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Speaker 1: You're listening to a Mumma Mea podcast.

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Speaker 2: Mumma Mea acknowledges the traditional owners of land and waters

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Speaker 2: that this podcast is recorded on.

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Speaker 3: Hey, I'm Taylor Strano. This is Mummy's twice daily news podcast,

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Speaker 3: The Quickie. When I say the word menopause, one of

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Speaker 3: three things usually happens for everyone under thirty five. They

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Speaker 3: tune out, They'll get to it when they need to.

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Speaker 3: Women who are currently experiencing perimenopausal symptoms either want to

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Speaker 3: share or find solidarity in other stories. And women who've

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Speaker 3: been through it have come out the other side with

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Speaker 3: more wisdom and maybe even more questions. But there's another

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Speaker 3: group of women usually left out of this conversation, women

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Speaker 3: in their twenties and thirties who've experienced premature menopause. Today

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Speaker 3: we're telling their story, plus bad news for Macha girlies.

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Speaker 3: Your green grassy tree could be messing with more than

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Speaker 3: just your bank account before we get there. Use Alish

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Speaker 3: Delaney with the latest from the QUICKI newsroom for Friday,

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Speaker 3: September twelve.

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Speaker 4: Thanks Taylor. US investigators say they have found a bolt

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Speaker 4: action rifle they believe was used to kill conservative activist

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Speaker 4: Charlie Kirk and released images of a person of interest

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Speaker 4: as they searched for the shooter. Kirk, a thirty one

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Speaker 4: year old podcast radio commentator and a close ally of

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Speaker 4: US President Donald Trump, was killed on Wednesday by a

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Speaker 4: single gunshot in what Utah Governor Spencer Cox called a

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Speaker 4: political assassination. FBI and state officials say the killer arrived

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Speaker 4: on campus at Utah Valley University a few minutes before

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Speaker 4: the event began, and was seen ascending stairwells to get

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Speaker 4: onto a roof before firing at Kirk. They then jumped

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Speaker 4: off the roof and fled into an adjoining neighborhood. Investigators

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Speaker 4: found a high powered bolt action rifle in a nearby

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Speaker 4: wooded area and are examining that, along with palm prints

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Speaker 4: and footprints for clues. Authorities say the shooter appears to

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Speaker 4: be of college age and blended in well on the campus,

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Speaker 4: but has not yet been publicly identified. Divisions in the

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Speaker 4: Liberal Party threatened to haunt Susan Lee's fledging leadership as

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Speaker 4: colleagues raised questions about her handling of a demotion of

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Speaker 4: a firebrand senator. Party insiders say she could have handled

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Speaker 4: the front bench demotion of justinto Nambajimber Price better after

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Speaker 4: the Northern Territorian's controversial comments suggesting the government favored Indian

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Speaker 4: migrants to boost Labour's vote. Liberal sources don't expect a

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Speaker 4: challenge in the short term to Lee, who won the

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Speaker 4: leadership after the party's disastrous federal election result in May

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Speaker 4: under Peter Dutton. Lee dumped Namberjimber Price from her front

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Speaker 4: bench after the Senator failed to declare confidence in her

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Speaker 4: three times during a press conference. Many in the party

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Speaker 4: considered the senator's comments about Indian migrants last week as

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Speaker 4: having crossed the line, but say Lee should have confronted

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Speaker 4: her sooner and not allowed the issue to drag on.

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Speaker 4: An inquiry has found state effort to play down the

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Speaker 4: presence of forever chemicals in a major city's drinking water

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Speaker 4: supply were made without a proper testing regime. Sydney Water

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Speaker 4: claimed in June twenty twenty four there were no known

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Speaker 4: PAFAS hotspots within its drinking water catchments, as citizen led

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Speaker 4: testing pointed to concerning levels of man made chemicals in

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Speaker 4: water supplies, but the New South Wales Parliamentary Inquiry found

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Speaker 4: the agency responsible for delivering podable water to five point

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Speaker 4: three million people did not perform an appropriate level of

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Speaker 4: due diligence before making its claims. As a result of

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Speaker 4: Sydney Water's delayed action, the New South Wales government has

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Speaker 4: been urged to regularly test water for prefas chemicals. The

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Speaker 4: man who killed John Lennon outside the former Beatles Manhattan

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Speaker 4: apartment building in nineteen eighty has been denied parole for

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Speaker 4: a fourteenth time mark. David Chapman fatally shot Lenin on

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Speaker 4: the night of December eighth, nineteen eighty, as the musician

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Speaker 4: and his wife, Yoko Ono, were returning to the upper

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Speaker 4: West Side of Place apartment. Chapman appeared before a parole

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Speaker 4: board in August twenty seven, and the decision was recently

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Speaker 4: posted online by the State Department of Corrections and Community Supervision.

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Speaker 4: He's serving a twenty years to life sentence. His next

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Speaker 4: parole hearing is in February twenty twenty seven.

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Speaker 5: Thanks Aleish.

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Speaker 3: Next, we hear from and learn about the women experiencing

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Speaker 3: menopause before their time your twenties and thirties. It's a

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Speaker 3: time when many women are thinking about careers, relationships, maybe even.

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Speaker 5: Starting a family.

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Speaker 3: But for some that choice has taken away before they

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Speaker 3: even get the chance to decide, trading nights out for

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Speaker 3: egg freezing and carefree plans for clinic appointments. Early menopause

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Speaker 3: is seeing women like Jess Westcott experience the change well

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Speaker 3: before expected.

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Speaker 2: I think before I had gone through it personally, I

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Speaker 2: probably just would have said, our menopause is crap, and

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Speaker 2: it's a driver agina in hot flushes.

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Speaker 5: That's probably all I knew.

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Speaker 2: I had no appreciation for how much of a role

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Speaker 2: estrogen plays in your body and how protective it is

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Speaker 2: for your body.

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Speaker 3: Jess was placed into a medically induced menopause at twenty

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Speaker 3: seven years old after being diagnosed with breast cancer.

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Speaker 2: Especially twenty seven, I was diagnosed with a hormone positive

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Speaker 2: breast cancer. One of the longer term treatment options is

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Speaker 2: something called hormone therapy or endocrine therapy, and essentially the

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Speaker 2: goal of that treatment is to suppress or reduce the

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Speaker 2: hormone production in your body, because the hormones are what

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Speaker 2: my particular breast cancer fed off and that's what helped

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Speaker 2: it to grow. So by suppressing hormones and I guess

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Speaker 2: essentially putting the body into a menopause.

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Speaker 5: It's reducing their chance of recurrence.

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Speaker 2: So for me, what that meant was going on some

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Speaker 2: daily oral tablets and some monthly injections, and essentially both

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Speaker 2: of those two different medications. One switches off my ovaries,

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Speaker 2: which is where most estrogen is produced, and the tablets

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Speaker 2: do something very similar.

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Speaker 5: I'm now twenty nine, and I guess too, and a

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Speaker 5: bit is in.

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Speaker 2: I am in a temporary medically induced menopause and at

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Speaker 2: the moment that will sort of be for about set

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Speaker 2: of seven to ten years or.

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Speaker 5: So, she says.

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Speaker 3: The menopausal symptoms came on thick and fast, and while

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Speaker 3: yes she experiences the usual hot sweats and insomnia, the

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Speaker 3: side effects were more than just.

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Speaker 5: That the hot flashes and the night sweats.

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Speaker 2: It's waking up with your clothing absolutely drint, instant, insane,

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Speaker 2: need to destrip every layer of clothing off you when

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Speaker 2: you're in a meeting at work, and that just being

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Speaker 2: the only thing that you can focus on.

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Speaker 5: But it's other things.

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Speaker 2: It's brain fog and a bit of memory loss at times.

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Speaker 2: Its impacts your mood I think definitely, and sometimes can

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Speaker 2: affect sleep.

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Speaker 5: That's a big thing for me.

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Speaker 2: Insomnia joint and bone stiffness and muscular sit of pain.

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Speaker 5: That's a big thing as well, fairly broad reaching.

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Speaker 2: You know, there's other things around monitoring your bone health

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Speaker 2: as well.

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Speaker 5: There's heart health to be thinking of too.

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Speaker 2: You know, libido and dryness across the body as well,

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Speaker 2: that's a huge thing too, And that's something I think

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Speaker 2: has had a big impact for me as someone that's

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Speaker 2: in their late twenties. But that's a pretty isolating thing,

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Speaker 2: I think, to navigate that side of it.

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Speaker 3: And then there's the mental impact of cancer of menopause

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Speaker 3: near twenties, of coming to terms with what a future.

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Speaker 5: Family may or may not look like.

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Speaker 2: I don't really know if I've got the words to

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Speaker 2: really describe it, but I think, you know, in talking

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Speaker 2: to peers that I've met that are on the same

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Speaker 2: treatment or you know, also in their twenties and navigating

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Speaker 2: a medically induced menopause, it's just something that you can

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Speaker 2: almost physically feel that you just don't your mood is

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Speaker 2: just not quite the way it could be, and it

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Speaker 2: sort of had to know is that kind of a

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Speaker 2: response to the situation and what you've been through in

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Speaker 2: that sort of thing.

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Speaker 5: But I certainly think that generally.

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Speaker 2: My mood's a bit lower than I used to be,

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Speaker 2: and maybe feelings of anxiety are a little bit more prominent.

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Speaker 2: So I did fertility preservation. I did a quick egg

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Speaker 2: retrieval cycle. But I guess in terms of this hormone therapy,

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Speaker 2: you know, it's that sort of seven to ten years.

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Speaker 2: By that time, I will be in my late thirties,

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Speaker 2: and you know, if you're to go off the treatment

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Speaker 2: to try and conceive for a little bit, and I

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Speaker 2: think it's very very much time down the minute, and

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Speaker 2: for me in that sense, it's accepting the risk. But

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Speaker 2: if I'm off that treatment and going through something like

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Speaker 2: pregnancy with hormones flowing through my body, what is at

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Speaker 2: risk there? And what am I comfortable with? But certainly

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Speaker 2: it's a weird thing to navigate, kind of not being

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Speaker 2: dislike fertile woman with hormones flushing through her body. And

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Speaker 2: you know, I will probably have friends and I have

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Speaker 2: had friends that are starting to have families and all

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Speaker 2: those sorts of things, and that's not quite the reality

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Speaker 2: for me at the moment.

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Speaker 5: So it's a bit jarring.

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Speaker 2: And I actually don't think I realized how much I

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Speaker 2: wanted to have a family of my own until I

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Speaker 2: kind of was in a situation where it wasn't necessarily

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Speaker 2: an immediate option.

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Speaker 3: Right now, despite everything, Jess has come to terms with

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Speaker 3: her current situation.

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Speaker 5: I think in the moment it was probably more sadness

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Speaker 5: and a bit of grief.

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Speaker 2: I think I could sort of reconcile that yep, chemo

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Speaker 2: surgery mistick to me, that was kind of all needed.

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Speaker 2: But this thing was like, oh, okay, So once I've

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Speaker 2: got through all of that, it's likely a decade of

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Speaker 2: being menopausal in you know, what's meant to be thirty

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Speaker 2: is the fun years of your life, and you know,

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Speaker 2: the late twenties and stuff, and I just got out

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Speaker 2: of COVID and all of those things.

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Speaker 5: So it was grief and it was shock.

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Speaker 2: Nowadays I can look at it and think, I am

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Speaker 2: lucky that I've had a particular kind of cancer where

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Speaker 2: I can take an oral therapy and have an injection

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Speaker 2: once a month that can help prevent Like I can

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Speaker 2: very much see it as I get to do this,

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Speaker 2: which is really helpful to be able to reframe it.

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Speaker 2: But definitely at the start it was a grieving process.

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Speaker 3: While the group of women who experience premature menopause is small.

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Speaker 3: Information about this medical anomaly is still slim. Doctor Kelly

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Speaker 3: Teegle is the founder and director of the Welfare Menopausal

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Speaker 3: Telehealth Clinic.

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Speaker 5: She also recently.

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Speaker 3: Delivered a webinar of women who with lived experience of

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Speaker 3: premature menopause. Kelly, when we say early menopause, what does

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Speaker 3: that actually mean?

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Speaker 1: Menopause is actually an event. It's like the time that

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Speaker 1: you pop out your final egg, your final ovulation. So

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Speaker 1: we don't know that that's happened until we kind of

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Speaker 1: look back after twelve months and go, hmm, no periods

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Speaker 1: for twelve months, Oh, I guess we're in menopause. Although

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Speaker 1: there are a lot of other reasons why you might

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Speaker 1: not have periods for twelve months. Early menopause would be

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Speaker 1: if the process is hastened in some way. The average

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Speaker 1: age of menopause is around fifty one years in Australia.

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Speaker 1: Early menopause we generally talk about anyone who's gone through

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Speaker 1: a menopause under the age of forty five, and about

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Speaker 1: one percent of women will actually go through menopause even

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Speaker 1: under the age of forty.

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Speaker 3: So I've been doing a little bit of reading up

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Speaker 3: on women who've shared their experience of early menopause. Something

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Speaker 3: that a lot of them have spoken about is something

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Speaker 3: else in their health as a trigger for early menopause

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Speaker 3: or medically induced menopause, like premature ovarian failure or even

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Speaker 3: breast cancer. A few cases have highlighted. Is that always

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Speaker 3: the case when we talk about early menopause? Is it

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Speaker 3: because of something else going on?

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Speaker 1: No, this is the interesting thing. So even premature ovarian

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Speaker 1: failure itself, which I'll tell you the definition of that

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Speaker 1: is actually if you've gone on through menopause before the

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Speaker 1: age of forty. So those are the one percent that

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Speaker 1: I was talking about. Premature Ovarian failure can happen in

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Speaker 1: itself for a lot of different reasons, which could be

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Speaker 1: just unknown reasons. It could be just naturally you've run

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Speaker 1: out of eggs for whatever reason, genetic, environmental, various different

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Speaker 1: things have caused you to run out of eggs or

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Speaker 1: stop ovulating before the age of forty. But there are

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Speaker 1: in some people's cases a medical trigger for that. So

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Speaker 1: in the case of breast cancer, it might be that

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Speaker 1: you had to undergo treatment like chemotherapy which impacted on

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Speaker 1: the functioning of the over reason, stop them from functioning

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Speaker 1: and for this reason, a lot of people who are

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Speaker 1: going through cancer treatment might actually freeze some eggs prior

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Speaker 1: to starting their chemotherapy to preserve their fertility and give

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Speaker 1: them options later. So a lot of cases might have

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Speaker 1: a medical trigger such as that, and a lot of

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Speaker 1: women actually who have a high genetic risk. So there's

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Speaker 1: a lot of people who have certain gene mutations for example,

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Speaker 1: or high risk of inherited cancers. They might undertake surgeries

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Speaker 1: preemptively to make sure that they don't develop ovarian cancer

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Speaker 1: by having their ovaries removed at a really young age.

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Speaker 1: It's a really important medical issue that those women understand

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Speaker 1: the longer term consequences of going through menopause at such

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Speaker 1: an early age.

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Speaker 3: How does this differ from traditional menopause. I mean, the

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Speaker 3: age is obviously one of the big standouts here. There

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Speaker 3: are other reasons, like those triggers we've just talked about.

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Speaker 3: Are all the signs and the symptoms the same though

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Speaker 3: they're just brought on earlier or is it different?

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Speaker 1: Certainly in the case of people who've undergone medical treatment

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Speaker 1: that very suddenly through them into menopause, they don't get

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Speaker 1: this normal physiological adaptation time called perimenopause that usually gears

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Speaker 1: us up and prepares us for that process. So they

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Speaker 1: have gone from having fairly normal reproductive cycles to whoops,

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Speaker 1: no ovaries anymore. Really, their levels of estrogen production have

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Speaker 1: absolutely crashed because they don't have ovaries anymore, and that

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Speaker 1: throws them into very sudden, severe withdrawal. When you think

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Speaker 1: about any kind of hormone or drug that your body's

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Speaker 1: been adapted to over a long period of time and

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Speaker 1: you suddenly withdraw it, you get withdrawal symptoms, and it's

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Speaker 1: just exactly like the sort of symptoms that you would

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Speaker 1: expect from a menopause a woman who's gone through a

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Speaker 1: regular aid, except that it's all happened really suddenly in

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Speaker 1: a system that hasn't had any time to adapt, so

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Speaker 1: the symptoms can be much more severe and can be

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Speaker 1: longer lasting and more difficult to treat as well, So

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Speaker 1: it is actually quite a different beast. The important thing

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Speaker 1: to remember if you're going through menopause at a much

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Speaker 1: younger age than normal is that having low estrogen for

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Speaker 1: a prolonged period of time, much much younger than the

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Speaker 1: average of fifty one years, is going to have a

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Speaker 1: big impact on your bone density your likelihood of developing

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Speaker 1: cardiovascular disease or dementia at a younger age. So your

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Speaker 1: risk of chronic disease is really really inflated if you've

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Speaker 1: gone through an early menopause.

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Speaker 3: Kelly, this is going to sound like a really silly question,

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Speaker 3: But for people who go through early menopause medically induced menopause,

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Speaker 3: is there any chance their periods will return or is

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Speaker 3: that the end of the line in that regard for them?

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Speaker 1: No, not a silly question at all, because a lot

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Speaker 1: of women who go through an early or premature menopause

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Speaker 1: it's counted as being spontaneous or idiopathic. We don't actually

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Speaker 1: know the reason why, and as you can imagine, there's

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Speaker 1: quite a high number of those cases that actually might

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Speaker 1: spontaneously restart ovulating again as well. So that's the sort

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Speaker 1: of situation a lot of women will go, oh, Okay,

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Speaker 1: I've been diagnosed with premature menopause and think that they

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Speaker 1: don't need to have contraception. But that's not necessarily the case.

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Speaker 1: Just like somebody who's been breastfeeding after delivering a baby,

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Speaker 1: it's not until after you've had your first ovulation lotus

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Speaker 1: your periods returning and so that does mean that there's

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Speaker 1: a potential there for pregnancy if you start to spontaneously

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Speaker 1: ovulate again, which obviously won't be the case if you've

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Speaker 1: had your ovaries removed, so that's a bit of a

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Speaker 1: different situation, or if you've had a hysterectomy you won't

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Speaker 1: get any periods. Yeah, very important to remember that if

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Speaker 1: you've spontaneously gone into early menopause, it doesn't necessarily mean

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Speaker 1: it's all over red rover. It actually might spontaneously restart

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Speaker 1: as well.

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Speaker 3: You've mentioned that there's the potential of spontaneous pregnancy. You've

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Speaker 3: also mentioned that some women choose to freeze their eggs

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Speaker 3: for IVF down the road if that's the path that

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Speaker 3: they're choosing to take. So, regardless of whichever way you're

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Speaker 3: coming about this, it does have some sort of impact

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Speaker 3: on pregnancy in fertility.

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Speaker 1: Absolutely. So if you're somebody who's very motivated to have

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Speaker 1: children and you have a strong family history of say

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Speaker 1: early menopause, premature menopause, or if you're undergoing any kind

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Speaker 1: of medical treatments that you know are going to affect

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Speaker 1: your ovaries, remove your ovaries, those are going to be

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Speaker 1: front of mind. You know, how do we then actually

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Speaker 1: take action to make sure that you still have this

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Speaker 1: ability to have children later. But obviously, the case of

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Speaker 1: the premature ovarian failure you know, or premature ovarian insufficiency

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Speaker 1: is really tragic, you know, and heartbreaking because women can

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Speaker 1: be very very young and not even had time to

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Speaker 1: even consider whether or not they want to have children

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Speaker 1: and then find out that that choice has been taken

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Speaker 1: away from them. So you can imagine how devastating that

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Speaker 1: is when you actually don't even have any warning or

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Speaker 1: any avenues for taking steps to prevent it. It's really heartbreaking.

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Speaker 3: Much A lattes are everywhere, they look great on your

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Speaker 3: Instagram stories and are praised for their health benefits, but

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Speaker 3: experts are warning this green drink might not be so harmless,

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Speaker 3: especially for those prone to low iron. We know that

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Speaker 3: macha aka concentrated powdered green tea enjoyed for centuries in Japan,

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Speaker 3: is packed with antioxidants and calming amino acids. There's a

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Speaker 3: good reason it's been branded a super drink, but it's

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Speaker 3: also high in compounds called tannins, which can reduce your

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Speaker 3: body's ability to absorb iron, especially the non heme iron

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Speaker 3: dietitians explain the risk is highest if you're drinking MUCHA

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Speaker 3: right after an iron rich meal or guzzling it daily.

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Speaker 5: Marcha does also get thin tannins hampound second affect how

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Speaker 5: your body absorbs iron.

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Speaker 4: Drinking machia right after an iron rich meal may lower

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Speaker 4: iron absorption, so it's best to wait at least an

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Speaker 4: hour before having it.

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Speaker 3: Most healthy people won't develop a deficiency from just a

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Speaker 3: cup or two, but if you're vegan or vegetarian, have

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Speaker 3: heavy periods, if you're pregnant, or if you've dealt with

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Speaker 3: anemia before, it's worth being more careful. Symptoms like fatigue

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Speaker 3: and palpitations can signal you're not getting enough iron. Cases

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Speaker 3: here and overseas have even linked big drops in iron

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Speaker 3: levels and hospitalization to a new MUCHA habit. The good

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Speaker 3: news is that you don't need to give up your

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Speaker 3: coffee shop treat for good. Experts recommend spacing out your

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Speaker 3: macha from meals by at least one or two hours,

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Speaker 3: keeping it to a cup of day. If you're worried,

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Speaker 3: and making sure your diet has plenty of iron rich foods,

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Speaker 3: think red meat, lentils, kinwa and nuts. Pair these with

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Speaker 3: vitamin C rich options like strawberries, broccoli, or capsicum for

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Speaker 3: a natural absorption boost. In a nutshell, Macha is a

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Speaker 3: genuinely healthy pick for most, but like any trend, moderation

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Speaker 3: is key. If you're worried about your energy or iron levels,

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Speaker 3: check in with your GP and maybe give the green

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Speaker 3: stuff a break now and then thanks for taking some

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Speaker 3: time to feed your mind with us today. The Quikie

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Speaker 3: is produced by me Taylor Strano and Dalish Delaney, with

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Speaker 3: audio production by Blue Hill and Jacob Brown