PODCAST · health
MenopauseWize: Navigating Through Menopause with Knowledge and Wisdom
by Sukhpreet Patel, MD(ObGyn, India), MPH, HCA-RHC™ HCA-RHNC™ (Canada)
Welcome to MenopauseWize, your essential guide to navigating the complexities of menopause and perimenopause with evidence-based facts. Whether you’re a healthcare provider seeking the latest research-based practices or a woman on her menopause journey, this podcast offers valuable insights to empower you with knowledge and confidence. Each episode delves into key topics, from symptom management and lifestyle strategies to hormones and menopausal hormone replacement (MHT), ensuring you’re equipped to make informed decisions. Join us as we explore the wisdom needed for every stage of menopause, helping you or those you care for thrive during this pivotal time.
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29
Sexual Health, Midlife and South Asian Women: Breaking the Silence with Dr. Sadaf Lodhi
Have something to share? Send us a text! Sexual Health, Midlife and South Asian Women: Breaking the SilenceIn this episode of the MenopauseWize Podcast, Dr. Sukhpreet Patel is joined by Dr. Sadaf Lodhi. Dr Lodhi is a board-certified Obstetrician and Gynecologist who has been practicing in New York for over 20 years. Dr. Lodhi’s work is centered around empowering and educating women, with a special focus on sexual health, menopausal care, and intimacy coaching.She currently runs a concierge medical practice serving patients in New York and also provides telehealth care to women in Michigan. While she supports women across all aspects of female health, her clinical passion lies in helping women navigate midlife, sexuality, and hormonal transitions with confidence and clarity.Beyond her clinical practice, Dr. Lodhi is also the host of The Muslim Sex Podcast, where she explores conversations around intimacy and women’s health in culturally nuanced spaces. You can also find her on Instagram at @drsadafobgyn, where she continues to break stigma and educate women about sexual and menopausal health.Sexual health in midlife is rarely discussed openly, and when we add the cultural context of South Asian communities, the silence often becomes even deeper. Many women grow up without language around pleasure, intimacy, or the physical changes that occur during perimenopause and menopause.In this conversation, Dr. Lodhi and Dr. Patel explore how hormonal changes during midlife affect sexual health, including painful intercourse, low libido, and shifts in arousal and pleasure. They also discuss the cultural layers that shape how South Asian women experience and talk about these changes — from normalization of discomfort to hesitation around seeking treatment.The discussion also examines how cultural expectations, communication patterns within marriages, and longstanding beliefs about modesty and duty can influence whether women seek help or simply endure symptoms.Importantly, this episode also highlights that many of these concerns are both common and treatable. From vaginal estrogen and lubricants to pelvic floor therapy and improved communication, there are evidence-based options that can significantly improve comfort and sexual well-being.The episode concludes with practical advice for South Asian women navigating midlife sexuality and reflections on whether the next generation may be entering menopause with a more open understanding of sexual health.This conversation aims to break stigma, provide clarity, and remind women that sexual health is an important part of overall health. Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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Hormone Therapy After Breast Cancer: What Does the Evidence Say with Dr. Corinne Menn
Have something to share? Send us a text! Episode 27: Hormone Therapy After Breast Cancer: What Does the Evidence Say?In Episode 27 of the MenopauseWize Podcast, Dr. Sukhpreet Patel is joined by Dr. Corinne Menn, a board-certified OB-GYN, Menopause Society Certified Practitioner, and a 24-year breast cancer survivor, to explore one of the most complex and emotionally charged topics in menopause care: hormone therapy after breast cancer.For many women, surviving breast cancer is only part of the journey. The very treatments that save lives can abruptly trigger menopause — often with severe hot flashes, sleep disruption, anxiety, sexual pain, vaginal dryness, and profound changes in quality of life. Yet when it comes to hormone therapy, the conversation often ends quickly with a simple and definitive “no.”But is the evidence truly that black and white?In this thoughtful and evidence-based discussion, Dr. Menn helps us unpack:• The difference between ER-positive and ER-negative breast cancer• Why estrogen is intentionally lowered or blocked in certain cancers• How chemotherapy, ovarian suppression, tamoxifen, and aromatase inhibitors induce menopause• The difference between tamoxifen and aromatase inhibitors — and why it matters• The real-world impact of abrupt, treatment-induced menopause• The history behind avoiding systemic hormone therapy• The HABITS and Stockholm trials — what they showed and why their results differed• Whether the safety discussion differs for women on tamoxifen versus aromatase inhibitors• The severity of Genitourinary Syndrome of Menopause in breast cancer survivors• What the evidence says about low-dose vaginal estrogen after breast cancer• How to approach nuanced, individualized risk–benefit discussionsDr. Menn brings both clinical expertise and lived experience to this conversation as a breast cancer survivor and BRCA carrier. Through her telehealth practice and educational platform, she focuses on menopause management and the unique healthcare needs of female cancer survivors and women at high risk for breast cancer.This episode reinforces an essential message: the answer is not simplistic. It depends on receptor status, type of endocrine therapy, timing, symptom severity, and individual risk. Most importantly, it requires informed, shared decision-making.Breast cancer survivors deserve not only longevity — they deserve quality of life.You can follow Dr. Corinne Menn on Instagram at @drmennobgyn, where she shares thoughtful, evidence-based insights on menopause and survivorship care.As always, this episode is for educational purposes only and does not constitute individual medical advice. Please consult your healthcare team for personalized guidance.Join us for this important and nuanced conversation. Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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27
Hormone Therapy and Menopause: Clarifying the Confusion with Dr. Louise Newson
Have something to share? Send us a text! In this powerful episode of the MenopauseWize podcast, we’re joined by one of the most influential voices in the menopause space—Dr. Louise Newson. Based in the UK, Dr. Newson is a physician, women's hormone specialist, and a member of the UK Government’s Menopause Taskforce. She is widely credited with revolutionizing the conversation around hormone health, challenging outdated narratives, and helping women reclaim informed choice through education and empowerment.Together, we tackle the most common fears and misconceptions that continue to create confusion around Hormone Replacement Therapy (HRT) / Menopausal Hormone Therapy (MHT)—for both women and their healthcare providers. From the lingering shadows of the WHI study to myths about family history, cancer risk, and "natural" alternatives, this episode breaks down complex science into clear, accessible guidance.Key Questions We Explore:“Hormone therapy causes breast cancer”—what does the evidence really say?What about women who say they’re “doing fine” and don’t need hormones?Are “natural remedies” safer than regulated body-identical HRT?Can calcium and vitamins alone protect your bones in menopause?Why is waiting 12 months post-period to start HRT an outdated idea?Do you only need hormone therapy if symptoms are “severe”?What role does testosterone play in women’s health?Whether you’re a woman navigating menopause or a clinician seeking to better support your patients, this episode offers a science-backed, stigma-free look at why hormone therapy deserves a place in the conversation—and often, in the care plan.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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Hormone Therapy and Bone Health: Is Prevention Better than Treatment with Dr. Jocelyn Wittstein
Have something to share? Send us a text! In this episode of the MenopauseWize Podcast, Dr. Sukhpreet Patel is joined by Dr. Jocelyn Wittstein, orthopaedic surgeon, sports medicine specialist, Associate Professor at Duke University School of Medicine, and author of The Complete Bone and Joint Health Plan, for an in-depth conversation on bone health during menopause.Bone loss begins silently — often years before a diagnosis of osteopenia or osteoporosis is made. Many women only discover an issue after a fracture or a low T-score on a DEXA scan. So what is really happening inside our bones during the menopause transition?Dr. Wittstein walks us through:What estrogen does to bone — and what happens when levels declineThe difference between osteopenia and osteoporosisWhy hormone therapy is FDA-approved for prevention but not treatmentThe role of bisphosphonates and other osteoporosis medicationsWhether you can transition from MHT to other osteoporosis drugs later in lifeHow we actually know if treatment is working This episode explores the nuance behind bone prevention versus bone treatment — and why timing, risk profile, and long-term planning matter.As Dr. Wittstein writes in her book:“Good health isn't a gift… it's an accomplishment.”If you care about long-term strength, fracture prevention, and ageing well, this conversation is essential listening. Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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Diagnosing Perimenopause: Practical Clarity in a Foggy Transition with Dr. Suzanne Gilber-Lenz
Have something to share? Send us a text! Diagnosing Perimenopause: Practical Clarity in a Foggy TransitionIn this episode of the MenopauseWize Podcast, Dr. Sukhpreet Patel is joined by Dr. Suzanne Gilberg-Lenz, a renowned OB-GYN, menopause expert, and advocate for women’s midlife health, to unpack one of the most overlooked and misunderstood stages of a woman’s life: perimenopause.Despite affecting millions of women, perimenopause is still frequently missed, misdiagnosed, or dismissed. Many women are told their symptoms are due to stress, anxiety, aging, or lifestyle, often after being reassured that their blood tests are “normal.” In this conversation, Dr. Gilberg-Lenz explains why perimenopause is fundamentally a clinical diagnosis, not a lab diagnosis, and why relying on hormone levels alone can lead to delayed care and unnecessary suffering.Together, we explore how fluctuating hormones drive a wide range of symptoms, from irregular periods and sleep disruption to mood changes, brain fog, weight shifts, and changes in sexual health. Dr. Gilberg-Lenz shares how clinicians can recognize perimenopause earlier, what questions truly matter in the consultation room, and how validating a woman’s experience is often the first and most powerful step in care.This episode is essential listening for women who suspect they may be in perimenopause and for healthcare providers who want to diagnose earlier, listen better, and offer more effective, evidence-based support.Key Topics Covered:What perimenopause really is and why it is so commonly missedWhy blood tests often fail to diagnose perimenopauseThe wide and often unexpected symptoms of hormonal fluctuationHow to take a symptom-based, clinical approach to diagnosisCommon myths that delay care for midlife womenWhen to start conversations about treatment and supportWhy early recognition can change a woman’s quality of lifeThis episode empowers women to trust their symptoms, ask better questions, and seek care that reflects the realities of midlife hormonal change. Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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Change in the FDA Black Box Warning: What Does it Mean for Women and Their Providers
Have something to share? Send us a text! In this episode of the MenopauseWize Podcast, Dr. Sukhpreet Patel sits down with Dr. Shafeena Premji, a nationally recognized menopause expert and founder of multiple women-centered clinics in Calgary, including the upcoming Milestone Menopause Centre of Southern Alberta. Known for her ability to translate evidence into compassionate, accessible care, Dr. Premji helps us unpack one of the biggest regulatory shifts in women’s health in years: the FDA’s removal of the Black Box Warning from estrogen products.For decades, the Black Box Warning shaped public perception, prescribing patterns, and women’s fear of hormone therapy. But what exactly was this warning? Why was it applied broadly to all estrogen formulations, from low-dose vaginal estrogen to systemic hormone therapy? And now that the warning is being removed from all estrogen products, what does this change actually mean for women, for clinicians, and for safer, evidence-based menopause care?Dr. Premji brings clarity to the science, explains the differences between systemic and vaginal estrogen, discusses age and timing of initiation, and offers practical guidance for women who are wondering how to interpret this shift.Whether you're a clinician navigating counselling conversations or a woman seeking accurate information amidst the noise, this episode will equip you with the facts, the nuance, and the confidence to make informed decisions about hormone therapy in midlife and beyond.Key Topics Covered: • What the original Black Box Warning said and why it was created • The impact of the warning on women’s health, care access, and stigma • Why the FDA removed the warning and what this reflects about updated evidence • Differences between systemic and low-dose vaginal estrogen • How dose, route, and timing influence safety • What this regulatory shift means for women • Practical considerations for clinicians and patients • How to balance evidence, nuance, and individualized careTune in for a clear, evidence-based conversation that cuts through fear and confusion. Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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Brain Fog Demystified — Hormones, Memory, and Midlife Clarity with Dr. Alison Shea
Have something to share? Send us a text! Episode 23: Brain Fog Demystified — Hormones, Memory, and Midlife ClarityIn Episode 23 of the MenopauseWize podcast, we sit down with Dr. Alison Shea to demystify one of the most talked-about — and misunderstood — symptoms of menopause: brain fog. Dr. Shea is an Associate Professor in the Departments of Obstetrics & Gynecology and Psychiatry at McMaster University. She completed her fellowship in Menopause and Reproductive Mental Health, and her residency in ObGyn at the University of Toronto. She is a board member for the Canadian Menopause Society, a Menopause Society certified practitioner and the Chair of their examination committee, responsible for certifying North American Menopause Practitioners. You can find her sharing evidenced-based content on Instagram @hormone.md.hamilton. Many women describe feeling “not as sharp,” forgetting names, or losing track of thoughts during midlife. But what’s really happening in the brain during this transition? Dr. Shea helps us understand how hormonal changes, sleep disturbances, hot flashes, and mood shifts that influence memory and focus — and why these changes are real, common, and often frustrating.We explore what science tells us about estrogen’s role in cognition, and how to separate everyday forgetfulness from early signs of something more serious. Dr. Shea also shares practical, evidence-based strategies to support brain health, including lifestyle, exercise, sleep, and heart health.This episode is all about clarity — both in the science and in how women can feel more confident about their cognitive health in midlife and beyond.Key Topics Covered:What “brain fog” really means — and why it happens during menopauseThe connection between estrogen, memory, and attentionHow sleep, mood, and hot flashes affect cognitive performanceWhether hormone therapy helps with brain fogEveryday steps to protect and improve brain healthJoin us as we clear the fog — one insight at a time — and empower women to trust their minds again. Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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22
Building Habits that Last Beyond Midlife with Parul Sheth
Have something to share? Send us a text! In this episode of the MenopauseWize Podcast, Dr. Sukhpreet Patel speaks with Parul Sheth, a Habit Coach, about how small, consistent steps can create lasting lifestyle transformations — especially in midlife.An architect turned endurance athlete, Parul shares how a simple habit of running changed the trajectory of her life — from the way she thought, worked, and parented, to how she now helps others design sustainable wellness routines. Together, we explore what it really takes to form new habits, why motivation often fades, and how discipline, self-compassion, and micro-actions can make all the difference.This episode dives deep into:Why small steps can trigger big, lasting change.How to start a new habit (and what to do when you fall off).The truth behind the “21-day habit” myth.The power of mindset and self-belief in midlife transformation.What the upcoming 5ForMe initiative is all about — and how it can help women in midlife build five daily habits that nurture mind, body, and spirit. Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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Creatine Supplementation for Women: Reaching Beyond Muscles with Dr. Darren Candow
Have something to share? Send us a text! Episode 22: Creatine Supplementation for Women – Reaching Beyond Muscles with Dr. Darren CandowIn Episode 22 of the MenopauseWize podcast, we explore the science and surprising benefits of creatine for women in midlife and beyond. Joining us is Dr. Darren Candow, Professor and Director of the Aging Muscle and Bone Health Laboratory at the University of Regina. With an internationally recognized research program and more than 125 peer-reviewed publications, Dr. Candow has become a leading authority on how creatine can impact muscle, bone, and brain health as we age.Often thought of as a supplement for male athletes, creatine is now gaining attention for its powerful role in supporting women’s health, especially during perimenopause and menopause, when muscle loss, bone density decline, and cognitive changes become real concerns. In this conversation, Dr. Candow breaks down what creatine is, how it works in the body, and why it may be one of the simplest, safest, and most effective supplements women can consider.From improving strength and bone health to supporting memory and mental clarity, creatine goes far beyond the gym. Dr. Candow also addresses common myths, shares practical guidance on how to take creatine, and explains how it pairs with resistance training for maximum benefit.Key Topics Covered:Why creatine is relevant for women at midlife and menopauseEvidence for creatine’s impact on muscle, bone, and cognitive healthHow creatine complements resistance trainingPractical guidance on dosage, timing, and safetyAddressing myths and misconceptions about creatineJoin us for this evidence-based discussion and learn how creatine may be a game-changer for women’s health at midlife and beyond. Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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Better Sex at Menopause: Understanding Arousal, Desire and Mindfulness with Dr. Lori Brotto
Have something to share? Send us a text! In this episode of the MenopauseWize podcast, we’re joined by Dr. Lori Brotto—internationally recognized expert in sexual health, Canada Research Chair in Women’s Sexual Health, and author of Better Sex Through Mindfulness. Together, we explore one of the most common and least talked about concerns of midlife women: how sex changes during perimenopause and menopause—and how it can get better.From understanding why desire may feel different to exploring the science of mindfulness, Dr. Brotto offers compassionate, evidence-based insights that shift the conversation from “what’s lost” to “what’s possible.” If sex feels like a struggle, or you’re simply curious about how to experience more pleasure and connection at midlife, this episode is a must-listen.Key Topics:Why desire changes—and how to revive itThe difference between spontaneous and responsive desireWhy mindfulness works for sexual concernsThe role of libido, pleasure, and body imageReframing sex as something that can evolve and deepen with ageSimple, practical tools to get started todayListen in for expert advice, gentle encouragement, and a powerful reminder: pleasure is not behind you. Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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Lifting Weights and Menopause: Strength, Muscle and the Midlife Shift with Dr. Stuart Phillips
Have something to share? Send us a text! In Episode 19 of the MenopauseWize podcast, we’re tackling one of the most powerful tools in midlife health: resistance training and its role at menopause and midlife.Joining us is Dr. Stuart Phillips, a distinguished university professor in the Department of Kinesiology and a member of the School of Medicine at McMaster University. He holds a Tier 1 Canada Research Chair in Skeletal Muscle Health and his work centres around the interaction of exercise/physical activity, aging, and nutrition in skeletal muscle and body composition.In this episode, Dr. Phillips helps clarify why muscle mass is so important for women during and after midlife and menopause - and why simply walking or doing cardio isn't enough. Whether you’re in your 40s, 50s, 60s or beyond, resistance training can be a game-changer - not just for strength, but for metabolism, balance, bone health, and longevity.Key Topics Covered:Why muscle mass matters in menopauseWhether it’s possible to build muscle in midlife and beyond (spoiler: yes!)The truth about Pilates, yoga - and what they do or don’t do for muscleWhat an ideal workout routine looks like for women over 40Safety, injury prevention, and how to progress with confidenceDebunking myths around “bulking up” or being “too old to start”What to do if you only have 15 - 20 minutes a dayThe difference between power and strength - and why it matters as we ageDr. Phillips’ top 3 non-negotiables for building and preserving muscleIf you’ve ever wondered, “Do I really need to lift weights?” - this episode is a must-listen.Tune in now and discover how strength training can help you stay strong, capable, and thriving through menopause and beyond. Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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Menopause & Diabetes: Prevention, Clarity, and Action with Dr. Roshani Sanghani
Have something to share? Send us a text! In Episode 18 of the MenopauseWize podcast, we explore a critical yet often overlooked topic - the intersection of menopause and diabetes. Joining us is the insightful and empowering Dr. Roshani Sanghani, an American Board-Certified Endocrinologist and the Author of Turn Around Diabetes. Dr. Sanghani has also been a Certified Diabetes Educator and Trainer. With years of experience helping individuals reverse and prevent metabolic disease, Dr. Sanghani brings a refreshing, evidence-based perspective to this conversation.Together, we unpack what’s really happening to the body metabolically during the menopause transition and how shifts in estrogen and progesterone can affect insulin sensitivity, blood sugar regulation, and overall metabolic health. Dr. Sanghani breaks down what insulin resistance looks like, which symptoms to watch for, and what tests are essential for early detection and ongoing monitoring.We discuss the powerful role of lifestyle factors—nutrition, exercise, sleep, and stress—in supporting hormonal and metabolic balance, and take a deeper look at why addressing diabetes risk at midlife matters, even in an era of advanced medication.We also address the growing concerns around polypharmacy in menopausal women and whether hormone therapy could reduce the reliance on multiple medications by addressing root hormonal shifts. Finally, Dr. Sanghani shares her expert view on GLP-1 agonists, their relevance for women navigating weight and insulin resistance at midlife, and closes with her top three action steps every woman should consider to protect long-term metabolic and hormonal health.Key Topics Covered:What is insulin resistance, and how does menopause affect it?Symptoms and warning signs of blood sugar imbalance in midlife.Essential tests to monitor metabolic health—and how often to do them.How lifestyle changes stack up against medication.Rethinking polypharmacy: can hormone therapy simplify treatment?The growing popularity of GLP-1 agonists—what women need to know.Dr. Sanghani’s top 3 non-negotiable steps for metabolic health in menopause.Whether you're in perimenopause or postmenopause, this episode offers clarity, encouragement, and actionable advice to take charge of your metabolic health - starting today.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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Beyond Bladder Leaks – The Pelvic Floor and Menopause with Rama Swami
Have something to share? Send us a text! In Episode 16 of the MenopauseWize podcast, we shine a light on an essential but often overlooked part of women’s health: the pelvic floor—and how it changes during perimenopause and menopause.We’re joined by Rama Swami, a highly respected Pelvic Health Physiotherapist who began her career in India and now practices in Calgary, Canada. After completing her postgraduate training from the All India Institute of Physical Medicine and Rehabilitation, Rama’s own C-section experience deepened her commitment to supporting women across life stages—from puberty to menopause. She is trained in trauma-informed care, sexual medicine, and pessary fitting, and is passionate about making pelvic health accessible and evidence-based.In this episode, Rama demystifies what the pelvic floor actually is, why it matters so much more than most women realize, and how menopause can significantly affect its function.Key Topics Covered:What and where is the pelvic floor?Signs your pelvic floor isn’t functioning properlyHow common is pelvic floor dysfunction—and when are women most at risk?How everyday factors like posture, constipation, and movement affect pelvic healthThe impact of menopause and hormonal changes on pelvic floor functionIs doing Kegels enough? Debunking common mythsWhy many women don’t recognize pelvic floor issuesWhen to see a pelvic physiotherapist and what to expect from a sessionPelvic floor dysfunction and its link to sexual discomfort or painFive actionable steps women can take to support their pelvic floor todayWhether you’re dealing with bladder leaks, pain during intimacy, or just curious about proactive care—this episode empowers you to understand, support, and protect your pelvic health at every stage of life.Listen now and learn how small shifts can make a big difference in your pelvic wellness journey.Medical Disclaimer:The information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medicalSupport the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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Protein & Menopause: What Every Woman Needs to Know
Have something to share? Send us a text! Episode 15: Protein and Menopause – What Every Woman Should KnowIn Episode 15 of the MenopauseWize podcast, we dive into a topic that is often overlooked but absolutely essential—protein and its critical role during perimenopause and menopause.We’re joined by Shwetha Bhatia, a Board-Certified Dietitian recognized by the Indian Dietetic Association, with nearly two decades of clinical experience. She is the founder of Mind Your Fitness, known for her holistic 360° approach that integrates nutrition, training, and psychology. She also leads Talk To Me, an NGO focused on increasing access to mental health care in underserved communities.Shwetha brings clarity, science, and compassion to the table—cutting through the noise to tell us what every woman should know about protein during midlife and beyond.Key Topics Covered:🥚 The role of protein beyond muscle—how it supports hormones, bones, and metabolism 🥦 Best protein sources for vegetarians and non-vegetarians ⚖️ What happens when your protein intake is too low—or too high 💪 Why protein is essential to combat muscle loss and sarcopenia 😌 How protein affects appetite and weight management 🧠 Protein needs at rest and for cognitive health 📅 How to distribute protein effectively across your meals 🏋️♀️ Exercise and protein—what works best in midlife 📋 Why your protein needs must be personalized 💡 Three simple, actionable strategies to optimize your protein intakeWhether you're dealing with fatigue, weight gain, or muscle weakness—this episode will help you use protein as a powerful ally in your menopause journey.🎧 Tune in now and take the first step toward eating smarter, feeling stronger, and thriving through menopause.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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15
Sleeping Better During Perimenopause and Beyond with Dr. Heidi Lescanec
Have something to share? Send us a text! Welcome to Episode 14 of the MenopauseWize podcast, where we discuss Sleeping Better During Perimenopause and Beyond with Dr. Heidi Lescanec.Dr. Lescanec has been a licensed naturopathic doctor for over 20 years with a background in anthropology and the healthy cooking field for over 30 years. Her goal is to empower women in the menopause transition not only with medicine to transform their physical health but also with knowledge + tools to make positive practical changes that enhance their daily lives. She is currently working on a book called The Pink Zones, a term she coined to describe the places and conditions which allow women to flourish in midlife and continue to thrive as they age.In this deeply insightful episode, we explore why so many women struggle with sleep during perimenopause and menopause, and what we can do—holistically—to restore rest and vitality. From sleep hygiene and stress reduction, to nutrition, herbal remedies, supplements, and lifestyle shifts, Dr. Lescanec offers a wealth of tools and wisdom to support better sleep.Key Topics Covered:🌙 Why sleep becomes disrupted during perimenopause and menopause 🌿 Why quality sleep is critical for midlife women’s health 💊 The role of herbal supplements, vitamins, and minerals 🧘♀️ How stress management and relaxation techniques support sleep 🏃♀️ Exercise to improve sleep 🧘♂️ Using breathwork and meditation to support rest 🌙 When to consider melatonin, magnesium, or other natural sleep aids 💡 Where menopause hormone therapy (MHT) fits in ✨ Three key takeaways for better sleep during menopauseIf you’re lying awake at night, waking too early, or simply not feeling rested, this episode is filled with gentle, effective, and empowering strategies to help you sleep better and feel more like yourself again.🎧 Tune in now and start your journey to restful nights and refreshed mornings.Medical Disclaimer: The information shared in this episode is intended for educational and informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider or qualified medical professional before starting any new health regimen, supplements, or treatments discussed in this podcast.Never ignore or delay seeking medical advice because of something you heard on MenopauseWize. Your health is unique—please make decisions in partnership with a trusted practitioner.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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14
Hair Thinning, Hair Fall and Menopause with Dr. Snehal Sriram
Have something to share? Send us a text! Episode 13: Hair Thinning, Hair Loss, and Menopause with Dr. Snehal SriramHair loss and thinning can be one of the most frustrating and emotional challenges women face during perimenopause and menopause. As estrogen levels drop, many women experience increased shedding, reduced hair density, and changes in texture, often leaving them searching for answers.In this episode of MenopauseWize, we are joined by Dr. Snehal Sriram, an esteemed Dermatologist and Trichologist with years of experience in treating hair and scalp disorders. She is a sought-after expert in trichology and aesthetic dermatology, with a passion for helping women manage hair thinning, scalp health, and overall hair wellness. Dr. Sriram is known for her evidence-based approach to hair loss treatment, integrating hormonal insights, medical therapies, and lifestyle recommendations to achieve optimal hair health.Key Topics Covered:🔹 Why does hair fall accelerate during perimenopause and menopause? 🔹 The use and usefulness of supplements in hairfall 🔹 Useful and harmful products for women experiencing hair fall 🔹 How stress, diet, and lifestyle influence hair health 🔹 Common hair care mistakes and what to avoid 🔹 Effective treatments—topical solutions, supplements, and more 🔹 Three expert tips for maintaining stronger, healthier hairIf you’re struggling with hair loss, thinning, or scalp health concerns, this episode will provide practical solutions and expert-backed insights to help you regain confidence and take control of your hair health.The information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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13
Sunscreen, Sun Protection and Menopause with Dr. Deepti Ghia
Have something to share? Send us a text! Episode 12: Sunscreen, Sun Protection and MenopauseIn this episode of the MenopauseWize podcast, we are thrilled to welcome Dr. Deepti Ghia, a highly accomplished Dermatologist and Trichologist at the South Mumbai Dermatology Clinic and Jaslok Hospital, Mumbai. She also serves as an honorary consultant at the A.K. Munshi Charitable Trust and has received training at some of the most prestigious institutes in India and abroad. Dr. Ghia is not only a dedicated clinician but also a passionate researcher and innovator in dermatology, earning numerous prestigious awards. She actively contributes to dermatological advancements through her roles as the Treasurer of the Vitiligo Foundation of India and Convenor of the IADVL Vitiligo Task Force. With her vast expertise in skin health, she brings invaluable insights into how menopause impacts the skin and the crucial role of sun protection.As estrogen levels decline during perimenopause and menopause, many women experience increased skin sensitivity, dryness, thinning, loss of collagen, and heightened vulnerability to sun damage. One of the most common concerns during this phase is melasma, a condition that causes dark patches and hyperpigmentation, often exacerbated by hormonal fluctuations and sun exposure.Sunscreen is more than just a beauty product—it's a powerful defense against premature aging, hyperpigmentation, and skin cancer. Key Topics Covered:✅ How hormonal changes in menopause make skin more vulnerable to sun damage ✅ The importance of sunscreen for all women, especially during perimenopause and menopause ✅ Melasma and menopause: What causes it and how to manage it effectively ✅ Debunking sunscreen myths: Do you really need it indoors? ✅ How to choose the right sunscreen—SPF, UVA/UVB protection, and key ingredients ✅ Physical vs. chemical sunscreens—what works best for aging skin? ✅ Best practices for applying and reapplying sunscreen for optimal protection ✅ Three essential sunscreen tips for women in perimenopause and menopauseMedical Disclaimer:The information shared in this episode is for educational and informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider or dermatologist for personalized recommendations regarding your skin health, menopause management, or any medical concerns. Never disregard professional medical advice or delay seeking treatment based on information from this podcast.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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12
Depression and Sadness at Perimenopause and Menopause with Dr. Nikita Shah
Have something to share? Send us a text! Episode 11: Depression and Sadness in Perimenopause and MenopauseIn Episode 11 of the MenopauseWize podcast, we sit down with Dr. Nikita Shah, a distinguished Consultant Psychiatrist based in Mumbai, to explore the intricate relationship between mental health and menopause. With a special focus on women's health, Dr. Shah provides expert insights into the biological, psychological, and social factors that influence mood changes, depression, and anxiety during perimenopause and menopause.As hormonal fluctuations intensify during this phase of life, many women experience mood swings, sadness, and even clinical depression. Dr. Shah explains how to recognize the difference between typical emotional changes and more serious mental health concerns that may require intervention. She also discusses how hormonal changes can exacerbate anxiety or trigger depression, even in women with no prior history of mental health struggles.Through her holistic approach to psychiatry, Dr. Shah emphasizes the importance of addressing mental health from multiple dimensions, including lifestyle changes, therapy, and medication when necessary. She shares practical tips for managing mood swings, improving emotional resilience, and seeking professional help when needed. This episode is designed to empower women with the knowledge and tools to prioritize their mental well-being during menopause.Key Topics Covered:How to differentiate between sadness and clinical depression.Why hormonal changes in menopause impact mental health.Simple daily habits to improve mood and reduce anxiety.The role of therapy, antidepressants, and hormone therapy in managing depression and anxiety.How family and friends can support women during this transitional phase.Three essential pieces of advice for women facing mental health challenges in menopause.The use of pharmacological tools when neededThe role of hormone therapy in managing hormone related mood changesJoin us for this insightful conversation as we break the stigma surrounding mental health in menopause and provide evidence-based strategies to navigate this phase with confidence and care.Medical Disclaimer:The information provided in this episode is for educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, psychiatrist, or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have heard on this podcast.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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11
Frozen Shoulder at Perimenopause and Menopause with Dr. Chintan Desai
Have something to share? Send us a text! In Episode 10 of the MenopauseWize Podcast, we dive deep into a common yet often overlooked issue—Frozen Shoulder during perimenopause and menopause. Hosted by Dr. Sukhpreet Patel, this episode features Dr. Chintan Desai, a globally trained Shoulder Surgeon and Sports Medicine Specialist.Dr. Desai, the only Indian doctor invited by the International Olympic Committee to the Winter Olympics 2018, shares his expertise on why frozen shoulder predominantly affects women, especially between the ages of 40 and 60. We explore the causes behind this condition, its impact on women in midlife, and discuss effective treatment strategies and exercises that can help manage it.Whether you're dealing with frozen shoulder or looking to prevent it, this episode offers valuable insights and actionable advice to maintain shoulder health during menopause. Tune in to understand why this condition is more common in women at midlife, how to treat it, and how to keep your shoulder in top condition.Don't miss out on this important discussion for women in their 40s, 50s, and beyond!#FrozenShoulder #MenopauseCare #ShoulderHealth #SportsMedicine #MenopauseWize #Exercise #HealthEducation #WomenInHeaThe information provided in all episodes of the MenopauseWize podcast, including content shared by Dr. Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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10
Strengthening Your Spine MenopauseWizely with Dr. Abhay Nene
Have something to share? Send us a text! Strengthening Your Spine MenopauseWizely with Dr. Abhay NeneIn this episode of the MenopauseWize Podcast, we have an insightful conversation with the renowned spine surgeon, Dr. Abhay Nene, to discuss a crucial aspect of menopause that’s often overlooked—spinal health.Dr. Nene shares expert insights on how menopause impacts the spine and the importance of maintaining bone density and muscle mass to prevent conditions like osteoporosis. From nutrition to the long-term effects of hormonal changes and current drugs used to treat osteoporosis, this conversation will help you better understand how to strengthen and protect your spine during menopause and beyond.Whether you’re in perimenopause or postmenopausal, Dr. Nene’s tips on spine health will empower you to take proactive steps to ensure your spine stays strong and healthy.Tune in to learn how to care for your spine the MenopauseWize way!#MenopauseWize #SpineHealth #Osteoporosis #MenopauseAwareness #StrengtheningYourSpine #DrAbhayNene #BoneHealth #Perimenopause #Postmenopause #HealthySpine #MenopauseSupport #WomenHealthSupport the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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9
Low-Dose Vaginal Estrogen for Vaginal Dryness
Have something to share? Send us a text! Low-Dose Vaginal Estrogen for Vaginal DrynessHost: Dr. Sukhpreet Patel, MD Gynaecologist, Menopause Health Advocate, Founder of MenopauseWizeKey Focus: Exploring the role of low-dose vaginal estrogen in addressing the root cause of Genitourinary Syndrome of Menopause (GSM), offering insights into its benefits, application, safety, and contraindications.Covered Topics:Understanding GSM and Estrogen Deficiency:Discussing how symptoms like vaginal dryness, painful sex, and urinary issues arise from estrogen depletion in the genitourinary tissues and why lubricants alone may not be sufficient for comprehensive symptom management.What is Low-Dose Vaginal Estrogen?Breaking down how localized estrogen therapy restores vaginal tissue health without significantly affecting blood estrogen levels, making it a safe option for many women.Formulations and Application Tips:Focusing on the types of low-dose vaginal estrogen available in India—and practical tips for pain-free application using an applicator or fingers.Addressing Safety Concerns:Clarifying misconceptions around the FDA’s boxed warnings and discussing the latest research supporting the safety of low-dose vaginal estrogen for most women, including those with a history of breast cancer.Long-Term Use of Vaginal Estrogen:Reassuring women about the safety of continued use with regular medical follow-ups and providing insights into managing dosage and maintenance.Medical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult your physician or a qualified healthcare provider before making any decisions regarding your health or any medical treatments discussed in this podcast. While we strive to provide accurate and up-to-date information, this podcast does not replace professional medical consultation, diagnosis, or treatment. If you have any concerns or symptoms that require medical attention, please seek advice from your healthcare provider.SheRise Healthcare Pvt. Ltd, MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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8
Choosing Your Lubricant for Vaginal Dryness
Have something to share? Send us a text! Choosing Your Lubricant for Vaginal Dryness (Part 2)Host: Dr. Sukhpreet Patel, MD Gynaecologist, Menopause Health Advocate, Founder of MenopauseWizeKey Focus: Helping women navigate the overwhelming variety of personal lubricants available, empowering them to choose products that effectively address vaginal dryness and improve sexual comfort.Objective: To provide an in-depth guide on personal lubricants, including types, benefits, and potential drawbacks, to help listeners make informed decisions tailored to their needs. This episode focuses on understanding water-based, silicone-based, and oil-based lubricants, their compatibility, and their impact on vaginal health.Covered Topics:Understanding Vaginal Dryness: Exploring how it manifests during intercourse, such as painful sex, lack of lubrication, and postcoital bleeding, and its progression to reduced libido.Types of Lubricants: Breaking down the three main categories—water-based, silicone-based, and oil-based—and their distinguishing features.Water-Based Lubricants: Benefits of being widely available and latex-safe, but drawbacks like high osmolality, which can exacerbate vaginal dryness and irritation.Silicone-Based Lubricants: Advantages of being long-lasting and latex-safe but less accessible, more expensive, and incompatible with silicone-based sex toys.Oil-Based Lubricants: Benefits of not impacting osmolality and compatibility with silicone toys but risks of eroding latex condoms and increasing infection risks.How to Choose the Right Lubricant: Practical tips on reading labels, avoiding harmful ingredients, and identifying red flags like missing ingredient lists or misleading “natural” claims.Medical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult your physician or a qualified healthcare provider before making any decisions regarding your health or any medical treatments discussed in this podcast. While we strive to provide accurate and up-to-date information, this podcast does not replace professional medical consultation, diagnosis, or treatment. If you have any concerns or symptoms that require medical attention, please seek advice from your healthcare provider.MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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7
Vaginal Dryness to Urinary Tract Infections: What is The Genitourinary Syndrome of Menopause?
Have something to share? Send us a text! Host: Dr. Sukhpreet Patel, MD Gynaecologist, Menopause Health Advocate, Founder of MenopauseWizeKey Focus: Raising awareness about Genitourinary Syndrome of Menopause (GSM) and its significant impact on quality of life, aiming to educate women and healthcare providers on recognizing and addressing this common condition.Objective: To provide listeners with a foundational understanding of GSM, exploring its symptoms, effects on physical and emotional well-being, and why it is essential to address these symptoms early on. This episode emphasizes the importance of bringing GSM into the conversation with healthcare providers for better diagnosis and management.Important Points:- The prevalence of GSM, with estimates showing 27% to 84% of postmenopausal women experience symptoms, though only a small percentage receive treatment.- The progressive nature of GSM and how symptoms often worsen without intervention.- Challenges to awareness and diagnosis, highlighting that many women may not link their symptoms to menopause or are hesitant to discuss them with healthcare providers.The physical and emotional repercussions of untreated GSM, which can affect daily activities, intimacy, work productivity, and overall quality of life.- Increased risk of more severe GSM symptoms in women experiencing early menopause due to surgery, chemotherapy, or other medical treatments.- Key questions for healthcare providers to ask patients about GSM symptoms, encouraging open dialogue for early detection and care.Contact: Email: [email protected]: @menopausewizeFacebook page: @menopausewizeYouTube: @menopausewizeMedical Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult your physician or a qualified healthcare provider before making any decisions regarding your health or any medical treatments discussed in this podcast. While we strive to provide accurate and up-to-date information, this podcast does not replace professional medical consultation, diagnosis, or treatment. If you have any concerns or symptoms that require medical attention, please seek advice from your healthcare provider.MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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6
Breast Cancer and Menopausal Hormone Therapy: Part 2
Have something to share? Send us a text! Breast Cancer & Hormone Therapy (Part 2) – Where are we today?Host: Dr. Sukhpreet Patel, MD Gynaecologist, Menopause Health Advocate, Founder of MenopauseWizeKey Focus: Helping listeners make informed decisions about MHT by exploring the latest research on the relationship between Menopausal Hormone Therapy (MHT) and breast cancer risk.Objective: To guide listeners, whether they are healthcare providers or women considering MHT, in understanding the risks and benefits associated with hormone therapy, allowing them to make empowered decisions for themselves or their patients.Covered Studies: - Women's Health Initiative (WHI) - Danish Osteoporosis Prevention Study (DOPS) - ELITE Study on the Timing Hypothesis - British Menopause Society Consensus Statement - North American Menopause Society Statement Important Concepts: - Relative vs. Absolute Risk of breast cancer with combined hormone therapy. - The impact of timing when starting MHT, highlighting how initiating therapy earlier after menopause can provide cardiovascular benefits. - Statistics on the number of additional breast cancer cases with combined MHT use for 5 and 10 years. - Understanding the importance of considering the whole picture, including benefits for bone health, cardiovascular protection, and overall well-being, alongside breast cancer risks.Medical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult your physician or a qualified healthcare provider before making any decisions regarding your health or any medical treatments discussed in this podcast. While we strive to provide accurate and up-to-date information, this podcast does not replace professional medical consultation, diagnosis, or treatment. If you have any concerns or symptoms that require medical attention, please seek advice from your healthcare provider.MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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5
Breast Cancer and Menopausal Hormone Therapy: Part 1
Have something to share? Send us a text! Many women—and even some healthcare providers—automatically associate menopausal hormone therapy (MHT) with an increased risk of breast cancer. But is the connection as clear-cut as it seems? In this episode, we break down:1. What the 2002 WHI study really says about MHT and breast cancer.2. What those numbers mean for a woman going through menopause.3. Why understanding relative and absolute risk is important.4. The actual numbers behind MHT-related breast cancer risk.5. Why today’s hormone therapies aren’t the same as those studied in WHI.References available on request. Email: [email protected] Disclaimer: The information in this podcast is for educational purposes only and should not be considered medical advice. Always consult your healthcare provider for personalized medical guidance.Support the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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4
Black Cohosh and Hot Flashes
Have something to share? Send us a text! Welcome to MenopauseWize, where we empower women and healthcare providers with evidence-based knowledge to navigate the menopause journey with confidence. I’m Dr. Sukhpreet Patel, an MD Gynaecologist, menopause health advocate, postmenopausal woman, and the founder of MenopauseWize. In this episode, we’re tackling a common yet complex topic: BLACK COHOSH —an herbal remedy widely used for managing menopausal symptoms, particularly hot flashes.Here’s what you’ll learn in this episode:What is Black Cohosh?: Learn about the origins of this plant, its traditional uses, and how it has evolved into a popular treatment for menopausal symptoms in modern times. Does Black Cohosh Really Work?: We’ll explore the research, with some studies showing that black cohosh moderately reduces hot flashes, while others show little to no effect. What Makes iCR Different?: Discover the benefits of iCR (isopropanolic black cohosh extract), a more standardized and studied form of black cohosh, which has been shown to be more effective than a placebo in treating hot flashes. Why Standardization Matters: Not all black cohosh supplements are the same. We’ll dive into how differences in extraction methods and active compounds can lead to varying results, and why you should look for standardized iCR supplements, especially those containing triterpene glycosides (TG).Safety Concerns: We’ll address some of the safety concerns surrounding black cohosh, particularly liver health. The U.S. Pharmacopeia requires a warning label on black cohosh products due to reports of liver toxicity, but clinical trials on iCR suggest it may be safer than other forms of black cohosh. Breast Cancer and Black Cohosh: For women with a history of hormone-sensitive cancers, we’ll explore the concerns around black cohosh. While no studies have conclusively linked black cohosh to increased cancer risk, we’ll emphasize the importance of consulting your healthcare provider if you’re considering using it.Why This Matters: It’s easy to focus solely on symptoms like hot flashes during menopause, but remember, your health needs go beyond that. As we discuss, hot flashes are just one visible symptom, but menopause affects your bones, heart, and more. Silent killers like hypertension and osteoporosis often creep in during this phase of life, so it’s crucial to look beyond the immediate symptoms.Medical Disclaimer:The information shared in this podcast is for educational purposes only and should not be considered medical advice. Always consult with your healthcare provider before starting any new treatment, including herbal supplements like black cohosh, especially if you have underlying health conditions such as liver disease or aSupport the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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3
Soy and Soy Supplements for Hot Flashes
Have something to share? Send us a text! Welcome to "MenopauseWize," your go-to podcast for all things evidence-based in the menopause-verse. I am Dr. Sukhpreet Patel, an MD Gynaecologist, a menopause health advocate, a postmenopausal woman and the founder of MenopauseWize. Whether you’re a healthcare provider looking to stay on top of the latest evidence-based practices, a woman navigating your own perimenopause or menopause journey, or a partner or family member eager to support a loved one, this series is designed with YOU in mind. In this podcast we dive deep into the use of soy and soy based supplements for hot flashes during menopause and perimenopause. Some of the questions answered in this episode include:What are phytoestrogens, and how do they function in the body?How do hormones like estrogen work in the body, and what role do receptors play?How does the labeling of soy isoflavone supplements affect their effectiveness?What role does gut bacteria play in converting daidzein to equol, and why is this important for reducing hot flashes?What is the recommended daily intake of genistein to manage hot flashes?What are the additional benefits of consuming whole soy foods versus soy supplements?What are the possible side effects of consuming isoflavones, especially in supplement form?Is there any association between soy consumption and an increased risk of postmenopausal breast cancer?Why should large consumers of soy consider choosing non-GMO soy products?Have more questions, contact us: [email protected] us: @menopausewizeReferences:1. Messina, M. (2014). Soy foods, isoflavones, and the health of postmenopausal women. American Journal of Clinical Nutrition2. Lambert, M. N., et al.(2017). A review of the evidence for the use of phytoestrogens as a replacement for hormone replacement therapy. Maturitas3. Zhang, X., et al. (2013). Soy food consumption and risk of breast cancer in humans: a meta-analysis. Cancer Epidemiology, Biomarkers & Prevention.4. Setchell, K. D., et al. (2002). Equol: history, chemistry, and formation. Journal of Nutrition. 5. Daily et al. (2019).Equol decreases hot flashes in postmenopausal women: A systematic review and meta-analysis.6. Yu L, Rios E, Castro L, Liu J, Yan Y, Dixon D. Genistein: Dual Role in Women's Health. Nutrients. 2021 Aug 30;13(9):3048. doi: 10.3390/nu13093048. PMID: 34578926; PMCID: PMC8472782.7. https://www.alzdiscovery.org/uploads/cognitive_vitality_media/Soy_isoflavones_UPDATE_(supplement).pdf8. https://www.breSupport the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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2
Non Hormonal Options for Hot Flashes: Part1: Lifestyle
Have something to share? Send us a text! About Dr. Sukhpreet Patel: She is an MD (ObGyn), a menopause health advocate, a post menopausal woman, and the founder of MenopauseWize.About this episode: Menopausal hormone therapy or MHT is often the go-to treatment for vasomotor symptoms, but let’s face it…it’s not for everyone, So through our many part series on non-hormonal alternatives for vasomotor symptoms, we’ll explore various NON-HORMONAL APPROACHES to help alleviate this common menopause symptoms. These will include:lifestyle factorsover-the-counter supplements, non-hormonal prescription drugspsycho-physical techniques acupunctureThis podcast is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on this channel. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. No physician-patient relationship is created by this channel or its use. Neither Sukhpreet Patel / MenopauseWize nor its employees, nor any contributor to this channel, makes any representations, express or implied, with respect to the information provided herein or to its use.References: Zhang L, Ruan X, Cui Y, Gu M, Mueck AO. Menopausal symptoms and associated social and environmental factors in midlife Chinese women. Clin Interv Aging 2020;15:2195-2208. doi: 10.2147/CIA.S278976 Haimov-Kochman R, Constatini N, Brzezinski A, Hochner-Celnikier D. Regular exercise is the most significant lifestyle parameter associated with the severity of climacteric symptoms: a cross sectional study. Eur J Obstet Gynecol Reprod Biol 2013;170:229-234. doi: 10.1016/j.ejogrb. 2013.06.018Daley A, Stokes-Lampard H, Thomas A, MacArthur C. Exercise for vasomotor menopausal symptoms. Cochrane Database Syst Rev 2014: CD006108. doi: 10.1002/14651858.CD006108.pub4 Diem SJ, LaCroix AZ, Reed SD, et al. Effects of pharmacologic and nonpharmacologic interventions on menopause-related quality of life: a pooled analysis of individual participant data from four MsFLASH trials. Menopause 2020;27:1126-1136. doi: 10.1097/GME.0000000000001597. Barnard N, Kahleova H, Holtz DN, et al. A dietary intervention for vasomotor symptoms of menopause: a randomized, controlled trial. Menopause 2023;30:80-87. doi: 10.1097/GME.0000000000002080. Soleymani M, Siassi F, Qorbani M, et al. Dietary patterns and tSupport the showThe information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions. SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.
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ABOUT THIS SHOW
Welcome to MenopauseWize, your essential guide to navigating the complexities of menopause and perimenopause with evidence-based facts. Whether you’re a healthcare provider seeking the latest research-based practices or a woman on her menopause journey, this podcast offers valuable insights to empower you with knowledge and confidence. Each episode delves into key topics, from symptom management and lifestyle strategies to hormones and menopausal hormone replacement (MHT), ensuring you’re equipped to make informed decisions. Join us as we explore the wisdom needed for every stage of menopause, helping you or those you care for thrive during this pivotal time.
HOSTED BY
Sukhpreet Patel, MD(ObGyn, India), MPH, HCA-RHC™ HCA-RHNC™ (Canada)
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