Absorption of estrogen patch and gel

EnRitched Menopause

May 21, 2025 ∙ 13 mins
Episode 89

About

Are you using a transdermal estrogen patch or gel and wondering why it doesn’t seem to be doing much? New research may have an answer.

In this episode, Dr. Ritch discusses a recent study published in Menopause that suggests some women may not absorb estrogen effectively through the skin — and that could explain why symptoms persist, even with consistent use.

She breaks down what the research reveals, possible factors affecting absorption, and what this might mean for your treatment plan.

🎧 Listen now and share this episode with someone who might benefit from it. 

If the show has been helpful, don’t forget to subscribe or leave a quick review — new episodes return this fall, so stay tuned!



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Information

Podcast

EnRitched Menopause

Episode

89

Date

May 21, 2025

Length

13 mins
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    Show notes: We all know sleep is important, but often gets pushed aside for things that we think are more urgent.  Dr. Funke Afolabi-Brown is a pulmonologist and sleep specialist.  She shares how she personally reached her breaking point and learned to prioritize sleep and restfulness and how you can, too!  She gives practical tips […]

  • Constipation isn’t normal! Bowel issues and solutions with Dr. Caren Bennett

    Constipation, bloating and reflux all become more common in perimenopause and postmenopause as changes in hormones affect bowel motility and fluid absorption.  Gastroenterologist, Dr. Caren Bennett, discusses these and other common issues in the gastrointestinal system.  She gives both simple lifestyle modifications in diet and stress that can make a huge difference in how you […]

  • Great Skin and Hair in Perimenopause and Beyond With Dr. Lesley Clark-Loeser

    We all want to look and feel our best in perimenopause and postmenopause, but we know that changes from aging and environmental exposures are inevitable.  That doesn’t mean that there aren’t steps we can take for our best skin and hair.  Dr. Lesley Clark-Loeser is a board-certified dermatologist and co-owner of Precision Skin Institute.  She […]

  • B+ Mindset

    Sometimes our perfectionist mindset can get in our way.  It can limit our potential, damage our relationships and sabotage our goals.  In this episode, Dr. Ritch discusses how adopting a B+ mindset, moving forward without perfection, helped her to create this podcast and can help you, too.

  • Setting Your Vision And Goals For The Year

    Progress and change are important parts of life and our health.  So many of us get caught up in survival mode of just getting through the day and our endless task lists.  In this episode, Dr. Ritch reviews a framework to take a step back and evaluate your goals for the year to set yourself […]

  • When Periods Go Crazy…

    Even if your periods have been like clockwork, they can start to go a little crazy in perimenopause.   Irregular periods that come too soon or are absent for months, heavy or prolonged periods, and painful periods can all be part of this stage.   In this episode, Dr. Ritch discusses how hormones and other […]

  • Help! Something Is Falling Out. Prolapse With Dr. Jennifer Pollak

    Did you know that your bladder, uterus and rectum can actually drop?  Dr. Jennifer Pollak is a urogynecologist specializing in evaluating and treating pelvic organ prolapse.   In this episode, she discusses symptoms, risk factors, treatment and prevention.   All the information you never knew you needed to know! ——————— Ready to enrich your menopause […]

  • Pelvic Floor 101 with Dr. Rivka Friedman

    Your pelvic floor is part of your core.  It affects your strength, your bladder and bowel function and your sex life.   Dr. Rivka Friedman is a pelvic floor physical therapist who specializes in treating women with urinary incontinence, vaginal prolapse, and pelvic pain. She talks with Dr. Ritch about treatment strategies and techniques you […]

  • Uh-oh, I Think I Just Peed A Little…

    Does a big sneeze have you changing your pants?  Do you start to run every time you put your key in the door? In this episode, Dr. Ritch discusses leakage of urine, how it’s affected by menopause, and what you can do about it. ——————— Ready to enrich your menopause journey? Connect with Dr. Jessica […]

  • When Sex Isn’t Working…

    What happens when you’re trying to get your groove back, but sex is painful?   In this episode, Dr. Ritch discusses issues from lichen sclerosis to pelvic floor dysfunction to uterine pain, as well as loss of libido.   Learn how to assess and treat these problems. ——————— Ready to enrich your menopause journey? Connect […]

  • Let’s Talk About Sex With Dr. Carol Clark, Sex Therapist

    Menopause is not the end of your sex life.  While there can be challenges, many can have the best sex of their lives in menopause and beyond.  Dr. Carol Clark is board-certified in sex therapy and addictions and is the founder and senior instructor for the International Institute of Clinical Sexology.  She talks with Dr. […]

  • What’s happening to my vagina? Genitourinary syndrome of Menopause

    Do you feel like you’re running to the bathroom constantly or has sex suddenly become not so comfortable?  In this episode, Dr. Ritch discusses what happens to the vagina and surrounding tissue when estrogen levels fall in perimenopause and what to do about it. ——————— Ready to enrich your menopause journey? Connect with Dr. Jessica […]

  • Changing Up Your Exercise Routine In Menopause With Tarah Timothee

    As a certified fitness trainer and co-owner of Revolve Fitness, Tarah Timothee knows what it takes to be healthy and strong.  In this episode, she talks with Dr. Ritch about what women in perimenopause and menopause can do to reach their fitness goals. Hint: It’s not more time on the treadmill! ————Connect with Tarah TimotheeInstagram: […]

  • Nutrition In Menopause With Registered Dietician Adrienne Sugimoto

    Registered Dietician Adrienne Sugimoto doesn’t believe in dieting.   In this episode, she talks with Dr. Ritch about her approach to nutritional planning, the special needs of women in perimenopause and menopause, and how to incorporate lasting changes into your life. —————– Connect with Adrienne SugimotoWebsite: Nutrition By Adrienne Instagram: @nutrition_by_adrienne

  • Your Mind On Menopause With Psychotherapist Deborah Marcus Stayman

    Psychotherapist and licensed clinical social worker Deborah Marcus Stayman talks with Dr. Ritch about the psychological challenges that occur in perimenopause and menopause beyond and provides practical strategies to navigate these challenges.   She has decades of experience helping women through these struggles and bringing them through to the joy in life that lives on […]

  • What Is Going On With My Hormones?

    You can’t talk about perimenopause and menopause without talking about hormones!  Sometimes, it feels like a roller coaster ride of emotions and other symptoms.   In this episode, Dr. Ritch will discuss what’s going on with hormones during this stage, what types of symptoms these hormonal changes cause, and a basic overview of treatment options. […]

  • Mindset – Creating Your Morning Routine

    Your mindset matters in every aspect of life and can be crucial in navigating the changes in perimenopause and menopause.   In this episode, Dr. Ritch helps you reframe how you think about menopause and the next phase of your life.  She helps you develop a daily routine that will set you up for success, […]

  • Welcome to EnRitched Menopause

    Dr. Jessica Ritch, board-certified and fellowship-trained minimally invasive gynecologist takes you on a journey through perimenopause and menopause.  Find out what inspired the EnRitched Menopause podcast and what is up ahead. Subscribe to the podcast to hear more and register for our newsletter so you never miss an episode! 📩 JOIN THE MAILING LIST HERE

  • Symptoms of Breast Cancer (YouTube Video #389)

    Symptoms of Breast Cancer In this eye-opening episode, Dr. Barbara 'Menopause' Taylor reveals a surprising truth—most breast cancers have no early symptoms. She debunks common myths, especially the widespread belief that breast pain signals cancer, and explains the difference between signs and symptoms. Learn why relying on symptoms alone can be dangerous, and how early […]

  • Sherri Dindal – Being The Real Slim Sherri and new beginnings in Midlife & Menopause

    Many of you will know The Real Slim Sherri from Instagram and TikTok – she is well known for her no- holds barred, unfiltered truths around growing up in the 70’s and 80’s, midlife, life as a Gen X woman and menopause.  I have loved her page ever since I discovered it and so was […]

  • What Stem Cell Therapy Taught Me About Recovery, Mindset, and Reinventing Downtime

    In today’s episode, I share my personal experience with stem cell therapy—and the unexpected lessons that came from being forced to slow down. Whether you’re choosing a procedure like stem cell therapy or suddenly dealing with an injury or illness, time off from your normal routine isn’t just inconvenient — it’s a major mental and […]

  • 193 Can Color Heal You? Dr. Deanna Minich Thinks So 🎨🧠🌿

    Forget everything you thought you knew about nutrition. This episode gets wildly colorful—literally. Dr. Deanna Minich joins Sally to decode how COLOR—yes, actual colors—can shift your health, your hormones, and even your mood. From purple carrots to chlorophyll, this convo goes deep on how to nourish your body and your energy. We’re talking:✨ Yellow for […]

  • Ep #152: Overcoming Gender Barriers in a Male-Dominated Industry with Captain Reyné O’Shaughnessy

    In this episode, Andrea Donsky, nutritionist, published menopause researcher, menopause educator, and co-founder of WeAreMorphus.com, talks to Captain Reyné O’Shaughnessy. She is a veteran commercial airline pilot with over 34 years at a Fortune 50 carrier and more than 10,000 heavy-jet flight hours, including being among the first women qualified on the Boeing 747. She's […]

  • 219 How to Support Your Mental Health and Stop Menopause Weight Gain

    Menopause is a natural part of life, but that doesn’t mean it’s easy. I’ve experienced the exhaustion, the thinning hair, the mood swings—and the confusion that comes when you feel like your body is changing faster than you can keep up. In this episode, I’m sharing my personal journey with menopause and the lessons I’ve […]

  • S4 Ep178: Mid-life Nutrition: Tips and Tricks From a Dietician with Dr. Alexandra Filingeri

    Any mid-life woman knows that once you hit your 40s, 50s, or 60s, things will not go well if you eat the same way you did when you were 20. But it’s confusing to know what to eat, and how much to eat, without downloading multiple APPs and carrying around a calculator  My guest, Alexandra […]

  • 164: Emotional Eating in Menopause – The Psychology Behind the Cravings

    Do you get cravings for the foods that make your soul feel fuzzy but your body feel icky? In this episode, Adele explains the psychology behind those cravings, how to make steps away from those cravings and how to be more mindful with your eating. Check out Adele’s FREE symptom assessment here: https://adelejohnstoncoaching.com/free-copy-of-our-symptom-assessment/ Adele is […]

  • Thursday Thoughts – Writing a Book

    This week on Thursday Thoughts, Lucy and I dive into a juicy conversation all about her brand new book Shiny Happy Singles — or Thrive Solo if you're tuning in from the US. We chat about the inspiration behind the book, what it really means to thrive on your own, and why this message is […]

  • From Midlife Crisis to Midlife Chrysalis: Chip Conley’s Roadmap to Reinvention

    In this episode of Hello Menopause, Stacy talks with entrepreneur, author, and Modern Elder Academy founder Chip Conley about what it really means to navigate midlife. Drawing from his own experience with prostate cancer and hormone therapy, Chip shares what it felt like to go through “male menopause” and how that informed his vision for […]

  • Bladder Issues in Menopause – The Hidden Bacteria You Need to Know

    If bladder issues in menopause are keeping you from jumping for bone density or for jumping for joy. Or if laughing and sneezing or a need to consider hydration needs against access to a bathroom are real life and every day concerns you… we’ve got you today.  Bladder issues in menopause don’t need to keep […]

  • Ep 176 -Restoring Blood Flow for Brain, Heart and Hormonal Health with Cathy Eason

    In this week’s episode,  Dr. Fiona Lovely speaks with Cathy Eason, a certified holistic nutritionist and clinical educator, about nitric oxide (NO), often called the “miracle molecule” for its vital role in blood flow and thus, overall health.  We talk about the groundbreaking findings from a pilot study on nitric oxide’s impact on women’s sexual […]

  • Ep 481: The 5,000-Year-Old Secret to Stopping Emotional Eating

    I’m showing you how ancient Buddhist wisdom can help you break the cycle of emotional eating with more awareness, compassion, and ease—just like I teach my clients. Get the full show notes and information here: https://drdebbutler.com/481

  • #129: 7 Essential Habits to Move Through Menopause with More Ease

    Midlife doesn’t have to be a crisis — it can be a genuine metamorphosis. In this episode, I’m not talking about just surviving menopause.I’m talking about moving through it with more ease, clarity, and actual calm. You’ll hear a segment from a training I recently ran, where I shared seven essential habits that helped me […]

  • 13 – HRT after 60: myths, facts and finding your own path with Ann Newson

    In this week’s episode, Dr Louise Newson is joined by her mother, Ann Newson, for a candid and deeply insightful conversation about HRT after 60, as requested by some ofour viewers.  Together, Dr Louise and Ann address the persistent fears around breast cancer and HRT, revisiting data from the controversial 2002 WHI study. They also explore the […]

  • Grading and Staging of Breast Cancer (YouTube Video #388)

    Grading & Staging Breast Cancer – Know the Hidden Dangers In this episode, Dr. Barbara 'Menopause' Taylor breaks down the critical differences between grading and staging breast cancer—and exposes the hidden dangers that often leave patients confused or misinformed. Learn how cancer cell "grades" reflect aggressiveness, how "stages" indicate spread, and why stage 0 (carcinoma […]

EnRitched Menopause

Welcome to EnRitched Menopause where host, Dr. Jessica Ritch, helps those in perimenopause and menopause understand what’s going on with their bodies and how to thrive in this stage and beyond. You are not crazy and you are not alone. Let’s do this together!

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