Hormones, Pelvic Floor, Incontinence & Sexual Wellness - A Gynecologist Explains the Connection

Hormones, Pelvic Floor, Incontinence & Sexual Wellness - A Gynecologist Explains the Connection

Perimenopause, menopause, low libido, painful sex, vaginal dryness, urinary incontinence, recurrent UTIs, pelvic floor dysfunction, hormone replacement therapy (HRT)—these are common concerns, but they should never be dismissed as just a normal part of aging. Key Takeaways: ✅ What are the first signs of perimenopause? ✅ Why is my sex drive so low during menopause? ✅ What is pelvic floor dysfunction? ✅ Can pelvic floor therapy help bladder leaks and painful sex? ✅ Is Hormone Replacement Therapy (HRT) safe? ✅ What are the benefits and risks of HRT? In this in-depth conversation, Dr. Chhaya Makhija is joined by Dr. Manita Nat, board-certified OB-GYN, robotic surgeon, and sexual medicine expert, to discuss the symptoms women often normalize and the evidence-based treatments available today.  Together, they explore how hormonal changes impact women's health across different life stages—from postpartum recovery to perimenopause and menopause and why a personalized, holistic approach can make all the difference. Whether you're dealing with postpartum recovery, perimenopause, menopause, low libido, weight gain, or other hormone-related symptoms, this conversation will help you better understand your body and the treatment options available. Follow Dr. Chhaya Makhija here: https://www.instagram.com/chhayamakhijamd/ [https://www.instagram.com/chhayamakhijamd/]https://www.facebook.com/unifiedendocrine [https://www.facebook.com/unifiedendocrine] https://unifiedendocrinecare.com/ [https://unifiedendocrinecare.com/]https://www.youtube.com/@chhayamakhijamd [https://www.youtube.com/@chhayamakhijamd] https://www.linkedin.com/in/chhayamakhijamd/ [https://www.linkedin.com/in/chhayamakhijamd/] Email: connect@unifiedendocrinecare.com [connect@unifiedendocrinecare.com] Download Free Guides/ Resources here: https://linktr.ee/chhayamakhijamd [https://linktr.ee/chhayamakhijamd] Follow Dr. Nat here: https://www.instagram.com/drmanitanat/ [https://www.instagram.com/drmanitanat/] https://www.eastbayobgyn.com [https://www.eastbayobgyn.com] https://www.instagram.com/eastbayobgyn [https://www.instagram.com/eastbayobgyn]https://www.youtube.com/@UCIVryPc4MMmOQFripEMpbWw [https://www.youtube.com/@UCIVryPc4MMmOQFripEMpbWw ] https://www.instagram.com/navyabydrnat/ [https://www.instagram.com/navyabydrnat/] Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance. If you enjoyed this episode, don’t forget to subscribe to the Hormones & Hope Podcast for more expert insights, real conversations, and science-backed strategies to help you feel your best—inside and out.

The Biggest Myth About Perimenopause: Why Blood Tests Don't Tell the Whole Story

If you've been told that weight gain, anxiety, hot flashes, night sweats, fatigue, or irregular periods are simply a part of aging, this episode is for you. In this deeply personal episode, Dr. Chhaya Makhija shares two powerful stories—one from her clinic and one from her own journey through perimenopause—to explain why symptoms matter just as much, if not more, than hormone lab values.  She shares why many women are dismissed despite experiencing very real hormonal changes and how evidence-based care can help you feel like yourself again. In this episode, you'll learn: • Why perimenopause is diagnosed based on symptoms—not just blood tests • Why estrogen, progesterone, FSH, and estradiol levels can appear "normal" during perimenopause • The truth about weight gain, anxiety, hot flashes, and night sweats • When hormone replacement therapy (HRT) may be appropriate • Which blood tests and health screenings actually matter • The role of insulin resistance, sleep apnea, bone health, and metabolic health during midlife • How lifestyle changes and HRT can work together to improve long-term health • Why you should never settle for being told to "eat less and move more" Whether you're approaching your 40s, navigating perimenopause, already in menopause, or supporting someone who is, this episode will help you understand what is happening inside your body and empower you to advocate for your health. Remember: Hormones are not your destiny. The right diagnosis, evidence-based guidance, and personalized care can change your health trajectory. Follow Dr. Chhaya Makhija here: https://www.instagram.com/chhayamakhijamd/ [https://www.instagram.com/chhayamakhijamd/]https://www.facebook.com/unifiedendocrine [https://www.facebook.com/unifiedendocrine] https://unifiedendocrinecare.com/ [https://unifiedendocrinecare.com/]https://www.youtube.com/@chhayamakhijamd [https://www.youtube.com/@chhayamakhijamd] https://www.linkedin.com/in/chhayamakhijamd/ [https://www.linkedin.com/in/chhayamakhijamd/] Email: connect@unifiedendocrinecare.com [connect@unifiedendocrinecare.com] Download Free Guides/ Resources here: https://linktr.ee/chhayamakhijamd [https://linktr.ee/chhayamakhijamd] Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance. If you enjoyed this episode, don’t forget to subscribe to the Hormones & Hope Podcast for more expert insights, real conversations, and science-backed strategies to help you feel your best—inside and out.

5 Foods I Recommend to Almost Every Patient

Could five simple foods help improve your blood sugar, gut health, hormones, and even how you age? In this episode of Hormones & Hope, Dr. Chhaya Makhija shares the five everyday foods she recommends to nearly every patient for better metabolic health. These affordable, science-backed staples can help support blood sugar regulation, nourish your gut microbiome, reduce inflammation, and promote healthy aging—without restrictive diets or expensive supplements. You'll also discover why fiber is one of the most overlooked nutrients for long-term health, how your gut microbiome influences metabolism and hormone function, and practical ways to add foods like chia seeds, blueberries, walnuts, beans, lentils, and Greek yogurt to your daily routine. Whether you're living with insulin resistance, prediabetes, type 2 diabetes, PCOS, menopause, obesity, or simply want to build healthier habits, this episode is packed with practical, evidence-based nutrition strategies you can start using today. Download the Free Guide 'Your Health on GLP-1' Here: https://dr-chhaya.myflodesk.com/glp1 [https://www.buzzsprout.com/admin/2503047/%20https://dr-chhaya.myflodesk.com/glp1] Follow Dr. Chhaya Makhija here: https://www.instagram.com/chhayamakhijamd/ [https://www.instagram.com/chhayamakhijamd/]https://www.facebook.com/unifiedendocrine [https://www.facebook.com/unifiedendocrine] https://unifiedendocrinecare.com/ [https://unifiedendocrinecare.com/]https://www.youtube.com/@chhayamakhijamd [https://www.youtube.com/@chhayamakhijamd] https://www.linkedin.com/in/chhayamakhijamd/ [https://www.linkedin.com/in/chhayamakhijamd/] Email: connect@unifiedendocrinecare.com [connect@unifiedendocrinecare.com] Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance. 🔔 Don’t forget to like, subscribe, and hit the bell icon!

Vaping, Marijuana & Air Pollution: What They're Really Doing to Your Lungs

In this episode of Hormones & Hope, Dr. Chhaya Makhija welcomes pulmonologist Dr. Vijay Balasubramanian for an in-depth discussion about respiratory health, environmental exposures, and the everyday habits that shape our lung function over a lifetime. We often focus on improving our heart health, lowering cholesterol, managing blood sugar, or losing weight, but healthy lungs are just as essential to living well. Every breath fuels our body with oxygen, making lung health a cornerstone of overall wellness. Dr. Vijay shares his expertise on how the lungs work, why they naturally change as we age, and how conditions like obesity, sleep apnea, and cardiovascular disease can all influence the way we breathe. He also explains why shortness of breath is never a symptom to ignore and why finding its underlying cause is so important. The conversation takes a deep dive into the modern threats to lung health, including air pollution, wildfire smoke, vaping, marijuana use, and occupational exposures. Dr. Vijay discusses how these factors can contribute to inflammation, chronic lung disease, pulmonary hypertension, and permanent lung damage, while offering practical strategies to reduce your risk. From avoiding smoking and vaping to staying physically active and minimizing harmful exposures, small choices today can have a lasting impact on your respiratory health for years to come. If you're looking to better understand your lung health, protect your breathing as you age, or learn how everyday exposures affect your body, be sure to check out this episode. Dr. Vijay Balasubramanian is the Founder/ Medical Director of Valley Advanced Lung Diseases Institute (VALDI) in Fresno. He is Board Certified in Pulmonary Medicine and specializes in Advanced lung diseases such as Interstitial Lung disease and Pulmonary vascular disease. VALDI is the first of its kind in the central valley of California. Its goal is to provide Access to care for Advanced Lung diseases - Diagnosis & management. Through its collaboration with Stanford Lung Transplant Program, patients are also able to be seen locally for consideration of Lung Transplantation if needed. He earned his medical degree at Stanley Medical College and completed postgraduate fellowship training in the United Kingdom (MRCP UK) and the Medical College of Wisconsin. He recently completed his Academic tenure as Professor of Medicine at UCSF Fresno. At UCSF Fresno, he established a nationally renowned Pulmonary Hypertension Program. He is nationally recognized in the field of Pulmonary Hypertension with extensive academic accomplishments including Research and publications. He is the recipient of multiple Teaching awards. He has shown strong commitment in organizing and supporting his patient support group for over 15 years. Download the Free Guide 'Your Health on GLP-1' Here: https://dr-chhaya.myflodesk.com/glp1 [https://www.buzzsprout.com/admin/2503047/%20https://dr-chhaya.myflodesk.com/glp1] Follow Dr. Chhaya Makhija here: https://www.instagram.com/chhayamakhijamd/ [https://www.instagram.com/chhayamakhijamd/]https://www.facebook.com/unifiedendocrine [https://www.facebook.com/unifiedendocrine] https://unifiedendocrinecare.com/ [https://unifiedendocrinecare.com/]https://www.youtube.com/@chhayamakhijamd [https://www.youtube.com/@chhayamakhijamd] https://www.linkedin.com/in/chhayamakhijamd/ [https://www.linkedin.com/in/chhayamakhijamd/] Email: connect@unifiedendocrinecare.com [connect@unifiedendocrinecare.com] Follow Dr. Vijay Balasubramanian here: https://www.valdiinc.com/aboutvijaybalasubramanian [https://www.valdiinc.com/aboutvijaybalasubramanian] https://www.linkedin.com/company/valdiinc/ [https://www.linkedin.com/company/valdiinc/] Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance. 🔔 Don’t forget to like, subscribe, and hit the bell icon!

IBS, Anxiety & Depression: The Link Between Hormone Imbalance and Gut Microbiome

In this episode of Hormones & Hope, Dr. Chhaya Makhija sits down with Dr. Melissa Mondala, Family & Integrative Medicine Specialist, for a powerful conversation about the connection between lifestyle, gut health, and emotional well-being. Drawing from both personal experience and years of clinical practice, Dr. Mondala explains how the gut and brain work together, why nutrition and exercise are essential for mental health, and how sleep, stress management, and social connection can help build emotional resilience. She also shares practical tips for making healthy habits stick, overcoming setbacks, and creating routines that work in real life—not just for a few weeks, but for the long term Whether you're supporting your own mental health or helping someone you love, this episode offers hope, practical guidance, and a reminder that meaningful change often starts with simple daily choices. Download the Free Guide 'Your Health on GLP-1' Here: https://dr-chhaya.myflodesk.com/glp1 [https://www.buzzsprout.com/admin/2503047/%20https://dr-chhaya.myflodesk.com/glp1] Follow Dr. Chhaya Makhija here: https://www.instagram.com/chhayamakhijamd/ [https://www.instagram.com/chhayamakhijamd/]https://www.facebook.com/unifiedendocrine [https://www.facebook.com/unifiedendocrine] https://unifiedendocrinecare.com/ [https://unifiedendocrinecare.com/]https://www.youtube.com/@chhayamakhijamd [https://www.youtube.com/@chhayamakhijamd] https://www.linkedin.com/in/chhayamakhijamd/ [https://www.linkedin.com/in/chhayamakhijamd/] Email: connect@unifiedendocrinecare.com [connect@unifiedendocrinecare.com] Follow Dr. Mondala here: https://www.instagram.com/drmelissamondala/ [https://www.instagram.com/drmelissamondala/] https://drlifestyle.org/ [https://drlifestyle.org/] https://www.instagram.com/drlifestyleclinic/ [https://www.instagram.com/drlifestyleclinic/] Dr. Melissa Mondala, MD is a double board-certified physician in Family Medicine and Lifestyle Medicine, with advanced fellowships in training in integrative psychiatry and integrative medicine. Dr. Mondala is the President and co-founder of Dr. Lifestyle Clinic in Newport Beach — the first Lifestyle and Integrative Direct Primary Care and Rheumatology clinic The clinic has been recognized as a Public Health Site of Excellence and she is a best-selling author of Embody Lifestyle Medicine and well sought out speaker. Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance. 🔔 Don’t forget to like, subscribe, and hit the bell icon! .