Conversations about Hormone Replacement Therapy, Mirenas and Tinnitus

The Menopause Revolution Podcast and host Leah Kapral invites you to join the conversation that are currently not being had around menopause - you will meet amazing health experts & leaders, be educated around midlife changes and learn actionable & evidence-based health solutions, to support you to navigate midlife with clarity, confidence, and vitality. 

 

In this episode, Dr Emily Watters and I delve into the health benefits and concerns of hormone replacement therapy, mirenas IUDs and midlife inner ear issues. 

 

Leah Kapral is a nutritionist, scientist & holistic menopause coach and works with women experiencing perimenopause and menopause symptoms who are exhausted from doing all the “right things” struggling with midlife metabolism, energy, brain fog, disrupted sleep and stress management.

No matter where you are at, in your midlife health journey, tune in and make sure you subscribe, share with your friends and get ready to be inspired, learn and revolutionise menopause.

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Key topics:

• The history and evolution of the Women's Health Initiative study and its impact on HRT perceptions
• Clarifying the difference between hormone causing cancer versus promoting growth
• The real benefits of HRT for brain, bone, and heart health
• Common concerns: breast cancer, weight gain, blood clots, and mental health effects
• How cycle irregularity and menopause symptoms are diagnosed beyond blood tests
• The role of estrogen in reducing cardiovascular risk and preventing osteoporosis
• Addressing misconceptions about progesterone, progestins, and the Mirena IUD
• Practical tips for discussing HRT with your doctor and trying a trial
• Managing inner ear issues, tinnitus, vertigo, and sleep disturbances during menopause
• The importance of individualized care and finding supportive healthcare providers

Timestamps:

• 00:00 - Introduction to Dr. Emily Watters and the case for re-examining HRT risks
• 01:32 - The true story behind the WHOI study and press headlines
• 02:54 - Absolute vs. relative risk in breast cancer data
• 03:41 - Re-evaluating cultural beliefs around hormones and cancer
• 04:30 - The benefits of estrogen on brain, heart, and bones
• 06:35 - Addressing media misconceptions and overgeneralization of warnings
• 09:45 - Common concerns women have about HRT: breast cancer, blood clots, weight
• 12:23 - The role of blood tests and cycle changes in diagnosing perimenopause
• 15:11 - How estrogen supports cardiovascular and skeletal health
• 19:10 - Hormonal effects on brain fog, sleep, and mental health
• 22:37 - Insights into sleep, Alzheimer's, and brain health during menopause
• 23:50 - Inner ear symptoms, tinnitus, vertigo, and menstrual side effects
• 33:50 - Navigating IUDs and estrogen use with devices like Mirena
• 45:30 - Encouragement for women to advocate for their health and find knowledgeable practitioners