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Women's Fertility & Lifestyle Debate: Dangers Of Not Having A Period! Fasting Can Backfire For Women

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Women's Fertility & Lifestyle Debate: Dangers Of Not Having A Period! Fasting Can Backfire For Women

The Diary Of A CEO with Steven Bartlett

Oct 16
The Diary Of A CEO with Steven Bartlett

The Diary Of A CEO with Steven Bartlett

Oct 16
OverviewShownoteHighlightsTranscriptChaptersPins

Shownote

The 4 leading powerhouses in women’s health break down urgent topics facing women today: irregular periods, PCOS, endometriosis, perimenopause, and the best diet for hormonal balance. Part 1 of this 2-part female health roundtable is focused on hormones and fertility, bringing together: Menopause specialist Dr Mary Claire Haver, longevity orthopaedic surgeon Dr Vonda Wright, fertility doctor Dr Natalie Crawford, and female physiology researcher Dr Stacy Sims. In this powerful conversation, they explain: ◼️The shocking lack of research on women’s hormones, and how it’s harming health ◼️How insulin resistance fuels hormone imbalance, irregular cycles, and infertility ◼️How coffee, fasting, and overtraining can silently disrupt your hormones ◼️The truth about cycle syncing, and why your luteal phase changes everything ◼️How stress, sleep, and muscle mass directly influence perimenopause ◼️Why birth control is not a cure, and the lifestyle tools that actually help (00:00) Intro (05:30) Why Do We Need to Have This Conversation? (10:51) Why the Female Body Is More Adapted for Endurance Exercise (12:12) Why Women's Heart Attacks Are Considered 'Atypical' (14:51) The Research Gap on Women's Health (19:14) Why Women Downplay and Gaslight Themselves About Pain (21:54) Why Don’t We Understand Hormones? (26:26) What a Normal Period Should Be Like (28:35) What Is Progesterone? (33:45) The Underlying Cause of PCOS (35:15) Developing Diabetes During Pregnancy (39:36) What Causes PCOS and How to Reduce It (47:47) The Pill Is Not the Only Help for PCOS (52:48) How Do We Know If It's a Normal Flow, Too Much, or Too Little? (57:42) How to Know If You're Experiencing Abnormal Period Pain (01:00:43) Anemia in Women and the Issues With Lab Results (01:03:58) People Suffer Silently With Endometriosis for Years (01:09:17) The Real Reason There's No Treatment for Endometriosis (01:12:27) Could We Create a Cellular Marker for Endometriosis? (01:15:22) How to Ease Pain Symptoms Before Your Period Naturally (01:20:49) If You're 15 to 25, You Need to Know This (01:22:10) How to Treat Your Body in Each Decade After You Start Your Period (01:35:14) Advice to Your Daughters (01:37:41) Should You Use The Coil? (01:43:32) The Best Contraceptive Method (02:02:33) The 5 Fertility Non-Negotiables (02:04:22) Should I Freeze My Eggs? (02:15:55) IVF Has Helped 13 Million People (02:24:44) PCOS and Infertility (02:28:47) Why Is Pregnancy Loss Still a Taboo? (02:36:59) Should You Take Time Off During Your Period? (02:41:18) People Need to Know When Perimenopause Starts (02:42:24) Menopause (02:49:12) Check Your Mum's Menopause Age to Know Yours (02:57:31) The Dangers of the Year Before Menopause (02:59:04) Suicide Rates in Women (03:04:39) What Is Hormone Replacement Therapy Really For? (03:13:33) Should You Treat Menopause Symptoms? (03:25:00) How to Improve Your Sex Life and Lubrication You can follow the guests, here: Dr Mary: ◼️Instagram - https://bit.ly/4ogsgwJ ◼️The Pause Life - https://bit.ly/48rycyv ◼️You can purchase ‘The New Menopause’, here: https://amzn.to/4nUOnt5 Dr Vonda: ◼️Instagram - https://bit.ly/46SMfvR ◼️Website - https://bit.ly/4n41GGg ◼️You can purchase ‘Unbreakable’, here: https://amzn.to/4n6xVEO Dr Natalie: ◼️Instagram - https://bit.ly/4nbZFI9 ◼️YouTube - https://bit.ly/3J5fLFw ◼️Website - https://bit.ly/3W6E0pG ◼️You can pre-order ‘The Fertility Formula’, here: https://amzn.to/3KRpobk Dr Stacy: ◼️Instagram - https://bit.ly/4hcRuKm ◼️Website - https://bit.ly/47dqkhS ◼️You can purchase ‘ROAR, Revised Edition’, here: https://amzn.to/4nbjDmr Sponsors: Pipedrive - http://pipedrive.com/CEO Plaud - https://www.plaud.ai/pages/steven use DOAC22 for 22% off Note and NotePin or https://amzn.to/47ahktN with code DOAC2222 - only available from October 16th to October 23rd. Vivobarefoot - https://vivobarefoot.com/DOAC with code STEVENB20 for 20% off.

Highlights

A panel of leading women's health experts sheds light on the systemic gaps in medical research and care that have long marginalized female physiology. From fertility to menopause, they challenge outdated norms and reveal how hormonal health is deeply intertwined with metabolism, lifestyle, and overall well-being.
00:00
Endometriosis diagnosis takes an average of 7 years due to lack of research funding
05:42
Less than 1% of $450 billion US research funding goes to women's health despite women being the majority of the population
10:51
Men have more fast-twitch muscle fibers; women have more endurance fibers affecting performance and metabolism
12:12
Women's heart attacks are often misclassified as 'atypical' due to diffuse microvascular blockages.
16:58
Having a menstrual cycle was seen as a flaw in female athletes, but it is actually a sign of health.
19:14
Women's health complaints are often dismissed due to gender bias
24:54
There's no real definition of a 'normal' menstrual cycle as every woman's is variable.
26:26
A normal menstrual cycle is regular and predictable, typically between 25 and 35 days.
31:09
Irregular menstrual cycles are a red flag for hormonal or systemic problems
33:45
PCOS is a metabolic response to high insulin levels
35:18
PCOS may be genetic, causing insulin resistance in the ovaries, leading to high glucose, inflammation, and changes in metabolic and hormonal health.
44:58
Fasting disrupts hormone pulses and increases cravings in women with PCOS
50:41
Losing your period is not a badge of honor—it's a health warning.
52:56
Any change in period flow can be a warning sign of hormonal imbalance
1:01:30
Lab reference ranges are based on population averages, which may lead to accepting sub-optimal levels as normal.
1:03:58
Stage four infiltrating endometriosis was confirmed after a private MRI following years of undiagnosed pain and negative NHS assessments
1:11:20
All stages of endometriosis affect fertility, not just severe cases.
1:15:29
Timing cold water exposure before periods can train the immune system to reduce inflammation in endometriosis
1:20:49
Avoided birth control pills to protect athletic performance
1:31:17
Celiac disease caused chronic inflammation and recurrent pregnancy loss due to undiagnosed malabsorption during critical bone-building years.
1:33:54
Maximize bone density and muscle mass in youth—it pays off as you age
1:35:18
Regulating periods through weight gain instead of birth control
1:40:12
Progesterone-only contraceptives prevent ovulation and reduce estrogen levels, impacting hormonal health.
1:41:20
Estetrol-based birth control pills are now available in the UK
1:51:26
Estrogen drop before menstruation can cause significant dysphoria and mood changes.
2:09:45
Many high-achieving women face emotional distress when dealing with infertility later in life
2:15:55
50% of infertility is due to male factors, yet the burden is often placed on women
2:23:35
Chronic inflammation and insulin resistance harm egg mitochondria and metabolic function, impacting fertility even in healthy women
2:27:15
Marijuana use by men increases the rate of pregnancy loss in their partners
2:31:37
One in four pregnancies end in loss, and two consecutive losses warrant medical evaluation.
2:37:05
Employers should offer flexibility for women to align work with hormonal cycles.
2:41:18
Menopause is defined as one year after the final menstrual period.
2:48:00
Women over 35 who don't feel well should assume perimenopause and seek help
2:57:11
Waiting a year to address menopause can lead to severe health risks including suicide and bone loss
2:57:34
Low estrogen can drastically impact a woman's quality of life at any age
2:59:04
Early perimenopausal hormone therapy improves mood and cognition better than SSRIs.
3:10:43
Menopause allows cutting out unimportant things and becoming more authentic
3:21:54
Women with higher natural testosterone levels experience less frailty as they age.
3:27:43
Low-dose vaginal estrogen has local benefits without systemic risks.

Chapters

Intro
00:00
Why Do We Need to Have This Conversation?
05:30
Why the Female Body Is More Adapted for Endurance Exercise
10:51
Why Women's Heart Attacks Are Considered 'Atypical'
12:12
The Research Gap on Women's Health
14:51
Why Women Downplay and Gaslight Themselves About Pain
19:14
Why Don’t We Understand Hormones?
21:54
What a Normal Period Should Be Like
26:26
What Is Progesterone?
28:35
The Underlying Cause of PCOS
33:45
Developing Diabetes During Pregnancy
35:15
What Causes PCOS and How to Reduce It
39:36
The Pill Is Not the Only Help for PCOS
47:47
How Do We Know If It's a Normal Flow, Too Much, or Too Little?
52:48
How to Know If You're Experiencing Abnormal Period Pain
57:42
Anemia in Women and the Issues With Lab Results
1:00:43
People Suffer Silently With Endometriosis for Years
1:03:58
The Real Reason There's No Treatment for Endometriosis
1:09:17
Could We Create a Cellular Marker for Endometriosis?
1:12:27
How to Ease Pain Symptoms Before Your Period Naturally
1:15:22
If You're 15 to 25, You Need to Know This
1:20:49
How to Treat Your Body in Each Decade After You Start Your Period
1:22:10
Yes, You Can Build Bone in Your 40s!
1:33:53
Advice to Your Daughters
1:35:14
Should You Wear a Coil or IUD?
1:37:41
A New Form of Contraceptive Pill
1:41:18
The Best Contraceptive Method
1:43:32
Wearables
1:57:10
The 5 Fertility Non-Negotiables
2:02:33
Should I Freeze My Eggs?
2:04:22
IVF Has Helped 13 Million People
2:15:55
What Is the Spontaneous Fertility Rate by Age?
2:21:17
PCOS and Infertility
2:24:44
Why Is Pregnancy Loss Still a Taboo?
2:28:47
Should You Take Time Off During Your Period?
2:36:59
People Need to Know When Perimenopause Starts
2:41:18
Menopause
2:42:24
Check Your Mum's Menopause Age to Know Yours
2:49:12
The Dangers of the Year Before Menopause
2:57:31
Suicide Rates in Women
2:59:04
What Is Hormone Replacement Therapy Really For?
3:04:39
Should You Treat Menopause Symptoms?
3:13:33
How to Improve Your Sex Life and Lubrication
3:25:00

Transcript

Steven Bartlett: if someone's menstrual cycle is irregular, should they be concerned? Dr Natalie Crawford: Yes, yes, yes, your body's meant to work like clockwork. Dr Vonda Wright: And our monthly cycle is so much more than getting ready to have a baby, ...