Episode
Pellets, Periods, and Not Giving a Damn: A Midlife Hormone Roundtable with Dr. Amie Hornaman & Elle Russ
- Published
- Jul 11, 2026
- Duration seconds
- 6087
- Processing state
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Summary
This is not just a conversation about hormones. It is a conversation about what it means to age as a woman in a culture that is obsessed with youth, terrified of wrinkles, and wildly uncomfortable with female power after 40. In this roundtable episode, I sit down with Dr. Amy Horniman and Elle Russ to talk about the very real physical, emotional, and identity shifts that happen as women move through perimenopause and menopause. We get into everything from early perimenopause symptoms, thyroid issues, SHBG, testosterone, progesterone, estrogen, libido, vaginal dryness, hot flashes, pelvic floor changes, and how all of these things can affect the way women feel in their bodies. But we also go deeper into the emotional side of all of it. What happens when you are no longer getting the same attention? What happens when your face changes, your body changes, and you realize how much of your worth was tied to being seen as young or desirable? We also have a very honest conversation about hormone replacement therapy, why individualized care matters so much, why pellets are not always the answer, and why so many women are still being failed by outdated medical thinking. And from there, we talk about Botox, beauty standards, confidence, sex, self-worth, and why this stage of life can also be one of the most freeing. Because yes, aging is real. But so is wisdom. So is power. So is the version of yourself that finally stops asking for permission. In this episode, we cover: Early perimenopause signs and how differently they can show up for women How thyroid issues and elevated SHBG can affect sex hormones The difference between rhythmic and static hormone dosing Testosterone for women, including libido, muscle, mood, vaginal health, and pelvic floor support Why so many women strugg…