Host: Dr. Sukhpreet Patel, MD Gynaecologist, Menopause Health Advocate, Founder of MenopauseWize

Key Focus: Raising awareness about Genitourinary Syndrome of Menopause (GSM) and its significant impact on quality of life, aiming to educate women and healthcare providers on recognizing and addressing this common condition.

Objective: To provide listeners with a foundational understanding of GSM, exploring its symptoms, effects on physical and emotional well-being, and why it is essential to address these symptoms early on. This episode emphasizes the importance of bringing GSM into the conversation with healthcare providers for better diagnosis and management.

Important Points:
- The prevalence of GSM, with estimates showing 27% to 84% of postmenopausal women experience symptoms, though only a small percentage receive treatment.
- The progressive nature of GSM and how symptoms often worsen without intervention.
- Challenges to awareness and diagnosis, highlighting that many women may not link their symptoms to menopause or are hesitant to discuss them with healthcare providers.The physical and emotional repercussions of untreated GSM, which can affect daily activities, intimacy, work productivity, and overall quality of life.
- Increased risk of more severe GSM symptoms in women experiencing early menopause due to surgery, chemotherapy, or other medical treatments.
- Key questions for healthcare providers to ask patients about GSM symptoms, encouraging open dialogue for early detection and care.

Contact:
Email: drsukhpreet@menopausewize.com
Instagram: @menopausewize
Facebook page: @menopausewize
YouTube: @menopausewize

Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult your physician or a qualified healthcare provider before making any decisions regarding your health or any medical treatments discussed in this podcast. While we strive to provide accurate and up-to-date information, this podcast does not replace professional medical consultation, diagnosis, or treatment. If you have any concerns or symptoms that require medical attention, please seek advice from your healthcare provider.

MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.

Support the show

The information provided in all episodes of the MenopauseWize podcast, including content shared by Dr. Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.

Breast Cancer & Hormone Therapy (Part 2) – Where are we today?

Host: Dr. Sukhpreet Patel, MD Gynaecologist, Menopause Health Advocate, Founder of MenopauseWize

Key Focus: Helping listeners make informed decisions about MHT by exploring the latest research on the relationship between Menopausal Hormone Therapy (MHT) and breast cancer risk.

Objective: To guide listeners, whether they are healthcare providers or women considering MHT, in understanding the risks and benefits associated with hormone therapy, allowing them to make empowered decisions for themselves or their patients.

Covered Studies:
- Women's Health Initiative (WHI)
- Danish Osteoporosis Prevention Study (DOPS)
- ELITE Study on the Timing Hypothesis
- British Menopause Society Consensus Statement
- North American Menopause Society Statement

Important Concepts:
- Relative vs. Absolute Risk of breast cancer with combined hormone therapy.
- The impact of timing when starting MHT, highlighting how initiating therapy earlier after menopause can provide cardiovascular benefits.
- Statistics on the number of additional breast cancer cases with combined MHT use for 5 and 10 years.
- Understanding the importance of considering the whole picture, including benefits for bone health, cardiovascular protection, and overall well-being, alongside breast cancer risks.

Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult your physician or a qualified healthcare provider before making any decisions regarding your health or any medical treatments discussed in this podcast. While we strive to provide accurate and up-to-date information, this podcast does not replace professional medical consultation, diagnosis, or treatment. If you have any concerns or symptoms that require medical attention, please seek advice from your healthcare provider.
MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.

Support the show

The information provided in all episodes of the MenopauseWize podcast, including content shared by Dr. Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.

Many women—and even some healthcare providers—automatically associate menopausal hormone therapy (MHT) with an increased risk of breast cancer. But is the connection as clear-cut as it seems? In this episode, we break down:

1. What the 2002 WHI study really says about MHT and breast cancer.
2. What those numbers mean for a woman going through menopause.
3. Why understanding relative and absolute risk is important.
4. The actual numbers behind MHT-related breast cancer risk.
5. Why today’s hormone therapies aren’t the same as those studied in WHI.

References available on request. Email: info@menopausewize.com

Medical Disclaimer:
The information in this podcast is for educational purposes only and should not be considered medical advice. Always consult your healthcare provider for personalized medical guidance.

Support the show

The information provided in all episodes of the MenopauseWize podcast, including content shared by Dr. Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.

Welcome to MenopauseWize, where we empower women and healthcare providers with evidence-based knowledge to navigate the menopause journey with confidence. I’m Dr. Sukhpreet Patel, an MD Gynaecologist, menopause health advocate, postmenopausal woman, and the founder of MenopauseWize.

In this episode, we’re tackling a common yet complex topic: BLACK COHOSH —an herbal remedy widely used for managing menopausal symptoms, particularly hot flashes.

Here’s what you’ll learn in this episode:

What is Black Cohosh?: Learn about the origins of this plant, its traditional uses, and how it has evolved into a popular treatment for menopausal symptoms in modern times.

Does Black Cohosh Really Work?: We’ll explore the research, with some studies showing that black cohosh moderately reduces hot flashes, while others show little to no effect.

What Makes iCR Different?: Discover the benefits of iCR (isopropanolic black cohosh extract), a more standardized and studied form of black cohosh, which has been shown to be more effective than a placebo in treating hot flashes.

Why Standardization Matters: Not all black cohosh supplements are the same. We’ll dive into how differences in extraction methods and active compounds can lead to varying results, and why you should look for standardized iCR supplements, especially those containing triterpene glycosides (TG).

Safety Concerns: We’ll address some of the safety concerns surrounding black cohosh, particularly liver health. The U.S. Pharmacopeia requires a warning label on black cohosh products due to reports of liver toxicity, but clinical trials on iCR suggest it may be safer than other forms of black cohosh.

Breast Cancer and Black Cohosh: For women with a history of hormone-sensitive cancers, we’ll explore the concerns around black cohosh. While no studies have conclusively linked black cohosh to increased cancer risk, we’ll emphasize the importance of consulting your healthcare provider if you’re considering using it.

Why This Matters:
It’s easy to focus solely on symptoms like hot flashes during menopause, but remember, your health needs go beyond that. As we discuss, hot flashes are just one visible symptom, but menopause affects your bones, heart, and more. Silent killers like hypertension and osteoporosis often creep in during this phase of life, so it’s crucial to look beyond the immediate symptoms.

Medical Disclaimer:
The information shared in this podcast is for educational purposes only and should not be considered medical advice. Always consult with your healthcare provider before starting any new treatment, including herbal supplements like black cohosh, especially if you have underlying health conditions such as liver disease or a history of hormone-sensitive cancers. Menopause affects each woman differently, and what works for one may not work for another. Your healthcare pr

Support the show

The information provided in all episodes of the MenopauseWize podcast, including content shared by Dr. Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.

Welcome to "MenopauseWize," your go-to podcast for all things evidence-based in the menopause-verse. I am Dr. Sukhpreet Patel, an MD Gynaecologist, a menopause health advocate, a postmenopausal woman and the founder of MenopauseWize. Whether you’re a healthcare provider looking to stay on top of the latest evidence-based practices, a woman navigating your own perimenopause or menopause journey, or a partner or family member eager to support a loved one, this series is designed with YOU in mind.

In this podcast we dive deep into the use of soy and soy based supplements for hot flashes during menopause and perimenopause. Some of the questions answered in this episode include:

1. What are phytoestrogens, and how do they function in the body?
2. How do hormones like estrogen work in the body, and what role do receptors play?
3. How does the labeling of soy isoflavone supplements affect their effectiveness?
4. What role does gut bacteria play in converting daidzein to equol, and why is this important for reducing hot flashes?
5. What is the recommended daily intake of genistein to manage hot flashes?
6. What are the additional benefits of consuming whole soy foods versus soy supplements?
7. What are the possible side effects of consuming isoflavones, especially in supplement form?
8. Is there any association between soy consumption and an increased risk of postmenopausal breast cancer?
9. Why should large consumers of soy consider choosing non-GMO soy products?

Have more questions, contact us: info@menopausewize.com

Follow us: @menopausewize

References:

1. Messina, M. (2014). Soy foods, isoflavones, and the health of postmenopausal women. American Journal of Clinical Nutrition
2. Lambert, M. N., et al.(2017). A review of the evidence for the use of phytoestrogens as a replacement for hormone replacement therapy. Maturitas
3. Zhang, X., et al. (2013). Soy food consumption and risk of breast cancer in humans: a meta-analysis. Cancer Epidemiology, Biomarkers & Prevention.
4. Setchell, K. D., et al. (2002). Equol: history, chemistry, and formation. Journal of Nutrition.
5. Daily et al. (2019).Equol decreases hot flashes in postmenopausal women: A systematic review and meta-analysis.
6. Yu L, Rios E, Castro L, Liu J, Yan Y, Dixon D. Genistein: Dual Role in Women's Health. Nutrients. 2021 Aug 30;13(9):3048. doi: 10.3390/nu13093048. PMID: 34578926; PMCID: PMC8472782.
7. https://www.alzdiscovery.org/uploads/cognitive_vitality_media/Soy_isoflavones_UPDATE_(supplement).pdf
8. https://www.breastcancer.org/research-news/soy-compounds-breast-cancer-recurrence
Remaining references available on request
Medical Disclaimer: This po

Support the show

The information provided in all episodes of the MenopauseWize podcast, including content shared by Dr. Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.

About Dr. Sukhpreet Patel: She is an MD (ObGyn), a menopause health advocate, a post menopausal woman, and the founder of MenopauseWize.

About this episode: Menopausal hormone therapy or MHT is often the go-to treatment for vasomotor symptoms, but let’s face it…it’s not for everyone, So through our many part series on non-hormonal alternatives for vasomotor symptoms, we’ll explore various NON-HORMONAL APPROACHES to help alleviate this common menopause symptoms. These will include:

• lifestyle factors
• over-the-counter supplements,
• non-hormonal prescription drugs
• psycho-physical techniques
• acupuncture

This podcast is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on this channel. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. No physician-patient relationship is created by this channel or its use. Neither Sukhpreet Patel / MenopauseWize nor its employees, nor any contributor to this channel, makes any representations, express or implied, with respect to the information provided herein or to its use.

References:

• Zhang L, Ruan X, Cui Y, Gu M, Mueck AO. Menopausal symptoms and associated social and environmental factors in midlife Chinese women. Clin Interv Aging 2020;15:2195-2208. doi: 10.2147/CIA.S278976
• Haimov-Kochman R, Constatini N, Brzezinski A, Hochner-Celnikier D. Regular exercise is the most significant lifestyle parameter associated with the severity of climacteric symptoms: a cross sectional study. Eur J Obstet Gynecol Reprod Biol 2013;170:229-234. doi: 10.1016/j.ejogrb. 2013.06.018
• Daley A, Stokes-Lampard H, Thomas A, MacArthur C. Exercise for vasomotor menopausal symptoms. Cochrane Database Syst Rev 2014: CD006108. doi: 10.1002/14651858.CD006108.pub4
• Diem SJ, LaCroix AZ, Reed SD, et al. Effects of pharmacologic and nonpharmacologic interventions on menopause-related quality of life: a pooled analysis of individual participant data from four MsFLASH trials. Menopause 2020;27:1126-1136. doi: 10.1097/GME.0000000000001597
• . Barnard N, Kahleova H, Holtz DN, et al. A dietary intervention for vasomotor symptoms of menopause: a randomized, controlled trial. Menopause 2023;30:80-87. doi: 10.1097/GME.0000000000002080
• . Soleymani M, Siassi F, Qorbani M, et al. Dietary patterns and their association with menopausal symptoms: a cross-sectional study. Menopause 2019;26:365-372. doi: 10.1097/GME.0000000000001245 29.
• Rest a

Support the show

The information provided in all episodes of the MenopauseWize podcast, including content shared by Dr. Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

MenopauseWize, Dr. Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.