Nothing stops you in your tracks like chronic pain and nagging, seemingly endless injuries, both of which can become more common during the menopause transition and beyond. The sports medicine world is brimming with cutting-edge, regenerative medicine treatments promising relief, but it can be hard to cut through the marketing jargon to figure out what really works. This week we sat down with sports medicine-certified orthopedic surgeon Dr. Vonda Wright of the Hughston Clinic for detailed explan...
Nov 09, 2022•59 min•Ep. 105
Body image issues. Wrecked sleep. Struggling with slowing down. Midlife and menopause can send us into some seriously turbulent waters. This week’s guest, Lisa Alfano, manages to keep from going under by riding the waves–literally. Lisa is a surfer and triathlete who has married her passions in her business Tri2Surf, a community for women ages 50+ who want to reset or discover their active selves and claim their power and passion. Lisa has battled body image issues her whole life. Menopause and ...
Nov 02, 2022•46 min•Ep. 104
Eat less. How many times have you seen and heard that message? As a generation that grew up steeped in diet culture, most of us have it deeply internalized…often to our detriment. Underfueling among active women is extremely common and puts us at risk for low energy availability (LEA), which can lead to relative energy deficiency in sport (RED-S), a condition that not only hurts performance, but also can cause irreparable negative health consequences. LEA/RED-S can be especially difficult to spo...
Oct 26, 2022•1 hr 8 min•Ep. 103
October is breast cancer awareness month, an annual campaign to raise awareness about the impact of breast cancer. That’s especially important for women in the menopause transition and beyond because the risk of breast cancer rises with age. Most breast cancers are found in women who are 55 and older. This week we sat down with marathon runner and breast oncologist Amy Comander, MD, at the Massachusetts General Hospital Cancer Center to discuss how we can manage our risks no matter our family hi...
Oct 19, 2022•1 hr 10 min•Ep. 102
The good news: we are finally talking about menopause! The not so good news: we still have a long way to go, especially in the realm of research, says this week’s guest Dr. Stephanie Faubion, who is on the tip of the spear leading the way forward as the Medical Director of The North American Menopause Society (NAMS). When it comes to dealing with menopause openly in our culture, especially in the workplace, Dr. Faubion believes we are where we were with pregnancy 30 years ago. And she has some i...
Oct 12, 2022•37 min•Ep. 101
We are celebrating our 100th episode…and the fact that we have surpassed one million downloads in just two years’ time! Our community is growing by leaps and bounds and you’re the reason why. So this week, we are also celebrating YOU! Host Selene Yeager sits down with Hit Play Not Pause producer Carrie Barrett to share listener messages, talk about what we’ve learned, our hopes for the future, and to give you a little peek behind the curtain on how this show comes together week after week. We ho...
Oct 05, 2022•1 hr 22 min•Ep. 100
Bloating, hot flashes, night sweats, disrupted sleep, irritability, restlessness, brain fog…this week’s guest Michelle Hay treats them all, as well as the stress that can exacerbate them, with acupuncture. This week’s show is all about this Traditional Chinese Medicine practice, how it works, what to expect, and the specific benefits for menopausal women. Michelle P. Hay, is Co-Director of Acupuncture at Boston IVF in Waltham, MA. She has been working in women’s health since 2006 and is committe...
Sep 28, 2022•1 hr 3 min•Ep. 99
Most of us, even if we’re very active, are not moving our bodies the way nature designed them to move. We exercise plenty. We also sit plenty. We wear shoes that don’t help keep our feet strong or our posture properly aligned. That can set the stage for aches, pains, and injuries, especially during this time of life when our joints are more vulnerable. This week we talk with movement coach Petra Fisher about the small daily adjustments we can make and exercises we can do to enhance mobility, dec...
Sep 21, 2022•1 hr 11 min•Ep. 98
Heavy lifting, HIIT training, and explosive exercises like plyometrics do a menopausal body good. So, CrossFit can be the perfect workout for women in this stage of life…provided they scale it to their needs. That’s because CrossFit also has elements that may not work with our physiology and can leave us feeling tired and beat down instead of strong and built up. That’s why this week’s guest, CrossFit coach Shawna Norton of Competitive Female Training created “Level M” CrossFit programming for w...
Sep 14, 2022•1 hr 5 min•Ep. 97
What would happen if you tossed out all your premenopausal notions about how you are “supposed to” eat and train for your best performance and tried some new tricks to work with your changing physiology? If you’re like this week’s guest, you might just win a gold medal. Ashling Smith is a runner from Ireland who recently won a gold medal at the World Masters Athletics Championships in the 4 x 400 relay. She also ran to a career-high 4th place in the 1,500-meter race at the same event. She did bo...
Sep 07, 2022•48 min•Ep. 96
How do you know if menopausal hormone therapy (MHT) is for you? What should you expect if you start hormone therapy? How long does it take to work? What should you do if you don’t feel like it’s working? We dive into the ABCs of starting MHT this week with menopause doctor Heather Hirsch, MD. This is a good one for active menopausal women whether or not you are taking or plan to start MHT because we speak to all the things we should be doing, such as taking inventory of how we’re feeling and bei...
Aug 31, 2022•1 hr 5 min•Ep. 95
The only thing women tend to do better than men after having a heart attack is die. That’s a sobering mic drop. It’s also a fact and one that this week’s guest Dr. Martha Gulati is making her life’s work to change. We dive into the special heart disease risk factors women, especially menopausal women face, even if they’re active and fit, what you need to know about your cardiovascular health, and how to prioritize your heart health and cardiovascular care. Dr. Gulati is the President of the Amer...
Aug 24, 2022•1 hr 14 min•Ep. 94
From femtech apps to menopause telehealth, tracking rings to cooling bracelets, and even cryotech surgical services designed to prolong ovarian function, menopause is having a moment in innovation and enterprise. This week we dig into it with Alyssa Dweck, MD, FACOG, who is an avid runner as well as a consultant, key opinion leader (KOL), and medical advisor in the women’s health device, pharmaceutical, product, and medico-legal industry. Dr. Dweck is a practicing gynecologist in New York where ...
Aug 17, 2022•51 min•Ep. 93
One in eight women will have their ovaries removed before the natural age of menopause. Five percent of women naturally go through early menopause between the ages of 40 and 45, and 1 percent experience premature menopause before age 40. That’s a lot of women. And a large percentage of these women are not getting the counseling they need to optimize their well-being and long-term health, says menopause management specialist Corinne Menn, MD. This week she’s here to help as we dive into the uniqu...
Aug 10, 2022•1 hr 9 min•Ep. 92
Women have traditionally been ignored in sleep medicine (shocking, we know). That means our sleep issues can be misunderstood and misdiagnosed, especially during menopause when sleep disruptions rise. This week we investigate how hormones and menopausal symptoms impact sleep, as well as dive into sleep issues like sleep apnea (which shows up differently in women), restless leg syndrome, hypervigilance, and more with Dr. Andrea Matsumura, a holistic sleep medicine physician and a partner at the O...
Aug 03, 2022•1 hr 14 min•Ep. 91
Hit Play Not Pause is on a quick summer break during the weeks of July 18th and 25th, 2022. While we're out, we are excited to share two episodes from Feisty Media's excellent limited Title IX series. Not to pick favorites, but here at Feisty - this is definitely a favorite. With almost 50 years of experience as an athletic director and inductions into seven different halls of fame, Joan Cronan has A LOT to say about Title IX and gender equity in sport. Graduating college in 1966, Joan was part ...
Jul 27, 2022•59 min
Hit Play Not Pause is on a quick summer break during the weeks of July 18th and 25th, 2022. While we're out, we are excited to share two episodes from Feisty Media's excellent limited Title IX series. This week, Haley Chura - co-host of Ironwomen - interviews the renowned Wendy Mink. Wendy is a professor of politics, women's and gender studies, as well as the daughter of the very first woman of color in congress - Patsy Mink. Patsy was the co-author of the Title IX legislation and paved the way ...
Jul 20, 2022•52 min
If you’re feeling more injury prone, you’re not alone. Many women who have led active, athletic lives without a lot of injuries and “itises” suddenly find themselves sidelined more often during the menopause transition. Fluctuating and declining hormone levels directly impact your musculoskeletal system, as do your lifelong movement patterns, exercise habits, recovery practices, and nutrition–all of which become increasingly important during this time of life. This week’s guest, sports medicine ...
Jul 13, 2022•50 min•Ep. 90
Women often stop going to the high mountains when they reach menopause. The reasons why–hot flashes, unpredictable periods, anxiety, and fear, to name a few–will resonate with all of us, whether or not we ever step foot above sea level. This week’s guest, high altitude mountaineer Jeannette McGill is currently navigating the menopause transition herself and is determined to help women manage their menopausal symptoms and continue their journey of exploration in the outdoors and beyond. Jeannette...
Jul 06, 2022•58 min•Ep. 89
The menopause transition can throw a lot of obstacles in your path. Training for and participating in obstacle course races can help you overcome them both physically and mentally, as you lift heavy loads, strengthen your grip, and hone your mental toughness and problem-solving skills. Plus, it’s super fun, says this week’s guest, obstacle course race enthusiast Laura McElduff, 52, who credits obstacle course racing with helping her get through perimenopause. Since completing her first obstacle ...
Jun 29, 2022•59 min•Ep. 88
As active women, we train our strength and our endurance. But we don’t clean that barbell, we don’t cross that finish line, we literally don’t accomplish anything in life without first having the mental ability that comes from our brain. And as we age, our brains become vulnerable to decline. They physically change during the menopause transition, as our hormones fluctuate and taper off. But there is no point in time that we can’t take concrete action to build a stronger, better functioning brai...
Jun 22, 2022•1 hr 16 min•Ep. 87
As women are living longer, pursuing higher education, and chasing athletic goals well into midlife, the decision if, when, or even how to have a baby has become increasingly complex, because the old formula of graduate, get married, have kids just doesn’t work the way it used to. So this week’s guest, Liz Carlson, created her own formula and after her decades-long pursuit of professional and athletic excellence, had her first baby at 43 and her second last year at age 52. Liz is a former elite ...
Jun 15, 2022•1 hr 24 min•Ep. 86
Breaking a sweat is generally a good thing–a sign of healthy exertion–unless you’re working out in temperatures more suited to penguins than people. In those conditions, it can quickly lead to hypothermia, frostbite…or worse. So how does a perimenopausal woman (hello, hot flashes) make a 1,130 kilometer trek across Antarctica while pulling a 175-pound sled? That’s exactly what this week’s guest George Gilbert, co-founder and team leader of the Antarctic Fire Angels, a team of 5 female firefighte...
Jun 08, 2022•1 hr 25 min•Ep. 85
The menopause transition can leave a minefield of body image issues in its wake. Some research shows that as few as 12 percent of us are satisfied with our bodies at this time of life. That’s a problem, as poor body image is also linked to mental health issues like depression. We can’t wave a magic wand and make them go away, but we can equip ourselves with tools to make them a whole lot better. This week we build that toolbox with menopause fitness expert Maria Luque, PhD. Maria is a fitness ex...
Jun 01, 2022•1 hr 11 min•Ep. 84
Hot flashes. Sleepless nights. Mood swings. Divorce. The challenges of menopause and midlife came raining down on this week’s guest, Karen Duff, just a few years after she’d taken up mountain biking and was ascending the ranks quickly with her sights set on world-class competitions. She shares how she persevered through training, racing, and community and ended up getting 2nd place in the women’s division at Israel Epic mountain bike stage race the year she turned 50, and 2nd in her age group at...
May 25, 2022•1 hr•Ep. 83
Your pelvis changes during menopause–inside and out. The vaginal and vulvar tissues become thinner; the pH and microbiome in your vagina can shift; and the scaffolding that supports your pelvic organs can weaken, increasing your risk for pelvic organ prolapse. There’s help for all of that, so you can continue running, riding, lifting, having sex, and enjoying an active life free from pain, infection, and injury. We talk about all that and more this week with urogynecologist Kathleen Connell, MD....
May 18, 2022•1 hr 19 min•Ep. 82
Menopause is not the end of the line. It is not a “deficiency.” It’s a transition to the next phase of your life–a phase that can be positive, empowering, and powerful. But first, we need to understand what menopause really is; what is happening hormonally during this time, and how it is affecting literally every cell in our bodies. That’s where Dr. Stacy Sims and her upcoming book Next Level: Your Guide to Kicking Ass, Feeling Great, and Crushing Goals through Menopause and Beyond comes in. Nex...
May 11, 2022•44 min•Ep. 81
Your muscles and connective tissues can get “stickier” and feel stiffer during the menopause transition, and you can find yourself with more aches and pains and niggles than you had before. Massage therapy can help with that. But the benefits don’t end with your muscles. Massage is also good for the menopausal mind. It activates your parasympathetic nervous system to lower cortisol and anxiety. It also can provide a safe space for you to release past trauma, reconnect your physical and emotional...
May 04, 2022•1 hr 15 min•Ep. 80
We know lifting heavy, doing plyometrics, and adding intensity to our routines help us stay strong and powerful as our bodies change during the menopause transition. But where do we start? What if we can’t jump? How do we lift heavy if we don’t have heavy weights? Longtime trainer and now one of the leaders of the Menopause for Athletes Alumni group, Kerry Ann Madden digs into the nuts and bolts of getting started, whether you’re self-coaching or working with clients. Kerry Ann is the creator an...
Apr 27, 2022•1 hr 3 min•Ep. 79
In the year and a half since we started this podcast, many women have gone from being afraid to take hormone therapy to being afraid not to take hormone therapy, as some in the menopause field are saying that menopause is really a “hormone deficiency” and we can’t age well without it. This week we dive in on what hormone therapy is; what it can do (especially for performance and health); what it can’t do, and what we’re still learning about all of it with Dr. Carla DiGirolamo. Carla is a Double ...
Apr 20, 2022•1 hr 12 min•Ep. 78
