1
00:00:00,080 --> 00:00:03,160
Speaker 1: We've touched on the shortage of patches to treat menopause

2
00:00:03,560 --> 00:00:07,040
Speaker 1: in previous episodes of rage against the menopause and the

3
00:00:07,080 --> 00:00:11,560
Speaker 1: frustration at times at the lack of supply, especially during COVID,

4
00:00:12,039 --> 00:00:16,040
Speaker 1: but the Australian Parliamentary Inquiry has recommended that newer forms

5
00:00:16,040 --> 00:00:20,639
Speaker 1: of therapies be subsidized through the Pharmaceutical Benefit Scheme to

6
00:00:20,760 --> 00:00:25,520
Speaker 1: bolster supply and ensure access and lowered costs for all

7
00:00:25,600 --> 00:00:28,600
Speaker 1: women who need it. And now women have access to

8
00:00:28,640 --> 00:00:32,640
Speaker 1: the first new kind of hormone therapy to be subsidized

9
00:00:32,640 --> 00:00:36,559
Speaker 1: by the federal government in more than two decades. The

10
00:00:36,600 --> 00:00:40,320
Speaker 1: funding move has been welcome with open arms by health experts,

11
00:00:40,360 --> 00:00:45,159
Speaker 1: including doctor Sonya Davison, endochronology lead at the Gene Hale's Clinic.

12
00:00:45,800 --> 00:00:49,960
Speaker 1: She also dispels some of the myths surrounding hormone therapy.

13
00:00:50,479 --> 00:00:56,920
Speaker 2: Buckle up, girls, menopause, It's coming for you no matter what.

14
00:00:57,240 --> 00:01:01,360
Speaker 2: Let's build a village of support. The damn hut in here.

15
00:01:01,600 --> 00:01:03,920
Speaker 3: The menopause is so hot right now.

16
00:01:04,080 --> 00:01:05,640
Speaker 2: I think I'm finally in menopause.

17
00:01:05,920 --> 00:01:07,440
Speaker 3: Women just want to feel hurt.

18
00:01:08,160 --> 00:01:12,520
Speaker 1: Rage against the menopause, but I'm really excited now to

19
00:01:12,880 --> 00:01:16,800
Speaker 1: welcome to the podcast, to this second series of Rage

20
00:01:16,840 --> 00:01:22,360
Speaker 1: Against the Menopause, a very highly distinguished specialist in doctor

21
00:01:22,400 --> 00:01:27,319
Speaker 1: Sonya Davison. She is the indo chronology leader gene Hale's

22
00:01:27,360 --> 00:01:28,959
Speaker 1: Clinic in Melbourne.

23
00:01:29,000 --> 00:01:32,360
Speaker 3: Hi, Sonya, how are you very well?

24
00:01:32,400 --> 00:01:35,600
Speaker 2: Indeed, I'm very excited to be with you today, Sonya.

25
00:01:35,640 --> 00:01:41,000
Speaker 1: The recent Senate inquiry into menopause on Earth some key findings,

26
00:01:41,840 --> 00:01:47,440
Speaker 1: one that newer forms of therapies be subsidized through the PBS,

27
00:01:47,720 --> 00:01:52,080
Speaker 1: the Pharmaceutical Benefit Scheme, And this just very recently is

28
00:01:52,120 --> 00:01:53,520
Speaker 1: exactly what's happening?

29
00:01:53,680 --> 00:01:55,480
Speaker 3: What can you tell us about it?

30
00:01:56,440 --> 00:01:57,120
Speaker 2: It's amazing.

31
00:01:58,000 --> 00:02:00,360
Speaker 4: There was a think tank about this last year and

32
00:02:00,360 --> 00:02:04,160
Speaker 4: then there was the Senate inquiry and now things are happening.

33
00:02:04,400 --> 00:02:09,400
Speaker 4: So there are two types of hormone therapy that have

34
00:02:09,560 --> 00:02:14,880
Speaker 4: been available. Ones called estrogel, it's an estrogen gel that's

35
00:02:14,880 --> 00:02:18,640
Speaker 4: applied to the arms, and one is prometrium, which is

36
00:02:18,800 --> 00:02:23,720
Speaker 4: body identical micronized progesterone, which two hormones. They are exactly

37
00:02:23,760 --> 00:02:26,639
Speaker 4: the same as the hormones made by the ovaries. They

38
00:02:26,680 --> 00:02:30,560
Speaker 4: were available before, but a PBS listing means that they're

39
00:02:30,600 --> 00:02:35,040
Speaker 4: significantly reduced in cost, and some women such as pensioners

40
00:02:35,200 --> 00:02:39,040
Speaker 4: or those you know, disadvantage. Women who wouldn't have had

41
00:02:39,040 --> 00:02:43,000
Speaker 4: access easily to these products before now have. It's much

42
00:02:43,000 --> 00:02:44,760
Speaker 4: more accessible, which is amazing.

43
00:02:45,040 --> 00:02:48,480
Speaker 1: Well, that is such a great breakthrough. I believe that

44
00:02:48,560 --> 00:02:51,040
Speaker 1: it is in fact so long overdue. It's the first

45
00:02:51,120 --> 00:02:55,880
Speaker 1: type or first new type of menopause hormone therapy to

46
00:02:55,960 --> 00:03:00,200
Speaker 1: be subsidized by Canberra in more than two decades. It's

47
00:03:00,960 --> 00:03:05,120
Speaker 1: what was it costing women accessing it privately before, and

48
00:03:05,200 --> 00:03:10,360
Speaker 1: I guess ruling out a large proportion of society from

49
00:03:10,600 --> 00:03:12,800
Speaker 1: being able to affordably get relief.

50
00:03:14,040 --> 00:03:17,480
Speaker 4: It depends if they have both estrogen and progesterone. So

51
00:03:17,600 --> 00:03:20,680
Speaker 4: some women only have estrogen, so it's less expensive if

52
00:03:20,680 --> 00:03:24,720
Speaker 4: they've had a hysterectomy. But typically if they needed both

53
00:03:24,720 --> 00:03:27,120
Speaker 4: the estrogen and progesterone, it was about six hundred and

54
00:03:27,200 --> 00:03:30,160
Speaker 4: fifty dollars per year. And now if they've got a

55
00:03:30,240 --> 00:03:35,240
Speaker 4: pensioner healthcare cardter substantially reduced, and even if they don't,

56
00:03:35,960 --> 00:03:39,440
Speaker 4: it's about half that half all less. So a real

57
00:03:39,800 --> 00:03:42,240
Speaker 4: you know, this is the cost of living crisis, isn't it.

58
00:03:42,640 --> 00:03:46,320
Speaker 4: We're all struggling. When you look at it in the supermarket.

59
00:03:46,720 --> 00:03:49,760
Speaker 4: A piece of meat or a piece of fish is nice.

60
00:03:50,320 --> 00:03:53,200
Speaker 2: Insane amount it is it is insane.

61
00:03:53,360 --> 00:03:56,360
Speaker 4: So this is just taking the pressure off women, which

62
00:03:56,400 --> 00:03:57,280
Speaker 4: is amazing.

63
00:03:57,720 --> 00:03:58,320
Speaker 3: Absolutely.

64
00:03:58,360 --> 00:04:03,560
Speaker 1: So did it mean before this if women couldn't afford

65
00:04:03,560 --> 00:04:06,560
Speaker 1: it like a pensioner having to pay six hundred and

66
00:04:06,560 --> 00:04:09,360
Speaker 1: fifty dollars that is a no go? So did it

67
00:04:09,480 --> 00:04:13,360
Speaker 1: mean that these women were having to suffer in silence

68
00:04:13,520 --> 00:04:15,680
Speaker 1: and not have access to these drugs?

69
00:04:16,680 --> 00:04:19,200
Speaker 4: It meant that they had to use another form of

70
00:04:19,200 --> 00:04:24,600
Speaker 4: hormone therapy and there are luckily in Australia we do

71
00:04:24,680 --> 00:04:28,000
Speaker 4: have lots of different types of hormone therapy, but since

72
00:04:28,040 --> 00:04:32,039
Speaker 4: twenty seventeen there's been a rolling shortage of different types

73
00:04:32,080 --> 00:04:35,480
Speaker 4: of hormone therapy for various reasons. And I suspect you

74
00:04:35,520 --> 00:04:37,640
Speaker 4: and I might talk about that a little bit more.

75
00:04:37,920 --> 00:04:41,640
Speaker 1: Absolutely, and that has been a common theme throughout.

76
00:04:41,360 --> 00:04:43,839
Speaker 3: The first series is these patches.

77
00:04:43,400 --> 00:04:45,240
Speaker 1: Have been a wonder drug for a lot of women

78
00:04:45,400 --> 00:04:48,040
Speaker 1: that I'm speaking to a lot of my girlfriends as well.

79
00:04:48,680 --> 00:04:52,120
Speaker 1: But in listing these new type of medications, will that

80
00:04:52,720 --> 00:04:57,080
Speaker 1: only make that backlog and access more difficult or not?

81
00:04:59,240 --> 00:05:04,600
Speaker 4: Some women do prefer women choose what they want you

82
00:05:04,640 --> 00:05:07,200
Speaker 4: and I know that some things are not suitable for

83
00:05:07,279 --> 00:05:10,960
Speaker 4: some women. And the patches are very sort of what

84
00:05:11,000 --> 00:05:13,920
Speaker 4: we call a set and forget, So you put the

85
00:05:13,960 --> 00:05:16,280
Speaker 4: patch on on Monday, you take it off on Thursdays.

86
00:05:16,279 --> 00:05:18,480
Speaker 4: For so some women that is very easy, whereas a

87
00:05:18,560 --> 00:05:22,440
Speaker 4: gel is a daily application. So it really depends on

88
00:05:22,520 --> 00:05:27,839
Speaker 4: the woman, her skin, what her funds previously, depending on

89
00:05:27,880 --> 00:05:31,479
Speaker 4: what type of hormone therapy she will choose. And often

90
00:05:31,480 --> 00:05:34,560
Speaker 4: we have to go through several types anyway, so there's

91
00:05:34,600 --> 00:05:35,440
Speaker 4: a lot more to it.

92
00:05:35,640 --> 00:05:37,560
Speaker 2: Women are complex entities.

93
00:05:39,160 --> 00:05:42,880
Speaker 1: So who will this essentially benefit Is it women that

94
00:05:43,040 --> 00:05:46,080
Speaker 1: have already reached menopause?

95
00:05:46,120 --> 00:05:51,360
Speaker 4: Sonya, Well, women at perimenopause when the hormone levels are

96
00:05:51,400 --> 00:05:54,160
Speaker 4: fluctuating wildly and widely.

97
00:05:54,839 --> 00:05:57,440
Speaker 2: Those women may need hormone therapy as well.

98
00:05:57,480 --> 00:06:01,440
Speaker 4: It's all about balancing the pros and cons for the

99
00:06:01,440 --> 00:06:06,800
Speaker 4: individual woman. And let's not forget premature menopause, which is menopause.

100
00:06:06,320 --> 00:06:07,799
Speaker 2: Before the age of forty.

101
00:06:08,680 --> 00:06:11,800
Speaker 4: That we know that we're giving hormones back to those women.

102
00:06:11,560 --> 00:06:14,640
Speaker 2: If we're able to, we'll protect their.

103
00:06:14,520 --> 00:06:18,360
Speaker 4: Bones, their heart, their brain, and also their mortality. So

104
00:06:19,080 --> 00:06:21,320
Speaker 4: that's definitely someone we want to treat.

105
00:06:22,320 --> 00:06:25,799
Speaker 1: It seems to be that women are going through perimenopause

106
00:06:26,440 --> 00:06:30,279
Speaker 1: a lot younger, some even in their late thirties. How

107
00:06:30,320 --> 00:06:33,680
Speaker 1: common is that now and is it more common than say,

108
00:06:33,839 --> 00:06:34,920
Speaker 1: our mother's generation.

109
00:06:36,080 --> 00:06:40,120
Speaker 4: Well, my studies actually suggest that the time of menopause

110
00:06:40,200 --> 00:06:44,600
Speaker 4: is fixed, so yeah, it's all genetically programmed.

111
00:06:44,920 --> 00:06:46,560
Speaker 2: I don't know that there's a lot of data to

112
00:06:46,600 --> 00:06:47,560
Speaker 2: say we are.

113
00:06:47,640 --> 00:06:54,160
Speaker 4: Undergoing menopause or perimenopause earlier. But perimenopause is a time

114
00:06:54,200 --> 00:06:57,640
Speaker 4: when the ovaries wind down, we run out of eggs,

115
00:06:58,040 --> 00:07:00,680
Speaker 4: and studies have shown that it can happen for eleven

116
00:07:00,800 --> 00:07:03,640
Speaker 4: years before the time of menopause, which is just the

117
00:07:03,839 --> 00:07:07,159
Speaker 4: last period no more eggs, estrogen dive bombs.

118
00:07:07,560 --> 00:07:08,720
Speaker 2: So if you think you were going.

119
00:07:08,640 --> 00:07:12,560
Speaker 4: To have menopause at the average median age at fifty one,

120
00:07:13,280 --> 00:07:16,520
Speaker 4: you'd be coming into perimenopause for some women at forty.

121
00:07:17,320 --> 00:07:20,080
Speaker 4: But if you were going to have an earlier menopause

122
00:07:20,200 --> 00:07:22,400
Speaker 4: less than forty five years of age and you're going

123
00:07:22,440 --> 00:07:24,880
Speaker 4: to have eleven years of symptoms, it could be in

124
00:07:24,920 --> 00:07:28,360
Speaker 4: the thirties. So it depends on how you actually look

125
00:07:28,400 --> 00:07:32,880
Speaker 4: at what's going on, and it is a very difficult area,

126
00:07:33,400 --> 00:07:36,680
Speaker 4: and women in their thirties might be struggling with being

127
00:07:38,280 --> 00:07:42,800
Speaker 4: getting their career underway, having children, having aging parents. So

128
00:07:42,840 --> 00:07:45,000
Speaker 4: there are a lot of things happening in the thirties

129
00:07:45,080 --> 00:07:49,800
Speaker 4: and forties that might be mistaken for perimenopause. But in

130
00:07:49,840 --> 00:07:53,600
Speaker 4: the forties most women will have a bit of perimenopause

131
00:07:53,640 --> 00:07:55,920
Speaker 4: starting to mingle in with their symptoms.

132
00:07:56,320 --> 00:07:58,960
Speaker 1: It's a bit like life scholesion. Course, I call it

133
00:08:00,080 --> 00:08:04,160
Speaker 1: the symptoms. They're so wide and so varied. Do we

134
00:08:04,320 --> 00:08:08,920
Speaker 1: have to be careful to be so general thinking passing

135
00:08:09,000 --> 00:08:13,360
Speaker 1: something off as a symptom of perimenopause when it won't

136
00:08:13,400 --> 00:08:16,640
Speaker 1: necessarily be that. Do you find that there's a trend

137
00:08:17,200 --> 00:08:20,320
Speaker 1: for women to perhaps jump to that conclusion.

138
00:08:21,680 --> 00:08:24,560
Speaker 2: Well, it's an easy blame, isn't it.

139
00:08:25,720 --> 00:08:29,600
Speaker 4: Life is tough, Life is busy, life is expensive, there's

140
00:08:29,600 --> 00:08:31,800
Speaker 4: traffic on the road, there's children there.

141
00:08:32,000 --> 00:08:32,280
Speaker 2: You know.

142
00:08:32,760 --> 00:08:37,679
Speaker 4: Whatever whatever is in a woman's life between thirty five

143
00:08:37,880 --> 00:08:41,760
Speaker 4: and sixty and beyond, possibly it is challenging.

144
00:08:42,440 --> 00:08:43,599
Speaker 2: It's like the thyroid.

145
00:08:44,120 --> 00:08:45,760
Speaker 4: I've got a lot of ladies who come to me

146
00:08:45,840 --> 00:08:48,000
Speaker 4: and say, this has got to be my thyroid. The

147
00:08:48,040 --> 00:08:50,920
Speaker 4: thorough blood test is fine, the thoroid is fine, but

148
00:08:51,000 --> 00:08:55,000
Speaker 4: it's a hard conversation to have. No, it's not your thyroid,

149
00:08:55,360 --> 00:08:58,360
Speaker 4: it might be whatever. There's a list of symptoms on

150
00:08:58,400 --> 00:09:02,280
Speaker 4: the gene House website and on the Australasian Menopause Society.

151
00:09:02,720 --> 00:09:05,559
Speaker 4: So if a woman typically is of an age from

152
00:09:05,679 --> 00:09:09,960
Speaker 4: forty five plus or even forty plus, has a constellation

153
00:09:10,040 --> 00:09:13,080
Speaker 4: of those symptoms, and if they are bothering her and

154
00:09:13,200 --> 00:09:17,000
Speaker 4: periods are changing, if she's having periods, then you'd probably

155
00:09:17,040 --> 00:09:21,800
Speaker 4: put your money on that is perimenopause. It's not a

156
00:09:21,840 --> 00:09:25,120
Speaker 4: diagnosis based on blood tests. It's a diagnosis based on

157
00:09:25,160 --> 00:09:26,280
Speaker 4: a symptom.

158
00:09:25,840 --> 00:09:30,040
Speaker 1: Complex, which is what I find really frustrating. There's nothing definitive.

159
00:09:30,080 --> 00:09:32,720
Speaker 1: I'm very black and white. It's like, can't I just

160
00:09:32,760 --> 00:09:35,319
Speaker 1: have a blood test and that will tell me definitively

161
00:09:36,120 --> 00:09:37,280
Speaker 1: am I perimenopause?

162
00:09:37,280 --> 00:09:38,160
Speaker 3: Am I menopause?

163
00:09:38,160 --> 00:09:42,160
Speaker 1: Where am I in this wide open space? I've found

164
00:09:42,240 --> 00:09:45,120
Speaker 1: that really quite challenging through my journey.

165
00:09:46,080 --> 00:09:47,480
Speaker 2: A lot of women struggle.

166
00:09:47,640 --> 00:09:52,800
Speaker 4: I had a really difficult conversation last week. A woman

167
00:09:52,920 --> 00:09:55,440
Speaker 4: wanted to come back and come back with her hormone levels,

168
00:09:55,480 --> 00:09:56,359
Speaker 4: and I said.

169
00:09:56,400 --> 00:09:58,720
Speaker 2: Look, it can be here, it can be here, It

170
00:09:58,760 --> 00:09:59,520
Speaker 2: can be here.

171
00:10:00,080 --> 00:10:02,760
Speaker 4: It's not going to help us. What's going to help

172
00:10:02,800 --> 00:10:05,920
Speaker 4: me is your response to the treatment I've given you,

173
00:10:06,320 --> 00:10:09,400
Speaker 4: and I will adjust things depending on that. If it's

174
00:10:09,400 --> 00:10:12,760
Speaker 4: a good story and they're the right age. We only

175
00:10:12,800 --> 00:10:16,040
Speaker 4: really do hormone levels if something's really odd, if we

176
00:10:16,080 --> 00:10:22,440
Speaker 4: suspect premature menopause, things like that. So we're saving the

177
00:10:22,480 --> 00:10:27,560
Speaker 4: government some money if we don't do those hormone levels unnecessarily.

178
00:10:28,200 --> 00:10:30,440
Speaker 3: Can we dispel the myths? There's still a bit.

179
00:10:30,360 --> 00:10:37,319
Speaker 1: Of reluctance about hormone replacement. Did we get the wrong perspective?

180
00:10:37,600 --> 00:10:41,440
Speaker 1: Is it not as dire the risks of going on

181
00:10:41,480 --> 00:10:44,920
Speaker 1: that form of treatment as perhaps our mothers might have

182
00:10:45,000 --> 00:10:45,560
Speaker 1: been taught.

183
00:10:47,040 --> 00:10:49,920
Speaker 4: Well, it's been a really interesting journey because in two

184
00:10:50,000 --> 00:10:54,240
Speaker 4: thousand and two are really the biggest hormone study was released,

185
00:10:54,559 --> 00:10:57,560
Speaker 4: which was called the Women's Health Initiative, which involved over

186
00:10:57,600 --> 00:11:01,480
Speaker 4: twenty six thousand women in America. But the tricky thing

187
00:11:01,760 --> 00:11:05,640
Speaker 4: was they weren't symptomatic by and large, their average age

188
00:11:05,720 --> 00:11:09,000
Speaker 4: was sixty three. They were aged up until seventy nine

189
00:11:09,080 --> 00:11:13,800
Speaker 4: years of age, and they were given hormone therapy versus placebo.

190
00:11:14,800 --> 00:11:15,960
Speaker 2: What we didn't.

191
00:11:17,160 --> 00:11:20,560
Speaker 4: What we needed that study for was to rationalize hormone

192
00:11:20,600 --> 00:11:23,559
Speaker 4: therapy use, because there was a lot of hormone therapy

193
00:11:23,600 --> 00:11:27,040
Speaker 4: being used for dubious reasons in the US and around

194
00:11:27,040 --> 00:11:29,080
Speaker 4: the world before that, so it sort of put the

195
00:11:29,080 --> 00:11:31,400
Speaker 4: brakes on and made us have a good think about

196
00:11:31,800 --> 00:11:35,400
Speaker 4: why we give hormone therapy. And really there's a beautiful

197
00:11:35,480 --> 00:11:40,400
Speaker 4: statement by the International Menopause Society, but menopause experts and

198
00:11:40,960 --> 00:11:45,199
Speaker 4: bodies around the world have agreed that for healthy women

199
00:11:45,520 --> 00:11:50,120
Speaker 4: around the time of menopause, the benefits of hormone therapy

200
00:11:50,440 --> 00:11:54,640
Speaker 4: far outweigh the small risks associated with its use. So

201
00:11:54,720 --> 00:11:57,760
Speaker 4: I think that's a really useful statement, and there's a

202
00:11:57,840 --> 00:12:02,000
Speaker 4: beautiful information at the Australasian Menopause Society and at Genehals

203
00:12:02,000 --> 00:12:05,560
Speaker 4: for women's self going through the pros and cons of

204
00:12:05,600 --> 00:12:09,360
Speaker 4: hormone therapy. An individual woman needs to discuss those with

205
00:12:09,440 --> 00:12:13,680
Speaker 4: her doctor, think about them really carefully, and then opt

206
00:12:13,720 --> 00:12:17,400
Speaker 4: for it if her quality of life is not good

207
00:12:17,480 --> 00:12:18,559
Speaker 4: and she needs help.

208
00:12:18,800 --> 00:12:22,640
Speaker 1: I have a cancer history, so I'm actually not on anything.

209
00:12:23,280 --> 00:12:24,520
Speaker 3: I believe I'm now.

210
00:12:24,400 --> 00:12:27,160
Speaker 1: Fully fledged into menopause. I haven't had a period for

211
00:12:27,160 --> 00:12:31,480
Speaker 1: forty months, so I would assume I'm in full blown menopause.

212
00:12:32,120 --> 00:12:34,959
Speaker 1: At what point the other thing I've found difficult, At

213
00:12:34,960 --> 00:12:38,800
Speaker 1: what point do you know that you should perhaps be

214
00:12:39,040 --> 00:12:42,040
Speaker 1: taking something. I know that's probably a silly question, but

215
00:12:42,080 --> 00:12:46,520
Speaker 1: I think as women, we tend to just push through.

216
00:12:47,120 --> 00:12:50,440
Speaker 1: And like you say, there's other life pressures. There's elderly parents,

217
00:12:50,480 --> 00:12:54,160
Speaker 1: there's teenage children, there's busy careers, and you never have

218
00:12:54,240 --> 00:12:57,080
Speaker 1: time to yourself, and you do put yourself last, and

219
00:12:57,120 --> 00:12:57,520
Speaker 1: you think.

220
00:12:57,400 --> 00:12:59,480
Speaker 3: No, I'll just push through. I'll just push through. It's

221
00:12:59,520 --> 00:12:59,920
Speaker 3: nearly the week.

222
00:13:00,280 --> 00:13:04,080
Speaker 1: I can catch up then, But at what point do

223
00:13:04,200 --> 00:13:08,720
Speaker 1: you say it's time. I think I needed some form

224
00:13:08,960 --> 00:13:11,880
Speaker 1: of help, some sort of relief for my symptoms.

225
00:13:12,400 --> 00:13:14,880
Speaker 2: It's about quality of life I have.

226
00:13:15,240 --> 00:13:17,680
Speaker 4: These are the sort of quotes that women come I

227
00:13:17,720 --> 00:13:22,400
Speaker 4: don't feel like me anymore. I feel dry, I feel shriveled,

228
00:13:23,000 --> 00:13:25,960
Speaker 4: I feel old. I want to go for another job,

229
00:13:26,000 --> 00:13:28,040
Speaker 4: but I can't be bothered, so I'm just going to

230
00:13:28,080 --> 00:13:31,120
Speaker 4: sit in this job that I find boring. I shout

231
00:13:31,160 --> 00:13:34,880
Speaker 4: at my children. I'm worried about the impact on my relationship.

232
00:13:35,440 --> 00:13:38,079
Speaker 4: I can't do the things in life that I want

233
00:13:38,120 --> 00:13:41,800
Speaker 4: to do. And what about sleeping on beach towels? Some women,

234
00:13:42,280 --> 00:13:45,520
Speaker 4: because menopause can be very vigorous for some women. Some

235
00:13:45,679 --> 00:13:49,480
Speaker 4: women drench a beach towel overnight and have to take.

236
00:13:49,320 --> 00:13:51,160
Speaker 2: It out, ring it out, put another one.

237
00:13:51,360 --> 00:13:53,480
Speaker 4: So if you're sleeping on a beach towel, and if

238
00:13:53,480 --> 00:13:56,160
Speaker 4: you're not sleeping, because half of menopause I think is

239
00:13:56,200 --> 00:14:00,720
Speaker 4: sleep disruption, waking up frequently, not able to sate sleep,

240
00:14:01,520 --> 00:14:04,720
Speaker 4: and you're too tired, you can't do anything, you need

241
00:14:04,760 --> 00:14:09,200
Speaker 4: to sleep. It's for that woman what tips her over

242
00:14:09,240 --> 00:14:12,760
Speaker 4: the edge. And my women come back and they say

243
00:14:12,800 --> 00:14:15,160
Speaker 4: three words when we're doing really well, and that is

244
00:14:15,320 --> 00:14:20,800
Speaker 4: I feel normal. So this is about taking into consideration

245
00:14:21,040 --> 00:14:26,400
Speaker 4: that there are risks associated with hormone therapy, but also knowing.

246
00:14:26,160 --> 00:14:27,880
Speaker 2: That quality of life is very important.

247
00:14:27,960 --> 00:14:31,200
Speaker 4: And I think the pandemic brought that out because women

248
00:14:31,720 --> 00:14:34,320
Speaker 4: sat there before, but then there was so much talk

249
00:14:34,480 --> 00:14:39,440
Speaker 4: about health in the pandemic and so much we realized

250
00:14:39,480 --> 00:14:43,520
Speaker 4: what quality of life really meant. So I think women

251
00:14:43,560 --> 00:14:46,440
Speaker 4: have just really stepped forward out of that and thought, well,

252
00:14:46,480 --> 00:14:47,960
Speaker 4: do you know what I want to feel?

253
00:14:48,000 --> 00:14:50,960
Speaker 1: Well, that was what a risk And I know it's

254
00:14:51,080 --> 00:14:53,880
Speaker 1: obviously it's a hard question probably to answer because it's

255
00:14:53,920 --> 00:14:56,720
Speaker 1: a case by case basis, But is there any greater

256
00:14:56,800 --> 00:15:00,840
Speaker 1: risk for women with a history of cancer in going

257
00:15:00,880 --> 00:15:04,600
Speaker 1: on hormone replacement therapy? Is the advice for them different

258
00:15:04,760 --> 00:15:07,760
Speaker 1: to someone who hasn't had it.

259
00:15:07,760 --> 00:15:09,560
Speaker 2: It depends on the type of cancer.

260
00:15:09,880 --> 00:15:14,560
Speaker 4: So there are some gynecological and of course breast cancer

261
00:15:15,040 --> 00:15:19,320
Speaker 4: that have hormone receptors on them, so they will possibly

262
00:15:19,840 --> 00:15:23,280
Speaker 4: be at higher risk of recurrence if we give hormone therapy.

263
00:15:23,480 --> 00:15:26,160
Speaker 4: So estrogen receptors is what we're talking about, but some

264
00:15:26,320 --> 00:15:29,920
Speaker 4: also have progesterone receptors. It depends on the type of cancer,

265
00:15:30,200 --> 00:15:32,880
Speaker 4: It depends on the clearance, it depends on the stage

266
00:15:32,880 --> 00:15:33,560
Speaker 4: and grade.

267
00:15:33,960 --> 00:15:35,400
Speaker 2: So it's all very difficult.

268
00:15:35,880 --> 00:15:40,480
Speaker 4: Usually, if it's a hormone receptor positive cancer, we usually

269
00:15:40,680 --> 00:15:45,840
Speaker 4: opt to use other treatments, not hormones. If a woman

270
00:15:45,880 --> 00:15:48,760
Speaker 4: comes to me ten years after breast cancer, for example,

271
00:15:48,880 --> 00:15:51,600
Speaker 4: she said, my quality of life is terrible. I've tried

272
00:15:51,680 --> 00:15:54,560
Speaker 4: all the other options. My surgeon says, it's okay for

273
00:15:54,560 --> 00:15:58,040
Speaker 4: a trial of lo DOOS hormone therapy. My oncologist is, okay,

274
00:15:58,600 --> 00:16:01,120
Speaker 4: can we have a trial of hormone therapy. I'm always

275
00:16:01,160 --> 00:16:04,560
Speaker 4: reluctant about it because I know that the risk of

276
00:16:04,600 --> 00:16:08,880
Speaker 4: cancer recurring in someone who's already had cancer is higher

277
00:16:08,920 --> 00:16:11,920
Speaker 4: than the general population. And we've got to remember that

278
00:16:12,000 --> 00:16:16,680
Speaker 4: one in seven women do develop breast cancer throughout their lifetime.

279
00:16:16,840 --> 00:16:21,480
Speaker 4: So it's a really difficult area and no one wants

280
00:16:21,560 --> 00:16:24,280
Speaker 4: to take a treatment that might increase their risk of cancer.

281
00:16:24,600 --> 00:16:28,239
Speaker 4: But if you look at the absolute statistics, the absolute

282
00:16:28,480 --> 00:16:34,480
Speaker 4: increase in cancer incidence is very very minor, and there

283
00:16:34,520 --> 00:16:39,880
Speaker 4: is no increase in breast cancer mortality, for example, with homotherapy,

284
00:16:39,960 --> 00:16:43,080
Speaker 4: and that big study, the WHI study, was very useful

285
00:16:43,080 --> 00:16:46,640
Speaker 4: for that. But that big study was also really useful

286
00:16:46,880 --> 00:16:51,000
Speaker 4: because the women on estrogen only in that study who

287
00:16:51,040 --> 00:16:54,400
Speaker 4: had had a hysterectomy before they actually had a lesser

288
00:16:54,680 --> 00:16:59,240
Speaker 4: risk of breast cancer compared with those on placebo. So

289
00:16:59,560 --> 00:17:02,800
Speaker 4: we think think that the progesterone entity is the one

290
00:17:02,840 --> 00:17:05,800
Speaker 4: increasing the risk, but it depends on the type of

291
00:17:05,840 --> 00:17:08,800
Speaker 4: formone therapy, it depends on the woman, depends on genes,

292
00:17:09,600 --> 00:17:12,320
Speaker 4: and really there was some beautiful information that came out

293
00:17:12,359 --> 00:17:15,760
Speaker 4: recently if you're talking about breast cancer, which showed that

294
00:17:15,960 --> 00:17:19,480
Speaker 4: the biggest risk factor, apart from family history, dense versts, etc.

295
00:17:20,240 --> 00:17:21,840
Speaker 2: Was obesity and overweight.

296
00:17:22,640 --> 00:17:26,360
Speaker 4: So there's an extra twenty six cases of breast cancer

297
00:17:26,640 --> 00:17:31,560
Speaker 4: from statistics from the UK over five years for women

298
00:17:31,600 --> 00:17:35,439
Speaker 4: from fifty to sixty years, whereas hormone therapy combined estrogen

299
00:17:35,440 --> 00:17:40,199
Speaker 4: and progesterone increases that number by four extra cases. And

300
00:17:40,240 --> 00:17:44,359
Speaker 4: women don't realize this, so it's important to talk about.

301
00:17:44,080 --> 00:17:46,760
Speaker 1: It is, and it's so important I think to dispel

302
00:17:46,840 --> 00:17:51,800
Speaker 1: the myths as well and just give a current snapshot

303
00:17:51,960 --> 00:17:55,280
Speaker 1: of where it's at. Another really common theme in talking

304
00:17:55,320 --> 00:17:59,199
Speaker 1: to women. My hairdresser the other day went to the

305
00:17:59,280 --> 00:18:04,480
Speaker 1: GP not knowing, not feeling themselves and thinking something's not

306
00:18:04,600 --> 00:18:08,800
Speaker 1: quite right when it was perimenopause and they've been put

307
00:18:08,840 --> 00:18:10,320
Speaker 1: on antidepressants.

308
00:18:11,480 --> 00:18:14,600
Speaker 3: Is that common? Do you see a lot of that?

309
00:18:16,400 --> 00:18:19,760
Speaker 4: So the sad thing for women is that it may

310
00:18:19,840 --> 00:18:24,400
Speaker 4: actually be the best option for them, it's the way

311
00:18:24,440 --> 00:18:28,600
Speaker 4: it's delivered. So there is a group of antidepressants that

312
00:18:28,760 --> 00:18:33,199
Speaker 4: is very useful for reducing flushes and sweats. Mood is

313
00:18:33,240 --> 00:18:37,160
Speaker 4: a really big part of perimenopause and menopause with anxiety,

314
00:18:37,440 --> 00:18:42,600
Speaker 4: low mood and irritability, and one of those medications at

315
00:18:42,640 --> 00:18:46,879
Speaker 4: lodos can be probably the safest option for them, but

316
00:18:47,000 --> 00:18:49,639
Speaker 4: it's the way it's delivered, because some women leave an

317
00:18:49,720 --> 00:18:54,160
Speaker 4: appointment and think I've been given a script for antidepressants.

318
00:18:55,280 --> 00:19:00,560
Speaker 4: It's the limitations of our appointment times. It's so hard

319
00:19:00,680 --> 00:19:03,639
Speaker 4: to convey all of the pros and cons, the benefits

320
00:19:03,680 --> 00:19:07,000
Speaker 4: and risks in a ten minute GP appointment. You just

321
00:19:07,160 --> 00:19:09,920
Speaker 4: actually can't do it to give justice to the person

322
00:19:09,920 --> 00:19:12,879
Speaker 4: in front of you. So some busy gps will just

323
00:19:12,960 --> 00:19:15,199
Speaker 4: dash out the script and hand it to them without

324
00:19:15,560 --> 00:19:16,400
Speaker 4: the explanation.

325
00:19:17,000 --> 00:19:19,320
Speaker 2: But it's certainly a very valid way.

326
00:19:19,600 --> 00:19:22,120
Speaker 4: If the mood symptoms are predominating and there's not many

327
00:19:22,119 --> 00:19:25,399
Speaker 4: flushes and sweats, it is a really good way to

328
00:19:25,480 --> 00:19:27,119
Speaker 4: manage very menopause.

329
00:19:27,280 --> 00:19:28,119
Speaker 3: That's interesting.

330
00:19:28,359 --> 00:19:31,359
Speaker 1: Another key finding to come out of the amazing Senate

331
00:19:31,440 --> 00:19:36,440
Speaker 1: inquiry into menopause was the lack of GP training on menopause.

332
00:19:36,520 --> 00:19:39,679
Speaker 1: In fact, they're given across their whole course something like

333
00:19:40,040 --> 00:19:44,879
Speaker 1: sixty minutes an hour of training. I guess, Sonya, that

334
00:19:44,920 --> 00:19:47,639
Speaker 1: would be something that you would like to see.

335
00:19:47,800 --> 00:19:49,879
Speaker 4: Well, if we go back to that big study the

336
00:19:50,040 --> 00:19:53,320
Speaker 4: WHI in two thousand and two, that's when it was released,

337
00:19:53,840 --> 00:19:57,960
Speaker 4: gps before that were really good at managing menopause, and

338
00:19:58,000 --> 00:20:00,000
Speaker 4: they were good at prescribing hormone theory.

339
00:20:00,760 --> 00:20:02,159
Speaker 2: But then there was a lot of fear.

340
00:20:02,920 --> 00:20:06,080
Speaker 4: There was a lot of mismanaged media out there, and

341
00:20:06,200 --> 00:20:10,680
Speaker 4: women became very afraid. But also practitioners became very afraid.

342
00:20:11,560 --> 00:20:16,000
Speaker 4: Some practices at the time said had sort of placards

343
00:20:16,040 --> 00:20:18,520
Speaker 4: outside saying we do not prescribe hormone therapy.

344
00:20:19,040 --> 00:20:20,320
Speaker 2: This practice gosh.

345
00:20:20,640 --> 00:20:24,359
Speaker 4: So since then, people like me and a lot of

346
00:20:24,400 --> 00:20:28,760
Speaker 4: other sort of very active individuals have made it their

347
00:20:28,800 --> 00:20:33,040
Speaker 4: life's mission to do a lot of education. So I've

348
00:20:33,080 --> 00:20:38,400
Speaker 4: done over two hundred talks, podcasts, webinars to anyone who

349
00:20:38,480 --> 00:20:41,800
Speaker 4: will listen and anyone who asked me at lots of

350
00:20:41,880 --> 00:20:46,240
Speaker 4: levels from the community up to doctors and whatever and pharmacists,

351
00:20:46,280 --> 00:20:50,000
Speaker 4: et cetera, to get the message out there about menopause,

352
00:20:50,240 --> 00:20:54,440
Speaker 4: to get the message out about education. Because I started

353
00:20:54,440 --> 00:20:58,040
Speaker 4: in research and as a doctor, but now I'm doing

354
00:20:58,040 --> 00:21:01,640
Speaker 4: a lot more of education and that's the important role.

355
00:21:02,000 --> 00:21:05,719
Speaker 4: We need to be targeting medical students, registrars which are

356
00:21:05,720 --> 00:21:10,840
Speaker 4: training doctors, GPS specialists. We just need to make sure,

357
00:21:11,560 --> 00:21:15,640
Speaker 4: even if they don't know particularly a lot about this area,

358
00:21:15,800 --> 00:21:19,240
Speaker 4: where to get the resources. So there's a beautiful e

359
00:21:19,400 --> 00:21:22,920
Speaker 4: learning platform at gene heals for women's health. There's one

360
00:21:22,920 --> 00:21:26,600
Speaker 4: on the Australasian Menopause Society. It's just slotting it in

361
00:21:26,960 --> 00:21:31,359
Speaker 4: to busy demands. For example, GPS, they have to know

362
00:21:31,640 --> 00:21:36,320
Speaker 4: a lot about so many things, from babies to elderly people,

363
00:21:36,400 --> 00:21:39,439
Speaker 4: men and women. That's why a lot of gps are

364
00:21:39,480 --> 00:21:43,120
Speaker 4: now sort of sub specializing into women's health and that's

365
00:21:43,560 --> 00:21:47,520
Speaker 4: where you see, for example, our Australasian Menopause Society conference

366
00:21:47,680 --> 00:21:51,720
Speaker 4: every year it's packed full of women's health gps mostly

367
00:21:53,119 --> 00:21:57,800
Speaker 4: who want to be updated in this area and they're educated.

368
00:21:57,840 --> 00:22:00,359
Speaker 4: It's the ones who aren't there that we need to

369
00:22:00,400 --> 00:22:01,000
Speaker 4: be reaching.

370
00:22:01,520 --> 00:22:05,520
Speaker 1: Yeah, we do have sex education in secondary school. Do

371
00:22:05,560 --> 00:22:08,960
Speaker 1: you think we should be talking about menopause along with

372
00:22:09,119 --> 00:22:11,760
Speaker 1: other women's health things in school?

373
00:22:12,640 --> 00:22:14,359
Speaker 4: I think it would be great if there was a

374
00:22:14,400 --> 00:22:19,320
Speaker 4: module saying year eleven and twelve which when maybe even

375
00:22:19,359 --> 00:22:21,080
Speaker 4: younger than that, which went through.

376
00:22:20,880 --> 00:22:23,080
Speaker 2: Periods, PMS, contraception.

377
00:22:23,720 --> 00:22:27,480
Speaker 4: I mean, school is not designed to make good humans

378
00:22:27,600 --> 00:22:29,200
Speaker 4: who know a lot about.

379
00:22:29,720 --> 00:22:32,200
Speaker 2: Being in a you know, a good human. After they

380
00:22:32,320 --> 00:22:33,320
Speaker 2: leave school.

381
00:22:33,640 --> 00:22:36,439
Speaker 4: It's about getting through the hurdles of a complex system

382
00:22:36,520 --> 00:22:38,560
Speaker 4: so that they can get to university and they sort

383
00:22:38,560 --> 00:22:41,879
Speaker 4: of learn it along the way. It's really difficult to

384
00:22:42,200 --> 00:22:46,640
Speaker 4: tell a teenager about menopause. Their eyes will glaze over

385
00:22:47,840 --> 00:22:50,160
Speaker 4: and they might not get it. The only reason they

386
00:22:50,280 --> 00:22:53,040
Speaker 4: might get it is if mum is going through it.

387
00:22:53,119 --> 00:22:56,080
Speaker 4: And that's very important, because I've had some light bulb

388
00:22:56,200 --> 00:22:59,560
Speaker 4: moments from people in their twenties old that's what's happening

389
00:22:59,600 --> 00:23:02,960
Speaker 4: at home. I didn't quite realize it is.

390
00:23:02,920 --> 00:23:03,879
Speaker 2: A difficult thing.

391
00:23:04,160 --> 00:23:08,600
Speaker 4: You know. The teenagers are busy at school, finding themselves whatever.

392
00:23:08,640 --> 00:23:09,560
Speaker 2: There's lots of competing.

393
00:23:09,800 --> 00:23:13,960
Speaker 1: The twenties decades away, right, I remember in my twenties

394
00:23:14,080 --> 00:23:15,480
Speaker 1: that was for old women.

395
00:23:15,760 --> 00:23:19,520
Speaker 4: That was just I just don't think the messages are

396
00:23:19,560 --> 00:23:22,160
Speaker 4: going to get in there and sit in there. From

397
00:23:22,240 --> 00:23:25,080
Speaker 4: twenty to thirty, you're establishing a career, you're trying to

398
00:23:25,119 --> 00:23:28,680
Speaker 4: find a partner. Possibly from thirty to forty that's typically

399
00:23:28,680 --> 00:23:32,760
Speaker 4: when people are having children. And it's only really from

400
00:23:32,880 --> 00:23:36,480
Speaker 4: forty plus that these messages do get through that women

401
00:23:36,560 --> 00:23:40,920
Speaker 4: do seek information and they're a little bit shocked about it. Actually,

402
00:23:41,560 --> 00:23:44,440
Speaker 4: they do say, why didn't I know about this whatever.

403
00:23:45,400 --> 00:23:48,480
Speaker 4: It's because it was always going to be very busy

404
00:23:48,520 --> 00:23:52,320
Speaker 4: to slot another thing that wasn't actually relevant to them

405
00:23:52,640 --> 00:23:56,760
Speaker 4: in an already really busy life. So I see the

406
00:23:56,800 --> 00:24:00,359
Speaker 4: pros and cons. I do think that education should be

407
00:24:00,400 --> 00:24:04,639
Speaker 4: focusing on general practitioners specialists who work in this area,

408
00:24:05,200 --> 00:24:10,240
Speaker 4: also training doctors too. I can't even remember doing a

409
00:24:10,320 --> 00:24:15,639
Speaker 4: menopause lecture when I went through medicine, so I looked

410
00:24:15,760 --> 00:24:17,680
Speaker 4: for my folder the other day to see if I

411
00:24:17,720 --> 00:24:20,160
Speaker 4: could find it, but I through.

412
00:24:22,119 --> 00:24:24,320
Speaker 2: So it was a sad moment because I just wanted

413
00:24:24,560 --> 00:24:25,879
Speaker 2: proof that I hadn't or.

414
00:24:26,680 --> 00:24:30,240
Speaker 1: Yes, well you're making up for lost time now I

415
00:24:30,280 --> 00:24:35,440
Speaker 1: am Homerfield Sonya. So just if we can cover off again.

416
00:24:35,600 --> 00:24:40,520
Speaker 1: If women are wanting more information, gene Hale's the website

417
00:24:40,720 --> 00:24:43,399
Speaker 1: is a great starting point. Can we just go through

418
00:24:43,440 --> 00:24:47,960
Speaker 1: what you would recommend to offer support for women who

419
00:24:48,000 --> 00:24:53,119
Speaker 1: perhaps don't have a great GP, have that relationship where

420
00:24:53,280 --> 00:24:56,520
Speaker 1: the GP may not be across what's available.

421
00:24:57,440 --> 00:25:01,560
Speaker 4: Well, I think it's firstly getting some good information. If

422
00:25:01,600 --> 00:25:05,720
Speaker 4: you google menopause there'll be I think it's forty million

423
00:25:05,920 --> 00:25:09,679
Speaker 4: hits that you get, and finding good information there is

424
00:25:09,960 --> 00:25:13,240
Speaker 4: very difficult. So if you go to a trusted source,

425
00:25:14,119 --> 00:25:16,640
Speaker 4: so gene Hale's for Women's Health, if you just put

426
00:25:16,720 --> 00:25:20,360
Speaker 4: gene Hale's plus Menopause in as a search, you'll come

427
00:25:20,400 --> 00:25:23,879
Speaker 4: up to some very good information. The Australasian Menopause Society.

428
00:25:24,480 --> 00:25:28,119
Speaker 4: Better Health Channel is also a Victorian government initiative and

429
00:25:28,160 --> 00:25:31,280
Speaker 4: there's some really good information on there as well. So

430
00:25:31,320 --> 00:25:35,439
Speaker 4: it's finding the information, doing your research, but getting good

431
00:25:35,840 --> 00:25:39,240
Speaker 4: information because as we know, the Internet is fraught with

432
00:25:39,400 --> 00:25:43,240
Speaker 4: lots of trouble trying to discuss that with your doctor.

433
00:25:43,520 --> 00:25:46,520
Speaker 4: If your doctor doesn't have women's health as a specialty,

434
00:25:47,000 --> 00:25:50,119
Speaker 4: you might still love that doctor, but you might seek

435
00:25:50,119 --> 00:25:55,360
Speaker 4: an alternative opinion. And there is a listing of Australasian

436
00:25:55,440 --> 00:25:59,680
Speaker 4: Menopause Society members at the Australasian Menopause Society. They are

437
00:26:00,000 --> 00:26:04,920
Speaker 4: generally very good women's health gps who specialize in women's

438
00:26:04,920 --> 00:26:09,359
Speaker 4: health throughout the ages. So it's or just looking at

439
00:26:09,400 --> 00:26:13,680
Speaker 4: the practice. So I often look through the practice online

440
00:26:13,680 --> 00:26:15,879
Speaker 4: with a woman who's in front of me because I'm

441
00:26:15,920 --> 00:26:18,439
Speaker 4: a specialist, so she needs a GP of course, and

442
00:26:18,760 --> 00:26:20,360
Speaker 4: I look at their practice and I say, well, you're

443
00:26:20,359 --> 00:26:21,199
Speaker 4: with doctor whoever.

444
00:26:21,240 --> 00:26:24,560
Speaker 2: But the other doctor at that practice does say.

445
00:26:24,359 --> 00:26:26,960
Speaker 4: Women's health is an interest, and it might be because

446
00:26:26,960 --> 00:26:29,000
Speaker 4: it's easier when the file is there.

447
00:26:29,040 --> 00:26:32,200
Speaker 2: Of course, there's always some information out there.

448
00:26:32,320 --> 00:26:36,960
Speaker 4: It's important to not get on the bandwagon and try

449
00:26:37,040 --> 00:26:41,960
Speaker 4: and go with treatments that aren't safe. I want women

450
00:26:42,240 --> 00:26:44,959
Speaker 4: to be healthy, to be as happy as they can be,

451
00:26:45,160 --> 00:26:48,840
Speaker 4: to cope to say those three things three words, I

452
00:26:48,920 --> 00:26:52,840
Speaker 4: feel normal, And it's whatever strategy we can do.

453
00:26:53,560 --> 00:26:54,879
Speaker 2: Women need support.

454
00:26:56,600 --> 00:26:59,800
Speaker 4: Most women at home are like the general aren't they

455
00:27:00,119 --> 00:27:01,040
Speaker 4: organizing the bin.

456
00:27:01,000 --> 00:27:01,919
Speaker 2: Night, the food?

457
00:27:03,840 --> 00:27:07,000
Speaker 1: Yes, spinning a million different plates, which is why you

458
00:27:07,040 --> 00:27:10,040
Speaker 1: put yourself last. It's a wonder we even get to

459
00:27:10,119 --> 00:27:11,679
Speaker 1: work most days.

460
00:27:12,240 --> 00:27:12,640
Speaker 2: It is.

461
00:27:12,840 --> 00:27:16,440
Speaker 4: It is, And when your hormones can start to mistreat

462
00:27:16,480 --> 00:27:21,679
Speaker 4: you in perimenopause and menopause, that's when the support is pulled,

463
00:27:22,359 --> 00:27:24,480
Speaker 4: and especially when women aren't sleeping.

464
00:27:25,040 --> 00:27:25,840
Speaker 2: You tell me about it.

465
00:27:25,960 --> 00:27:28,639
Speaker 4: You want to make a difference, So the women who

466
00:27:28,720 --> 00:27:32,280
Speaker 4: want to make a difference will find a solution. But unfortunately,

467
00:27:32,760 --> 00:27:36,600
Speaker 4: perimenopause and menopause it's like being in the tumble dryer.

468
00:27:36,640 --> 00:27:38,960
Speaker 4: They just feel like they're just going round and round

469
00:27:39,320 --> 00:27:40,480
Speaker 4: and can't get out of it.

470
00:27:40,680 --> 00:27:43,000
Speaker 3: That's so true. But there is light at the end

471
00:27:43,000 --> 00:27:45,159
Speaker 3: of the tunnel, So yeah, can you assure.

472
00:27:44,800 --> 00:27:46,280
Speaker 2: Me there is light?

473
00:27:46,400 --> 00:27:49,919
Speaker 4: You just need some good information, some good education and

474
00:27:49,960 --> 00:27:51,720
Speaker 4: a good option for you.

475
00:27:51,840 --> 00:27:55,119
Speaker 2: There is that I feel normal. Three words.

476
00:27:55,840 --> 00:27:58,400
Speaker 4: I just look when they come in back for their

477
00:27:58,400 --> 00:28:00,720
Speaker 4: return appointment, and I think, all.

478
00:28:01,080 --> 00:28:04,280
Speaker 2: Have we done well? Have We're not done so well?

479
00:28:04,560 --> 00:28:06,600
Speaker 3: As you hold your breath before they speed.

480
00:28:08,240 --> 00:28:13,120
Speaker 1: Doctor Sonya Davison, endochronology lead at gene Hale's Clinic, Thank

481
00:28:13,119 --> 00:28:16,480
Speaker 1: you so so much, brilliant.

482
00:28:16,200 --> 00:28:17,960
Speaker 2: I thank you so much for having me.

483
00:28:18,280 --> 00:28:20,480
Speaker 4: I know your work is so important to get the

484
00:28:20,520 --> 00:28:23,280
Speaker 4: message out to women. You can do it in your way,

485
00:28:23,359 --> 00:28:25,639
Speaker 4: I can do it in my way. Together we're a

486
00:28:25,720 --> 00:28:28,240
Speaker 4: little bit of a formidable force. I hope, I hope

487
00:28:28,280 --> 00:28:31,840
Speaker 4: we've cheered someone up out there. Thank you so much

488
00:28:31,880 --> 00:28:34,400
Speaker 4: for having me, and I hope we can both say

489
00:28:34,400 --> 00:28:36,640
Speaker 4: at the end of today, I feel normal.

490
00:28:37,400 --> 00:28:40,040
Speaker 1: You know, for far too long, menopausal women have had

491
00:28:40,040 --> 00:28:45,720
Speaker 1: their experiences dismissed and face barriers to accessing affordable treatment options.

492
00:28:46,240 --> 00:28:49,600
Speaker 1: These therapy subsidies break a twenty year drought and is

493
00:28:49,680 --> 00:28:52,800
Speaker 1: wonderful news that will make a real, meaningful difference to

494
00:28:52,840 --> 00:28:56,840
Speaker 1: the quality of life for countless Aussie women. In episode six,

495
00:28:57,120 --> 00:29:00,320
Speaker 1: I have further help with health and fitness tip from

496
00:29:00,360 --> 00:29:03,800
Speaker 1: personal trainer Mitchell little. He also has helpful hints for

497
00:29:03,880 --> 00:29:06,880
Speaker 1: men on how to best support a partner going through

498
00:29:06,960 --> 00:29:07,800
Speaker 1: the menopause.

499
00:29:08,320 --> 00:29:12,680
Speaker 2: I'm Petrina Jones Rage Against the Menopause,