You're listening to a mother and Mia podcast.
Mama Maya acknowledges the traditional owners of land and waters that this podcast is recorded on. Hello, it's Maya popping into your ears to share another interview with Naomi Watts. Well, it's kind of an interview. So many of you loved the conversation that we had earlier in the week about her book Dare I Say It, and her experience with early menopause and what her life has been like.
Scroll back in your feet and listen to that if you missed it. But I wanted to drop this episode back into your feed because you might have missed it from last year. It was a conversation I had with Naomi and Alison bray Dado, who used to be a Dolly model and has become a menopause advocate like Naomi, and also doctor Ginny Mansberg, who's written a brilliant book
called The m Word about menopause. We sat down at south By Southwest and I talk to them in a bit of a panel style conversation about I guess the Bermuda triangle of women's health, the funny and the hot mess stuff, personal stories and some advice, and they get very real about the roller coaster that is menopause and perimenopause and the chaos and all of those things. So have a listen and enjoy from Momma Mia. I'm Meya Friedman, and you're listening to a very different episode of No Filter.
Does that make you nervous? Some people don't like change. I like change. One change that we're going to talk about today is the change of menopause. Perimenopause, the stuff that happens to women as we get older, every woman. This episode is a special one because it's me interviewing three women on stage at south By Southwest that was
held in Sydney. They're amazing women. Actress Naomi Watts who's also a business owner, Alison bray Datto who many people will remember as a dolling model but she's now an author and an educator, and doctor Jenny Mansburg. They're all experts in their own way about menopause. They're all women in their fifties. Hopefully our generation will be the last to have shame around this topic menopause and perimenopause. It
was a funny conversation. I enjoyed it so much, and so we decided to turn it into a bit of a podcast and bring it to you. Now. There's advice, there's personal stories, there's myth busting. It gets funny, it gets rude, it gets emotional. You can love it. Here's Naomi Watts, Allison Bray, Daddo, doctor Jenny Mansburg and me. Hello.
We're like the Beatles, but with hot flashes. What a treat to be sitting with for such accomplished women who are all in their fifties, all of us, and talking about something that until recently wasn't discussed much and no one wanted to really be associated with. But on our stage, we've got two women who've written books on the topic. We've got one woman who's launched a business catering to
women going through menopause. And we're very excited to be bringing this topic out into the open because for anyone in the audience who hasn't hit it yet, it's coming for you and it's not all bad news. So I wanted to start by asking our panel what did you think menopause was before you experienced it, and looking back, what was your first symptom or symptoms? Naomi, Yeah, menopause to me was pretty much the signifier of the end as I knew it.
I knew nothing. I did know that my mother went into menopause, but no other information surrounding that. I didn't know that she had a number of years leading up to that point that she may or may not have suffered. I didn't know that she possibly had a myriad of symptoms. I didn't know that it occurred on a day, you know. I just knew nothing, and what happened with me. My symptoms mostly that occurred were around shame and fear and anxiety because I happened to go to my doctor and say, look,
I'm not getting pregnant. Can you explain why I've spent my whole life trying not to get pregnant and now suddenly I want to get pregnant and it's not happening. And so the doctor suggested that we take.
A blood panel.
I took the bloods and the blood suggested that I was close to menopause, and so that's where the panic came in.
I literally fought old with you.
I was thirty six, So that was the first uttering of that comment being introduced to me. I went to my mother and said, what the actual beep? Why didn't you tell me more? And she said, well, these were the conversations I never had with my mother because she never had them with hers. And so the cycle went on, and that just flawed me, like, how has that happened? When we know that half the population will get there at some point, as you said, how is that actually possible?
And we're living longer now as well? Where is the education? Where is the conversation between friends, even sisters, family members?
Allison? Had you talked to anyone about minnopause or perimenopause before it happened to you? How old were you I was?
I think I was about forty five forty six when I got my first symptom, and that was just a change in my cycle that was really radical. Might go from two weeks to heavy bleeding to no bleeding. But I hadn't even heard the word perimenopause. That was a brand new word. I was like, what the hell is that? And I thought menopause was just your period stopping. I
honestly thought that's all it was. And then to start to do the research on it and look at we were talking before fifty three symptoms and the amount of effect that it has on women, the amount of effect in the workplace, the relationships, the mental health. It was so unbelievably shocking to me. It was like I'd lifted up this carpet and there was all of this stuff underneath it. People had just swept under and no one had told me it.
Was all there.
So I was deeply shocked, and that was the reason for writing the book and researching more about it, because it was something that I had two older sisters, a mom not a word, group of women not a word. I was just left very alone in that as well, and I think a lot of women feel that way if they haven't been you know, explained symptoms and what can go wrong and what can go right as well, but a real sense of loneliness.
Ginny Australian women. I'm told love to say I'm going to get my hormones checked because I think that's when I noticed changes in my cycle. I also just assumed that menopause was like a slow turning off of the tap. In actual fact, my tap turned on, which I really wasn't expecting. I'd always had pretty light periods and then
they were suddenly very very heavy. So, along with a few other symptoms, I went to see my GP, and I said, I want to get a blood test, assuming that the blood test could tell me whether I was in menopause. Perimenopause is this something that women do often? And maybe you could explain why there is no blood test and what menopause even actually is.
So a lot of people don't realize this. Menopause is a single day. So it's a day that happens twelve months to the day from the first day of your last period. Only you didn't know it was your last period because at that point they're all over the place. You didn't know whether another one was coming in three months or six months or two weeks for all you know. So if you are, you know, switched on enough to remember,
that's your day of menopause. It's the rollercoaster leading up to menopause that we call perimenopause.
That is the absolute car crash.
And there actually are two phases of perimenopause.
We're just skimmed right over that. I know there are two phases.
The first one is when ovulation kind of goes and you're not ovulating that much. If you don't ovulate, you don't get a lot of progesterone see progesterine levels drop. But at that point your brain is still trying to kick your overariaes into gear and so it's putting out heaps of stimulating hormone. So your estrogen is going up and down like a yo yo. So I could do a blood test for you at nine am Monday morning, do the same blood test Tuesday afternoon, and the levels
will be completely different. So I've had lots of my patients say I went to the doctor, they did a blood test, I'm in menopause and I had my last period two weeks ago. Okay, that doesn't make sense. You've just all heard menopause means that it's been months since the period and until that time. Unfortunately, the blood tests are completely useless.
But we also know that your.
Blood levels of hormones correlate very poorly with your symptoms, so it's a really unhelpful test. We know that individual women, I see maybe ten new patients a day with pery and menopause symptoms, I have never met to the same.
Everybody is different.
That makes it really difficult to manage because getting support from your friends can be really difficult. But at the same time, the hormone tests don't bother. It's really a waste of time.
Can you explain to everyone what estrogen is responsible for in the body? That is, you know, how long is a piece of string in every single organ of your body, from your heart to every joint to your skin, to every bit of collagen in your joints, in your bones, in your muscles, through to your brain.
Unbelievable numbers of estrogen receptors in your brain, in your guts, in your lungs. Receptors are everywhere, and they do different things in different body parts. And that's why when I started specializing in menopause, I think we had seven symptoms of menopause. We just cracked fifty three because we just added chronic cough to the mix, which is a brand new one. Welcome to the club, chronic cough. That feels
unfair here, thanks for that. But literally, there are very few body parts that are unaffected by the loss of estrogen.
Some of the more physical symptoms like hot flushes, insomnia, those kinds of things a fairly well known, you know, cycle irregularity. I think what was a shock to me and a lot of women is the emotional changes. Alie. Can I ask you what was your emotional and mental state, like when you were going through Perry.
Well, that for me was you know, if someone asked me what was the hardest part of perimenopause, it was absolutely the emotional toll that it took on me. And I always thought of myself as a fairly optimistic person, but I became severely anxious. I became depressed. There were days I did not want to get out of bed. There were days that I thought it'd be better off if I wasn't around. I take too much of a toll on my family. I couldn't see that I was
ever going to come out of that state. And it was a weird experience at the same time, because there was another part of me kind of looking down, going where are you going with this?
Like what is happening right now?
I got myself to a therapist at that point because I'd never had those kind of thoughts ever, and there was no reason for it, you know, it was just my hormones just but that was by far the hardest part for me. Naomi, what about you, Yeah, I think so this timing of the pregnancy thing, like I was
all motivated to just have my children. I thought, how do I figure this out with my doctor, and my doctor, mercifully was very pro hormones and all of at and despite the fear that was surrounding the two HRT two sorry yeah, sorry, HRT hormone replacement therapy. Firstly, I'll say I had two children naturally. I tried things.
I wasn't a candidate for IVF, inseminations weren't working for me, cloonate nothing, so I did natural interventions. Mercifully, I was able to get pregnant. As soon as I had my second child. I basically went into hardcore symptoms, and like you said, perimenopause was not a word that I knew of or my doctors were using. I then went into the shame part again. I went into oh my god, I'm finished. I'm no longer sexy. I work in Hollywood, you know, and if you're not fertile, you're unfuckable.
And I'd actually heard.
That term from an agent from long ago. You better get going, you better put your pedal to the metal. Work, work work, because you've only gotten till you're forty. And I said, what is that why? And he goes, well, you know, you become unfuckable and you can't play a leading lady.
So that was just shocking to be so for you. It had career implications for sure.
So the shame and the panic and the loneliness. But as I said, my doctor was well educated and walked me through it. I trusted my doctor, so the symptoms that I had were dealt with pretty quickly. I've been on HRT for a lot of years now. I'm a big advocate of it because it's all a cycle. I couldn't sleep, You then get brain fog, you then get depression, You then get all kinds of things, so you're on a cycle of going nowhere fast?
Did anyone else have rage? Just me? Then rage and weepage? No?
No, no, I'm with you.
So we know that one in three women will get anxiety and all depression around this time, and what a lot of us never talk about. And in this country we rightly acknowledge perinatal and postnatal depression, anxiety, and it's really well funded, which is great, But the peak period of vulnerability in a woman's life is actually around perimenopause
and the early postmenopausal years. It's actually the peak time for suicide as well, So we need to be talking about this yet and divorce and career ending moves, you know. And you've got to think about the women in the workplace who are looking at that fifty year old woman going, oh my god, I did not want to be that, and they're going to exit because they just look at her with her rage and she's pissed off at everybody and pissed off with her kids, hates a partner.
You know.
It's not a great inspiring figure out there. And we know that the main symptoms because it does look a bit different, the anxiety and depression, and it often hits people who've never had a mental health issue ever in their life. But what we know is the rage is a big one, you know, that just pissed off with everybody, the weepiness, extreme anxiety, These are the sorts of things
that happen that are quite different. And you can tell that it's hormonal, and we treat it differently because it is hormonal.
And then throw in some teenagers.
Just to top it off.
Doesn't Mother nature give us teenagers at the worst time of our lives and elderly parents as well, because we're all like, you know, you've got to take mum to the doctor. And then take the kid to another call from the principle again.
Yeah, I wanted to ask about identity because it does happen at a time when you are aware that you're becoming invisible in society, when our culture is telling women to get in the bin because we are no longer fertile, we are no longer in our early twenties, and we live in a very youth obsessed culture. Allison, you are a model. You literally earned a living from the way you looked. What kind of reckoning was this time for you in terms of identity and self image?
I mean I was lucky in the sense that I'd left the modeling industry and was doing other work that was more well, it wasn't based on my looks, so that actually helped me going into perimenopause. But at the same time, I had moved back from America, so I was in Australia when all the perimenopause and menopausal stuff hit. So I was very much recognized as that old Dolly girl, Cosmo girl model. So it was really interesting for a while.
Like you, Naomi, I felt really embarrassed and ashamed about how I'd aged and thinking like I'd let people down somehow, and I.
Felt very let down by you.
I know, I remember you mentioned that to me.
I'm so disappointed in you. My god, how.
Dare you age? I've moved through that.
I thought there's no way I can stay in that space and it's just not a good place to stay in. So we will get to the plus sides of metopause eventually, but you know, I had to really sort of dig deep into myself in a way and go, well, who am I? It really made me look at myself as a woman menopause and just go, Okay, who am I? Who do I want to be? And really, it's not about how I look. It's got to be how I feel. It's got to be how I feel. And I would say that over and over again, and how do I
get myself feeling good again? So that's where I took it for me, because you know, I went from a size six to a size fourteen, and I was like, oh god, you know, but I was like, Okay, I'm just gonna own it. I'm just gonna lap it all up and this is just who I am, and it's okay.
Sigh, sixteen fourteen. It's great. As long as I feel good, and that was my goal.
Ginny, Allie and I were all with our partners pre and during and so far post Harry, I'm not there yet, oh okay, which was challenging in many ways. Naomi, you were dating at that time or with new partner, What was that like to navigate? Because this was not someone who'd seen you give birth and you know, had gone through all of those things with you, and you talked about feeling, oh, you've got to be young and hot, and what was that like?
Yeah, and I'll go carefully here to protect the privacy of my relationship, but I will say it was a very awkward time because of the points you just made. I didn't know how squeamish he would be, and like, you know, the idea of exposing such personal things so that I knew I felt ashamed of how would he feel? Ultimately, keeping secrets is too exhausting.
And it's hard to hide a patch when you're in had to hide a patch.
It's hard to hide the moods.
It's hard to you know, just show up in the ways that you may have in your twenties and thirties. And so ultimately I made the decision. I thought, well, this is a great litmus test. Let me see how it lands with this. And I just got really honest with him, and he was like, oh wow, cool, just tell me how I can help. What do I do? And empathy straight away, and you know, a few jokes
to follow as well. But yes, we instantly he knew how to behave, he knew how to be gentle and show up and obviously he passed the litmus test.
And now we're married, and I've seen the way he looks at you, and everyone should have someone that looks at them like he looks at you. So it clearly was not an impediment to your relationship.
Just to add to that, I would say anyone who's going through that, because it is common. Marriages do break down, marriages will change, and people are meeting their second partners, and I think communication is absolutely key and it's the only way to educate. It's not a failing. It was always supposed to be part of what would happen with your hormonal cycle. And leaning into it, like you said, and owning it is just the only way.
To deal with it.
And the more people understand it, the more we normalize and open this conversation just get used to it the better.
And I also think talking to our kids. I mean, you know, gen X, we do like to talk. So my kids. I remember one poor one of them one night just said, I'm just wondering how long actually does perimenopause last. I got very angry. But they know a lot about it. You know, my teenagers and my oldest son, they know a lot about it. So that will be good for both the boys and the girls of the
next generation. Giny, I want to ask about HRT before we move on, because when a lot of women go to their GP, something I didn't realize when I first heard the idea of HIT, I was like, oh, no, that'll give me cancer. Why was that in my head? And why do so many gps give such bad advice about HRT and menopause.
So I'm going to do a really quick reader's digest I know I'm a boomer, a reader's digest version of what happened and to make HRT get linked to cancer and why so many women are terrified of taking it today. So back in the nineteen nineties, a lot of American studies, which were population studies, you took entire groups of people they had found that in fact, women who were taking hormone replacement therapy. Back in those days, it was synthetic
hormone replacement therapy. We don't tend to use that very much anymore. But those people who were on that HRT actually had less heart disease. So the National Institutes of Health from America said, hey, let's do a massive study one hundred and ten thousand women. Let's get them older women, average age sixty three when we start this trial, well
passed when you need your HRT for menopause symptoms. Let's do a study where we give half HRT and half placebo and see what happens whether it prevents heart disease. Spoiler alert, it doesn't. Doesn't prevent heart disease, particularly in those older women. But what they found back in two thousand and two, who was that for every ten thousand women who were taking a placebo, they had thirty cases
of breast cancer. For every ten thousand women taking the HRT, the synthetic HRT that we don't really use anymore, there were thirty eight cases of breast cancer. Now, as a result of that, plus the futility, it did not prevent heart disease. They actually canned the study. But the problem was they went to the press and the subtleties of that messaging, all anybody heard was HRT causes breast cancer.
Now what in fact, if you took the group of women inside that study who were in their early fifties when they were given the HRT, they didn't get any extra breast cancer. And what it looks like is for body identical HRT very different to bioidentical. We can talk about that, but body identical HRT doesn't seem to have any increased risk of breast cancer, particularly when it's given to young women and particularly if you don't stay on
it forever. And definitely every menopause society in the world today will say that the benefits of HRT for most women will weigh out weigh the risks. We don't give it to everybody, but just if you have symptoms, the
benefits will outweigh the risks. But what happened after that two thousand and two study was shut down and what was called the Women's Health Initiative Study was there were hundreds of lawsuits, particularly in America, the lawsuit capital of the world, and in fact the drug company that made that form of HRT that was used in that trial went bankrupt and was sold off, and the parent company that ended up buying it had to settle three hundred
and fifty million US dollars worth of lawsuits for women who had breast cancer. And every drug company in the world said, too hard. They rolled down the shutters on all of their women's health division, particularly for midlife women. They stopped doing research, they stopped teaching at university. I myself got zero training. I didn't even get an hour of training on menopause through my whole journey into general practice, and most doctors to this day know nothing about the
management of menopause. Now that's going to impact all of you, because I see page every day who've gone to their GP and said I'd like to go on hormone replacement therapy and the GP says, that's dangerous. I'm not giving it to you. Your mother had breast cancer, you can't have it. No, that's definitely not the case.
But there is this fear that has pervaded all of the.
Women, and to this day, to my horror, there are still black box warnings on every form of HRT that most.
Of us here what to back box warning.
So that's a mandatory government led warning that says this thing can give you breast cancer. I mean you, and I will chuck out the packet inserts and.
Just say, don't that on my packet. I ignore it. But they are there.
Those warnings are there, and for women who take their hell seriously and actually read the packet inserts, that's terrify.
Before we move on to identity, and I'm going to ask about this reinvention stage of life, which is one of the most positive things that come with being this age and going through this What should someone do, Like, if there is so much misinformation out there, what do you do? What's the first port of call?
So I think, as I said, there are no two women who are the same, and even getting the right HRT formulation, it can take a lot of kissing a lot of frogs to get your handsome prints and get you to the place where you feel right. And you need to work with a doctor who will listen to you. Not everybody needs or wants HRT, and there are other options out there. It's not the only thing. The problem is with that fifty three symptoms that we talked about.
To get all of them wrapped, up in a single treatment. Whether it's your joint pain or your mental health concerns, or your insomnia and your hot flushes and your itchy skin and your palpitations, there is only one treatment that will get rid of all of it and strengthen your bones and reduce your risk of bowel cancer. So yet that's just get armed with the fact and find a doctor who will listen to you.
Up next, we talked about a lot of things that kiss us off, as you just heard, but there are actually a lot of positives to going through this phase of life. Stay with us because we're going to talk about those. I would like to talk about the freeing nature of what can happen in this life stage because we've talked and been honest about some of the more negative things, and hopefully there are more women won't go through it because there are more women speaking out now.
But you decided to start.
A business at this life stage. You know, there are a lot of actors and celebrities who are doing skincare and doing makeup. Starting a line of menopause products is not the most sexiest choice you could have made. Why did you choose? You know, with the launch of Stripes to do this.
I think given that I had been living with the secret for so long and feeling that shame and not being able to discuss it even amongst my friends. I did sort of crack jokes with my friends about having an estrogen dep and it was always met with a nervous laugh, you know. So I was like, Okay, that was a feeler check. No one else is in menopause around me, so I'll keep quiet. And I think after a certain number of years, you just get bored of that. And then I started to really just become my own
advocate of how to piece meal all the information. And luckily the Internet was quite active by the fourth or fifth year of these symptoms, and so I was finding more and more information and going to different doctors. And like you say, if your doctor is not going to give you or hear you in the right way, then you really should just change your doctor. I'm to this day still learning more and I am deep, deep, deep
into the research now having started the company. I mean, well, it's been percolating for three years now, but it's been on the shelves for a year in the US. I decided that I had to do it. I couldn't not do it because I needed a place to go. There was nowhere to go. There was no conversation. So I thought, what if there was a place to go for others, because no one should have to walk through this alone.
I had already spent a lot of time with skincare because I had become a co founder of a company called Onder Beauty, which was because I was having dry, itchy skin, raging skin. And I'm an actor and I work on screen and have topply makeup all day long, and my skin was just yelling and screaming at me. So I had to sort of look into the ingredients that I was using that worked perfectly well for many years. I had to make adjustments there and I had to
use gentler or ingredients. So I became passionate and well versed in ingredients. But then I started looking at all of these brands, and I'm talking like between seventy and eighty different brands, and I saw, yeah, that was good for this thing, and that was good for maybe my hair, and this was good for my body, and you know, but I don't like how they're speaking to me, you know, promising the world of this and throwing as a twenty eight year old up there to sell the product, and
that doesn't feel good. I want to feel authenticity. I'm not going to suffer fools. I'm not going to be fed a whole bunch of nonsense. So it really became clear to me that a brand was needed to address all of the pain points, or as many as possible. We don't have estrogen, and by the way, the fear that you speak of literally women have come up to men said, is that estrogen in there? Because I can't take it? You know, Like, no, we don't have hormones
in our products. But we have powerful active ingredients that have real good ways of hydrating, and ectoin and squalene, which is a paired combination of locking in the moisture and ectoin is an unbelievable smart ingredient that knows how to identify where water is needed and it can collect and multiply the water and lock it in. So the two things are in all of our products. I've got five here.
This is Vadge of Honor. Yeah, can we talk about badges because I know everyone's been so excited to talk about badges. The Vadge moisturizer ile in the in the chemist. It's just not it's not one that you will find easily, and it's not one that you will probably be comfortable asking the very young, usually males, sales assistant to help you find.
And it's not one you want to bump into anyone else.
No, you don't want to pause too long there, and because of all the shame. You know, there's a lot of things to It's not just about your top, it's also about the bottom areas. I love that you've got two Vadge products. Yeah, what do they do?
There's a lube as well, which is somewhere else. What's it called play oil oil? And it's called oh my glide and my Glide.
Yeah.
We've tried to have fun with the names because I love that you've heard us bitch and moan here and about all of the negatives. And they look they will look nice next to your bed or in your bedside table. Yes, that's not something that you have to necessarily hide. I wanted to have fun with the names and the color palette and feel like this is actually a vibrant time in our lives. Look at all of you women here, You're all doing fantastic things. It's not the end. There's
so much life to live. We know we're living longer now, and shifting the narrative was the most important thing for me. Do not hide in shame and secrecy, come out and own it, and set yourself up better for the last part of your life, which is possibly a third even a half of your life. I've got two grandma's guys who are still living. One's one hundred and one's ninety eight.
Alie, I wanted to ask you about you know, you spoke really movingly and thank you for sharing that about your rock bottom essentially. But then when we were talking in the green room about what happened after that and what benefits this life stage is brought to you, can you speak a bit about that?
Yeah, Well, I think, like anything in life sometimes is sort of like what can menopause like do for you? And that was my as I said, that was my goal was sort of like I knew I needed to move out of this depressed state. I knew I needed to help my body, and in doing that, there was so much that.
Happened during that time.
I can honestly say I'm so grateful I've went through perimenopause and menopause, and I feel like it's something that it can feel like a doom and gloom thing on your horizon, but there's like an allocating of your tools that start to happen as well. That's what I found. Like I'd always been this outgoing give a give a giver who needs this? That who needs this? And I was bottom of the list constantly, And when perimenopause and menopause hit, all of a sudden, I became top of
the list. And I loved being top of the list. I was co top. I didn't sort of move anyone else further down. But but why.
Like what changed? What took you to the top of the list? Just because you were so unpleasant to be around? Everyone else went away? That's what happened to me.
It was just those things of going what do I need? Just it was that simple question what do I actually need? Because I'd felt so crap and I was like, what do I need to make myself feel better? I need to pull back from work, I need to have a massage. I need to go for a walk. I need to just go to my room and just cry for a bit. I need to go read a book, and it was just it was little subtle things, and you know what I really needed to do. I really needed to start
being kind of how I spoke to myself. That was a big thing for me because I'd been through the shame. I'd been through, you know, even years before perimenopause. I was very very hard on the way I looked and whatever. A lot of women do that, I guess, but I was like, you know what, Alie, enough, it's actually enough that you're doing this, like you're going through a tough time, You've got years ahead of you.
Can you just be nice? Just be nice to yourself.
So I really pulled back on that self critical talk, and I felt so much free them and that I said no when I wanted to say no. I said yes when I wanted to say yes. And I started trying new things. I picked up different careers, I let go of fear of things, and so I actually found an incredibly invigorating to go through perimenopause and get to
that I'm now post. But I also think at the same time, it's like to have that experience of the challenges was actually really what gave me that base to then spring forward into Yeah, just a much much better part of my life.
I'm happier now and healthier now than I ever have been.
Ginny. One of the things that a lot of women experience around this time is a change in libido, and sometimes they feel that it might be that I don't love their partner anymore. And it's no accident that a lot of women get divorced at this time. What do you see and what advice do you give to the women that you see in terms of managing that, because it might not be in concert with the partner in their life if they have one.
Okay, so a couple of things. First of all, your vagina, we have to talk about her. Your vagina has estrogen receptors, kind of said that they're everywhere. They help her to make the self cleaning fluid that is the vaginal discharge five meals is normal.
You never miss it so.
Much until you don't have it, because sex is really uncomfortable and you're not going to get libido happening if it feels like your vagina is being rammed by sandpaper covered battering ramp, it's just not going.
To be fun, not sexy.
No, write that down. So note to self, Reno the VJJ first.
Okay.
The other thing is, if you are feeling really hot, another body on top of you is just your worst nightmare. And if you are exhausted and your hottest bedroom fantasy involves a sleep mask and a pillow, it's just not good for the libido. Let's say you've worked all of that out. There are two types of low libido. Low lobido number one is I really don't want this. I'm going to make an excuse. I'm going to be on the phone. I'm going to be brushing my teeth for an hour, hoping.
He falls asleep.
But then occasionally you give in, you do it, and you go, you know what, that was actually quite good. I should probably do that more often. We call that being married. That's very common.
Okay.
Low libido number two is quite different. Okay, that is, well, that's ten minutes of my life. I don't get back. I didn't orgasm, you can't orgasm, you have no sexual fantasies, and you never ever masturbate. Now we never talk about this, but that is called hyperactive sexual desire disorder. I ask all my new patients about this. They're just horrified, predible, and ask them about their masturbation.
But when we do.
Ask, there's a reason because if you meet the criteria for hyperactive sexual desire disorder, which.
Is more common. I'm not asking for a show of hands, but statistically, but if you want to but where about ten percent.
Of the population fit that criteria and you have low testosterone levels, the advice of the International Menopause Society is that you would benefit from testosterone. Now, in the case of women, we are very lucky here in Australia. We have a product that's formulated here and manufactured.
Here in Australia.
You put a little bit like on kind of around your bikini line, keep changing it otherwise you're going to grow black hair where you don't want it on your belly.
As if the patch is not off putting enough.
So is it a cream or it's a cream and you put one meal on a day and then we retest your testosterone levels. But it is a game changer as to whether it gives you other benefits. Brain benefits, gets rid of your brain fag, gets rid of depression. Have any of you heard of doctor Louise Newsoen in the UK. Yes, I'm a big fan of hers. She runs multiple clinics in the UK, and she has actually a data scientist working within her clinics, so everybody has
di identified data. According to her data, testosterone is very powerful for brain fog, very powerful for strength, but also very powerful for depression as well. Now that data is not good enough, we would not call that a randomized plus ABO controlled trial at this point. According to international guidelines, you would only get that if you have hyperactive sexual desire disorder, but you're probably going to get a few other benefits.
Throwning Wow, it's a lot to take in. Yeah.
Actually, I'll say I just added that to my routine. I had tried it earlier on and I didn't like it at the time that I tried it, And this is just a testament to what you said before about hormones going up and down, and obviously I didn't need it that much. I even got like a little bit of that, oh you know, like the male kind of rage, I suppose, so I stopped it, and then recently I've added it. In America, we're given drops. Do you not like those?
Just not great absorption? Okay, just stock up while you're here, because because they sell me. But I actually I'll give you negotiate your tree to.
Speak to the brain fog.
Yes, it makes me clearer and more focused in say a meeting or you know, a situation where you have to be more on top of things, more in control.
And because we're not trying to turn you into a man, we're not giving you the kind of testosterone levels that are going to actually make you turn into a bloke.
We're trying to get.
Your testosterone levels up to a premenopausal woman's test austerone levels.
That's all I've heard.
It can if you overdo it, your clitoris can change.
It does it grows, You can grow a penis. Don't do that.
Not Attractive's so many things today, But will continue to monitor your blood levels.
We're giving you.
Really tiny amounts, hopefully not mandatory for every menopause check. If you want to avoid the doctor, that's.
It's an option. I wanted to ask all of you actually about the brain fog because for me, that was one of the things I struggled with most, and it's responsible for a lot of women leaving the workforce. We've seen data on that it does happen. I know that in terms of my self esteem it really affected it because I, you know, trying to run a business. I pride myself on being pretty sharp, and I just really
affected my self esteem. Ali, was brain fog something that you experienced or can't you remember?
What is our brain? Yeah? Absolutely definitely.
And I was always the one that held the memory in the partnership between me and Cam, like always got brain fog, so he would always rely on me to remember people's names and birthdays and stuff, and I just that just started slipping away. So yeah, that was definitely something, and it's still there, like it's I'm not.
As sharp as I used to be for sure.
But on that topic, I was just sent just recently a preview of a book it's coming out next year. She's a neurologist, a top neurologist in Australia, Lisa mcconysconi Miscony. She's written a book called Menopause Brain. And they actually do imaging.
Remember I'm glad between the four of us we could remember the names.
I'm so excited.
And they did imaging of perimenopause, menopause and post menopause and how the brain actually changes, and it was I thought that was so interesting because you know, this idea that we're sort of left as women that I'm going crazy or I don't know, I just feel off. And that's why I think part of the challenge of going to a doctor is because you can't often define what
you're feeling. You just don't feel like yourself. And the more information that we have to go, yes, that is actually a real thing is exciting to me, and I think that helps more women to go, this is actually what's happening. The brain fog is real because I can now there's a book where there's other doctors talking about it.
So yeah, long answer, but yeah, I had brain fog. No, that was great.
And if I can add to it, like we should start this conversation in sex ed at school when they start the conversation about puberty. This is the bookend. It's an adult version of it.
You know, take it. That's us puberty, right. Yeah.
Basically, I know I've sat here making jokes about hormones and everything. I take it very seriously, and I know it's not everyone's choice or possibly not safe for everyone, but to have your doctor walk you through it is absolutely key to if we could have just a simple medical alignment on what's going on. Because there are so many doctors that disagree with each other and still uphold this bad messaging. We need to know that we need better research for women.
It's just not enough.
We're living longer, so why can't we be better set up? And you have to be a little bit of your own best advocate. But you also need to demand more from your doctors. And it's absolutely true. I've sat in many of these panels and watched surveys play out. They are not trained at all. It's up to them to get their training.
So you have to trust yourself.
But now with all of the information just arising as this conversation's opened up in the last couple of years, you can go at least equip with the right amount of questions and advocate for yourself.
One of the things that I think has just been so fantastic about living in this time now is we all talked about the secrecy, the shame, the stigma, the lack of information. I know when at Noma MEA we did the very very summit a few years ago, and there were tens of thousands of women that were like,
oh my god, me too, me too. Because I think one of the most challenging things I know for me and many women said the same thing is that because the symptoms are so random, not random, but disparate, everything from hot flushes to brain fog to heavy periods to rage to libido, it can be very hard to understand
that they're all part of the same thing. It wasn't until I went to see an endocrinologist because I suspected that's what it was, and he actually said to me, you're the first patient i've seen today and I've seen fifteen that hasn't cried. And I said, I just got here. There's still time. And I was really grateful that I was. You know, he's named Professor John Eden, one of the early experts in menopause and perimenopause, and he talked me through HRT. Because I hadn't, I assumed that my mum
wasn't on it. But when I spoke to her, she goes, oh, absolutely, of course I'm on it. And so you know, I got on it too. And I also speak to women who are very nervous about it, and you've got to make the right decision for you. But women talking about it now, I think this is just such a wonderful thing. In the same way that we talk about mental health now and a generation ago we didn't. You know, Ginny, what is the biggest the biggest misconception about this phase of life?
Like you guys, I hadn't heard of perimenopause, and I had a lot of misconceptions doctor, and I'm a adult doctor and I was doing women's health. And I'm so ashamed now cancel me for saying that. I know she's a woman, I know she's not a girl. But I feel now that I let the patients down because I had no idea what was going on.
And I'm really lucky.
That I host a podcast which is educational for doctors, and we had so many menopause specialists coming on, and every time I would hear someone like John Eden or Professor Rod Baber or Professor Susan Davis. Australia's got an unbelievable menopause specialist, I would think, I don't know any of this.
This is a black hole in my knowledge.
When the publishers of this book came to me and said we would like you to write a book on menopause, I was.
Like, fuck off, how old do you think I am? Yeah? And then and then I was like, oh wait, fifty yes, but were you a bit like that's not really Oh how I see myself?
I was like, I'm young, like joe't you want me to write a parenting book on toddlers?
But no? But then I was like okay, and I like fell into that.
You're like, there's so much to know and now there's like a network of like doctin most phenomenal handbook.
Thank you.
So when I first started practicing in menopause, because.
It hooks you in, because you can do more.
Good for people in this space in life than you can for any other group of people at all.
It's so addictive.
When I first started in this space, people would be very tentative coming to see me and really sheepish and what else could I do?
I don't really want to do hormones.
Now I'm very likely to have a forty one year old woman who says, Hi, I'm crying all the time. Can I have hormone replacement therapy? I'm like, wo, tanto, tell me about your periods.
But a lot of that.
I am really great full to the other three women on this panel who've made an enormous difference. I think starting with you may I remember when we first started talking about the Very Pery Summit. I was like, that is so brave. You're going to go out there and say that you're perimenopausal. And I think Ali's book coming out, but also I think particularly to Naomi, because the world has changed because of you and everybody in this room, and everybody is.
A beneficiary of that. So thank you. Just to wrap up, I wanted sort of just go through and ask each of you to sum up where you're at, you know now, with your symptoms, with your outlook, and what's great about being in your fifties.
My people, please, is pretty much gone to sleep. I find myself feeling way more creative than I ever have before. I feel like I'm ready to sort of try new things. It's a weird thing, like I think I'd had this idea that you got stuck in one line of work you just you couldn't change. You're too old to do this. For me, I could go do another course on something, or change complete careers and do something else that invigorates me. So yeah, I'm excited. I'm excited to be a grandma.
I'm not that my kids are pregnant, but I'm excited for that phase of life. Yeah, there's just there's so much more that I want to sort of chew off and eat Jimmy.
So, yeah, I'm still in perimenopause and I've had a very easy journey. I feel very guilty about saying it. My worst thing was very heavy bleeding, so I needed.
To have How do you know you're still in perry Because I've got regular periods, so reasonably regular ish. But if you have a marina like I do, I do. Everyone wanted to know that, it can be hard to know. So a marina for those playing along at home is an IUD. Why don't we get the adoptor to tell us where the marina is instead of me?
So it's a little device that sits inside your uterus and it has progesterone that comes out every single day. It is a synthetic jestone, one of the old school ones. We don't have an available marina with the new body identical.
It means that you don't get your period, so it can be heart well, sorry, it's for some of us. Yeah people, I mean I still get my period because that's what it's got one too. Yeah, I've had one since my daughter was born. And she's twenty six now, so I just keep changing it every five years. But I definitely knew something was wrong when I was hosting radio at two GB. If anyone knows anything about.
What two GB is, it's not the radio station where it's really easy to do the walk of shame.
I imagine there aren't free tampons in the bathroom. There are.
I'm coma where they've worked out that no nobody steals tampons when you keep them at work. We actually, the Sisterhood says you just have respect for the fact that nobody wants to do the walk of shame. So when I had a massive flood into my jenes in the middle of a radio show and had to do the walk of shame, and you know what, is there anybody else in the building with a vagina and a tampon? No, and no was not able to go to the local seven line and just had to use a stacker toiler baker.
That's how I worked out that I had a pollop and I had that change. But other than that, I've had a very easy pery. But being part a tiny part, but being ever so small a part of this movement that is helping women not go through what our mothers did and how they suffered, and how they all had hysterectomies at early ages for no reason, and how they were shamed and stigmatized and couldn't talk to us about it.
Playing that little role makes every day so exciting and just an absolute thrill to be part of it.
Naomi, want to finish with you. You've come out, you've overcome the stigma, the shame, you've launched a business, you've remarried. It's a pretty exciting time of your life from the outside. How's it feeling on the inside. Great?
But first, I'm married for the first time.
I will say first, yeah, which was really lovely white Well we all saw were so sheep.
I feel so and I lovely Sorry, Oh thank you, I think so too.
I feel like being on the other side of it now, understanding everything we've been through.
Everything.
Part of the reason I called it stripes was that this is a time to shine. This is a time to feel your best and feel like you can hold your head high. Your cumulative experiences matter, and you've earned your stripes. And so I wanted to sort of reinvent this narrative and make us feel like proud of this time. We do get to the other side and feel like
there's a reclaiming of oneselves. Our hormones have driven us entirely to this point, and sometimes not always in the best direction, and so it's actually nice to be on the other side of it. And yes, I still have symptoms. Yes, I mean I've still we were talking about it in the green room. I've got a frozen shoulder, and I still get hot at night.
Sometimes. HRT is not a.
Silver bullet, but it is the gold standard and it's safe for me.
So I feel good.
I feel my best. I'm open to trying new things. I'm leaning into saying yes to as many opportunities and things that I haven't tried before. I don't care about the small shit anymore, or I give you less shits about it, And I feel like alive and like there's
so much more to do. And I'm encouraged that we're normalizing this conversation between all of us that will be the last generation to have shame about it, and all of your daughters and younger sisters around you are going to feel well set up, and to me, that's great news. And yeah, I'm just happy that you guys are here to listen, because that means you're interested and invested to.
I hope you enjoyed that. We certainly did. We had such a good time as I hope you could hear on that panel. I highly recommend follow all of these women on Instagram if you want to hear more from them, and we've got so many more resources at muma mia. If you are going through perimenopause or menopause, we'll put a link to those in the show notes. The executive producer of No fil Day is Kimberly Bradish, with sound production on this episode by Teagan Sadler and Madeline Juanni.
I'm mea Friedman and thanks for supporting women's media.