Show Notes
Most women have never heard of it. Most GPs aren't offering it. And the ones who have been prescribed it often aren't using it correctly. Vaginal oestrogen is the most underused, most underprescribed, most life-changing treatment in the menopause space. In this episode, Kylie makes the case for why she believes every woman in perimenopause and menopause should be using it — and gives you everything you need to understand it, use it correctly, and advocate for yourself with your doctor. This is the conversation every woman in perimenopause and menopause needs to hear.
More from The Hormone Hub
A couple of glasses of wine. Some cheese. No exercise all weekend. Clothes feeling tight. Then a GLP-1 weight-loss ad appeared in my Facebook feed. It was Sunday night, I was feeling flat and thoroughly ick, and suddenly an easy solution was sitting right in front of me. Fill in a questionnaire. Qualify online. Have the medication delivered to your door. Very tempting. I completed the questionnaire using my correct details and didn't qualify. But when I changed the numbers slightly, I suddenly became eligible. Nothing about my health had changed. Only the numbers I entered into the form. That was my first reality check. The second came when I reached the payment page and realised I was about to commit close to $1,000 to something I hadn't properly thought through. In this episode, I'm sharing why I clicked, what stopped me from buying, and the questions every woman should ask before purchasing GLP-1 medication online. This is not an anti-GLP-1 conversation. These medications can be an incredibly helpful tool for the right person, with the right assessment and support. But they are one tool. Not the whole toolkit. In this episode, we cover: Why wanting a quick result doesn't make you lazy or foolish How weight-loss advertising catches us when we're feeling most vulnerable Why online eligibility doesn't automatically mean a medication is right for you The nutrition guidance many women aren't receiving while taking GLP-1s Why preserving muscle matters during perimenopause and menopause The digestive side effects some women experience What can happen when you aren't eating enough protein, fibre and essential nutrients Why hormonal changes add another layer to weight loss in your forties and fifties The question too many people forget to ask: What happens when I stop? Why I decided to do my own Weight Loss Wisdom reset instead.
Protein targets that require a second job to hit. 12,000 steps that assume you have two spare hours to fill in during the day. Seven hours of sleep, if only it were that simple.
Most women are handed a prescription without a proper explanation of what they're actually taking and why. This episode fixes that. Three hormones. What each one does, what happens when you lose it, what the options are in Australia right now, and how to think about what you actually need. Plus how to have a better, more informed conversation with your GP. This is information so you can advocate for yourself. Informed women get better outcomes. In This Episode What oestrogen actually does in your body beyond hot flushes
If you've been trying to fix your hormones and getting nowhere, this episode might completely change how you look at your body.
You've tried the sleep tips. You've tried the supplements. You've gone to bed earlier, cut back on screens, downloaded the meditation app. And you're still not sleeping. Here's what I want you to understand: you don't have a sleep problem. You have a hormone problem. And that distinction changes everything about how you fix it. In this episode I share the story of Fiona — a client who came to me completely exhausted, caught in a vicious cycle of hot flushes, night anxiety, afternoon energy crashes and creeping weight gain. And I walk through exactly what we did to break that cycle and get her sleeping again. Fiona's Story Fiona was doing everything right. She was smart, capable and had tried every sleep solution she could find. But she was waking multiple times a night drenched in sweat. Hot flushes pulling her out of sleep just as she'd finally drifted off. Then lying there afterwards with her heart pounding and a low-level anxiety she couldn't explain. The days were brutal. She'd crash around 2pm and spend the afternoon reaching for sugar and coffee just to function. The weight was creeping on. She was eating less and exercising more, which made her more exhausted, which made her sleep worse. She was completely stuck. When she came to me she said: "I feel like my body has completely given up." This episode is for every woman who has felt exactly that way. What We Cover In This Episode 🔹 Why hot flushes and night sweats are an oestrogen issue — not a sleep issue When oestrogen fluctuates, your body's internal thermostat becomes unstable. Your brain gets a false signal that you're overheating and triggers a flush to cool you down. This pulls you straight out of deep sleep. Treating this as a sleep problem will never work because it is an oestrogen regulation problem. 🔹 Why night anxiety is a progesterone issue That low-level dread you feel lying awake in the middle of the night — that sense of unease you can't quite explain — is your nervous system without its natural calming buffer. Progesterone is that buffer. When it drops, everything feels bigger and harder to manage after dark. 🔹 The afternoon energy crash and cravings explained Poor sleep keeps cortisol elevated. Elevated cortisol drives sugar and carbohydrate cravings as your body desperately looks for a quick energy hit. So you reach for the chocolate at 3pm, your blood sugar spikes and crashes, you feel worse, and that night the whole cycle repeats. 🔹 Why magnesium alone is never going to be enough Magnesium is a wonderful support tool. But it cannot replace declining progesterone, stabilise fluctuating oestrogen or reset a dysregulated cortisol pattern. If you've been taking magnesium and still not sleeping, this is why. 🔹 What we actually did to fix Fiona's sleep We stopped treating her sleep as a sleep problem and started treating it as a hormone problem. Within the first week her night sweats reduced noticeably. By week three she was sleeping through most nights. The afternoon cravings were almost gone. The weight started shifting. And she said, "I feel like myself again." The Bottom Line Most advice out there for perimenopause sleep is aimed at helping you fall asleep faster without ever asking why you're not sleeping in the first place. The why matters. It matters enormously. Because the why determines the fix. For most women in perimenopause and menopause, the why is hormonal. Start Here The 3am Fixis the simplest, most targeted way to start addressing the hormonal drivers of broken sleep. ✅ Five short video lessons ✅ A practical workbook and daily tracker ✅ Bonus supplement guide ✅ Just $37 — with a full action-based money-back guarantee 👉 Start the 3am Fix this week Ready For The Full Picture? The Hormone Code is my signature 8-week program where we address every piece of the hormonal puzzle — sleep, weight, energy, mood, digestion and more. This is exactly what Fiona did. And it changed everything. 👉 Learn more about The Hormone C