Overview
In this episode, I sit down with Dr. Prudence Hall, founder of the Hall Center in Santa Monica and a pioneer in regenerative and integrative gynecology who has been practicing functional medicine for over 25 years. Dr. Hall began as a traditional gynecological surgeon and shifted her entire practice after realizing that the tools conventional medicine gave her for menopause were nearly useless. This conversation covers the full arc of women’s hormonal health from perimenopause through the post-menopause Phoenix, including when hysterectomies are and are not appropriate, how to properly test hormones, what bioidentical hormone therapy actually does, and why the second half of a woman’s life can be the best one.
You’ll Learn
- Why hysterectomies are necessary in some specific cases like advanced adenomyosis or confirmed cancer but are dramatically overprescribed, and why women should always ask what their goals are and whether there is a non-surgical alternative before agreeing
- Why perimenopause is starting 10 years earlier than it did a generation ago, what the early signs look like including shorter cycles, increased PMS, irritability, subtle weight gain, reduced libido, and fatigue, and why hot flashes and missed periods typically appear much later
- The correct timing and panel for hormone testing including day 2 or 3 of the menstrual cycle for FSH and estradiol, what a high FSH and low estradiol on day 2 means, how the anti-Mullerian hormone indicates remaining egg count, and why Dr. Hall tests 15 to 18 hormones including thyroid, adrenals, DHEAS, pregnenolone, and cortisol in every new patient
- Why the Dutch test and Meridian Valley urine test are used after baseline blood work is established to track how hormones are being metabolized and broken down on therapy
- The anti-inflammatory diet framework Dr. Hall uses including abundant colorful vegetables, low-glycemic berries, organic pasture-raised proteins, healthy fats like olive and avocado oil, raw foods where digestion allows, and why she adds digestive enzymes when raw food intake increases
- Her sleep supplement stack including magnesium glycinate at 400 to 500 milligrams at night, melatonin at 5 milligrams as an anti-inflammatory antioxidant, GABA at 500 to 750 milligrams, and 5-HTP at 100 milligrams
- Why non-bioidentical hormones including Premarin derived from pregnant mare’s urine should never be used, what bioidentical means, and why replacing missing hormones with exact molecular matches is a more natural intervention than leaving women in a declined state for 30 to 50 years post-menopause
- Why bioidentical hormones are the gold standard treatment for osteoporosis and why Dr. Hall never uses bisphosphonates like Fosamax, and why estrogen’s protective effects extend to heart disease prevention, dementia reduction, and inflammation reduction across most chronic diseases
Resources
Connect with Dr. Prudence:
Website: https://www.thehallcenter.com/
Free ebook download: http://drprudencehall.com
Estrogen Matters Book: https://amzn.to/48xRI9z
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