The juggling act: how to navigate menopause and midlife | The Dr Louise Newson Podcast
Menopause often happens at a time when you are juggling a career, relationships and caring responsibilities.
Here Dr Nadira Awal, a GP and menopause specialist, joins Dr Louise Newson to discuss her work in raising awareness of the menopause and the importance of partners and families understanding what their loved on is going through.
Dr Nadira’s personal experience of the menopause helped drive her passion for educating and supporting other women, especially those in ethnic minority communities who may not feel able to speak openly about it. She talks about increased health risks owing to genetics, particularly with diabetes and increased blood pressure, and the challenge of treating a woman’s symptoms holistically in a ten-minute GP appointment.
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Your experiences really resonate with me, as a female clinician it can be hard finding yourself on the other side of the consultation trying to advocate for your own treatment. It is a very vulnerable position and all your own knowledge and professional experience is often treated as less than worthless. I really admire your honesty in sharing your own experiences.
Thank you for mentioning women who don't have children. We sometimes care for ill relatives and certainly worry about others while trying to work and keep ourselves going too.
Thank you for helping so many women with this valuable info and your openness!
I ended up getting endometrial hyperplasia from HRT (estradiol gel applied daily to my arm and a progesterone capsule every evening for a year). I had to have a D&C, but his was only noticed because I asked for a uterus ultrasound, which I paid for privately. The D&C showed I had two quite large polyps. With this in mind, how can I find the correct balance of estradiol and progesterone, as I don't want to risk uterine cancer. I now use a patch, which is a very slight lower dose than the gel.
@charleedell92
5 ай бұрын
Only your own doctor can advise you regarding individual doses, however taking the progesterone vaginally can increase delivery to the uterus versus oral use. This also helps reduce systemic exposure. I do think paying for a scan if you can afford it every year or so is a good idea (I do this anyway for ovarian surveillance) however endometrial hyperplasia typically shows itself with bleeding long before cancer develops (which generally takes years) A mirena IUS is probably the most potent endometrial protection agent however this isn't for everyone.