1 00:00:00,440 --> 00:00:01,400 Speaker 1: The Pause in Perth. 2 00:00:01,480 --> 00:00:04,480 Speaker 2: Talking Hormones with Louise and Newsoan is on tonight at 3 00:00:04,480 --> 00:00:07,360 Speaker 2: the University Club of West Australia. Tickets are available through 4 00:00:07,440 --> 00:00:10,960 Speaker 2: Human Ticks dot Com and doctor Louise Nuisance joining us now, 5 00:00:11,000 --> 00:00:17,919 Speaker 2: Good morning, good morning, Thank you for joining us to talk. 6 00:00:18,440 --> 00:00:21,040 Speaker 2: I keep saying this is something that we don't talk 7 00:00:21,079 --> 00:00:22,040 Speaker 2: about enough. 8 00:00:22,520 --> 00:00:23,720 Speaker 1: Half the population is. 9 00:00:23,680 --> 00:00:26,279 Speaker 2: Going to experience it, so why don't we talk about 10 00:00:26,320 --> 00:00:26,720 Speaker 2: it more? 11 00:00:26,720 --> 00:00:28,840 Speaker 1: Do you think? You know? 12 00:00:29,000 --> 00:00:29,760 Speaker 3: I'm not really sure. 13 00:00:29,800 --> 00:00:33,800 Speaker 1: I think because for many people there's a lot of misunderstanding. 14 00:00:34,120 --> 00:00:36,920 Speaker 1: So people think it's just about period stopping, maybe a few. 15 00:00:36,760 --> 00:00:38,879 Speaker 3: Hot blushes as well, and women can just. 16 00:00:38,840 --> 00:00:41,320 Speaker 1: Get on with it. But actually, as you probably know, 17 00:00:41,400 --> 00:00:42,479 Speaker 1: it's far more than that. 18 00:00:43,000 --> 00:00:44,959 Speaker 3: So until we understand what. 19 00:00:44,960 --> 00:00:47,879 Speaker 1: We understand, and so we can impart our knowledge and 20 00:00:48,000 --> 00:00:49,960 Speaker 1: experience to more people, then. 21 00:00:49,880 --> 00:00:51,400 Speaker 3: It's going to continue. 22 00:00:51,000 --> 00:00:53,479 Speaker 1: Being one of a taboo, and it shouldn't be because 23 00:00:53,479 --> 00:00:57,280 Speaker 1: it has such important effects on women, both for the 24 00:00:57,320 --> 00:00:58,960 Speaker 1: symptoms but also the future health. 25 00:00:59,400 --> 00:01:04,160 Speaker 2: Yes, I actually full disclosure. I went through early menopause. 26 00:01:04,760 --> 00:01:09,399 Speaker 2: I started in my mid thirties by the time I 27 00:01:09,400 --> 00:01:11,240 Speaker 2: really knew about it, so I would say a bit 28 00:01:11,319 --> 00:01:14,800 Speaker 2: even earlier because the first few sort of signs are 29 00:01:14,840 --> 00:01:18,080 Speaker 2: often missing a period, you write that off or whatever, 30 00:01:18,280 --> 00:01:21,119 Speaker 2: you know, reason, it's a while before you really know 31 00:01:21,319 --> 00:01:24,240 Speaker 2: what's going on, and then it sets in with a vengeance. 32 00:01:26,280 --> 00:01:28,959 Speaker 1: Yeah, and one in thirty women under the age of 33 00:01:28,959 --> 00:01:32,399 Speaker 1: forty will have an early menopause. So actually it's really 34 00:01:32,400 --> 00:01:37,840 Speaker 1: common and I have. Yeah, yeah, it's very common, and 35 00:01:37,880 --> 00:01:42,199 Speaker 1: it's really important that people are diagnosed promptly because obviously 36 00:01:42,200 --> 00:01:45,280 Speaker 1: they're suffering. People are having symptoms, but our hormones work 37 00:01:45,319 --> 00:01:48,040 Speaker 1: throughout our body, their chemical messages and work on every 38 00:01:48,080 --> 00:01:49,200 Speaker 1: single set and our body. 39 00:01:49,480 --> 00:01:50,600 Speaker 3: So when we don't have those. 40 00:01:50,440 --> 00:01:55,800 Speaker 1: Hormones, increase risk of diseases like heart disease or steiporusis, diabetes, dementia. 41 00:01:55,920 --> 00:01:58,520 Speaker 1: So it's so important that young women especially but all 42 00:01:58,520 --> 00:02:01,680 Speaker 1: women actually have a choice abouding treatment which will improve 43 00:02:01,720 --> 00:02:04,520 Speaker 1: their symptoms but reduce their risk of diseases as well. 44 00:02:05,240 --> 00:02:07,440 Speaker 4: Luis, you said those words earlier. People think women can 45 00:02:07,520 --> 00:02:09,480 Speaker 4: just get on with that. I couldn't think of a 46 00:02:09,560 --> 00:02:12,519 Speaker 4: worse sentence to say to a woman suffering. 47 00:02:13,280 --> 00:02:14,680 Speaker 2: I would have bit in your face. 48 00:02:14,480 --> 00:02:17,959 Speaker 4: Yeah exactly, yeah, yeah, yea with my wife. So what 49 00:02:18,200 --> 00:02:20,480 Speaker 4: is it that a partner or a family member can 50 00:02:20,520 --> 00:02:22,080 Speaker 4: say and do to help. 51 00:02:23,400 --> 00:02:25,560 Speaker 1: So I think the most important thing is knowledge. I've 52 00:02:25,560 --> 00:02:28,560 Speaker 1: been a medical educator and a medical writer for decades, 53 00:02:28,680 --> 00:02:31,760 Speaker 1: and with knowledge you can make choices. So it's not 54 00:02:31,840 --> 00:02:33,760 Speaker 1: just for the individual, it's for people that know them 55 00:02:33,800 --> 00:02:36,400 Speaker 1: as well, because for many of us, including myself and 56 00:02:36,520 --> 00:02:39,400 Speaker 1: the women's attending in your brain, it's hard to think. Really, 57 00:02:39,800 --> 00:02:42,359 Speaker 1: it's hard to make the right choices often and it's 58 00:02:42,440 --> 00:02:44,640 Speaker 1: as you say, it's hard to have a stable mood 59 00:02:44,720 --> 00:02:47,600 Speaker 1: sometimes too. So what you want is people to really 60 00:02:47,639 --> 00:02:49,840 Speaker 1: talk to you and help you and being advocate for you, 61 00:02:49,880 --> 00:02:52,520 Speaker 1: because too many women are being turned away from their 62 00:02:52,600 --> 00:02:55,480 Speaker 1: GPS or their doctors, being dismissed the Actually, if you 63 00:02:55,560 --> 00:02:58,200 Speaker 1: made a decision that you would like treatment, and actually 64 00:02:58,280 --> 00:03:00,359 Speaker 1: the first line treatment for the majority of women is 65 00:03:00,400 --> 00:03:03,360 Speaker 1: replacing those missing hormones, then having someone with you who 66 00:03:03,440 --> 00:03:06,200 Speaker 1: can help support you and help that conversation with a 67 00:03:06,200 --> 00:03:09,880 Speaker 1: healthcare professional Austin can be transformational for that person. 68 00:03:10,400 --> 00:03:13,680 Speaker 2: So what is your stand on HRT hormone replacement therapy. 69 00:03:15,080 --> 00:03:18,760 Speaker 1: Yeah, so HRT is only three letters hormone replacement therapy, 70 00:03:18,800 --> 00:03:21,880 Speaker 1: But we don't really replace Actually, we just put back 71 00:03:21,919 --> 00:03:24,800 Speaker 1: the missing hormones, and it's not a therapy, it's just 72 00:03:24,880 --> 00:03:28,320 Speaker 1: the treatment. It's very different the hormones that we prescribe 73 00:03:28,320 --> 00:03:30,320 Speaker 1: now to twenty years ago, when they are all those 74 00:03:30,520 --> 00:03:34,120 Speaker 1: unfounded fears really about christ cancer risk. The hormones that 75 00:03:34,440 --> 00:03:37,560 Speaker 1: we use now are natural, their body identical hormones. You 76 00:03:37,680 --> 00:03:39,080 Speaker 1: have them here in Australia too. 77 00:03:39,400 --> 00:03:41,480 Speaker 3: We usually give the estrogen through the skin. 78 00:03:41,240 --> 00:03:45,120 Speaker 1: As estradile, the natural form of estrogen, the natural progesterone, 79 00:03:45,320 --> 00:03:49,200 Speaker 1: the natural test posterone. So they work biologically and biochemically 80 00:03:49,280 --> 00:03:52,080 Speaker 1: the same way that our hormones do, so they don't 81 00:03:52,080 --> 00:03:54,400 Speaker 1: have the risks of older types of hormones. They don't 82 00:03:54,440 --> 00:03:57,240 Speaker 1: have the risks of contraception. They're very safe and the 83 00:03:57,320 --> 00:03:59,960 Speaker 1: important thing is to get the right dose and type 84 00:04:00,120 --> 00:04:04,080 Speaker 1: hormone for each individual because in the perimenopause. 85 00:04:03,360 --> 00:04:05,160 Speaker 3: When our hormones are fluctivating, we. 86 00:04:05,200 --> 00:04:07,160 Speaker 1: Might only need a small amount, and then when our 87 00:04:07,160 --> 00:04:10,800 Speaker 1: hormones become now they do stay low forever, so menopause 88 00:04:10,800 --> 00:04:13,600 Speaker 1: does last for whatever. So we give back the right 89 00:04:13,680 --> 00:04:15,480 Speaker 1: dose for each individual. 90 00:04:15,320 --> 00:04:18,760 Speaker 2: And the perimenopause were we hear that term a large 91 00:04:18,839 --> 00:04:21,280 Speaker 2: I don't think everyone realizes exactly what it is. What 92 00:04:21,440 --> 00:04:21,640 Speaker 2: is that? 93 00:04:22,960 --> 00:04:25,320 Speaker 1: Yeah, so, I mean it's all a bit weird really. 94 00:04:25,360 --> 00:04:27,960 Speaker 1: Menopause is defined as a year since women's last period. 95 00:04:28,320 --> 00:04:31,120 Speaker 1: Why someone decides a year, I have no idea. 96 00:04:31,520 --> 00:04:35,040 Speaker 3: But it's because the hormones that are produced. 97 00:04:34,640 --> 00:04:38,120 Speaker 1: In our ovaries east of our progester and testosterone, they decline, 98 00:04:38,279 --> 00:04:40,920 Speaker 1: but we also produce them in our brains and our muscles, 99 00:04:40,920 --> 00:04:43,240 Speaker 1: in our heart, in various tissues as well. It's not 100 00:04:43,320 --> 00:04:47,039 Speaker 1: just our ovaries, but before our periods stop, like you say, 101 00:04:47,080 --> 00:04:49,280 Speaker 1: some people just miss a period or so, but our 102 00:04:49,279 --> 00:04:52,360 Speaker 1: hormone levels are starting to decline. They're often in quite 103 00:04:52,360 --> 00:04:55,080 Speaker 1: a chaotic manner. So people can have high they can 104 00:04:55,160 --> 00:04:58,200 Speaker 1: have low hormone levels, and this change in hormone levels 105 00:04:58,240 --> 00:05:02,560 Speaker 1: can trigger and myriad a simi. They're the same menopause symptoms, 106 00:05:02,800 --> 00:05:06,080 Speaker 1: but often the brain symptoms that moved the anxiety that 107 00:05:06,200 --> 00:05:09,680 Speaker 1: memory problems can be worse in perimenopause because our brain 108 00:05:09,880 --> 00:05:13,160 Speaker 1: liked stability, and there's certainly not much state of stability 109 00:05:13,240 --> 00:05:14,200 Speaker 1: in perimenopause. 110 00:05:14,760 --> 00:05:17,760 Speaker 4: Okay, Lisa did mention that you've been talking at UWI 111 00:05:17,800 --> 00:05:19,360 Speaker 4: tonight and is a cute question and answer. You have 112 00:05:19,400 --> 00:05:21,719 Speaker 4: a surprise docked by some of the questions you get asked. 113 00:05:23,200 --> 00:05:25,960 Speaker 1: No, I'm actually saddened by them. I'm really sad and 114 00:05:26,040 --> 00:05:29,479 Speaker 1: that it's twenty twenty five and people are still struggling. 115 00:05:29,839 --> 00:05:32,479 Speaker 1: I've spent a lot of time writing I do a 116 00:05:32,480 --> 00:05:33,320 Speaker 1: week the podcast. 117 00:05:33,400 --> 00:05:34,320 Speaker 3: I've created the. 118 00:05:34,240 --> 00:05:36,760 Speaker 1: Free Balance app, which has had lots and lots of 119 00:05:36,800 --> 00:05:40,400 Speaker 1: downloads globally, and people are really thirsty for knowledge. But 120 00:05:40,400 --> 00:05:42,400 Speaker 1: the sad thing is once they've got that knowledge, they're 121 00:05:42,400 --> 00:05:44,680 Speaker 1: still often being turned away and not listened to. They're 122 00:05:44,720 --> 00:05:47,160 Speaker 1: being gas lit. They've held it's in their head. They 123 00:05:47,200 --> 00:05:49,039 Speaker 1: just need to get on with it. And it's the 124 00:05:49,080 --> 00:05:53,039 Speaker 1: same globally. It's not just in Australia. But I love 125 00:05:53,120 --> 00:05:56,120 Speaker 1: doing people facing events. You might know that the Sydney 126 00:05:56,120 --> 00:05:57,840 Speaker 1: Opera House, so that was an audience of two and 127 00:05:57,839 --> 00:06:01,159 Speaker 1: a half thousand. It was the most incredible experience. But 128 00:06:01,400 --> 00:06:03,359 Speaker 1: as I was walking out, I was obviously talking to 129 00:06:03,400 --> 00:06:06,360 Speaker 1: a lot of women and you know, the mental health 130 00:06:06,400 --> 00:06:08,880 Speaker 1: component of menopause should not be underestimated. 131 00:06:08,920 --> 00:06:11,960 Speaker 3: I was teaching some doctors yesterday in Perth. 132 00:06:11,800 --> 00:06:15,240 Speaker 1: And talking about the suicide rates that are highest in 133 00:06:15,320 --> 00:06:17,080 Speaker 1: Australia in the early fifties. 134 00:06:17,640 --> 00:06:19,280 Speaker 3: Not all of this is due to hormones, that. 135 00:06:19,279 --> 00:06:21,719 Speaker 1: Some of it will be. And we can't keep thinking 136 00:06:21,760 --> 00:06:25,200 Speaker 1: about menopause and perimenopaus as bushes and sweats, because that's 137 00:06:25,279 --> 00:06:28,679 Speaker 1: not the communist symptom, and it's not the most risks, 138 00:06:28,720 --> 00:06:30,559 Speaker 1: the big risks with our mental health. 139 00:06:31,920 --> 00:06:34,800 Speaker 2: I was lucky, actually, because for me, I didn't suffer 140 00:06:34,800 --> 00:06:37,640 Speaker 2: at all with any sort of mood swings. But I 141 00:06:37,680 --> 00:06:41,039 Speaker 2: could have powered my house with the heat that came 142 00:06:41,200 --> 00:06:45,040 Speaker 2: out of my body, doctor News, and I could not. Sometimes. 143 00:06:45,080 --> 00:06:46,560 Speaker 2: The only way for me to get through it because 144 00:06:46,560 --> 00:06:49,120 Speaker 2: I would start a hot flash. Hot flash, I should say, 145 00:06:49,320 --> 00:06:51,159 Speaker 2: feels like it starts at the top of your head 146 00:06:51,360 --> 00:06:53,840 Speaker 2: and then it just sort of it just spreads down 147 00:06:53,880 --> 00:06:58,080 Speaker 2: your body to about waste level, and sweat paws off you, 148 00:06:58,360 --> 00:07:01,960 Speaker 2: and you feel like you can't breathe properly. You feel anxious, 149 00:07:02,480 --> 00:07:05,680 Speaker 2: and sometimes it would just it would get to the 150 00:07:05,760 --> 00:07:07,920 Speaker 2: end of one and then it would start building again 151 00:07:07,960 --> 00:07:10,000 Speaker 2: from the top of my head. And the only way 152 00:07:10,040 --> 00:07:12,040 Speaker 2: I could get through it sometimes was to tell myself, 153 00:07:12,360 --> 00:07:16,880 Speaker 2: isn't the body an incredible an incredible thing that you 154 00:07:16,920 --> 00:07:18,920 Speaker 2: know the things that it goes through. I had to 155 00:07:18,920 --> 00:07:21,600 Speaker 2: look at it from a scientific kind of aspect or 156 00:07:21,640 --> 00:07:24,920 Speaker 2: else I was going to lose my mind. 157 00:07:25,040 --> 00:07:28,080 Speaker 1: Incredible, very cruel, too horrible, unbelievable. 158 00:07:28,360 --> 00:07:32,360 Speaker 2: Well, I'm really happy that you're doing this tonight, doctor Newson, 159 00:07:32,400 --> 00:07:34,440 Speaker 2: and happy that you spoke to us today, because it 160 00:07:35,160 --> 00:07:38,560 Speaker 2: is mind boggling that we are still as you said, 161 00:07:38,600 --> 00:07:40,880 Speaker 2: you know, sometimes gas lid about it, and also we 162 00:07:40,960 --> 00:07:44,080 Speaker 2: need to talk about it more because half the population 163 00:07:44,160 --> 00:07:46,320 Speaker 2: will experience it and the other half of the population 164 00:07:46,400 --> 00:07:49,080 Speaker 2: sometimes has to sleep next to it with the night sweats, 165 00:07:49,120 --> 00:07:51,360 Speaker 2: and believe me, you're going to know about it. So 166 00:07:52,640 --> 00:07:56,440 Speaker 2: the talk tonight is the Pause in Perth Talking Hormones 167 00:07:56,480 --> 00:08:00,000 Speaker 2: with Louise Newsan and tickets are available through human Tics. 168 00:08:00,600 --> 00:08:02,280 Speaker 2: Thank you so much for joining us. 169 00:08:02,320 --> 00:08:04,640 Speaker 1: Thanks Allays, thanks so much, Thank you