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The Period Party Podcast · EP. 308 · October 3, 2023

A Deep Dive Into Hysterectomy

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podcast guest

Listen on: Apple Podcasts Spotify

Dr. Michael Green, M.D. is a board-certified OB/GYN and the Chief Medical Officer of Winona, a telehealth service that offers hormone replacement therapy to women in perimenopause and menopause. In addition, he currently works as an OB hospitalist and site director for OBHG at Northridge Medical Center.

In this episode, Dr. Mike and I talk about the types of hysterectomies, the benefits and drawbacks of different surgical approaches, what you need to think about when considering this procedure, why hysterectomy might be recommended, the impact of hysterectomies on ovarian function and hormone levels, post-operative care and recovery expectations, how hormone replacement therapy can support overall health and hormone balance in the long term, and so much more!

Episode Highlights

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Resources Mentioned

Fix Your Period

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Personalised Protocol

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Frequently Asked Questions

Common questions from this episode — and how Fix Your Period can help.

What is perimenopause?
Perimenopause is the hormonal transition phase leading up to menopause — typically beginning in the mid-to-late 40s, though it can start earlier. It's characterised by fluctuating and eventually declining estrogen and progesterone levels, leading to irregular cycles, hot flashes, sleep disruption, mood changes, and other symptoms. Perimenopause can last 4–10 years.
What are the first signs of perimenopause?
Early signs include cycle changes (shorter or longer cycles, skipped periods), worsening PMS, sleep disruption, new or increased anxiety, mood changes, brain fog, and — eventually — hot flashes and night sweats. Progesterone typically begins declining before estrogen, which is why PMS and sleep issues are often the first symptoms.
What drives perimenopausal symptoms?
Perimenopausal symptoms are driven primarily by the erratic fluctuation and eventual decline of estrogen and progesterone. Declining estrogen reduces insulin sensitivity, making blood sugar dysregulation more likely. Declining progesterone affects sleep, mood, and anxiety. The degree of symptom severity is influenced by underlying hormonal health going into the transition.
Is Fix Your Period right for women in perimenopause?
Absolutely. Fix Your Period's free assessment gives you personalised results based on your current symptoms. Fix Your Period Premium unlocks multiple perimenopause-specific protocols, Nicole's Period Pillars education, and Nicole.AI — all tailored to support women through this hormonal transition.
Does Fix Your Period cover HRT for perimenopause?
Yes. Fix Your Period Premium includes a Hormone Replacement Therapy protocol covering the options available, how to have informed conversations with your doctor, and what to consider when exploring HRT as part of your perimenopause support strategy.
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