Is It Hot In Here? Midlife Podcast

Endometriosis, Fibroids & HRT: What You Need To Know

36 min · 11. maj 2026
episode Endometriosis, Fibroids & HRT: What You Need To Know cover

Beskrivelse

Win a year's worth of Menopause Care appointments by entering our giveaway here: https://bit.ly/4t3ELhb Can you take HRT if you have endometriosis, adenomyosis or fibroids? In this week’s episode, Dr Naomi Potter is joined by Menopause Care doctor Dr Eloise Elphinstone to talk through the conditions that can make menopause treatment feel more complicated – including endometriosis, adenomyosis and fibroids. Together, they explain why these conditions can affect HRT choices, why progesterone matters, when a Mirena coil may be helpful, and why having endometriosis or fibroids does not automatically mean HRT is off the table. Expect clear, practical advice for women who have spent years feeling dismissed, confused, or worried that their history of pain, heavy bleeding or surgery means they have fewer menopause treatment options. 💬 Topics include: • What endometriosis actually is • Why endometriosis can take years to diagnose • Can HRT flare endometriosis symptoms? • Why progesterone is important with endometriosis • HRT after hysterectomy • Surgical menopause and medical menopause • What adenomyosis is and how it differs from endometriosis • Fibroids, heavy bleeding and menopause • Can you take HRT if you have fibroids? • The role of the Mirena coil • How to tell if pain is menopause or endometriosis • Why specialist menopause care matters Follow Dr Eloise Elphinstone below: Eloise's Instagram: @the_womenshealth_gp Follow Dr Naomi Potter below: Naomi’s Instagram: @dr_naomipotter Naomi’s TikTok: @dr_naomipotter More info and menopause support at: https://www.menopausecare.co.uk/ 00:00 – Introduction: menopause, endometriosis & why diagnosis takes years 00:50 – What endometriosis actually is and why it causes pain 03:05 – Why menopause and HRT can complicate endometriosis 05:03 – How HRT is prescribed differently in endometriosis 08:00 – Hysterectomy, endometriosis & why progesterone still matters 09:59 – What the Mirena coil does and why it helps endometriosis 11:30 – Key takeaways: can women with endometriosis still use HRT? 13:28 – What is adenomyosis and how is it different from endometriosis? 16:26 – The “estrogen threshold” theory explained 17:01 – Medical menopause, GnRH treatments & surgical options 19:36 – Why endometriosis care and menopause care are often difficult 20:29 – Why endometriosis is called a chronic inflammatory condition 21:52 – Fibroids explained: symptoms, growth & menopause implications 24:48 – Can women with fibroids safely use HRT? 26:08 – The emotional impact of years of dismissed symptoms 28:26 – Mirena coils, fibroids & reducing heavy bleeding 29:50 – Why hysterectomies are less common than they used to be 31:07 – Listener question: bladder pain, hip pain & menopause vs endometriosis 35:08 – Listener question: can progesterone affect endometriosis? 36:01 – Final thoughts & outro #hrt #endometriosis #perimenopause

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