Talking Smack 415

The Real Deal on Menopause: Hormones, HRT & Pelvic Health with Dr. Betsy Greenleaf


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In this episode of Talking Smack 415, Jamie the Great and I sit down with Dr. Betsy Greenleaf, a leading expert in menopause, perimenopause, and andropause health.

Dr. Greenleaf is a board-certified urogynecologist, bestselling author, entrepreneur, and founder of the International Pause Institute, where she helps women and men reclaim their energy, confidence, and hormonal balance through holistic care. She also leads The Pelvic Floor Store, an online resource for pelvic health, and Femversity, a women’s empowerment and education platform.

With over two decades in female pelvic medicine and reconstructive surgery, Dr. Greenleaf is known for blending science with humor and warmth—making it easier to talk about sensitive topics like hormones, sexual health, and menopause symptoms. She even channels her creativity into producing a Menopause Rock Album, Menopause Memo, by drbetsygreenleafbeats.

 In this episode, we answer listener questions about:

  • Natural strategies and lifestyle changes for perimenopause and menopause
  • Foods and supplements that support hormone balance—and what to avoid
  • Hot flashes and night sweats: causes, meaning, and relief techniques
  • HRT (Hormone Replacement Therapy): safety after 55, cancer, and heart-health myths
  • Topical estrogen for skin and face—does it really work?
  • HRT vs. birth control for perimenopause symptoms: what’s best and when
  • Which hormones improve mood, sleep, and irritability—estrogen, progesterone, or both
  • Bone health beyond calcium: exercise, protein, and key nutrients
  • Pelvic floor health, prolapse, and reclaiming strength and confidence
  • Lab testing (bloodwork, DUTCH test), hormone tracking, and how to read your results
  • And more

Listen, subscribe, and share this episode with those  navigating peri or menopause. Don’t forget to rate and review Talking Smack 415 so more peeps can find us. 

Link for 10% off at the Pelvic Floor Store:  https://pelvicfloorstore.com/discount/TALKINGSMACK415    or just use TALKINGSMACK415

Women’s Pelvic Meditation: https://femversity.com/pelvicmediation-sign-up

Hormone Quiz: https://link.apisystem.tech/widget/quiz/Xxe3hNPG5Iora9LqUILT

The International Pause Institute:   https://pauseinstitute.com

The Pelvic Floor Store:   https://pelvicfloorstore.com

https://www.instagram.com/drbetsygreenleaf

https://www.tiktok.com/@drbetsygreenleaf

https://www.facebook.com/dr.betsy.greenleaf/

https://www.youtube.com/channel/UCdu6ZIxyAYGKsmJPtEvTS4w

https://www.linkedin.com/in/drbetsygreenleaf/ 

Menopause Memo Rock Album by Doc BET-Z https://distrokid.com/hyperfollow/drbetsygreenleafbeats/menopause-memo

 Podcasts Some of Your Parts  https://someofyourparts.libsyn.com/

Body Mind Spirit  https://www.wytv7.org/body-mind-spirit

Share this episode with your friends and family who love to laugh. Subscribe to Talking Smack 415 and leave us a rating and review so more peeps can find us for laughter and friendship to feed your soul!

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Talking Smack 415By Debbie Mink & Jamie Roseman

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