In this episode, Monica shares what surgical menopause really feels like — and what no one prepared her for. She talks openly about losing estrogen overnight, trying every form of hormone therapy available, and why so much fear around estrogen is based on outdated information.
We discuss the lasting impact of the Women’s Health Initiative study, the black box warning that shaped a generation of doctors, and why only a small percentage of OB-GYNs are formally trained in menopause care. Monica explains why hormone therapy is not just about hot flashes — but about brain, bone, heart, skin, and long-term health.
She also shares how her personal struggle led to building Alloy — a menopause telehealth platform connecting women to licensed OB-GYNs across the U.S., reducing years of suffering to days of access.
What happens to your body in surgical menopause — beyond hot flashes
Every form of estrogen Monica has tried: compounded creams, patches, pills, pellets, sprays, gels — and how each one worked for her
How to know if your hormone therapy dose is wrong — and when to switch
The difference between oral and transdermal estrogen — and the myths around safety
Vaginal estrogen: incontinence, UTIs, dryness, and why it’s often overlooked
Perimenopause symptoms to watch for — anxiety, sleep loss, heavy bleeding, weight gain
When birth control pills make sense in perimenopause — and when they don’t
The black box warning, what changed, and what women need to know now
Why progesterone, testosterone, and thyroid hormones also matter in midlife
How hormone therapy, strength training, sleep, and nutrition together support long-term health and quality of life in menopauseThis podcast is powered by Mira — a hormone health monitor that empowers women to track their hormones at home and make confident, informed decisions about their health and future.
Follow us on Instagram @mirafertility and visit miracare.com to learn more.
If this episode resonated with you, follow Mirror Talks wherever you listen to podcasts — and share it with someone who needs to hear Sylvia’s story. You can also join Mira’s community for more stories, resources, and guidance on your hormone health journey.
Hosted by Teo, a menstrual cycle coach helping women reconnect with their cycles, tune into their hormones, and live more in sync with their bodies.
Produced by Hatch Up podcasts.