117 - Transforming the lives of men and women with Paul Anderson
The Dr Louise Newson Podcast
Dr Louise Newson
4.7 • 938 Ratings
🗓️ 21 September 2021
⏱️ 30 minutes
🧾️ Download transcript
Summary
In this unique episode, Dr Louise Newson talks to her husband, who is a consultant urologist, about the lack of menopause training among medical professionals, the importance of urologists understanding the consequences of the menopause on urinary function and the benefits of HRT and vaginal estrogen.
Paul Anderson explains some of his fascinating work as a highly specialist reconstructive surgeon, and together they discuss the rewarding aspects of each of their careers in transforming the quality of lives of men and women through surgery and menopause care respectively.
If you’ve ever wondered about what kind of man is married to Dr Louise Newson, this is the episode for you!
Paul’s 3 reasons why urologists should know about the menopause and HRT:
- Simply because it will affect 50% of the population
- Urologists need to know about conditions associated with Genitourinary Syndrome of Menopause so they can adequately treat the urinary tract infections that they will encounter frequently in postmenopausal women.
- We need to start recommending HRT to women as part of general health advice, just like you would suggest someone lose weight if it was impacting on their health. We should explain that the health risks of HRT have been overstated, and the benefits greatly outweigh the risks for the vast majority.
Transcript
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| 0:00.0 | Welcome to the Neuson Health Menopause podcast. I'm Dr. Louise Newson, a GP and menopause |
| 0:15.8 | specialist and I'm also the founder of the menopause charity. In addition, I run the Newston Health Menopause |
| 0:23.0 | and Well-Being Clinic here in Stratford-upon-Avon. |
| 0:31.6 | Today on my podcast, I'm really delighted and excited to introduce to you, Paul Anderson, |
| 0:36.5 | who's actually my husband and also a |
| 0:39.1 | great friend and mentor and has known me since day one of medical school. So I've hoaked him in |
| 0:45.1 | to talk about various things today. So thanks Paul for joining me today. I didn't have much choice. |
| 0:53.1 | So Paul, as many of you might know, is a consultant surgeon and has a very full-on career. |
| 1:01.0 | And the last few years has really been instrumental in helping me escalate my career, despite us having three children. |
| 1:07.5 | So we do live in organised chaos, I'd like to think. |
| 1:12.8 | But Paul, I just wanted to talk various things really today, but I'm very intrigued because when we were both at medical |
| 1:18.7 | school, I don't know about you, but I don't remember learning anything about the menopause at all. |
| 1:23.9 | And certainly my first 15 years as a doctor, it wasn't really in my radar at all. And I think |
| 1:29.1 | about the thousands of women I misdiagnosed and not even thought about. And I know you had the |
| 1:35.0 | same training as me. So I presume you had the same lack of knowledge about the menopause as me. |
| 1:41.3 | Yeah. But I mean, as a urologist and seeing postmenopausal women with |
| 1:45.0 | UTIs, I was aware of the changes that happened, you know, with a vaginal floor and what have you, |
| 1:50.6 | when you go into a low-eastern state. So I knew about that, but only specific to how they presented |
| 1:56.1 | to a urology clinic. But you're right, yeah, it wasn't covered at all in medical school. No. So we'll talk a bit |
| 2:02.0 | about your career in a minute, but you had a very general urological training, and part of that |
| 2:06.6 | is urinary tract infections, UTIs, as you say, which are more common in women than men, aren't they? |
| 2:12.6 | Yeah, totally. Well, you know, your ureth was a design fault. It's four centimeters of straight line. And it's not going to keep out UTIs. That's part of the problem. And of course, when you go through the menopause, you lose that sort of vascular sponginess of the ureth and you lose that coaptation where the centre part of your water pipe closes on itself and forms a good valve. That's certainly one of the |
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