SabiaHealthnc

💜 I have so much respect for every woman navigating menopause on her own terms.

But I want to make sure that if you’re choosing to “rawdog” menopause — to ride it out without hormone therapy — that it’s an informed choice. Not a default one.

Because here’s what doesn’t get talked about enough:

🦴 Your bones.
We start losing bone density in the years before our last period. Estrogen is one of the most powerful tools we have to slow that process. One in two women over 50 will have an osteoporosis-related fracture in her lifetime — and hip fractures are particularly serious, with up to 20% of women who sustain one not surviving the following year.

❤️ Your heart.
Estrogen has a protective effect on your cardiovascular system. After menopause, women’s risk of heart disease rises significantly and catches up to men’s within a decade. Heart disease is the number one killer of women — not breast cancer, which is what most women fear.

🧠 Your brain.
Women account for nearly two thirds of all Alzheimer’s cases. Emerging research suggests estrogen plays a role in cognitive protection, and that the timing of hormone therapy may matter. This is one of the most important conversations in women’s medicine right now.

🌸 Your vaginal health.
Unlike hot flashes, which eventually ease up, vaginal and urinary symptoms from estrogen loss tend to get worse over time — not better. Dryness, discomfort, painful s*x, and recurrent UTIs are not things you just have to live with. Women who experience three or more UTIs per year are often dealing with genitourinary syndrome of menopause — a treatable condition that is massively underdiagnosed.

The hot flashes will eventually stop. But the long-term effects of estrogen loss on your bones, heart, brain, and vaginal health don’t resolve on their own.

You deserve to make this decision with full information — not fear, not outdated data, and not a doctor who shrugs and says “that’s just menopause.”
That’s what I’m here for. 💜. Link in bio if you want to chat.
perimenopause

Loving my new space. Would be happy to see you there!

Perimenopause isn’t just hot flashes. 🌡️

For so many women, it’s rage that comes out of nowhere. Anxiety that wasn’t there before. Racing thoughts at 2am. 😩 Crying in the car for no clear reason. Snapping at the people you love most and not recognizing yourself afterward.

If you feel like you’re losing your mind — you’re not. Your hormones are shifting, and estrogen plays a direct role in regulating mood, stress response, and even the neurotransmitters tied to anxiety and depression. 🧠

Women are significantly more likely to experience new-onset anxiety or depression during this transition, and most are never told why.

This isn’t a character flaw. It isn’t “just stress.” It’s physiology — and it’s treatable. 💜

You don’t have to white-knuckle your way through this. Let’s talk about what’s actually going on in your body. 🦉

Schedule a time to chat at the link in the bio.