• Kate Codrington is back - and she wants you to be kinder to yourself!
    Sep 12 2024
    This time on the podcast we welcome back Kate Codrington, author of Second Spring, to talk about her new book The Perimenopause Journal, which was published this week.. Kate’s new book is a lovingly created year-long journal which can be started at any point in your perimenopause journey and builds on her writing around the different seasons of pre/peri- and post-menopause in Second Spring (although you certainly don’t need to have read this to use the Journal). Within you’ll find journaling prompts and guides that help you figure out which of the different types of seasonal self-care are right for you as you navigate the rollercoaster of perimenopause. As Kate herself outlines, there’s no time in our lives where the prompt “How can I be kinder to myself?” is not appropriate, but perimenopause is surely one time where we desperately need to allow ourselves more kindness, gentleness, and forgiveness. She describes perimenopause as a process of refinement - showing us what isn’t working for us, what is not serving us in life. In this sense the Journal is a helpful vehicle for us to be able to look back over a period of time and see how we have developed our self-kindness practices. The positives of perimenopause - which are much more available to us when we are well rested - include getting clear on our needs and how to get our needs met - which can be easier said than done given we have (generally) been socialized to put our needs last. Processing this can reveal to us the gap between who we actually are and how we have sold ourselves short. The act of writing things down in a journal helps us build the muscle of articulating what we need. This practice - of accepting our vulnerability and strength, claiming lost parts of ourselves - takes time and however we choose to deal with perimenopause (whether we take HRT or not), this inner process is still likely to be going on… We joke about ‘enforced rest and respite’ for perimenopausal folk (we can dream!) - but the journal really is a framework for enabling what our minds and bodies are calling out for. The Perimenopause Journal also gives you access to some of Kate’s fantastic yoga nidra meditations (accessible using the QR codes in the book) for 20-minute doses of deep restorative rest, as well as intention-setting meditations each month. We unpack a little of my skepticism around moon phases which are used as an anchor in the journal - Kate gently explains why exploring and noting how we feel in relation to the phases of the moon can be supportive especially once the rhythm of other cycles has gone. I love Kate’s description of the journal as “a soft-lined nest for you to rest in’ - and who would not want that! You can find out more about Kate’s work and writing (and access her free resource library, including some yoga nidra recordings) at www.katecodrington.co.uk The Perimenopause Journal is published by David and Charles: https://www.davidandcharles.com/books/diaries-letters-journals/the-perimenopause-journal-9781446313589/ Second Spring is available in paperback: https://uk.bookshop.org/p/books/second-spring-kate-codrington/5752562?ean=9780008469771 If you enjoy the podcast and would like to help me keep it running (on a shoestring!) please consider buying me a ‘virtual coffee’ at Ko-fi.com/middlingalong - or you can support me in a non-monetary way by sharing this episode, or writing a short review online! If your workplace wants to become more ‘menopause friendly’ then please let them know about the work I do at http://www.managingthemenopause.com You can also find me over on Instagram https://www.instagram.com/middlingalong_podcast/ and https://www.instagram.com/managingthemenopause Join our newsletter, The Messy Middle, for fortnightly(ish) goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/
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    30 mins
  • Cathy Kelly on 'Sisterhood' and the snobbishness around fiction by, for, and about, women
    Aug 6 2024

    This time I’m joined by author Cathy Kelly - Cathy is a former journalist whose debut novel, Woman To Woman, became an instant number one bestseller. Since then, she has published 22 novels, which have sold millions of copies globally. She has been a Goodwill Ambassador for UNICEF Ireland since 2005 and has visited many countries to report on UNICEF's work. When not writing with a small dog nestled at her back, she reads voraciously, dances round the kitchen, travels pillion on a motorbike, has a variety of textile art projects on the go and pretends to Marie Kondo the house.

    Cathy’s latest novel Sisterhood is - of course - about two sisters - Lou and Toni. Lou is someone who habitually puts herself last…until the events that unfold at her 50th birthday party push her to stop pleasing other people and decide to finally put herself first.

    This prompts us to discuss how commonly those of us coming up to 50 are prompted to examine our lives, sometimes interrogating what we have been putting up with and questioning, asking ourselves… “What am I for?”

    Cathy also talks about her own treatment for cancer - another life inflection point that makes you question everything…

    We move on to talk about the appeal of historical novels and Cathy is kind enough to share a few recommendations for books that she has loved recently: the Cazalet Chronicles by Elizabeth Jane Howard (https://www.panmacmillan.com/blogs/fiction/cazalet-chronicles-books-in-order) and A Discovery of Witches https://deborahharkness.com/all-souls-world-home/the-all-souls-world-books/ (and I mention one of my all time favourite historical novels: https://historicalnovelsociety.org/reviews/the-needle-in-the-blood/)

    Cathy calls out the misogyny and snobbishness around fiction written ‘by women, for women, about women’s lives’ and we touch on the evolution of the so-called ‘chick lit’ writers now hitting their 50s and writing about this new age and stage of their lives.

    We also head off on a few tangents, reminiscing about carefree pre-Internet times and 80s fashion!

    Find out more about Sisterhood at https://harpercollins.co.uk/products/sisterhood-cathy-kelly?variant=40276782973006 - out in hardback now, and in paperback in March 2025…

    If you enjoy the podcast and would like to help me keep it running (on a shoestring!) please consider buying me a ‘virtual coffee’ at Ko-fi.com/middlingalong - or you can support me in a non-monetary way by sharing this episode, or writing a short review online!

    If your workplace wants to become more ‘menopause friendly’ then please let them know about the work I do at http://www.managingthemenopause.com

    You can also find me over on Instagram https://www.instagram.com/middlingalong_podcast/ and https://www.instagram.com/managingthemenopause

    Join our newsletter, The Messy Middle, for fortnightly(ish) goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share

    We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

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    31 mins
  • Cindy Gallop on why we should Make Love Not Porn...
    Jul 11 2024

    My guest this time is Cindy Gallop - consultant, coach, keynote speaker, and founder of MakeLoveNotPorn. I’ve been a fan of Cindy’s since I first watched the interview on the Style Like U channel that saw her become an older female role model not just to me, but to thousands of women of all ages (and apparently a few men too!). I was also lucky enough to finally meet her in person at the Upfront conference earlier this year where she gave the brilliant closing keynote - I had my own ‘Upfront’ moment asking her to come on the podcast and she graciously agreed.

    We talk about the genesis of her sex-tech business MakeLoveNotPorn.tv: a place for ‘socialising, normalising and destigmatising real-world sex’ and Cindy reminds us that when we don’t talk about sex ‘porn becomes sex education by default’... I was fascinated to learn more about MLNP - from the rigorous checking and vetting processes that all content and comments pass through to create safe spaces for all concerned, how empowering and healing many of the ‘stars’ find the process of sharing their videos, to hearing about how hard it is for sex-tech businesses to attract funding (prompting their current round of equity crowdfunding: see https://wefunder.com/makelovenotporn/ if you want to find out more).

    For those of us who do have kids, particularly younger children, the ready availability of pornographic content online is a huge concern - Cindy’s next goal is to fund https://www.makelovenotporn.academy/ to create a platform for age-appropriate sex-education for individuals of all ages that will also serve as a way for sex educators to make a living from providing their content (currently most struggle against platforms that censor even educational content). (This: https://www.theguardian.com/society/article/2024/may/27/more-than-300m-children-victims-of-online-sexual-abuse-every-year is the article I refer to in the course of this episode - shocking statistics and a stark reminder that we can’t afford to be complacent in talking to our children about sex, no matter how tricky we may find those conversations. Cindy shares with us her two tips for how to navigate those conversations - advice that I know I’ll definitely find hugely useful.

    Last of all we cover ageism in the advertising industry and Cindy’s determination to change societal attitudes towards ageing - creating a culture where ‘living older’ is aspirational and ads are created by and for older audiences and as a result. Music to my ears!

    You can find Cindy at https://www.instagram.com/cindygallop and MLNP at https://makelovenotporn.tv/

    If you enjoy the podcast and would like to help me keep it running (on a shoestring!) please consider buying me a ‘virtual coffee’ at Ko-fi.com/middlingalong - or you can support me in a non-monetary way by sharing this episode, or writing a short review online!

    If your workplace wants to become more ‘menopause friendly’ then please let them know about the work I do at http://www.managingthemenopause.com

    You can also find me over on Instagram https://www.instagram.com/middlingalong_podcast/ and https://www.instagram.com/managingthemenopause

    Join our newsletter, The Messy Middle, for fortnightly(ish) goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share

    We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

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    36 mins
  • Tina Backhouse on the inequality in UK menopause support and HRT supply
    Jun 19 2024

    This time on the podcast my guest is Tina Backhouse, General Manager at Theramex. Tina joined Theramex in 2020 to lead the UK Women’s Health business, helping to establish them as the largest supplier of HRT & Menopause Products in the UK. She is passionate about ensuring equality of care for all women regarding their health in the UK, and that women have choice in their healthcare options.

    She joins us to discuss the recent research the company funded to investigate disparities in access to menopause support: for example, just 5% of black women are on HRT vs 20% of white women, and individuals in areas of social deprivation are significantly less likely to be prescribed the newer, safer forms of HRT.

    We also cover some of Tina’s ongoing frustrations at the lack of prioritization and funding available for women’s healthcare - such as the fact that NHS England developed a public health campaign for menopause that was never launched due to lack of funding.

    Would it surprise you to know that the UK currently has the largest gender health gap in the G20? We also have a staggering 35% gender pension gap.

    The report, published in April 2024 interviewed a range of clinicians and allied healthcare professionals, and is available to download at: https://www.theramex.com/wp-content/uploads/2024/04/Theramex_Tackling-Unequal-Access-to-Menopause-Care.pdf - we discuss the five recommendations that the report concludes with, including better training for GPs and other allied healthcare professionals, and the creation of a national formulary to end the current postcode lottery whereby some newer HRT is available in some areas but not others.

    If you enjoy the podcast and would like to help me keep it running (on a shoestring!) please consider buying me a ‘virtual coffee’ at Ko-fi.com/middlingalong - or you can support me in a non-monetary way by sharing this episode, or writing a short review online!

    If your workplace wants to become more ‘menopause friendly’ then please let them know about the work I do at http://www.managingthemenopause.com

    You can also find me over on Instagram https://www.instagram.com/middlingalong_podcast/ and https://www.instagram.com/managingthemenopause

    Join our newsletter, The Messy Middle, for fortnightly(ish) goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share

    We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

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    37 mins
  • Dr Angela Wright on managing sexual dysfunction and GSM
    Jun 5 2024
    In this episode I welcome Dr Angela Wright from Spiced Pear Health. Angela is a GP, Menopause Specialist and Clinical Sexologist. She is particularly interested in improving sexual function and menopausal symptoms in women who have undergone cancer treatment. Angela is passionate about women’s health and sexology and is frequently asked to teach or talk about this subject. She is a registered trainer for the BMS & FSRH, involved in training future menopause specialists and is an active committee member of the British Society of Sexual Medicine, and the education committee of the Primary Care Women's Health Forum. We covered so much in such a short space of time! We started by talking about the impact of localised (vaginal) oestrogen vs what systemic HRT does - both for GSM (genito-urinary syndrome of menopause) and for sexual dysfunction. For anyone wanting to know more about GSM, or pass information on to their GP, Angela recommends the British Society of Sexual Medicine consensus statement on GSM that’s available on their website (linked below). She goes on to explain that there is no increase in recurrence risk for oestrogen receptor positive breast cancers when using localized oestrogen to treat symptoms (and that it can be used alongside letrozole and tamoxifen). We discuss the need for patients to be able to make an informed choice about risks vs benefits, which can be challenging when healthcare professionals are not taught to understand the impact that GSM and sexual dysfunction can have on quality of life - certainly male sexual dysfunction gets a lot more attention and usually pretty rapid treatment! We move on to discuss ‘sex tech’ and the burgeoning menopause ‘market’ in this area, including laser therapy (TLDR: more research needed, long term effects not known, it’s expensive, and vaginal oestrogen would be more effective in the majority of cases). Angela gives an overview of what self-care practices can be helpful for someone struggling with GSM - listen in to find out some very little known information about the clitoris (and how to keep it healthy) that was totally news to me! She also explains that a range of prescription medicines (in particular antidepressants, but also antihistamines, and blood pressure medication) can mess with our sexual responsiveness, so could be something to discuss with our healthcare provider. For anyone struggling that wants to find out more, or support them in advocating for better care, Angela recommended a wide range of resources listed here: Mind The Gap, by Karen Gurney Better Sex Through Mindfulness, by Lori Brotto Becoming Clitorate, by Laurie Mintz ​​ Institute for Psychosexual Medicine website directory of practitioners https://www.ipm.org.uk/patients/specialists/ COSRT https://www.cosrt.org.uk/ - list of therapists British Society for Sexual Medicine (email admin@bssm.org.uk and ask for a local practitioner) Menopause-ull webinars ​​ https://www.mnetwork.org.uk/resources/recorded-webinars/ You might also be interested in our testosterone episode with Dr Katie Barber: https://middlingalong.com/episodes/middling-along-dr-katie-barber-helps-us-get-to-grips-with-testosterone-dos-and-donts/ You can find Angela online at ​https://spicedpearhealth.co.uk/ and https://www.instagram.com/spicedpearhealth/ If you enjoy the podcast and would like to help me keep it running (on a shoestring!) please consider buying me a ‘virtual coffee’ at Ko-fi.com/middlingalong - or you can support me in a non-monetary way by sharing this episode, or writing a short review online! If your workplace wants to become more ‘menopause friendly’ then please let them know about the work I do at http://www.managingthemenopause.com You can also find me over on Instagram https://www.instagram.com/middlingalong_podcast/ and https://www.instagram.com/managingthemenopause Join our newsletter, The Messy Middle, for fortnightly(ish) goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/
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    35 mins
  • Simona Stokes explains how CBT can help us in perimenopause
    May 30 2024

    This time I welcome Simona Stokes, Counselling Psychologist and the Founder of Menopause CBT Clinic, an independent psychology practice which aims to support the psychological wellbeing of women going through the perimenopause and menopause. Based on her extensive clinical experience in this area, Simona has developed EMBERS® Menopause CBT Model which is centered around the psychological principles supported by the best evidence-based research and interventions in the field of mental and emotional wellbeing. She holds professional registration and accreditation with several bodies including the BPS, BABCP, and BACP and has been working in the mental health field for over 20 years.

    We begin with an explanation of what CBT is and how it works for anyone who is not familiar with Cognitive Behavioural Therapy. Simona explains little more on the different types of CBT, and her experience is that ‘third wave’ CBT approaches seem to work best with those experiencing perimenopause symptoms.

    The draft NICE guidelines issues at the end of 2023 caused quite a media stir with the increased focus on CBT as a treatment for menopause. We discuss why the headlines were misleading and how CBT can help with hot flushes and sleep disturbances, as well as psychological and emotional symptoms. As Simona outlines, even individuals who are taking HRT sometimes struggle with their mental health and access to CBT can be helpful. Medication alone cannot address struggles with confidence, self esteem, self-worth, and identity.

    We delve deeper into menopause as a psychological developmental stage - just as pregnancy and puberty (see Lisa Mosconi’s book The Menopause Brain for more on this). In all these life stages our brains are remodelling themselves - we are updating who we are and our perspective on the world…a process some of us will navigate on our own or with support of our own networks of support, and some of us may need a little extra help and support from professional - space where we can safely explore these topics.

    Simona explains that the way we think about physical symptoms can amplify the symptoms themselves…CBT helps us look at the kinds of stories we tell ourselves and write new ones. It can support us to make meaningful change in areas that help us regulate our bodies and thereby mitigate symptom severity.

    Unfortunately as Simona highlights, the types of CBT available on the NHS are not always tailored to the needs of women going through the menopause and that can lead to sub-optimal experiences when people do choose to pursue CBT as an option. We end by agreeing that there is certainly scope for more practitioners to be trained in menopause-informed CBT practices.

    You can find Simona at https://www.menopausecbtclinic.co.uk/ and https://www.instagram.com/menopausecbtclinic

    If you enjoy the podcast and would like to help me keep it running (on a shoestring!) please consider buying me a ‘virtual coffee’ at Ko-fi.com/middlingalong - or you can support me in a non-monetary way by sharing this episode, or writing a short review online!

    If your workplace wants to become more ‘menopause friendly’ then please let them know about the work I do at http://www.managingthemenopause.com

    You can also find me over on Instagram https://www.instagram.com/middlingalong_podcast/ and https://www.instagram.com/managingthemenopause

    Join our newsletter, The Messy Middle, for fortnightly(ish) goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share

    We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

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    39 mins
  • Susan Saunders walks us through The Power Decade and why it matters
    May 9 2024

    In this episode of the podcast I welcome back author and health coach Susan Saunders - Susan’s first appearance on the podcast back in November 2022 focused on preventing Alzheimer’s disease and has been one of our most popular episodes.

    Susan’s latest book The Power Decade published soon after that and will be out in paperback on 8th June (link below). The book takes us through how to thrive after menopause, and focuses on the ‘window of opportunity’ we have in, and soon after, menopause to take action to prevent the chronic diseases of aging – such as osteoporosis, cardiovascular disease and dementia.

    In countries where the average age of menopause is 51, and the average life expectancy is 83, we’re potentially living half our adult lives in a post-menopausal state. The Power Decade explains the impacts of the menopause transition on our metabolic health, heart health, bone health, and brain health.

    Susan talks about the ‘protective cloak’ that our reproductive hormones wrap us in pre-menopause, and how the drop in those hormones impacts all areas of our health, helping us understand the changes that happen in the body and what we need to do to remain healthy. She quotes The Lancet as calling menopause “a cardiometabolic turning point for women” - so I ask her to explain more about cardiometabolic health and why it becomes so important to keep top of mind post-menopause.

    Her book is peppered with interviews with postmenopausal women who are thriving, explaining what they have done to get there, providing a sense of hope and renewal, and showing us that post-menopause can be a positive time where we experience a ‘rebound’ and renewed energy.

    You can find Susan at www.susansaundershealth.com and on Instagram https://www.instagram.com/susansaundershealth/

    The Power Decade:

    https://uk.bookshop.org/p/books/the-power-decade-how-to-thrive-after-menopause-susan-saunders/7644592?ean=9781472291615

    If you enjoy the podcast and would like to help me keep it running (on a shoestring!) please consider buying me a ‘virtual coffee’ at Ko-fi.com/middlingalong - or you can support me in a non-monetary way by sharing this episode, or writing a short review online!

    If your workplace wants to become more ‘menopause friendly’ then please let them know about the work I do at http://www.managingthemenopause.com

    You can also find me over on Instagram https://www.instagram.com/middlingalong_podcast/ and https://www.instagram.com/managingthemenopause

    Join our newsletter, The Messy Middle, for fortnightly(ish) goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share

    We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

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    33 mins
  • Tracy Bloom on why her midlife heroine is having The Time of Her Life...
    May 2 2024

    This time on Middling Along I chat to novelist Tracy Bloom about her latest book The Time of Her Life, which follows midlife heroine Kim through the disintegration of her marriage and her subsequent reinvention.

    We discuss the increase in midlife female protagonists - that TV is doing so well with the likes of Sarah Lancashire in Happy Valley. Fiction has been somewhat catching up over the last five years, showcasing the issues facing women in midlife for Gen X who have grown up on Bridget Jones novels. Midlife as a time of re-evaluation and reinvention, opportunities and change, is fertile pasture for novelists…

    Tracy talks through her process of learning to become an author, and gives us some tips for anyone listening who is thinking about writing a book. We also discuss Tracy's recent favourite reads and what she is looking forward to delving into next.

    The Time of Her Life is out now in paperback (https://www.waterstones.com/book/the-time-of-her-life/tracy-bloom/9780008619114) if you’re looking for your next holiday read, and Tracy’s next book, The Secret Santa Project will be out later in 2024 (available to preorder at https://www.amazon.co.uk/Secret-Santa-Project-heartwarming-friendship/dp/000861914X)

    If you enjoy the podcast and would like to help me keep it running (on a shoestring!) please consider buying me a ‘virtual coffee’ at Ko-fi.com/middlingalong - or you can support me in a non-monetary way by sharing this episode, or writing a short review online!

    If your workplace wants to become more ‘menopause friendly’ then please let them know about the work I do at http://www.managingthemenopause.com

    You can also find me over on Instagram https://www.instagram.com/middlingalong_podcast/ and https://www.instagram.com/managingthemenopause

    Join our newsletter, The Messy Middle, for fortnightly(ish) goodness into your Inbox: https://dashboard.mailerlite.com/forms/323784/90772270045202190/share

    We’re delighted to be listed as one of the Top 25 podcasts for midlife and menopause here: https://www.lattelounge.co.uk/podcasts-about-the-menopause/

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    24 mins