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Rebellious Wellness Over 50: Dr. Michael Green on BHRT and Menopause - Episode #75

Published: October, 2022

Dr. Michael Green

Featured Physician

Michael Green

Host

Gregory Anne Cox

Dr. Michael Green, Winona's Chief Medical Officer and board-certified OB-GYN, joined host Gregory Anne Cox on Rebellious Wellness Over 50 for Episode 75, "Taking the Fear Out of BHRT So You Can Feel Better."

Dr. Green discusses bioidentical hormone replacement therapy, menopause symptoms, telehealth care, and why individualized physician review matters when considering treatment options during perimenopause and menopause.


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Episode Details

  • Podcast: Rebellious Wellness Over 50

  • Episode: 75

  • Episode Title: Taking the Fear Out of BHRT So You Can Feel Better

  • Host: Gregory Anne Cox

  • Guest: Dr. Michael Green

  • Published Date: October 27, 2022

  • Episode Duration: 40 minutes

  • Format: Audio Interview

  • Main Topics: Bioidentical hormone replacement therapy, menopause, perimenopause symptoms, telehealth menopause care

About Rebellious Wellness Over 50 Podcast

Rebellious Wellness Over 50 is hosted by Gregory Anne Cox and created for women over 50 who want science-based conversations about aging, energy, vitality, and living fully through this stage of life.

In this episode, Cox speaks with Dr. Michael Green about bioidentical hormone replacement therapy, common concerns around HRT, menopause symptoms that may be easy to overlook, and how telehealth can help expand access to physician-led menopause care.

Visit Rebellious Wellness Over 50.

About This Episode

This episode features a clear, evidence-based look at taking fear and confusion out of conversations about bioidentical hormone replacement therapy. Dr. Green and Gregory Anne Cox discuss why many women have questions about HRT, how past research shaped public perception, and why treatment decisions should be based on symptoms, health history, risk factors, and physician review.

The conversation also covers how menopause and perimenopause symptoms can show up beyond hot flashes. Dr. Green discusses sleep disruption, weight changes, brain fog, mood changes, hair thinning, and joint discomfort as examples of symptoms women may notice during this stage of life.

Throughout the episode, Dr. Green explains how Winona's telehealth model is designed to help women share their symptoms, answer health questions, and access physician-reviewed treatment options when appropriate.

Topics Covered

  • Why many women have questions or concerns about HRT

  • How the Women's Health Initiative influenced HRT conversations

  • Why physician review and patient selection matter

  • The role of shared decision-making in menopause care

  • Bioidentical hormone replacement therapy and symptom support

  • Estrogen, progesterone, and DHEA

  • Pills, creams, and patches as different treatment formats

  • Sleep disruption, hot flashes, night sweats, and brain fog

  • Weight changes, hair thinning, mood changes, and joint discomfort

  • How Winona's telehealth process works

  • Why some women may not realize symptoms are connected to perimenopause or menopause

Key Takeaways

HRT conversations have changed over time.

Dr. Green discusses how the Women's Health Initiative shaped fear and confusion around hormone replacement therapy for both patients and physicians. He explains that HRT conversations should be more nuanced than a simple yes-or-no answer, with treatment decisions based on symptoms, health history, age, risk factors, and physician review.

Symptoms can be more subtle than hot flashes.

The episode highlights that many women wait for hot flashes before considering whether other changes may be related to menopause or perimenopause. Dr. Green discusses sleep disruption, weight changes, hair thinning, mood changes, brain fog, and joint discomfort as examples of symptoms that can gradually build over time.

Treatment options should be individualized.

Dr. Green explains that menopause care should not be one-size-fits-all. In the episode, he discusses estrogen, progesterone, DHEA, and different delivery formats, including pills, creams, and patches, while emphasizing that the best approach depends on a woman's health history, risk factors, treatment goals, and physician review.

Progesterone may be part of HRT for women with a uterus.

The episode covers why progesterone is usually included in hormone therapy for women who still have a uterus. Treatment decisions depend on a woman's symptoms, health history, risk factors, treatment goals, and physician review.

Telehealth can make menopause care more accessible.

Dr. Green explains how Winona's telehealth process helps women share symptoms, answer health questions, review treatment preferences, and receive physician-reviewed treatment options. He also notes that telehealth has limits and may not be the right setting for every medical history or concern.


Michael Green

Dr. Michael Green

Obstetrics & Gynecology

Dr. Michael Green is a menopause specialist and Chief Medical Officer at Winona. He brings more than 25 years of clinical experience as a full-scope OB/GYN. From having delivered over 5,000 babies and now specializes in menopause, perimenopause, hormone changes, symptom care, and treatment options during midlife.

At Winona, Dr. Green helps women better understand symptoms, health history, hormone changes, and when physician-reviewed care may be appropriate.

Meet Dr. Michael Green

Watch or Listen to the Episode

Watch the full conversation with Dr. Michael Green on
Rebellious Wellness Over 50 with Gregory Anne Cox.

Get Physician-Led Menopause Care

Winona helps women access menopause and perimenopause care from home. Start with a short health questionnaire, and a board-certified physician will review your symptoms, health history, and treatment options.

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Frequently Asked Questions About Rebellious Wellness Over 50 Podcast

  •  The episode covered bioidentical hormone replacement therapy, menopause symptoms, perimenopause, physician-reviewed treatment options, and Winona's telehealth approach to menopause care.

  •  The episode is available on Spotify, Apple Podcasts, Amazon Music, and the Rebellious Wellness Over 50 podcast website.

  •  Winona offers physician-led menopause and perimenopause care from home. Treatment options depend on symptoms, health history, risk factors, and physician review.