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Menopause shouldn’t feel like a maze with a tabloid at every turn. We bring on menopause and HRT specialist Jane Pangbourne to cut through the noise, unpack the science, and give you a simple path to relief you can take to your GP with confidence. Jane shares how the 2002 WHI study distorted public understanding, why transdermal oestrogen doesn’t increase clot risk, and where the real nuance lies with synthetic progestins versus micronised progesterone. We talk timing too: how pregnancies, breastfeeding, stress, and surgical menopause can shift the onset of symptoms long before your 50s, and how tracking changes for three to six months helps you spot patterns without panic.

If sleep is your weak link, you’re not alone. We dig into magnesium, gut health, and practical tweaks that improve rest while you consider HRT. Curious about delivery options? We compare patches, gels, sprays, and tablets, and explain why GLP‑1 meds like tirzepatide may call for non‑oral progesterone to keep your uterus protected. Then we widen the lens to testosterone: what it does for libido, muscle strength, mood, and cognition, why access can be tricky in the UK, and how many women find it’s the missing piece once oestrogen and progesterone are in place.

This conversation also addresses the people too often left out: partners trying to help, and those assigned female at birth who don’t identify as women but still experience menopause. Expect candid stories, clear stats, and scripts you can use to advocate for adjustments instead of giving up when a first prescription falls flat. Subscribe, share this with someone who needs clarity and get in touch with Jane with your questions https://menopausalnotmad.co.uk/ or on Facebook: https://www.facebook.com/menopausalnotmad

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[118] Menopausal Not Mad with Jane Pangbourne