Phase to Phase: The Hormone Health Show

Spotting between periods, heavy flow, and period pain–a few gynaecologic conditions can cause these symptoms. In fact, some of these conditions come bundled like a package. In this solo episode of Phase to Phase: The Hormone Health Show, Dr. Anne Hussain covers one of these conditions: Adenomyosis. She breaks down what adenomyosis actually is (in plain language), why it's so often missed, what it means for you and your fertility, and risk factors worth paying attention to. She also tackles the fertility conversation that rarely gets enough airtime, the diagnostic delays that leave so many people missing out on life, and management options, from the hormonal IUD and surgical approaches to the integrative strategies and physical therapies like pelvic floor physio (often borrowed from endometriosis data as research has historically lumped these conditions together). She also covers the often-overlooked definition of heavy and abnormal bleeding, the costs associated with adenomyosis, and how to advocate for yourself so that you get the care you deserve. Key Takeaways What is adenomyosis? Adenomyosis is a condition where tissue similar to the uterine lining grows into the muscular wall of the uterus, often causing heavy menstrual bleeding, painful periods, and sometimes a tender or enlarged “boggy” uterus. It affects an estimated 20–35% of premenopausal menstruators and frequently coexists with endometriosis, fibroids, and polyps. What are the symptoms of adenomyosis? The hallmark symptoms are heavy flow and painful periods (dysmenorrhea), but adenomyosis can also cause chronic pelvic pain, painful sex, bloating, and fatigue from iron deficiency. Around 30% of cases are asymptomatic. What counts as heavy bleeding or abnormal uterine bleeding? Heavy menstrual bleeding is clinically defined as losing more than 80mL per period, periods lasting longer than 7-9 days, clots bigger than an inch across, flooding, or needing to double up on period products. Significant changes from your own baseline also matter, even if your numbers technically still fall within "normal" range. The cost of heavy bleeding and period pain–money spent on period products, days of work and life that are missed, energy and time spent to find appropriate care–are under-supported aspects of menstrual health. How is adenomyosis diagnosed? Transvaginal ultrasound is now a highly accurate diagnostic tool for adenomyosis, with closer to 90% sensitivity and specificity, making it more accessible and affordable than MRI. Advocate for imaging if your symptoms fit, and/or ask for a referral to a gynaecologist. How does adenomyosis affect fertility and pregnancy? The numbers aren’t super clear because adenomyosis often occurs with other gynaecologic conditions. That said, adenomyosis is associated with higher rates of pregnancy loss, preeclampsia, preterm delivery, and complications in assisted reproductive technology (ART) settings. Early referral to a fertility clinic and understanding your individual health are important. What are the treatment options for adenomyosis? There’s no one-size-fits-all solution for adenomyosis. Options include painkillers like NSAIDs for period pain, combined oral contraceptives for pain and flow, the hormonal IUD (currently considered first-line), progestin-only therapies, conservative surgery, and hysterectomy. Integrative strategies are usually borrowed from endometriosis research (nutrition, exercise, pelvic physiotherapy, acupuncture, and supplements like ginger, omega-3s, addressing a vitamin D deficiency, ensuring iron adequacy, PEA) can support symptom management and long-term health alongside conventional care. This should be a shared decision made based on your goals, health status, values, and symptoms. Chapters 00:00 Adenomyosis stats 01:30 What is adenomyosis? 5:58 Risk factors 6:53 Diagnotic imaging 7:42 Infertility and fertility considerations 8:53 Conventional treatment 10:59 Integrative treatment options 14:39 Self-advocacy and tips Dr. Anne's links: What is a Normal Period Podcast Episode phasetophase.ca annehussain.com References PMID: 30969690, 37837497, 37809195, 39718325 Learn more about your ad choices. Visit megaphone.fm/adchoices

"Cortisol Face." "Cortisol Belly." If you spend any time in the wellness corner of the internet, you’d think cortisol was the ultimate villain ruining our health, bodies, and lives. But is this misunderstood stress hormone actually to blame, or is wellness culture just capitalizing on women’s fatigue in a world in which we’re under-resourced and over-extended? In this episode of Phase to Phase, Dr. Anne Hussain is joined by Dr. Jordan Robertson, ND, founder of The Confident Clinician, to inject some much-needed critical thinking into the cortisol conversation. They break down why cortisol is actually a vital player in keeping you alive, why paying for routine cortisol testing is essentially throwing money into a bonfire, and what you should actually be testing for instead (hint: sleep apnea and iron deficiency). Dr. Jordan introduces the concept of allostatic load, your body's true capacity to handle stressors. Together, they challenge the current narrative telling women to "do less" and avoid high-intensity workouts to protect their hormones. Instead, they offer a refreshing, empowering reframe: true nervous system regulation isn't about avoiding hard things; it's about adequately fueling and resourcing your body so you can push your boundaries, build resilience, and operate at your best. Takeaways Cortisol is not the enemy. It’s a necessary buffering system that helps your body mount a response to physiological and psychological demands. It doesn't cause the distress; it just shows up to help you survive it. Cortisol testing doesn’t tell you much (unless you are being screened for overt adrenal diseases (like Cushing's or Addison's)). Routine cortisol testing for general fatigue is virtually useless due to massive inter-individual variability. It won't explain your symptoms, and it shouldn't dictate your treatment.  Focus on “allostatic load," not the actual individual hormone. Instead of trying to "fix" your cortisol with trendy supplements, focus on your body's overall capacity to handle stress. True resilience is built through foundational resources: adequate sleep, solid nutrition, and periodized recovery. Stop fearing high-Intensity exercise. Women are increasingly being told to avoid hard workouts to "protect their cortisol." In reality, you should exercise as hard and as often as you can adequately recover from. Intentional physical stress builds long-term metabolic resilience and better cortisol responses in the long run.  Look for the real culprits first before blaming your adrenal glands for your sluggishness. Iron deficiency, sleep apnea, and chronic under-fueling (like running on nothing but coffee and a banana until noon) perfectly mimic the symptoms of nervous system dysregulation (and will make your PMS worse too!).  Burnout makes your capacity feel small, like living inside a tight electric fence where every minor stressor zaps you. The goal isn't to stay inside that tiny fence forever by doing less; it’s to resource your body so you can push those boundaries outward and confidently take on hard things. This is hard, but not impossible, to do when we already have a high burden of responsibility. Get help! Chapters 00:00 Cortisol online 01:44 Jordan's intro and mission 06:40 Cortisol's role 11:00 Allostatic load and building resilience 21:19 Intentional stress and coping 23:20 HIIT and recovery 27:37 Cortisol testing 35:45 Habits that help for stress 42:50 Changing your mind Links: Dr. Jordan Robertson’s Links:  Follow Jordan on Instagram Learn about The Confident Clinician https://www.instagram.com/theconfidentclinicianclub/ https://confidentclinicianclub.com/ Dr. Anne’s Links:  phasestophase.ca annehussain.com More About Jordan Robertson: Jordan Robertson is on a mission to elevate integrative and naturopathic medicine to the standards of care that conventional medicine practices while simultaneously solving the unpaid research-labour crisis of Naturopathic Doctors. With a 15-year career in facilitation, research inquiry and critical appraisal at McMaster University, Jordan has taught thousands of students how to be better communicators, work in teams and research nutrition, integrative care, medicine and “space medicine” (that last one while co-facilitating a course with NASA). Jordan is the founder of The Confident Clinician, a database, clinical decision-making tool and home for over 700 full-time members, 60 fellows in her leadership program and over 5000 clinician subscribers to her free integrative magazine, The Stacks. She’s known for helping clinicians see their own potential, inspiring curiosity, vulnerability and “mind-changing” and for giving clinicians the push they need to become the best at what they do. Learn more about your ad choices. Visit megaphone.fm/adchoices

What do a tub of protein powder, a bag of salt and vinegar chips, and a can of chickpeas have in common? They’re all processed foods. If you listen to the extreme corners of wellness TikTok, processed foods are “toxic” and you should feel terribly guilty about eating them (and feeding them to your family!). But is that actually true? In this solo episode of Phase to Phase, Dr. Anne Hussain tackles the ultimate health buzzword: Ultra-Processed Foods (UPFs). She goes over what actually makes a food processed or ultra-processed using the NOVA Classification System, she takes you through the science and impact of UPFs on your health, breaks down the massive difference between a flash-frozen vegetable and a hyper-palatable cookie, and why panicking over a drop of artificial dye while ignoring the systemic impact of cheap palm oil completely misses the forest for the trees (pun intended!). This episode will take you through why craving chips isn't a failure of your willpower, how to navigate our current food environment, and how to build flexible and resilient nutrition strategies when life is busy and shelf-stable snacks are everywhere.  Key Takeaways Are all processed and ultra-processed foods bad? Lumping all packaged and processed foods together as “unhealthy” or “toxic” is a mistake. Protein powder, canned beans, and fruit yoghurt are technically processed, but offer nutritional value and much-needed convenience for our busy lives. We do want to minimize or avoid the sugar- and salt-ladened, hyperpalatable, low-on-nutrition UPFs because they tend to replace nutrient-dense foods, but not all UPFs are made equal. Do I need to avoid all UPFs? A small amount of candy or artificial dye on occasion isn’t going to make a huge difference in your health (unless you’re allergic to it!). The real culprits driving chronic disease are a lack of fibre, excess sugar and salt, and cheap, environmentally destructive refined oils like palm oil that are contributing to deforestation. So, definitely minimize and avoid UPFs when possible, but focus more on adding nutrient-dense whole and minimally-processed foods as much as possible.  What is the NOVA Food Classification System and what is a processed food anyway? Researchers categorize food by the purpose of its processing. Group 1 includes whole foods (like frozen berries, fresh spinach, oats, etc.), while Group 4 includes UPFs that are industrial formulations designed to be hyper-palatable and/or convenient, replacing other food groups (like candies, chips, and hot dogs, but also protein powder and fruit yoghurt). Why are ultraprocessed foods everywhere and often cheaper than fresh produce? UPFs are scientifically designed in labs with the perfect ratio of sugar, fat, salt, and carbs to make you want them more. Craving them isn't a moral failure; it's a multi-billion dollar success of the global food industry that lobbies for corporate profits at the expense of the health of average people and our planet.  What should I focus on in my own nutrition? We need a sprinkling of flexibility to create room for enjoyment, tradition, nostalgia, and convenience, so you don’t need to fear the occasional UPFs (frequency and quantity matters!). Our bodies are quite resilient, especially if we lay down some solid nutritional foundations. So, focus on balanced meals that have carbs (including fibre), protein, healthy fats and offer vitamins, minerals, and antioxidants.  Heart & Stroke Foundation on UPFs NOVA Food Classification System Adaptation: Food, Nutrition & Fitness I: The Digestion Journey Begins with Food Choices (Compiled in 2018 by EduChange with guidance from NUPENS, Sao Paulo) phasetophase.ca annehussain.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Breast cancer is a diagnosis that carries immense weight, fear, and uncertainty. With statistics telling us that 1 in 8 women in Canada will be diagnosed in their lifetime, it is easy to feel powerless. But what if we shifted the conversation from fear to action? In this episode of Phase to Phase, Dr. Anne Hussain is joined by Dr. Ashley Chauvin, ND, a Menopause Society Certified Practitioner who specializes in helping patients navigate life after cancer. Together, they break down the nuance behind breast cancer risk factors, moving past the sensationalized headlines to focus on what the evidence actually says. Dr. Chauvin explains the concept of "stacking the deck" in your favor, why breast cancer is never a punishment, and how to understand the magnitude of different risk factors. They dive deep into the uncomfortable truth about alcohol consumption, the reality of dense breast tissue, and the often-misunderstood relationship between menopausal hormone therapy and breast cancer risk. They also tackle the lingering fear around soy and explain why your non-organic vegetables are perfectly safe (and necessary!). Whether you are looking to reduce your risk or are navigating a diagnosis, this episode offers a compassionate, evidence-based guide to taking control of your health. Takeaways Cancer is not a punishment–risk is about probability, not determinism. You can do everything "right" and still get cancer, or do everything "wrong" and never get it. The goal is simply to "stack the deck" in your favor by modifying the risk factors you can control, without blaming yourself for the ones you can't. The magnitude of risk matters as not all risk factors carry the same weight. While environmental factors might slightly increase risk, alcohol is a Class 1 carcinogen. Even moderate consumption can significantly increase breast cancer risk by at least 30% compared to non-drinkers. Breast density matters. It’s determined by the ratio of fibroglandular tissue to fatty tissue and can only be assessed via a mammogram. If you have dense breasts (Category C or D), supplemental screening like an ultrasound is often recommended because dense tissue can mask potential calcifications. Do not skip your mammogram. While no screening is perfect, the benefits of mammograms far outweigh the incredibly small risks associated with the radiation. Thermography is not an evidence-based alternative to a mammogram and can dangerously delay the diagnosis of a concerning lesion. Hormone therapy is not an absolute contraindication: The relationship between menopausal hormone therapy and breast cancer is nuanced. For those without a history of disease, the risk is similar to the average population for the first five years. Even for those with a high-risk genetic predisposition (like BRCA1 or BRCA2), hormone therapy may still be an option depending on their complete health profile. The myth that soy causes breast cancer stems from outdated 1990s studies on rats. Extensive human trials consistently show that soy consumption is safe, beneficial, and associated with a decreased risk of breast cancer, even for those with a history of estrogen-positive breast cancer. Soy is safe.  Chapters 00:00 Breast cancer stats 05:35 Risk factors 12:59 Alcohol 16:27 Breast density, mammograms, ultrasounds 19:27 Hormone therapy 29:18 Screening, mammography, radiation, thermography 39:17 Soy 42:59 Self-assessment 45:51 Reducing your risk of breast cancer 48:10 Genetic risks 51:25 Organic vs. non-organic food & wrap-up Dr. Ashley’s Links: instagram.com/ashleychauvin_nd https://drashleychauvin.com/   Breast Cancer Resources:  Breast Cancer Canada: https://breastcancer.ca/ Dense Breasts Canada: https://www.densebreastscanada.ca/ Canadian Cancer Society: https://cancer.ca/en/cancer-information/cancer-types/breast/risks Connect with Dr. Anne Hussain, ND: ⁠⁠⁠⁠⁠⁠⁠⁠https://phasetophase.ca/ ⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠https://annehussain.com/  Learn more about your ad choices. Visit megaphone.fm/adchoices

If there was a magical solution that could lower your cholesterol, improve your hormonal health, and support true longevity, would you take it? In this solo episode, Dr. Anne Hussain, ND argues that fibre needs a PR campaign that goes beyond gut health. With heart disease remaining the leading killer of women in Canada, she breaks down why this "unsexy" nutrient is the missing link for your heart health (blood sugar, cholesterol, and blood pressure) especially if you have a condition like PCOS and perimenopause. She explains why fibre is more important than protein to live a long healthy life while decreasing the risk of chronic illnesses (heart disease, cancer, and cognitive decline). She takes you through the importance of getting 25-30g of fibre per day and tips for anyone who’s worried that fibre gives them gas, bloating, and weird poops.  Key Takeaways Which foods are good for longevity? They’re the kinds that are “unsexy”--the ones that come from plants that are rich in antioxidants and other nutrients like fibre. While the wellness industry tries to sell expensive biohacks, fibre is the straightforward solution that lowers cholesterol, improves blood pressure, stabilizes blood sugar, and reduces the risk of dying from chronic illness. True longevity has more to do with systems and lifestyle modification including nutritious food (and access to said food!) than gadgets and supplements.  Why is fibre crucial for hormone health and heart health? Heart disease remains the leading killer of women in Canada, and fibre is the unsung hero of cardiovascular protection. Beyond the heart, fibre plays a big role in supporting cardiometabolic changes seen in perimenopause and in conditions like PCOS by improving insulin resistance and reducing the risk of cardiovascular disease.  How much fibre do women need daily? While protein is vital, the obsession with animal protein (which has zero fibre) has led to people forgetting about fibre. Most Canadians are only getting 10–15g per day, which is about half of the recommended 25-30g for women needed for a healthy gut microbiome, long-term health, hormones, disease prevention, and your heart. How do you figure out how much fibre you’re getting? Whether you use an app or a simple journal, knowing your baseline is the first step to closing the gap. Use 1 or more days of regular eating, input that into an app or discuss with a nutrition and dietetics profession, and take it from there! What is fibre anyway? Fibre is a type of carbohydrate that your body can’t digest. The two broad categories include soluble and insoluble fibre. Fibre’s only found in plant foods (whole grains, legumes, fruits, vegetables, nuts, and seeds). Animal products like meat, eggs, and dairy contain zero fibre, which is why a diverse, plant-forward diet is the way to hit your daily targets. What if fibre causes an upset digestive system, like gas or bloating? If you jump from 10g to 30g overnight, you will experience gas and bloating. To avoid this, it is recommended that people increasing their fibre do so slowly. If you have a condition like IBS, it’s best to discuss fibre additions with your health team as different kinds of fibre as well as fibre-containing foods might be less suitable, leading to more symptoms.  Supplements like Metamucil (psyllium husk) can offer convenience and help with blood sugar regulation, but they shouldn't replace whole foods. A supplement can't mimic the full nutritional matrix of antioxidants, vitamins, and minerals found in raspberries, lentils, and oats.  Dr. Anne’s blog post on fibre: https://annehussain.com/blog/fuelling-your-heart-and-hormonal-health-with-fibre Heart and Stroke Foundation on fibre: https://www.heartandstroke.ca/healthy-living/healthy-eating/fibre-and-whole-grains Canadian Digestive Health Foundation on fibre: https://cdhf.ca/en/fibre-and-its-benefits/ phasetophase.ca annehussain.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Heavy periods? Take the pill. Period pain? Take the pill. Acne? Take the pill. It feels like the universal solution for every hormone-based problem, doesn’t it? Even if you aren't trying to prevent pregnancy, chances are you’ve walked out of a doctor's office with a prescription in hand. But is it a "band-aid" solution that masks the root cause, or is it a valid, life-changing tool? In this episode, Naturopathic Drs. Anne Hussain and Brittany Schamerhorn have the nuanced conversation about birth control that most of us never got to have in the doctor's office. They tackle the biggest myths and worries patient face: Does the pill cause infertility? Am I going to get “post-pill syndrome”? Is it actually just masking symptoms? Whether you are happily on the pill, desperate to come off, or somewhere in between, this episode gives you the permission and the scripts to make the choice that is right for you. Takeaways The birth control pill is often seen as a universal solution for hormonal issues from acne and PMS to heavy flow and period pain. The combined oral contraceptive pill has estrogen and progestin that suppress ovulation and the symptoms associated with hormone change over a menstrual cycle.  There are different types of birth control pills with varying mechanisms of action. Withdrawal bleeds are not necessary for everyone on the pill. Many side effects of the pill can be adjusted with different formulations. The pill does not cause infertility or ruin your fertility. However, it can cover up underlying fertility issues (like irregular ovulation due to PCOS, or heavy periods due to adenomyosis) for years. This means that when you come off the pill, these conditions still exist.  Post-pill syndrome is often overstated and requires time for adjustment.  Women should feel empowered to change their contraceptive choices at any time. Hormonal contraception provides significant value in family planning and hormonal management. Open communication with healthcare providers is crucial for informed decision-making. It's essential to have open conversations about health decisions with providers. Patients should feel comfortable questioning their treatment options and changing their mind based on their experience and circumstances.  Dr. Brittany Schamerhorn is a naturopathic doctor, Menopause Society Certified Practitioner, and the founder of Ivy Health Clinic in Kelowna, BC. Dr. Brittany focuses in women’s hormone health - supporting women from PMS to menopause and everything in between.  She’s known for her down-to-earth, evidence-based approach that helps women feel seen, heard, and empowered with real answers. Beyond her clinical work, she’s a mentor and educator to other clinicians, helping them grow their confidence in prescribing and women’s health Links:  Dr. Brittany’s Clinic in Kelowna, Ivy Health Connect with Dr. Brittany on Instagram: Resources: Blog post on the pill and fertility Blog post on PCOS and the pill Grab Dr. Anne's Period Literacy Handbook⁠ Connect with Dr. Anne Hussain, ND: ⁠⁠⁠⁠⁠⁠⁠https://phasetophase.ca/ ⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠https://annehussain.com/  Chapters (00:00) Understanding the Birth Control Pill (03:12) The Role of Hormones in Women's Health (06:26) Mechanisms of the Pill: Combined vs. Progestin-Only (09:01) Who Should Avoid the Combined Pill? (12:34) The Necessity of Withdrawal Bleeds (18:05) Navigating Patient Conversations (23:31) Fertility Considerations and the Pill (28:40) Post-Pill Syndrome: Myth or Reality? (31:07) Navigating Fertility and Hormonal Health (35:47) Understanding Contraceptive Choices (39:26) The Value of Contraception (41:43) Common Side Effects of the Pill (45:17) Evolving Perspectives on Health Learn more about your ad choices. Visit megaphone.fm/adchoices

When the year resets, the wellness world is flooded with trend reports promising the "next big thing."  In this solo episode of Phase to Phase, Dr. Anne Hussain looks into her (metaphorical) crystal ball to share her predictions for the biggest hormone health trends of 2026. She breaks down what is "hot" (the unsexy return to basics), what is "not" (the fear-mongering around seed oils), and the trends she is actively trying to will into existence. She takes us through why we need to stop diagnosing ourselves with "cortisol face," why the protein obsession needs to make room for fibre and calcium, and why "hormone imbalance" is a description, not a diagnosis. She also tackles the more serious reality of health inequity and explains why true hormone health isn't about buying more gadgets, but about community, advocacy, and protecting our public healthcare systems. Whether you are an early adopter and trend-chaser or a skeptic who loves science, this episode is a must-listen.  Key Takeways:  We’re making room for fibre and calcium in 2026. Protein is going to share the limelight this year because fibre is critical for gut health, hormonal health, and heart health, while calcium is essential for your bones (and many other things) especially as you get older.  We’re predicting a shift away from the "butter and beef tallow everything" trend. Saturated fats can increase heart disease and cancer risk, while worsening insulin resistance and inflammation (PCOS, anyone?). So, we’re moving toward less saturated fat and less anti-scientific fear-mongering regarding “inflammatory” seed oils.   The trend for fitness is moving away from vibrating plates and weighted vests and back to the foundations: lifting heavy things, cardiovascular health, and joyful movement. We are likely going to see AI-infused apps and gadgets, which serve a purpose, but beware of who’s harvesting your data! We need to stop pathologizing normal human physiology like water retention. Fluid retention has been conflated with “cortisol face”, “cortisol belly”, and “inflammation” a lot in 2024 and 2025. We’re leaving that behind and understanding that cortisol normally fluctuates (and is an important player in your body), while water retention can also change based on salt, carbs, heat, and hormones. Health and wealth inequities are an increasing trend I’m hoping will go away, but are likely here to stay for 2026. You can’t biohack your way out of a broken system, so let’s focus on the pillars of hormonal health: accessible and supportive healthcare, voting with our voices and dollars, and focusing on community instead of consumerism.  Chapters (00:00) The Hormone Health Ins and Outs of 2026 (01:08) The Return of Fibre and Calcium (04:32) Beef Tallow, Saturated Fat, and Seed Oils (06:26) Physical Activity: Weighted Vests, Vibration Plates, Cycle Syncing, Weight Lifting, and Cardio (08:05) Nuance in Health Content and Hormone Science (09:46) Cortisol Face, Inflammation, Water Retention, Salt, Electrolytes, and Hormone Imbalance (13:45) Health Equity and Community Building Resources: Osteoporosis Canada Calcium Calculator Grab Dr. Anne's Period Literacy Handbook Connect with Dr. Anne Hussain, ND: ⁠⁠⁠⁠⁠⁠https://phasetophase.ca/ ⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠https://annehussain.com/  Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Phase to Phase, Dr. Anne Hussain dives deep into Polycystic Ovary Syndrome (PCOS), a topic near and dear to her heart as someone who has PCOS herself. This common yet complex condition affects so much more than your ovaries, menstrual cycles, and fertility. She emphasizes that PCOS is a lifelong, multi-system condition that requires a comprehensive approach to management that will evolve over time. She breaks down how PCOS is diagnosed, the role of insulin resistance and inflammation, how your PCOS is not your fault, and the impacts on your long term health–from weight and skin to fertility and heart health. Dr. Hussain also highlights the role of nutrition, exercise, sleep, and stress management in managing PCOS, as well as potentially beneficial medications and supplements. Whether you’ve just been diagnosed or have been managing symptoms for years, this episode is a must-listen to help you advocate for yourself and build a sustainable plan rooted in science and self-compassion. Takeaways It’s not just about your ovaries, periods, or fertility. PCOS is actually a multi-system, lifelong hormonal and metabolic condition that impacts your mood, energy, skin, and long-term health. You don’t need to have polycystic ovaries to have PCOS! PCOS requires us to rule out conditions that look like PCOS, while meeting two of the three Rotterdam diagnostic criteria of: (1) irregular or anovulatory menstrual cycles, (2) hyperandrogenic symptoms or labs (like acne, hirsutism, and hair loss, or high testosterone and DHEA in blood), (3) polycystic ovaries on ultrasound or high AMH in blood PCOS comes in all shapes and sizes. Symptoms of PCOS can vary from person to person and these symptoms can change over time! The common signs and symptoms seen in PCOS include irregular periods, acne, hair loss, hirsutism, fatty liver, abdominal weight gain, infertility, gestational diabetes, mood dysregulation, higher risk of heart disease, and more Insulin resistance is the biggest underlying factor in PCOS and contributes to the hormonal dysregulation that is often seen in PCOS. PCOS is influenced by genetic, environmental, familial, and lifestyle factors. You did not cause your PCOS!  Managing your PCOS often requires a multimodal approach with a focus on foundations like nutrition, exercise, sleep, mental health support, stress management, and more. Medications and supplements can be layered on top depending on your, your goals, and your health.  Chapters (00:00) Understanding PCOS: A Lifelong Journey (02:56) The Diagnostic Criteria of PCOS (06:12) Symptoms and Manifestations of PCOS (08:59) Insulin Resistance and Metabolic Dysfunction (11:49) Root Causes of PCOS (14:55) Building a Health Plan for PCOS (18:11) Nutrition and PCOS Management (20:59) Exercise and Lifestyle Changes (23:46) Sleep and Stress Management Resources: https://annehussain.com/pcosacne Grab Dr. Anne's Period Literacy Handbook: ⁠https://annehussain.com/plh⁠ Connect with Dr. Anne Hussain, ND: ⁠⁠⁠⁠⁠⁠https://phasetophase.ca/ ⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠https://annehussain.com/ ⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

If you’ve ever wondered if your cramps are "too painful," if your cycle is "too long," or if loose poops when you’re on your period are normal, this episode is a must-listen. In this solo episode, Dr. Anne Hussain explains not only what a normal menstrual cycle can look like, but also what it can feel like. She breaks down the different phases of the menstrual cycle, what you need to be paying attention to, and how to advocate for better hormonal health. The average menstruator goes through over 400 menstrual cycles in their lifetime! It’s time to stop normalizing what’s not normal so that you can live your life fully without being held back by your monthly cycle.  Takeaways Even though we go through over 400 menstrual cycles in our lifetime, we don’t really learn about periods in an age-appropriate way.  Mild changes over the menstrual cycle due to hormonal change is normal–a bit of discomfort during a period, a mid-cycle twinge, some more fluid retention before your period can be part of a normal menstrual experience.  There are two phases of the menstrual cycle: the follicular phase, which starts with your period, and the luteal phase, which starts with ovulation. Your cycle length is determined from day 1 of full flow until the day before your next period.  Ovulation is the main start of the show that is your menstrual cycle–it’s how we make progesterone and it’s what determines the length (and regularity!) of your menstrual cycle.  Tracking your menstrual cycle allows you to understand your hormonal changes, have a long-term record of your menstrual cycle (which will inevitably change as you go from your first to last period ever), and help you track cyclical or intermittent signs and symptoms. It also allows you to advocate and relay your experience to your health team to get the proper support in place.  The foundations of your health–like sleep, stress management, nutrition, exercise, iron status, and connection–are all important aspects of your menstrual health and your resilience to hormone change. You may need additional support from medications, hormones, supplements, contraception, acupuncture, and counselling, depending on your health, diagnoses, age, goals, values, and lived experience. Grab Dr. Anne's Period Literacy Handbook: https://annehussain.com/plh Connect with Dr. Anne Hussain, ND: ⁠⁠⁠⁠⁠https://phasetophase.ca/ ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠https://annehussain.com/ ⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Peeing a little when you laugh or sneeze? Or maybe you've had chronic pain during sex or your period for so long that you think, 'This is just part of life?' In this important conversation, Dr. Anne Hussain and pelvic health physiotherapist Sheela Zelmer delve into the often-overlooked topic of the pelvic floor, discussing its critical roles (from digestion and urination to intimacy and pain) and the cultural taboos that often lead to dismissal. Sheela emphasizes how no amount of leakage is normal and how these sorts of concerns often get worse over time due to hormone change. You will learn the importance of seeking help, what a pelvic assessment truly involves, and how body awareness and acceptance are crucial for living life to the fullest. Takeaways The pelvic floor is a group of muscles essential for bladder and bowel control. Pelvic floor dysfunction can manifest in various ways, including urinary leakage, period pain, pain with sex, and even lower back pain. No amount of leakage is considered normal and should be addressed; the same goes for pain during periods or intercourse. Cultural taboos often prevent open discussions about pelvic health, which is a missed opportunity for women to learn about their bodies and get help.  Pelvic assessments are crucial for understanding individual health needs. Breathing techniques can significantly impact pelvic floor health. Kegels or pelvic floor strengthening exercises are not the only way! Awareness and education can help normalize conversations about pelvic health. Women should be encouraged to explore and understand their bodies.Seeking help from a pelvic physiotherapist can be transformative for many women. More About Sheela Zelmer: Sheela Zelmer is a pelvic health physiotherapist, intimacy coach, and educator in Newmarket Ontario, which is part of the Greater Toronto Area. She works in private practice treating clients both in-person and virtually. Sheela graduated from the University of Toronto Physical Therapy Program in 1995 and obtained certification in Sex Therapy from the University of Guelph in 2021.  She is also teaching faculty with Pelvic Health Solutions in partnership with the Canadian Physiotherapy Association, educating future pelvic health professionals. Sheela has practiced in orthopaedic and pelvic health for the past 30 years with special interest in women’s health and sexual wellness. www.sheelazelmer.com www.instagram.com/sheelazelmer/ Connect with Dr. Anne Hussain, ND: ⁠⁠⁠⁠⁠⁠https://phasetophase.ca/ ⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠https://annehussain.com/ ⁠⁠ (00:00) Understanding the Pelvic Floor (05:22) Pelvic Floor Dysfunction and Its Impact (10:32) Navigating Cultural Taboos and Stigmas (16:29) Assessment and Treatment of Pelvic Floor Issues (20:05) Bladder Function and Urination Habits (24:24) Vaginal Health and Examination (30:15) Empowerment Through Knowledge and Self-Exploration (33:33) Seeking Help and Normalizing Conversations Learn more about your ad choices. Visit megaphone.fm/adchoices

What’s the first thing you want when your health feels off? A test. But in the world of hormone health, testing often doesn't tell us much more than what you already know. In this solo episode of Phase to Phase, Dr. Anne Hussain discusses the complexities of hormone testing and its role in understanding the world of hormone imbalances. She tackles the myth that labs are always the answer, explaining why hormones are meant to fluctuate, and why sex hormone testing doesn't work like testing for iron or vitamin D. She offers evidence-based guidance on when testing actually matters (like fertility work-ups, missing periods, diagnosing PCOS, etc.), why blood tests are the tried-and-true method, and why many costly salivary or urinary tests are unnecessary. She ends off sharing what kinds of things you need to start paying attention to, how you can advocate for better hormone healthcare, and which non-hormonal tests are important for your hormonal symptoms.  Takeaways Hormone testing has a time and place, but you likely don’t need a “fancy” (and expensive!) salivary or urinary hormone test. Blood testing and consulting with your medical team is what’s best to get to the bottom of what’s going on. Hormones naturally fluctuate, which means you’ll have some highs and lows when we test your estrogen, progesterone, cortisol, FSH, and LH depending on where in your menstrual cycle you are and what else is going on.  Not all symptoms are directly linked to hormone levels. In fact, 10 people with PMS could have very different hormone levels when we test. How your body and brain perceive hormone change matters. Hormone testing should answer specific questions or guide treatment. Your experience is the most important information when it comes to your hormone health. Hormone testing doesn’t always tell us more than what your symptoms and story tell us, especially for PMS and perimenopause.  Connect with Dr. Anne Hussain, ND: ⁠⁠⁠⁠https://phasetophase.ca/ ⁠⁠⁠⁠ ⁠⁠⁠⁠https://annehussain.com/ ⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Have you ever found yourself wide awake at 3 a.m., wrestling with anxiety and night sweats? Or, maybe you walked into a room with a purpose and completely forgot why you’re there? It could be the beginning of the transition to menopause. In this episode of Phase to Phase, Dr. Anne Hussain is joined by fellow Naturopathic Doctor and Menopause Society Certified Practitioner, Dr. Laurie Alpert. They explore the complexities of perimenopause and menopause, highlighting the often-overlooked symptoms that accompany this time when hormone changes, chronological aging, and the stresses of life are all happening simultaneously, leaving you wondering what "normal" is. They discuss various aspects of health management during perimenopause, focusing on hormone therapy, lifestyle modifications like nutrition and exercise, and the importance of collaborative care so you can feel more like yourself now and set yourself up for the future.  Takeaways Perimenopause is a significant transition with hormone change that affects many aspects of health and life, and it can present with a spectrum of signs and symptoms.  Menopause is defined as one day, marking the twelve-month anniversary of your final period ever. After this, you’re considered post-menopause.  Insomnia is a common concern in perimenopause that can affect energy, mood, appetite, weight, and memory! Difficulty falling asleep and waking up frequently can be due to hot flashes, night sweats, frequent urination, and even sleep apnea.  Tracking menstrual cycles and symptoms can provide valuable insights for healthcare providers  Lifestyle modifications, like working on stress, sleep, exercise, nutrition, and avoiding alcohol, can significantly improve quality of life during this transition including your metabolic health, breast cancer risk, bone health, and sleep.  Regular health screenings are crucial during midlife to monitor changes, and this may or may not include hormone testing. Hormone therapy is a primary treatment for menopausal symptoms but not the only option. There are supplements, herbs, counselling, acupuncture, and more that we can use with or without estrogen and progesterone therapy.  There’s no one-size-fits-all solution to perimenopausal hormone change. Collaborative care that centres you and your experience is where it’s at! More About Dr. Laurie Alpert, ND Dr. Laurie Alpert is a Naturopathic Doctor and Menopause Society Certified Practitioner with expertise in supporting women through perimenopause.  Combining conventional standards of care with evidence-based integrative therapies, she provides strategic and collaborative healthcare to help you make the most of this transition. In addition to providing one-on-one clinical care to Ontario residents, she facilitates a Clinical Menopause Mentorship program for integrative medical professionals, and has designed a DIY 8 week Perimenopause Sleep Solutions experience to support the unique needs for sleep recovery during this significant lifestage.  Work with Dr. Laurie Follow Dr. Laurie on Instagram Perimenopause Sleep Solutions Menopause Practitioner Circle Connect with Dr. Anne Hussain, ND: ⁠⁠⁠https://phasetophase.ca/ ⁠⁠⁠ ⁠⁠⁠https://annehussain.com/  (00:00) Understanding Perimenopause and Menopause (02:36) Defining Menopause Terminology (05:40) Common Symptoms and Changes During Perimenopause (09:11) The Impact of Sleep on Health (15:18) The Role of Caffeine and Alcohol (19:09) Tracking Symptoms and Seeking Help (24:56) Essential Health Screenings During Midlife (27:22) Understanding Hormone Testing (28:18) Lifestyle Modifications for Better Health (31:14) The Importance of Nutrition and Hydration (33:05) Exercise and Its Impact on Sleep (37:23) Addressing Sleep Disruptions (42:44) Collaborative Care and Evolving Perspectives on Health Care Learn more about your ad choices. Visit megaphone.fm/adchoices

What’s the real cost of dealing with hair loss, unwanted hair growth, and acne? In this episode of Phase to Phase, Dr. Anne Hussain tackles the emotional, financial, and mental toll that hair and skin struggles take, especially for those of you navigating perimenopause or a condition like PCOS. Dr. Anne cuts through the marketing noise to give you a solid foundation on underlying causes (hormones, genetics, stress) and breaks down which tests are actually worth your money. Most importantly, she offers a mindset shift: your worth is not tied to your appearance. She offers practical solutions for managing skin and hair changes while stressing the need for professional help and sustainable treatment options.  Takeaways Your wallet can take a hit as you deal with hair fall, acne, and unwanted hair growth. Many women spend thousands and thousands of dollars on skincare, procedures, and supplements trying to figure out what to do.  There are other costs, like the mental and emotional toll, that are often overlooked in discussions about skin and hair health.  The hormonal changes of perimenopause and conditions like PCOS are common causes of hair and skin issues.  Self-esteem can be deeply affected by hair loss and acne. It's important to view chronic acne and hair loss as ongoing vs. looking for temporary solutions.  Testing can be helpful, but not all testing is useful! Tracking symptoms and treatments can help manage conditions effectively. SPF is essential for skin health, especially for those with acne. The truth is that you likely need internal and topical support for your hair and skin. Professional help is crucial for effective management of hair and skin concerns. Disclaimer: This podcast is intended for educational purposes only and should not be considered medical advice. Please consult your physician or a qualified healthcare provider for personalized guidance regarding your health. Chapters (00:00) The Hidden Costs of Hair and Skin Issues (13:14) Understanding the Causes of Hair Loss and Acne (22:50) Practical Solutions for Managing Hair and Skin Concerns (34:09) Emotional Well-being and Self-Compassion in Treatment Connect with Dr. Anne Hussain, ND: ⁠⁠https://phasetophase.ca/ ⁠⁠ ⁠⁠https://annehussain.com/  Learn more about your ad choices. Visit megaphone.fm/adchoices

Have you ever felt like you're doing everything right for weight loss, but your body just won't cooperate? On this episode, Dr. Anne Hussain and obesity medicine expert Dr. Ashley White unpack why "eat less, move more" is an oversimplified and often harmful message. They tackle the weight stigma that’s everywhere, exploring how biology, genetics, and environment play a bigger role than willpower. You'll also learn the truth about the calorie-in/calorie-out model, appetite literacy, the role of medications like semaglutide, and the amount of weight loss that can lead to significant health improvements in your life (it’s not what you think!). It’s time to move beyond shame and blame! This episode is a must-listen for anyone seeking a more compassionate and sustainable strategy that works for you, not against you. Takeaways • It’s not just willpower! Your body and how you carry weight is a complex interplay of biology, genetics, hormones, and the environment. • The one-size-fits-all model is broken and doesn’t work. A sustainable approach to weight management must be individualized, compassionate, and focused on your unique needs. • The scale (aka your gravitational pull to the earth) isn't the only metric that matters. Learn about the other indicators of health that can help you reframe your idea of "success" beyond your weight. • Stop fighting your appetite and learn the powerful concepts of appetite literacy and “regulation over restraint" to work with your body, not against it. • Don’t forget about the stigma! This is a big one. Diet culture and weight stigma all around us plays a huge role in how we think, feel, and deal with weight management. You’ll learn how to advocate for yourself in a world that often oversimplifies weight. • A little can go a long way: Understand why even a modest, sustainable change can lead to significant improvements in your health and well-being. More about Dr. Ashley White: Dr. Ashley White is a metabolic strategist and physician innovator who's reimagining women's health care. Through her practice at Clarity Health Burlington and her online platform The Shift System™, she helps patients design sophisticated strategies for metabolic resilience that evolve with their lives. Drawing on her background in emergency medicine, obesity medicine, and public health, Dr. White brings a unique systems-thinking approach to complex health challenges. She works particularly with accomplished women navigating the intersection of professional success and personal health challenges, helping them see the connections between seemingly unrelated health issues. As Director of Women's Health for https://www.doou.ca/, she's also at the forefront of creating innovative healthcare delivery models. Dr. White holds a Doctor of Medicine from McMaster University, a Master's in Public Health, and is a Diplomate of the American Board of Obesity Medicine. https://www.theshift.clinic/about Disclaimer: This podcast is intended for educational purposes only and should not be considered medical advice. Please consult your physician or a qualified healthcare provider for personalized guidance regarding your health. Chapters (00:00) Understanding Weight Loss Variability (04:02) The Complexity of Weight Management (08:54) Personal Connections to Obesity Medicine (16:00) Environmental Influences on Weight (24:13) Transdiagnostic Approaches in Obesity Care (30:06) Realistic Expectations in Weight Loss (36:01) Appetite Literacy and Self-Advocacy (40:35) Understanding ADHD and Appetite Dynamics (41:54) The Importance of Communication in Weight Management (44:10) The Role of Food as Fuel (46:32) Advocating for Yourself in Healthcare (48:59) Changing Perspectives on Patient Advocacy Connect with Dr. Anne Hussain, ND: ⁠https://phasetophase.ca/ ⁠ ⁠https://annehussain.com/  Learn more about your ad choices. Visit megaphone.fm/adchoices

What if everything you've been told about "balancing" your hormones isn't the whole story? In this inaugural episode of Phase to Phase, Dr. Anne Hussain pulls back the curtain on hormone health. She shares her origin story, from growing up with no menstrual education to navigating her own PCOS diagnosis, and explains the deeply personal mission that drives her work. If you’ve ever felt dismissed, confused, or like you’re losing your mind trying to get answers about your health, you’re in the right place. Join us as we explore the deeply personal and political nature of women's health, and learn how developing agency over your body is a form of resistance. Anne promises to cut through the wellness noise to give you the science-backed clarity you deserve. This is the beginning of a conversation dedicated to making you the expert on your own body. Takeaways • You're not imagining things! If you've ever felt like your symptoms were dismissed or that you were told they're "just stress," you've found a place that believes you. • No more snake oil: Learn to spot expensive promises and fear-mongering so you can make health decisions based on science and evidence, not marketing. • Your body, your data. Your lived experience matters! Discover how tracking your symptoms can help you decode what's happening in your body and tell your most powerful health story. • Become your own advocate: Get the tools to navigate the healthcare system with confidence and ask for the care you need and deserve. • It's all connected. You’ll understand that your hormones don't work in isolation. In fact, they're linked to your lifestyle, your emotions, and the world around you. • Find your wellness compass in this age of information overload. Phase to Phase will help you tell the difference between what's helpful and what's just noise, so you can build a health plan that truly works for you. Disclaimer: This podcast is intended for educational purposes only and should not be considered medical advice. Please consult your physician or a qualified healthcare provider for personalized guidance regarding your health. Chapters: (00:00) Introduction to Hormone Health (01:01) The Need for Evidence-Based Information (02:20) Personal Journey and Menstrual Education (04:45) Professional Background and Experience (07:14) Empowering Women in Healthcare (09:24) Understanding Hormonal Health (11:19) Navigating Misinformation in Health (12:18) The Political Nature of Health (14:11) Commitment to Education and Growth (15:00) Upcoming Topics and Personal Connections Connect with Dr. Anne Hussain, ND: https://phasetophase.ca/  https://annehussain.com/  Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to Phase to Phase: The Hormone Health Show hosted by Naturopathic Doctor Anne Hussain. Inspired by her own journey with PCOS and her passion for menstrual advocacy, Dr. Hussain is on a mission to empower women to better understand their hormonal health. Anne will guide listeners through every phase and cycle — from your first period to beyond perimenopause. With expertise as a Menopause Society Certified Practitioner along with guest experts, you'll learn about how hormones affect your mood, sleep, skin, metabolism, and even bone health. She will also cover hormone testing, hormone therapy, supplementation and more. Listen for new episodes every other Thursday starting in September 2025. Follow and subscribe wherever you get your podcasts! Disclaimer: This podcast is intended for educational purposes only and should not be considered medical advice. Please consult your physician or a qualified healthcare provider for personalized guidance regarding your health. Learn more about your ad choices. Visit megaphone.fm/adchoices