{"id":25122,"date":"2023-08-28T08:00:25","date_gmt":"2023-08-28T08:00:25","guid":{"rendered":"https:\/\/progyny.com\/?post_type=podcast&#038;p=25122"},"modified":"2024-04-23T11:08:59","modified_gmt":"2024-04-23T11:08:59","slug":"episode-165","status":"publish","type":"podcast","link":"https:\/\/progyny.com\/education\/podcast\/episode-165\/","title":{"rendered":"Episode 165: Fertility 101: Menopause"},"content":{"rendered":"","protected":false},"template":"","categories":[244,499],"tags":[492],"class_list":["post-25122","podcast","type-podcast","status-publish","hentry","category-fertility-101","category-menopause","tag-menopause"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Episode 165: Fertility 101: Menopause | Progyny<\/title>\n<meta name=\"description\" content=\"Dr. Janet Choi, Progyny\u2019s Chief Medical Officer and Reproductive Endocrinologist, gives an overview about all things 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is part of this stigma against aging, which shouldn\u2019t be there. It should be well supported.","episode_intro_guest":"Dr. Janet Choi","episode_intro_company":"Progyny\u00a0","episode_banner_section_intro_text":"This is Infertility is a bi-weekly podcast where we fuse narrative storytelling with experience and science to give you a new perspective on what it\u2019s really like to go through a family building journey. Each episode dives into the emotional, physical, and financial burdens carried by those who experience infertility on their path to parenthood. Be it IVF, IUI, egg freezing, surrogacy, adoption, etc., the path is never the same and it can be long, painful, and lonely. It\u2019s our mission to give those struggling a platform to be heard, a community connection, and an opportunity to raise awareness of the 1 in 6 who, for many reasons, struggle with infertility.","episode_page_title":"Episode 165: Fertility 101: Menopause","episode_embed_code":"<iframe style=\"border: none;\" title=\"Embed Player\" src=\"https:\/\/play.libsyn.com\/embed\/episode\/id\/27730620\/height\/128\/theme\/modern\/size\/standard\/thumbnail\/yes\/custom-color\/ffffff\/time-start\/00:00:00\/playlist-height\/200\/direction\/backward\/download\/yes\/stats-code\/landing165\" width=\"100%\" height=\"128\" scrolling=\"no\" allowfullscreen=\"allowfullscreen\"><\/iframe>","episode_details":"<span data-contrast=\"none\">The Fertility 101 Series, because there\u2019s no shortage of daunting terms to keep your mind running, is a quick and dirty breakdown on a specific topic with insights from a fertility expert.<\/span>\r\n\r\n<span data-contrast=\"none\">In today\u2019s episode, Progyny\u2019s Chief Medical Officer and Reproductive Endocrinologist, <a href=\"https:\/\/progyny.com\/medical-advisory-board\/\">Dr. Janet Choi<\/a><\/span><span data-contrast=\"none\"> gives an overview about<\/span><span data-contrast=\"none\"> all the things you need to know about menopause.<\/span>\r\n\r\n<span data-contrast=\"none\">Menopause has long been an undiscussed and overlooked medical issue despite the fact that it will impact half of the population after the age of 50. While the scope of care for those going through menopause is not yet where it needs to be, becoming well-versed in the concept is the first step to caring for yourself or others in this transitional stage of life. Dr. Choi breaks down the classic symptoms and mental health effects surrounding menopause, as well as how one might mitigate these bodily changes with treatments. She also touches on her own experience and outlines life with menopause, next steps, and why <a href=\"https:\/\/progyny.com\/blog\/fertility-in-the-workplace\/seeing-the-menopause-factor\/\">menopause should be better supported<\/a>.<\/span>\r\n\r\n<b><span data-contrast=\"none\">Guest: <\/span><\/b><span data-contrast=\"none\">Dr. Janet Choi, Chief Medical Officer at Progyny<\/span>\r\n\r\n<b><span data-contrast=\"none\">Host: <\/span><\/b><span data-contrast=\"none\">Dan Bulger, Progyny<\/span>\r\n\r\n<span data-contrast=\"none\">For more information, visit Progyny\u2019s Podcast page and <\/span><a href=\"http:\/\/www.progyny.com\/education\"><span data-contrast=\"none\">Progyny\u2019s Education page<\/span><\/a><span data-contrast=\"none\"> for more resources. Be sure to follow us on Instagram, @ThisisInfertilityPodcast and use the #ThisisInfertility. Have a question, comment, or want to share your story? Email us at <\/span><a href=\"mailto:thisisinfertility@progyny.com\"><span data-contrast=\"none\">thisisinfertility@progyny.com<\/span><\/a><span data-contrast=\"none\">.<\/span>\r\n\r\nThis podcast is also available on YouTube if you'd prefer to watch the podcast in video format:\r\n<iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/4etzw8giV8g?si=EWbumUCG_ay5_sZl\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe>\r\n\r\n<span data-contrast=\"none\">Here are some highlights from this episode:<\/span>\r\n\r\n<span style=\"text-decoration: underline;\"><b>Why now? And for Who?<\/b><\/span>\r\n\r\n<span data-contrast=\"auto\">03:31 \u2013 05:40<\/span>\r\n<div style=\"padding-left: 40px;\">\r\n\r\n<b><span data-contrast=\"auto\">Dr. Janet Choi:<\/span><\/b><span data-contrast=\"auto\"> There was a Mayo Clinic study that came out this spring that got a lot of press, showing that 40% of the workforce are comprised of women in their menopausal years. 45 to 54 is sort of the peak era of timelines when these issues crop up. That's a pretty significant chunk of your workforce that really needs to be well supported, if you want to retain them. <\/span><span data-contrast=\"auto\">The average age of menopause is around 51 years of age. <\/span><span data-contrast=\"auto\">Le<\/span><span data-contrast=\"auto\">ss than 1% of women will experience menopause under the age of 40. About 5% of women will experience early menopause when this happens in their early 40s, before the age of 45. But again, if you make it into your 50s and beyond, everyone is going to experience menopause. Females are born with a set number of eggs, one to two million preformed eggs hunkered in their little follicle cells in the ovaries. As we age, the egg count disappears and goes down, the quantity goes down, the quality goes down. At a certain point in time, the egg count is so low or as close to zero, that your ovaries just stopped secreting this very important hormone called estrogen, which then leads to an absent slew of periods.<\/span>\r\n\r\n<\/div>\r\n<span style=\"text-decoration: underline;\"><b>Symptoms<\/b><\/span>\r\n\r\n<span data-contrast=\"auto\">06:16 \u2013 09:08<\/span>\r\n<div style=\"padding-left: 40px;\">\r\n\r\n<b><span data-contrast=\"auto\">Dr. Janet Choi:<\/span><\/b><span data-contrast=\"auto\"> Women in the pre-menopausal period, and this average age starts around age 47, will have regular or irregular periods. Period links become more unpredictable and start to have symptoms like hot flushes like headaches, like vaginal dryness, like mood disturbances, more depression or anxiety, all of those things kind of go part and parcel as your hormones start to change. But again, the most common complaint women in the peri-menopausal transition menopausal years will report back are hot flashes. Another really important thing just to be aware of as your estrogen levels drop, your bone health also declines. And this is something that's really important to pay attention to because osteoporosis is one of the most common causes of morbidity later on in life for women. Up until menopause, women also have a healthier cardiovascular profile in general compared to their male counterparts. But as the estrogen levels drop, the cardiovascular risks like having a heart attack<\/span><span data-contrast=\"auto\">,\u00a0<\/span> <span data-contrast=\"auto\">having changes in your lipid, your cholesterol, LDL starts to creep up for a lot of women. So, heart disease risks start to go up as well.<\/span>\r\n\r\n<\/div>\r\n<span style=\"text-decoration: underline;\"><b>Treatment Options<\/b><\/span>\r\n\r\n<span data-contrast=\"auto\">09:31 \u2013 12:50<\/span>\r\n<div style=\"padding-left: 40px;\">\r\n\r\n<b><span data-contrast=\"auto\">Dr. Janet Choi:<\/span><\/b><span data-contrast=\"auto\"> If you don't want to resort to medical therapy straightaway. Some things may actually help with hot flash management if that's really interfering with your daily living and your sleep habits. Trying to make sure you keep a cool dark room, and temperature-regulate through how you dress. There have been some limited studies looking at dietary management of hot flashes like trying to avoid things like alcohol and spicy foods. Although those have not been well proven to be that impactful, it doesn't hurt to try. If you are in the obesity category, so body mass index of 30 or higher, there actually have been some good studies showing that weight loss may help lower the rate of hot flashes. When it comes to medical therapy \u2013 there\u2019s FDA approved medication out there \u2014 hormone therapy that\u2019s in different shapes and forms. It\u2019s not just an estrogen pill, it's not just Premarin. We also have Estradiol pills, or sticker patches that you could put on once or twice a week. Or for people who don't want that much systemic estrogen, if your main complaint is vaginal dryness, a little estrogen pill put into the vagina to help with a local lubrication. Those are all remedies. <\/span>\r\n\r\n<span data-contrast=\"auto\">Now, if you have a uterus, you need to be able to balance out the estrogen impact with progesterone because you don't want to increase your risk for uterine cancer, that's controllable by making sure that you and your doctor discuss the scheduled cyclic or continuous use of progesterone. Now, if you don't have a uterus, this is where you can celebrate, you don't need the progesterone. There is also now an FDA approved drug that came out this spring or summer called Veozah. It seems to be very effective. And it's a non-hormonal solution to manage moderate to severe hot flashes<\/span><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> If you don't want to use estrogen or if your doctor deems estrogen potentially a little risky for you based on your medical profile. If you are having lots of mood disorders, if you're finding that your depression or anxiety is flaring up with a pre-menopausal transition and you're having hot flashes \u2014 you and your doctor might decide that instead of trying hormone therapy, you might want to try an antidepressant. It's not just estrogen therapy in the end.<\/span>\r\n\r\n<\/div>\r\n<span style=\"text-decoration: underline;\"><b>To Keep in Mind<\/b><\/span>\r\n\r\n<span data-contrast=\"auto\">19:47 \u2013 26:36<\/span>\r\n<div style=\"padding-left: 40px;\">\r\n\r\n<b><span data-contrast=\"auto\">Dr. Janet Choi:<\/span><\/b><span data-contrast=\"auto\"> Although there are women who are able to conceive healthy pregnancies and babies into their mid-40s, sometimes without any medical assistance. Because those eggs are older in quality. The ability of these eggs to create genetically healthy pregnancies is much, much lower than when you use eggs from, say, someone who's even 40 or 35. The benefit of IVF is if your doctor is able to extract eggs, and with their lab team create embryos, they can screen those embryos through PGT-A, Pre<\/span><span data-contrast=\"auto\">-<\/span> <span data-contrast=\"auto\">Implantation Genetic Testing for Aneuploidy, to let you know before you conceive and use those embryos if there are any embryos that are actually chromosomally normal or euploid, before you go through the embryo transfer process.<\/span>\r\n\r\n<span data-contrast=\"auto\">It's also important to stay abreast of your specialist appointments too in terms of health, maintenance, mammograms. It\u2019s really important to stay on top of that, whether it's once a year, every two years, depending on your doctors\u2019 guidelines and also recommendations. Colonoscopy \u2014 colon cancer risks go up as we get older. And you want to just make sure that you're doing the proper screening of your colon with your proper physician.<\/span>\r\n\r\n<span data-contrast=\"auto\">It\u2019s the stigma against aging, which shouldn\u2019t be there. And the stigma against having these symptoms, which are, you know, they don't seem like life threatening, but it is something that most women have to live with. And it should be well supported.<\/span>\r\n\r\n<\/div>","episode_host_image":22673,"episode_host_title":"Dan Bulger, Producer at Progyny","episode_host_bio":"Dan has been in the healthcare industry for the past ten plus years as a multimedia content producer. Better known as \u2018Video Dan\u2019 he has interviewed numerous doctors, patients and other experts in the world of fertility. He\u2019s also the producer for this podcast, This is Infertility and the producer behind the<a href=\"https:\/\/www.youtube.com\/progyny\" target=\"_blank\" rel=\"noopener\" data-uw-rm-brl=\"exc\" aria-label=\"Progyny YouTube Channel - opens in new tab\" data-uw-rm-ext-link=\"na\">\u00a0Progyny YouTube Channel<\/a>\u00a0which features interviews with dozens of the nation\u2019s leading fertility specialists. On a personal note Dan\u2019s parents started fostering kids when he was four years old, and he considers himself a proud older brother to over 100 foster children.","episode_guest_1_image":25123,"episode_guest_1_title":"Dr. Janet Choi, Chief Medical Officer at Progyny","episode_guest_1_bio":"Dr. Janet Choi is a highly ranked board-certified REI, bringing over two decades of clinical expertise in fertility and family building. Dr. Choi has published and lectured extensively on infertility, onco-fertility, and fertility preservation. She is a member of ASRM, ACOG, and the NY Obstetrical Society. She earned her medical degree and completed her residency at Columbia University and completed her REI fellowship at Weill Cornell Medical College.","episode_guest_2_image":"","episode_guest_2_title":"","episode_guest_2_bio":"","episode_guest_3_image":"","episode_guest_3_title":"","episode_guest_3_bio":"","episode_guest_4_image":"","episode_guest_4_title":"","episode_guest_4_bio":"","episode_guest_5_image":"","episode_guest_5_title":"","episode_guest_5_bio":"","episode_music_section_links":"<span data-contrast=\"none\">Artist: <\/span><span data-contrast=\"none\">Doctor Turtle\r\n<\/span><span data-contrast=\"none\">Track: <\/span><span data-contrast=\"none\">The Ants Built a City on His Chest<\/span><span data-ccp-props=\"{}\">\r\nU<\/span><span data-contrast=\"none\">RL: <\/span><span data-contrast=\"none\">https:\/\/freemusicarchive.org\/<\/span><span data-ccp-props=\"{}\">\u00a0<\/span>\r\n\r\n<span data-contrast=\"none\">Track: Where I lay my hat that\u2019s my wife<\/span>\r\n<span data-contrast=\"none\">URL: https:\/\/freemusicarchive.org\/<\/span><span data-ccp-props=\"{}\">\u00a0<\/span>\r\n\r\n<span data-contrast=\"none\">Artist: Steve Combs<\/span>\r\n<span data-contrast=\"none\">Track: Small Spaces<\/span>\r\n<span data-contrast=\"none\">URL: https:\/\/freemusicarchive.org\/<\/span><span data-ccp-props=\"{}\">\u00a0<\/span>\r\n\r\n<span data-contrast=\"none\">Artist: Jahzzar <\/span>\r\n<span data-contrast=\"none\">Track: Sleepin\u2019<\/span>\r\n<span data-contrast=\"none\">Track: Dew<\/span>\r\n<span data-contrast=\"none\">Track: MainSquare<\/span>\r\n<span data-contrast=\"none\">URL: https:\/\/freemusicarchive.org\/<\/span><span data-ccp-props=\"{}\">\u00a0<\/span>"},"_links":{"self":[{"href":"https:\/\/progyny.com\/wp-json\/wp\/v2\/podcast\/25122","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/progyny.com\/wp-json\/wp\/v2\/podcast"}],"about":[{"href":"https:\/\/progyny.com\/wp-json\/wp\/v2\/types\/podcast"}],"wp:attachment":[{"href":"https:\/\/progyny.com\/wp-json\/wp\/v2\/media?parent=25122"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/progyny.com\/wp-json\/wp\/v2\/categories?post=25122"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/progyny.com\/wp-json\/wp\/v2\/tags?post=25122"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}