Why do we prepare for puberty and pregnancy, but leave women completely in the dark when it comes to menopause?

In this episode, I’m joined by Julie — occupational therapist, menopause coach, and the voice behind @themenoot — for a raw, insightful conversation about the real-life impact of menopausal symptoms and the systemic failure to support women through it.

Together, we unpack the stigma, the silence, and the resilience it takes to advocate for yourself when the system doesn’t. This one’s part validation, part rebellion — and a whole lot of truth.

👉 Follow Julie on IG: @themenoot

👉 Follow me @drcarolynmoyers and share this with a friend who’s feeling unseen in midlife.

🎧 Listen now on your favorite podcast platform

What happens when menopause hits overnight? That’s surgical menopause — and too many women go through it without warning or support.

In this episode, I’m joined by Dr. Cheruba Prabakar to talk about:

• What surgical menopause is and why it’s so intense
• How sudden estrogen loss affects your heart, brain, bones, and more
• Why hormone therapy isn’t optional — it’s protective
• What you can do if this is your story
• Whether you’ve had your ovaries removed or are preparing for surgery, this episode gives you the info you need to advocate for your health.

Connect with us:

Follow Dr. Cheruba Prabakar → @thefibroiddoc

More at skywomenshealth.com

Follow Dr. Carolyn Moyers → @drcarolynmoyers

I'm sharing a crash course on menopause—originally presented as a one-hour lecture to second-year medical students. Whether you’re a provider looking to strengthen your evidence-based approach or a woman navigating the transition yourself, this episode delivers a high-level overview of what you need to know about menopause.

We cover:

What actually defines menopause and how it's diagnosed

Key hormonal shifts and their ripple effects across the body

Health risks associated with the menopausal transition (including bone, brain, and cardiovascular health)

Hormone therapy: risks, benefits, and clinical considerations

Non-hormonal therapy options

How to personalize treatment for your patient's symptoms, risk profile, and goals

This is the bird’s-eye view—concise, practical, and empowering.

🎧 Tune in to demystify menopause and walk away with a clearer understanding of how to approach this important phase of health with confidence.

Resources Mentioned:

The Menopause Society Guidelines

WHI (Women’s Health Initiative) clarified

NAMS Hormone Therapy Position Statement

ACOG Committee Opinion on Menopausal Hormone Therapy

Let’s Connect:

📱 IG: @drcarolynmoyers

🌐 Website: skywomenshealth.com

📩 Questions? Email me at [email protected]

Is your skin suddenly drier, duller, or more crepey than it used to be? You’re not imagining it—and hormones may be at the root. In this episode, Dr. Carolyn Moyers is joined by Dr. Emily Johnson, triple board-certified facial plastic surgeon and founder of 817 Surgical Arts, for a deep dive into how menopause impacts your skin—and what you can do about it.

From the science behind estrogen receptors in your skin to the latest in medical-grade skincare, lasers, and surgical options like facelifts, Dr. Johnson shares what works, what’s hype, and how to age on your own terms.

This is an empowering conversation about confidence, options, and redefining beauty in midlife.

What We Cover:

How estrogen decline impacts collagen, hydration, elasticity, and skin healing

What skin changes are common during perimenopause and menopause

How to choose the right skincare products and active ingredients (retinoids, peptides, HA, etc.)

In-office rejuvenation options: microneedling, lasers, PRP, and more

When to consider a facelift and how modern facelifts have evolved

The power of combining hormone support + skin strategy + self-confidence

Why aging well is personal—not prescriptive

Learn more about Dr. Emily Johnson and her work at 817SurgicalArts.com

📱 Follow us on Instagram: @drcarolynmoyers and @817surgicalarts

🎧 Missed our last episode with Dr. Johnson on midlife hair loss? Go back and listen to “Where Did My Hair Go?”

Hair thinning and shedding in midlife isn’t just frustrating — it can be deeply emotional and isolating. But you’re not alone, and you’re not imagining it. In this powerful episode, Dr. Carolyn Moyers sits down with Dr. Emily Johnson, triple board-certified facial plastic surgeon and founder of 817 Surgical Arts, to unpack the causes of hair loss in women during the perimenopause and menopause transition.

From hormonal shifts and genetics to nutrient deficiencies and inflammation, they explore why it happens, how to assess it properly, and what treatment options are available — from topical and oral therapies to in-office regenerative procedures.

If your hair feels like it’s betraying you, this episode is a must-listen.

What We Cover:

The real reasons women lose hair during perimenopause and menopause

The role of estrogen, androgens, and thyroid health

Female pattern hair loss vs. telogen effluvium

The emotional impact of hair loss and the importance of validation

Dr. Johnson’s approach to diagnosis, lab work, and biopsies

Treatment options: minoxidil, PRP, supplements, and more

Hair transplant basics and when to consider surgical options

At-home tips to support healthy hair growth

📱 Follow @drcarolynmoyers and @817surgicalarts for more evidence-based content and patient education.

www.817surgicalarts.com

Hair loss cap mentioned in episode: https://www.irestorelaser.com/pages/homepage-b

In this episode, Dr. Carolyn Moyers is joined by Dr. Jamie Litvack, an ENT physician with a passion for women’s health, to explore an often-overlooked side of menopause: the impact on your ears.

From ear canal dryness to ringing in the ears (tinnitus), hearing changes, and even unexplained dizziness or vertigo—menopause affects far more than just your hormones. Dr. Litvack explains why these symptoms occur, what to watch for, and how to advocate for care when your symptoms aren’t taken seriously.

You’re not imagining it—and you’re not alone.

What We Cover:

• Why estrogen decline affects the ear canal

• How hearing loss and tinnitus show up during perimenopause and menopause

• The link between hormonal shifts and dizziness or vertigo

• What to do when your symptoms are dismissed

• When to see an ENT or menopause specialist

Links & Resources:

📍 Schedule your consult at SkyWomensHealth.com

📱 Follow on Instagram @drcarolynmoyers

💌 Share this episode with a friend who keeps saying, “Why do my ears feel weird lately?”

In this episode, Dr. Carolyn Moyers breaks down the latest original research from the April 2025 issue of Obstetrics & Gynecology, focusing on the long-term cardiovascular biomarker changes in women who participated in the Women’s Health Initiative Hormone Therapy Trials. What does this mean for real-life patients considering hormone therapy? Are there age-related risks? What’s the deal with triglycerides?

Dr. Moyers explores the clinical relevance of these findings, limitations of the data, and the questions that still remain—offering an evidence-based, patient-centered perspective for women navigating menopause and their heart health.

🔍 What You’ll Learn:

What the WHI study found about hormone therapy and heart disease biomarkers

Why age and timing of hormone therapy initiation matters

The impact of hormone therapy on LDL, HDL, glucose, insulin resistance, and more

Why triglyceride levels rise and what that might mean for you

Whether symptom severity impacts cardiovascular risk

How this applies to your personal hormone therapy decisions

📌 Key Topics:

Women's Health Initiative (WHI) trials

Hormone therapy (CEE, CEE+MPA)

Cardiovascular biomarkers

Timing hypothesis

Clinical decision-making in menopause

Individualized care and risk-benefit counselingYou’ll Learn:

2020 North American Menopause Society (NAMS) GSM Position Statement

Feeling more than just tired lately? You’re not alone — and it might not just be hormones or sleep disruption. In this episode, Dr. Carolyn Moyers unpacks a new study from The Menopause Society linking abnormal uterine bleeding (AUB) — like heavy or prolonged periods — to debilitating fatigue during the menopause transition.

Learn how to recognize the signs of AUB, what a proper workup looks like, and what treatment options can help you feel like yourself again. Because you don’t have to tough it out — there’s a path forward.

What You’ll Learn in This Episode:

The difference between “normal tired” and “menopause tired”

Why 1 in 3 perimenopausal women experience abnormal bleeding

How heavy or prolonged bleeding can lead to iron deficiency and fatigue

What a proper medical workup should include

Treatment options that actually work — from iron support to hormonal and non-hormonal therapies

Resources & Links:

Study: "Are You Just Tired or Are You Menopause Tired?" - Menopause, The Menopause Society

Learn more about abnormal uterine bleeding from ACOG

Book a consultation with Dr. Moyers at Sky Women’s Health

Instagram: @drcarolynmoyers

Practice Website: Sky Women’s Health

In this episode, Dr. Carolyn Moyers dives into one of the most overlooked yet impactful topics in women’s health: low sexual desire. Despite growing recognition of sexual wellbeing as a key part of overall quality of life, sexual concerns are still rarely addressed in clinical settings. Drawing from the ISSWSH Process of Care for Hypoactive Sexual Desire Disorder (HSDD) and a new 2025 study published in Menopause, Dr. Moyers explores the barriers women face in getting support—and what healthcare providers can do to change that.

Nearly 50% of postmenopausal women experience GSM symptoms — yet many suffer in silence. From vaginal dryness to recurrent UTIs and painful sex, these symptoms are chronic, progressive, and treatable.

In this episode you will learn:

Why sexual health conversations are often missing from routine care

How to use the Decreased Sexual Desire Screener (DSDS) to identify HSDD

What a targeted physical exam can reveal—think clitoral adhesions, vulvodynia, high-tone pelvic floor dysfunction, and more

Medical and psychological conditions that contribute to low desire

How medications may be sabotaging sexual function

Evidence-based treatment strategies that go beyond “just relax and try wine”

Why giving women permission to talk about sex is a clinical skill we all need to practice

ISSWSH Process of Care for the Management of Hypoactive Sexual Desire Disorder in Women, published in Mayo Clinic Proceedings, April 2016

New study in Menopause (May 2025) exploring physician barriers to addressing sexual concerns in clinical care

In this episode of the Sky Women’s Health Podcast, Dr. Carolyn Moyers, board-certified OB/GYN and Menopause Society Certified Provider, breaks down the newly released 2024 American Urological Association (AUA) Clinical Guideline on Genitourinary Syndrome of Menopause (GSM).

🔍 What You’ll Learn:

• What GSM is and why it matters
• Key takeaways from the new AUA guideline, endorsed by ISSWSH and The Menopause Society
• How the 2024 AUA guideline compares to the 2020 NAMS Position Statement
• Evidence-based treatment options, including local estrogen, DHEA, and non-hormonal interventions
• What’s safe for women with a history of breast cancer
• The importance of shared decision-making and pelvic health referrals
• Why GSM treatment is not just about symptoms — it’s about quality of life
• Whether you're a clinician or a woman navigating menopause, this episode provides practical, compassionate, and up-to-date guidance that empowers you to take action.

The 2024 AUA Guideline on GSM (aua.org)