Heavy Periods in Perimenopause: Risks of Hysterectomies and Root Cause Solutions
The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health
Release Date: 12/07/2024
The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health
Karen Martel grew up with a front row seat to diet culture most of us only felt secondhand. Her mom didn't just live it, she ran a weight loss center. Butter was called Vaseline. Popcorn was the enemy. And by her teenage years, Karen was deep in an eating disorder that would shape her relationship with food for decades. In this conversation, Karen gets honest about that history, and about something she still checks herself on today. Because here's the twist. We told ourselves we moved past the thin obsession. Body positivity was supposed to be the turning point. But somewhere in the last two...
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Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. Have you ever thought about what you truly want in your sexual experiences? Are you curious about the often misunderstood aspects of female anatomy and how they play a critical role in pleasure? This episode with Susan Bratton, who is the “Intimacy Expert to Millions,” promises to unravel these mysteries and more. Can long-term relationships...
info_outlineThe Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health
In part one, Dr. Liz Bartman and I broke down why PMDD happens: the histamine surges, the GABA receptor glitch, the progesterone metabolite that either calms you down or completely wrecks you depending on your unique biology. If you haven't listened to that one yet, start there, because this episode builds directly on it. Now we get into the part everyone actually wants to know: what do you do about it? We talk about why popular fixes like DAO supplements and strict low histamine diets usually fall short, and what to focus on instead, starting with your gut, your liver, and your nervous...
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You've been told menopause is a hormonal transition. It's also a vascular one, and almost nobody is talking about it. In this episode, Karen sits back down with Cathy Eason, Chief Science Officer at Berkeley Life, for round two on a molecule most women have never heard of but should know by heart: nitric oxide. It is tiny, it is a gas, and it touches nearly every system in your body. When estrogen drops in perimenopause and menopause, nitric oxide production drops right along with it, and that decline may be quietly connected to your fatigue, your brain fog, your blood pressure, your blood...
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If you've been on social media lately, you've probably seen it: women swearing that a combo of Pepcid and Claritin, ordinary histamine blockers, gave them their life back during the worst days of their cycle. It sounds too simple to be real, and honestly, it kind of is. But the reason it's working for some women and doing absolutely nothing for others is the whole story, and it's a story almost nobody is explaining correctly. In this episode, I sit down with one of my all time favorite guests, Dr. Liz Bartman, to go deep into progesterone sensitivity, PMDD, premenstrual dysphoric disorder, and...
info_outlineThe Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health
Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. This weeks quick hit we are jumping right into a very important topic: uterine fibroids. Maybe you have experience with fibroids, or maybe you do not even really know what they are yet. Either way, this is a conversation every woman should understand. Fibroids are incredibly common. It is estimated that up to 75 to 80 percent of women may...
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This is not just a conversation about hormones. It is a conversation about what it means to age as a woman in a culture that is obsessed with youth, terrified of wrinkles, and wildly uncomfortable with female power after 40. In this roundtable episode, I sit down with Dr. Amy Horniman and Elle Russ to talk about the very real physical, emotional, and identity shifts that happen as women move through perimenopause and menopause. We get into everything from early perimenopause symptoms, thyroid issues, SHBG, testosterone, progesterone, estrogen, libido, vaginal dryness, hot flashes, pelvic floor...
info_outlineThe Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health
Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. James O'Hara is a family nurse practitioner who utilizes a utilizes an integrative approach to health which combines lifestyle interventions, appropriate supplementation, and medications when indicated to empower patients to feel better and live longer, healthier lives. Today we're speaking with James about testosterone replacement for women plus...
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If you've ever wondered why you don't want your husband to walk through the door and rip your clothes off anymore, this episode is for you. If you've ever quietly believed something was wrong with you because you don't orgasm easily, or at all, this episode is for you too. I sat down with Dr. Sally Greenwald, a board-certified OB/GYN with specialized training in menopause medicine, and what she shared genuinely stopped me in my tracks. We were taught to protect ourselves from pregnancy and disease. We were never taught how our bodies actually work. No one explained the difference between the...
info_outlineThe Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health
Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. With Dani's guidance, we're exploring how simple changes in light exposure and grounding can revolutionize metabolic health, particularly for those grappling with conditions like PCOS, hypoglycemia, acne, or weight loss resistance. Dani shares her personal journey and expert insights on how morning sunlight can reset circadian rhythms, enhance...
info_outlineLet’s talk about the complex journey of navigating perimenopause, particularly the challenges of managing heavy menstrual cycles. Drawing from some of my personal experiences, I explore why common medical solutions like ablation, birth control pills, and hysterectomy may not always be the best options. We examine the consequences these treatments can have on hormone levels, gut health, and cognitive function. By shedding light on the root causes of heavy bleeding, such as endometriosis, adenomyosis, and hormonal shifts, you’ll have a comprehensive understanding of all available options before having to consider significant surgical interventions.
In this episode:
- How heavy menstrual cycles are a common issue during perimenopause for many women.
- Why hysterectomy is often suggested for heavy bleeding but may not be the best option.
- How uterine ablation is a less invasive option compared to hysterectomy.
- Why hormonal balance and gut health are crucial considerations for menstrual health.
- What potential side effects are associated with hysterectomy, including early menopause and cognitive impairments.
- How the role of progesterone in regulating menstrual cycles can affect bleeding.
- Why endometriosis is more than just a hormonal condition and involves immune dysregulation.
- What role bioidentical hormones and supplements play in managing heavy menstrual bleeding.
- Why testing hormone levels is essential to avoid assumptions about estrogen dominance.
- How fibroids and adenomyosis can contribute to heavy menstrual bleeding.
- Why uterine cancer and polyps should be ruled out as causes of heavy bleeding.
- How hormonal shifts during perimenopause impact progesterone levels and menstrual cycles.
- What misconceptions exist around the use of birth control pills for heavy bleeding.
- How removing ovaries during hysterectomy can lead to immediate menopause.
- What impact a hysterectomy can have on bladder, bowel, and pelvic support.
- How social norms influence women's health decisions and treatment options.
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Are you in peri or post menopause and looking to optimize your hormones and health? At Hormone Solutions, we offer telemedicine services and can prescribe in every U.S. state, as well as in British Columbia, Alberta, and Ontario in Canada.
Visit karenmartel.com to explore our comprehensive programs:
- Bioidentical Hormone Replacement Therapy
- Individualized Weight Loss Programs
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Your host:
Karen Martel
Certified Hormone Specialist, Transformational Nutrition Coach, & Weight Loss Expert