Épisodes

  • Pelvic Health and Menopause: Culturally Competent Care and the Power of Pelvic PT
    Jan 2 2026

    Are you worried that your menopause symptoms aren’t being taken seriously—or that your experience as a woman of color isn’t reflected in the research? Have you ever wondered why something so “natural” can feel so overwhelming, lonely, and dismissed?

    In this episode of Menopause Rescue, host Dr. Polly Watson sits down with pelvic floor physical therapist Dr. Bridget Ochuko to unpack how menopause, structural racism, and access to care collide for women in midlife. Together, they show how understanding your body, your risks, and your options can transform menopause from something you silently endure into a stage of life you navigate with knowledge, agency, and support.

    🌸 Menopause is a natural process, but that doesn’t mean women should be expected to suffer in silence or accept miserable symptoms as their fate.

    🌸 Dr. Watson and Dr. Ochuko explain how most medical research was done on white men, leaving women—especially women of color—without accurate guidance for diagnosis, treatment, and symptom patterns.

    🌸 The episode exposes how historical abuses like the Tuskegee syphilis study, Henrietta Lacks’ story, and non-consensual surgeries on enslaved Black women still shape distrust and inequities in gynecologic care today.

    🌸 You’ll learn how menopause symptoms can show up differently across races—such as earlier onset, more severe symptoms, and more joint and muscle pain—and why delayed treatment raises long-term risks like high blood pressure, stroke, and heart disease.

    🌸 Dr. Ochuko breaks down what culturally competent care really means, including seeing each patient as a whole person, listening to lived experience, and understanding how race, stress, income, and history affect health.

    🌸 The conversation gives women concrete advocacy tools: how to “interview” providers, switch when you’re not being heard, and insist that your symptoms and quality of life are taken seriously.

    🌸 You’ll also hear why pelvic floor physical therapy is a powerful, often-missing piece of menopause care—helping with leaking, pain with sex, constipation, and reconnecting you to your body with trauma-informed, patient-led support.

    If you feel dismissed, confused, or alone in midlife, this conversation reminds you that your symptoms are real, your story matters, and you deserve thorough, respectful care. This episode offers both validation and practical tools so you can advocate for yourself, find the right team, and navigate menopause with more confidence and less fear.

    📘 Try our 10-minute new patient intro course: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

    🩺 Looking for Personalized Hormone Care in North Carolina?

    Hormone Wellness MD serves women across North Carolina. We care for patients in Raleigh, Charlotte, Wilmington, Chapel Hill, Durham, and Greensboro, with virtual visits available statewide.

    If you’re ready for expert care rooted in evidence and empathy, we’d love to support you.

    Website: https://hormonewellnessmd.com

    Email: info@hormonewellnessmd.com

    Call: (919) 364-3430

    📲 Follow Hormone Wellness MD:

    Instagram: https://www.instagram.com/hormonewellnessmd

    Podcast: https://hormonewellnessmd.com/podcast

    Afficher plus Afficher moins
    54 min
  • The Midlife Metabolic Reset: Understanding Cardiometabolic Health in Menopause (Part 2)
    Dec 19 2025

    Description

    In this episode of Menopause Rescue, Dr. Polly Watson and Kate Willis explore the vital components of cardiometabolic health, with a particular focus on deciphering both basic and advanced lab tests. They cover the nuances of lipid panels, the impact of triglycerides, and the influence of thyroid disease on cardiovascular health. The discussion extends to inflammation markers like C-reactive protein and the critical role of insulin resistance. Delving deeper, they shed light on advanced lipid markers such as APO-B and APO-A1, and the importance of LDL particle size in evaluating cardiovascular risk. This episode underscores the importance of a holistic health strategy for women in midlife to enhance their cardiometabolic well-being.

    Quotes

    • “Diets high in sugar, saturated fat, or simple carbohydrates, alcohol use, thyroid disease, and inactivity can all raise triglycerides.” - Kate Willis NP-C
    • “High-sensitivity CRP is a general marker for inflammation. Anything causing inflammation, short- or long-term, can raise it.” - Kate Willis NP-C
    • “Fasting insulin around five or less is ideal. Lab normals go much higher, but that doesn’t mean they’re optimal.” - Kate Willis NP-C
    • “If someone's LP(a) is high, that’s their ticket to see a cardiologist—it’s an independent causal factor for cardiovascular disease.” - Dr. Polly Watson
    • “Symptoms of hypothyroidism overlap with perimenopause and menopause… If you’re only treating one spoke of the wheel, what else are we missing?” - Dr. Polly Watson

    Resources

    Connect with Dr. Polly Watson and Kate Willis NP-C

    Website: https://hormonewellnessmd.com/podcast

    Resources: https://hormonewellnessmd.com/podcast-resources

    New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

    Instagram: https://instagram.com/hormonewellnessmd

    Facebook: https://www.facebook.com/hormonewellnessmd

    YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA

    Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer

    Hashtags

    #menopauserescue #podcastepisode #podcastrecommendations #hormonereplacementtherapy #medication #perimenopause #womenshealth #menopausesociety #hormonalhealth #midlife #wellness #healthcare #sexualhealth #menopausemanagement

    Afficher plus Afficher moins
    34 min
  • The Midlife Metabolic Reset: Understanding Cardiometabolic Health in Menopause (Part 1)
    Dec 5 2025

    Are you wondering why your body seems to change during midlife even when your habits haven’t? Do you feel unsure whether your “normal” labs are actually telling the full story of your health?

    In this episode, Dr. Polly Watson and nurse practitioner Kate Willis break down how menopause, metabolism, and heart health are connected. Together, they show how understanding your labs, lifestyle, and hormones can help you stay healthier and stronger through midlife.

    🌸 Many women experience rising cholesterol and blood pressure in menopause even without changing their diet or exercise. 🌸 Triglycerides can reveal early metabolic problems long before blood sugar becomes abnormal. 🌸 Stress alone can spike blood sugar levels, even without eating any food. 🌸 Alcohol intake as low as eight drinks per week can raise heart disease risk by 45% in midlife women. 🌸 Whole-food proteins, leafy greens, and fiber-rich meals support heart and metabolic health better than processed protein snacks. 🌸 Continuous glucose monitors help women understand how foods, sleep, and stress affect their blood sugar in real time. 🌸 A history of gestational diabetes, PCOS, or early menopause increases long-term cardiovascular risk and should be part of every woman’s health plan.

    If you’re navigating midlife changes and want clear, compassionate guidance, this episode gives you the tools and reassurance you need. You’ll walk away with simple steps that help you feel informed, empowered, and in control of your health.

    📘 Try our 10-minute new patient intro course: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

    🩺 Looking for Personalized Hormone Care in North Carolina? Hormone Wellness MD serves women across North Carolina. We care for patients in Raleigh, Charlotte, Wilmington, Chapel Hill, Durham, and Greensboro, with virtual visits available statewide. If you’re ready for expert care rooted in evidence and empathy, we’d love to support you.

    Website: https://hormonewellnessmd.com Email: info@hormonewellnessmd.com Call: (919) 364-3430

    📲 Follow Hormone Wellness MD: Instagram: https://www.instagram.com/hormonewellnessmd Podcast: https://hormonewellnessmd.com/podcast

    Afficher plus Afficher moins
    35 min
  • Understanding Side Effects of Hormone Replacement Therapy: Common Concerns and Solutions
    Nov 21 2025

    In this episode of Menopause Rescue, Dr. Polly Watson delves into the side effects of hormone replacement therapy (HRT), shedding light on common issues like abnormal bleeding, breast tenderness, mood swings, fluid retention, skin irritation, and changes in vaginal discharge. With a focus on reassurance and practical solutions, Dr. Watson emphasizes that many of these side effects are temporary and manageable. Tune in for expert advice on navigating HRT and fostering open communication with your healthcare provider.

    Quotes

    • “Almost 40% of hormone replacement therapy users are gonna have some sort of unexpected bleeding, especially in the first three to six months.” - Dr. Polly Watson
    • “Perimenopause is puberty in reverse.” - Dr. Polly Watson
    • “About 3% of people have the opposite reaction to progesterone — instead of getting calm, they get super agitated.” - Dr. Polly Watson

    Resources

    • Menopause Rescue Ep 13: Postmenopausal Bleeding
    • Menopause Rescue Ep 40: Understanding Melasma: Dermatologist Insights on Causes, Triggers, and Treatments
    • Menopause Rescue Ep 42: Melasma in Midlife: What Every Woman Needs to Know
    • British Menopause Society - Management of unscheduled bleeding on hormone replacement therapy (HRT)

    Connect with Dr. Polly Watson

    Website: https://hormonewellnessmd.com/podcast

    Resources: https://hormonewellnessmd.com/podcast-resources

    New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

    Instagram: https://instagram.com/hormonewellnessmd

    Facebook: https://www.facebook.com/hormonewellnessmd

    YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA

    Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer

    Hashtags

    #menopauserescue #podcastepisode #podcastrecommendations #hormonereplacementtherapy #medication #perimenopause #womenshealth #menopausesociety #hormonalhealth #midlife #wellness #healthcare #sexualhealth #menopausemanagement

    Afficher plus Afficher moins
    31 min
  • Menopause and Beyond: Reevaluating Hormone Therapy for Women Over 60
    Nov 7 2025

    In this episode of Menopause Rescue, Dr. Polly Watson delves into the significance of hormone therapy for women over 60, breaking down common misconceptions and barriers to treatment. She highlights the importance of personalized care and the benefits of hormone therapy in alleviating symptoms, safeguarding bone health, and enhancing sleep quality. Dr. Watson also addresses the risks, clarifying how modern hormone formulations differ from past studies, and reassures listeners about the safety of hormone therapy when used appropriately. Tune in to gain a clearer understanding of hormone therapy's role in improving quality of life for women beyond menopause.

    Quotes

    • "Hormones around the time of menopause transition are going to provide the greatest benefit for cardiovascular health, bone health, and brain health." - Dr. Polly Watson
    • "Almost half of women are still symptomatic at that age. If we look at women who are in their 70s, 10 to 15% of them still have vasomotor symptoms." - Dr. Polly Watson
    • “One in two postmenopausal women will have an osteoporotic fracture in their lifetime. Let that sink in for a minute.” - Dr. Polly Watson
    • “There is system-wide discouragement to prescribing hormones to women over 60, which is not evidence-based.” - Dr. Polly Watson
    • “Withdrawal of hormones is followed by significant bone loss — after four years off, your bones look like you never took it.” - Dr. Polly Watson

    Resources

    References for Starting Hormones Over 60

    Connect with Dr. Polly Watson

    Website: https://hormonewellnessmd.com/podcast

    Resources: https://hormonewellnessmd.com/podcast-resources

    New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

    Instagram: https://instagram.com/hormonewellnessmd

    Facebook: https://www.facebook.com/hormonewellnessmd

    YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA

    Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer

    Afficher plus Afficher moins
    36 min
  • Functional Fixes for Rosacea and Thinning Hair
    Oct 24 2025

    In this empowering episode of Menopause Rescue, Dr. Polly Watson welcomes back Kate Willis, NP for an in-depth look at two of the most frustrating issues women face during midlife — rosacea and hair loss — and how custom-compounded treatments can make all the difference. Together, they unpack the root causes behind these issues and explore both functional medicine and evidence-based dermatologic treatments to help women restore healthy, radiant skin and stronger, fuller hair. This episode is packed with actionable insights on how compounded therapies, gut health, and lifestyle changes can work together to restore your confidence, improve skin tone, and revive healthy hair growth during menopause.

    Quotes

    • “I love that we can now use compounding to personalize skincare and hair loss treatments for each woman’s needs.” - Dr. Polly Watson
    • “Rosacea is frustrating, and we see it emerge or worsen during midlife — it’s a chronic inflammatory condition that demands a personalized approach.” – Kate Willis
    • “The skin barrier is everything — it keeps moisture in and irritation out. Protecting it is the foundation of healthy skin at any age.” – Kate Willis

    Resources

    Episode 26: A Functional Approach to Hair Loss

    Connect with Dr. Polly Watson and Kate Willis NP-C

    Website: https://hormonewellnessmd.com/podcast

    Resources: https://hormonewellnessmd.com/podcast-resources

    New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

    Instagram: https://instagram.com/hormonewellnessmd

    Facebook: https://www.facebook.com/hormonewellnessmd

    YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA

    Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer

    Afficher plus Afficher moins
    42 min
  • Melasma in Midlife: What Every Woman Needs to Know
    Oct 10 2025

    In this episode of Menopause Rescue, Dr. Polly Watson and Kate Willis NP-C continue their skin and hair series, focusing on melasma, a chronic skin condition that causes hyperpigmentation. Together, they unpack the underlying causes, treatment options, and long-term strategies to manage this frustrating and often recurrent condition. Kate explains why melasma is so difficult to treat, the role of hormones, genetics, and UV exposure, and highlights both traditional therapies and exciting newer options like oral and topical tranexamic acid. The conversation also covers layering therapies, the importance of sun protection, and how patients can make practical decisions about short-term versus maintenance treatments.

    Quotes

    • “Melasma is a tough and chronic pigment condition that’s triggered by UV, heat, hormones, and genetics.” - Kate Willis NP-C
    • “We’re not just treating the surface of the skin. Melasma has deeper layers and even a vascular component.” - Kate Willis NP-C
    • “Melasma is not a one-and-done condition. It requires lifelong prevention, ongoing treatment, and a long-term mindset.” - Dr. Polly Watson

    Connect with Dr. Polly Watson and Kate Willis NP-C

    Website: https://hormonewellnessmd.com/podcast

    Resources: https://hormonewellnessmd.com/podcast-resources

    New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

    Instagram: https://instagram.com/hormonewellnessmd

    Facebook: https://www.facebook.com/hormonewellnessmd

    YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA

    Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer

    Afficher plus Afficher moins
    28 min
  • Best Anti-Aging Skincare for Midlife Women: Estrogen, Retinol & More
    Sep 26 2025

    In this episode of Menopause Rescue, Dr. Polly Watson sits down with nurse practitioner Kate Willis to cut through the noise of anti-aging skincare. Together, they explore science-backed strategies for midlife skin health, from topical estrogen and retinoids to vitamin C, hyaluronic acid, and sunscreen. Whether you’re curious about estrogen creams, frustrated with retinol irritation, or just want a clear guide to midlife skincare, this episode gives you practical, evidence-based advice to help your skin stay healthy, resilient, and radiant through menopause and beyond. This is the first in a three-part series with Kate covering skin and hair concerns in midlife.

    Quotes

    • “We’re not trying to make everyone look like Barbie. We want to help people feel comfortable in the skin they’re in.” – Dr. Polly Watson
    • “Consistency is key. Skincare is not a six-month project — it’s daily maintenance for the long haul.” – Kate Willis NP-C
    • “Both estradiol and estriol creams showed improvements in wrinkles, elasticity, collagen, and hydration — without changing systemic hormone levels.” – Kate Willis NP-C

    Connect with Dr. Polly Watson and Kate Willis NP-C

    Website: https://hormonewellnessmd.com/podcast

    Resources: https://hormonewellnessmd.com/podcast-resources

    New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

    Instagram: https://instagram.com/hormonewellnessmd

    Facebook: https://www.facebook.com/hormonewellnessmd

    YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA

    Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer

    Afficher plus Afficher moins
    38 min