HRT Working?

Dr. Polly Watson discusses why hormone replacement therapy (HRT) may stop working and explores common factors that contribute to changes in effectiveness. She highlights the impact of blood sugar fluctuations, alcohol consumption, medication formulations, liver and gut health, stress, and thyroid hormone levels on HRT. Dr. Watson emphasizes the importance of communication with healthcare providers, monitoring hormone levels, and considering lifestyle factors when experiencing changes in hormone therapy.
 
Quotes
“Blood sugar fluctuations are a huge reason why hot flashes and night sweats kind of come back.”
"I think of alcohol as a special occasion thing... The metabolites of the alcohol can wake us up and can certainly precipitate hot flashes and night sweats."
“If someone starts you on hormones, they need to check your estrogen and progesterone levels, and they also need to check your thyroid levels.”
 
Links
Connect with Dr. Polly Watson:
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
 
Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

Postmenopausal Bleeding

In this episode, Dr. Polly Watson delves into the topic of postmenopausal bleeding—a common yet often stressful experience for many women. While most cases are not indicative of cancer, it's crucial to understand the potential causes and necessary evaluations. Dr. Watson provides valuable insights into the risk factors, diagnostic procedures, and ways to advocate for yourself to get the care you need and deserve. Join Dr. Polly Watson as she breaks down the essentials, providing the knowledge and tools needed to navigate postmenopausal bleeding with confidence. 
 
Quotes
“The good news is that most postmenopausal bleeding is not cancer, but 90% of uterine lining cancer presents with bleeding. So if you have bleeding, we need to evaluate the health of your uterine lining to make sure we're not missing cancer.”
“What is postmenopausal bleeding? Well, it's simply bleeding after not having a period for the last 12 months. Now we know that not everybody's body read the textbook, so we see a lot more postmenopausal bleeding in the early postmenopausal period.”
“So if someone's healthcare provider suggests a urogenital procedure. I want you to think about how you can make that day easier for yourself.”
 
Connect with Dr. Polly Watson:
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
 
Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

Strategies to Avoid Burnout with Dr. Lara Salyer

Dr. Lara Salyer, a former burned-out physician turned creativity catalyst, shares her insights on preventing burnout and finding flow in life. She emphasizes the importance of setting boundaries and creating space for oneself, especially during life transitions like menopause. Dr. Salyer explains the four phases of the flow cycle (struggle, release, flow, and recovery) and provides tips on how to enhance flow and incorporate recovery into daily life. She also introduces the AHA method for setting goals, which involves anchoring to values, highlighting milestones, and activating flow enhancers. Lastly, she encourages embracing the concept of 'good enough' rather than striving for perfection.
 
Quotes
“Burnout happens everywhere, right? Dr. Polly, I mean, it is not just health care, it's firefighters, it's police, it's teachers, it's burned out as a mom, as a spouse, as a friend. I mean, burnout is a term that is the worst because it's sort of the end result of chronic stress and cortisol depletion. And it's awful. We don't want to be in burnout.”
“You love being in flow. It feels good. So you don't want to break it, but we have to. We have to pause and recover and unplug and go out and touch grass and do the yoga and the breathing”
“We often think of reward as like, okay, let's eat some chocolate. Let's have a glass of wine. And hello. I'm talking to you, menopausal ladies. That's no longer a good reward. Start to explore the other options for rewards.”
 
Resources
Discount code for Menopause Rescue listeners: SPECIAL for 20% off
https://rightbrainrescue.com/p/reclamation
Dr. Lara’s Flow Cycle PDF https://drive.google.com/file/d/1cB7eBLSzPCTDibnzPTjx1W6-JgJV_Mbm/view?usp=sharing
 
Links
Connect with Dr. Lara Salyer:
Website: https://drlarasalyer.com/
Instagram: https://www.instagram.com/drlarasalyer/
Facebook: https://www.facebook.com/drlarasalyer
Podcast: https://open.spotify.com/show/7d96T0XY32NxEefslXhLNo?si=28a4865894334dfa&nd=1&dlsi=65d9cfa50eb24cb0 
 
Connect with Dr. Polly Watson:
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
 
Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

Integrative OB GYN's Insights on Hormone Replacement Therapy with Dr. Felice Gersh Part 2

In this conversation, Dr. Felice Gersh discusses the complexities of different formulations of hormone replacement therapy (HRT) and the benefits of cycling on and off progesterone versus a continuous dose. She emphasizes the importance of considering the whole body when addressing menopause and not waiting until someone is fully menopausal to address the problem. Dr. Gersh also explains the different types of estrogen and their effects on various receptors in the body as well as the benefits of hormone therapy in terms of growth factors, immune system regulation, and cancer prevention. She highlights the need for adequate hormone dosing and the importance of shedding the uterine lining through cyclic progesterone use. Additionally, she discusses the role of lifestyle factors in achieving optimal health as well as the need for informed consent with the use of hormone replacement therapy.
 
Quotes
"We're not thinking about menopause as just our periods, right? We're thinking about estrogen and progesterone's effect on our heart, on our brains, on our bones, kind of the whole body."
"Hormones are foundational, but not sufficient to healthy longevity. You still have to eat the right foods and work on fitness, sleep, stress, and environmental factors."
 
Links
Connect with Dr. Felice Gersh:
Website: https://integrativemgi.com/
Instagram: https://www.instagram.com/dr.felicegersh/?hl=en
Facebook: https://www.facebook.com/felicegershmd/
YouTube: https://www.youtube.com/channel/UCrbn9RUdGuc6Wq-FT7V4u3g
 
Connect with Dr. Polly Watson:
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
 
Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

Integrative OB GYN's Insights on Hormone Replacement Therapy with Dr. Felice Gersh Part 1

In this conversation, Dr. Polly Watson interviews Dr. Felice Gersh on the benefits of hormone replacement therapy and cardiovascular health. Dr. Gersh clarifies the difference between bioidentical hormones and non naturally occurring hormones, particularly in terms of cardiovascular health. She discusses the Women's Health Initiative study and its impact on the perception of hormone replacement therapy as well as the larger implications of how this study was designed. 
 
Dr. Gersh emphasizes the importance of proper dosing and the need for individualized hormone therapy based on the specific needs of each woman. She also highlights the lack of clinical data and the need for more research in this area.
 
Quotes
“Everyone agrees that exercise, sleep, and eating organic fruits and vegetables are good for health. It's also understood that the benefits depend on consistency and quantity, as sporadic efforts won't yield significant results.”
 
Links
Connect with Dr. Felice Gersh:
Website: https://integrativemgi.com/
Instagram: https://www.instagram.com/dr.felicegersh/?hl=en
Facebook: https://www.facebook.com/felicegershmd/
YouTube: https://www.youtube.com/channel/UCrbn9RUdGuc6Wq-FT7V4u3g
Publication: ​​https://www.sciencedirect.com/journal/progress-in-cardiovascular-diseases
 
Connect with Dr. Polly Watson:
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
 
Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

Psychiatrist’s Guide to Reproductive Psychiatry During Menopause - Part 2

Navigating midlife hormonal changes requires personalized mental health strategies. In this episode, Dr. Polly Watson continues her discussion with Dr. Elizabeth Cox, a board-certified psychiatrist specializing in reproductive psychiatry from UNC Chapel Hill. With over a decade of experience, Dr. Cox highlights the critical impact of hormonal changes on women’s mental health during midlife.
 
The episode explores the use of antidepressants for perimenopausal women, focusing on the decision-making process for pharmaceutical intervention, especially when anxiety or mood disruptions affect quality of life. Dr. Cox emphasizes tailoring treatments to each patient’s values and lifestyle goals.
 
Addressing concerns like weight gain and sexual dysfunction, Dr. Cox suggests strategies such as adjusting medication dosages, using supplementary medications like Buspar or Wellbutrin, and exploring topical agents like CBD oil. Open communication between patients and providers is key to managing these side effects.
 
Dr. Cox also discusses the role of genetic testing in personalizing mental health treatments, particularly for those with multiple unsuccessful medication trials or severe side effects. Her approach in reproductive psychiatry emphasizes caution, minimalism, and collaboration, creating a supportive environment for women during hormonal transitions.
 
Quotes
“If consistently you’re feeling like your anxiety or your mood symptoms are in the driver’s seat and that you’re in the back seat, just kind of like along for the ride, that feels problematic.” (03:05 | Dr. Elizabeth Cox) 
“The weight gain typically should be like 5-10 pounds max, more of like water weight. But that being said, everybody’s different. So I’m always open-minded here.”  (08:37 | Dr. Elizabeth Cox)
“What I feel from this conversation with you is this balance, this gentleness, a lot of choice, a lot of partnership, right? And I think so often women are offered antidepressant medication without a lot of this kind of more nuanced conversation and they feel like they’ve been put off and then they’re closing themselves off to something that might actually be helpful, but they have fear around it, they felt shame around it, they felt judgment around it.” (16:24 | Dr. Polly Watson) 
 
Links
Connect with Dr. Elizabeth Cox:
Website: https://www.resetyourhealthandwellness.com/
Instagram: https://www.instagram.com/reset_healthandwellness/
Facebook: Reset Health & Wellness, PLLC
 
Connect with Dr. Polly Watson:
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
 
Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer
Podcast production and show notes provided by HiveCast.fm

Psychiatrist’s Guide to Mood During Perimenopause & Menopause - Part 1

“We think that different women’s brains have different sensitivities to changes in hormones,” says Dr. Elizabeth Cox. “It’s not so much about absolute levels of hormones that we think are the issue, but the actual fluctuations and changes,” she elaborates. In this episode, Dr. Cox, alongside Dr. Polly Watson, discusses the impact of these hormonal fluctuations on women’s mental health throughout menstruation, postpartum, and menopause. Dr. Cox highlights the importance of identifying women at risk due to heightened sensitivity to these changes and advocates for preventive strategies such as lifestyle changes and therapy.
 
The episode covers Cognitive Behavioral Therapy (CBT) for alleviating menopausal symptoms, the role of antidepressants, and the importance of cautious medication use. Dr. Watson and Dr. Cox shed light on the vital need for personalized care and encourage women to take active steps in prioritizing their health during the menopausal transition.
 
Quotes
“We think that different women’s brains have different sensitivities to changes in hormones. It’s not so much about absolute levels of hormones that we think are the issue, but the actual fluctuations and changes.” (02:18 | Dr. Elizabeth Cox)
“I recommend therapy to everyone. I think it can be so nice to be able to process relationships and stressors, changes when you’re nearing that phase of life—like you’re entering a new chapter and there’s a lot to process there too. So adding in some therapy can be another wellness initiative to do.” (09:05 | Dr. Elizabeth Cox) 
“Some amount of anxiety is good and creates resilience and it’s part of our life and being human. I still want you to be able to feel sad sometimes if something really sad happens or to feel excited. If you feel apathetic and like a zombie and numb, you’re on the wrong medicine or you’re on too high of a dose. But you should still feel like you, but just not as stressed and your bandwidth should feel better.” (18:58 | Dr. Elizabeth Cox) 
 
Links
Connect with Dr. Elizabeth Cox:
Website: https://www.resetyourhealthandwellness.com/
Instagram: https://www.instagram.com/reset_healthandwellness/
Facebook: Reset Health & Wellness, PLLC
 
Connect with Dr. Polly Watson:
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer
Podcast production and show notes provided by HiveCast.fm