Ep. 237 Perimenopause and Menopause: What You Didn’t Know with Dr. Felice Gersh

I’m honored to reconnect with Dr. Felice Gersh today! She is a multi-award-winning physician with dual board certification in OB-GYN and Integrative Medicine. We connected once before in Episode 221, where we spoke about PCOS and metabolic health.

Today, Dr. Gersh joins me to dive into perimenopause and menopause. We discuss various issues surrounding the Women’s Health Initiative and talk about estrogen as a family of hormones, estrogen-mimicking chemicals, synthetic hormones, and oral contraceptives. We get into the importance of thyroid function, the pro-inflammatory state of a loss of estrogen in perimenopause and menopause, and the importance of nutrition and exercise for the metabolism. We also speak about the lesser-known changes that occur in menopause, including changes in body odor, constipation, sarcopenia, osteoporosis, and vocal changes.
I intend to invite Dr. Gersh back again to discuss women and mitochondrial health, and then once again to talk about her latest book, Menopause: The Fifty Things You Need to Know.

Stay tuned to find out what menopause really is, and what it does to a woman’s metabolic system.

Ep. 221 Part 1- An Integrative Approach to PCOS and Menstrual Irregularities with Dr. Felice Gersh

I have the honor of connecting with Dr. Felice Gersh today! Dr. Gersh is an incredible resource! She is a multi-award-winning physician with dual board certification in OB-GYN and Integrative Medicine. She is also a recognized expert on PCOS.

PCOS (polycystic ovary syndrome) is a syndrome of inflammation, imbalanced hormones, and insulin resistance. It is the most common female endocrine disorder and the leading cause of infertility in women.

This episode is the first part of a two-part series with Dr. Gersh.

We dive into PCOS, discuss its foundation, and explain how we are often genetically predisposed to it. We discuss the symptoms and how they can predispose us to autoimmunity and endometrial cancer. We speak about estrogen, the role it plays in PCOS, and how it systemically impacts the ovaries, pancreas, liver, and intestines. We talk about how PCOS modulates inflammation and how shift workers and women with PCOS tend to struggle with circadian rhythm disruption. We also discuss lifestyle changes, supplements, and medication we can use for PCOS.

Dr. Gersh will return to the podcast in the fall to speak about perimenopause and menopause.

I hope you enjoy listening to our discussion as much as I did recording it! Stay tuned for more!