Latest / The Dr Louise Newson Podcast / 54 - Menopause at 10 years old
Transcript
- 0:03So Zara, we have been trying to arrange this podcast for a long
- 0:06time and I fully blame myself for having a busy diary, but I'm
- 0:11really excited for many reasons to have you on my podcast.
- 0:15First, because when we talk about menopause or actually if
- 0:20you Google menopause, I don't know if any of you listening
- 0:22have done this, it always comes up with a white haired women.
- 0:27And they usually got a fan in their hand or they've got their
- 0:30head like on their hands and they're just like, oh, they're
- 0:33always at work somehow on a desk and it just looks, yeah, can't
- 0:38cope. But they're, and they're always
- 0:40white, you know, and Caucasian women.
- 0:44But like, actually women aren't all, we don't all look the same.
- 0:48But the other thing is, is if you say to someone menopause,
- 0:51wait, what's the average age of menopause?
- 0:52They'll probably go 50. And when I say, oh, in some
- 0:55countries, especially in South Asia, for example, the average
- 0:59age of menopause is about 40. And people are quite shocked
- 1:02with that. But I've always said that no one
- 1:06is too young to be menopausal, and people still look a bit
- 1:11confused. And I used to say every doctor
- 1:14needs to know about menopause, maybe not pediatricians.
- 1:17And then about 8 years ago, I said no, pediatricians need to
- 1:20know about menopause too. So just tell me how old you were
- 1:24when you became menopausal, if you don't mind.
- 1:27Sarah, 1010. So I lost my right ovary at 10
- 1:32and then I lost the majority of the left ovary at 11 due to
- 1:37dermoid very large. 2 very large dermoid cysts, the 1st 122
- 1:41inches. The second one, I think it was
- 1:43around 10. So massive cysts.
- 1:45So just for those people that haven't heard of dermoid cysts,
- 1:48they're not cancer at all. And they can grow, as you know,
- 1:52very big. So what were you getting?
- 1:54Symptoms or discomfort? Oh, the pain, the pain and that
- 1:59pain will never, ever leave me. So it was about a good, good
- 2:03chunk of a year. So from when I was 9 getting the
- 2:05pain and my mum would take me back because it would always be
- 2:08after exercise and it would, it would be Egypt.
- 2:12We just couldn't find the, the full pattern.
- 2:15But it was just always after exercise and it would be a lot.
- 2:18It would be every few days and my mum would take me to the
- 2:21doctor. And in the end the doctor
- 2:24actually said, look, I think you might need to spend a bit more
- 2:26time with your daughter. This might be a case of he
- 2:29actually took me out the room, but as a hyper vigilant child, I
- 2:32stood there like and and he said this might be a case of crime,
- 2:36Wolf And those you know those words I have a.
- 2:39Lot so you remember that. Oh, yeah, yeah.
- 2:41I had a lot of therapy for those words because then that then
- 2:44told me I'm not feeling this. This is this is nothing.
- 2:47I have to ignore this. So I remember walking around my
- 2:51house doubled up and my mum saying let's play Monopoly,
- 2:55let's play Monopoly, me and you. And I'm like, so this was really
- 2:58extreme pain and the CIS burst when we were on holiday.
- 3:02So we're in Lanzarote. I remember, you know, I couldn't
- 3:05go to the toilet, I couldn't walk.
- 3:07And I remember having my eyesight really, really small
- 3:11sun cream in my eyes and I couldn't actually lie on the
- 3:14sofa. So if my body touched, you'll
- 3:17know as a doctor if my body touched anything.
- 3:19So I would sort of up so nothing of my body could touch.
- 3:24And my mum was saying it must be Constipation, there must be.
- 3:27And my dad, it was my dad. He just looked at me and he said
- 3:30we've got to get her to hospital.
- 3:31She's grey. And you know, I just thank my
- 3:33dad for that because they said at the hospital there was
- 3:35probably about 12 hours left of life in me and the feeling like,
- 3:42just take it away. So yeah, that was extreme.
- 3:47It caused a lot of trauma. We then returned to the same GP
- 3:50and he said, oh, you know, this is, this doesn't happen unless
- 3:53you're 17 and up. The textbooks say this, this,
- 3:57this said for 17 year olds, 10 year olds don't get them.
- 4:00And I remember thinking, well, they do because just had one and
- 4:04then another one came. Apparently they come in twins,
- 4:07they come as a pair. And then that again, it wasn't
- 4:10explained, it wasn't told to me. But the within about a year
- 4:13later, same pains again on the left side, not the right, same
- 4:17pains, the same being sick. Straight away I knew.
- 4:21And I said, take me to the hospital, Mum.
- 4:23By this point I had a gynecologist, I had a consultant
- 4:27who was doing some follow up and he said, yeah, you've got,
- 4:30you've got another one. We're going to scan you and
- 4:31we'll, we'll remove it before it bursts.
- 4:34I removed it and just left. He was, he was really wonderful,
- 4:38wonderful consultant and he was wonderful.
- 4:40He left, he said to my mum, I'm going to leave as much of that
- 4:43ovary as I can. So he left a little bit.
- 4:46My symptoms after that were extremely heavy menstruation and
- 4:50painful, extremely heavy. And then was diagnosed with
- 4:55endometriosis and adenosis, the really heavy.
- 4:59I didn't know Myosis. Yeah.
- 5:01Yeah, yeah. So did they put you on the?
- 5:06Did they put you on any hormones after removing most of your
- 5:10ovaries? And was told is everything will
- 5:12be all right now, you'd be OK now because this is not going to
- 5:15happen again. I did have another cyst after
- 5:17but it was just a ovarian cyst. It wasn't the dermal.
- 5:21And so that was removed when I was thinking about 13.
- 5:24And then I did carry. I've just had issues ever ever
- 5:27since 19. Was tested for my fertility and
- 5:33he put me through for IVF at 19. It passed.
- 5:36It passed medically because it was a medical reason for being,
- 5:41but by the time it came through I was 21 with the waiting list
- 5:45so I was just grateful to be alive at that point.
- 5:48However, I was experiencing mood swings sleeping at my desk at
- 5:53school. How I got good disease?
- 5:55Just termination. So what were your main main
- 5:59symptoms when you were at school then?
- 6:02The extreme fatigue, Extreme. I just remember I couldn't, you
- 6:07know, when I was, I was getting told off all the time for
- 6:10sleeping at the desk. You know, no one's looking into
- 6:12this. Why are you sleeping?
- 6:13Just wake up. I mean, I just remember feeling
- 6:17as well, so different to everyone else.
- 6:19So much older, you know, I've just went for a lot of trauma,
- 6:22you know, I woke up in that operation as well.
- 6:24So there was a lot of different things, but I just remember
- 6:27feeling so different and didn't know why, just didn't
- 6:30understand. No, the pains, the period was so
- 6:35heavy, which I now know was because my body was going into
- 6:38menopause. Didn't know that then.
- 6:41So I was told, well, you're bleeding brilliant, this is
- 6:43brilliant, this is fantastic for you.
- 6:45So people didn't then think which lots of people do know if
- 6:48people are having periods right, then their their hormones are
- 6:51normal, which is not true at all.
- 6:53And did you have any physical symptoms?
- 6:55So symptoms such as skin changes or.
- 6:58Pains, pain. Mine was pain and mine is
- 7:01materialized into pain and. Pain whereabouts?
- 7:05All my joints. OK.
- 7:07Mainly, mainly back. Now it's kind of everywhere.
- 7:11HLT helps with me with that. But then it was back legs I
- 7:16really struggled doing. I'd wanted to take dance, I
- 7:20really struggled with it. I'd just be fatigued, but still
- 7:25just thinking it's me. Something must be wrong with me.
- 7:28Must be me. I must be making this up again.
- 7:30You know I'm not. You know, I'd be trying to eat
- 7:34of everything that I'd research myself because I did a lot of
- 7:38that, but still never ever knowing it's connected to your
- 7:42hormones because I'm bleeding and I was bleeding every
- 7:45sometimes every two weeks as well.
- 7:47OK, so you're at school surrounding by by people who are
- 7:52producing hormones. So you're getting mental health
- 7:55symptoms, but you're blaming it on trauma and things that you've
- 7:59experienced before. You're getting muscle and joint
- 8:01pains, you're getting fatigue. And did you ever see any doctors
- 8:05or did you talk to anyone about your symptoms?
- 8:07I. Think the questions were ever
- 8:09really asked. So that's where I feel like, how
- 8:12do we talk about something if it's not illicit to the outfall?
- 8:16Where, where, where would a child know where to to follow?
- 8:20So I remember speaking to my consultant gynaecologist a lot.
- 8:24I loved him because in my mind, you know, he said he saved money
- 8:28over it, you know, And I remember telling him I still
- 8:31don't feel great. And it was very much dismissed
- 8:34as mental health. So on my record, there is
- 8:35anxiety and depression, without a doubt.
- 8:37I've had that. Well, of course, but did he?
- 8:40He didn't talk to you about having hormones at all?
- 8:42No, he said. PMDD.
- 8:44OK, which is premenstrual dysphoric disorders.
- 8:47So again, that is related to hormones.
- 8:49And you know a lot of people have just enough hormones for
- 8:53periods, but not enough for the brain, the body, everything else
- 8:56as well. And when hormone levels dip,
- 8:58which they usually do before a period period, then a lot of
- 9:02symptoms can really manifest and can be severe in women with
- 9:06PMDD. Yes, and they did become severe,
- 9:11really severe. I remember I would remember
- 9:13sitting on my hands because I would feel like I'm going to
- 9:15hurt myself. So I would sit on my hands with
- 9:19extreme frustration. And they did treat me with
- 9:24Zoladex. So, so Zoladex blocks remains
- 9:28completely because sometimes people, well wrongly and rightly
- 9:34think that PMDD is related to changing hormone levels, which
- 9:37indeed it is. But blocking hormones is not
- 9:40always the right thing. So what happened when you how
- 9:42old were you when you had Zoladex?
- 9:45Cognitive memory isn't fantastic.
- 9:47So I'd had the twins. So I had the twins when I was 23
- 9:50through IVF. And another thing as well, just
- 9:53step aside to that. When I had IVF I was given a lot
- 9:57of hormones. Right to keep us.
- 9:59Pregnancy and the two hospitals didn't correlate with each
- 10:02other. So I'm treated at an IVF
- 10:04hospital and then I'm here at my local hospital.
- 10:07I'd had all this, all these hormones fantastically pumped
- 10:10through me to hold up this beautiful twin pregnancy.
- 10:13And then I give birth six weeks early and then no hormones, no
- 10:18follow up. So I then had the post Natal
- 10:20psychosis, which I really believe is because you took my
- 10:24hormones here where I probably needed some great amount,
- 10:27probably a higher than what, you know, probably needed for me.
- 10:30But I, you know, I was very, very sick.
- 10:32And I believe that's because I had extra or estrogen.
- 10:35I don't know if that's right, but and then the crash of those
- 10:40hormones, I now feel I didn't know that.
- 10:43And I thought I'm crazy again. You know this is me.
- 10:46That's very scary. Yeah, so sorry, I totally
- 10:51sidestepped your your question. No, it's not.
- 10:54So we were talking about Sodex, but this is very relevant
- 10:57because when people are pregnant, they have higher
- 10:59levels of hormones in their body.
- 11:01And when you have IVF, obviously you're given hormones, but
- 11:05usually natural hormones, especially progesterone.
- 11:07But what's interesting is if people feel sick.
- 11:10So people with hyperemesis, but people with sickness throughout
- 11:12their pregnancy often don't have enough progesterone.
- 11:16So it's, it's very unusual to have too much estrogen because
- 11:19we levels of estrogen in our body go up to like 55,000 really
- 11:23high when we're pregnant. And most people feel really
- 11:26great when they're pregnant. But it's not just the, the
- 11:29estrogen, it's the progesterone. A lot of people don't have
- 11:32enough progesterone. And we were talking a bit about
- 11:35progesterone before we recorded because there's this sort of
- 11:39complete misunderstanding that progesterone is just a little
- 11:42hormone to help the womb and help with periods.
- 11:44Progesterone is the master of all hormones, and it forms the
- 11:48other hormones as well. So it forms testosterone.
- 11:52Testosterone forms estradiol, but progesterone also forms
- 11:55cortisone and cortisol, which cortis Cortisol, as many people
- 12:01know is our stress hormone and cortisone is our
- 12:04anti-inflammatory hormone, if you like.
- 12:06So when people have low progesterone, they often have
- 12:10more stress, as in emotional stress in their body, but they
- 12:13also have more inflammation in their body as well.
- 12:16So having progesterone actually helps reduce stress.
- 12:20Got cat's tail in my screen here.
- 12:22It helps reduce stress, but it also helps reduce inflammation.
- 12:26If you're right, when people have given birth, the levels of
- 12:30all hormones, estradiol, progesterone and testosterone
- 12:33actually fall off a Cliff and post Natal depression is.
- 12:36Natal psychosis is associated with a hormonal drop and many
- 12:42people have known for decades that giving back hormones,
- 12:45especially progesterone, can make a massive difference for
- 12:49women with post Natal psychosis and post Natal depression.
- 12:53But I'm going to ask you now and I probably can guess the answer.
- 12:56Were you given hormones when you have post Natal psychosis?
- 12:59No. I was given amity anxiety.
- 13:03Yeah, I begged. It was.
- 13:06Yeah, I begged for something. So I was talking to a
- 13:11psychiatrist recently about post Natal depression and psychosis
- 13:16and said why is it that we're not giving hormones?
- 13:18Because it makes sense. We all know that there's a big
- 13:20hormonal shifts and we've known since the 60s and 70s that women
- 13:24respond to natural hormones, yet it's not in the guidelines.
- 13:26And he's now retired. But he said, oh, yes, Louise, I
- 13:29used to run a mother and baby unit and would see a lot of
- 13:32these women and would literally put them to bed in the mother
- 13:34and baby unit and we'd have to wait.
- 13:36And I said, but wait for what? He said, well, they'd always get
- 13:39better with time, but would wait for their periods to return and
- 13:43then they'd be better. I said, OK, doesn't that tell
- 13:45you something then? Doesn't that tell you something?
- 13:48But for some women, their periods might never return, or
- 13:51it might take a long time for periods to return.
- 13:54So why can't we just supplement these women with natural
- 13:57hormones like it? It doesn't make sense.
- 13:59So you know, you've, you've been known to have low hormones
- 14:03pretty much your whole life since having those cysts
- 14:07removed. Yet somehow the obvious thing is
- 14:10is not being given to you and. It was only really seeing you
- 14:15some years ago now on the television, you know, my mum
- 14:18would ring me quick, quick. It's all about menopause and
- 14:21early menopause. And it was just so exciting, you
- 14:25know, and just it, it was that that made me realise I need to
- 14:29look further into this. I need to speak up.
- 14:32I need to say this is not, you know, I've managed, I'm managing
- 14:36my, my emotions, my moods, my thing.
- 14:38I'm doing that. I've lots of therapy, you know,
- 14:40I'm a therapist myself. I'm doing, but something's not
- 14:43where something's not right. And I know once I started to
- 14:46attune to myself and you know, your book, your the Balance Act,
- 14:52you know, your information, once I started to really educate
- 14:54myself, that's when I realized, and I would go in armed to the
- 14:58consultant, you know, have a new one now.
- 15:00And I would say, but I've, I've found this out and they don't
- 15:03always like that. OK, However, I think that's it.
- 15:08If that's if I'm not being educated by my health, you know,
- 15:11the health system that my Health advisors that I'm going to, then
- 15:13I'm going to have to educate myself and sometimes educate
- 15:16them. And that's what's happening a
- 15:18lot actually. And I feel really embarrassed to
- 15:21say this, and I have shared it publicly before, but I wasn't
- 15:24taught about menopause when I was an undergraduate or
- 15:27postgraduate, and I wasn't taught about menopause in
- 15:30younger women. What I was taught that if women
- 15:33don't have their periods, just make sure they're not pregnant,
- 15:37Louise, and then reassure them. That was what I was taught.
- 15:40So as a junior GP, I'd see people in their 20s and 30s who
- 15:44were worried. They had not had periods, they
- 15:47were low in their mood, they might have had other symptoms.
- 15:49I didn't ask about all the symptoms, so I couldn't even
- 15:51tell you how many symptoms they had.
- 15:53But I used to say, well, if you're definitely not pregnant,
- 15:56don't worry about it. I like, why was I not even
- 15:59thinking about the role of hormones?
- 16:00But you know, you don't know what you're not taught.
- 16:03But if someone then said to me, I've got all these symptoms
- 16:06because I've done a symptom questionnaire and I'm worried
- 16:08that I don't have hormones in my body, which is increasing my
- 16:11risk of osteoporosis and heart disease and other inflammatory
- 16:14conditions, I would like some hormones.
- 16:17But the other thing I sometimes did if women wanted a period is
- 16:20they'll say, oh, I'll just give you the pill and then you can
- 16:22have a period. Like, why?
- 16:24I mean, that's not even natural hormones.
- 16:25And the period is just a withdrawal bleed.
- 16:27It's not. So I don't know.
- 16:28Were you given the contraceptive pill at all?
- 16:30As you said that, then it triggered my memory.
- 16:32Yeah, about about 13. It was my brother, actually my
- 16:35brother brother moved over to America and I think just being
- 16:37over there, he's seven years older, he was in for, he learned
- 16:41a lot and this had really affected him, what happened to
- 16:43me. So he moved at the same time.
- 16:46So when I was 10, he'd moved over there and his partner had
- 16:49really looked into things for me.
- 16:51And he rang my mom and said you're going to have to preserve
- 16:54her eggs. That was the main thing,
- 16:56preserve nothing about preserve those eggs for that baby.
- 17:00So I was put on the pill, but it just didn't agree with me, would
- 17:03bleed all the time. And I would be told, well, it's
- 17:06the wrong pill for you then. And then I'd be on another pill
- 17:09and I'd be so angry and, you know, real rage and, you know,
- 17:13really not feeling good to the point where I just would stop
- 17:17taking it. You know, I didn't, I didn't
- 17:19feel right. No.
- 17:21And so the pill is obviously synthetic chemical hormones and
- 17:24so it can increase inflammation in the body, but also it can
- 17:27block our own hormones working. So any little bits of hormones
- 17:30that you had left are often blocked by the effects of the
- 17:33pill and a lot of people don't realise that.
- 17:35And it's really important that people do understand that it's
- 17:39not the same. And also the contraceptive pill
- 17:41will block testosterone in our body, which is also a really
- 17:45important hormone. So you.
- 17:49Know that this is such an education for me.
- 17:51So. So you're now using some HRT,
- 17:57it's not been fully optimized, and you were saying that it's a
- 18:00struggle to talk to someone about testosterone really.
- 18:04Is it? I'm told you know, it's not
- 18:05licensed, therefore you don't, you don't need it.
- 18:09This is not. You're on estrogen and
- 18:11progesterone. That's the deal.
- 18:14So isn't it interesting that we know that about half of our
- 18:17testosterone is made in our ovaries?
- 18:20So for you only having a small amount of 1 ovary left, you're
- 18:22not going to have the same testosterone as other people in
- 18:25their 30s. If I'd taken out, I'm not a
- 18:28surgeon, but if I was a surgeon and I took out some of your
- 18:30thyroid gland and left a tiny bit left, there would be no
- 18:34problem about having a thyroid hormone to replace.
- 18:37Like it just makes sense, doesn't it?
- 18:39Or if I took out most of your pancreas, of course we'd be
- 18:42talking about insulin and the digestive enzymes and how
- 18:45important they are. It feels really controlling by
- 18:48doctors to be saying you can't have a natural hormone in your
- 18:5230s. Yeah, absolutely.
- 18:55I don't really get it, no. And actually the last scan that
- 18:58I had showed that my ovary had been swallowed up.
- 19:01This was the words. It's been swallowed up.
- 19:04It's a nice way of putting. It's gone into the E throw of my
- 19:08my body. It's had a cyst over it
- 19:11apparently and it's it's gone. We can't locate it now.
- 19:13There is nothing now. So that then says to me, well
- 19:18then there's nothing. So it's really important.
- 19:19So you're 37 currently? Yeah.
- 19:23So it's. Really important.
- 19:25So about one in 30 women under the age of 40 have an early
- 19:29menopause. Now it used to say, they used to
- 19:31say one in 100, but now it's one in 30.
- 19:34Like basically they don't know, but they know it's very common.
- 19:37So one in 30 of all women under the age of 40 have menopause.
- 19:41Yet most of those women will not have access to hormones.
- 19:43And if they do, it might not be the right dose and type and
- 19:46certainly probably not testosterone.
- 19:48Yet we know these hormones have really important biological
- 19:51actions in the body, and every single cell responds to those
- 19:54hormones. And we've known for decades that
- 19:56women who have an early menopause have an increased risk
- 19:59of diseases if they're not having hormones.
- 20:02Now, our government has just announced recently that women
- 20:06over the age of 40, as part of their health check, will be
- 20:09asked questions about menopause, which half of me saying, oh,
- 20:13that's good. But the other half of me is
- 20:15like, so age 37, if I was to do AGP, doesn't matter, does it?
- 20:20I mean, I don't know how that makes you feel.
- 20:21Yeah. It's quite shocking because you
- 20:24know, for me this has been going on for, like you say, for most
- 20:26of my life and over 40. What about the rest of us?
- 20:30What about those that are having early menopause from the age of
- 20:3410 onwards from teenage? And I have a best friend we met
- 20:39wonderfully through our IVF children.
- 20:41How wonderful is that both of us when we got chatting both early
- 20:45menopause different reasons for her just unexplained.
- 20:48So this is what people will find a lot.
- 20:50She was 17, just they just stopped never been explained to
- 20:54her. This is nothing has ever been
- 20:55explained. So what happens to what happens
- 20:58to these people? I have people that come into my
- 21:01my practice. I have women, beautiful women
- 21:03who have no idea about their their hormones.
- 21:06It is not even in their, it's not in their peripheral vision
- 21:11at all. And I'll ask them, you know,
- 21:12how's your cycle? Where is your cycle?
- 21:14Where are you with it? Oh no, that's, you know, that's
- 21:16nothing to do with it. And I'm, I'm informed now.
- 21:19So I'm always going to have that lens of, OK, well, let's just be
- 21:23mindful of a cycle. Any cycle knows that you know
- 21:26where where. Absolutely.
- 21:28How is it impacting, how is it informing so the thought that
- 21:31it's just for over 40? Yeah, I mean, I, I feel really
- 21:35sad for women that are missing out all the time.
- 21:37And my work is about trying to reach all women and with
- 21:40technology, like you say, with Balancer, I can make sure women
- 21:43if I get it right. So a few years ago I was part of
- 21:47an NHS national menopause group which has since sadly disbanded.
- 21:50But I said to them at one of the first meetings, you're talking a
- 21:54lot about women over the age of 50 and talking about menopause,
- 21:5751 average age in the UK. I said in my mind, if I was
- 22:02allocating resources, I would focus on women under the age of
- 22:0540 because these women have more health risks of not having the
- 22:10right treatment. They're more suffering.
- 22:12Even if you look at an economy, they're going to put more drain
- 22:15on the NHS and healthcare resources, but they're also
- 22:20going to be less likely to work because we know if you've got
- 22:23symptoms, you're less likely to work.
- 22:26And main symptoms are anxiety, fatigue and memory problems.
- 22:30So younger people are less likely to have that earning
- 22:32potential, if you see what I mean.
- 22:35And they said, oh, but it's not common enough.
- 22:37And I said, but hang on, one in 30 is far more common than most
- 22:41other conditions that we are. We have guidelines on, we're
- 22:44prioritising. So that doesn't really make
- 22:46sense. But I'm always seen as a pain
- 22:50for a lot of these meetings 'cause I'm quite outspoken and
- 22:54the focus has always been on symptoms, not health risks and
- 22:57the 2GO hand in hand often. But even if people don't have
- 23:01symptoms, we know that there are these health risks as well.
- 23:04So I, I'm with you there. I feel like it's not.
- 23:09We shouldn't be just thinking about menopause, but also if we
- 23:13think just about menopause, we're not thinking about
- 23:15perimenopause, you know, around the time when people serve
- 23:19periods. We're also not thinking about
- 23:22women with PMDD, which often have more severe symptoms.
- 23:25So that doesn't make sense either, really.
- 23:27In my mind, no. It's really bracketed it and I
- 23:31think of it like a spider. You know, you have that early
- 23:34menopause or perimenopause wherever we are, and then the
- 23:37legs off that, you know, the connective tissue disease, which
- 23:40I have the PM, you know, all the different aspects of the
- 23:43obesity. You know, I gained lots and lots
- 23:45of weight, which I know now is that my hormones were so out of
- 23:49balance when I really have any, I gained a lot of weight.
- 23:53You know, I pain, I've, I had a lot of pain when I wasn't taking
- 23:58the hormones. So much pain, mood, you know, So
- 24:01it's like it's all these legs that come off that we're not.
- 24:04You're not just treating one thing.
- 24:06Yeah. Everything that comes off that
- 24:09that we can really help. Absolutely.
- 24:11My concern is if we focus too much on periods, we're
- 24:15forgetting the person behind that womb.
- 24:18And you know, I'm sure you'd agree as a woman, we're more
- 24:21than just whether we have periods or not.
- 24:24You know, they're an inconvenience, don't get me
- 24:26wrong. But actually, this is where we
- 24:28have to think about hormones throughout ourselves, our
- 24:31organs, our tissues, our bodies as well.
- 24:34But for me, the most important thing is about choice.
- 24:37You know, having a choice about which path you're taking, what
- 24:41you're taking, the medication you're taking, any benefits and
- 24:44risks is really, really crucial. And because people have got so
- 24:48confused in the past about hormones and what they are, it's
- 24:51ironic, isn't it? You were given the contraceptive
- 24:54pill, which contains, as I've already said, synthetic
- 24:57chemicals. If you look at the dose
- 24:59equivalent, the dose of ethanol, estradiol, which is the
- 25:02synthetic estrogen in contraception is like 300 times
- 25:06higher than estradiol, which is what we prescribe in HRT.
- 25:10So even if you need a higher dose of your transdermal estadol
- 25:14gel, it's never going to reach the levels of ethanol estadol,
- 25:18but it's also never going to block the receptors.
- 25:20It's never going to have detrimental effects.
- 25:23And risks of cancer and stroke and heart disease are only small
- 25:26risk, but they're associated with synthetic hormones.
- 25:29So it's sort of like we live in a parallel world and I, I can't
- 25:34quite understand it's yeah, there's double standards really
- 25:37out there. And I remember feeling a pain,
- 25:40you know, you, you mentioned it before, you know, you feel that
- 25:43as you're, you're speaking out, you're the voice now.
- 25:46I mean, I see you as the voice for this, you know, a hormone
- 25:50voice. And please speak louder.
- 25:51Please be that pain in the room, please, because we need, we need
- 25:55you for that. But I really felt like I was a
- 25:58pain every time I went to that consultant.
- 26:00Not that, not the first one, the second, the first one was
- 26:02absolutely wonderful and sadly got poorly when I was pregnant
- 26:06with the with the twins. And I really believe that things
- 26:08have been very different for me if if he hadn't.
- 26:11It's just unfortunate. But the next one, great, great
- 26:14consultant made me feel like a pain, like a pest.
- 26:19You know, You know, you're back. These these not helped.
- 26:22Have they not this, this what you wanted?
- 26:25What do you want to try now? I want you to help me.
- 26:28I really need feel better. I'm young, and at this point,
- 26:31I'm 25. Yeah, maybe even younger because
- 26:34I've just had the twins and it was constant bleeding.
- 26:38I remember being on holiday and I rang the secretary from
- 26:41holiday because I just decided like I'm speaking up for me and
- 26:44that's it. The 10 year old in me is like
- 26:46speak and I rang and I said I'm on holiday, the first holiday
- 26:50with my children, so they would have been one.
- 26:52I said I'm bleeding and I've been bleeding for 12 weeks and
- 26:55need this to stop. And I think that was why the
- 26:57weather Solodex came from because that then, you know,
- 27:00it's almost like a black shut up, Yeah, yeah, go away and
- 27:05stop. And they did, they did give me a
- 27:08patch, eastern patch. I think it was, I think it was
- 27:10just Easter. And I don't think I had a
- 27:13gesture and patch. It was just a Eastern patch to
- 27:16have during the Xoladex months, but that then put me into
- 27:21either, into menopause because it's already, I know it was
- 27:24already there, but it did it. It threw me right into it and
- 27:27now I know what I needed was. Just just your natural hormones.
- 27:31It's very simplistic, it really is, but it can make a huge
- 27:34difference to people. So I'm very grateful for you to
- 27:37be so open about your story and I really hope this is educated.
- 27:43People may be shocked and surprised them that someone as
- 27:46early as 10 can have menopause. People at school can have
- 27:50menopausal symptoms. It's not common, but it's not
- 27:53rare. So we need to be aware, we need
- 27:55to be talking about it more and thinking about it more for
- 27:58everybody. So before I end, just three
- 28:00quick take home tips. So three things that if you
- 28:03think that either you yourself young, struggling with symptoms
- 28:06or you've got someone, you know, it might be a child, it might be
- 28:09a relative, it might be just someone that you know, what
- 28:12three things do you I think we should be doing to help people
- 28:14who are young with early menopause?
- 28:16I think asking the right questions, listening listen,
- 28:20don't just assume, don't just go up the textbook.
- 28:23Really listen, really think out the box, think out-of-the-box.
- 28:28Think what could be, don't think what what what has been before,
- 28:31think what might be. You know, I was told 17 year
- 28:34olds have these and I was 10. So think speak.
- 28:38You know, I always I'm I'm really big for a voice for the
- 28:41woman, but also the man. So dads, brothers, husbands know
- 28:45about hormones. Let's get everybody educated on
- 28:49in the body, not just what they do for, you know, I was, they
- 28:52wanted to preserve my eggs so I could have children.
- 28:55What about my brain health, my heart health, my bone health,
- 28:58most everything, my mental health.
- 29:00Let's let's really educate everyone about it.
- 29:03When it's school education, sex education, it's so much more
- 29:06than this. And what they learn, you know, I
- 29:08asked my daughter, what do they tell you about hormones?
- 29:11We have a period. Yeah.
- 29:13What do you mean? Let's let's educate, pick up,
- 29:16you know, like, yeah, everything.
- 29:18Really good. So the most important thing is
- 29:20to educate so we can help and also help others too.
- 29:23And this conversation will really have helped people
- 29:25already. So I'm very grateful for you
- 29:27coming on today and thank you so much for sharing it.
- 29:31Thank you. Thank you.