Ep 58 | The Nuance of Menopause & Menopausal Hormone Therapy, Hormone Replacement Therapy (MHT, HRT, MHRT)
Fri Feb 06 2026
In this episode, we delve into the complex and often misunderstood topic of menopause and hormone replacement therapy (HRT). We explore the nuances of menopause and perimenopause, the evolving conversations around it, and the physical and emotional challenges women face during this natural transition. We discuss the controversial history of HRT, including the flawed Women's Health Initiative and Million Women Study that led to a drastic reduction in HRT prescriptions. We also touch on the recent removal of the black box warning on HRT products in the US and what this means for women considering these therapies. The importance of distinguishing between synthetic progestins and bioidentical hormones is emphasized, alongside the need for personalized, holistic approaches to manage menopausal symptoms. We invite you to contemplate the potential gifts of menopause and advocate for a balance between natural health practices and medical interventions. Join us for an in-depth, nuanced conversation that aims to empower women navigating this significant life stage.
TIMESTAMPS
00:00 Introduction and Theme Song Confusion
01:13 Welcoming the Audience
03:21 Introducing the Topic: Menopause and HRT
07:09 Understanding Menopause and Perimenopause
09:45 Factors Influencing Perimenopause Experience
12:22 Emotional and Mental Health During Menopause
16:33 Hormone Replacement Therapy: Historical Context
18:20 Critique of Past Studies on HRT
23:28 Misunderstandings and Misuse of HRT
27:58 Black Box Warning on HRT Removed
28:40 Impact of Black Box Warning on Prescriptions
29:40 Personal Stories and Experiences with HRT
30:38 Exploring the Safety and Dosage of HRT
31:26 Natural vs. Pharmaceutical Approaches
33:21 Advocating for Women's Health and Natural Cycles
42:11 Marketing and Pharmaceutical Influence
46:54 The Role of Menopausal Women in Society
49:20 Conclusion and Final Thoughts
~
Reach out to the Nuanced Naturopaths here! Send us your feedback, questions & episode requests.
Check out our Nuanced & Nourished Membership here
Connect with us on Instagram
~
CONNECT WITH JULIE:
EmailWebsiteInstagramBook in with JulieCONNECT WITH KARINDA:
EmailWebsiteInstagramBook in with Karinda~
DISCLAIMER FOR PUBLIC: The contents of this podcast or any information mentioned is not intended to be a substitute for professional medical advice, diagnosis or treatment. If you're seeking assistance with your health, please contact an accredited healthcare professional. If you'd like personalised support with your health, you can book a session with Julie or Karinda using the links above.
DISCLAIMER FOR HEALTH PRACTITIONERS: The content provided is intended for entertainment and educational purposes. The information discussed in this podcast is not a substitute for professional training. While the authors/hosts make every effort to provide the most up-to-date data and evidence on naturopathic information, this content should not necessarily be considered standard of care and may not reflect individual practices within or outside of Australia.
~
The Nuanced Naturopaths Podcast is a friendly conversation between two friends, us! Karinda and Julie. We’re passionate about finding the nuance in natural health. As degree-qualified naturopaths, we like to ask the questions that need to be asked - about all aspects of health, healing and well-being. We delight in questioning firmly held beliefs and finding the nuance in all subjects health-related and beyond. Sometimes it can get a little technical, but hopefully we explain things in a way that's accessible to anyone interested in natural health, whether you’re a practitioner or someone who wants to learn more and optimise your wellbeing. It’s a chat about poop, periods and everything in between - buckle up for a laugh, a cry and for some things you are yet to consider about your health! Stay nuanced!
More
In this episode, we delve into the complex and often misunderstood topic of menopause and hormone replacement therapy (HRT). We explore the nuances of menopause and perimenopause, the evolving conversations around it, and the physical and emotional challenges women face during this natural transition. We discuss the controversial history of HRT, including the flawed Women's Health Initiative and Million Women Study that led to a drastic reduction in HRT prescriptions. We also touch on the recent removal of the black box warning on HRT products in the US and what this means for women considering these therapies. The importance of distinguishing between synthetic progestins and bioidentical hormones is emphasized, alongside the need for personalized, holistic approaches to manage menopausal symptoms. We invite you to contemplate the potential gifts of menopause and advocate for a balance between natural health practices and medical interventions. Join us for an in-depth, nuanced conversation that aims to empower women navigating this significant life stage. TIMESTAMPS 00:00 Introduction and Theme Song Confusion 01:13 Welcoming the Audience 03:21 Introducing the Topic: Menopause and HRT 07:09 Understanding Menopause and Perimenopause 09:45 Factors Influencing Perimenopause Experience 12:22 Emotional and Mental Health During Menopause 16:33 Hormone Replacement Therapy: Historical Context 18:20 Critique of Past Studies on HRT 23:28 Misunderstandings and Misuse of HRT 27:58 Black Box Warning on HRT Removed 28:40 Impact of Black Box Warning on Prescriptions 29:40 Personal Stories and Experiences with HRT 30:38 Exploring the Safety and Dosage of HRT 31:26 Natural vs. Pharmaceutical Approaches 33:21 Advocating for Women's Health and Natural Cycles 42:11 Marketing and Pharmaceutical Influence 46:54 The Role of Menopausal Women in Society 49:20 Conclusion and Final Thoughts ~ Reach out to the Nuanced Naturopaths here! Send us your feedback, questions & episode requests. Check out our Nuanced & Nourished Membership here Connect with us on Instagram ~ CONNECT WITH JULIE: EmailWebsiteInstagramBook in with JulieCONNECT WITH KARINDA: EmailWebsiteInstagramBook in with Karinda~ DISCLAIMER FOR PUBLIC: The contents of this podcast or any information mentioned is not intended to be a substitute for professional medical advice, diagnosis or treatment. If you're seeking assistance with your health, please contact an accredited healthcare professional. If you'd like personalised support with your health, you can book a session with Julie or Karinda using the links above. DISCLAIMER FOR HEALTH PRACTITIONERS: The content provided is intended for entertainment and educational purposes. The information discussed in this podcast is not a substitute for professional training. While the authors/hosts make every effort to provide the most up-to-date data and evidence on naturopathic information, this content should not necessarily be considered standard of care and may not reflect individual practices within or outside of Australia. ~ The Nuanced Naturopaths Podcast is a friendly conversation between two friends, us! Karinda and Julie. We’re passionate about finding the nuance in natural health. As degree-qualified naturopaths, we like to ask the questions that need to be asked - about all aspects of health, healing and well-being. We delight in questioning firmly held beliefs and finding the nuance in all subjects health-related and beyond. Sometimes it can get a little technical, but hopefully we explain things in a way that's accessible to anyone interested in natural health, whether you’re a practitioner or someone who wants to learn more and optimise your wellbeing. It’s a chat about poop, periods and everything in between - buckle up for a laugh, a cry and for some things you are yet to consider about your health! Stay nuanced!