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Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+

Ep. 570 We’ve Been Wrong About Progesterone! – The Most Powerful Hormone for Heart, Brain & Longevity with Dr. Felice Gersh | Menopause & HRT

Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+

Cynthia Thurlow

Science, Life Sciences, Health & Fitness, Nutrition, Alternative Health

4.71.2K Ratings

🗓️ 21 March 2026

⏱️ 63 minutes

🧾️ Download transcript

Summary

I’m thrilled to have Dr. Felice Gersh join me for a two-part conversation focusing on menopause and HRT. She is a prolific voice in the integrative gynecology space, a true mentor, and someone I respect enormously. In the first part today, we dive into progesterone and its wide-ranging systemic effects. We unpack the differences between synthetic and bioidentical hormones, discuss the Women's Health Initiative, examine the role of progesterone in cardiovascular disease, and look at the importance of nitric oxide production. We explore ovarian senescence and how we accelerate our ovarian aging. Dr. Gersh explains how declining nitric oxide production relates to aging and shares ways to achieve optimal health during menopause. We also discuss how PCOS impacts fertility and longevity, how estradiol and progesterone modulate neurotransmitters, and how they impact brain health and cognition in perimenopause and menopause. This is truly a conversation you will not want to miss. Be sure to stay tuned for my second discussion with the insightful Dr. Felice Gersh. IN THIS EPISODE, YOU WILL LEARN: The value of progesterone beyond simply protecting the uterine lining What progesterone does that synthetic progestins cannot do How the risks and side effects of synthetic progestins unfairly tarnished the reputation of progesterone How progesterone supports nitric oxide signaling and vascular health The essential role progesterone plays in stabilizing the nervous system The role of progesterone in supporting mitochondrial function, musculoskeletal health, and connective tissue repair Symptoms that could appear or worsen when progesterone levels are low Dr. Gersh reframes ovarian aging as a core marker of aging in women  Factors that could impair ovarian function and hormone production Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow  Cynthia’s Menopause Gut Book is on presale now! Cynthia’s Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Felice Gersh On her website: Integrative Medical Group of Irvine Instagram All of Dr. Gersh’s books are available on Amazon.

Transcript

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0:00.0

Welcome to Everyday Wellness Podcast.

0:04.0

I'm your host, Nurse Practitioner Cynthia Thurlow.

0:07.0

This podcast is designed to educate, empower, and inspire you to achieve your health and wellness goals.

0:13.0

My goal and intent is to provide you with the best content and conversations from leaders in the health and wellness industry each week and impact over a million lives.

0:29.2

Today I had the honor of connecting again with Dr. Felice Gersh, who is just such a prolific voice in the

0:36.4

integrative gynecology space and truly a mentor and

0:40.1

someone I respect enormously. We had a very lengthy conversation which I have divided into two episodes.

0:46.2

Today we spoke at length about the value of progestron and the systemic wide effects, the differences

0:52.8

between synthetic bioidentical hormones and the women's

0:56.2

health initiative. Specifically, the role of progesterone and cardiovascular disease health and the

1:01.9

importance of nitric oxide production. Ovarian senescence and aging and key ways that we can

1:07.5

accelerate the aging of our ovaries. how the loss of nitric oxide production

1:12.0

equates to aging, looking for ways to find optimal health and menopause, the impact of PCOS

1:18.8

in fertility and longevity, and last but not least, the impact of estradiol and progesterine

1:24.8

as they modulate neurotransmitters and impact brain and cognition

1:28.4

in perimenopause and menopause. Stay tuned for my second conversation with Dr. Gersh. This is

1:34.7

absolutely positively a conversation you want to listen to more than once.

1:42.4

Dr. Gersh, such a pleasure to have you back on the podcast. We were speaking at A4M, and we were speaking

1:48.4

around particular topics that you were feeling emboldered to make sure that women were aware of.

1:55.1

And progesterone came up, and I think progesterone is really a misunderstood hormone. I still have patients and women in my DM saying things like I don't have a uterus.

2:06.1

My physician, my nurse practitioner, my PA told me I don't need to take progesterone and perimenopause or menopause.

2:12.0

And so I think it's just fodder for really important discussions like the ones that I have with you that help

...

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