Perimenopause and Hormone Replacement with Dr. Alison Shea

The Hole Shebang

In this conversation, Dr. Alison Shea discusses her journey in women's health, focusing on menopause and hormone replacement therapy. She explains the hormonal changes that occur during perimenopause, the impact of lifestyle on hormonal health, and the importance of addressing vaginal health and sexual function. Dr. Shea also clarifies misconceptions about starting hormone therapy and highlights emerging research on hormones and brain health. Additionally, she introduces new treatments for menopausal symptoms and emphasizes the need for individualized care in managing menopause. Takeaways

• Dr. Shea's background in neuroscience and women's health informs her approach to menopause.
• Hormonal fluctuations during perimenopause can significantly affect mood and cognition.
• Lifestyle changes, such as optimizing sleep and exercise, can improve hormonal health.
• Hormone replacement therapy is safe for most women when started at the right time.
• Vaginal dryness and discomfort can be effectively treated with local estrogen or DHEA.
• Understanding the role of estrogen and progesterone is crucial for managing menopause symptoms.
• Many misconceptions exist about when to start hormone therapy.
• New non-hormonal treatments for menopausal symptoms are emerging.
• Research is ongoing regarding the neuroprotective effects of hormone therapy.
• Empowering women through education and advocacy is essential for improving women's health.

Chapters 00:00 Introduction to Menopause and Hormone Replacement Therapy 03:00 Dr. Alison Shea's Journey in Women's Health 05:56 Understanding Hormonal Changes in Perimenopause 08:45 Impact of Lifestyle on Hormonal Health 11:49 Exploring Hormone Replacement Therapy 15:11 Addressing Vaginal Health and Sexual Function 18:08 The Role of Estrogen and Progesterone 20:55 Misconceptions About Starting Hormone Therapy 23:59 Navigating Hormone Therapy with Existing Conditions 27:09 Emerging Research on Hormones and Brain Health 30:07 New Treatments for Menopausal Symptoms 32:55 Future Directions in Menopause Research