Episode 108 – Dr. Rachel Cady, M.D. – Menopause Specialist; The Health/Medical Side of Menopause

Dr. Rachel Cady is an Obstetrician/Gynecologist and a Certified Menopause Practitioner. She is an active member of both the North American Menopause Society and the International Menopause Society. Among the concerns and symptoms she treats are weight management, sexual problems, vaginal dryness, abnormal bleeding, pelvic floor rehab, incontinence, heart health, mood swings, hormone replacement, bone health, sleep issues, and hot flashes.

What do we talk about in this episode?

Dr. Cady shares a wealth of information about menopause: symptoms, treatment, hormone therapy, and so much more. We talk about hot flashes, night sweats, brain fog, mood swings, weight changes, estrogen receptors and so much more. Dr. Cady answers all my menopause questions and questions from listeners.

  1. What is menopause and perimenopause and how do I know when I’m in it?
  2. Hormone Replacement Therapy. What is it? Who needs it? How to figure out what to do.
  3. What is a menopause specialist and how do I find one? What do they do? There are 1,000 Certified Menopause Practitioners in the United States.
  4. Menopause is not talked about enough. We need to get comfortable talking about it.
  5. Weight management and nutrition in menopause. Women need 400-500 less calories when we go into menopause.

Music used in the podcast: Higher Up, Silverman Sound Studio

You can support my podcast on Patreon here: https://patreon.com/user?u=72701887


International Menopause Society is a charitable organisation that was established in 1978 through the efforts of a number of menopause healthcare “visionaries” to which we owe a great debt of gratitude. The mission of the International Menopause Society (IMS) is to work globally to promote and support access to best practice health care for women through their menopause transition and post-reproductive years, enabling them to achieve optimal health and well-being. The vision of the IMS is that all women across the world will have easy and equitable access to evidence-based knowledge and health care, empowering them to make fully informed mid-life health choices. (https://www.imsociety.org)

The North American Menopause Society (NAMS) is North America’s leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging. Its multidisciplinary membership of 2,900 leaders in the field – including clinical and basic science experts from medicine, nursing, sociology, psychology, nutrition, anthropology, epidemiology, pharmacy, and education – allows NAMS to be uniquely qualified to provide information that is both accurate and unbiased, not for or against any point of view. (https://www.menopause.org)

To find a Certified Menopause Practitioner in the US: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx

The Study of Women’s Health Across the Nation (SWAN) is a multi-site longitudinal, epidemiologic study designed to examine the health of women during their middle years. The study examines the physical, biological, psychological and social changes during this transitional period. (https://www.swanstudy.org)

Premarin Vaginal Cream helps rebuild vaginal tissue and makes moderate to severe painful sex after menopause more comfortable. (https://www.premarinvaginalcream.com/)

Estradiol is a hormone made naturally in the human body by the ovaries. It is crucial in regulating the menstrual cycle, cardiovascular system, neurologic system, skeletal system, vascular system, and many more. Estradiol is the most potent and most abundant estrogen (E2) during a woman’s reproductive years. (https://www.ncbi.nlm.nih.gov/)

Prometrium can prevent changes in the uterus in women taking estrogen after menopause. It can also treat menstrual periods that have stopped before menopause. (https://www.webmd.com/drugs/2/drug-8042/prometrium-oral/details)

Medroxyprogesterone acetate (MPA) is a 17-acetoxyprogesterone compound. Unlike most other synthetic progestins, MPA is structurally most closely related to progesterone, instead of testosterone, and possesses less androgenic activity. MPA is rapidly metabolized in humans to progesterone. (https://www.sciencedirect.com)

The Women’s Health Initiative (WHI) is a long-term national health study funded by the National Heart, Lung, and Blood Institute, or NHLBI. The original WHI study began in the early 1990s and concluded in 2005. Since 2005, the WHI has continued as Extension Studies, which are annual collections of health updates and outcomes in active participants. The second Extension Study enrolled 93,500 women in 2010 and follow-up of these women continues annually. (https://www.whi.org)

The Society for Women’s Health Research (SWHR) is the thought leader in promoting research on biological sex differences in disease and improving women’s health through science, policy, and education. (https://swhr.org)

“You Are Not Broken” Podast hosted by KJ Casperson, MD – Empowering women (and the partners who love them) to live their best sex lives. Combining the power of mind-work, body-science and relationships, I joyously smash the societal barriers that are keeping us from living our best intimate lives.
Whether you are young or past menopause, single or in a long-term relationship, it is never too late or too early to realize YOU ARE NOT BROKEN. With humor, candor and ease, I break down the stories that we have been told about being sexual beings, to help us play, and normalize our intimacy. Nothing in this podcast is personal medical advice, of course.

Manage Your Menopause Naturally: The Six-Week Guide to Calming Hot Flashes & Night Sweats, Getting Your Sex Drive Back, Sharpening Memory & Reclaiming Well-Being” by Maryon Stewart

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