My guest today is Dr Hannah Short, a GP and women's health specialist who has personal experience of surgical POI (primary ovarian insufficiency), having undergone a total hysterectomy and bilateral salpingo-oophorectomy (removal of the womb, fallopian tubes and both ovaries) at the age of just 35. 

She now sees patients from across the POI spectrum and uses a combination approach of both HRT medication and nutrition and lifestyle changes. An ambassador for the Daisy Network, Hannah has big aspirations to improve Menopausal awareness and care across the country.

Hannah has a keen interest in the role of plant-based nutrition in female hormonal health, in particular the association between the gut microbiome and oestrogen metabolism. In 2018, Hannah completed the eCornell Certificate in Plant-Based Nutrition and has undertaken further training in lifestyle medicine with the Royal College of General Practitioners (RCGP).

On the show today we talk about:

• Hannah’s personal story - Endometriosis and surgically induced menopause and Premenstrual Dysphoric Disorder (PMDD)
• Defining the Menopause and Primary Ovarian Insufficiency (POI)
• What is normally meant to happen in the menopause 
• The pathophysiology behind the commonest symptoms
• How the menopause effects chronic conditions
• The gut microbiome and oestrogen metabolism
• “Oestrogen dominance”
• How a plant based diet can help lessen menopausal and menstrual symptoms
• The impact of inflammation on the menopause
• HRT and the different types - body vs bio - identical and their uses
• Soy and the menopause
• Supplements and the menopause

Do check out The Doctor's Kitchen website for more information on this episode and my guest - there's some great reference information over there.

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