Over 40? Is it Menopause, Mental Health, Relationships, HRT, or Sexuality? | Dominique Sachse

An intimate, life-changing conversation between Dominique and Houston's premier gynecologist, Dr. Susan, about customizable care for women in midlife. From HRT management to mental health, to a great sex life, women 40+ can have it all!

Connect with Dr. Susan:
Website: https://drsusan.com/
Practice: https://completemidlifewellnesscenter.com/
Book: https://amzn.to/2z7m8nT
Instagram: https://www.instagram.com/drsusanofficial/
Facebook: https://www.facebook.com/drsusanofficial

Time Codes:
0:45 Caring for women in midlife

3:08 Lack of information in medical field on menopause and changing landscape

4:39 Prescription of anti-depression medicine in lieu of menopause treatments and the potential fallout

8:23 Symptoms of Peri-menopause in early-mid 40’s and getting help to optimize hormones

14:15 HRT treatment options available for each patient: thyroid, progesterone, estrogen, testosterone ..
Women’s Health Initiative study from 18 years ago linking estrogen to breast cancer..
Rediscovery of sexuality

22:54 Are there women who can’t take HRT, and are there ways to do it?

24:59 Options for women with breast cancer

27:32 Progesterone after a hysterectomy? Benefits of this hormone for all women (mood/sleep)

32:50 Customizable menopause management as levels change and importance of monitoring those levels

35:50 Susan’s book “Sexually Woke - Awaken the Secrets to Your Best Sex Life in Midlife and Beyond” (honest discussion about loss of sex drive and implications)

39:55 Secrets of the sexually woke - what did women have in common who were enjoying their sex lives

48:40 The value of women communicating to their partners what their needs/pleasures are and the role resentment plays

53:16 Self-care and getting ourselves outside the limiting box. New ways of seeing/doing things

56:00 Midlife care with Dr. Susan - Patient/Doctor experience. Treatments available from HRT to sexual enhancement

1:02:00 Funny vibrator story + options + intimate moisture

1:04:00 The value of giving and receiving pleasure “a generosity practice”

1:06:00 Women’s circles and female friendships - importance of being connected

1:08:00 What does acceptance mean?

1:10:00 The path forward - getting the wheels in motion

1:13:00 End with Dominique joke