The Dr Louise Newson Podcast

153 - Learning how to prescribe HRT as a GP trainee with Dr Thulasi Naveenan

In this episode, Dr Thulasi Naveenan talks to Dr Louise Newson about her experiences as a 3^rd year GP trainee working in a central Manchester practice and learning on the job when it comes to HRT prescribing. The conversation covers working with patients from different cultures and with interpreters or family members, challenging misinformation, health risks after menopause and gender differences, and introducing the topic of hormones at 40-year health checks. Thulasi gives an honest and reflective account of what she has learnt about women’s health and hormones in her last 7 years of practising as a doctor.

Thulasi’s advice to clinicians learning about menopause:

1. Always have hormones in the back of your mind and there is no younger age limit cut off. Don’t be afraid to ask patients about their periods, vaginas and symptoms.
2. Don’t be afraid to ask about what you don’t know, use resources like the balance app and NHMS to find out more information. Find your local expert and seek out their knowledge and experience.
3. If you’re ‘junior’, don’t be afraid to challenge more senior clinicians – they may not be as up-to-date on the latest practice.

You can follow Dr Thulasi Naveenan on Instagram at @tnaveenan and on Twitter at @ThulasiNaveenan

 

Since the recording of this podcast, there has been further discussions with Cancer Research UK.

152 - Irritable bowel, bloating and digestive health with The Gut Experts

Consultant Gastroenterologist Professor Barbara Ryan and Clinical Dietitian Elaine McGowan are The Gut Experts, passionate about digestive health and helping women with debilitating bloating and irritable bowel symptoms.

In this episode, the experts discuss why more women are troubled by gut related symptoms compared to men, how gut and bowel problems have a very real impact on women’s lives, and why eating the right type, amount and variety of foods is so important for your gut health and overall wellbeing. The Gut Experts also talk about their new book written for women of all reproductive ages experiencing gut and bowel related symptoms.

Barbara’s tips for improving your future digestive health:

1. If you’re having digestive symptoms seek a correct diagnosis rather than self-diagnosing
2. Don’t look at your gut and digestive health in isolation, take a whole-body approach. Remember TEAMS: Total gut and body health, Exercise, Alcohol (reduce/cut out), Mental health, S

Elaine’s tips for improving your diet:

1. Fibre is a superfood for your gut microbiome – find the right amount of fibre intake for your own gut as everyone is different
2. Variety and diversity of foods is crucial, eat the rainbow, following a Mediterranean style diet.

Visit the Gut Experts website at https://thegutexperts.com/

The Gut Experts book, ‘What every woman needs to know about her gut’, contains solutions for bloating, IBS, and digestive symptoms and is out now, published by Sheldon Press.

Follow Barbara and Elaine on instagram @thegutexperts

151 - Unpicking UTIs and the role of hormones with Dr Rajvinder Khasriya

Dr Rajvinder Khasriya is a urogynaecologist who leads the Lower Urinary Tract Symptoms clinic at the NHS Whittington Hospital in North London, and is also involved in research work at University College London.

In this episode, the experts discuss urinary tract infections (UTIs) and the role a lack of hormones play in their occurrence and ongoing recurrence. Dr Khasriya explains how common and debilitating UTIs can be for women in the peri/menopause, why traditional methods of testing and treatment are often unsuccessful, and she outlines the benefits of using vaginal hormonal treatments as part of a holistic approach for managing UTIs.

Dr Khasriya’s tips for women with UTIs:

1. As always, do your own research and find patient groups for support and information.
2. Understand all the factors that can contribute to UTIs such as weight gain, your general health, your diet and stress levels, as these are also important.
3. Be generous when using your vaginal estrogen, it is completely safe to use and in the long term.
4. Trust yourself, you know your body best.

The patient groups:

Embedded/Chronic UTI Support Group

Do you suffer from reoccurring UTIs? Many of us have been previously incorrectly diagnosed with Interstitial Cystitis (IC) and have come to learn our condition is actually an embedded or chronic UTI...

Home - CUTIC

1 in 3. women will have a UTI by the age of 24 1. 90%. of chronic urinary tract infections are missed by the standard MSU culture test 2. 70%. the risk of recurrence within a year 3.

Bladder Health UK

Women asked if bladder drug should be available to buy. A pill to help treat an overactive bladder - which affects millions of women - could soon be available to buy in the UK without prescription.

150 - The effects of trauma, gender bias and the peri/menopause with Dr Jan Smith

Dr Jan Smith is a chartered psychologist, executive coach, author, campaigner and the director of Healthy You Ltd. She has over 15 years’ experience providing psychological support to those affected by injury and clinical negligence. In 2014, Jan developed a birth trauma service and campaigns to improve safety in maternity services for families and staff and provides training in the UK and internationally to maternity students and healthcare professionals on birth trauma and its impact.

In this episode, Jan describes to Dr Louise Newson how women can feel after a difficult birth or medical experience, and how trauma related emotions can resurface many years later at peri/menopause when psychological and genitourinary changes occur, often affecting relationships and intimacy.

Jan’s 3 pieces of advice:

1. If you had a difficult birth or healthcare related experience that affects how you feel about your genitals and intimacy, it is never too late to get help, even if it is years down the line.
2. Workplaces need to view women’s health as a continuum, not separate stand-alone events like pregnancy or menopause.
3. Think about ‘reaching in’ to help other women going through it – to listen, to validate and let them know they are heard and seen. This can be hugely beneficial for everyone’s mental health.

For more about Jan and Healthy You, visit https://healthyyoultd.co.uk/

149 - What I have learnt since falling in love with menopause care with Dr Abbie Laing

In this episode, Dr Louise Newson speaks to Dr Abbie Laing about why she now specialises in menopause care and what she has learnt through her research and writing on the subject. Together the experts discuss clinical hot topics where misinformation and misunderstandings are rife such as what the evidence shows about the risk of clots and breast cancer with HRT, and treating symptoms of genitourinary syndrome of menopause (GSM) with vaginal estrogen.

Abbie’s 3 tips for women with symptoms of GSM:

1. Seek help early and use vaginal estrogen; persist with treatment options if the first one doesn’t suit you. The benefits are huge, and treatment should be long term.
2. If you have recurrent UTIs, consider vaginal estrogen treatments .
3. For elderly, frail, or very busy women, the vaginal estrogen ring (Estring) is a very effective and safe option.
4. Vaginal estrogen treatments are very safe and do not have any associated risks, including for people who have had cancer.

To access the treatment pathways discussed in this episode, become an associate of the Newson Health Menopause Society at www.nhmenopausesociety.org

For more information on any of the treatments discussed, visit the balance website at www.balance-menopause.com

148 - Plant-based living with Happy Pear’s Dave and Steve Flynn

In 2004, Dave and Steve Flynn started a fruit and veg shop, with the aim to create a happier, healthier world. The Happy Pear now has vegan food products in nearly 1,000 stores in Ireland, 2 cafes and a farm, and their five cookbooks have all been no.1 bestsellers. The Happy Pear online health and lifestyle courses – in which they partnered with plant-based experts from across the globe – have helped over 50,000 people from 120 different countries.

In this episode, Dr Louise Newson chats with Dave and Steve about how they came to realise in their early 20’s that eating plant-based and whole foods would transform their own lives and those in their community. The lads energetically describe the different ways in which they have helped others turn their lives around, reduce risk of heart disease, feel happier and lose weight.

Dave and Steve’s 3 tips to improve your diet and future health:

1. Try to eat more whole foods, if you don’t like many vegetables, start with fruit.
2. Be more intentional about your food choices
3. Find your community, create an environment around you that will support you to make healthy choices.

For more information about the Happy Pear cookbooks and lifestyle courses, visit https://thehappypear.ie/

147 - Changing minds about food and diets with Dr Robert Lustig

Dr Robert Lustig is Professor emeritus of Pediatrics at the University of California, San Francisco. He specialises in the field of neuroendocrinology and his research and clinical practice focuses on childhood obesity and diabetes. Dr Lustig has led a global discussion of metabolic health and nutrition, exposing some of the leading myths that underlie the current problem of diet-related disease. He is the author of several books including the books Fat Chance and Metabolical: The truth about processed food and how it poisons people and the planet.

In this episode, Dr Lustig talks to Dr Louise Newson about the influence of sugar, fats, and processed foods on our brains and health, changing minds of the public and health professionals and challenging the food industry. And – just as with changing public perception of HRT – challenging misconceptions about sugar and processed food starts with education.

Dr Lustig’s 3 tips to improve your diet:

1. Yoghurt is good but make sure it doesn’t have any added sugar
2. Juice is not healthy. Fruit is healthy and has fibre which is the good part. It’s food for your microbiome.
3. Trans fats are not good for you at all, try and avoid them at all costs including watching what oils you cook with.

Dr Lustig’s website is https://robertlustig.com/ and you can find out more about all his books here.

146 - Helping others feel less alone with POI with Ava Vanderstarren

Ava Vanderstarren is a performing artist, actor and public speaker. She is the co-author of Blossom Living With Premature Ovarian Insufficiency / Early Menopause Journal and is the co-founder of the charity Innocence Lost Foundation. She has over 10 years lived experience of POI & mental health maintenance.

In this episode, Ava discusses her experiences of her POI diagnosis when she was 17 and how confused and isolated she felt at the time. Ava has co-authored a supportive journal for young people to help readers through diagnosis of POI or early menopause and to provide clear information and help them feel less alone.

Ava’s 3 tips:

1. Advocate for yourself, even though its frustrating and exhausting
2. Remember self-care and your own health come first
3. Don’t underestimate the impact of hormones on your physical and mental health

For more about the Blossom Living with POI / EM Journal: https://amzn.to/3HZx4Cr

 

Connect with Ava on social media:

Instagram & TikTok: @avavanderstarren

Twitter: @AVAnderstarren

YouTube & Facebook: Ava Vanderstarren

Ava’s professional website: http://www.avavanderstarren.com/

Ava’s charity working with child soldiers in Sierra Leone https://innocencelostfoundation.com/  

145 - Raising awareness of endometriosis and surgical menopause with Vicki Shattock

Vicki is 39 years and has struggled with heavy periods and related pain since she was 10 years old. She was eventually diagnosed with endometriosis at 22 but continued to suffer with severe pain, heavy bleeding and UTIs, despite treatments and multiple surgical interventions. As a last attempt to be pain free, Vicki chose to have a hysterectomy when she was 35. Even though her ovaries were not removed, she realised she was entering menopause after the operation when she began having night sweats, insomnia, anxiety and very dry hair and skin. The ‘cure’ Vicki was hoping for didn’t materialise – another battle just began instead, as it took 18 months to access the treatment she now needed for her menopause.

Vicki shares some of the struggles younger women have when trying to get help for endometriosis and/or a surgical or early menopause, and reflects on the decision she made and the lack of information provided to her at the time. Dr Louise Newson advises women in this situation to speak with their doctor about the likelihood of surgery triggering menopause and to find out about the symptoms and benefits of HRT in advance, so you are prepared.

Vicki’s tips if you have, or think you have, endometriosis:

1. Do your own research and be your own advocate, push for answers
2. Keep pushing your GP, make them listen to you, show them your pain diary and take someone with you who sees you when you have pain
3. Learn as much as you can about endometriosis; treatments are not just surgical, there’s exercise, diet, physiotherapy, and others
4. Understand that hysterectomy isn’t a cure for endometriosis but if it is the right decision for you, learn about the menopause and benefits of HRT in advance.

You can read more about Vicki’s experience here and follow her on Instagram

Vicki helped contribute to the booklet, ‘Endometriosis and You’

For more about endometriosis, visit Endometriosis UK

144 - ZOE’s co-founder, Jonathan Wolf, on the future of nutrition science

Jonathan Wolf is the CEO and co-founder of ZOE, a health technology company that focusses on personalised nutrition. ZOE runs the world’s largest nutrition science study with universities such as Harvard and King's College London, investigating the gut microbiome and how nutrition can improve overall health and wellbeing. During the COVID pandemic, their valuable technology was utilised to help scientists understand more about the virus. The COVID-19 symptom study app was designed at record speed and had a million users within 24 hours of launch.

Dr Louise Newson speaks with Jonathan about the latest understanding of how the gut microbiome affects our health and weight, how much our genes our to blame (or thank) for our body shape, and about ZOE’s latest study into the menopause and metabolic responses, nutrition and the microbiome.

For more information on ZOE’s research and products, visit https://joinzoe.com/

The podcast mentioned and hosted by Jonathan is ‘ZOE Science and Nutrition’.