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You’ve been told hormones cause breast cancer. Then you heard the warning came off the label. You’ve been told to eat less and move more. You’re doing it, and you still don’t feel like yourself. You’re not imagining the confusion. Even the experts disagreed at this year’s Menopause Society meeting. Dr. Carolyn Moyers went back to the data herself. She explains what the FDA’s change to the hormone therapy label really means for you. She covers what avoiding estrogen can cost your heart and your bones, and what your options are if you can’t take hormones for hot flashes and night sweats. If you wake at 3 a.m. and can’t fall back asleep, then wonder why you’re exhausted after “seven hours,” this episode is for you. If you’ve stood in the supplement aisle wondering whether creatine or collagen is worth it, this episode is for you. If perimenopause has changed your mood, your hair, or your interest in sex, this episode is for you. You deserve decisions based on data, not fear. This episode is for education and is not a substitute for individualized medical care. If you are having thoughts of suicide, call or text 988 in the US. Resources: Find a CBT-I clinician at behavioralsleep.org. ACLM Menopause Toolkit at lifestylemedicine.org. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com

Many women in their 40s and 50s eat the same way and move the same way they always have. Their bodies change anyway. The waistband gets tighter while the scale barely moves. The labs come back normal. The advice is still to eat less and move more. Dr. Carolyn Moyers talks with Dr. Traci DeSplinter, a board-certified OB/GYN and obesity medicine physician, Menopause Society Certified Practitioner, and founder of Refined Women’s Health, a direct care practice for midlife women in the Houston area. Dr. DeSplinter has more than 25 years in practice and additional training through the National Lipid Association in the management of cholesterol disorders. They talk about how body composition shifts across the menopause transition, why insulin resistance can be present years before a diabetes diagnosis, and which tests are worth a conversation with your doctor. They explain why perimenopause is a window for heart and metabolic health, where hormone therapy fits, and how GLP-1 medications are being used in midlife women. Dr. DeSplinter also takes on the misconceptions that keep women from getting care. This episode is for education and is not a substitute for individual medical care. Please talk with your doctor before starting, stopping, or changing any medication. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com Course: https://courses.drcarolynmoyers.com 🔗 Connect with Dr. Desplinter 📸 Instagram: @tracidesplintermd 🌐 Website: https://www.refinedwomenshealth.com

A lot of women in midlife put off their mammogram. Some are afraid of what it will find. Some are busy. Some have seen ads suggesting the radiation is a reason to skip it, and that a different scan can take its place. For Breast Cancer Awareness Month, Dr. Carolyn Moyers talks with Dr. Ann Kurian, a board-certified general surgeon with fellowship training in breast surgical oncology. They talk about which screening guideline to follow and why the recommendations differ, what dense breasts mean for your mammogram, and who should consider genetic testing or additional imaging. They put mammogram radiation in context and discuss how to think about radiation-free breast scans marketed directly to women. They also cover what early detection changes about treatment, how hormone therapy fits for women with breast concerns, and what happens after a woman finds a lump. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗 Connect with Dr. Ann Kurian: https://thecentertx.com/our-care-team/ann-kurian World Menopause Day Event - get your tickets https://event.skywomenshealth.com/world-menopause-day-8703 Course: https://courses.drcarolynmoyers.com/

Joints that started aching in your 40s. A shoulder that froze for no clear reason. Workouts that used to build strength and now just leave you sore. Imaging that comes back clean. Women are told this is just getting older. That isn't an answer Dr. Carolyn Moyers talks with orthopedic surgeon Dr. Jennifer FitzPatrick about the musculoskeletal syndrome of menopause. The term was proposed in 2024 to describe how falling estrogen affects joints, muscle, tendon, and bone. They talk about why joint pain and frozen shoulder show up so often in menopause and what a good evaluation should look like. They also cover where bone density screening and hormone therapy fit, and why strength training matters more after 40. Dr. Jennifer FitzPatrick is an orthopedic surgeon specializing in sports medicine. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗 Connect with Dr. Fitzpatrick 📸 Instagram: @jenfitzpatrickmd 🌐 Website: https://jenfitzpatrickmd.com World Menopause Day Event - get your tickets https://event.skywomenshealth.com/world-menopause-day #menopause #perimenopause #musculoskeletalsyndromeofmenopause #menopausejointpain #frozenshoulder

Vulvar itching, burning, tearing and pain with sex that never responded to yeast treatment may be lichen sclerosus. In October 2026, the largest randomized trial to date on fractional CO2 laser for lichen sclerosus was published in Obstetrics & Gynecology. Dr. Carolyn Moyers explains what it found, what it didn’t, and how laser fits alongside the steroid ointment that remains first-line treatment. She also covers how often lichen sclerosus overlaps with genitourinary syndrome of menopause, why vaginal estrogen still matters, and what sham-controlled trials show about laser for menopause-related dryness. This video is for education and is not medical advice. Do not stop or change prescribed treatment without talking with your doctor. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com World Menopause Day Event - Get your tickets! https://event.skywomenshealth.com/world-menopause-day-8703 Course: https://courses.drcarolynmoyers.com/

Menopause isn't just hot flashes — it's a window into your heart, your metabolism, and your mental health. Dr. Carolyn Moyers talks with family medicine physician Dr. Tolo about why hot flashes deserve to be treated as a vital sign, what midlife does to cardiovascular and metabolic risk, the mood changes that get missed, and how women and their doctors can catch it early — while there's still time to change the story. If you've ever been told "it's just menopause," start here. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗Connect with Dr Tolulope Olabintan 📸 Instagram: @dr_olabintanmd 🌐 Website https://www.livingspringmedicals.com/

The room spins with a turn of the head. Ears feel full for weeks. Ringing starts and doesn't stop. Exhaustion sets in, and because there's no snoring, no one tests for sleep apnea. Midlife women bring these symptoms to their gynecologist, and many have already been told it's menopause. Sometimes that's true. Often it's only part of the answer. Dr. Carolyn Moyers talks with Dr. Ashley Agan, a board-certified otolaryngologist in Dallas, about what midlife women are asking ENTs. They discuss vestibular migraine, which can cause vertigo with no headache and often surfaces in perimenopause. Dr. Agan explains why some women hear their own voice echo in one ear after weight loss, and why sleep apnea in women often looks like insomnia and fatigue. They also cover hearing and tinnitus, burning mouth, chronic throat clearing, dry nose, and when a symptom needs an ENT. And the ENT has a menopause story of her own! 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗Connect with Dr. Ashley Agan 📸 Instagram: @ashleyaganmd 🌐 Website https://www.scottieent.com/ World Menopause Day 2026 Hosted by Sky Women's Health: https://event.skywomenshealth.com/world-menopause-day-8703

Hormone therapy can be life-changing. Personalized care does not mean anything goes. In this episode, Dr. Carolyn Moyers explains why recreating a monthly bleed after menopause is not the same thing as restoring a menstrual cycle, why endometrial protection matters when systemic estrogen is used in a woman with a uterus, and what clinicians can consider when oral progesterone is not tolerated. She also takes a nuanced look at off-label vaginal use of 100- or 200-mg micronized progesterone capsules, what the evidence can and cannot tell us about endometrial protection, and why estrogen dose, progesterone dose, duration, bleeding, and follow-up all matter. One important distinction: none of this applies to recommended low-dose vaginal estrogen used for genitourinary syndrome of menopause. That is a different clinical situation, and it is generally not a reason to add a progestogen. This is not an anti-hormone episode. Dr. Moyers prescribes hormone therapy every day. It is an episode about what separates personalized medicine from experimentation. Related listening: Episode 253 — "The Hormone Question I Answer Multiple Times a Day: Progesterone vs Progestins." Important: This episode is educational and is not individualized medical advice. Do not start, stop, or change prescription hormone therapy based on a podcast. Postmenopausal bleeding should be discussed with a clinician and appropriately evaluated. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com World Menopause Day Event - get your tickets https://event.skywomenshealth.com/world-menopause-day-8703 Now is the time to have your voices heard! Public comment: https://www.regulations.gov/.../FDA-2026-N-5479-0001/comment Register for the meeting:https://www.fda.gov/consumers/womens-health-events/fda-public-meeting-testosterone-use-menopausal-women-09172026

The menopause headlines keep contradicting each other — hormones and Alzheimer’s, testosterone as a miracle fix, and a week later, “none of it holds up.” In this episode, Dr. Carolyn Moyers reads the actual studies behind this month’s headlines and tells you what’s real, what got oversold, and what it means for you. In this episode: • Two new studies on hormones and dementia — and the part the headlines skipped: the benefit didn’t clearly apply to women in typical, natural menopause • Why the benefit concentrated in women who lost estrogen early — and how that lines up with what guidelines already recommend • Risk reduction vs. prevention: why the difference is the whole point • Testosterone for women: what the newest review shows it truly helps — and why it’s not a brain or energy drug • Why there’s still no FDA-approved testosterone product for women — what it means to microdose the men’s version, and what an approved product would change • The FDA public workshop on testosterone in menopausal women (Sept 17, 2026) — and how to add your voice to the official record • A question you can use on the next headline you see This episode is for education and is not medical advice. Talk with your own doctor about what’s right for you. • The FDA workshop “Testosterone Use in Menopausal Women” is open to the public: register to watch, and submit a public comment through docket FDA-2026-N-5479 (comments open through Oct 19, 2026). Find it at fda.gov by searching the workshop title. https://event.skywomenshealth.com/world-menopause-day-8703 https://event.skywomenshealth.com/world-menopause-day-8703 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com

First, the part no one should miss: for most healthy women, hormone therapy is safe and beneficial — and in November 2025 the FDA removed the decades-old boxed warnings that scared a generation away from it. So this isn’t an anti-hormone episode. It’s for the woman who was told she can’t use hormones, or who has chosen not to, and needs to know what comes next. Sparked by a listener’s Instagram comment, Dr. Carolyn Moyers names who genuinely can’t use hormone therapy — then turns to what patients ask about most: protecting your bones, heart, and brain through menopause, with or without hormones. (For the full non-hormonal hot-flash menu, this episode points you back to Episode 132, “Nonhormonal Management of Menopause Hot Flashes.”) In this episode: Why most healthy women can use hormone therapy safely — and what the FDA’s 2025 warning change means The genuine hard stops — and why many of them are more open than they sound (route, and exact diagnosis) Your bones: why menopause accelerates bone loss, and the plan that protects your skeleton without hormones The evidence-based non-hormonal menu for hot flashes — what works, and what to stop wasting money on Your heart: the leading cause of death in women, and the levers that actually move it Your brain: what really reduces dementia risk (and why there’s no magic pill) Why bones, heart, brain, and symptoms are one connected system — and the single change that moves all of them Where to start: the numbers to know and the questions to bring to your doctor Referenced Episodes: Nonhormonal Management of Hot Flashes Episode 132 - Apple Dementia Prevention Episode 251 - Apple Why 65 Is Too Late to Screen Your Bones Episode 261 - Apple 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com #menopause #perimenopause #hormonetherapy #nonhormonal #hotflashes #breastcancersurvivor #gyncancer #bloodclot #bonehealth #hearthealth #brainhealth #GSM #tamoxifen #midlifewomen #skywomenshealth #drcarolynmoyers

You're waking up at 3 a.m. drenched, your moods don't feel like your own, and your once-predictable period has gone haywire. You finally ask for help — and you're told to just take a birth control pill, or to come back when your cycles stop. Here's what I want you to know: you don't have to wait to feel better, and the pill is one option, not the only one. In this episode, I take that myth apart and lay out the whole menu. I start with what I rule out first — because thyroid disease and insulin resistance can masquerade as perimenopause — and the full lab panel I run to catch them. Then the two questions that actually decide your treatment: do you need contraception, and what are your cycles doing? You'll hear why a birth control pill and menopausal hormone therapy are not the same medicine, how the hormonal IUD can cover contraception and protect your uterine lining while you add estradiol for symptoms, and why the delivery form — patch, gel, spray, ring, or pill — is part of the decision. Whatever you start with, hormone therapy is never one-and-done. The magic happens in the edits. Referenced in this episode: Progesterone vs. Progestins (Episode 253) → https://podcasts.apple.com/us/podcast/episode-253-the-hormone-question-i-answer-multiple/id1541657642?i=1000769336110 Come work with us at skywomenshealth.com. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com

Your bones are not static. They're living tissue that rebuilds your whole life — and in the years around menopause, that balance can tip toward loss, fast. So why are most women told to wait until 65 for their first bone density scan? In this episode, Dr. Carolyn Moyers welcomes back bone health specialist Dr. Kristi Tough DeSapri of Bone and Body Women's Health to talk about why 65 is too late for many women, when you should actually get screened, and what to do at every step — from a scary "osteopenia" result to a full osteoporosis diagnosis. In this episode: Why your bones aren't static — how bone actually rebuilds What estrogen does for bone, and why loss speeds up in perimenopause Why the standard age-65 screening guideline is too late for many women When to get your first (baseline) DXA scan — and who's higher risk How to read your results: T-scores and FRAX, without the panic Osteopenia diagnosis — what it means and what to do next Where hormone therapy fits for bone protection How osteoporosis is treated: bone-preserving vs. bone-building medications The exercise, calcium, vitamin D, and protein that actually protect bone If you want the foundation, go back to Episode 149: Bone and Body Health, where Dr. Tough DeSapri first joined us. This episode is for educational purposes only and does not constitute medical advice. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗 Connect with Dr. Kristi Tough DeSapri 📸 Instagram: @boneandbodywh 🌐 Website: www.boneandbodywh.com

You've eaten the same foods for decades — and suddenly, in your 40s, wine gives you a headache, your skin itches at night with no rash, you're congested year-round, and hives show up out of nowhere. If you've ever typed "why am I suddenly allergic to everything" into Google, this episode is for you. Perimenopause changes more than your cycle — it changes your immune system. Estrogen and histamine are in constant conversation, and when hormones start fluctuating, that conversation gets loud. Board-certified OB/GYN and menopause specialist Dr. Carolyn Moyers sits down with Dr. Karen Kaufman, a double board-certified allergist-immunologist and founder of Corneva Clinic, to explain the midlife allergy surge no one warned you about. In this episode: • Why new allergies, wine intolerance, and food reactions show up in perimenopause • What estrogen does to mast cells and histamine — and why fluctuation matters more than decline • Hormone or histamine? How two doctors tell apart flushing, palpitations, insomnia, and headaches • Itchy skin at night, itchy ears, hives, and year-round congestion — what's actually driving midlife itch • Histamine intolerance and MCAS: what the evidence says, and where social media gets ahead of the science • Low-histamine diets — what's reasonable, what's over-restriction • Hives or flushing after starting hormone therapy: why it's information, not a reason to quit, the magic happens in the edits • What to track before your appointment, and whether to see your menopause doctor or an allergist first 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗Connect with Dr. Kaufman 📸 Instagram: @dr.kaufmanallergy 🌐 Website: https://kaufmanallergy.com https://cornevaclinic.com

You call the pharmacy to refill your estradiol patch — and it’s on backorder. Again. Or the brand changes every month, the adhesive won’t stay on, and nobody can tell you when your medication is coming back. Estrogen patches are in shortage across the United States, and the strain is spreading to progesterone capsules and estradiol gels and creams. In this episode, Dr. Carolyn Moyers sits down with Lauren Darisse, General Counsel and COO of The HRT Club, to explain what is actually happening in the hormone therapy supply chain — and what you can do about it. In this episode: – Why estradiol patches are so hard to find, and why demand for menopausal hormone therapy has surged – Why brand consistency matters with patches — adhesives, wear time, and absorption are not interchangeable – How a direct-from-manufacturer membership pharmacy works – What to do first if your patch, progesterone, or gel is on backorder this week – How to spot a legitimate hormone therapy source online About the guest: Lauren Darisse, Esq. is the General Counsel and Chief Operating Officer of The HRT Club, where she built the legal and operational infrastructure behind an insurance-free hormone therapy platform. She brings more than a decade of healthcare legal and compliance leadership from digital health companies including The Pill Club, One Medical, and Iora Health. Learn more about The HRT Club: thehrtclub.com Dr. Carolyn Moyers is a board-certified OB/GYN, Menopause Society certified physician, and founder of Sky Women’s Health in Fort Worth, Texas — in-person in Fort Worth and virtual across Texas and West Virginia. Learn more at skywomenshealth.com. This episode is for education only and is not medical advice. Talk with your doctor before starting, stopping, or changing hormone therapy. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗Connect with HRT Club 📸 Instagram: @thehrtclub 🌐 Website thehrtclub.com

In July of 2025, Sky Women's Health made the biggest change in our practice's history: we left insurance entirely. In this episode, I'm finally telling the whole story. Why the insurance system pays for volume instead of quality. Why a real perimenopause history — everything you've tried, what worked, what didn't — cannot be taken in a 10-minute visit. Why hormone therapy fails when there's no follow-up built in. And what it means that we practice comprehensive gynecology — thyroid, sleep, heart health, abnormal bleeding — not just hormones. If you've ever left an appointment with half your list unmentioned, this episode will explain exactly why that kept happening — and what care looks like when the clock is gone. Learn more about membership at skywomenshealth.com. In person in Fort Worth, Texas · Virtual across Texas and West Virginia. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com #menopause #perimenopause #hormonetherapy #conciergemedicine #womenshealth #midlifewomen #menopausedoctor #fortworth #skywomenshealth