What is lifestyle medicine and how can it help your menopause? | Dr Louise Newson Podcast

[@unahorgan6014]

Great discussion as always! I am an Irish ex-nurse living in Spain. Over the last 10 years I have been doing my own little low key comparative study between my Irish and Spanish friends. In the perimenopause my Irish cohort suffered multiple symptoms and were eventually treated with HRT (word travels fast among nurses when a treatment works). My Spanish friends on the other hand say they “sailed through it all with minimal symptoms” and they say they don’t want what they consider unnecessary treatment. Fast forward 10 years my Irish gang are out and about embracing the pillars of health as best they can whereas my Spanish buddies are moaning and groaning and talk about ailments and retirement! When I try to make the connection with menopause they still refuse to believe it is an underlying cause of their conditions.

[@charleedell92]

I see this too! My SIL is constantly at the doctor being investigated for palpitations, low mood, joint pains etc since her early 40s. She was really offended when I suggested perimenopause. I also have a friend who has been in and out of mental hospitals since her 40s who had a professional career previously, she takes a cocktail of psychiatric medication but won't entertain hormones.

[@anne-louisegoldie]

What lovely, positive doctors, who know their stuff, and look at the big picture. Thank you 💛

[@kr1221E]

I agree with pillars of health. I agree with sleep being the most important. The thing with sleep is, while I am waiting for my hormones to be balanced, I cannot help but wake up 5 - 7 hours after I have fallen asleep.

[@wendyhandy9065]

Thank you for helping me balance my hormones so I can live a healthy life ❤

[@bomcabo]

Loved this! Thank you!❤❤

[@sarahbrown7804]

Hi Dr Newton, My gynae prescribed femigel for first time starting hrt, I rub it into my inner thigh at night, do I also need to take progesterone as well as I have not had a hysterectomy. I am in South Africa. Is Oestradiol a good natural hormone? Many thanks.

[@nicolemerz1731]

I am no doctor, but if you still have a uterus and use transdermal estradiol, you must get a pill with micronized progesterone in it to take it at night ( the nice thing is it helps you fall asleep, too 😉 - I love my progesterone)... Best wishes from Germany 🇩🇪

[@bomcabo]

As far as I know, Femigel needs to be used in the morning. ❤

[@skrefurbishedinteriors]

​@@nicolemerz1731 hi do you know if the evorel sequi patches have the sleep inducing qualities? Today at my first appointment i got the evorel combined Patches.

[@Katepwe]

⁠the progesterone is necessary if you have a uterus to protect the endometrial lining. In my experience the estradiol gel is applied to the inner thigh in the morning.

[@sc6045]

Yes you need a progesterone to shed the lining that builds up in your uterus. Bio identical progesterone is called utrogestan. In saying that I have a estradot patch to stick on for 3.5 days. I started on .25 and am now in .75 I have never had the gel. Utrogeston dosage and how to take it depends if u are perimenopausal or been 12 months without a period so you would be in menopause.

[@skrefurbishedinteriors]

Hi ladies is evorel sequi combined hrt patches body identical hormones I got them today and iam scared to take them.! 😂

[@Katepwe]

I did an online search and yes they are. It’s my understanding that the majority (if not all) of today’s hormones for treating menopause are all bio-identical/body identical.

[@skrefurbishedinteriors]

@@Katepwe yes the estradiol /estrogen part is bioidentical but the progesterone/norethisterone in the patch is not bio identical but it is body identical 🤔😏 I know the confusion on me face 😳🙄 it's OK I will contact my gp to give me ultagestan instead which is bioidentical. Iam still doing research on different progesterones. At this point call me doc cause the reading iam doing 😒😕 it's not straight forward.

[@Katepwe]

@@skrefurbishedinteriors it is all confusing especially when most doctors are just learning too. Bio and body identical are different words for the same thing. If they’re not either of these then they are synthetic.

[@skrefurbishedinteriors]

@@Katepwe yes it's a mind bend from what I have read so far bioidentical are made from in a lab but from natural ingredients like yams usually with less side effects and less cancer risks. But bio identical are also okay, made in a lab but from synthetic materials and they don't fit exactly with our natural hormone receptors, have more side effects and slightly more cancer risks! It's a all a jungle especially for someone new! Information overload! 🤔

[@bomcabo]

@@skrefurbishedinteriors Remember the 3rd takeaway from that lovely doctor from Singapore: don’t be scared of HRT! 🥳