Perimenopause is finally breaking free from the shadows of discomfort that many of us have avoided discussing for far too long! It’s time to shed the embarrassment and stigma—let's confront the facts head on.
This is where myths proliferate, as we’re inundated with conflicting information that leaves us feeling paralyzed and unsure of what to believe or ask.
Interested in learning more about foods that could improve your menopause journey?
I encounter more women and close friends—whether at church or in casual conversations, who belong to a generation that has been silent about these challenges. We’ve been left in the dark, but that has to change. I’m excited to see a movement emerging that not only validates our experiences but also actively dismantles the stigma surrounding this natural phase of life.
It’s time to embrace and celebrate menopause while unpacking the myths and understanding the facts about hormone replacement therapy (HRT).
For those of us managing chronic diseases, this conversation is even more critical. Navigating the complexities of perimenopause can be overwhelming, especially as we consider how hormonal changes impact our blood sugar levels. Understanding the realities of HRT is essential for women with diabetes, as it can empower us to make informed choices for our health and well-being. Western and functional medicine are slowly recognizing the unique challenges women with diabetes face, highlighting the need for personalized care. This is the much needed support I provide in my coaching programs.
My Personal Experience: Perimenopause and T1D Collide
Navigating perimenopause while managing Type 1 diabetes (T1D) was something I didn’t fully anticipate. At age 50, I went on a yoga retreat in Costa Rica, excited to relax. However, I soon noticed something felt off. My body was changing in unfamiliar ways—bloating, irregular cycles, and the anxiety of seeing my blood sugar levels swing unpredictably. Being out of my routine in a different country amplified these changes.
When I returned home and spoke with other women in similar situations, I started to wonder if I was going through perimenopause. Could this stage of life be causing my blood sugar swings, weight gain, mood changes, and sleep issues? Learn more about the Top 3 Reasons Women with Type 1 Diabetes Gain Weight.
Since estrogen receptors are found in nearly every cell of a woman’s body, a drop in estrogen during menopause can affect everything. Understanding how hormones interact is the first step.
Here’s a quick look at the three stages of menopause:
Perimenopause: This transition can last years, bringing irregular periods, hot flashes, and more.
Menopause: You’ve officially entered menopause after one year without a period. Your ovaries stop releasing eggs and produce much less estrogen.
Postmenopause: Symptoms may ease, but the risk for issues like osteoporosis, insulin resistance and heart disease increases.
Start by explaining the common misconception's many of women still carry and may prevent from moving forward with their health decisions.
Myths & Facts About HRT: Debunking Myths Around HRT
The 2002 WHI Study: This landmark study shaped negative perceptions of HRT. It found that taking estrogen plus progestin HRT increased the risk of heart disease and breast cancer. However, experts like Dr. Felice Gersh argue that bioidentical hormones are vital for women’s health, offering anti-inflammatory benefits and protecting the heart, brain, immune system, and bone density.
Safety of Bioidentical Hormones: Bioidentical hormones mimic those naturally produced by your body and come in various forms—creams, patches, pills, gels, trochees, or pellets. They can help regulate mood and maintain overall health.
Effects of Stopping HRT: Ceasing HRT can lead to a loss of benefits, affecting cardiovascular health, bone density, and cognitive function. Symptoms may return once HRT is discontinued.
Hormone “Poverty”: This term refers to a state of hormone deprivation, increasing the risk of heart disease, osteoporosis, and cognitive decline. Maintaining hormone balance through HRT can help prevent these issues.
Long-Term Use of HRT: HRT isn’t just a short-term solution. Many women benefit from long-term use, as it can significantly enhance quality of life.
A listener’s question about HRT safety inspired me to clear up myths and share insights to help you navigate this stage of life. In episode 76 of the Type 1 in Midlife podcast, I share my four-year journey with HRT and Type 1 diabetes, address fears from the 2002 WHI study, and reflect on conversations with women hesitant about HRT due to misinformation.
Tune in for practical advice and encouragement:
A deep dive into the 2002 WHI study and its role in shaping negative views on HRT.
The safety of bioidentical hormones versus traditional hormone therapy.
Personal stories about women avoiding HRT due to misconceptions, and why it's important to stay informed.
Six Steps for Women with Diabetes: HRT Action Plan
Consult Your Doctor: Discuss how HRT can benefit you and tailor the treatment to your needs.
Locate a Hormone Expert: Visit www.menopause.org to find a hormone expert near you.
Choose the Right Form: Select the bioidentical hormone form that suits you best.
Monitor and Adjust: Regularly assess how HRT affects you and make adjustments as needed.
Stay Informed: Educate yourself about the long-term benefits and potential risks of HRT.
Communicate: Share your experiences and concerns with your healthcare provider for ongoing support.
Embracing Life With T1D As You Age
As we navigate the challenges of menopause and type 1 diabetes, remember that you don’t have to figure it out alone. Consider HRT to improve your well-being while first focusing on balanced hormones, blood sugar management, and a healthy lifestyle.
We all deserve to thrive and achieve empowering outcomes. If you have any questions or want to know how my coaching programs can help, don’t hesitate to reach out.
Let’s uplift one another, share our stories, and navigate this journey together with courage and confidence!
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