The only thing women tend to do better than men after having a heart attack is die. That’s a sobering mic drop. It’s also a fact and one that this week’s guest Dr. Martha Gulati is making her life’s work to change. We dive into the special heart disease risk factors women, especially menopausal women face, even if they’re active and fit, what you need to know about your cardiovascular health, and how to prioritize your heart health and cardiovascular care. 

Dr. Gulati is the President of the American Society for Preventive Cardiology and the author of the best-seller, “Saving Women’s Hearts”. She is the principal investigator of the St. James Women Take Heart Project, a study examining cardiac risk factors in women, which set standards for women’s fitness levels and heart rate response to exercise in women. She also is a co-investigator on the Women Ischemic Syndrome Evaluation (WISE) and previously served as a co-investigator on the Women’s Health Initiative (WHI). She has published articles in peer-reviewed publications, including The New England Journal of Medicine, Circulation, and Journal of the American Medical Association (JAMA).  She has also been featured on Oprah. Her practice is exclusively women, including many active women and she is a runner herself. You can learn more about her and her work at https://drmarthagulati.com/ You can find the MHT and cardiovascular research referenced in the intro here. 

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From femtech apps to menopause telehealth, tracking rings to cooling bracelets, and even cryotech surgical services designed to prolong ovarian function, menopause is having a moment in innovation and enterprise. This week we dig into it with Alyssa Dweck, MD, FACOG, who is an avid runner as well as a consultant, key opinion leader (KOL), and medical advisor in the women’s health device, pharmaceutical, product, and medico-legal industry. 

Dr. Dweck is a practicing gynecologist in New York where she provides care to women of all ages and has special interest and expertise in female sexual health and medical sex therapy. She is also an Adjunct Assistant Professor of Obstetrics & Gynecology at New York Medical College, the co-author of three books, including the newest release The Complete A to Z for Your V, ​​and is the founding chief medical officer at Bonafide. You can learn more about her and her work at https://drdweck.com/

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One in eight women will have their ovaries removed before the natural age of menopause. Five percent of women naturally go through early menopause between the ages of 40 and 45, and 1 percent experience premature menopause before age 40. That’s a lot of women. And a large percentage of these women are not getting the counseling they need to optimize their well-being and long-term health, says menopause management specialist Corinne Menn, MD. This week she’s here to help as we dive into the unique challenges of surgical and early menopause and what women need to know.

Dr. Menn is a board certified OB/GYN with expertise and a special interest in menopause management and female cancer survivorship health. She is a 20-year survivor of breast cancer and has a passion for using her medical expertise and personal experience to help women navigate these complex health issues. She is an active contributor and volunteer with the Young Survival Coalition, serves on their Council of Advisors, and moderates the Healthcare Provider-Survivor Support Group. Dr. Menn is also an active member of the North American Menopause Society and a Certified Menopause Practitioner. She devotes her professional time to her female-focused telehealth practice and is working on a website and blog chronicling her experience as a doctor and survivor of breast cancer, premature menopause, and everything in between! You can learn more about her at https://linktr.ee/drmennobgyn

Resources:

Instant Help for Induced Menopause

NAMS 2022 HT Position Statement 

NAMS Patient Handout “Deciding about HT

POI: Beyond the Basics

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Women have traditionally been ignored in sleep medicine (shocking, we know). That means our sleep issues can be misunderstood and misdiagnosed, especially during menopause when sleep disruptions rise. This week we investigate how hormones and menopausal symptoms impact sleep, as well as dive into sleep issues like sleep apnea (which shows up differently in women), restless leg syndrome, hypervigilance, and more with Dr. Andrea Matsumura, a holistic sleep medicine physician and a partner at the Oregon Clinic in Pulmonary, Critical Care, and Sleep Medicine.

 

Dr. Matsumura’s personal passion is helping women and women athletes understand their sleep and its key role in personal health, wellness, and performance. She has been the guest speaker for The American Academy of Sleep Medicine, numerous podcasts, and has been quoted in myriad articles about sleep and wellness. You can learn more about her work at https://www.oregonclinic.com/our-team/andrea-matsumura

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Hit Play Not Pause is on a quick summer break during the weeks of July 18th and 25th, 2022. While we're out, we are excited to share two episodes from Feisty Media's excellent limited Title IX series.

Not to pick favorites, but here at Feisty - this is definitely a favorite. With almost 50 years of experience as an athletic director and inductions into seven different halls of fame, Joan Cronan has A LOT to say about Title IX and gender equity in sport. Graduating college in 1966, Joan was part of intercollegiate sports before women had the federal right to equally compete. This week, our co-host of Girls Gone Gravel, Kathryn Taylor, interviews Joan and asks her about what she calls "her journey."

Joan shares the story of her life so far, beginning at the age of twelve when she decided she was going to create change for women in athletics. To do so, in 1972 Joan made a cold call to the president of the College of Charleston and left his office as the women's basketball coach, volleyball coach, tennis coach and overall athletic director. From there, she made innumerable changes to women's athletics that will forever go down in history. If that isn't feisty, what is?

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Hit Play Not Pause is on a quick summer break during the weeks of July 18th and 25th, 2022. While were out, we are excited to share two episodes from Feisty Medias excellent limited Title IX series.

Not to pick favorites, but here at Feisty - this is definitely a favorite. With almost 50 years of experience as an athletic director and inductions into seven different halls of fame, Joan Cronan has A LOT to say about Title IX and gender equity in sport. Graduating college in 1966, Joan was part of intercollegiate sports before women had the federal right to equally compete. This week, our co-host of Girls Gone Gravel, Kathryn Taylor, interviews Joan and asks her about what she calls her journey.

Joan shares the story of her life so far, beginning at the age of twelve when she decided she was going to create change for women in athletics. To do so, in 1972 Joan made a cold call to the president of the College of Charleston and left his office as the womens basketball coach, volleyball coach, tennis coach and overall athletic director. From there, she made innumerable changes to womens athletics that will forever go down in history. If that isnt feisty, what is?

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Hit Play Not Pause is on a quick summer break during the weeks of July 18th and 25th, 2022. While we're out, we are excited to share two episodes from Feisty Media's excellent limited Title IX series.

This week, Haley Chura - co-host of Ironwomen - interviews the renowned Wendy Mink. Wendy is a professor of politics, women's and gender studies, as well as the daughter of the very first woman of color in congress - Patsy Mink. Patsy was the co-author of the Title IX legislation and paved the way for women's participation in sports. 

Wendy shares her mother's journey and the reasons that prompted her to fight for change. Haley and Wendy discuss what Title IX was created for, and they give us the groundwork for the rest of the series.

Click here to purchase a copy of Wendy's new book!

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If you’re feeling more injury prone, you’re not alone. Many women who have led active, athletic lives without a lot of injuries and “itises” suddenly find themselves sidelined more often during the menopause transition. Fluctuating and declining hormone levels directly impact your musculoskeletal system, as do your lifelong movement patterns, exercise habits, recovery practices, and nutrition–all of which become increasingly important during this time of life. This week’s guest, sports medicine physician and endocrinologist Kathryn Ackerman, MD, MPH, dives into what we know, what we’ve yet to learn, and what we should be doing right now to dial it all in to stay strong through menopause and beyond.

Kathryn is the medical director of the Female Athlete Program in the Sports Medicine Division at Boston Children's Hospital. Her interests include female athletes, rowing injuries, endocrinology, relative energy deficiency in sport (RED-S), optimizing performance and health in athletes with diabetes, exercise-associated hyponatremia, and exercise and bone health. She is also a former national team lightweight rower, chair of the US Rowing Medical Commission, member of the World Rowing Medical Commission, and the course director for the Female Athlete Conference, held biennially at Boston Children's Hospital. You can learn more about her here and the paper she references on the Effect of Estrogen on Musculoskeletal Performance and Injury Risk by Keith Barr here. 

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Women often stop going to the high mountains when they reach menopause. The reasons why–hot flashes, unpredictable periods, anxiety, and fear, to name a few–will resonate with all of us, whether or not we ever step foot above sea level. This week’s guest, high altitude mountaineer Jeannette McGill is currently navigating the menopause transition herself and is determined to help women manage their menopausal symptoms and continue their journey of exploration in the outdoors and beyond. 

Jeannette is the first South African woman to summit Manaslu and the first-ever South African to climb Dhaulagiri - two of the 14 8,000-meter (26,000 feet) mountains in the world. She is passionate about supporting others to achieve their outdoor goals through her mountain mentoring and leads bespoke adventures in the Australian Alps and Nepal. Her portfolio career also includes industrial technology management, and she has a PhD from the Colorado School of Mines. You can learn more about her and her work as a mentor and guide at https://www.mcgillsmountains.com/

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The menopause transition can throw a lot of obstacles in your path. Training for and participating in obstacle course races can help you overcome them both physically and mentally, as you lift heavy loads, strengthen your grip, and hone your mental toughness and problem-solving skills. Plus, it’s super fun, says this week’s guest, obstacle course race enthusiast Laura McElduff, 52, who credits obstacle course racing with helping her get through perimenopause. 

Since completing her first obstacle course race in 2012 at age 42, Laura has competed at every distance from 3K to 50K ultras, raced in Canada and UAE and throughout the USA, placed top 10 in the F50-54 age group in the 2021 Spartan North American Championship and in the 2021 Spartan World Championship in Abu Dhabi, UAE. She is the mom of a young adult daughter and son and is vice president of a fragrance company in New Jersey. You can follow her OCR adventures on Instagram. 

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