Podcasts > The School of Greatness > "Doctors Are CLUELESS About Women's Bodies" - How To Take Your Power Back & HEAL

"Doctors Are CLUELESS About Women's Bodies" - How To Take Your Power Back & HEAL

By Lewis Howes

In this episode of The School of Greatness, the discussion focuses on the biological differences between men and women, particularly in the complexities of the female hormonal system and menstrual cycle. The guests highlight how hormonal fluctuations significantly impact a woman's physical capabilities, energy levels, and mental states throughout her life.

They dive into the challenges of menopause, including increased risks for chronic diseases and the cognitive and emotional toll of hormonal shifts. The conversation provides strategies for optimizing women's health during this transition, emphasizing the importance of lifestyle factors like diet, exercise, and stress management.

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"Doctors Are CLUELESS About Women's Bodies" - How To Take Your Power Back & HEAL

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"Doctors Are CLUELESS About Women's Bodies" - How To Take Your Power Back & HEAL

1-Page Summary

Differences Between Men's and Women's Bodies and Hormones

According to Mindy Pelz, women have a more complex hormonal system with multiple sex hormones that fluctuate throughout the menstrual cycle. This allows women to maintain a healthy body fat percentage for reproduction, while men's simpler hormonal system focused on [restricted term] does not require the same regulation of body fat.

The Female Menstrual Cycle and Its Implications

The 28-32 day menstrual cycle involves predictable hormonal changes that affect women's physical abilities, energy levels, and mental states. Estrogen levels rise initially, improving focus and stress resilience. A surge in [restricted term] around ovulation boosts libido and muscle-building capacity. Later cycle stages can impact mood and depression risk.

The Experience and Challenges of Menopause

Menopause is marked by a permanent end to ovulation and a dramatic decline in sex hormones like estrogen. The perimenopausal transition involves erratic hormonal fluctuations causing disruptive symptoms. Estrogen loss increases risks of chronic diseases like heart disease, osteoporosis, and dementia. Cognitive impairment, sleep issues, and mental health challenges like depression are common.

Strategies for Optimizing Women's Health During Menopause

Pelz and Dr. Mary Claire Haver recommend prioritizing fiber intake, limiting added sugars, and improving sleep quality to mitigate menopausal effects. Engaging in strength training is crucial for maintaining muscle mass and bone density. Stress reduction techniques like meditation can help manage the emotional toll of menopause.

1-Page Summary

Additional Materials

Clarifications

  • Throughout the menstrual cycle, estrogen levels rise in the first half, enhancing focus and stress resilience. [restricted term] surges around ovulation, boosting libido and muscle-building capacity. Later stages see a rise in progesterone, impacting mood and potentially increasing depression risk. The drop in hormones towards the end of the cycle can lead to symptoms like fatigue and irritability.
  • Estrogen plays a role in improving focus and stress resilience in women. [restricted term], especially during ovulation, can boost libido and muscle-building capacity. Fluctuations in these hormones throughout the menstrual cycle can impact mood, energy levels, and physical abilities. During menopause, the decline in estrogen levels can lead to various health challenges and increased risks of chronic diseases.
  • During menopause, women experience a decline in sex hormones like estrogen, leading to symptoms like hot flashes, mood swings, and sleep disturbances. The perimenopausal transition is the period leading up to menopause when hormone levels fluctuate irregularly, causing symptoms like irregular periods and increased mood swings. Estrogen loss during menopause can increase the risk of chronic conditions such as heart disease, osteoporosis, and cognitive decline. Managing menopausal symptoms often involves lifestyle changes like prioritizing nutrition, exercise, and stress reduction techniques.
  • During menopause, the decline in estrogen levels can increase the risk of chronic diseases like heart disease, osteoporosis, and dementia. Estrogen plays a protective role in maintaining cardiovascular health and bone density. Its reduction during menopause can lead to higher susceptibility to these conditions. Additionally, estrogen has neuroprotective effects, and its decline can contribute to an increased risk of cognitive issues like dementia during and after menopause.
  • During menopause, prioritizing fiber intake helps with managing weight and reducing the risk of heart disease. Engaging in strength training is essential for preserving muscle mass and bone density, which tend to decline during this life stage. These strategies can also help alleviate symptoms like hot flashes and mood swings commonly experienced during menopause. Incorporating these lifestyle changes can contribute to overall well-being and quality of life for women going through menopause.

Counterarguments

  • While women do have a complex hormonal system, it's an oversimplification to say that men's hormonal systems are not complex or do not require regulation of body fat; men also have hormonal fluctuations and a balance that affects their health.
  • The statement that women maintain a healthy body fat percentage for reproduction could be challenged by noting that body fat percentage is influenced by a variety of factors, including diet, exercise, and genetics, not just hormonal systems.
  • The menstrual cycle length can vary significantly among women, and not all women have a 28-32 day cycle; some may have shorter or longer cycles, and some may experience irregular cycles.
  • While hormonal changes do affect women's physical abilities, energy levels, and mental states, it's important to recognize that these effects can vary widely among individuals.
  • The surge in [restricted term] around ovulation may not have a significant effect on libido and muscle-building capacity for all women.
  • The implication that later cycle stages universally impact mood and depression risk could be seen as perpetuating a stereotype and may not reflect the experiences of all women.
  • The risks associated with estrogen loss during menopause are not uniform for all women, and some may not experience a significant increase in the risk of chronic diseases.
  • Cognitive impairment, sleep issues, and mental health challenges during menopause are not inevitable for all women, and some may go through menopause with minimal symptoms.
  • The strategies for optimizing women's health during menopause may not be suitable or effective for all women, and individual health needs and responses to lifestyle changes can vary.
  • The emphasis on strength training for maintaining muscle mass and bone density during menopause may not take into account the full range of physical activities that can be beneficial, and some women may find other forms of exercise more suitable.
  • Stress reduction techniques like meditation are helpful for many but may not be universally effective; alternative stress management strategies may be more beneficial for some individuals.

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"Doctors Are CLUELESS About Women's Bodies" - How To Take Your Power Back & HEAL

Differences between men's and women's bodies and hormones

Mindy Pelz discusses the distinctions between male and female bodies, particularly in terms of hormonal systems and the implications for body fat and reproductive health.

Men have a simpler hormonal system focused mainly on [restricted term], while women have a more complex hormonal system with multiple sex hormones that fluctuate throughout the menstrual cycle.

Women's hormones serve the dual purpose of survival and reproduction, requiring them to maintain a healthy body fat percentage.

Pelz explains that the female body is designed to maintain a certain amount of body fat because it serves two main purposes: survival and reproduction. She underlines the importance of a healthy body fat percentage for reproductive health, pointing out that when women become too lean and their caloric intake is too low, their menstrual cycles can be disrupted or even halted, which is an indication that the body is not in an optimal state for reproduction.

Men do not have the same need to regulate body fat and ovulatio ...

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Differences between men's and women's bodies and hormones

Additional Materials

Clarifications

  • The hormonal systems in men and women play a crucial role in regulating body fat and reproductive health. Women's hormones, which fluctuate throughout the menstrual cycle, are essential for maintaining a healthy body fat percentage necessary for reproductive functions. In contrast, men's hormonal system, primarily centered around [restricted term], does not require the same level of complexity in regulating body fat as women's bodies do for reproductive purposes.
  • The body fat percentage is crucial for reproductive health in women as it helps regulate the production of hormones necessary for ovulation and menstruation. Adequate body fat levels signal to the body that it is in a suitable condition for sustaining a pregnancy. Insufficient body fat can disrupt hormonal balance, leading to irregular menstrual cycles or even the cessation of menstruation, impacting fertility. Maintaining a healthy body fat percentage is essential for ensuring the proper functioning of the reproductive system in women.
  • In terms of hormonal regulation, men primarily rely on [restricted term] for their hormonal balance, which plays a central role in their physiological functions. On the other hand, women have a more intricate hormonal system with multiple sex hormones that fluctuate throughout their menstrual cycle, impacting various aspects of their health and reproductive functions. This difference in hor ...

Counterarguments

  • While men's hormonal systems may be less complex in terms of reproductive hormones, it's an oversimplification to say they are focused mainly on [restricted term]. Men also have other hormones, such as estrogen and progesterone, albeit in different balances than women, which play significant roles in their health.
  • The complexity of women's hormonal systems is not solely for the purpose of reproduction. These hormones also have profound effects on mood, bone density, cardiovascular health, and other aspects of physical and mental well-being.
  • The statement that women need to maintain a healthy body fat percentage for reproductive health is generally true, but it's important to recognize that "healthy" body fat levels can vary widely among individuals, and reproductive health is influenced by many factors beyond body fat and caloric intake.
  • It's not entirely accurate to say that men do not need to regulate body fat in the way women do. While the reproductive implications are different, body fat in men is also associated with hormonal balance, particularly with the conversion of [restricted term] to estrogen, and can influence health outcomes related to metabol ...

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"Doctors Are CLUELESS About Women's Bodies" - How To Take Your Power Back & HEAL

The female menstrual cycle and its implications

Mindy Pelz provides insights into how the menstrual cycle, a roughly 28 to 32-day hormonal cycle, affects various aspects of a woman's life, from physical abilities to mental and emotional states.

The menstrual cycle follows a predictable pattern of hormonal changes over 28-32 days, with distinct phases that have different implications for a woman's physical and mental state.

Women's cycles are variable yet fall within a broader spectrum, typically between 28 and 32 days. These cycles can fluctuate due to external factors such as stress, diet, and exercise routines. Mindy Pelz emphasizes the importance of understanding these cycles for better physical and mental health, suggesting that extreme stress or excessive activity may disrupt a woman's menstrual cycle and reproductive capabilities.

From day 1-10, estrogen builds, making women more focused, social, and able to handle stress, which is an optimal time for fasting and exercise.

Pelz describes the first phase of the menstrual cycle, starting on the first day of menstruation, as a time when hormone levels plummet. Over the ensuing 10 days, estrogen begins to build. This hormonal rise makes women more [restricted term] sensitive, which is conducive to adopting a lower carb diet, engaging in longer periods of fasting, and undertaking more vigorous exercise routines. With the increase in estrogen, women become more capable of handling cortisol, the stress hormone. As estrogen builds, [restricted term]—a form of estrogen—stimulates the production of [restricted term], serotonin, [restricted term], BDNF, acetylcholine, and glutamate, resulting in elevated mood, improved focus, increased sociability, and enhanced ability to manage stress.

From day 11-15, women experience a surge in [restricted term], boosting their libido and ability to build muscle, which can impact their relationships and sexual needs.

The next phase, from day 11 to day 15, is marked by a significant rise in [restricted term] levels that coincides with ovulation. This period is optimal for muscle building, and it’s also when women’s libido usually increases, affecting their sexual desires and potentially their personal relationships. Estrogen levels also remain high during this phase, making a woman more communicative and interested in verbal processing. Pelz calls this the "Manifestation Phase," where women can exert their "hormonal s ...

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The female menstrual cycle and its implications

Additional Materials

Clarifications

  • Brain-derived neurotrophic factor (BDNF) is a protein crucial for brain function and mental health. It plays a key role in promoting the growth, survival, and differentiation of neurons in the brain. BDNF is known to be involved in various cognitive processes, including learning, memory, and mood regulation. Higher levels of BDNF are often associated with improved cognitive function and mental well-being.
  • Acetylcholine is a neurotransmitter that plays a crucial role in the communication between nerve cells and muscles. It is involved in various bodily functions, including muscle activation and regulation of the autonomic nervous system. In the context of the menstrual cycle, acetylcholine, along with other neurotransmitters, contributes to mood regulation and cognitive functions. Understanding the role of acetylcholine can provide insights into how hormonal changes during different phases of the menstrual cycle impact mental and emotional states.
  • Glutamate is an amino acid used in protein synthesis and is a key neurotransmitter in the nervous system, playing a role in neural activation. It is the precursor to the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) in certain neurons. Glutamate can exist in different forms depending on its prot ...

Counterarguments

  • While the menstrual cycle typically ranges from 28 to 32 days, it's important to acknowledge that a significant number of women experience cycles that fall outside this range, which can be perfectly normal for them.
  • The idea that all women experience increased focus, sociability, and stress management with rising estrogen may not hold true for everyone, as individual responses to hormonal changes can vary greatly.
  • The concept of a "Manifestation Phase" is not universally recognized in medical literature and may oversimplify the complex interactions between hormones and behavior.
  • The assertion that the menstrual cycle is fundamentally a detoxification process could be misleading, as the primary function of the menstrual cycle is related to reproduction, not detoxification.
  • The impact of hormonal fluctuations on mood and energy can be overstated for some women, who may not experience significant changes or may manage these fluctuations without it affecting their daily lives.
  • The suggestion that women should practice self-care tailored to different phases of their menstrual cycle, while potentially beneficial, may not be practical or necessary for all women ...

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"Doctors Are CLUELESS About Women's Bodies" - How To Take Your Power Back & HEAL

The experience and challenges of menopause

Mindy Pelz and Mary Claire Haver delve into the complex nature of menopause, a natural phase that affects 100% of women who live to reach it, yet often remains shrouded in silence and misconception.

Menopause is marked by the permanent cessation of the menstrual cycle and ovarian function, leading to a dramatic decline in sex hormones.

The transition into menopause, or perimenopause, is a tumultuous period of hormonal fluctuations causing a range of physical and cognitive symptoms. The decrease in estrogen increases the risk of chronic diseases such as heart disease, osteoporosis, and dementia, significantly impacting the quality of life.

The transition into menopause, known as perimenopause, is characterized by erratic hormone fluctuations that can cause a variety of disruptive physical and cognitive symptoms.

Pelz and Haver discuss the reluctance to discuss menopause openly and the dismissive societal and medical attitudes toward menopausal symptoms. By listening and validating these experiences along with comprehensive health assessments, Haver offers therapeutic benefits while addressing acute symptoms like hot flashes, muscle pain, and cognitive issues. The preparation for the next 30 years involves considering family history and risk factors for diseases linked to estrogen loss.

Mary Claire Haver candidly shares her menopausal experience at 48, which she initially misattributed to grief. She emphasizes the profound effects of this transition on fertility and overall health, occurring typically around age 51 but ranging from 45 to 55.

Haver speaks to the risks of chronic diseases during menopause due to the protective role of estrogen. She notes the often overlooked cognitive function loss, which leads to waning confidence, and the significant mental health fluctuations, including increased depression risk and alarming suicide rates among perimenopausal women. The doubling of antidepressant use is another concerning trend in menopausal mental health.

Moreover, Haver brings attention to sleep issues during menopause, which exacerbate other symptoms like weight gain and joint pain. These symptoms, including substantial body composition changes, signal the beginning of perimenopause that can start seven to ten years before the cessation of menstrual periods. Estrogen levels during this time are highly unpredictable due to the brain's regulation efforts, causing hormonal patterns that lead to various degrees of discomfort.

The loss of estrogen during a ...

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The experience and challenges of menopause

Additional Materials

Clarifications

  • Perimenopause is the transitional phase before menopause when hormonal fluctuations begin, leading to various symptoms. Menopause, on the other hand, marks the permanent cessation of menstrual periods and ovarian function. Perimenopause can last for several years, while menopause is a point in time defined by 12 consecutive months without a menstrual period. Understanding these distinctions is crucial for managing the physical and emotional changes that occur during this natural life stage.
  • The Women's Health Initiative (WHI) was a large study in the early 2000s that aimed to assess the risks and benefits of hormone replacement therapy (HRT) in postmenopausal women. The study found that the risks of HRT, particularly in older women, outweighed the benefits for the prevention of chronic diseases like heart disease and osteoporosis. This led to a significant decline in the use of HRT and a shift in medical recommendations regarding its use during menopause. The findings of the WHI had a profound impact on women's health practices and highlighted the importance of carefully weighing the risks and benefits of hormone therapy.
  • During menopause, cognitive changes can impact executive function, which includes abilities like decision-making, problem-solving, and focus. These changes can manifest as difficulties in multitasking, organizing tasks, and maintaining attention. Fluctuations in hormones, particularly estrogen, can influence neurotransmitters in the brain, affecting cognitive processes. Executive function changes can vary in severity among individuals experiencing menopause.
  • Estrogen receptors are proteins found in various tissues throughout the body that can bind to estrogen. When estrogen binds to these receptors, it triggers specific cellular responses, influencing functions in organs like the brain, bones, heart, and r ...

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"Doctors Are CLUELESS About Women's Bodies" - How To Take Your Power Back & HEAL

Strategies for optimizing women's health during menopause

To navigate the changes of menopause effectively, women can adopt certain lifestyle strategies that directly impact their well-being. Mindy Pelz and Dr. Mary Claire Haver share insights for minimizing the negative effects associated with this phase.

Prioritizing fiber, limiting added sugars, and improving sleep quality can help mitigate many of the negative effects of menopause on the body and mind.

Dr. Haver recommends focusing on nutrition during menopause, particularly emphasizing the need for a minimum of 25 grams of fiber daily to support the gut microbiome and regulate blood glucose levels. High-fiber foods are dense with necessary vitamins and minerals, assisting with erratic hunger cues common during menopause. She also advises limiting added sugars to no more than 25 grams per day as most people consume roughly four times that amount. This reduction is vital, as added sugars can disrupt many physiological processes.

Improving sleep quality is another cornerstone strategy Haver suggests, as poor sleep can significantly impair overall health and stymie efforts in diet and exercise. Hormone Replacement Therapy helped Dr. Haver sleep better, and she underscores that better sleep is foundational for succeeding in other health dimensions during menopause.

Engaging in strength training and other forms of exercise is crucial for maintaining muscle mass, bone density, and metabolic health as women age.

Dr. Haver transitions to discuss the crucial role of physical exercise, specifically strength training, in optimizing health during menopause. She highlights a shift from primarily cardio workouts to lifting heavier weights to maintain muscle mass, which is central in maintaining a good basal metabolic rate and contributing to [restricted term] resistance resilience. Dr. Haver advises women to incorporate strength training early, starting in their 30s, to establish strong muscles and bones, ensuring good dietary calcium intake and sufficient vitamin D levels.

Implementing stress reduction techniques like meditation, journaling, or spending time w ...

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Strategies for optimizing women's health during menopause

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Counterarguments

  • While prioritizing fiber is beneficial, some women may have conditions like Irritable Bowel Syndrome (IBS) for which a high-fiber diet might exacerbate symptoms, and a tailored approach is necessary.
  • The recommendation of limiting added sugars to 25 grams per day may not account for individual metabolic differences and lifestyle factors that could allow for greater flexibility in sugar intake.
  • Improving sleep quality is important, but the role of Hormone Replacement Therapy (HRT) in sleep improvement is complex and may not be suitable or desired by all women due to potential risks and side effects.
  • Strength training is beneficial, but the emphasis on starting in the 30s may not consider those who are starting later in life, who can still reap significant benefits from exercise at any age.
  • The focus on strength training might overshadow the importance of other forms of exercise like cardio, flexibility, and balance training, which also contribute to overall health during menopause.
  • The suggestion that social connections invariably lead to increased [restricted term] and reduced cortisol may not hold true for all individuals, as social i ...

Actionables

  • You can create a "fiber challenge" with friends where each person tracks their daily fiber intake using a shared spreadsheet, aiming to hit a target range based on dietary guidelines. This turns dietary changes into a social activity, encouraging accountability and providing motivation through friendly competition.
  • Develop a bedtime ritual that includes activities known to promote sleep, such as reading a physical book under warm light, using aromatherapy with scents like lavender, or listening to a playlist of nature sounds. By establishing a consistent routine, you signal to your body that it's time to wind down, which can improve sleep quality.
  • Start a "micro-habit" strength train ...

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