The Dr Louise Newson Podcast

168 - The facts and fiction about menopausal skin with Dr Sajjad Rajpar

Dermatologist, Dr Sajjad Rajpar makes his third visit to the podcast this week to separate the facts from the fiction about skin changes in perimenopause and menopause and debunk some of the messaging around recent skin products marketed for menopause.

Dr Rajpar explains the importance of estrogen for skin and how HRT can prevent and heal damage to skin tissue such as leg ulcers, for example. The experts discuss the negative impact of skin product marketing on initially younger women and now menopausal women, and unpick some perceptions about what a ‘menopausal’ face cream will and won’t do for your skin.

Dr Rajpar’s three tips for problematic skin:

1. For dry and irritable skin, avoid foaming and detergent based cleansers and use very gentle cleansing products or even a moisturising lotion to wash with. They may not lather or bubble but they do adequately remove dirt from your skin.
2. Use a good moisturiser once or twice a day, consider a lotion in the day as it is lighter and use a cream at night.
3. There are creams containing active ingredients that don’t have to rob the bank. Look for ingredients like retinol, vitamin C, and sunscreen.

You can visit Dr Rajpar’s website here www.midlandskin.co.uk and follow him on social media @dr.rajpar_dermatologist on Instagram.

167 - The benefits of yoga (revisited) with Lucy Holtom

This week offers a chance to revisit a previous podcast conversation – or perhaps hear it for the first time. Lucy Holtom is an experienced Ashtanga yoga practitioner who has a particular passion for helping with women throughout all cycles of life whether it’s to help manage the fluctuation of hormones during menstruation, postnatal recovery, or perimenopause and postmenopause.  In this episode, Lucy and Louise discuss the different types of yoga, individual practices and the benefits they can bring. Lucy explains how her interest and experience in well woman yoga evolved and how she supports women in the perimenopause and menopause.

Lucy’s 3 tips for those interested in trying yoga for the first time:

1. If you want to try a class, look for recommendations from others and chat to different teachers to find what’s right for you.
2. Wear comfortable clothing – you don’t need to spend money on new yoga outfits, just wear whatever you can move freely in.
3. Go with an open mind and enjoy!

Visit Lucy’s website at www.livingyouryoga.co.uk

Follow Lucy on Instagram @xxlivingyouryogaxx

This podcast episode was first released in October 2019

166 - Researching suicide in perimenopause and menopause with Dr Pooja Saini

Advisory: we would like to apologise for the sound quality in this episode, which was due to technical issues experienced during recording.

Dr Pooja Saini is a Chartered Psychologist and Reader in suicide and self-harm prevention based at Liverpool John Moores University. Her work has a particular focus in suicide prevention in primary care and developing community-based interventions for high-risk groups.

Since connecting, Louise and Pooja have been discussing the impact of perimenopause and menopause on mood, mental health and suicide and the many research gaps and unanswered questions in this space. In this episode, Pooja explains more about what is known and unknown regarding the effect of hormones on suicidal thoughts and outlines the research plan for a PhD funded by Newson Health Research and Education.

Pooja’s tips for those with suicidal thoughts:

1. Early intervention is key; seek help as soon as you feel you are not yourself
2. Change your habits to do more of what you really enjoy
3. Talk to your loved ones, family and friends. Don’t try and hide or mask it.

If you need support, you can call the Samaritans on 116 123 for free from any phone or email them at jo@samaritans.org

Pooja's Social Channels

Twitter

Work Website

Reference for BMJ article discussed:

McCarthy M, Saini P, Nathan R, McIntyre J. Improve coding practices for patients in suicidal crisis. BMJ. 2021 Oct 15;375:n2480. doi: 10.1136/bmj.n2480. PMID: 34654729.

165 - When menopausal symptoms persist, with Dr Anna Chiles

Dr Anna Chiles is a GP and works in an NHS practice in Gloucestershire and at Newson Health as a menopause specialist. In this episode, the experts discuss the range of symptoms that can occur in the perimenopause and menopause and the impact of these on daily life, and they highlight what can be done for women when symptoms persist for many years.

Anna’s 3 tips for women who have struggled with symptoms for many years:

1. It’s never too late to start HRT and have that discussion with your health practitioner. If you choose to try it, you don’t have to continue with it if you don’t like it.
2. You don’t have to stop taking HRT when you reach a certain age
3. It’s so important to keep active, for your independence, your balance, joints, and muscle strength. This goes hand in hand with hormone replacement.

164 - When ADHD collides with perimenopause with Margaret Reed Roberts

Margaret Reed Roberts is an experienced social worker and educator who noticed a change in how she felt in her late 40s. Along with more obvious symptoms of perimenopause, such as hot flushes and migraines, there came a deterioration in her cognition – she struggled to initiate, plan and complete daily tasks and the mental load became unmanageable. A friend suggested there may be more than perimenopause going on and questioned if Margaret was neurodivergent.

In this honest and insightful conversation, Margaret shares of the ‘relief and grief’ of being diagnosed with ADHD as an adult and the impact she now understands ADHD has on her daily activity, home life and relationships.

Margaret’s three tips for those who have ADHD or think they might have it:

(provided after the conversation)

1. Be informed. Knowledge is a game changer. You feel more confident when you understand and are better able to advocate for yourself. Challenge others where necessary, using your acquired knowledge and pass that information on.
2. Don’t be alone; join support groups, talk to empathetic friends and family.
3. Tell your story. You and your story are valuable, not everyone will listen or care, but the more we talk, the more we break taboos and stigma.

Follow Margaret on Facebook

Twitter: @geordiereed

163 - When night sweats are not the menopause with Dr Susanna Crowe

Susie Crowe is a consultant obstetrician and gynaecologist who is passionate about advocating for and empowering women to understand their bodies and supporting them to make choices about their medical care and their lifestyle.

In the midst of the pandemic, Susie noticed fatigue creeping in and put it down to burnout from her busy job. When she began having night sweats and saw her doctor, the menopause was the initial diagnosis suspected but there were no other symptoms of perimenopause occurring. Susie became more unwell and after months of having normal blood tests, further investigations revealed that she had non-Hodgkin lymphoma – a type of blood cancer. In this episode, the experts discuss women’s experiences of sudden onset menopause after treatments for cancer and the benefits and safety of HRT.

Susie’s advice to healthcare professionals:

1. Listen to your patients as they know their bodies best
2. Have empathy for a women’s menopausal symptoms (as they may be worse than those from the cancer or side effects from treatments) and she may feel very vulnerable
3. Prioritise personalisation and choice by providing the right information and encouraging your patient to make their own decision based on what’s important to them and their life.

Follow Susie on social media:

Twitter @susannacrowe

Instagram @theholisticobgyn

162 - Divorce, perimenopause and menopause with Farhana Shahzady

Farhana is an accredited family law specialist and mediator working with Family Law Partners in London. During her 20-year career, Farhana often noticed an unspoken element at play when helping women through divorce, but it wasn’t until she identified perimenopause within her peer group and those close to her that she appreciated the extent of the problem and was able to professionally decipher the impact of menopause on relationship breakdown. Farhana launched the Family Law Menopause Project to see whether any other colleagues in family law were factoring in this important element  and to raise awareness of perimenopause and menopause when it comes to family cases dealing with divorce, splitting the assets, children issues or domestic abuse.

Farhana’s tips for family lawyers:

1. Listen, enquire, and communicate. Look for cues and don’t be afraid to ask questions
2. If you think a client is experiencing peri/menopausal symptoms affecting their relationships and wellbeing, invite them to see their doctor
3. Factor the menopause into your cases. Pick a family process that suits the client, for example arbitration or mediation, and be sympathetic.

Visit Farhana’s family law practice at www.familylawpartners.co.uk

Follow Farhana on Twitter at @ShahzadyLaw @LawMenopause or lawmenopause on Instagram

161 - Jill’s experience of heart attacks and hormones

Until a few years ago, Jill was in denial about her age, the menopause and what that meant for her future health. She had worked for 30 years as a fitness instructor and sports massage therapist; she was incredibly fit and had never given her heart health a moment’s thought. This abruptly changed in 2021 when Jill had sudden and severe pains in her chest and after some doubt and misdiagnoses by the medical team in A and E, she was found to have had at least one significant heart attack, possibly more. Since then, Jill has had ongoing intermittent chest pain, especially when having hot flushes, and she realised her continued cardiac symptoms were potentially linked to her changing hormones.

Dr Louise Newson explains the link with estrogen deficiency and cardiac symptoms, and the increased risk of heart attacks after menopause. Together they discuss gender bias in heart research, the difficulties diagnosing heart attacks in women, the possible reasons for poorer outcomes compared to men and the cardiovascular benefits of HRT.

Jill’s 3 tips to women if worried about your heart:

1. Listen to your body, you know it best
2. Do your own research, such as balance-menopause.com, Blood Pressure UK, British Heart Foundation websites
3. Have someone with you at appointments, or over the phone if not in person
4. If you know there’s something wrong with your heart, ask for a troponin blood test

You can read Jill’s story here

160 - Thinking hormones in psychiatric consultations with Dr Devika Patel

Dr Devika Patel joins Dr Louise Newson in this episode of the podcast to share how a chance encounter when overhearing an educational webinar on the menopause was a light bulb moment for her practice as a psychiatrist. Devika takes us through her journey of how this knowledge from learning about menopause has transformed the psychiatric care she now offers to her patients.

Devika’s 3 tips for those with mental health challenges who are in perimenopause/menopause:

1. Don’t forget the important lifestyle changes (healthy diet, exercise, reduce stress, improve sleep and have meaningful connections with others) apply to mental health just as they do with menopause.
2. When seeking help, go with your own data to your healthcare appointment. Track your moods with your cycle and really make any links clear to your clinician.
3. If you don’t feel your healthcare professional is the right match for you, see someone else and advocate for yourself.

Website/socials details – Instagram @drdevikapatel Twitter @drdevikapatel

Podcast: “Our Extraordinary Stories with Dr Devika Patel”

159 - Raising awareness of HRT in the community in Ireland with Pharmacist, Victoria Jones

Victoria Jones is a community pharmacist at Bonnybrook Pharmacy in Coolock, Dublin. She received very little education on the menopause when training and became more interested in hormone health after her sister experienced severe symptoms at 40 and began taking HRT. The dramatic return of her sister’s health and wellbeing prompted Victoria to move away from running a chain of pharmacies to set up her own independent pharmacy with a focus on women’s health. When Victoria experienced her own perimenopause and she saw the profound benefits of HRT for herself, her passion escalated and Victoria now takes a very active role in raising awareness in her community with the public and local healthcare professionals, and in educating others through her social media.

Victoria’s advice to women:

1. Ask your pharmacist if they’ve done any training on the menopause and if not, mention the resources available such as on balance website and the Confidence in the Menopause course on fourteenfish.com. Find the right pharmacist for you.
2. Don’t be fobbed off by healthcare professionals, if you aren’t listened to the first time, go in more empowered with information the next time. Ask for a specific clinical reason why they will not prescribe HRT, and ask them to write it down for you.
3. Your pharmacist can explain how and when to take your HRT medication if your doctor wasn’t sure, or you didn’t have time to discuss thing fully.
4. Your pharmacist can also help with information on improving health through lifestyle measures such as nutrition and exercise.

Victoria’s pharmacy website is www.BonnybrookPharmacy.ie

Follow Victoria on Instagram and Facebook @The_menopause_pharmacist