Middling Along

Mari Williams on progesterone sensitivity in perimenopause

This time I welcome Mari Williams - author, leadership coach, podcaster, therapist and mediator. I connected with Mari online about three years ago, and when we caught up recently she mentioned that she really wanted to share her experiences of perimenopause, HRT, progesterone sensitivity, and how deeply the psychological symptoms of perimenopause had impacted her - even as someone with her background in therapy and coaching…

As someone who, in her words, was used to ‘good mental health’, Mari was taken aback by the extent of her psychological and emotional symptoms - so much so that her life was turned upside down by them and she experienced suicidal thoughts. The imposter thoughts, lack of confidence, and social anxiety also led to her seriously considering scaling back her successful business. As someone who had previously suffered with PMDD, it took this crisis in her mental health for a specialist to diagnose that she was reacting badly to the progesterone element of her HRT - once her oestrogen had been increased and the progesterone was changed to being taken vaginally, her mood lifted dramatically in just five days. 

We also talk a little about how childhood trauma can impact on severity of perimenopause symptoms, the importance of listening to our own bodies, and how important it is to look into family histories and patterns. 

 

You can find Mari online at https://www.mari-williams.com/

If you think you may be sensitive to progesterone you can find out more at https://www.balance-menopause.com/menopause-library/prgesterone-intolerance-factsheet/ 

You can also find us over on Instagram https://www.instagram.com/middlingalong_podcast/ and you can listen to past episodes at https://middlingalong.com  

 

Join our newsletter, The Messy Middle, for fortnightly goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share 

 

We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

 

It would mean so much if you’d subscribe, rate, and review us to share the love and help others find the podcast too! 

You can also find me at https://www.instagram.com/managingthemenopause  or at www.managingthemenopause.com where we offer 1-1 coaching and workplace training. 

Get our free 'Guide to your GP appointment' at https://www.managingthemenopause.com/free-resources

Dr Katie Barber on the NICE draft guidelines

In this slightly shorter than usual episode we welcome back to the podcast Dr Katie Barber, GP and menopause specialist. Our topic is the draft NICE guidelines for menopause, which caused quite a lot of attention in the media when the draft was released for consultation earlier in 2023 - particularly with reference to the focus on CBT for symptom management.

The consultation process closes in early January 2024, and no doubt the final version of the guidelines will be significantly different to this draft version. That said, I’m really grateful to Katie for giving us the benefit of her measured and nuanced take on this emotive topic, including:

• What the NICE guidelines actually are, for anyone who isn’t familiar with them;
• That CBT isn’t a ‘new’ addition to the guidelines, and can be a part of a ‘toolkit’ of options, including for those who can’t take HRT;
• The need for more research in several areas, including those on gender-affirming hormone treatment and HRT, breast cancer patients, and outcomes for ethnic minority groups;
• The overarching need for informed choice - as always - with both the benefits of HRT being clearly articulated as well as the risks. 

You can find Katie at https://www.oxfordmenopause.com/ and https://www.instagram.com/oxford_menopause/ and previously on the podcast at https://middlingalong.com/episodes/middling-along-dr-katie-barber-helps-us-get-to-grips-with-testosterone-dos-and-donts/ and https://middlingalong.com/episodes/middling-along-23-dr-katie-barber-on-menopause-myths-and-misconceptions/

 

You can also find us over on Instagram https://www.instagram.com/middlingalong_podcast/ and you can listen to past episodes at https://middlingalong.com  

 

Join our newsletter, The Messy Middle, for fortnightly goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share 

 

We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

 

It would mean so much if you’d subscribe, rate, and review us to share the love and help others find the podcast too! 

You can also find me at https://www.instagram.com/managingthemenopause  or at www.managingthemenopause.com where we offer 1-1 coaching and workplace training. 

Get our free 'Guide to your GP appointment' at https://www.managingthemenopause.com/free-resources 

Erica Davies on rediscovering our midlife fashion mojo

My guest this time is Erica Davies - a former fashion editor who has worked with some of the UK’s biggest newspapers, magazines and brands…She founded the hugely popular blog the-edited.com and now has an audience of more than 200,000 followers on Instagram. She’s passionate about encouraging women to make bold, confident and happiness-inducing choices through their clothing and interiors, and her most recent book, Style Chapters, was published earlier this year…and would make a fab Christmas present if you still have any friends or family members to buy for!

 

We talk about 

• where the inspiration for the book came from
• Erica’s advice for changing body shapes in midlife and rethinking what might have worked for us before but doesn't now
• Insider fashion editor tips for figuring out what is flattering - for example for anyone feeling ‘tummy-self-conscious’ 
• Her advice for getting out of a 'style funk'
• Getting the best out of second hand/preloved shopping
• Tips for staying chic whilst dressing to cope with menopause symptoms 
• Dopamine dressing and being more playful with our fashion choices for increasing our confidence 
• And just for fun, Erica’s three ‘Desert Island Dresses’ that she’d pick if she could only keep three…

 

You can find Erica at the-edited.com or https://www.instagram.com/erica_davies

 

You can also find us over on Instagram https://www.instagram.com/middlingalong_podcast/ and you can listen to past episodes at https://middlingalong.com  

 

Join our newsletter, The Messy Middle, for fortnightly goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share 

 

We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

 

It would mean so much if you’d subscribe, rate, and review us to share the love and help others find the podcast too! 

You can also find me at https://www.instagram.com/managingthemenopause  or at www.managingthemenopause.com where we offer 1-1 coaching and workplace training. 

Get our free 'Guide to your GP appointment' at https://www.managingthemenopause.com/free-resources 

Dr Beth Thomas on the latest science and treatments for menopause symptoms

In this episode we catch up with Dr Beth Thomas - who works with me at Managing the Menopause as our clinical lead, is a GP, and a menopause specialist seeing private clients with Everything Menopause.

 

We are covering - only a little belatedly - the latest research and developments that were presented this summer at the British Menopause Society conference. So if you’d like to find out more about what an expert in menopause is excited about, listen on to hear about:

• Fezolinetant (Veozah) - and when we might expect to hear more about this new class of drug for vasomotor symptoms being available for those who can’t take HRT 
• Why rates of endometrial cancer have greatly increased over the last decade
• The ‘Rule of 20’ for addressing weight gain in menopause
• Some fascinating facts about our gut microbiome and why this is the next big thing
• Ethnic differences in menopause symptoms, onset, and access to care
• Female-specific risk factors for increased risk of cardiovascular disease
• How to deal with sleep disturbance - and why you should care about ‘WASO’
• And last, but by no means least, tune in to find out about ‘Beth’s Rule’ and why we might all want to Be More Beth! 

 

You can find Beth at https://www.instagram.com/dr.beththomas/ and both of us at www.managingthemenopause.com 

 

Lou Featherstone on her radical midlife reinvention and the self-love revolution

My guest this time is Lou Featherstone - aka Luinluland: fashion legend and accidental midlife influencer who is proud to be growing old disgracefully!

Lou’s story of midlife reinvention is simultaneously hilarious and heart wrenching. Tune in to find out how and why a vicar’s daughter ended up leaving behind her marriage of 20 years and driving from one side of the USA to the other in a bus with over 400 vibrators on board!

Lou and I talk about:

• how moving to America was the catalyst for the breakdown of her marriage
• the dramatic event that sparked her mission to drive 6,000 miles from one coast of the USA to the other in a converted school bus…
• the story of how Lou came to own Susie the 32 foot long converted schoolbus and create the Self Love Revolution Tour
• the most defining - and hairiest - moments of her US trip
• what she misses about living in the US and what she definitely doesn’t
• and much, much more besides!

You can find Lou at:

https://luinluland.com/pages/about-me 

https://www.instagram.com/luinluland

You can also find us over on Instagram https://www.instagram.com/middlingalong_podcast/ and you can listen to past episodes at https://middlingalong.com  

Join our newsletter, The Messy Middle, for fortnightly goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share 

We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

It would mean so much if you’d subscribe, rate, and review us to share the love and help others find the podcast too! 

You can also find me at https://www.instagram.com/managingthemenopause  or at www.managingthemenopause.com where we offer 1-1 coaching and workplace training. 

Get our free 'Guide to your GP appointment' at https://www.managingthemenopause.com/free-resources 

Tanith Carey on why we might be feeling ’Blah’ and how to overcome it

My guest this time is Tanith Carey: Tanith is an award-winning writer and author of 12 books on psychology, parenting and social history, her writing has been featured in the Daily Telegraph, The Sunday Times, The Spectator and the Sydney Morning Herald. Her latest book is called ‘Feeling ‘Blah’?: Why anhedonia has left you joyless and how to recapture life’s highs.’

 

In this interview we cover:

• How she noticed a ‘lack of joy’ in her own day to day life and subsequently discovered the term “anhedonia” for the first time whilst late-night Googling
• the clash between our 'cave-dweller brain' and our 'always-on/more, more, more' modern world of comparison culture and how this hijacks our dopamine reward circuits to create a perfect breeding ground for anhedonia 
• what dopamine is actually ‘for’ - it may not be what you think…
• our inbuilt ‘negativity bias’ and how to combat it
• “glimmers” - little moments of joy that can help reduce cortisol levels
• how oestrogen and our other hormones impact the 'feel good chemicals' in us as cyclical beings and especially in peri/menopause
• how stress is the greatest enemy of joy there is…and how anticipation of ‘planned in’ activities that bring rest, enjoyment, or feed our ‘spark’ can make such a big difference to how we feel
• how joy is actually made up of three different components, rather than being just one thing
• how behavioural activation works 
• how we 'get our mojo back' - the ‘water pump’ analogy
• the impact of exercise and gratitude on our mood
• the difference between anhedonia and depression

 

And much, much more!

You can find Tanith at https://www.instagram.com/tanithcarey and https://www.instagram.com/no_more_blah_book and you can buy Feeling Blah fromhttps://www.waterstones.com/book/feeling-blah/tanith-carey/9781801292375 or wherever you buy your books!

 

You can also find us over on Instagram https://www.instagram.com/middlingalong_podcast/ and you can listen to past episodes at https://middlingalong.com  

 

Join our newsletter, The Messy Middle, for fortnightly goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share 

 

We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

 

It would mean so much if you’d subscribe, rate, and review us to share the love and help others find the podcast too! 

You can also find me at https://www.instagram.com/managingthemenopause  or at www.managingthemenopause.com where we offer 1-1 coaching and workplace training. 

Get our free 'Guide to your GP appointment' at https://www.managingthemenopause.com/free-resources 

Katie Windle on how hypnotherapy can help us empty our ’stress buckets’ and live without anxiety

My guest this time is Katie Windle: Katie is a qualified hypnotherapist and psychotherapist and uses solution focused methods to help those who are being held back in life by anxiety and limiting beliefs to get control back and live a life of joy and ease.

Katie’s own experiences with anxiety, brain fog, overthinking and sleep problems, combined with a stressful teaching career caused her to seek both a solution to her symptoms, and ultimately a change of career. 

In this episode we cover:

• How our brains work under stress and why living in constant ‘survival mode’ with a full ‘stress bucket’ creates so many problems
• How getting back into the intellectual part of our brains makes us calmer, more motivated, happier and can cope more easily (sounds good right?!)
• How our brains work whilst we sleep to empty our ‘stress bucket’ and how hypnotherapy can help us to do the same – and create new patterns of responding
• How long it generally takes to create new neural pathways in the brain
• The range of issues that hypnotherapy may be able to help with

 

Fascinating stuff! You can find Katie at https://www.thehypnotherapyden.co.uk/ and https://www.instagram.com/thehypnotherapyden

You can also find us over on Instagram https://www.instagram.com/middlingalong_podcast/ and you can listen to past episodes at https://middlingalong.com  

 

Join our newsletter, The Messy Middle, for fortnightly goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share 

 

We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

 

It would mean so much if you’d subscribe, rate, and review us to share the love and help others find the podcast too! 

You can also find me at https://www.instagram.com/managingthemenopause  or at www.managingthemenopause.com where we offer 1-1 coaching and workplace training. 

Get our free 'Guide to your GP appointment' at https://www.managingthemenopause.com/free-resources 

 

Steve Rawlings on keeping us cool through clever technology

My guest this time is Steve Rawlings, founder of Cool Embrace. Steve and his wife Lisa moved from London to leafy, rural Shropshire after Lisa suffered a brain tumour, to get away from their hectic business life and adopt a slower and more tranquil way of life. They were both involved with the fabric industry, Steve in a career spanning 50 years, mainly in specialist textiles relating to military, police, aerospace and temperature-controlling applications.

When Lisa started having night sweats, Steve harnessed his knowledge of the use of these types of fabrics to invent the Cool Embrace intra-blanket, as he couldn’t bear to see her suffer any longer. After Lisa tried the intra-blanket for the first night and slept through for 8 hours straight, she was determined that he should share this revolutionary invention with other women who could benefit from it’s permanent cooling properties. 

Steve talks us through how the blanket works - which is a combination of heat dissipation and moisture control - fascinating if you’re a science geek like me! The blanket has five different layers which in combination help to move water and heat away from the body and spread heat throughout the blanket to ensure the user stays at an optimal and comfortable temperature all night. 

I’ve road-tested the blanket myself over several months, and whilst I don’t suffer from severe night sweats, I can definitely see a difference in how well I sleep and, let’s say, ‘comfort levels’ especially on hotter nights. Cool Embrace has a couple of versions of the blanket in different fabrics and sizes, as well as a silk pillow case that incorporates the cooling technology. 

They have kindly offered listeners a 10% discount code - just enter MTM23 at checkout. They also have a full money back guarantee if you find that the blanket does not work for you - that’s how confident they are that you will love yours too! 

 

https://coolembrace.com/

 

You can also find us over on Instagram https://www.instagram.com/middlingalong_podcast/ and you can listen to past episodes at https://middlingalong.com  

 

Join our newsletter, The Messy Middle, for fortnightly goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share 

 

We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

 

It would mean so much if you’d subscribe, rate, and review us to share the love and help others find the podcast too! 

You can also find me at https://www.instagram.com/managingthemenopause  or at www.managingthemenopause.com where we offer 1-1 coaching and workplace training. 

Get our free 'Guide to your GP appointment' at https://www.managingthemenopause.com/free-resources 

Clare Bourne on pelvic floor health and building Strong Foundations

My guest today is Clare Bourne - Clare is a specialist pelvic health physiotherapist and author, based in London, with a passion for supporting women and men throughout their lives. She believes in talking openly about taboo topics and ensuring everyone feels comfortable to get support for problems that may feel embarrassing to talk about.

She worked extensively in the NHS before starting up her own private practice she’s the co-founder of the Pelvic Health Practice, a specialist team of pelvic health physios providing home visits across London and the founder of All About Mum which provides postnatal education cards, webinars and ebooks to support women with all the information they deserve.

Clare is also the author of Strong Foundations: Why pelvic health matters, an empowering guide to your body, which aims to support women to understand their bodies better. 

 

In our chat we’ll cover:

• Why our full life story - from childhood onwards - it critical in getting a full picture of our pelvic floor health
• Why the first part of her book looks at basic biology and unpicking the lack of understanding we have around our own anatomy
• Constipation in childhood and later in life and why this is so important to address
• The importance of oestrogen for our pelvic floor health
• Why kegels are just one tool in the toolkit and what is the bare minimum she recommends we do daily…
• Clare’s three part strategy: Fluids, Fibre, and Movement
• Prolapse - it’s more common than you think, and how to advocate for yourself with your GP

You can find Clare at https://www.clare-bourne.com/ and her new book at https://www.amazon.co.uk/Strong-Foundations-Clare-Bourne/dp/0008604223

You can also find us over on Instagram https://www.instagram.com/middlingalong_podcast/ and you can listen to past episodes at https://middlingalong.com  

 

Join our newsletter, The Messy Middle, for fortnightly goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share 

 

We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

 

It would mean so much if you’d subscribe, rate, and review us to share the love and help others find the podcast too! 

You can also find me at https://www.instagram.com/managingthemenopause  or at www.managingthemenopause.com where we offer 1-1 coaching and workplace training. 

Get our free 'Guide to your GP appointment' at https://www.managingthemenopause.com/free-resources

 

Jackie Jarvis on solo travelling and the lessons we learn on the way

Jackie Jarvis is a Walking Business Coach and author of Transform Your Life by Walking which documents her time walking the various pilgrimage routes to Santiago de Compostela. She runs Netwalking events, and helps business owners and professionals use ‘walking and talking’ as a transformational tool to stimulate clarity, change, strategy and greater wellbeing. 

After the breakdown of her relationship, Jackie took the decision to go solo to walk the rest of the Camino routes, and we talk in this episode about all the life (and business!) lessons that her solo travels to date have provided. We cover:

• lessons in letting go of the things get attached to (ie too much stuff, people, a plan);
• solo travelling as a woman, learning to love the silence, and getting out of your comfort zone;
• trusting the process, and trusting ourselves;
• advice for anyone considering a solo walk like this (including the Buen Camino app which Jackie used to navigate);
• what was her one non-negotiable travel ‘luxury’; 
• the liberating joy of less.

You can find Jackie at https://www.walkingbusinesscoach.com/about-jackie-jarvis and buy a copy of her book here https://theendlessbookcase.com/books/transform-your-life-by-walking/

 

You can also find us over on Instagram https://www.instagram.com/middlingalong_podcast/ and you can listen to past episodes at https://middlingalong.com  

 

Join our newsletter, The Messy Middle, for fortnightly goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share 

 

We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

 

It would mean so much if you’d subscribe, rate, and review us to share the love and help others find the podcast too! 

You can also find me at https://www.instagram.com/managingthemenopause  or at www.managingthemenopause.com where we offer 1-1 coaching and workplace training. 

Get our free 'Guide to your GP appointment' at https://www.managingthemenopause.com/free-resources