Win a year's worth of Menopause Care appointments by entering our giveaway here: https://bit.ly/4t3ELhb

Can you take HRT if you have endometriosis, adenomyosis or fibroids?

In this week’s episode, Dr Naomi Potter is joined by Menopause Care doctor Dr Eloise Elphinstone to talk through the conditions that can make menopause treatment feel more complicated – including endometriosis, adenomyosis and fibroids.

Together, they explain why these conditions can affect HRT choices, why progesterone matters, when a Mirena coil may be helpful, and why having endometriosis or fibroids does not automatically mean HRT is off the table.

Expect clear, practical advice for women who have spent years feeling dismissed, confused, or worried that their history of pain, heavy bleeding or surgery means they have fewer menopause treatment options.

💬 Topics include:

• What endometriosis actually is

• Why endometriosis can take years to diagnose

• Can HRT flare endometriosis symptoms?

• Why progesterone is important with endometriosis

• HRT after hysterectomy

• Surgical menopause and medical menopause

• What adenomyosis is and how it differs from endometriosis

• Fibroids, heavy bleeding and menopause

• Can you take HRT if you have fibroids?

• The role of the Mirena coil

• How to tell if pain is menopause or endometriosis

• Why specialist menopause care matters

Follow Is It Hot In Here? podcast on Instagram at @podcast_naomipotter

Follow Dr Eloise Elphinstone below:

Eloise's Instagram: @the_womenshealth_gp

Follow Dr Naomi Potter below:

Naomi’s Instagram: @dr_naomipotter

Naomi’s TikTok: @dr_naomipotter

More info and menopause support at: https://www.menopausecare.co.uk/

00:00 – Introduction: menopause, endometriosis & why diagnosis takes years

00:50 – What endometriosis actually is and why it causes pain

03:05 – Why menopause and HRT can complicate endometriosis

05:03 – How HRT is prescribed differently in endometriosis

08:00 – Hysterectomy, endometriosis & why progesterone still matters

09:59 – What the Mirena coil does and why it helps endometriosis

11:30 – Key takeaways: can women with endometriosis still use HRT?

13:28 – What is adenomyosis and how is it different from endometriosis?

16:26 – The “estrogen threshold” theory explained

17:01 – Medical menopause, GnRH treatments & surgical options

19:36 – Why endometriosis care and menopause care are often difficult

20:29 – Why endometriosis is called a chronic inflammatory condition

21:52 – Fibroids explained: symptoms, growth & menopause implications

24:48 – Can women with fibroids safely use HRT?

26:08 – The emotional impact of years of dismissed symptoms

28:26 – Mirena coils, fibroids & reducing heavy bleeding

29:50 – Why hysterectomies are less common than they used to be

31:07 – Listener question: bladder pain, hip pain & menopause vs endometriosis

35:08 – Listener question: can progesterone affect endometriosis?

36:01 – Final thoughts & outro

#hrt #endometriosis #perimenopause

❤️ Win a year's worth of Menopause Care appointments by entering our giveaway here: https://bit.ly/4t3ELhb

Confused about HRT in menopause?

Today Dr Naomi Potter is answering as many questions as possible about HRT – all sent in by our lovely listeners.

From what to do if progesterone affects your mood or sleep, to why vaginal oestrogen is still so underused, you can expect these frequently asked questions to be addressed with clear, practical, reassuring advice.

💬 Topics include:

• How to know if you need HRT

• Can you take HRT in your 30s?

• HRT and endometriosis

• What to do if one HRT product doesn’t suit you

• Bleeding on HRT

• Taking HRT while still having periods

• Progesterone, mood and sleep

• Mirena coil and progesterone

• Stopping HRT suddenly

• Testosterone and PCOS

• Vaginal oestrogen and recurrent UTIs

• HRT alternatives and supplements

• Anxiety after starting HRT

Follow Is It Hot In Here? podcast on Instagram at @podcast_naomipotter

Follow Dr Naomi Potter below:

Naomi’s Instagram: @dr_naomipotter

Naomi’s TikTok: @dr_naomipotter

More info and menopause support at: https://www.menopausecare.co.uk/

#hrt #perimenopause #menopause

Today we're revisiting our episode with self love expert Lou Featherstone AKA Lu in Luland.

If you have lost yourself in midlife, you need to listen to this.

If you enjoyed this snippet, you can listen to the full episode with Lou Featherstone here: https://open.spotify.com/episode/4pje5DvRy7rUoc3eyvJfSN?si=bww7hrU5RE-No0eg4eezow

#menopause #midlife #midlifecrisis #perimenopause #drnaomipotter