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 Greenleaf is a true pioneer challenging outdated narratives in women's health.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
• 50% of women experience pelvic prolapse (bladder, uterus, rectum dropping)
• 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
• Vaginal mesh crisis parallels current menopause commercialization fears
• Sexual stimulation maintains pelvic blood flow

Resources:

• GSM Fact Sheet
• Women’s Pelvic Meditation: https://femversity.com/pelvicmediation-sign-up

Connect:

• The International Pause Institute: https://pauseinstitute.com
• The Pelvic Floor Store:

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I would love it if you could support the show. Go into the show notes and click on the button where you read "support the show." You have the option to donate monthly, $3, 5, 8, 10. Be a loyal supporter for as long as you want with recurring fee as little of three as $3 a month, and opt out at any time. Each investment goes directly back into producing episodes with even better content, improved audio quality, and we'll go a long way in bringing great guests onto the show.

Support the show

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.

In this Season 3 kick-off, Mary sits down with Elizabeth Katzman, Functional Diagnostic Nutrition Practitioner (FDN) and founder of Strong Choices, to unpack the long-term impact of birth control on women’s health, the concept of “the pill hangover,” and holistic strategies for thriving through perimenopause and menopause.

Elizabeth shares her personal journey from attorney to FDN, and how her own family’s health challenges led her to question conventional wisdom around women’s health, antibiotics, and hormonal interventions. Together, Mary and Elizabeth discuss:

• What is “the pill hangover” and how can it affect women decades after stopping birth control?
• The critical connection between gut health, hormone balance, and bone strength
• Why supporting your liver and gut is essential for hormone detox and overall well-being
• Practical hacks for managing menopause symptoms, including vaginal estrogen in the ear
• The importance of advocating for yourself with healthcare providers and building a supportive care team
• How to educate and empower the next generation to make informed choices about hormonal health
• Insights from Elizabeth’s upcoming book, “Sexy Bones,” and her approach to strength training for bone density

Elizabeth also shares actionable advice for mothers of teens, women considering or coming off birth control, and anyone navigating the midlife transition. Plus, learn why variety in probiotics and fermented foods matters, and how small daily choices can make a big difference.

Connect with Elizabeth Katzman

• Website: strongchoices.com
• Instagram: @strongchoices1

Let us know if you're liking the show!

I would love it if you could support the show. Go into the show notes and click on the button where you read "support the show." You have the option to donate monthly, $3, 5, 8, 10. Be a loyal supporter for as long as you want with recurring fee as little of three as $3 a month, and opt out at any time. Each investment goes directly back into producing episodes with even better content, improved audio quality, and we'll go a long way in bringing great guests onto the show.

Support the show

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.

Season 2 finale we kick off with a replay, a visit back to my first guest interview, the inaugral episode featuring Shannon Donahoe-Simpson.

Shannon is a cancer survivor and lifelong people pleaser who embarked on a transformative journey of radical self-acceptance, self-love, and self-responsibility. Her story highlights how she connected the dots between her trauma, health, and lifelong habits to find healing. Over time, she evolved out of her past projects geared around nutrition and youth empowerment into becoming a highly-sought after TEDx speaker and heart-centered facilitator.

Her transformation led to profound personal changes, including the end of her marriage, and a deepened commitment to helping others through her ongoing social media series Toolbox Tuesday and hosting women's circles, retreats, and empowerment gatherings.

Emphasizing the importance of speaking one's truth, Shannon encourages listeners to live authentically and prioritize self-care. This episode embodies the themes of rebirth, transformation, and infinite potential, symbolically released as episode 88 in in 2025, a nine year - the number that symbolizes master transformation.
Connect:

• Shannon's journey and offerings online at shannondonohoesimpson.com, Instagram, YouTube, and LinkedIn

References:

• Toolbox Tuesdays
• Watch her inspirational TEDx talk
• Read her story in The Collective Magazine
• Book mentioned: When the Body Says No by ⁠Dr. Gabor Maté (not an affiliate link)

Let us know if you're liking the show!

I would love it if you could support the show. Go into the show notes and click on the button where you read "support the show." You have the option to donate monthly, $3, 5, 8, 10. Be a loyal supporter for as long as you want with recurring fee as little of three as $3 a month, and opt out at any time. Each investment goes directly back into producing episodes with even better content, improved audio quality, and we'll go a long way in bringing great guests onto the show.

Support the show

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.