In this Ask Us Anything episode of Perimenopause the Podcast, Jamie Gallagher answers a heartfelt question from Tammy, a woman struggling to feel like herself after a total hysterectomy and bilateral salpingo-oophorectomy (removal of the ovaries and fallopian tubes).

One and a half years after surgery, Tammy describes feeling like her hormones and body are "a wreck." Jamie explains the difference between natural menopause and surgical menopause, the health impacts of ovary removal, and why many women continue to struggle when the right hormone therapy has not been explored.

This conversation covers estrogen therapy, long-term health risks, surgical menopause recovery, and practical ways women in rural communities can access menopause specialists through telehealth and professional networks.

If you've experienced ovary removal, hysterectomy, surgical menopause, or persistent hormone symptoms, this episode offers education, validation, and hope.

00:00 – Welcome to Ask Us Anything
00:30 – Tammy's question: "My hormones are a wreck"
01:15 – What is a bilateral salpingo-oophorectomy?
01:50 – Why the reason for ovary removal matters
02:30 – Understanding surgical menopause
03:00 – Long-term health effects of ovary removal
03:45 – Heart health, bone health, brain health, and libido
04:15 – Why estrogen therapy matters
04:45 – The hormone Tammy didn't mention
05:00 – Why you don't have to accept feeling miserable
05:20 – Finding menopause specialists through telehealth
05:40 – How to use Menopause.org to find care
05:55 – Why it's not too late to feel better
06:15 – Final encouragement and closing thoughts

In Part 2 of the Meet the Founder series on Peri & Pause, Jamie is joined by her husband and co-founder, Stu, to discuss his background in international business and a 26-year military career, his transition into civilian life, and how mission, purpose, and service shape his leadership. They explore what Stu saw in Peri & Pause early on, the parallels between military mission-focus and building a menopause care company, and the persistent midlife women’s health care gap he witnessed through his mother’s experience and Jamie’s own perimenopause. Stu describes how perimenopause can strain relationships when symptoms are misunderstood, emphasizes addressing root causes rather than just symptoms, and encourages partners to show patience, seek help, and support women through care that can improve families, work, and overall quality of life.

00:00 Meet Stu Intro

01:33 Military Roots

03:17 Leaving Service

04:47 Vision For Peri Pause

06:10 Mission Parallels

07:47 Care Gap Reality

09:32 Partner Perspective

13:40 Mom And Family Impact

17:39 Advice For Partners

18:31 Thick Skin and Support

18:55 Men Asking for Help

20:39 Building Together Talk

22:51 Napkin to Launch

23:58 Balancing Risk and Caution

26:17 Mission Bigger Than Us

28:06 Scaling the Impact

30:11 Gratitude and Outro

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This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.

Visit https://periandpause.com for more info

Kristen wraps the nurse practitioner series and launches the founder series with Peri & Pause founder Jamie Gallagher, who shares what drew her into nursing, her critical care background, and why she became a nurse practitioner and later earned her DNP. Jamie explains how time limits, metrics, and fragmented, symptom-by-symptom care pushed her to rethink how midlife women are treated, especially after her own perimenopause experience revealed a major healthcare gap. She describes Peri & Pause’s model as relationship-driven, evidence-based whole-woman care through the perimenopause/menopause lens, including proactive prevention, collaboration with other clinicians, and referrals when needed. Jamie discusses misinformation and clinician shaming around hormones, the need for better clinician education, core values like integrity and humility, and her vision for continued growth to meet ongoing demand.

00:00 Podcast Welcome

01:09 Jamie Nursing Origins

02:47 Becoming Nurse Practitioner

04:46 Healthcare System Friction

08:27 Perimenopause Wake Up Call

11:13 Seeing the Bigger Pattern

13:11 Biggest Care Gap

14:20 Founding Peri and Pause

18:25 Building Patient First Practice

19:21 Whole Woman Care Approach

20:20 Coordinated Care Promise

20:46 Preventive Deep Dives

21:56 Proactive Treatment Mindset

22:19 Patient Wins That Matter

23:12 Word of Mouth Growth

24:12 Building a Mission Business

25:41 Imposter Syndrome and Connection

26:57 Misinformation and Clinician Shame

30:00 Why Education Still Lags

31:13 Values Purpose and The Future

36:45 Closing Thoughts and Wrap Up