In this NSFM* ladies-only episode, Martha's friend returns to talk about midlife issues that are top of mind.

This shorter episode contains just one side of the conversation about flooding periods during perimenopause, IUDs and IUD removal, and how progesterone is often the first HRT intervention suggested and the first "needed" (by those who choose to go that route)

What are some doctors using to manage perimenopause symptoms?

Why is being drunk in love dangerous when middle-age is bearing down on you?

 Get the answers to these questions in this episode.

* Are you one of my male listeners? This episode is marked NSFM (NOT suitable for men) due to menstruation stories you DEFINITELY don’t want to hear. 😂 Instead, please listen skip to the Viagra episode for some all-gender commiseration and laughs. It's a “sexier” less-likely-to-traumatize-you episode. You’re welcome!

And get your own deck of Martha's inappropriate affirmation cards.

MAV Tip: There are many ways to navigate the hormonal roller coaster of perimenopause, from diet, exercise, and other lifestyle habits to hormonal interventions, natural and pharmaceutical. If you need birth control in your forties, maybe a hormonal IUD could be right for you. Vasectomies, of course, are also useful. :) Even if you don't go the IUD route, if you're experiencing flooding periods your doctor can explore options with you. If they don't take your heavy periods (or excessive breast tenderness) seriously, seek out other medical opinions - even if it means finding a non-gyno menopause practitioner. NAMS (the North American Menopause Society) offers a searchable directory of Menopause Practitioners they certify.

*Unnecessary is in the eye of the beholder. You do you, boo. You get to choose. 

How Can I Tell If I'm In Perimenopause If I Have A Mirena? Can IUDs Help With Menopause? And That One Time Martha Almost Removed Her IUD Herself (With A Little Help From Her Drunk Boyfriend)

Take care of yourself. And take care of your vagina!

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