In this groundbreaking episode of the Menopause Disruptor Podcast, host Mary Lee welcomes Dr. Betsy Greenleaf—the first woman in the United States to become board certified in urogynecology. Triple board certified in obstetrics and gynecology, female pelvic medicine and reconstructive surgery, and procedural medicine and aesthetics, Dr. Greenleaf is a true pioneer challenging outdated narratives in women's health.
With over 20 years of experience, Dr. Greenleaf shares her journey from studying the sports page alongside surgery textbooks to founding the International Pause Institute and the Pelvic Floor Store. This conversation dives deep into the gut-vagina-bladder connection, the commercialization of menopause (yes, menopause toothpaste exists), and why 90% of medical conditions are caused or worsened by poor gut microbiome health.
From the vaginal mesh crisis to her "find your bikini moment" philosophy, Dr. Greenleaf delivers practical wisdom on pelvic prolapse, GSM (genitourinary syndrome of menopause), why KY Jelly is terrible for vaginal health, and how one dose of Cipro can disrupt your gut microbiome for an entire year. She also reveals her secret hack: testosterone cream around the eyes for dry eye relief.
Key Takeaways
- 90% of medical conditions caused or worsened by poor gut microbiome
- Sex and stress can't coexist—body converts hormones to stress hormones
- 50% of women experience pelvic prolapse (bladder, uterus, rectum dropping)
- Vaginal mesh crisis parallels current menopause commercialization fears
- "If you don't use it, you lose it"—sexual stimulation maintains pelvic blood flow
- 90% of serotonin made in the gut—mood issues may be microbiome-related and 80% of immune system made in the gut
- UTI-antibiotic-UTI cycle disrupts gut and perpetuates infections
- Sleep, hydration, healthy eating: the free foundation everything else builds on
Connect:
- The International Pause Institute: https://pauseinstitute.com
- The Pelvic Floor Store: https://pelvicfloorstore.com - Use the code Disruptor to receive 10% off purchas
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Meet your Host:
Mary is a Licensed Menopause Champion, certified Menopause Doula, and Woman's Coaching Specialist supporting high-achieving women to embrace their transition from peri- to post-menopause.
Mary coaches individuals and guides organizations to create a menopause-friendly workplace, helping forward-thinking organizations design policies to accommodate employees at work and foster a positive and supportive culture.
Click on the link to learn more 👉🏼👉🏼 https://emmeellecoaching.com/workplace
Ready to transform your menopause journey? Learn how Mary can work with you 1:1. Book a free consultation call.
Disclaimer: Information shared is for educational and entertainment purposes only and does not replace medical advice. Always consult with a healthcare professional.
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