1 00:00:03,440 --> 00:00:04,680 Speaker 1: Hello Sunshine. 2 00:00:04,880 --> 00:00:07,440 Speaker 2: Hey vam. If you miss our conversation with doctor Jen 3 00:00:07,520 --> 00:00:10,000 Speaker 2: Ashton the first time around, well you are in for 4 00:00:10,160 --> 00:00:13,319 Speaker 2: a treat today because we are turning to the board 5 00:00:13,360 --> 00:00:18,240 Speaker 2: certified obgyn and former ABC News Chief Medical Correspondent to 6 00:00:18,280 --> 00:00:21,799 Speaker 2: answer just about every burning question you've had about menopause. 7 00:00:22,239 --> 00:00:24,040 Speaker 2: It's Friday, December twenty seventh. 8 00:00:24,200 --> 00:00:26,920 Speaker 3: I'm Simone Boyce, I'm Danielle Robe and this is the 9 00:00:26,920 --> 00:00:30,000 Speaker 3: bright Side from Hello Sunshine, a daily show where we 10 00:00:30,040 --> 00:00:33,839 Speaker 3: come together to share women's stories, to laugh, learn and 11 00:00:33,920 --> 00:00:34,800 Speaker 3: brighten your day. 12 00:00:37,200 --> 00:00:40,479 Speaker 2: Today we're giving doctor Jen Ashton and encore. She's a 13 00:00:40,479 --> 00:00:44,160 Speaker 2: double board certified physician in obstetrics and gynecology, and she's 14 00:00:44,200 --> 00:00:47,199 Speaker 2: been a trusted adviser on women's health to both patients 15 00:00:47,240 --> 00:00:49,639 Speaker 2: and viewers for years. You know her from her run 16 00:00:49,680 --> 00:00:52,839 Speaker 2: as ABC's Chief Medical correspondent and as co host of 17 00:00:52,880 --> 00:00:53,800 Speaker 2: Good Morning America. 18 00:00:54,440 --> 00:00:56,680 Speaker 3: She has literally been telling me what I need to 19 00:00:56,720 --> 00:01:01,800 Speaker 3: know since COVID. I started following her career actually during COVID, 20 00:01:01,800 --> 00:01:03,760 Speaker 3: and I watched so much of her coverage. She was 21 00:01:03,800 --> 00:01:06,399 Speaker 3: such a voice of reason, and I think she gave 22 00:01:06,600 --> 00:01:08,640 Speaker 3: so many people comfort during that time. 23 00:01:08,959 --> 00:01:11,720 Speaker 2: Absolutely, and in June, she left her work at ABC 24 00:01:11,880 --> 00:01:14,199 Speaker 2: to focus all of her attention on a brand new venture. 25 00:01:14,520 --> 00:01:17,959 Speaker 2: It's a new women's wellness company called Agenda. She launched 26 00:01:18,000 --> 00:01:20,360 Speaker 2: Agenda with a free newsletter that brings you a dose 27 00:01:20,360 --> 00:01:23,559 Speaker 2: of health news, wellness tips, and science backed resources straight 28 00:01:23,600 --> 00:01:26,600 Speaker 2: to your inbox. She launched Agenda with a free newsletter 29 00:01:26,640 --> 00:01:29,399 Speaker 2: that brings you a daily dose of health news, wellness tips, 30 00:01:29,440 --> 00:01:33,000 Speaker 2: and science backed resources with an emphasis on women's health 31 00:01:33,040 --> 00:01:33,759 Speaker 2: in menopause. 32 00:01:34,080 --> 00:01:36,720 Speaker 3: Yep, and we're diving into it all and of course 33 00:01:36,800 --> 00:01:40,840 Speaker 3: chatting menopause, what fitness regimen is best, what symptoms to 34 00:01:40,920 --> 00:01:43,120 Speaker 3: look out for, and why the best loob may be 35 00:01:43,200 --> 00:01:44,520 Speaker 3: on your grocery store shelves. 36 00:01:44,959 --> 00:01:48,080 Speaker 2: So let's bring her in, doctor Jen Ashton, Welcome to 37 00:01:48,120 --> 00:01:49,520 Speaker 2: the bright Side. Thanks. 38 00:01:49,560 --> 00:01:52,960 Speaker 1: I'm so excited to be here with you. Guys, doctor Ashton. 39 00:01:53,000 --> 00:01:57,680 Speaker 3: You left your position at ABC to launch your new company, Agenda. Now, 40 00:01:58,000 --> 00:02:01,960 Speaker 3: to leave that position means that you must be very 41 00:02:02,160 --> 00:02:06,240 Speaker 3: passionate about women's health. Where does your commitment to menopause 42 00:02:06,320 --> 00:02:07,320 Speaker 3: education come from? 43 00:02:08,000 --> 00:02:11,800 Speaker 1: Oh my gosh. Well, first of all, thank you for 44 00:02:12,040 --> 00:02:17,240 Speaker 1: your kind words, but also for recognizing the magnitude of 45 00:02:17,600 --> 00:02:23,160 Speaker 1: that career and professional decision that I made because no 46 00:02:23,240 --> 00:02:28,040 Speaker 1: one gives up my position, you know, to do something else. 47 00:02:28,480 --> 00:02:30,600 Speaker 1: And I became a doctor because I wanted to help 48 00:02:30,639 --> 00:02:33,520 Speaker 1: people and have an impact. And I never in a 49 00:02:33,600 --> 00:02:37,480 Speaker 1: million years could have expected or dreamt that I would 50 00:02:37,560 --> 00:02:42,520 Speaker 1: reach millions and millions of people every single day with 51 00:02:43,080 --> 00:02:46,920 Speaker 1: the insight and analysis and perspective that has been my 52 00:02:47,120 --> 00:02:52,200 Speaker 1: job as chief medical correspondent at ABC. And in my mind, 53 00:02:52,600 --> 00:02:55,640 Speaker 1: you know, the way I'm hardwired is to wake up 54 00:02:55,639 --> 00:02:59,880 Speaker 1: every day and face a challenge and continue to push 55 00:03:00,040 --> 00:03:04,440 Speaker 1: boundaries and move the needle. And for me, I feel 56 00:03:04,600 --> 00:03:07,240 Speaker 1: that the needle needs to be moved in the fields 57 00:03:07,280 --> 00:03:10,040 Speaker 1: of women's health and obesity medicine, and that's why I 58 00:03:10,080 --> 00:03:13,360 Speaker 1: started Agenda, which is my free newsletter. But it's going 59 00:03:13,440 --> 00:03:16,360 Speaker 1: to be growing very very quickly to a whole digital 60 00:03:16,360 --> 00:03:20,600 Speaker 1: platform and multimedia kind of entity that can provide a 61 00:03:20,639 --> 00:03:25,919 Speaker 1: lot of important content and solutions for women. So I'm 62 00:03:25,960 --> 00:03:27,040 Speaker 1: really excited about it. 63 00:03:27,639 --> 00:03:32,000 Speaker 3: Simone and I have been in women's spaces, in particular 64 00:03:32,120 --> 00:03:34,639 Speaker 3: in the realm of journalism for years, and I think 65 00:03:34,680 --> 00:03:39,520 Speaker 3: we're both recognizing that the conversation on women's bodies and 66 00:03:39,640 --> 00:03:43,280 Speaker 3: research over the last few years is finally expanding. I 67 00:03:43,280 --> 00:03:46,080 Speaker 3: think in large part due to women like you who 68 00:03:46,160 --> 00:03:49,880 Speaker 3: are making it important to people. Why do you think 69 00:03:49,960 --> 00:03:53,440 Speaker 3: menopause just hasn't really been talked about in the cultural 70 00:03:53,520 --> 00:03:55,640 Speaker 3: zeitgeist until the last few years. 71 00:03:55,960 --> 00:03:59,160 Speaker 1: Well, first of all, I think we can all do 72 00:03:59,320 --> 00:04:02,160 Speaker 1: like a stand in ovation that it finally is being 73 00:04:02,240 --> 00:04:05,160 Speaker 1: talked about, and there are a lot of great people 74 00:04:05,440 --> 00:04:09,720 Speaker 1: that are talking about it today. I just feel lucky 75 00:04:09,720 --> 00:04:12,720 Speaker 1: to be one of them. There's more than enough room 76 00:04:13,000 --> 00:04:15,200 Speaker 1: for a lot of people in this space, and so 77 00:04:15,360 --> 00:04:18,240 Speaker 1: we do need a lot of messengers and good communicators. 78 00:04:18,800 --> 00:04:22,080 Speaker 1: But I think that you know the reason it hasn't 79 00:04:22,160 --> 00:04:26,200 Speaker 1: had its moment until now, if you really want to know, 80 00:04:26,400 --> 00:04:28,400 Speaker 1: and I would love to hear your opinions on this, 81 00:04:29,160 --> 00:04:34,480 Speaker 1: I think it's because of the societal way that, unfortunately 82 00:04:34,640 --> 00:04:40,400 Speaker 1: women are viewed, which is largely as a passive kind 83 00:04:40,440 --> 00:04:44,800 Speaker 1: of victim and largely as just a human being with 84 00:04:44,960 --> 00:04:46,560 Speaker 1: reproductive currency. 85 00:04:47,160 --> 00:04:49,719 Speaker 2: Yeah, and the same goes for some non binary folks 86 00:04:49,760 --> 00:04:52,560 Speaker 2: and trans women too. There are so many factors when 87 00:04:52,560 --> 00:04:56,600 Speaker 2: it comes to why we haven't felt comfortable talking about menopause. 88 00:04:57,120 --> 00:04:59,080 Speaker 2: I'm so happy we get to talk about this with you. 89 00:04:59,160 --> 00:05:00,839 Speaker 2: Because we want to get in to the nitty gritty 90 00:05:00,839 --> 00:05:04,599 Speaker 2: of the physiological processes that take place during menopause. So 91 00:05:05,279 --> 00:05:08,760 Speaker 2: what happens to our bodies during menopause and can you 92 00:05:08,800 --> 00:05:10,280 Speaker 2: break down those systems for us? 93 00:05:11,560 --> 00:05:16,440 Speaker 1: Yeah, the short answer is our estrogen and progesterone go 94 00:05:16,800 --> 00:05:22,520 Speaker 1: right down the toilet and there are literally estrogen and 95 00:05:22,560 --> 00:05:27,800 Speaker 1: progesterone receptors all over our bodies head to toe, from 96 00:05:28,040 --> 00:05:31,719 Speaker 1: skin and hair follicles to our brain, to our heart, 97 00:05:32,040 --> 00:05:37,719 Speaker 1: to literally every organ system. And that can happen very suddenly. 98 00:05:37,880 --> 00:05:42,080 Speaker 1: It's not like a slow, peaceful, gradual walk off into 99 00:05:42,120 --> 00:05:45,520 Speaker 1: the sunset, and it can start. It can start in 100 00:05:45,560 --> 00:05:49,560 Speaker 1: a woman's mid thirties, mid thirties. 101 00:05:49,360 --> 00:05:50,600 Speaker 2: And that's perimenopause. 102 00:05:51,720 --> 00:05:55,520 Speaker 1: Yeah, that's perimenopause. I'm glad. I was sitting down for that, 103 00:05:55,640 --> 00:05:56,840 Speaker 1: doctor Ashton. 104 00:05:56,480 --> 00:05:58,400 Speaker 3: You had me I talk for a living and I 105 00:05:58,440 --> 00:05:59,479 Speaker 3: was a little speechless. 106 00:06:00,839 --> 00:06:03,440 Speaker 1: Well, I heard like a lot of sighing and deep breathing, 107 00:06:03,600 --> 00:06:05,400 Speaker 1: and I was like, oh my god, are you okay? 108 00:06:05,640 --> 00:06:06,839 Speaker 2: I know, it took me a minute. 109 00:06:06,839 --> 00:06:09,360 Speaker 3: I couldn't respond at first. 110 00:06:10,000 --> 00:06:10,200 Speaker 2: Yeah. 111 00:06:10,200 --> 00:06:14,520 Speaker 1: I kind of have kids, I know. And so that's like, 112 00:06:15,040 --> 00:06:18,839 Speaker 1: there's so much here and I think that when you 113 00:06:19,000 --> 00:06:23,120 Speaker 1: take that physiology and then you put that in an 114 00:06:23,160 --> 00:06:27,800 Speaker 1: arena or an environment where at baseline we know that 115 00:06:27,960 --> 00:06:32,080 Speaker 1: women tend to be taken less seriously by physicians. This 116 00:06:32,200 --> 00:06:35,479 Speaker 1: is just like the medical system and how we deal 117 00:06:35,520 --> 00:06:38,480 Speaker 1: with women, and by the way, also how we deal 118 00:06:38,520 --> 00:06:41,200 Speaker 1: with ourselves. Don't even get me started. I could give 119 00:06:41,240 --> 00:06:45,560 Speaker 1: you three examples of my own life where I've dismissed 120 00:06:45,600 --> 00:06:49,719 Speaker 1: and ignored and denied physical symptoms that I'm having. And 121 00:06:49,760 --> 00:06:54,160 Speaker 1: I'm a doctor for quite out, so like, this is 122 00:06:54,320 --> 00:06:57,440 Speaker 1: just what we do. And then when you realize the 123 00:06:57,520 --> 00:07:01,039 Speaker 1: actual physiology, you're like, oh my god. 124 00:07:01,960 --> 00:07:05,520 Speaker 2: So you mentioned two key hormones, estrogen and progesterone. Both 125 00:07:05,520 --> 00:07:08,839 Speaker 2: of them play a pivotal role in reproduction. Can you 126 00:07:08,880 --> 00:07:12,840 Speaker 2: explain how these hormones factor into the lead up to menopause. 127 00:07:13,440 --> 00:07:17,040 Speaker 1: Well, it's complicated, right, It depends on the organ system 128 00:07:17,160 --> 00:07:21,000 Speaker 1: what the effects are. But you know it increases blood flow. 129 00:07:21,120 --> 00:07:23,880 Speaker 1: Let's just take estrogen to the skin right, or to 130 00:07:23,920 --> 00:07:26,720 Speaker 1: the vagina, to the vaginal mucosa, or to the skin 131 00:07:26,800 --> 00:07:29,760 Speaker 1: on your face, or to the hair follicles on your head. 132 00:07:30,320 --> 00:07:33,960 Speaker 1: It brings blood flow to the area and it makes 133 00:07:34,000 --> 00:07:39,560 Speaker 1: the tissue, whatever tissue you're talking about, stronger, more vibrant, 134 00:07:40,160 --> 00:07:43,679 Speaker 1: and in terms of the uterus, it stimulates the lining 135 00:07:43,720 --> 00:07:47,760 Speaker 1: of the uterus to receive a fertilized egg, and it 136 00:07:47,800 --> 00:07:52,560 Speaker 1: does that every single month, right, and then progesterone dilates 137 00:07:52,600 --> 00:07:56,920 Speaker 1: blood vessels. It's very important to the brain. It's kind 138 00:07:56,920 --> 00:08:00,880 Speaker 1: of the calming down hormone. It has a big action 139 00:08:01,080 --> 00:08:05,720 Speaker 1: in your GI tract in terms of gut motility. And 140 00:08:06,600 --> 00:08:10,280 Speaker 1: then we can't forget that our ovaries make fifty percent 141 00:08:10,440 --> 00:08:14,360 Speaker 1: five zero percent of the testosterone in our bodies. So 142 00:08:14,680 --> 00:08:18,280 Speaker 1: as we get closer and closer to menopause, and every woman, 143 00:08:18,520 --> 00:08:23,600 Speaker 1: and I literally I want to underscore, every woman will 144 00:08:23,600 --> 00:08:26,200 Speaker 1: start to say, what the hell is going on? I'm 145 00:08:26,200 --> 00:08:30,440 Speaker 1: gaining like this paunch in my belly and that that 146 00:08:30,480 --> 00:08:32,640 Speaker 1: could be one pound of paune or it could be 147 00:08:32,720 --> 00:08:35,800 Speaker 1: ten pounds of pounge, And the part of the reason 148 00:08:35,880 --> 00:08:38,600 Speaker 1: for that is that their testosterone level is dropping. 149 00:08:39,800 --> 00:08:44,200 Speaker 2: Evolutionarily speaking, what's the reason for the paunch? Is it 150 00:08:44,240 --> 00:08:45,439 Speaker 2: to protect the organs? 151 00:08:46,640 --> 00:08:48,599 Speaker 1: No, you know, that's a great question. I love the 152 00:08:48,640 --> 00:08:51,079 Speaker 1: way you're thinking about it, but we have to remember 153 00:08:51,160 --> 00:08:54,720 Speaker 1: that if you really look back to evolution, women didn't 154 00:08:54,760 --> 00:08:56,640 Speaker 1: live long enough to go through menopause. 155 00:08:57,080 --> 00:09:01,000 Speaker 2: WHOA does that mean that menopause is an adaptation that 156 00:09:01,040 --> 00:09:06,000 Speaker 2: we developed later on? Like? Where did menopause itself come from? Well? 157 00:09:06,240 --> 00:09:08,760 Speaker 1: I mean, first of all, I am not I always 158 00:09:08,760 --> 00:09:10,520 Speaker 1: think it's a mark of a good doctor to say 159 00:09:10,520 --> 00:09:12,200 Speaker 1: what he or she knows and what they don't know. 160 00:09:12,280 --> 00:09:15,679 Speaker 1: And I'm not an evolutionary biologist. I would love to 161 00:09:16,080 --> 00:09:19,640 Speaker 1: interview one myself. And I love the way you're thinking 162 00:09:19,679 --> 00:09:22,480 Speaker 1: about it, because I agree with you it's incredibly cool 163 00:09:22,520 --> 00:09:26,440 Speaker 1: and interesting to ponder that. But human beings are among 164 00:09:26,760 --> 00:09:32,120 Speaker 1: the only species on Earth that go through that stop 165 00:09:32,240 --> 00:09:36,760 Speaker 1: ovulating and then continue to live a significant span of 166 00:09:36,800 --> 00:09:41,640 Speaker 1: their life. Most mammals can reproduce up until the point 167 00:09:41,679 --> 00:09:45,679 Speaker 1: that they die, Thank God, can't I mean, thanks God? 168 00:09:46,840 --> 00:09:52,040 Speaker 1: Literally get a little break there, yeah, I mean geez Okay, 169 00:09:52,080 --> 00:09:56,200 Speaker 1: So anyway, But the other thing, the other flip side 170 00:09:56,320 --> 00:09:59,280 Speaker 1: of your questioning, which I think is really really important, 171 00:09:59,440 --> 00:10:02,800 Speaker 1: is that you know, one hundred and one hundred and 172 00:10:02,800 --> 00:10:06,280 Speaker 1: fifty and two hundred years ago, quite literally, women didn't 173 00:10:06,320 --> 00:10:10,840 Speaker 1: live past menopause. Really right now, you could live to 174 00:10:11,160 --> 00:10:14,520 Speaker 1: one hundred right. My daughter is twenty four years old, 175 00:10:14,720 --> 00:10:18,600 Speaker 1: her life expectancy could easily be one hundred right, So 176 00:10:19,360 --> 00:10:22,320 Speaker 1: for her, if she goes through menopause at fifty, she 177 00:10:22,400 --> 00:10:25,840 Speaker 1: has half her life still ahead of her. And there's 178 00:10:25,880 --> 00:10:29,760 Speaker 1: a lot about that second half that we just don't 179 00:10:29,760 --> 00:10:33,880 Speaker 1: have hundreds of years of scientific or evolutionary data on 180 00:10:34,360 --> 00:10:37,120 Speaker 1: which I think is exciting. But I also think we 181 00:10:37,200 --> 00:10:41,840 Speaker 1: need to recognize menopause is a life stage reserved for 182 00:10:41,920 --> 00:10:44,520 Speaker 1: the lucky few who are still living. 183 00:10:45,600 --> 00:10:47,640 Speaker 2: I love that framing. I love that. 184 00:10:48,960 --> 00:10:56,360 Speaker 3: We're going to take a quick break, don't go anywhere. 185 00:11:05,160 --> 00:11:09,000 Speaker 2: We're back with doctor Jen Ashton. Let's get into some 186 00:11:09,080 --> 00:11:13,760 Speaker 2: of the more common symptoms of menopause, doctor Ashton, How 187 00:11:13,800 --> 00:11:17,160 Speaker 2: does our body tell us that we're in menopause? What 188 00:11:17,240 --> 00:11:18,439 Speaker 2: are some of the early signs. 189 00:11:19,320 --> 00:11:21,800 Speaker 1: Well, you know, as I used to say to a 190 00:11:21,800 --> 00:11:25,600 Speaker 1: lot of my patients, the hallmark one is vaginal bleeding. 191 00:11:25,640 --> 00:11:28,560 Speaker 1: It's menstrual bleeding. And it could be irregular periods. And 192 00:11:28,600 --> 00:11:33,760 Speaker 1: that could be you know, longer, shorter, more irregular. It 193 00:11:33,760 --> 00:11:38,480 Speaker 1: could be literally any type of change from your baseline 194 00:11:38,920 --> 00:11:43,120 Speaker 1: bleeding pattern. Right, that's your hormones, like holding up a 195 00:11:43,160 --> 00:11:47,319 Speaker 1: sign saying hello, this is a perimenopausal symptom, and it's 196 00:11:47,440 --> 00:11:50,720 Speaker 1: so obvious because you're literally going to see it right. 197 00:11:51,200 --> 00:11:55,120 Speaker 1: The other ones, though, I think, are they may be 198 00:11:55,280 --> 00:11:59,840 Speaker 1: more common. They are probably more distressing on some level. 199 00:12:00,200 --> 00:12:02,840 Speaker 1: I know they were for me personally, and they are 200 00:12:03,040 --> 00:12:08,920 Speaker 1: almost always underrecognized, even by other medical professionals. And if 201 00:12:08,960 --> 00:12:14,680 Speaker 1: you start head to toe, that could literally be anxiety, depression, 202 00:12:15,240 --> 00:12:21,560 Speaker 1: emotional liability, brain fog, headaches. I mean change in your 203 00:12:21,679 --> 00:12:26,240 Speaker 1: hair on your head, thinning, more shedding of hair, more 204 00:12:26,360 --> 00:12:31,960 Speaker 1: breakage of hair, dry eye, dry mouth, like ringing in 205 00:12:32,040 --> 00:12:36,800 Speaker 1: your ears. I mean it literally could be head to 206 00:12:36,800 --> 00:12:40,800 Speaker 1: toe musculo skeletal discomfort. The hot flash, which is like 207 00:12:41,280 --> 00:12:47,960 Speaker 1: the most glorified menopausal symptom, doesn't always mean drenched sweat. 208 00:12:48,320 --> 00:12:51,520 Speaker 1: Sometimes it's just a feeling of like heat that comes 209 00:12:51,679 --> 00:12:54,560 Speaker 1: right up from your core and like lasts for a 210 00:12:54,559 --> 00:12:58,000 Speaker 1: couple of seconds or minutes and then disappears. 211 00:12:58,400 --> 00:12:58,640 Speaker 2: You know. 212 00:12:58,880 --> 00:13:02,880 Speaker 1: I started getting random musculos skeletal ages, and I thought 213 00:13:02,880 --> 00:13:07,480 Speaker 1: it was just from working out, you know, hard or whatever, 214 00:13:08,480 --> 00:13:11,160 Speaker 1: and I didn't connect the dots on my own symptoms 215 00:13:11,240 --> 00:13:14,199 Speaker 1: until literally like a year ago. And I'm a board 216 00:13:14,280 --> 00:13:17,440 Speaker 1: certified guynecologist, so I think you can imagine if this 217 00:13:17,480 --> 00:13:20,679 Speaker 1: starts for a woman in her thirties, there's almost no 218 00:13:20,920 --> 00:13:24,800 Speaker 1: chance that her main healthcare provider is going to recognize 219 00:13:24,800 --> 00:13:28,680 Speaker 1: that these could be early perimenopausal symptoms. Can I ask 220 00:13:28,679 --> 00:13:31,760 Speaker 1: you a personal question, sure, how did you feel when 221 00:13:31,800 --> 00:13:34,480 Speaker 1: you started going through menopause? What was running through your mind? 222 00:13:35,360 --> 00:13:35,600 Speaker 3: Well? 223 00:13:35,720 --> 00:13:38,600 Speaker 1: I actually, if I hadn't been so busy, I would 224 00:13:38,640 --> 00:13:42,000 Speaker 1: have thrown myself a menopause party. And I literally mean 225 00:13:42,040 --> 00:13:46,280 Speaker 1: that because I freaking hated my period so much. 226 00:13:46,640 --> 00:13:47,720 Speaker 2: But I'll tell you. 227 00:13:47,600 --> 00:13:50,560 Speaker 1: Something that I didn't feel so good about is I 228 00:13:50,720 --> 00:13:57,679 Speaker 1: started to see literally visual changes in my skin, in 229 00:13:57,720 --> 00:14:01,840 Speaker 1: my hair, in my body that you know, we're not 230 00:14:02,080 --> 00:14:08,559 Speaker 1: fun to recognize. And I think it required a lot 231 00:14:08,640 --> 00:14:15,400 Speaker 1: of kind like self dialogue and saying, look, this is 232 00:14:15,440 --> 00:14:19,480 Speaker 1: a privilege that you're alive and going through this stage. 233 00:14:19,840 --> 00:14:24,520 Speaker 1: And then I really tried to actively connect the dots 234 00:14:24,600 --> 00:14:28,920 Speaker 1: between menopause and how I felt when I was pregnant 235 00:14:28,920 --> 00:14:32,440 Speaker 1: with my children, and I even tried to, you know, 236 00:14:32,600 --> 00:14:36,560 Speaker 1: retrieve some of the feelings of going through puberty. None 237 00:14:36,560 --> 00:14:41,720 Speaker 1: of those big stages are totally fun, right, Like, I 238 00:14:41,760 --> 00:14:46,040 Speaker 1: don't care what kind of pregnancy a woman has. There's 239 00:14:46,080 --> 00:14:49,200 Speaker 1: a time for every woman who's been pregnant where she's like, 240 00:14:50,240 --> 00:14:53,920 Speaker 1: oh my god, like this is not pretty. 241 00:14:54,640 --> 00:15:00,600 Speaker 2: Did month nine right? Get this baby out? Month eight even? Yeah, 242 00:15:00,720 --> 00:15:01,960 Speaker 2: like I'm done? Yeah. 243 00:15:02,000 --> 00:15:05,840 Speaker 1: And then also what you look like and feel like afterwards, 244 00:15:06,240 --> 00:15:09,280 Speaker 1: you know, you have to engage in that nice self talk, 245 00:15:09,560 --> 00:15:12,000 Speaker 1: right like after you've had a baby, you have to 246 00:15:12,040 --> 00:15:15,400 Speaker 1: be like, Okay, you know, you just grew a human, like, 247 00:15:15,600 --> 00:15:18,120 Speaker 1: don't be such a perfect you know, like, and I 248 00:15:18,280 --> 00:15:20,600 Speaker 1: felt I had to draw on a lot of that 249 00:15:21,520 --> 00:15:23,680 Speaker 1: as I started to go through menopause too. 250 00:15:23,840 --> 00:15:28,240 Speaker 2: Positive self talk, reimagining it as a superpower as opposed 251 00:15:28,240 --> 00:15:31,400 Speaker 2: to a flaw. That's something that's wrong with your body, 252 00:15:31,440 --> 00:15:33,640 Speaker 2: for sure, totally we need you to tell it like 253 00:15:33,680 --> 00:15:37,760 Speaker 2: it is. On menopausal sex. Okay, we have come all right, 254 00:15:37,960 --> 00:15:40,760 Speaker 2: we have come to that point in the conversation, ladies. 255 00:15:41,840 --> 00:15:45,680 Speaker 2: So I love it. I've heard about vaginal dryness. I've 256 00:15:45,680 --> 00:15:51,640 Speaker 2: heard that menopause can cause discomfort and also a significant 257 00:15:51,880 --> 00:15:55,840 Speaker 2: impact on desire around sex. So what are some of 258 00:15:55,880 --> 00:15:59,320 Speaker 2: the common questions that you get asked about sexual health 259 00:15:59,360 --> 00:16:01,720 Speaker 2: in the years eating up to and during menopause. 260 00:16:03,000 --> 00:16:07,360 Speaker 1: Well, it's not so much a question. It's more statements, 261 00:16:07,480 --> 00:16:09,800 Speaker 1: and you hit the nails right on the head. It's 262 00:16:09,840 --> 00:16:14,120 Speaker 1: a statement of either I have no libido, and usually 263 00:16:14,280 --> 00:16:18,760 Speaker 1: that's a woman who's been in a monogamous relationship for 264 00:16:18,840 --> 00:16:22,400 Speaker 1: twenty or twenty five years, to which I say, like, 265 00:16:23,400 --> 00:16:26,160 Speaker 1: why are you shocked by that? That's not a normal, 266 00:16:27,120 --> 00:16:30,560 Speaker 1: Like it's not natural for two human beings to be 267 00:16:30,720 --> 00:16:34,880 Speaker 1: together for twenty five years. So first of all, recognize 268 00:16:34,880 --> 00:16:39,520 Speaker 1: that you've already done something that's you know, defies the norm, 269 00:16:39,920 --> 00:16:43,040 Speaker 1: and then be cut yourself some slack. I would start 270 00:16:43,080 --> 00:16:45,320 Speaker 1: from a position of saying like, yeah, of course I 271 00:16:45,320 --> 00:16:47,520 Speaker 1: don't have a libido. It's I've been with the same 272 00:16:47,720 --> 00:16:52,680 Speaker 1: person for twenty five years, right, So I think the 273 00:16:52,840 --> 00:16:55,400 Speaker 1: answer to that, other than get a divorce or have an. 274 00:16:55,320 --> 00:17:00,000 Speaker 2: Affair, is as their girls work, yeah. 275 00:16:59,720 --> 00:17:04,919 Speaker 1: Right, is to bring something new into the equation, because 276 00:17:04,960 --> 00:17:08,119 Speaker 1: that's the cure for boredom. Right, So you know, some 277 00:17:08,240 --> 00:17:12,520 Speaker 1: women find some relief with some testosterone supplementation. There is 278 00:17:12,560 --> 00:17:16,720 Speaker 1: an FDA approved libido medication for women that gives an 279 00:17:16,720 --> 00:17:21,959 Speaker 1: additional one satisfying sexual encounter a month. Personally, if that 280 00:17:22,280 --> 00:17:24,840 Speaker 1: is worth it for you, go for it. But I 281 00:17:24,840 --> 00:17:27,600 Speaker 1: don't consider that a big bang for the wood. Pardon 282 00:17:27,600 --> 00:17:31,080 Speaker 1: the pun. Literally one one additional. 283 00:17:30,720 --> 00:17:31,760 Speaker 2: It's almost insulting. 284 00:17:32,080 --> 00:17:37,000 Speaker 1: It is the vaginal dryness. We can cure and we 285 00:17:37,040 --> 00:17:42,480 Speaker 1: can address, whether it's with estrogen, whether it's with vaginal estrogen. 286 00:17:42,640 --> 00:17:47,679 Speaker 1: I always recommend literally pure from the grocery store aisle, 287 00:17:48,040 --> 00:17:51,000 Speaker 1: cooking oils as lubes, because. 288 00:17:50,880 --> 00:17:55,800 Speaker 2: Everything else like like cooking, yes, vegetable oil, canola oil, 289 00:17:56,280 --> 00:17:59,800 Speaker 2: coconut oil, olive oil, you better believe it. 290 00:17:59,840 --> 00:18:03,000 Speaker 1: The only thing is be careful of your sheets because 291 00:18:03,040 --> 00:18:06,879 Speaker 1: obviously it can stain your sheets, but it is safe. 292 00:18:07,840 --> 00:18:13,560 Speaker 1: And all the other lubricants, literally all of them, with 293 00:18:13,800 --> 00:18:19,320 Speaker 1: any chemical ingredient is like putting ice on a cracked driveway. 294 00:18:19,840 --> 00:18:24,080 Speaker 1: It will dry out your vagina ultimately, even if it 295 00:18:24,119 --> 00:18:28,119 Speaker 1: makes that initial encounter more comfortable, and it doesn't treat 296 00:18:28,160 --> 00:18:30,879 Speaker 1: the root cause, which is low estrogen, which makes the 297 00:18:30,960 --> 00:18:34,520 Speaker 1: vagina very sensitive and non pliable. 298 00:18:34,840 --> 00:18:36,800 Speaker 2: Did you know you can use coconut oil as lub 299 00:18:37,280 --> 00:18:37,880 Speaker 2: I didn't. 300 00:18:38,280 --> 00:18:40,560 Speaker 1: I've heard of people using it in their hair. 301 00:18:40,840 --> 00:18:43,680 Speaker 3: But I have to tell you, doctor Ashton, not once 302 00:18:43,960 --> 00:18:45,960 Speaker 3: have we been taping this show where Simone and I 303 00:18:46,040 --> 00:18:48,720 Speaker 3: kind of casually look at each other like, whoa, oh. 304 00:18:48,600 --> 00:18:52,320 Speaker 2: You've blown our minds times over today. Oh good you 305 00:18:53,119 --> 00:18:55,800 Speaker 2: our minds, But I mission accomplished. 306 00:18:56,119 --> 00:19:00,520 Speaker 3: I want to actually ask about hormone therapy because this 307 00:19:00,560 --> 00:19:04,120 Speaker 3: is a big topic of conversation around people going through 308 00:19:04,119 --> 00:19:05,600 Speaker 3: menopause or perimenopause. 309 00:19:06,040 --> 00:19:10,200 Speaker 1: Do you recommend it? Yes? But here's what I want 310 00:19:10,240 --> 00:19:13,560 Speaker 1: to say about HRT. First of all, I take HRT myself. 311 00:19:14,119 --> 00:19:17,240 Speaker 1: I think the vast majority of women who are having 312 00:19:17,440 --> 00:19:22,320 Speaker 1: menopausal symptoms would benefit from hormone replacement therapy. It has 313 00:19:22,560 --> 00:19:27,159 Speaker 1: been demonized for the last twenty two years erroneously so 314 00:19:27,440 --> 00:19:30,720 Speaker 1: because of flawed data with the Women's Health Initiative and 315 00:19:30,880 --> 00:19:35,040 Speaker 1: flawed interpretation of that study that we're still doing the 316 00:19:35,119 --> 00:19:38,760 Speaker 1: cleanup on, and a lot of those initial kind of 317 00:19:39,400 --> 00:19:44,320 Speaker 1: findings have been retracted or disproven conclusively. 318 00:19:43,840 --> 00:19:44,400 Speaker 2: By the way. 319 00:19:44,840 --> 00:19:47,439 Speaker 1: So I think that you know, only four percent of 320 00:19:47,480 --> 00:19:50,480 Speaker 1: women who are suffering with menopausal symptoms in the United 321 00:19:50,520 --> 00:19:55,240 Speaker 1: States are prescribed hormonal therapy. Four Even if that became 322 00:19:55,520 --> 00:20:00,600 Speaker 1: forty percent, that would be a huge, huge improved men right. 323 00:20:01,000 --> 00:20:06,400 Speaker 1: But there are also non hormonal prescription medications that are 324 00:20:06,720 --> 00:20:11,479 Speaker 1: great options, and there are complementary medications or products. So 325 00:20:12,119 --> 00:20:15,200 Speaker 1: it's like a menu of options and it's not one 326 00:20:15,240 --> 00:20:17,719 Speaker 1: size fits all. And I think that women should just 327 00:20:18,119 --> 00:20:22,320 Speaker 1: keep educating themselves because a lot of doctors, unfortunately, are 328 00:20:22,359 --> 00:20:25,080 Speaker 1: not current in the medical literature and so they might 329 00:20:25,119 --> 00:20:28,280 Speaker 1: be anti hormone and they don't need to be. 330 00:20:29,960 --> 00:20:32,000 Speaker 3: We have to take another short break, but we'll be 331 00:20:32,080 --> 00:20:33,440 Speaker 3: back in just a minute. 332 00:20:33,640 --> 00:20:45,679 Speaker 2: Don't go anywhere, and we're back. I want to pivot 333 00:20:45,720 --> 00:20:47,800 Speaker 2: into fitness here for a second. I know that you 334 00:20:47,880 --> 00:20:51,280 Speaker 2: are a fitness girly as well, doctor Ashton, and yeah, 335 00:20:52,280 --> 00:20:55,399 Speaker 2: so I know that there are some thoughts out there 336 00:20:55,440 --> 00:20:58,840 Speaker 2: on hit workouts and women's bodies that it's potentially not 337 00:20:58,880 --> 00:21:01,760 Speaker 2: good for bodies. Do it anyways? I do it in moderation. 338 00:21:02,640 --> 00:21:06,159 Speaker 2: I'm curious if you think that there are any exercises 339 00:21:06,200 --> 00:21:09,720 Speaker 2: that we should be moving away from in as we're 340 00:21:09,720 --> 00:21:13,679 Speaker 2: moving towards perimenopause and menopause. How have you shifted your 341 00:21:13,800 --> 00:21:14,600 Speaker 2: fitness routine. 342 00:21:15,240 --> 00:21:18,800 Speaker 1: I love talking about fitness, so I'm so glad you 343 00:21:18,880 --> 00:21:22,400 Speaker 1: asked about it, and I've learned a lot about it 344 00:21:22,480 --> 00:21:27,639 Speaker 1: from talking to professional trainers. But yes, women should shift 345 00:21:27,840 --> 00:21:30,480 Speaker 1: how they work out the closer they get to menopause. 346 00:21:30,760 --> 00:21:34,360 Speaker 1: But they ideally should start doing that even in their thirties. 347 00:21:34,480 --> 00:21:36,919 Speaker 1: And what I mean by that is that, you know, 348 00:21:37,040 --> 00:21:41,439 Speaker 1: for so long I only did two types of workouts, 349 00:21:41,840 --> 00:21:48,200 Speaker 1: long cardio or weight training. Now they're both great, right, 350 00:21:48,520 --> 00:21:50,840 Speaker 1: but as you know, as someone who likes to work 351 00:21:50,880 --> 00:21:54,760 Speaker 1: out under the umbrella of cardio, there's zone two cardio, 352 00:21:55,000 --> 00:21:58,920 Speaker 1: there's endurance cardio, there's hit cardio, and they're all important. 353 00:21:59,280 --> 00:21:59,520 Speaker 2: Right. 354 00:21:59,800 --> 00:22:03,120 Speaker 1: I will say that if I had to say one 355 00:22:03,880 --> 00:22:09,280 Speaker 1: single most important fitness kind of tool that women even 356 00:22:09,320 --> 00:22:12,880 Speaker 1: in their thirties should start preparing their bodies for, it's 357 00:22:12,960 --> 00:22:16,800 Speaker 1: lifting weights and lifting heavy weights. You know, I have 358 00:22:17,400 --> 00:22:21,320 Speaker 1: the body I have today half because of my genetics 359 00:22:21,840 --> 00:22:25,679 Speaker 1: and of the other fifty percent, probably forty eight percent 360 00:22:25,720 --> 00:22:28,760 Speaker 1: of that is because I've lifted weights my entire life. 361 00:22:28,880 --> 00:22:31,119 Speaker 2: Yeah, muscle. You prioritize muscle. 362 00:22:31,240 --> 00:22:35,240 Speaker 1: Muscle, Yeah, muscle, And I'm going for strength and I'm 363 00:22:35,280 --> 00:22:39,760 Speaker 1: going for power and to be vain by the way, 364 00:22:39,880 --> 00:22:41,720 Speaker 1: which you know we all have our vanity. 365 00:22:41,800 --> 00:22:44,800 Speaker 2: I certainly have plenty of it. This is a safe space, 366 00:22:45,200 --> 00:22:45,600 Speaker 2: thank you. 367 00:22:46,040 --> 00:22:49,440 Speaker 1: My goal is to have big muscles to hold up 368 00:22:49,520 --> 00:22:54,520 Speaker 1: the creepy skin. So, yeah, like when I go to 369 00:22:54,560 --> 00:22:57,680 Speaker 1: the gym, I pick up twenty pound dumbbells in each hand, 370 00:22:58,240 --> 00:23:01,160 Speaker 1: and I try to curl them as many times as 371 00:23:01,160 --> 00:23:04,480 Speaker 1: I can. And maybe that's four each, maybe that's five. 372 00:23:04,640 --> 00:23:07,520 Speaker 1: I don't really care, but I'm curling twenty pounds in 373 00:23:07,560 --> 00:23:08,080 Speaker 1: each hand. 374 00:23:08,600 --> 00:23:09,119 Speaker 2: I'm with you. 375 00:23:09,600 --> 00:23:11,840 Speaker 3: What are your thoughts on the support people receive from 376 00:23:11,960 --> 00:23:15,960 Speaker 3: family and friends and partners during menopause, because I've heard 377 00:23:15,960 --> 00:23:18,320 Speaker 3: you talk about how men need to be a part 378 00:23:18,440 --> 00:23:19,440 Speaker 3: of menopause. 379 00:23:20,040 --> 00:23:23,760 Speaker 1: Yeah. Absolutely, and it's something that has been missing from 380 00:23:23,760 --> 00:23:27,879 Speaker 1: this conversation so far. I've been wanting to write an 381 00:23:27,960 --> 00:23:31,560 Speaker 1: article for a long time called Menopause. It actually starts 382 00:23:31,600 --> 00:23:35,240 Speaker 1: with men Revolutionary. I need to know what you mean 383 00:23:35,600 --> 00:23:40,120 Speaker 1: because there are crickets when it comes to this conversation 384 00:23:40,600 --> 00:23:44,760 Speaker 1: that you don't see any male gynecologists talking about it. Okay, 385 00:23:45,440 --> 00:23:48,280 Speaker 1: there are plenty of them. Why why so quiet? 386 00:23:48,320 --> 00:23:48,879 Speaker 2: Great point? 387 00:23:49,160 --> 00:23:52,879 Speaker 1: Why so timid? Like you're either for women's health or 388 00:23:52,920 --> 00:23:55,440 Speaker 1: you're not. This is a big part of women's health. 389 00:23:55,760 --> 00:23:59,000 Speaker 1: If you're a man and you're an obgyn, why aren't 390 00:23:59,000 --> 00:24:00,000 Speaker 1: you talking about menopause? 391 00:24:00,640 --> 00:24:03,600 Speaker 2: Do you think they feel scared in this environment, like 392 00:24:03,640 --> 00:24:06,320 Speaker 2: they like it's not their story to tell? And maybe 393 00:24:06,400 --> 00:24:09,840 Speaker 2: we as women need to support, make them feel controversy 394 00:24:10,080 --> 00:24:11,400 Speaker 2: and empowered to talk about it. 395 00:24:11,480 --> 00:24:17,240 Speaker 1: Yes, but again, this can't just be a one sided conversation. 396 00:24:17,800 --> 00:24:22,080 Speaker 1: This has to be everyone fill the boat, all hands 397 00:24:22,119 --> 00:24:26,399 Speaker 1: on deck, and not just because that's like smart pr 398 00:24:26,760 --> 00:24:29,200 Speaker 1: or smart optics. It's the right thing to do. 399 00:24:30,640 --> 00:24:33,840 Speaker 2: Can I add one more to the list. Yeah, I'm 400 00:24:33,880 --> 00:24:38,120 Speaker 2: calling on Hollywood to give us our first menopausal action hero. 401 00:24:38,720 --> 00:24:41,200 Speaker 3: Oh interesting, I thought you were going to say rom com. 402 00:24:41,240 --> 00:24:42,080 Speaker 3: But I like action hero. 403 00:24:42,600 --> 00:24:44,320 Speaker 2: I want an action hero because I want to see 404 00:24:44,320 --> 00:24:48,160 Speaker 2: a strong ass woman who's going through menopause and who 405 00:24:48,359 --> 00:24:50,800 Speaker 2: is you know, lifting her weights in the gym. I 406 00:24:50,840 --> 00:24:55,160 Speaker 2: don't know. Maybe she's fighting crime, maybe she's maybe she's 407 00:24:55,200 --> 00:24:56,880 Speaker 2: fighting all the male. 408 00:24:56,680 --> 00:25:01,879 Speaker 1: Would be amazing. Yes, Marvel, Marvel goes my Yes. Well, listen, 409 00:25:02,000 --> 00:25:04,440 Speaker 1: I'm working on that, ladies. I want to tell you 410 00:25:04,480 --> 00:25:09,080 Speaker 1: because part of agenda is developing television and media content, 411 00:25:09,359 --> 00:25:13,439 Speaker 1: and I will break the story on your podcast. But 412 00:25:13,480 --> 00:25:19,000 Speaker 1: I am pitching for development some both scripted and unscripted 413 00:25:19,600 --> 00:25:23,760 Speaker 1: in the menopause perimenopause space, and I'm going to get 414 00:25:23,800 --> 00:25:27,560 Speaker 1: it done. I mean, I am like, I'm not giving up. 415 00:25:28,040 --> 00:25:30,520 Speaker 3: You're the type of person and woman that when they 416 00:25:30,600 --> 00:25:32,840 Speaker 3: put their minds to something, it happens. So I have 417 00:25:32,960 --> 00:25:35,960 Speaker 3: no doubt. I'm excited to I'll be at the first screening. 418 00:25:36,359 --> 00:25:40,119 Speaker 3: Same Okay, awesome, awesome. Thank you so much for the 419 00:25:40,280 --> 00:25:42,240 Speaker 3: education and for talking with us today. 420 00:25:42,240 --> 00:25:43,880 Speaker 1: Doctor Ashton, Oh. 421 00:25:43,680 --> 00:25:46,320 Speaker 2: My god, you guys are great. 422 00:25:46,480 --> 00:25:48,960 Speaker 1: You guys are doing really great work and you're getting 423 00:25:49,480 --> 00:25:52,040 Speaker 1: not just good answers out to people, but you're asking 424 00:25:52,080 --> 00:25:54,399 Speaker 1: the right questions, which I think is super cool and 425 00:25:54,440 --> 00:25:56,800 Speaker 1: super important. Thank you for saying that. 426 00:25:58,880 --> 00:26:01,960 Speaker 2: Doctor Jen Ashton and is a physician, Emmy Award winning 427 00:26:02,000 --> 00:26:05,040 Speaker 2: journalist and the founder of Agenda. You can find her 428 00:26:05,080 --> 00:26:16,280 Speaker 2: on Instagram at doctor j Ashton. That's it for today's show. 429 00:26:16,280 --> 00:26:19,040 Speaker 3: We'll be back Monday with an encore of our conversation 430 00:26:19,400 --> 00:26:24,720 Speaker 3: with the Connie Chung. Listen and follow The bright Side 431 00:26:24,720 --> 00:26:27,960 Speaker 3: on the iHeartRadio app, Apple Podcasts, or wherever you get 432 00:26:27,960 --> 00:26:28,719 Speaker 3: your podcasts. 433 00:26:29,920 --> 00:26:32,040 Speaker 1: The bright Side is a production of Hello. 434 00:26:31,840 --> 00:26:36,720 Speaker 3: Sunshine and iHeart Podcasts and is executive produced by Reese Witherspoon. 435 00:26:36,600 --> 00:26:41,040 Speaker 2: Production by Arcana Audio. Our producers are Jessica Wank, Krista Ripple, 436 00:26:41,119 --> 00:26:44,919 Speaker 2: and Amy Padula. Our senior producer is IT'SI Kintania and 437 00:26:45,000 --> 00:26:47,240 Speaker 2: our engineer is PJ. Shahamat. 438 00:26:47,640 --> 00:26:51,400 Speaker 3: Arcana's executive producers are Francis Harlowe and Abby Ruzika. 439 00:26:51,680 --> 00:26:53,800 Speaker 1: Arcana's head of production is Matt Schultz. 440 00:26:54,320 --> 00:26:57,720 Speaker 2: Natalie Tulluck and Maureen Polo are the executive producers for 441 00:26:57,760 --> 00:26:58,720 Speaker 2: Hello Sunshine. 442 00:26:59,080 --> 00:27:02,320 Speaker 3: Julia Weaver is supervising producer, and Ali Perry is the 443 00:27:02,359 --> 00:27:06,879 Speaker 3: executive producer for iHeart Podcasts. Tim Palazzola is our showrunner. 444 00:27:07,240 --> 00:27:10,800 Speaker 3: This week's episodes were recorded by Graham Gibson and Joel Morales. 445 00:27:11,080 --> 00:27:14,160 Speaker 2: Our theme song is by Anna Stump and Hamilton Lighthouser. 446 00:27:14,440 --> 00:27:16,920 Speaker 3: Special thanks to Connell Byrne and Will Pearson. 447 00:27:17,280 --> 00:27:19,880 Speaker 2: I'm Simone Boyce. You can find me at Simone Boyce 448 00:27:20,080 --> 00:27:21,560 Speaker 2: on Instagram and TikTok. 449 00:27:21,920 --> 00:27:24,680 Speaker 3: And I'm Danielle Robe on Instagram and TikTok. 450 00:27:24,840 --> 00:27:26,359 Speaker 1: That's ro Ba y. 451 00:27:26,600 --> 00:27:32,160 Speaker 2: We'll see you Monday, y'all. Keep looking on the bright side.