In this episode, Dr Louise Newson is joined by urologist and sexual medicine specialist Dr Rachel Rubin for a clear look at how hormonal changes can often worsen both urinary and vaginal health. The conversation examines why recurrent urinary tract infections are so common in women, how prevention with vaginal hormones is often overlooked and what current evidence shows about the safety and effectiveness of vaginal hormone treatments.

They also explore the impact of inaccurate hormone labelling, the role of androgens in genitourinary tissues, and the growing push for updated regulatory guidance. Grounded in clinical experience and research, this discussion offers practical insight for anyone seeking to understand menopause care, hormone therapy and the broader health implications that follow when symptoms are dismissed or untreated.

Note: This podcast was recorded before the FDA's announcement that it is removing the black box warnings on estrogen products.

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Take my online education course, Hormones Unlocked 👉 https://www.learningwithexperts.com/products/hormones-unlocked-dr-louise-newson

Get tickets for my new theatre tour, Breaking the Cycle 👉

https://www.nlp-ltd.com/dr-louise-newson-breaking-the-cycle/

Download my balance app 👉
https://www.balance-menopause.com/balance-app/

Every day we hear from women whose symptoms are being misdiagnosed, which makes Penny Lancaster’s story hit close to home. She talks with Dr Louise Newson about the months she spent thinking she was depressed, the antidepressants she was offered in lockdown and the moment she realised her symptoms were linked to menopause.

They touch on a bigger cultural shift too. Menopause is being mentioned more often now, yet many women still struggle to get clear guidance or access HRT. Old fears linger, and too many people feel pushed aside in their working and home lives just when they need support.

Penny reflects on how getting the right information changed everything for her, and how the themes in her book Someone Like Me echo the resilience so many women quietly build. It’s a straightforward, reassuring listen for anyone trying to make sense of their own symptoms or wanting to understand this stage of life a little better.

Want more from the podcast? Sign up to my premium offer: https://www.drlouisenewson.co.uk/premium-podcasts

LET'S CONNECT

Subscribe here 👉 https://www.youtube.com/@menopause_doctor

Website 👉 https://www.drlouisenewson.co.uk/

Instagram 👉 / @drlouisenewsonpodcast

LinkedIn 👉 / https://www.linkedin.com/in/drlouisenewson/

TikTok 👉 / https://www.tiktok.com/@drlouisenewson

Spotify 👉 https://open.spotify.com/show/7dCctfyI9bODGDaFnjfKhg

LEARN MORE

Buy Penny’s book, Someone Like Me 👉

https://www.waterstones.com/book/someone-like-me/penny-lancaster/9781526686978

Take my online education course, Hormones Unlocked 👉 https://www.learningwithexperts.com/products/hormones-unlocked-dr-louise-newson

Get tickets for my new theatre tour, Breaking the Cycle 👉

https://www.nlp-ltd.com/dr-louise-newson-breaking-the-cycle/

Download my balance app 👉

https://www.balance-menopause.com/balance-app/

Content advisory: this episode contains themes of mental health and suicide

Many women experience menopause as more than hot flushes and periods stopping. It can also bring a deep sense of flatness, loss of joy, anxiety or even thoughts of hopelessness.

In this episode, Dr Louise Newson speaks with Sally Wainwright OBE, the multiple BAFTA-winning writer and director known for Happy Valley, Gentleman Jack and Last Tango in Halifax. Her new BBC drama Riot Women has already had amazing reviews. Louise was the Medical Consultant for Riot Women.

Sally discusses her personal experience of menopause, and how being prescribed hormones has transformed her wellbeing and how those truths shaped her latest BBC drama, Riot Women. She also talks openly about her mother, who had both osteoporosis and dementia.

Together, they explore the link between menopause and mental health, the cost of silence around hormonal symptoms and the power of honest storytelling to change how women think and talk about menopause, as well as how they access hormone treatments. .

Disclaimer: This podcast is not connected to the BBC.

In the UK, you can contact Samaritans 24/7 at 116 123 or visit samaritans.org. If you're outside the UK, please reach out to a local crisis support service or emergency medical help.

LET'S CONNECT

Subscribe here 👉 https://www.youtube.com/@menopause_doctor

Website 👉 https://www.drlouisenewson.co.uk/

Instagram 👉 / @drlouisenewsonpodcast

Download balance app 👉 / https://www.balance-menopause.com/balance-app/

LinkedIn 👉 / https://www.linkedin.com/in/drlouisenewson/

TikTok 👉 / https://www.tiktok.com/@drlouisenewson

Spotify 👉 https://open.spotify.com/show/7dCctfyI9bODGDaFnjfKhg

LEARN MORE

Watch Sally’s latest BBC Drama, Riot Women 👉

https://www.bbc.co.uk/programmes/m002hd7x

Take my online education course, Hormones Unlocked 👉 https://www.learningwithexperts.com/products/hormones-unlocked-dr-louise-newson

Sign up for my Confidence in Menopause Course 👉 https://www.drlouisenewson.co.uk/education---confidence-in-menopause