Podcast: Rebellious Wellness Over 50
Episode: 75
Episode Title: Taking the Fear Out of BHRT So You Can Feel Better
Host: Gregory Anne Cox
Guest: Dr. Michael Green
Published: October 27, 2022
Duration: 40 minutes
Format: Audio Interview
Main Topics: Bioidentical hormone replacement therapy, menopause, perimenopause symptoms, telehealth menopause care
PODCAST TEST - Rebellious Wellness Over 50: Dr. Michael Green on BHRT and menopause
Medically Reviewed by:
Dr. Michael Green, MD
Dr. Michael Green, MD Last Updated: June 16, 2026 Approx. 4 Min Read |Published on: June 16, 2026
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Episode Details
About Rebellious Wellness Over 50
About This Episode
The Bottom Line:
Dr. Michael Green, Winona’s Chief Medical Officer and OB/GYN, joined host Gregory Anne Cox on Rebellious Wellness Over 50 for Episode 75, “Taking the Fear Out of BHRT So You Can Feel Better.”
In this conversation, Dr. Green discusses bioidentical hormone replacement therapy, menopause symptoms, telehealth care, and why individualized physician review matters when considering treatment options during perimenopause and menopause.
VISIT REBELLIOUS WELLNESS OVER 50
Episode Details
Podcast | Rebellious Wellness Over 50 |
Episode | 75 |
Episode Title | Taking the Fear Out of BHRT So You Can Feel Better |
Host | Gregory Anne Cox |
Guest | Dr. Michael Green |
Published | October 27, 2022 |
Duration | 40 minutes |
Format | Audio Interview |
Main Topics | Bioidentical hormone replacement therapy, menopause, perimenopause symptoms, telehealth menopause care |
About Rebellious Wellness Over 50
Rebellious Wellness Over 50 is hosted by Gregory Anne Cox and created for women over 50 who want science-based conversations about aging, energy, vitality, and living fully through this stage of life.
In this episode, Cox speaks with Dr. Michael Green about bioidentical hormone replacement therapy, common fears around HRT, menopause symptoms that may be easy to overlook, and how telehealth can help expand access to physician-led menopause care.
[VISIT REBELLIOUS WELLNESS OVER 50]
About This Episode
This episode focuses on taking fear and confusion out of conversations about bioidentical hormone replacement therapy. Dr. Green and Gregory Anne Cox discuss why many women have questions about HRT, how past research shaped public perception, and why treatment decisions should be based on symptoms, health history, risk factors, and physician review.
The conversation also covers how menopause and perimenopause symptoms can show up beyond hot flashes. Dr. Green discusses sleep disruption, weight changes, brain fog, mood changes, hair thinning, and joint discomfort as examples of symptoms women may notice during this stage of life.
A key theme throughout the episode is access. Dr. Green explains how Winona’s telehealth model is designed to help women share their symptoms, answer health questions, and receive physician-reviewed treatment options when appropriate.
Topics Covered in the Episode
Why many women have questions or concerns about HRT
How the Women’s Health Initiative influenced HRT conversations
Why physician review and patient selection matter
The role of shared decision-making in menopause care
Bioidentical hormone replacement therapy and symptom support
Estrogen, progesterone, and DHEA
Pills, creams, and patches as different treatment formats
Sleep disruption, hot flashes, night sweats, and brain fog
Weight changes, hair thinning, mood changes, and joint discomfort
How Winona’s telehealth process works
Why some women may not realize symptoms are connected to perimenopause or menopause
Key Takeaways
HRT conversations have changed over time
Dr. Green discusses how the Women’s Health Initiative shaped fear and confusion around hormone replacement therapy for both patients and physicians. In the episode, he explains that HRT conversations should be more nuanced than a simple yes-or-no answer. Treatment decisions depend on a woman’s symptoms, health history, age, risk factors, and physician review. The conversation reinforces that HRT is not right for everyone, but it may be an appropriate option for some women after careful evaluation.
Symptoms can be more subtle than hot flashes
The episode highlights that many women wait for hot flashes before considering whether symptoms may be related to menopause or perimenopause. Dr. Green discusses other possible symptoms, including sleep disruption, weight changes, hair thinning, mood changes, brain fog, and joint discomfort. These symptoms can build gradually, making it harder for women to connect them to hormone changes. The takeaway is not to self-diagnose, but to ask direct questions and seek physician-reviewed guidance when symptoms affect daily life.
Treatment options should be individualized
Dr. Green explains that Winona’s process is built around gathering symptom and health history information before a physician reviews treatment options. In the episode, he discusses estrogen, progesterone, DHEA, and different formats such as pills, creams, and patches. The larger point is that menopause care should not be one-size-fits-all. The right approach depends on medical history, risk factors, treatment goals, and whether a physician determines that care through telehealth is appropriate.
Progesterone matters for women with a uterus
The episode includes a clear discussion of why progesterone may be part of hormone therapy for women who still have a uterus. Dr. Green explains that progesterone helps balance the effects of estrogen on the uterine lining. He also notes that progesterone may be discussed in relation to sleep and mood support for some women. This section should be reviewed by a physician before publishing to ensure the final language reflects current Winona guidance.
Telehealth can make menopause care more accessible
Dr. Green explains how Winona’s telehealth process helps women share symptoms, answer health questions, review treatment preferences, and message with a physician. He also notes that telehealth has safety limits and may not be the right setting for every case. This distinction is important: Winona’s model is designed to support access to menopause care while still prioritizing physician review, eligibility, and individualized treatment decisions.
About Dr. Michael Green
Dr. Michael Green is Winona’s Chief Medical Officer and an OB/GYN. He is a board-certified Obstetrics and Gynecology physician with more than 25 years of clinical experience in women’s health.
At Winona, Dr. Green brings a physician’s perspective to menopause, perimenopause, hormone changes, symptom support, and treatment options. His work focuses on helping women better understand their symptoms, health history, and when physician-reviewed menopause care may be appropriate.
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Watch or Listen to the Episode
Listen to the full conversation with Dr. Michael Green on Rebellious Wellness Over 50.
Related Winona Resources
Get Physician-Led Menopause Care
Winona helps women access menopause and perimenopause care from home. Start with a short health questionnaire, and a board-certified physician will review your symptoms, health history, and treatment options.
Frequently Asked Questions (FAQs) About This Episode - TEST
Dr. Michael Green, Winona’s Chief Medical Officer and OB/GYN, was featured in this episode of Rebellious Wellness Over 50.
Dr. Green was featured on Episode 75, “Taking the Fear Out of BHRT So You Can Feel Better.”
The episode covered bioidentical hormone replacement therapy, menopause symptoms, perimenopause, physician-reviewed treatment options, and Winona’s telehealth approach to menopause care.
This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment.