Ep. 108 - Think You Know HRT? Dr. Sarah Debunks the Top Hormone Therapy Myths
Episode Summary:
Midlife shouldn’t feel like your body is betraying you — but the hormone chaos of your late 30s, 40s, and 50s can absolutely make it feel that way. In this powerhouse conversation with Dr. Sarah (board-certified in Emergency Medicine + Integrative Medicine), we break down the REAL science behind hormone replacement therapy.
If you’ve ever been dismissed by a provider… told you “don’t need hormones”… or felt too scared to see what your treatment options are — this episode is your reminder: you get to make informed choices about your body. Not your doctor. Not TikTok. YOU.
We walk through real risks, real benefits, and the massive quality-of-life improvements women see when they actually get evidence-based care. Consider this your crash course in navigating perimenopause, menopause, and the messy in-between years with confidence and clarity.
What You’ll Learn:
The original WHI study that scared an entire generation away from HRT was misinterpreted and has since been walked back — but the damage stuck.
Estrogen impacts 400+ functions in the female body — including mood, brain function, blood vessels, bone density, and metabolic health.
Hot flashes aren’t “just annoying.” They’re associated with cardiovascular + neurologic changes (including white-matter changes on MRI).
Vaginal estrogen is safe for most women, can help prevent UTIs, improve sexual comfort, support pelvic floor health, and yes… even improve skin elasticity.
The role of progesterone for women with and without a uterus.
Perimenopause is wildly nuanced — what works in menopause does not work the same way in peri. Dosing and timing matter.
You deserve a provider who treats you like a partner — not someone who dismisses your symptoms or your lived experience.
Understanding what’s happening inside your body is one of the most empowering things you can do during midlife.
Next Steps:
To connect with Dr. Sarah :
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