A good gynecologist is like a detective. She gathers evidence to diagnose infections. She uncovers the truth behind stages like puberty, pregnancy and perimenopause. Yet many women still feel that their physiology is a mystery. 

What if a clue to that mystery hides in our diet? Similar to the gut, certain foods make the vaginal microbiome thrive. New research suggests that the right diet could alleviate symptoms of the most common gynecological diseases.

Dr Jennifer Ashton is former Chief Medical Correspondent at ABC News and is a double-board certified OBGYN. She joins us today to discuss ‘nutritional gynecology’, a term she coined after realizing multiple women’s health issues have a direct relationship to nutrition.

Alongside Jen is King’s College London professor and ZOE’s Chief Scientist Sarah Berry. Sarah shines light on the growing evidence of the role of nutrition in offsetting uncomfortable, and sometimes dangerous, symptoms of menopause.

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Timecodes:

00:00 What you eat matters

02:00 Quickfire questions

04:05 What gets treated in gynecology?

07:19 What is the vaginal microbiome?

11:30 This affects the vaginal microbiome

13:46 The new field of nutritional gynecology

15:57 Does estrogen affect appetite?

17:19 The gut bacteria that breaks down estrogen

21:22 How food impacts puberty

23:21 Do glucose spikes affect pregnancy?

28:35 Symptoms of PCOS

33:00 Dr Jen explains endometriosis

37:20 Does diet affect these conditions?

42:00 How to test diet changes on yourself

📚Books by our ZOE Scientists

The Food For Life Cookbook

Every Body Should Know This by Dr Federica Amati

Food For Life by Prof. Tim Spector

Free resources from ZOE:

Live Healthier: Top 10 Tips From ZOE Science & Nutrition 

Gut Guide - For a Healthier Microbiome in Weeks

Studies relevant to this episode

Diet and Nutrition in Gynecological Disorders: A Focus on Clinical Studies (2021, published in Nutrients

Effects of caloric intake timing on insulin resistance and hyperandrogenism in lean women with polycystic ovary syndrome (2013), published in Clinical Science

Weight Regulation in Menopause (2022), published in Menopause

Menopause, the gut microbiome, and weight gain: correlation or causation? (2020), published in Menopause

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Episode transcripts are available here.