In this popular episode, Dr. Talat Uppal, an obstetrician-gynecologist specialising in heavy menstrual bleeding, shares her expertise on a condition affecting one in four women yet rarely discussed openly. 

This eye-opening conversation sheds light on how women often normalise suffering through periods that drastically impact their quality of life.

The discussion reveals shocking statistics: 25% of women experience heavy menstrual bleeding, yet more than half never seek medical help. 

Dr. Uppal provides clear indicators of abnormal bleeding – passing large clots, changing protection every 1-2 hours, waking at night to change, using multiple protection types simultaneously, and embarrassing "flooding" episodes. These symptoms can lead to iron deficiency, anaemia, and significant quality of life impacts.

Learn about the spectrum of treatment options, from medications like Tranexamic Acid to the highly effective Mirena IUD and surgical interventions including endometrial ablation. She emphasises that most women find significant relief once properly treated, with many asking, "Why didn't I have this earlier? Why did I suffer so much?"

Perhaps most powerful is the exploration of how heavy bleeding becomes normalised at multiple levels – by women themselves, healthcare providers who don't offer full treatment options, and society that suggests women should simply endure until menopause. This normalisation condemns many to years of unnecessary suffering when effective solutions exist.

The conversation offers practical advice for women seeking help, emphasising the importance of advocating for yourself and being knowledgeable about available options. 

Have you been suffering in silence? This conversation might be the catalyst for transforming your quality of life. Listen, learn, and advocate for your menstrual health.

Resources
Women's Health Road Clinic - website
Women's Health Road - Instagram
Women's Health Road - Linkedin

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Updates on the rapidly changing landscape of menopause care in Australia and globally, focusing on revolutionary PBS changes making hormone therapy more affordable and the growing momentum around women's health initiatives.

• Pharmaceutical Benefits Scheme (PBS) now includes Estrogel, Prometrium, and Estrogel Pro (as of March 1st), with Slinder joining May 1st

• PBS prescriptions require specific coding - you may need a new prescription to access subsidised pricing

• FDA removed warnings from testosterone in the USA, highlighting the need for Australia to update outdated warnings on vaginal estrogen products

• The "So Hot Right Now" Medical Conference created an inclusive learning environment for healthcare providers to discuss menopause care

• Government funding for GP education ($1.5 million) lacks sufficient scope and evaluation mechanisms

• Dr. Lisa Mosconi leading a $50 million research program to reduce Alzheimer's in women by studying the relationship between protective hormones and brain health

• Jo launches Sheela Consulting - Unapologetic Advocacy, focusing on women's health policy and advocacy

If you've missed any of our expert conversations over the past two years, go back and listen, and please share them with anyone who needs this information.

To listen to my previous episode and interview with Assistant Minister Ged Kearney, please head to episode 110.

Links:

Johanna Wicks - LinkedIn

So Hot Right Now Medical Conference

Dr Lisa Mosconi - CARE funding

Australian Government $573M funding

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What happens to our sexuality during menopause? Far from signalling an end to pleasure and intimacy, this transition offers an unexpected opportunity for sexual rediscovery and deeper connection. 

Psychologist and sexologist Laura Lee joins me in this episode to masterfully unpack the evolution of desire through midlife, challenging our cultural fixation on "loss of libido" by revealing how desire simply changes form. 

Sexual communication can feel particularly challenging during menopause, when changing bodies and shifting desires create vulnerability. Laura provides practical strategies for starting these conversations without the paralysing pressure many couples feel. Rather than dreading "the talk," she suggests sharing resources, expressing genuine curiosity, and validating one another's experiences to foster meaningful dialogue about evolving needs.

Perhaps most thought provoking is Laura's invitation to expand our sexual menu beyond the narrow, penetration-focused definition of sex that dominates cultural narratives. By embracing a broader understanding of sexual connection—from sensual touch to passionate kissing—we create more opportunities to say "yes" to pleasure, even as our bodies change. This expansion allows us to discover new pathways to pleasure uniquely suited to our midlife bodies.

Ready to transform how you think about sex during menopause? Listen now to discover how this transition can become not an ending but the beginning of your most authentic sexual experience yet.

Links:

Laura's website

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How do you navigate life after cancer when everything feels different? 

Join me for a raw discussion that dives deep into the emotional and physical realities of cancer recovery. In this episode, Shari Todd and I share similarities in our vulnerable journeys through cancer diagnosis, treatment, and what life looks like on the other side. 

And what it took for us to get there.

You will hear a candid conversation about the weight of expectations, mental health struggles, and the often-overlooked challenges faced during recovery and the complexities of an induced menopause. 

We unpack the power of radical acceptance, the coaches that support us with this and the crucial role of community support in healing. 

Shari’s insights reflect her experience of resilience and adaptability that resonates beyond her personal story, advocating for shared experiences among women facing similar challenges. 

Join the conversation and break the silence around these essential topics. 

Remember to subscribe, share, and leave a review! Your feedback helps me support others on their journeys.

Links:

Shari Todd on Instagram

Tactic Nutrition on Instagram

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Delve into an exciting new era for women's health in Australia, highlighted by a $573.3 million investment. 

Join my conversation with Ged Kearney, the Assistant Minister for Health and Aged Care, who passionately shares insights from her extensive background in nursing and women's health advocacy. 

As we explore the various components of this funding package, Ged discusses critical advancements aimed at transforming menopause care, addressing gender disparities in the health system, and fostering community awareness about healthcare needs.

We unpack the elimination of barriers related to long-acting contraceptives, funding for additional endometriosis, pelvic pain and menopause clinics, and the emphasis on educating healthcare professionals to provide better perimenopause and menopause care for women. 

This episode offers a deep look into the shifts occurring within healthcare policy and the need for comprehensive support services designed for women navigating challenges in their midlife health. 

Don't miss the chance to learn more about how these initiatives can empower women across the nation and how your vote at election time can secure this support.

To be part of the conversation, subscribe, share this episode, and join my mission to raise awareness around women's menopausal health.

Links:

Health Package Details

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Enjoy this captivating conversation with Dr. Louise Newson, a renowned Uk based expert in the field of menopause. 

With her extensive background in evidence-based medicine and a passion for translating complex medical data into practical insights, Dr. Newson sheds light on the evolving landscape of menopause awareness, specifically in Australia. 

You will hear about her journey from a career in pathology and cancer medicine to becoming a leading advocate for menopause education. Together, we discuss the highly anticipated "So Hot Right Now" event at the iconic Sydney Opera House, a groundbreaking occasion focused on perimenopause and menopause education.

Our discussion travels through the critical need for a patient-centered approach to hormone therapy, emphasising the importance of adapting medical education to meet real-world health challenges. With personal anecdotes and teaching experiences from Birmingham University, we dive into the intersection of scientific research and practical application, particularly in managing menopausal symptoms and future health risks. 

Dr Newson addresses common misconceptions about hormone replacement therapy and the need for greater accessibility to medical literature, empowering women to make informed health decisions.

This episode brings you a blend of expert insights, personal experiences, and a heartfelt anticipation for inspiring shared journeys.

Links:

Dr Louise Newson - website

So Hot Right Now - live stream tickets

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Join me today to dive into the intricacies of vaginal and sexual health with Dr. Kelly Casperson, a leading figure in female sexual health and hormones. 

We unpack everything you need to know about Genitourinary Syndrome of Menopause (GSM), highlighting the critical need for understanding and treating these symptoms beyond conventional methods like antibiotics for urinary tract infections.

We dissect the FDA's boxed warnings on estrogen medications, which we also have here in Australia, leading to widespread confusion and at times, fear. 

Unpacking the misconceptions surrounding these warnings, particularly the safety of vaginal estrogen, drawing parallels with other regulated substances like alcohol. We also shine a light on testosterone use, unraveling the stigma and biases, especially in countries like Australia, and advocating for a more informed approach to women's health. This episode promises to equip you with the knowledge to challenge outdated views and navigate the evolving dynamics of hormone therapy.

We wrap up by celebrating the powerful advocacy work being done for menopausal women globally, focusing on events in Australia and the ongoing battle against entrenched interests. 

Tune in to be inspired and informed about the promising future for women's health!

Links:

Dr Kelly Casperson - website

You Are Not Broken - podcast

You Are Not Broken - book

So Hot Right Now - Livestream Tickets

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Could a $573.3 million investment revolutionise menopause health in Australia? 

Tune in to discover how this historic commitment from the Albanese government is set to transform menopause and perimenopause care across the nation. 

With bipartisan support ensuring the longevity of these initiatives, we explore the Senate Inquiries and Budget Submissions that paved the way for these groundbreaking developments and the profound impact they promise for countless women. 

This episode sheds light on how accessibility to menopause care is being reimagined, with Medicare rebates incentivising GPs to gain new skills and the expansion of existing clinics to include menopause specialists.

With advocacy playing a crucial role in these advancements, hear about the collaborative efforts behind the scenes that have resulted in cost reductions for MHT like Prometrium and Estrogel. 

We wrap up with exciting news of an upcoming Dear Menopause interview with Assistant Minister Ged Kearney, promising an in-depth look into the policy changes that are shaking up women's healthcare. 

Don't miss your chance to submit questions for this insightful conversation, as we aim to bring you all the behind-the-scenes details and celebrate these significant strides in women's health.

Links:

Health Package Fact Sheet

Endometriosis and Pelvic Pain Clinics

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Leanne Mulheron takes us on an incredible journey from her life on super yachts to becoming a menopause and PMDD specialist therapist. Her personal experience with perimenopause symptoms, like hot flushes and mood swings, became the catalyst for a career pivot aimed at supporting women in similar situations. 

Throughout, we highlight the societal need for education and understanding about menopause, ensuring future generations are not caught off guard by its onset. Leanne's narrative powerfully underscores the gaps in psychological support for women experiencing menopause and PMDD.

Our conversation emphasises a holistic and personalised approach to therapy. We discuss various therapeutic modalities, such as CBT and ACT. We also delve into the importance of social connections and the value of strong friendships alongside formal therapy. 

Leanne offers insights into how lifestyle choices—diet, exercise, sleep, and stress management—complement therapeutic practices. By setting measurable goals, women can more effectively navigate these changes and transform their experiences into opportunities for growth and self-discovery.

We also discuss the pressing need for a broader understanding of women's mental health over their lifetimes. Leanne encourages self-advocacy and pursuing menopause-informed professionals to ensure the best care. 

Leanne and I also address the ageist stereotypes surrounding menopause, advocating that it be seen as a period of empowerment and transformation. 

Through validation, support, and authentic sharing, we aim to inspire you to embrace your second act confidently and boldly, challenging societal norms and celebrating the journey.

Links:

Find Leanne at Affinity Psychology

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Join me for a fun and insightful conversation with Despina Kamper, a respected naturopath and nutritionist, as she shares her journey of addressing stress management for women over 40.

Discover how stress, rather than just diet, plays a pivotal role in overall health, as Despina highlights the critical brain-gut connection. Learn from her experience conducting anxiety awareness workshops and retreats designed to help women manage stress and improve their quality of life.

We explore the significant benefits of proper breathing techniques, particularly during the perimenopausal and menopausal stages, and challenge the social stigmas surrounding aging. As a personal trainer, I reflect on the surprising challenges of teaching clients to breathe correctly, underscoring diaphragmatic breathing's role in reducing stress and enhancing wellness.

We also segue into a broader discussion on self-worth and beauty for women navigating this pivotal life stage.

You will learn about the empowering spaces created at Despina's retreats, where women can connect and share experiences in intimate settings like the Greek islands and the Hunter Valley in Australia. These retreats offer more than just relaxation—they foster personal growth, community, and a revaluation of intrinsic qualities over superficial markers.

Despina's insights will remind you of the continuous journey of self-discovery and the profound connections that can emerge from shared experiences.

Hunter Valley, NSW Retreat Discount Code: SONYA20

Links:
Self Discovery Lab Website
Hunter Valley Retreat March 2025
UK and Greece Retreats 2025

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In our first Hot Take of 2025, Sonya and Jo share updates from Australia's Pharmaceutical Benefits Advisory Committee and how consumer advocacy was pivotal in the PBAC's decision to recommend Estrogel, Prometrium and Estrogel Pro for the Pharmaceutical Benefits Scheme.

With a personal milestone, Sonya shares her new role as the ambassador for Menopause and Cancer in Australia and New Zealand. This initiative seeks to fill the glaring void in post-cancer menopause care, echoing alarming statistics from the UK where the majority of women receive no support.

Johanna highlighted actionable insights in "A Citizen's Guide to Menopause Advocacy: Simple Steps for Transformative Change. " Discover how this free-to-download guide, featuring a foreword by Maria Shriver, empowers individuals to drive change.

Explore how you can advocatefor change during this pivotal period, despite the delayed government response to the Australian Senate Inquiry into Perimenopause and Menopause.

We also touch on the recent paper published showing the interindividual variations of the absorption of estrogen in the real world. Results of the study showed that 1 in 4 women using the highest licensed dose showed levels considered subtherapeutic as a result of poor absorption.

So much to unpack this week!! Enjoy.

Links:
A Citizen's Guide to Menopause Advocacy download
Estrogen Absorption paper published 17 December 2024
Menopause and Cancer

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