July 9, 2025

What Every Woman Needs to Know about Hormones with Dr Louise Newson (Part 2)

What Every Woman Needs to Know about Hormones with Dr Louise Newson (Part 2)
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What Every Woman Needs to Know about Hormones with Dr Louise Newson (Part 2)
What Every Woman Needs to Know about Hormones with Dr Louise Newson (Part 2)
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Season 15 Women's Health And Wellbeing Physical Health

Understanding the critical role of hormone therapy is essential for women at every stage of life, not just those who are navigating the complexities of menopause and beyond. In my second conversation with Dr. Louise Newson, we discuss how to know if your hormone levels are low, whether it's possible to take too high a dose, and also the potential consequences of not replacing your lost hormones as you get older, such as increased risk of heart disease, osteoporosis, and even dementia. We dive into the difference between hormonal contraceptives and bio-identical hormones, and why even young women could benefit from targeted hormone therapy.Many women are still unaware of the profound benefits hormone therapy can offer so in this episode we aim to shed light on this topic and empower women to advocate for their health. Takeaways:

  • Hormone therapy is not just for menopause and can offer significant benefits to younger women suffering from hormonal imbalances.
  • HRT is crucial for peri-and menopausal women to balance hormones and reduce the risk of various health issues such as heart disease and osteoporosis.
  • Understanding the difference between hormonal contraceptives and bio-identical hormones is vital for informed health decisions.
  • Many women still believe misconceptions about HRT, which can lead to unnecessary suffering and health risks.
  • Listening to women's symptoms and experiences is essential in addressing their health needs effectively.
  • The risks associated with not taking hormones often outweigh the fears surrounding hormone replacement therapy.
  • Natural hormones may be more beneficial than synthetic options, and women should advocate for their health choices.

Listen to Part 1 with Dr Louise Newson here:https://www.crappytohappypod.com/dispelling-myths-about-menopause-and-hrt-with-dr-louise-newson-part-1/

Connect with Dr Louise Newson
www.drlouisenewson.co.uk
www.instagram.com/menopause_doctor


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www.cassdunn.com
www.instagram.com/cassdunn_xo

Contact Crappy to Happy:

Email: hello@crappytohappypod.com
www.crappytohappypod.com
www.instagram.com/crappytohappypod
www.tiktok.com/@crappytohappypod


Are you a coach, therapist, service provider or solopreneur struggling with self-doubt and imposter syndrome? I'd love to talk to you! (for market research purposes only!)

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Chapters

00:00 - Untitled

00:00 - Understanding Hormonal Impacts on Health

02:58 - Understanding Hormone Therapy and Blood Tests

09:58 - Understanding Hormone Replacement Therapy

18:21 - The Impact of Hormonal Health on Women

26:32 - Hormonal Health and Patient Advocacy

Transcript
WEBVTT

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I'm fifty four, so if I didn't have hormones, this

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is fact, my risk of heart disease would increase, my

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risk of heart attack, race blood pressure would increase my

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risk of osteoporosis, Type two diabetes, dementia, autoimmune diseases, cancer's,

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Parkinson's disease, nonalcoholic fatty liver disease, inflammatory bound disease. You know,

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the list goes on or not. The younger woman is

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when she's menopausal, the greater the risk of all those diseases.

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This is Crappita Happy and I am your host cast done.

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I'm a clinical and coaching psychologist. I'm mindfulness meditation teacher

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and of course author of the Crappita Heavy books. In

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this show, I bring you conversations with interesting, inspiring, intelligent

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people who are experts in their field and who have

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something of value to share that will help you feel

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less crappy and more happy. She is back this week.

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I am joined again by doctor Luise Newsen for Part

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two of Everything You Ever Wanted to Know About Hormone Therapy.

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In this conversation, we are talking about how to know

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if your hormone levels are low, whether it's dangerous to

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take too much and what the risks are as you

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heard of not replacing your declining hormones as you age now.

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In the time since I last spoke to Louise, I

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have spoken to so many women about this topic, and

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there genuinely still is such a lack of information out there.

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Many women still have no idea that there is actually

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a difference between hormonal contraceptives and bioidentical hormones, and far

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too many women, in my personal opinion, having now spoken

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to Luise, are simply not aware of the fact that

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hormone replacement is about so much more than any symptoms

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that you might associate with menopause, like irregular period or

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night sweats or brain fog. I just think that this

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is so important. We are so in the dark, and

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I truly hope that this information is of value and

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of benefit to you, and I hope that you will

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help to spread this super valuable information by sharing this episode,

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both of these episodes with every woman that you know.

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Right here is doctor Louise Newsen. Louise, welcome back to Crapy.

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To Happy Oh. Thank you for having me back.

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I have just released our first conversation. I've had so

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much positive feedback already, and people shooting through their questions

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and their comments just feedback about the impact that you've

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actually had on them, the positive benefit that they have

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had from the work that you have done. So I

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will get to that a little bit later. But the

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first thing I wanted to ask you today was the

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question that I didn't have time to get in during

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our last conversation, and that is, is there a blood

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test or some kind of diagnostic test that women can

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take which determines, you know, their homeline levels and whether

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they are a candidate for HIT.

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No, wouldn't that be nur well, it would be nice

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or not. But one of the things is is that

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our wholemones are changing all the time. So I've seen

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lots of people who have a normal blood test, but

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they're telling me all the symptoms they're getting and so

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it's not helpful. They might have had a blood test

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ten minutes later and it have been abnormal. Momans fluctuate.

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But the other thing is when we do a blood test,

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we're only seeing what's in the blood. We're not seeing

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what's in all the tissues and organs as well. People

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seem to be very fixated about blood tests, and you know,

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in medicine there's lots of things we don't do blood

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tests for. You know, if I was trying to diagnose migrain,

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I don't do a blood test for that, or brain's

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gonna take a really good history. So knowledge is most important.

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But blood tests can be useful in clinical context. So

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my clinic we do do blood tests for two reasons. Firstly,

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it's quite useful to exclude other things, because if someone's

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feeling tired, could they have low iron, could they have

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an undirective thyroid? So we do and I'd like doing

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those blood tests because it gives me a picture for

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what's going on. And then when someone's on hormones, it

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can be useful as well to monitor. So as you know,

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when we give the hormones through the skin, the skin

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is a barrier. It's quite thick to get things through,

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so some people need different doses, so it can help

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guide treatment. We often do testosterone levels before starting and

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you know, I've never met a woman with a normal

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test or stone level. Yeah, especially with older women. But

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a low level doesn't mean that's the cause of the symptoms.

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And that's where as a clinician I feel very strongly

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that women shouldn't be self diagnosing, self treating, because you know,

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I've worn't in medicine for many, many years, so I'm

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quite good at asking screening questions. You know, if someone

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had headache and they had memory problems, have they got

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a brain tumor? Or is it their hormones? Even if

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their hormone levels below they could still have a brain tumor.

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I mean this is quite extreme. Yeah, but I'm just

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trying to highlight to you what we don't want to

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do as doctors or educators saying, oh, yes, it's all

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due to your hormones. Yeah, it could be due to

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your hormones and something else as well, And that's why

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in clinical context is really important for hormone levels.

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Yeah, that makes sense to me as a psychologist who

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you know, everything that we treat is based on presenting

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problem called patient describing what they're experiencing. There's no test

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for any of those things as well.

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Yeah. Yeah, And I think also one of the things

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which I'm sure you see in your work as well,

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is that women often aren't believed. The first thing as

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a doctor I was really taught in medicine is listen

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to your patients, believe them, try and understand what's going on.

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You might not have the right diagnosis for them, but

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there's something happening, and so women often know if it's

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related to their hormones. The problem is is that the

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women aren't being listened to and believed.

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Yeah, picking up also on what we talked about last time.

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We talked a lot about this idea of bio identical hormones,

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which are the new HT, which is very different from

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the old HRT. I'm curious to know are there is

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there still a non bio identical version of HT for example,

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as I mentioned last time, like I have the Marina

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for the progesterone that was recommended. It's the easiest, simplest,

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you never have to think about. It won't get periods hopefully.

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So are there non identical version options? Yeah?

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There are, So there are synthetic versions. There are some

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combination tablets. So the combination patches that contain estrogen and

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a progesterone is a synthetic progestogen. And you know, even

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the pregnant horses you're in. Estrogen is still available in

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some countries as well.

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Is that right?

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Yeah? I know the Marina coil is synthetic progestogen to

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some people elect to take the natural progesterone as a

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tablet oral capsule or a peasany as well as having

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the marina coils to get the benefits of progesterone in

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their bodies. So most types now, certainly, all the types

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that I prescribe are the natural hormones. It's taken a

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massive shift for people to think differently, and for many years,

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certainly in the UK, lot of doctors have been quite

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cross that women have been asking for the patches or gels.

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And I was out a meeting recently and a very

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eminent gynecologist said, we're really not happy prescribing the estrogen

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and progesterone separately because women might forget to take their

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progesterone pill at night. And I thought, firstly, this was

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from a woman, and firstly, like, women are not stupid. Secondly,

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lots of women like taking us at night because it

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helps them sleep. Thirdly, stop being so patronized, and yeah,

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I know it is, isn't it.

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God.

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Yeah, So they're saying give them the combination because it's

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easier for them. We'll give them a choice.

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So that's interesting that it is beneficial. This is interesting

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to me personally. It's beneficial to take progesterone in even

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if you've had rain coil.

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Yeah, so lots of people and I was taught it

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as well, So I feel a bit embarrassed that I

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didn't know it before. I think the progesterone is just

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to protect the lining of the womb, but of course

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it's not. It's a hormone that's made in our brains,

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it's made in our tissues, it's made in our ovaries

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as well, and it's very important hormone to reduce inflammation

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in the body, to help our brain function, our bones strong,

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our cardiovascular system and so forth. And some women miss it.

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You know, some women feel a lot calmer when they

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use progesterone, They sleep better, their mood is better. So

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this is where it's a choice. You know. Some women say, oh,

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I feel great, I don't think I need another hormone,

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and other women say, well, I'm going to try it

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and see and if they feel better then they can

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continue with it.

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And so, just like there is no blood test to

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determine whether you need hormones, there's also no test to

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say whether you're on the right dose. It really comes

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down to well, how how do you feel in yourself?

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Yeah, do thing. It can be useful to have a

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blood test. So say, for example, I used more than

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one patch, and when I started my HLT nearly ten

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years ago, the one patch wasn't enough. I was feeling bad.

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I was not really feeling much better. I was still

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getting night sweat, so my Easterdar level was low. So

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then I knew I wasn't absorbing it properly, and I

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tried a different patch, but it didn't stick on. I

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tried the gel and it literally floated off my skin.

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So then my consultant increased my dose. So that could

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be quite useful because if I see someone who's getting

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symptoms and their levels normal, then I think, well, is

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there something else that's causing their symptoms. So that's why

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it's useful as a guide really, but the easter of

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DOAR levels and testosterone levels progesterone can be harder to monitor,

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so we often don't do progesterone levels.

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Yeah, you know, after I ask conversation in particularly as

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I listened to it bag, I was thinking that when

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I was about maybe I don't forty five forty seven

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or something. I remember getting online and ordering these like

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hormone Happy hormone, I don't remember the brand name, but

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some kind of supplement that was meant to support me

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through perimenopause. And I know that a lot of women.

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I was thinking, gosh, so many women were all about

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these supplements because they're natural. And there's this mindset that

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natural is better than using a drug, which just now

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I haven't talked to you, seems insane.

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Is insane, isn't it? Because you can argue, like, how

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do you define natural? What does it mean? Because anything,

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whether it's a supplement or a prescription that I prescribe,

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it's still been may hasn't it. It's the only natural

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thing is if you're eating plants that are you know,

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or herbs, if you see what I mean. Yeah, And

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so then people get very concerned that somehow, because it's

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on a prescription, yes, it's not natural, Whereas there's lots

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of things in a health food shop that I would

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never touch or maybe not need. And there's lots of

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things that I've prescribed that are not nearly so natural

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as the hormones that I prescribe. And so we also

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need to think, like I've just said in the past,

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the estrogen was made from pregnant horses urine. Now, pregnant

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horses urine is natural, but it's not natural for the

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us as humans to have Do you see what I do?

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And they are plants in my garden that are natural,

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I wouldn't want to have them, do you know what

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I mean? Yeah? So then what we need to be

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thinking of, well, what is you know, what's happening in

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our bodies, what our hormone levels are reducing. So it's

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more natural to just top up those hormones than to

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take something else. And people might need to take vitamins

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or supplements to help the way their hormones are metabolized,

215
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or to help our bone strength or our heart function,

216
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but we shouldn't be taking them instead of And that's

217
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the problem. It's the marketing of them that is exactly

218
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very misleading. And the problem is is that you know,

219
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women are let down by medicine. Often they're let down

220
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by doctors saying you don't need or you can't have hormones.

221
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So they're desperate for help. And these people often have

222
00:12:12.879 --> 00:12:15.919
a lot of marketing budgets so they look great. Some

223
00:12:15.960 --> 00:12:18.720
of them are the most beautiful packaging and you sort

224
00:12:18.759 --> 00:12:21.600
of think, oh, maybe maybe I'll feel better. So I

225
00:12:21.679 --> 00:12:24.159
understand why people take them, but we have to be

226
00:12:24.200 --> 00:12:26.200
thinking about the evidence and what there is.

227
00:12:27.000 --> 00:12:29.399
Yeah, and I think you know, when there was that

228
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mindset which still persists. I know that it was dangerous

229
00:12:33.159 --> 00:12:36.159
and that it caused breast cancer. That's when women were

230
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scared off of PHRT and therefore looking for these supplements

231
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as well. And I'm always curious to know, like whether

232
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there is a role for them even alongside.

233
00:12:44.080 --> 00:12:47.320
Yeah. So no, I did a YouTube recently about supplements.

234
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I kept it quite basic, but you know, as a

235
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rut of if they it's got the word menopause on

236
00:12:52.919 --> 00:12:57.080
the label, then don't take it, really, yeah, because it'll

237
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be a marketing thing. So now I take some supplements,

238
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but it's for my future health, not because I'm menopausal.

239
00:13:05.440 --> 00:13:08.799
Good note, say's menopause. It's probably overprized and it's much

240
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skin Yeah.

241
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Yeah, yeah.

242
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Is there any risk and given that there's my blood test,

243
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is there a risk of taking too much of something?

244
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Is there a consequence of having too much estrogen or

245
00:13:20.960 --> 00:13:22.840
too much progesterone for example, if.

246
00:13:22.679 --> 00:13:26.399
We're giving our natural hormones, then not really, Just to

247
00:13:26.519 --> 00:13:30.360
sort of compare rely, you know, the levels that we

248
00:13:30.480 --> 00:13:33.759
work for usually in the clinic of between two hundred

249
00:13:33.759 --> 00:13:36.559
and fifty and one thousand. When women are pregnant, the

250
00:13:36.679 --> 00:13:40.799
levels about fifty five thousand. It's a massive difference, massive difference.

251
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We're also talking about natural hormones. People sometimes get confused

252
00:13:44.759 --> 00:13:47.679
because with the contraceptive pill, for example, when it was

253
00:13:47.759 --> 00:13:50.840
first launch in the sixties, the doses were very high

254
00:13:50.879 --> 00:13:53.679
and it caused all sorts of side effects and problems

255
00:13:54.159 --> 00:13:57.080
and health problems as well, and the dose was lowered.

256
00:13:57.320 --> 00:13:59.879
But that's a chemical. It's been synthetically all.

257
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You know.

258
00:14:01.279 --> 00:14:03.519
People worry, you know what about if you have too

259
00:14:03.559 --> 00:14:06.360
much incident, of course, it can cause problems. We're not

260
00:14:06.399 --> 00:14:09.879
giving mega doses. If you compare the doses that we

261
00:14:09.960 --> 00:14:16.200
give compared to say, the synthetic hormoson contraception, it's significantly lower.

262
00:14:16.600 --> 00:14:20.279
Even the higher off label doses are still lower than

263
00:14:20.360 --> 00:14:25.399
contraceptional and they're natural, so you know. But also when

264
00:14:25.399 --> 00:14:27.919
we give higher doses, it's because we want to get

265
00:14:27.919 --> 00:14:30.559
it through the skin. We're not giving it as an

266
00:14:30.600 --> 00:14:34.240
intravenous infusion to get higher levels in the body. Right

267
00:14:34.440 --> 00:14:36.879
And also you know, I've done levels of women who

268
00:14:36.879 --> 00:14:39.919
aren't on hormones who are perimenopausal, and their levels of

269
00:14:40.080 --> 00:14:42.519
esta dial are like four or five thousand just because

270
00:14:42.519 --> 00:14:45.840
their bodies like doing all this yeo yo ing. So

271
00:14:46.440 --> 00:14:48.879
we don't know what the best level is for each

272
00:14:48.960 --> 00:14:53.639
person because we we're all different. Yeah, but no, we're

273
00:14:53.639 --> 00:14:57.799
not giving mega doses, so it's be very unlikely. The

274
00:14:57.799 --> 00:15:00.279
big problem is a lot of women aren't having enough

275
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or they're not having any. Yeah, most women globally are

276
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having no hormones at all.

277
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Which leads me to what's the consequence of not having hormoness.

278
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A great question because I think we need to be

279
00:15:11.200 --> 00:15:13.519
thinking about this more late for years. What if we

280
00:15:13.559 --> 00:15:15.559
have hormones? What about the breast cancer? What about what

281
00:15:15.600 --> 00:15:19.960
about Actually, let's think, so I'm fifty four, if I

282
00:15:20.000 --> 00:15:23.559
am clearly menopausal. So if I didn't have hormones, this

283
00:15:23.639 --> 00:15:27.559
is fact. You know, my risk of heart disease would increase,

284
00:15:27.720 --> 00:15:30.399
my risk of heart attack, race blood pressure would increase

285
00:15:31.240 --> 00:15:38.240
my risk of osteoporosis, type two diabetes, dementia, autoimmune diseases, cancers,

286
00:15:38.559 --> 00:15:43.799
Parkinson's disease, non alcoholic fatty liver disease, inflammatory bound disease.

287
00:15:43.960 --> 00:15:46.360
You know, the list goes on and on, because my

288
00:15:46.440 --> 00:15:49.960
body would go from being a sort of hopefully neutral

289
00:15:50.000 --> 00:15:53.639
anti inflammatory state to pro inflammatory. Now, of course I

290
00:15:53.679 --> 00:15:56.919
can mitigate some of those risks by nutrition and exercise

291
00:15:57.039 --> 00:16:00.240
and maybe the odd supplement, but it's still goes to

292
00:16:00.279 --> 00:16:03.639
be switched on because we need those hormones to help

293
00:16:03.679 --> 00:16:07.080
our immune sales to work well. So we know that

294
00:16:07.159 --> 00:16:09.879
we've known it for many, many years. You know, the

295
00:16:09.919 --> 00:16:12.720
younger woman is when she's menopause, all the greater the

296
00:16:12.840 --> 00:16:17.039
risk of all those diseases, but also mental health. You know,

297
00:16:17.120 --> 00:16:20.159
there's a risk of increased risk of depression, increased risk

298
00:16:20.240 --> 00:16:23.679
of psychosis, increase risk of drug addiction. Wow, a lot

299
00:16:23.679 --> 00:16:27.080
of people turn to alcohol and drugs. So we can't

300
00:16:27.320 --> 00:16:31.240
just be thinking about diseases. But also it's increased risks.

301
00:16:31.559 --> 00:16:33.879
You know, you'd lose your job. I wouldn't be able

302
00:16:33.919 --> 00:16:36.240
to work as a doctor if I wasn't taking hormones.

303
00:16:36.759 --> 00:16:40.320
I just wasn't safe to practice without memory and people

304
00:16:40.360 --> 00:16:41.919
do you know we know at least ten percent of

305
00:16:41.960 --> 00:16:44.399
women give up their jobs. Wow, and give up their

306
00:16:44.519 --> 00:16:48.639
relationships as well. Wow. So you know that's where some

307
00:16:48.679 --> 00:16:50.879
people will be fine, and we've all met them, and

308
00:16:51.000 --> 00:16:52.759
some of them are very vocal on social media to

309
00:16:52.799 --> 00:16:56.000
say people are fine, I'm fine, look at me. Yeah

310
00:16:56.039 --> 00:16:59.279
that's fine, Yes you are. But I see and I

311
00:16:59.360 --> 00:17:03.080
hear from thousands of women as you do, who aren't

312
00:17:03.120 --> 00:17:06.079
fine and they're struggling and they want hormones, which are

313
00:17:06.279 --> 00:17:09.160
first line treatment in all guideline. Yeah.

314
00:17:09.480 --> 00:17:12.880
I think that is such important information for women to

315
00:17:13.119 --> 00:17:16.680
hear and understand that risk of not taking it, because

316
00:17:16.680 --> 00:17:18.880
that's not out there at all.

317
00:17:19.039 --> 00:17:22.759
No, it's not because we've been sidelined, we've been gas lit,

318
00:17:22.839 --> 00:17:26.319
we've been you know, misrepresented, and it's you know, I

319
00:17:26.359 --> 00:17:28.480
don't care whether I know I should care more, but

320
00:17:28.559 --> 00:17:30.759
I don't care whether women take hormones or not. I

321
00:17:30.759 --> 00:17:33.920
don't care whether they exercise or not. You know, this morning,

322
00:17:34.119 --> 00:17:35.839
I really wanted a bit of a lion because I

323
00:17:35.839 --> 00:17:38.119
went to bed filty late last night. But I got up,

324
00:17:38.400 --> 00:17:41.599
I did yoga before I you know, had a shower,

325
00:17:41.640 --> 00:17:44.480
and I do it most mornings, you know, But it's

326
00:17:44.480 --> 00:17:47.200
my choice. I don't care just to spread if you

327
00:17:47.279 --> 00:17:49.759
exercise or not. But I think you should know that

328
00:17:49.920 --> 00:17:52.640
exercising is really good for your physical and mental health,

329
00:17:53.079 --> 00:17:55.480
and if you don't do it, that's fine. Your physical

330
00:17:55.519 --> 00:17:58.160
and mental health might be okay, but it also might

331
00:17:58.200 --> 00:18:00.640
not be. And that's all this is about hormones. But

332
00:18:00.720 --> 00:18:04.200
it becomes very podomized and a bit toxic, and I

333
00:18:04.200 --> 00:18:05.640
don't really know why, to be honest.

334
00:18:05.799 --> 00:18:11.880
Yeah, getting back to the synthetic hormones. Yeah, So the

335
00:18:11.920 --> 00:18:15.240
other thing that occurred to me was that young women

336
00:18:15.480 --> 00:18:17.279
as soon as they get their periods, if they're having

337
00:18:17.319 --> 00:18:21.039
heavy periods, they're having I don't know, skin problems, all

338
00:18:21.079 --> 00:18:24.519
sorts of issues. Typically they have been prescribed the pill.

339
00:18:24.720 --> 00:18:25.519
Yeah, to.

340
00:18:27.200 --> 00:18:30.440
Even things out, smooth things out, reduce these symptoms.

341
00:18:30.039 --> 00:18:33.039
Given what I know. Given, it makes you think, doesn't

342
00:18:33.079 --> 00:18:34.839
it It does, Yeah.

343
00:18:34.680 --> 00:18:39.920
It really does. So outside of menopause and perimenopause, is

344
00:18:40.000 --> 00:18:42.839
there a role that these hormones, these bioidentical hormones should

345
00:18:42.880 --> 00:18:46.640
be playing with these younger women. Isn't it danger that

346
00:18:46.680 --> 00:18:48.000
we're putting all these young women.

347
00:18:47.799 --> 00:18:50.519
In there's a danger or there is, because it's well

348
00:18:50.559 --> 00:18:55.000
reported that there are risks with the synthetic contraceptives. Don't

349
00:18:55.000 --> 00:18:57.000
get me wrong, and they're good as contraception. We know

350
00:18:57.079 --> 00:19:01.119
that they're effective because they stop ovulation. But let's think

351
00:19:01.279 --> 00:19:04.480
two things. Really, if you stop ovulation, you're stopping your

352
00:19:04.480 --> 00:19:07.599
own hormones, aren't you. You're giving yourself a chemical menopause

353
00:19:07.680 --> 00:19:12.240
because those own hormones will go because you're not having ovulation, right,

354
00:19:12.400 --> 00:19:16.279
So the contraceptors will stop your own hormones working. But

355
00:19:16.319 --> 00:19:20.519
they're also they're chemicals. They've been chemically altered, so they're

356
00:19:20.519 --> 00:19:23.119
not going to have the effects of beneficial effects to

357
00:19:23.240 --> 00:19:25.039
our health in the same way. And we know that

358
00:19:25.079 --> 00:19:27.319
because there are risks, and they're small risks, but they're

359
00:19:27.319 --> 00:19:30.200
still there. So we know the contraceptors have a risk

360
00:19:30.240 --> 00:19:33.880
of clot and stroke and heart attacks and breast cancer,

361
00:19:33.960 --> 00:19:37.440
but it's small. But that's where I feel that we

362
00:19:37.480 --> 00:19:40.880
should be educating people. You know, I've got three daughters,

363
00:19:41.720 --> 00:19:45.519
and my oldest daughter takes hormones, but she takes natural

364
00:19:45.519 --> 00:19:48.640
hormones because she has PMDD, so she has a drop

365
00:19:48.680 --> 00:19:53.759
in her mood before her periods, so she has transdermally

366
00:19:53.799 --> 00:19:58.559
stera dial. She has, you know, natural hormones and natural progesterone,

367
00:19:58.880 --> 00:20:01.960
and that's fine because it's her choice. She uses different

368
00:20:02.240 --> 00:20:06.519
type of contraception, but somehow it's like it's not just

369
00:20:06.559 --> 00:20:10.440
for contraception that you know, contraception is given. And I

370
00:20:10.440 --> 00:20:13.400
did a podcast with my twenty year old daughter Sophie

371
00:20:13.400 --> 00:20:15.559
talking about it, and she's saying, yeah, I mean people

372
00:20:15.640 --> 00:20:18.759
just got on birth control to control their hormones, but

373
00:20:19.039 --> 00:20:22.079
often then they feel really flat and joy us and

374
00:20:22.119 --> 00:20:24.880
then they're given antidepressants, and then they put on weight

375
00:20:24.960 --> 00:20:28.079
and then they're not exercising. And you know, we know

376
00:20:28.119 --> 00:20:31.319
there's a mental health crisis out there, and how much

377
00:20:31.440 --> 00:20:34.359
is related to women being having this sort of chemical

378
00:20:34.359 --> 00:20:38.240
menopause from their contraceptives. Yeah, No, one's really thinking about

379
00:20:38.279 --> 00:20:39.039
it in the same way.

380
00:20:39.400 --> 00:20:42.319
If we can't get a lot of gps out there

381
00:20:42.440 --> 00:20:46.400
to be willing to prescribe bio identical hormones for women

382
00:20:46.400 --> 00:20:48.960
in menopause, how likely are we to get them to

383
00:20:49.000 --> 00:20:51.680
prescribe and for younger women for PMDD.

384
00:20:52.039 --> 00:20:55.680
Yeah, it's really hard. I've got a patient who's twenty

385
00:20:55.759 --> 00:20:59.079
six and she's had really bad PMDD for many years.

386
00:20:59.119 --> 00:21:02.240
She's house band for three days a month because she

387
00:21:02.480 --> 00:21:04.880
has really dark, deep thoughts. She can't go to work,

388
00:21:05.880 --> 00:21:08.960
and she'd tried different contraceptives, it hadn't worked for her.

389
00:21:09.119 --> 00:21:12.000
She was even given a lanzapine by a psychiatrist, which

390
00:21:12.000 --> 00:21:16.599
is heavy duty medication, and that made her feel dreadful.

391
00:21:16.680 --> 00:21:19.200
She was too scared to tell the psychiatrist she'd stop,

392
00:21:19.200 --> 00:21:22.519
but she did. And anyway, I saw her and I

393
00:21:22.559 --> 00:21:26.160
just gave us some progesterone, some natural body identical progesterone,

394
00:21:26.200 --> 00:21:29.119
just for those three or four days a month. And

395
00:21:29.680 --> 00:21:31.720
she came back after three months and said, wow, I

396
00:21:31.720 --> 00:21:33.880
didn't even know it was legal to feel this good.

397
00:21:33.920 --> 00:21:35.640
And she said, I've gone back to work, you know,

398
00:21:35.680 --> 00:21:37.880
I feel great. So I said, oh, can you get

399
00:21:37.920 --> 00:21:39.799
it from your GP now, because you don't really want

400
00:21:39.799 --> 00:21:42.039
to come and pay for it for me? And she

401
00:21:42.079 --> 00:21:43.920
said now. I went to my GP and they said, no,

402
00:21:44.000 --> 00:21:47.960
we can't, but we can give you an other synthetic hormones.

403
00:21:48.640 --> 00:21:51.880
And that's really sad because this isn't expensive medicine. It's

404
00:21:51.960 --> 00:21:56.079
very simplistic medicine actually, and it's transforming her life. And

405
00:21:56.119 --> 00:21:58.359
it makes sense because all I'm doing is topping up

406
00:21:58.400 --> 00:22:01.240
you know that graph where the gesture and goes down.

407
00:22:02.440 --> 00:22:04.440
So but when I've spoken to some of my friends,

408
00:22:04.440 --> 00:22:07.519
I was speaking to a GP colleague last week, telling

409
00:22:07.599 --> 00:22:09.599
him about the synthetic and he was like, oh, Louis,

410
00:22:09.640 --> 00:22:12.680
you've lost me. Now I don't understand, and I'm like, well,

411
00:22:12.680 --> 00:22:15.559
it's not difficult. My fourteen year old understands.

412
00:22:15.680 --> 00:22:15.880
You know.

413
00:22:15.920 --> 00:22:20.160
It's basic chemistry really, but it's it's hard because you know,

414
00:22:20.200 --> 00:22:22.759
once you told something, it must be hard. When they

415
00:22:22.839 --> 00:22:25.920
realized the earth was round and kind of convert people,

416
00:22:26.000 --> 00:22:27.680
you know, and it feels a bit like that.

417
00:22:28.039 --> 00:22:30.559
Yeah, yeah, yeah, I just want to quickly share with you.

418
00:22:30.640 --> 00:22:32.559
So a friend of mine who is also Australian, but

419
00:22:32.599 --> 00:22:36.319
she lives in London, so she listens to your podcast.

420
00:22:36.319 --> 00:22:39.000
You know, she's seen your information. So she twigged that

421
00:22:39.359 --> 00:22:41.519
her issues were probably to do with hormae. She was

422
00:22:41.559 --> 00:22:44.400
having anxiety, she was having panic attacks that she'd never

423
00:22:44.400 --> 00:22:46.319
had before, and so she sort, I'll go back and

424
00:22:46.319 --> 00:22:48.799
see my GP in Australia because you know, she's more

425
00:22:48.799 --> 00:22:52.200
comfortable with her own medical kind of system. And she

426
00:22:52.240 --> 00:22:56.839
saw the GP and said she asked specifically for estradele

427
00:22:57.119 --> 00:23:01.640
and the natural progester, and the GP said no, that

428
00:23:01.799 --> 00:23:04.480
she would be putting her. She recommended that she would

429
00:23:04.519 --> 00:23:07.400
go on to some anti anxiety medication or some SSRI

430
00:23:07.559 --> 00:23:10.359
or something. So my friend stood her ground and said, no,

431
00:23:10.480 --> 00:23:12.720
I really want to take the hormones. And so then

432
00:23:12.920 --> 00:23:15.759
the GP said, I'm going to put you on the pill.

433
00:23:17.559 --> 00:23:21.000
I don't know why, but so to her credit, she

434
00:23:21.039 --> 00:23:24.799
stood her ground and eventually the GP prescribed what she

435
00:23:24.839 --> 00:23:28.440
asked for. And she said, to me, the most infuriating

436
00:23:28.480 --> 00:23:32.240
thing was while the GP's like tapping away at the prescription,

437
00:23:32.599 --> 00:23:34.440
she happened to say in passing, oh this is what

438
00:23:34.480 --> 00:23:37.599
I'm on. Oh no, the GP said, this is what

439
00:23:37.640 --> 00:23:37.960
I'm on.

440
00:23:38.559 --> 00:23:40.599
So why couldn't she give it? But for some.

441
00:23:40.519 --> 00:23:43.039
Reason went through all of this rigmarole before she would

442
00:23:43.039 --> 00:23:47.640
prescribe it for my friend anyway, I'm conscious of the time.

443
00:23:47.680 --> 00:23:49.400
But she had some other questions actual because she said

444
00:23:49.440 --> 00:23:51.559
she was told she got the eustrade. But she said

445
00:23:51.759 --> 00:23:53.799
she was told because she has anxiety, that she should

446
00:23:53.799 --> 00:23:56.160
take continuous progester and she should take it all through

447
00:23:56.200 --> 00:23:58.079
the month, or as some women are told to take

448
00:23:58.079 --> 00:24:00.960
it half the month, and she was told to take

449
00:24:00.960 --> 00:24:02.880
it until two days before her period. But her periods

450
00:24:02.880 --> 00:24:05.000
aren't that regular, so she's all confused about well, hell,

451
00:24:05.920 --> 00:24:08.799
and so she was wanting to know, like, yeah, it

452
00:24:08.880 --> 00:24:10.559
should she be taking it all month? Is there a

453
00:24:10.640 --> 00:24:13.480
risk if she doesn't stop it two days before her period.

454
00:24:13.319 --> 00:24:17.200
No, so when we start HRT if people are still

455
00:24:17.240 --> 00:24:19.799
having their periods. We often recommend the progesterone for two

456
00:24:19.880 --> 00:24:24.720
out of four weeks, just because the womb can respond

457
00:24:24.759 --> 00:24:28.000
to changing hormone levels, and when people are perimenopause or

458
00:24:28.000 --> 00:24:31.480
they've got their endogenous their internal hormones as well, so

459
00:24:31.519 --> 00:24:35.480
it just makes it's just easier. So hopefully bleeding becomes

460
00:24:35.519 --> 00:24:37.880
more regular when people take it for two out of

461
00:24:38.000 --> 00:24:42.039
four weeks, but quite quickly. I usually convert people to

462
00:24:42.119 --> 00:24:45.319
one at night for two reasons. Firstly, because most of

463
00:24:45.400 --> 00:24:47.400
us don't really want to have periods. There's a few

464
00:24:47.440 --> 00:24:49.359
women that like periods, but most of us just go,

465
00:24:49.440 --> 00:24:51.039
do you know what. The sooner they go, the better.

466
00:24:51.799 --> 00:24:54.480
But secondly, our body is like everything the same, and

467
00:24:54.519 --> 00:24:56.480
a lot of women say they, you know, they feel

468
00:24:56.519 --> 00:24:58.440
different on the two weeks on and two weeks off,

469
00:24:58.440 --> 00:25:01.599
and it's harder to remember, So just taking one at

470
00:25:01.680 --> 00:25:04.680
night is easier. So often people then change after a

471
00:25:04.680 --> 00:25:07.839
few months. If then they get troublesome bleeding, then I'll

472
00:25:07.880 --> 00:25:11.160
say we'll go back to the two out of you know,

473
00:25:11.240 --> 00:25:13.720
four weeks for a few more months. Until your own

474
00:25:13.720 --> 00:25:16.359
bodies hormones sort of calm down a bit, and then

475
00:25:16.400 --> 00:25:19.319
you might find it easier. So there isn't any sort

476
00:25:19.319 --> 00:25:22.839
of big scientific reason why they can't have why women

477
00:25:22.880 --> 00:25:24.440
can't have one every night?

478
00:25:24.799 --> 00:25:25.680
Right, good to know.

479
00:25:25.880 --> 00:25:28.119
Yeah, and she thanks you for your work. Thank you.

480
00:25:28.240 --> 00:25:30.960
And the other question that I got from somebody that

481
00:25:31.000 --> 00:25:36.440
I know was in normal cycles menstrual cycles, women who

482
00:25:36.480 --> 00:25:39.839
experience PMSPMDD for example, it's often cyclical, like a certain

483
00:25:39.880 --> 00:25:43.160
times of the month with perimenopause and the symptoms we

484
00:25:43.240 --> 00:25:46.759
experience with that. Is there any cycle called nature to

485
00:25:46.799 --> 00:25:51.359
that or is it just pretty much completely Yes, that's

486
00:25:51.400 --> 00:25:51.839
what I thought.

487
00:25:51.839 --> 00:25:56.400
But some people have had PMDD. You know, the symptoms

488
00:25:56.400 --> 00:25:59.599
are very similar, and they do often get worse before

489
00:25:59.640 --> 00:26:02.480
a peer, but periods can be quite chaostic, or they

490
00:26:02.559 --> 00:26:05.880
might not be happening. So often people find their symptoms

491
00:26:05.880 --> 00:26:09.400
are worse and last for longer. But they're very similar

492
00:26:09.720 --> 00:26:13.039
in nature. But you know a lot of people, doctors

493
00:26:13.039 --> 00:26:16.480
and women spend a lot of time thinking is it PMDD,

494
00:26:16.680 --> 00:26:19.319
is it perimenopause? What is it like? It doesn't matter

495
00:26:19.359 --> 00:26:22.319
the label. The thing is it's related to changing hormones

496
00:26:22.440 --> 00:26:24.519
and having those hormones back at the right dose and

497
00:26:24.599 --> 00:26:25.880
type can make a big difference.

498
00:26:26.240 --> 00:26:28.519
And last question, what advice do you have for women who,

499
00:26:28.640 --> 00:26:32.400
like my friend, get resistance from a GP. When they

500
00:26:32.480 --> 00:26:34.000
go in, they know what they want, they ask for it.

501
00:26:34.079 --> 00:26:37.279
How do you suggest that they advocate for themselves.

502
00:26:37.720 --> 00:26:40.400
I think if it's really you're not winning, just go

503
00:26:40.480 --> 00:26:42.960
and see someone else, because I think it's so hard.

504
00:26:43.279 --> 00:26:46.400
But the other thing is thinking about saying to the

505
00:26:46.440 --> 00:26:49.680
doctor they are risks in my future house of me

506
00:26:49.799 --> 00:26:53.920
not having these hormones, and I'm a patient advocating for myself.

507
00:26:54.920 --> 00:26:58.160
Can you just maybe document why you're refusing or maybe

508
00:26:58.200 --> 00:27:02.160
write down the reasons for your refuse because all guidelines

509
00:27:02.200 --> 00:27:05.319
in the UK globally say that hormones should be given

510
00:27:05.400 --> 00:27:07.920
first line, So I would just sort of spin it

511
00:27:07.960 --> 00:27:10.279
and say, you know, could you just explain to me

512
00:27:10.319 --> 00:27:12.720
the reason. So now, if your friend's being given or

513
00:27:12.759 --> 00:27:17.240
offered an antidepressant, there are risks with antidepressants, so you

514
00:27:17.279 --> 00:27:21.200
know it's it's difficult, but I think just maybe challenge

515
00:27:21.200 --> 00:27:23.720
a little bit in a nice way. If you're not

516
00:27:23.759 --> 00:27:25.680
getting anywhere, just don't waste that person's the time and

517
00:27:25.720 --> 00:27:26.640
go and see someone else.

518
00:27:26.839 --> 00:27:30.960
Yeah, Louise, I really appreciate the work that you have done.

519
00:27:30.960 --> 00:27:34.200
You've educated me, You've educated so many people. The feedback

520
00:27:34.400 --> 00:27:37.039
is obviously it's phenomenal, and I know you get pushed

521
00:27:37.079 --> 00:27:39.559
back and you get some criticism from certain corners, but

522
00:27:40.279 --> 00:27:42.640
I really appreciate that you continue to do the work

523
00:27:42.680 --> 00:27:43.119
that you do.

524
00:27:43.359 --> 00:27:45.200
Oh, thank you very much. Thank you.

525
00:27:48.759 --> 00:27:51.640
Crabby to Haby is created and produced by me Castan.

526
00:27:51.799 --> 00:27:53.839
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00:28:04.799 --> 00:28:07.319
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