If there’s anything we’ve learned, it’s pelvic floor health is a whole lot more than doing Kegel exercises. In fact, sometimes Kegels are the last thing you need. This week we look at pelvic floor health through the lens of Postural Restoration with pelvic floor physical therapist and Postural Restoration Certified (PRC) practitioner Hayley Kava, who talks us through anatomical and structural issues that can contribute to leaking, aches and pains, and even propensity to injuries that become...

At 49, this week’s guest Sarah Max is the oldest rider in the Life Time Grand Prix, the biggest, hardest gravel and mountain bike race series on the planet. That was something Sarah didn’t always want to talk about. She didn’t want to be defined by her age and didn’t always love the attention it attracted. But she’s realized that while her age isn’t her “brand,” it is part of her story–and an important part that inspires others and helps them see their own potential. And it most certainly...

Women’s brains are finally getting the research attention they deserve! While we sort out the role hormones play in our current and future cognitive health, it’s important to remember that estrogen is just one player in a lifelong host of factors impacting your brain, including education, intellectual engagement, diet and nutrition, exercise and fitness, hearing loss, head injuries, sleep, stress levels, community, purpose, and much more! Hormones are part of the picture, but don’t outweigh...

Cultural messages glorify youth as the best time of our lives. But that’s not what this week’s guest, Caroline Paul found while researching her wonderful book Tough Broad: From Boogie Boarding to Wing Walking―How Outdoor Adventure Improves Our Lives as We Age. Instead, she found active, adventurous women praising their postmenopausal lives and the enjoyment they found in the now. For this project, Caroline spoke with women around the country about their aging journeys and the activities that...

Women’s ultrarunning is on fire right now with powerhouses like recent Barkley Marathons finisher Jasmin Paris, 40, and Lululemon FURTHER 6-day record smasher Camille Herron, 42, showing the world what midlife women can do. This week, we sat down with ultrarunning legend Pam Reed, who broke ground for women in the sport decades ago, winning races like Badwater 135 outright in 2002 and 2003, and talking about menopause at a time when athletes rarely uttered the word. Now 63, Pam is still...

Your metabolism is broken. You need to stop eating carbs. All weight gain is bad! If you’re a woman in menopause, you’ve been on the receiving end of a steady stream of overwhelmingly negative messages about your midlife body. Many of them are simply not true. That’s why we wanted to have a more nuanced conversation about the body composition changes many of us experience during this time of life. And this week’s guest, midlife health and nutrition specialist Val Schonberg was just the woman...

Wear and tear on our active joints is inevitable, and the menopause transition can make them more vulnerable. But there are some simple, and often overlooked, ways to support our joint health that include proper nutrition, recovery, strength and mobility practices, footwear and more, which can help us stay active and pain free through and beyond menopause. This week we break it all down with sports medicine physician Dr. Ashley Austin. Ashley V. Austin, MD, is Assistant Attending Physician at...

Women’s sexuality, especially older women’s, is often overlooked or dismissed by the medical system. When men get procedures that may impact their erections, they’re informed. When women get treatments that may affect their ability to have an orgasm? Crickets. Too few women’s doctors talk about women’s sexual satisfaction, including how well their clitoris is responding or if they’re having orgasms. That’s got to change. It’s normal to want to be sexual and experience sexual pleasure...

From being burned as witches to being barred from attending medical school, from being dismissed as hysterical to well, just being dismissed, from being shamed to being sexualized, the medical system has a long, sordid history in how it treats women and women’s health. And those toxic roots still poison the waters we have to navigate to this day. If you’ve ever wondered why we’re so far off the back with regards to our understanding of women’s health and wellness and treatment, this week’s...

We wrap up heart health awareness month with one topic that comes up a whole lot in our community–cholesterol. We hear from scores of athletic, active women who have had perfectly fine lipid levels their whole lives only to see them shoot up, often dramatically, at menopause. If you’re one, you’re not alone. This week we take a deep dive into all things lipids, including what they are, what influences them, and what to do about them, with cardiologist and lipid and women’s health specialist...

For years, hot flashes and night sweats (aka vasomotor symptoms) were considered just a “bothersome” part of being a menopausal woman: we were to wear layers, buy a fan, and soldier on. Then researchers started making some troubling connections between vasomotor symptoms and chronic disease. This week’s guest, Dr. Rebecca Thurston, is one of those investigators whose work shows that women with severe and/or persistent vasomotor symptoms have an increased risk for cardiovascular disease and...

Whether you run, lift, or ride (and especially if you ride), an otherwise great workout can be wrecked by a painful vulva. And lots of issues can crop up during and beyond the menopause transition that can cause pain, discomfort, and even damage to your vulva and vaginal tissues. We address them all this week with Rochelle Bernstein, MD, of Purely Menopause, who focuses her OB/GYN practice on women’s sexual health and menopausal medicine. Dr. Rochelle Bernstein is an expert in menopausal...

Mirna Valerio, aka the Mirnavator, has never shied away from adversity. As a Black woman in a larger body who is also an ultrarunner, she’s endured her share of harassment and ridicule, both online and in real life. But despite some people trying to put her down, she’s devoted her life to lifting others up, showing those like herself what’s possible, which, for her, includes 11 marathons, 15 50K+ ultras, and a best-selling memoir, A Beautiful Work in Progress. Now, Mirna is facing another...

As women who’ve grown up steeped in diet culture, we often give away our agency to books, apps, and strict food rules rather than trusting ourselves to know what to eat and what our bodies need. During menopause, when our bodies are changing, we can doubledown on those rules, making life harder. This week we talk about ditching diets and restrictive rules and using our knowledge and intuition to find food freedom and a whole lot more joy with Intuitive Eating Coach Pam Moore.  Pam Moore is a...

As active, athletic women, we know ourselves better than anyone. We know our pace, our power, and our mindset for training and competing. Perimenopause can make all of that change out of the blue. It can rob us of our confidence and knock us off our game, just when we feel like we’re really hitting our stride. Elite cyclist and coach Jill Patterson, 42, lived that reality for months, wondering if she had just “aged out” of her sport before discovering that the muscle and power loss, low...

The New York Times recently called Ozempic a “new match for menopausal weight gain”. But is it? These drugs can be a godsend for those who need them. But there's a lot we need to understand. How do they work? How well do they work? Who benefits from them? What are their risks? What impact do they have on muscle, bone, and performance? How do they affect training and racing? We dig into all of that and more this week with endocrinologist and Ironman triathlete Dr. Jody Dushay who has been...

Most women don’t expect menopause symptoms to start until age 50. Neither do many of their healthcare providers. That’s a problem because, as this week’s guest Nina Coslov’s research shows, women can actually start experiencing symptoms associated with menopause during their late reproductive years before their periods become noticeably irregular and they’re officially in perimenopause. Yet when they seek care, they’re often told they’re “too young for menopause” because they still have...

As we roll into a brand new year filled with goals and aspirations, this week’s guest, fan-favorite Peloton Cycling instructor Christine D’Ercole would like to remind us that we are bigger than a smaller pair of pants, and the most powerful thing anyone can say to us is what we say to ourselves, and we have agency in that conversation. Now 52, Christine has started using her enormous platform to share her experiences with the menopause transition and to defy and rewrite the story that we’ve...

This episode originally dropped on May 24, 2023. I’m too old. Nothing works for me. My best days are behind me. I just have to live with (fill in the blank). I’ll never feel better. When we’re really going through it, it can be easy to slip into a personal cave of limiting beliefs that can conspire to keep us there in the cold and dark. But where do these beliefs come from? Are they even true? What would we do if we didn’t have them? This week we take a deep dive into the menopause mindset...

This episode originally dropped on April 5, 2023. What does it mean to be fit? Deadlifting your body weight? Running a 10K? Doing an Ironman? Most of our notions about fitness spotlight the big thing we want to do while glossing over all the smaller, equally important, but less “sexy” stuff like joint mobility, breathing practices, balance, and nutrition it takes to get you there strong and injury-free. Kind of like wanting to climb Mount Everest without spending any time at Base Camp. This...

As active women, we’re so used to our bodies being considered “other” or “less than” in health and fitness media, we barely notice it. Our bouncing breasts are a problem. Our wide hips are a problem. Our periods, boy oh boy, big problem. And when we hit perimenopause and menopause? Well, until very recently nobody even bothered talking about us…especially exercise physiology researchers, who, as this week’s guest Christine Yu discovered, have largely overlooked athletic and active menopausal...

Women generally talk about what they see and feel during menopause. Symptoms like hot flashes, joint pain, and vaginal dryness grab our attention while our bone density silently slips away. Women can lose up to 20% of their spinal bone mass through the menopause transition. Thirty-five to 50 percent of women have low bone mass by age 50. Your lifetime risk of having a hip fracture is higher than breast cancer, ovarian cancer, and uterine cancer combined. Thirty percent of women will die...

A few years ago, elite Canadian runner Sasha Gollish started experiencing some symptoms that had her wondering what the hell was up with her body—crime scene (or as she called them firehose) periods, strange memory lapses, times in races when her legs were flailing and her muscles were not responding the way they typically would as she struggled to find her stride. She wondered if she was sick. As you likely guessed by now, she wasn’t sick. She was in perimenopause. After suffering alone for...

Women in menopause get a lot of nutrition and fitness advice. Some of it is sound. Some less so. Quite a bit of it is downright predatory. That is why the best nutrition and fitness advice for menopausal women is often not about grams of protein or hours of exercise, but rather a hard look at our own attitudes and beliefs about how we eat (or don’t eat) and move our bodies. What narratives form our nutrition and fitness foundations? Are they even true? This week we dig deep into those...