If you've ever been told that hormone replacement therapy is dangerous, or if you've just quietly accepted leaks, dryness, or painful sex as inevitable parts of midlife — this episode is for you.
Dr. Mary Pines sits down with pelvic floor physiotherapist Lindsay Geddes to cut through decades of fear-based misinformation around HRT. They cover why hormones aren't just for reproduction, how the notorious 2002 Women's Health Initiative study was flawed (and later retracted), and why bioidentical hormones are a game-changer.
Dr. Mary also breaks down exactly what vaginal estrogen does — from rebuilding tissue thickness and improving lubrication, to supporting the vaginal microbiome, reducing UTIs, and even improving clitoral sensation. Plus, Lindsay shares her clinical tips on how to actually apply it for maximum benefit.
Armed with this episode, you'll know exactly what to say to your doctor.
In This Episode:
• Why the 2002 Women's Health Initiative study created decades of fear around HRT — and why that fear is now officially outdated
• What vaginal estrogen actually does: rebuilding tissue, improving lubrication, supporting the vaginal microbiome, reducing UTIs, and restoring sensation
• How to have an informed, confident conversation with your doctor about bioidentical hormones and vaginal estrogen
Links & Resources
Learn more about Dr. Mary’s work at DrMaryPines.com and her signature Better Beyond 40 Formula program.
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Transcripts of all episodes can be found here.
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Disclaimer: The content shared on this channel is for educational and informational purposes only and does not constitute medical advice. Nothing here is intended to replace the guidance of your physician, licensed healthcare provider, or any information accompanying a product you've been prescribed or recommended. Do not rely on this content to diagnose or treat a health condition, or to make decisions about medication or other therapies.