{"podcast":{"title":"Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+","slug":"everyday-wellness-midlife-hormones-menopause-and-science-for-women-35-72097","podcast_index_feed_id":72097,"rss_url":"https://feeds.megaphone.fm/CTH5015378255","website_url":"https://cynthiathurlow.com/podcast","image_url":"https://megaphone.imgix.net/podcasts/1d7d0888-c5c2-11eb-9609-eb0ddaa88f9d/image/e47b0ba3f061eba8ffa079c1196fdd6e.jpg?ixlib=rails-4.3.1&max-w=3000&max-h=3000&fit=crop&auto=format,compress","author":"Cynthia Thurlow","episode_count":769,"summary":"Looking for the latest strategies for dealing with menopause, hormones and midlife health issues? You're in the right place! Cynthia Thurlow is a nurse practitioner, host of the Everyday Wellness podcast, author and international speaker, with over 15 million views for her second TEDx talk (Intermittent Fasting: Transformational Technique). With over 25 years experience in health and wellness, Cynthia is a globally recognized expert in perimenopause/menopause and intermittent fasting, and has been featured on ABC, FOX5, KTLA, CW, Medium, Entrepreneur, and The Megyn Kelly Show. Her mission is to help empower women to live their most optimal lives in perimenopause and beyond.","last_synced_at":"2026-09-24T06:20:47.420971+00:00","page_url":"https://stenobird.com/podcast/everyday-wellness-midlife-hormones-menopause-and-science-for-women-35-72097"},"episode":{"title":"Ep. 635 Oral Versus Transdermal Estrogen Therapy with Dr. Salome Masghati | Menopause, Perimenopause, Hormone Therapy","slug":"ep-635-oral-versus-transdermal-estrogen-therapy-with-dr-salome-masghati-menopause-perimenopause-hormone-therapy","published_at":"2026-08-29T07:00:00+00:00","page_url":"https://stenobird.com/podcast/everyday-wellness-midlife-hormones-menopause-and-science-for-women-35-72097/ep-635-oral-versus-transdermal-estrogen-therapy-with-dr-salome-masghati-menopause-perimenopause-hormone-therapy","show_page_url":"https://stenobird.com/podcast/everyday-wellness-midlife-hormones-menopause-and-science-for-women-35-72097","url":"https://traffic.megaphone.fm/CTH7459466093.mp3","audio_url":"https://traffic.megaphone.fm/CTH7459466093.mp3","summary":"Today, I’m honored to connect with Dr. Salome Masghati, founder of Precision Gynecology, which provides the unhurried, root-cause-oriented care often missing in a system where women are rushed through short appointments, focusing on bioidentical hormone therapy, perimenopause, and menopause. Dr. Masghati has extensive surgical training and specializes in longevity medicine. In today’s discussion, we explore the ovary as a signaling hub, not just a reproductive timer, and Dr. Masghati shares her views on hormone replacement therapy timing, intrinsic and infradian rhythm, ovarian function, and the differentiators between PCOS and PMOS in midlife women. We also cover oral versus transdermal estradiol therapy, FSH testing as an independent risk factor for bone and heart health, hysterectomies, ferritin and iron deficiency, coronary vasospasm, elevated Lp(a), estradiol and thyroid therapy, peptides, regenerative and esthetic offerings. Dr. Masghati also offers her personal perspective on what influences orgasms. Stay tuned for today’s invaluable conversation with Dr. Salome Masghati on optimizing women’s health in midlife and beyond. IN THIS EPISODE, YOU WILL LEARN: How a hysterectomy, partial hysterectomy, and other surgical interventions can impact ovarian function Dr. Masghati shares her approach to hormone replacement therapy for women going through premature or early menopause How elevated androgen levels, insulin resistance, and inflammation can affect the response to hormone replacement therapy in women with PCOS/PMOS Why Dr. Masghati generally prefers transdermal rather than oral estradiol How optimizing hormone levels can improve libido when women’s hormones change  Women may have low ferritin even when their serum iron looks good. Declining estrogen may contr…","meta_description":"Today, I’m honored to connect with Dr. Salome Masghati, founder of Precision Gynecology, which provides the unhurried, root-cause-oriented care often miss…","key_points":[],"chapters":[],"topics":[],"duration_seconds":3549,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/everyday-wellness-midlife-hormones-menopause-and-science-for-women-35-72097/episodes/ep-635-oral-versus-transdermal-estrogen-therapy-with-dr-salome-masghati-menopause-perimenopause-hormone-therapy/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/everyday-wellness-midlife-hormones-menopause-and-science-for-women-35-72097/ep-635-oral-versus-transdermal-estrogen-therapy-with-dr-salome-masghati-menopause-perimenopause-hormone-therapy.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}