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Breaking the Silence on Menopause: A Conversation with Amita Sharma of NorishDoc
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When Amita Sharma found herself struggling with unexplained symptoms in her early 40s—brain fog, anxiety, hot flashes that disrupted her workday—she faced a healthcare system that offered little beyond anxiety medications and quick dismissals. Her search for answers led to the creation of NourishDoc, a holistic wellness platform designed specifically for women navigating perimenopause and menopause.
This episode addresses the personal toll of navigating hormonal changes in silence. The workplace anxiety, relationship struggles (60% of divorces among women happen during these years), and the fear of judgment that keeps women from seeking help. NourishDoc offers a lifeline through evidence-based holistic approaches, including dietary modifications, supplements, meditation, and access to specialized experts—all designed to be accessible and affordable.
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Amita Sharma brings her personal struggles as a perimenopausal woman navigating corporate America, where she faced firsthand the lack of workplace resources and support for women going through this transition. Inspired by her own journey, amita designed a holistic self-care and expert-assisted platform to break the silence around menopause and assure that this once-tapu topic is discussed openly. As a society, we must empower women to prioritize their health beyond their reproductive years, preventing chronic conditions and fostering long-term well-being. At Nourish Doc, amita and her colleagues support women in their 40s and beyond, guiding them on a journey of self-care and self-love. Their holistic wellness programs address often overlooked topics such as menopause, sexual health, stress and anxiety, providing evidence-based integrative solutions tailored to women's unique needs. It's time to change the conversation and ensure that women everywhere have access to the care, knowledge and support they deserve. Here's our conversation. Hi Amita, thank you so much for being on the show.
Speaker 2Thank you so much, Gaye. I love this topic and I'm super excited to talk about this. Yeah, thank you.
Speaker 1Yeah, me too, especially being a woman of a certain age, is coming up on this phenomenon. That happens to all of us. That happens to all of us. I'm definitely interested in getting a perspective on and not just perspective, but being more informed about menopause and hormonal changes and things like that. So you are the founder of NourishDoc, yes? How long ago did you start this company?
Speaker 2So we started dabbling into the holistic part of the overall high arena, so to speak, about four years back. But actually to go into the menopause the mid-age women was about a couple of years back. We were trying to solve the entire world but we said it was too much, so we had to narrow us. So the choice wasn't so difficult. Because of my personal age and my personal experience going through the perimenopause, we decided OK, this is the area where we should focus on about a couple of years back.
Speaker 1OK, what led you to focus on holistic medicine? Did you have some experiences with traditional Western medicine that made you say that's not working?
Speaker 2Western medicine that made you say that's not working. Yeah, so my experience was that as a child I had jaundice and I always had a very weak liver. And then when I was in my 40s, starting with a penny menopause, I started having shortness of breath and I saw actually concepted an OBGYN and she recommended that I should get a hysterectomy. She recommended I take your vagina out. I just took a second opinion and they're perfectly fine. So I just had some experience with the medical profession where they recommended some kind of a surgery when it was not needed and also I couldn't find answers to my liver issues because the liver would get my right side would get all kind of enlarged and I would feel very fatigued, which was kind of unexplained. So I had to resort to forget about the perimenopause.
Speaker 2Before that I resorted to a lot of holistic changing my diet, my lifestyle, a lot of these things to take care of myself, to fix myself. So that was the motivation to really focus on the holistic part. And then, of course, I started having my perimenopause in the early forties and that was an experience that was quite aggravated and it went on without me trying to understand what the heck was going on. So I think it was a combination of all these my personal experience that led us to first okay, let's focus on the holistic part, and then the second.
Speaker 2The perimenopause was like I said. I personally had very embarrassing moments while working, while having heart flashes or some of the other things that even the Western medicine had an answer, but they gave me, like an anxiety or a depression pill which I did not want to be on right. I was scared oh my God, what kind of side effects I'm going to have if I put myself at age 40 on anxiety pill for the rest of my life. So there's a combination of these things that led us to okay, let's just go deeper into the perimenopause menopause journey and help other women as well.
Understanding Perimenopause vs Menopause
Speaker 1So when women think about perimenopause. What age range does that usually happen? Perimenopause and menopause what is perimenopause? Okay?
Speaker 2I'm going to start, we have to go to the basics. She's younger, she's young. Actually, you're not the only one who doesn't know what perimenopause is. I was clueless as well. I had no clue. I'm furious. What the heck is perimenopause? So menopause, we understand right. We all understand what menopause is. Menopause is basically for 12 consecutive months and we don't have any periods, the periods stop. And that consecutive months and we don't have any periods, the periods stop and that typical day is menopause. That typically happens at age 51, 52, somewhere in the early 50s, typically.
Speaker 2Now, perimenopause is the years transitioning into the menopause. Now, menopause is not a switch that one day our period is going to be turned off. It doesn't happen like that. What happens is, unfortunately, what happens is our body starts preparing us at least 10 years sometimes before we hit menopause, that our periods start messing on us Irregular period, right and that whole transition years are called perimenopause. Now what is happening in perimenopause is your periods start becoming irregular. Instead of 28 days, it could be 21,. One month could be 15. In another month it could be 12 in another month. I mean, it's erratic. You can just go crazy sometimes and then, as you start getting closer to the age of being menopause, which is 50s or 40s, so to speak, to the age of being menopause, which is 50s or 40s, so to speak. Then the periods become further apart, because now they're going to stop, so there's a lot of change that's happening during these years. So this whole thing is perimenopause and there are about 35 symptoms you could have possibly during this whole 10 years.
Speaker 1Wow, so for me and for other women who have had a hysterectomy or a partial hysterectomy for various reasons fibroids or whatever we don't have that period to rely on to say, oh, I see that this is this major symptom of irregularity and coming further apart, so we have to rely on just emotions, like, yeah, physical and emotional symptoms like hot flashes and maybe like so, what are some of the emotional things that everybody else about? Hot flashes? We see people make fun of it on TV all the time. Well, what are some of the emotional symptoms that we might experience that let us know that we might be in that perimenopause stage?
Speaker 2Yeah, so menopause, perimenopause, is not really the physical part, right, it's the emotional, the mental. In fact, your relationships also change. We were talking about it a little bit earlier. So the emotional part, it could be anxiety. 50% of women have anxiety issues or depression issues.
Speaker 2I had anxiety and I was awkward and anxiety and antidepressant appear which I did not want to go on to and I wanted to fix it myself. So anxiety and depression is a huge thing. Mood swings we are going through mood swings and an urge to cry suddenly. And then all the sometimes the childhood trauma. If you have had any. Most of us have gone through some childhood issues. I should say that they will bubble up. It bubble up so much to me that I was confronted with some other people. No, it happens now.
Emotional Symptoms and Relationship Challenges
Speaker 2So these kind of issues, even your family trauma sometimes that will bubble up. These are the issues a lot of people. These are not discussed openly and also sometimes you're ringing in the ear. Those kind of starts happening. Your hair also starts falling out. The hair starts getting thin. You start getting fat around the tummy, right, that doesn't go away. So it's not just loss of libido. We were talking about that. Sometimes it happens to quite a few women as well. It doesn't matter which sexual orientation you could be. Your vaginal wall becomes very thin and this penetration part can hurt right, and that can also cause emotional trauma, to be honest with you, because now you have pain with all this. So there's a lot of things that go along with women yeah right.
Speaker 3Wow, you mentioned lost up libido, because a lot of times not that I'm saying this is the older thing, but a lot of times women, when they get to certainly they start getting divorces, probably start having their partners cheated on them and that begins of their lack of libido occurring through menopause.
Speaker 2Actually there's a lot of data. You're absolutely right 60% of the women who are getting divorced in the US and UK are during these years of having menopause and the thing is, like I said, most of the women, especially the vaginal wall when it becomes thin. So a traditional men penetration, the intercourse that some women might feel pain and they're not able to express it and they don't feel like having sex anymore with their partners. That could also lead to some kind of a misunderstanding and relationship issues where then spouses could cheat. I don't know. That could be a reason to go off the chart sometimes.
Speaker 2So open communication, irrespective of your partners, but open communication is the key, and so many men have interviewed me which is very strange, but I have been interviewed by so many men and they said that this problem they have seen, they have witnessed with their partners and they don't know how to help. So I think we are, as women, we have to be very open with our partners, irrespective of whether it's a man or a woman, and some women have to express themselves and sometimes we women don't express it. You try to take it in and I have noticed that, irrespective of the culture, the ethnic, we women are almost built the same way, which I don't take it in, and we try to give it all, and that could be a wrong kind of a strategy. Specifically when you're going through this phase of your life, you need to be open communication with your loved ones, with your partners or whoever.
Speaker 1Yeah, yeah, you're right.
Speaker 1As women, we, as you say, try to bear everything and don't want to be a burden on other people, and then, also there's the embarrassment of being considered overly emotional, so you tried not to show that and it could come across as anger or aggression when it's really sadness and anxiety, and that's what caused a big rift in your relationship. And so, as you say, just saying I don't know why I'm feeling this way, but I'm feeling sad and today I'm having a hard time. I don't know why. Whatever you're feeling, just at least communicating, is so your partner doesn't think it's them or that you're just going crazy. I am going crazy because my hormones are going crazy, but just try to work with me.
Speaker 2I think there's a lot we women can do. Hormones are going to fluctuate we know that, right, because we are going through perimenopause, as an example. The hormones, the progesterone, the estrogen they're not balanced and they're going kind of haywire, and so is our emotions are going haywire. So, really, from what I have learned from the expert is that you learn to balance your hormones in a way that you don't go crazy. So there's a lot of things that we can start doing to help ourselves, to prepare ourselves, simple things like reducing the toxic load in our bodies, as an example. What does that mean? Well, let me just talk to you about the cultural differences in this and then I can come back to the toxic overload. So, as we know, the menopause we talked about. The menopause ages 51, 52. Now, this age is different as per the cultural and the ethnic background of women. Now, for example, the African-American, latin American women this data is from US they can go to menopause age earlier than 51, 52, right or 47, 48. Now, I'm not saying every woman would be at that point, but generalization. And then some Muslim women in Muslim countries are 46, 45, 46. Indian women in India are 46, 47. Age also. And the reason is, as per their lifestyle and what they've been leading up until that point, up until they as a community I'm talking about Right Now also.
Speaker 2Now I come to the toxic lower. Is that because of the type of food that we are eating like, for example, latino American communities or African American communities, women are maybe ingesting more processed food. That kind of toxic load inside your body might be higher than a woman who's mainly eating fresh foods, vegetables or proper diet. That's what I mean. Right, if someone has been eating processed food all up until 45, whatever years now, chances of you having more aggravated symptoms are higher because of the quality of lifestyle that you have. So all those factors come into play when we are talking about the symptoms a person feels, and then that's why it's so different for every woman.
Speaker 2Now, a Japanese woman they don't feel as aggravated or as hard flashes because of the diet they've had, like a soup-based diet, mainly fish or soy. They eat a lot of soy, as we know that, as opposed to some other women, we in this country have a lot of processed food typically. So a Muslim, for example. They have sedentary lifestyles, right, they are also consuming a lot of typically red meat, but they don't have much activity because of the nature of the more subservient and the society kind of puts pressure on them. Same is true in Indian women. In India you know that the society puts a lot of pressure on a certain behavior. So all these factors are coming into play when they are hitting into this phase. It's quite complicated. It's not as straightforward as we think it should be.
Speaker 1Right, no, that makes sense. Diet and societal pressures for like gender conformity are going to how we live and how our bodies react to the freaking so I know sometimes you will have people going through menopause in their 30s.
Speaker 3Is that something that you're experiencing in your holistic practices?
Cultural Differences in Menopause Experience
Speaker 2So what is happening in today's day and age is 10% of women are going through perimenopause earlier in the mid-30s. Yes, that's of concern, a huge concern. There's a lot of reports that have come out recently that women in the mid-30s are starting to get into perimenopause, which is very scary because now it also can impact the fertility windows right, if they want to have an early, and suddenly the periods are now irregular. They don't know when the periods are going to happen. So, yes, it's a big concern. In fact, in India it's very common now for women to go into perimenopause in mid-30s Very common.
Speaker 2It's a big concern in that country right now because that country is full of fertility. Unfortunately, you know, women are measured. It's unfortunate, but that's the truth Produce to get married and now women are getting married later. And if suddenly now they're getting into perimenopause in their mid-30s and now they're not able to conceive, so it's becoming a huge society pressure for fertility and there's so many fertility clinics now in that country. In fact, here too in the United States, it's the same story. We want to be a career woman in our 30s. You're not really thinking of having kids until we reach a certain level and then by the time we said, ok, I'm ready to have a child. Certainly, an average woman is in her mid thirties and boom, suddenly, now you're hitting this perimenopause and, unpredictable, your egg is in short supply. What do you do? Right, it's a huge problem. It's a society problem right now.
Speaker 1Yes, so are you able to either slow down or reverse or at least reduce the symptoms based on diet and exercise and other lifestyle changes like meditation or things like that?
Speaker 2Yeah, you can certainly control the symptoms Absolutely. But now, if some women, like a few women, are hitting into early menopause, you might need a medical intervention to get into hormone therapy, because, if you want, you might need that, because it's not normal and it's not actually good for someone to hit early menopause at that age because you're depleting all your hormones good hormones at a very younger age and, as a woman, you might have into a chronic condition, a disease, as you get older. See, that's the problem. So this is a huge topic that researchers are looking into that women who get earlier menopause are more at risk of having chronic condition as they get older, over 55 or 60 plus, as opposed to women who get menopause at a normal age. Right, what kind of conditions?
Speaker 2We're talking diabetes. We're talking Alzheimer's, dementia. We're talking heart disease. We're talking osteoporosis, because if you look at the research, all these hormones are good. They're good hormones. They're all over our bodies. So we're talking all these issues, right? I know my mom. She had a hysterectomy when she was barely in her early 40s, like a forced menopause, and she can't walk. She had osteoporosis for the last so many years and nobody understood at that time. Right? She's in her 80s. Even now very few people understand this could have caused but this is a huge area of research that's being undertaken to early menopause, to later years of rise of chronic condition.
Speaker 1Wow, yeah, I never thought about it, but, as you say, it makes sense. The hormones that you're supposed to have in your body for another decade are no longer there, and those hormones obviously affect all kinds of things within the body. So, wow, that's crazy.
Speaker 2You know it is pretty crazy. I know when I did put two and two together, when I started talking to so many people and I said, oh my God, I don't think we understand as women that this can lead to something later on. No wonder, when you see a 70-year-old woman, generally speaking in this country, right, you see, very few of them can walk by themselves. They're always on some kind of a and I could never understand what the heck happened. And everybody said, oh, you're getting old. But suddenly everything falls apart, like you can't walk. What's the problem? Now you understand why this is a problem Women, we don't like to talk about these issues and that's one of the reasons why I decided that I want to focus on this Specifically minority women. Like us, for some reason, we don't like to talk about microculture, which is like, so, like, oh my God, it's like, oh, if I talk about this, people will say what the heck are you talking about? Right, but that's the problem. We don't talk about these issues and that's why it's not only the physical part. We were talking about the chronic condition, the relationships part can go crazy.
Speaker 2It happened to me. I was just at work. I couldn't function, my productivity went down. I used to get brain fog in the morning. I couldn't concentrate at my work and I was so scared. Oh my God, if I go tell anyone, people is going to discrimination, age discrimination. I was so scared of that. People are going to think, oh my God, she's 40-something. And I come, I work in an IT like high tech, and 20 something is the norm, 40 something is like you're ancient, like a dinosaur, right. I was like, oh my God, how can I go tell anyone that I'm going through this? So I think it's a huge problem and I thought I was the one crazy.
Speaker 2But then when I talked to women around the world, they all feel the same way. We all are the same, exactly. We feel so similar. We're so scared to be judged by other people. That's the problem.
Speaker 2So, unless until we shut this whole thing out and start coming out and in the sense, like we are openly discussing it with our loved ones or with our physicians or wherever the community is and that's why we decided that this platform that we have it has to be safe, it to be non-judgmental, experts have to come, so so we feel safe that we could go. The problem with the medical profession was for me is that they don't have time. It's not that they're not qualified. They have five minutes or six minutes and they're running up and down here and there and I can get anything out of that. Or if you go to some of these naturopathic practitioners who have the knowledge but then they become very expensive they have the time right then you end up shelling like thousand dollars, a couple of thousand dollars. So it's either like five minutes insurance is covering it or two thousand dollars, and as a woman you are like completely baffled and confused. You don't know what to do.
Early Menopause and Long-term Health Risks
Speaker 1So when I hear holistic medicine, sometimes people think of like a very out there and very new age Things like acupuncture and things that people feel like, oh, it doesn't really work, it's just in your head. How would you describe holistic approach?
Speaker 2So when I talk the word holistic yes, absolutely, we are talking about lifestyle modification, dietary modification, right? Not only your physical, your mental, your spiritual, your social. Holistic means everything, right, that is what it means. Now, on the other part, holistic therapies we are including the diet, we are including the acupressure, the acupuncture is. We're not offering it online.
Speaker 2Obviously you have to go in person, for example, but some of the other therapies, like meditation has so much research, we know that, right. Exercise has so much research, pilates has so much research, velvet therapy has so much research. Physical therapy has so much research. Hypnotherapy, c-base cognitive behavior therapy, simple therapy, all these therapies that what we are bringing to the table have some evidence that we bring, and it's all only online. So, although I personally go to acupuncture but acupuncture is something we cannot offer online but we're bringing all these other things. We know all these things work, even the massage, right, the medicated use of medicated oil massage, for example, in Ayurveda. So that's something we bring. Supplements, we know that, like, for instance, turmeric supplements, ashwagandha. There's a lot of research behind these supplements. So, you're absolutely right, some of it could be like people saying voodoo science or something is not really been understood, but our intention has been to bring something that at least has some research associated with it to bring it over there.
Speaker 2Now, I'm not saying everything holistic is going to solve everything, but you need an expert. Then you start off with something really simple, and that's the idea self-care, really affordable, understanding what you want to go through, what is it that you can do by yourself? And then you go on to the expert guidance, whoever you need. It could be OBGYN, it could be a functional medicine, it could be a dietician, it could be anyone. Or even for mental health, I need a therapy, so I might need a therapist. Right as an example, At least you're going with a complete understanding of what is it that you are going through, as opposed to you're throwing darts without understanding what you're going to get to Right. So really, that is really the idea. And I'm not saying you're opposed to HRT hormonal replacement therapy. It's just that we are saying go step by step.
Speaker 1Yeah, that's not the only answer, because in Jamaica or other developing countries go step by step.
Speaker 3Yeah, that's not the only answer because, yeah, in the jamaica adult developing countries we have a lot of alternative medicines. Right, and like you talk about toroid, we're talking about ginger. We have a lunch. For example, I can have a personal experience.
Speaker 3When I was growing up in jamaica, I had a fever, really bad fever, and then it was. It will turn out to be a flu, very sick pain, everything. And well, what I'm giving us children? Panadol and fenzik. So fenzik is a very strong pain pill. It is not sold in the us but very strong and she was giving me this for days.
Speaker 3And then my grandmother came and she brought some bush and she bedded me and then she put the rest of the bush on the bed. The bush smelled in the other bed, no, but she put it on the bed and put a shintanpo with a lie on it and I fell asleep for almost 24 hours and I woke up. The bed was wet. It smells horrible because the bush stings, you're in the shit, everything. But I woke up feeling brand new.
Speaker 3My mother was giving me medication for days, but just the bush and what my grandmother bade. So you know, it puts you to bed gives you that relaxation. It takes all the toxins off your body. So I'm a big believer of holistic medicine and alternative medicine. Like she knows, I don't take medication because I told her I don't trust it and I'm not telling anyone is not to take their medications. But for me personally, I think there are alternatives that we can use to make our bodies healthy, because I've seen too many people live on medication and still not getting better. It just leads to another disease or side effect that influences them to take more medications.
Speaker 1Yeah.
Holistic Approaches to Menopause Management
Speaker 2I 100% agree, absolutely, and we are trying to do it with evidence. Right, I also grew up in India similar stories, like you just said, but here we're trying to bring evidence and research into this play right, and so many of these supplements already have a lot of research now which, if you sell it in the United States, you haven't had research right. So there's a lot of things you can do using these alternative therapies and just with food and just with herbs, but you need to understand the type of herbs. We need an expert, like your grandmother probably knows, about the herb. You need someone who understands the herbs. What herb do you take as well? Right, it's very important, right?
Speaker 1So when one goes on your website, I see that you have a lot of different options covering like anti-aging, detoxification and rejuvenation, emotional wellness, things like that. Where do you know where to start? Do you have any type of assessment to say tell me about the things that you're experiencing and then we can direct you to the right treatments?
Speaker 2Yes. So we are launching our platform in the month of April. So what you're going to have now is that we haven't made it live yet. We are in the final stages of QA, so we will ask you to your age group and what kind of symptoms that a woman is having and whether she's perimenopausal or menopausal Like we will ask you questions to understand where you are right, where you are in this whole stage of what we just discussed, based on what the woman would tell us. We will present that kind of a content accordingly, based on her. So what we have done right now it's going to be in an app form or it could be on the website.
Speaker 2So we have approximately 20-25 different programs. Our foundation program is a perimenopause menopause. Then it's like either sleep or heart flashes or gut health or memory health or even urinary health. I mean, we talk about so many things. So we have these programs. Plus we have some quick tips and some workshops, all these things, along with the experts who will be there to guide you if you need help. So that's kind of how it's structured. So it is self-care. The self-care is going to be positioned less than $10, $5 a month very affordable.
Speaker 2The whole idea is every woman should be able to, even if they're younger, they want to understand what is it that they're going to go into. They should be able to understand that. And then, as you go through the journey, you say, hey, by the way, I need more help. Then there are going to be experts who will be matched according to what your issues are. So we might show you, hey, these are the five experts who help you with, as an example, I had anxiety, so they can help you with anxiety, as an example, or heart flashes or whatever. So then I, if I want, I can do either a consultation with them or I can do a chat or things like that. So that's kind of how this whole thing will work, okay and amita.
Speaker 3Where are you looking to? What state? I'm in california, oh, and we have a lot of listeners and hosts and I guess from california.
Speaker 1So if you recommend like supplements, do you have because that's a question I always have like I feel like I should take maybe like calcium and vitamin D, but there's so many brands? Do you have the recommendation for like the or magnesium, like that's the big thing that people talking about taking magnesium for sleep and other things? Do you have one particular brand you recommend or a good place to point someone to for a type of supplement? Or do you just say prefer not to do it in pill form? Why don't you take these foods to supplement those deficiencies?
Speaker 2No, I think it's hard for us, given our busy lifestyle, to have everything through food Right. That is the honest truth. But we don't want to recommend any brand per se. We will be offering supplements. So I think what we want to say is that, before you start having so many supplements, it doesn't hurt to talk to an expert based on what your deficiencies are or your hormonal, where your baseline is Accordingly. That would be better because otherwise you will be ending up taking so many supplements that might not be necessary or you might be doing something wrong.
Speaker 2I did get. I started taking like 10 supplements from God knows every single thing you could think of and it started reacting. So you don't want to do that. That would be. It's just my personal opinion, but I think some of the supplements are pretty safe. Vitamin D I think we all know we get deficient in vitamin D or fish oil I mean, I personally think about three, four supplements in the mornings. But what I personally suggest is that, yes, you should take supplements based on the deficiencies you think that your body or something you cannot get it from food right Because it's difficult to get every single day. Oh, I'm not going to take my Nisham, I'm going to have. I forget or I don't do the groceries, or I think they're not at home. What are you going to do? Supplement is definitely important. That's my personal opinion.
Speaker 1So how many partners do you have working on this?
NourishDoc Platform and Affordable Solutions
Speaker 2We have a whole team. We have a whole technical team marketing. I have another partner with me, but we have a full team right now, okay, like any company would have, and, like I said, we just going to release our official proper app. We've been doing this sort of like an ad hoc in the sense okay, we do a webinar and then women would come in and then we would just talk about it. It wasn't like a full, proper system, so we decided to launch it with a proper platform and that's what we're in the process of doing, that in the next couple of weeks or so.
Speaker 3Yes, I really love the concept, I really do. And you say you see people in person.
Speaker 2No, we don't see it in person. So right now it's going to be all online and that's care first, and then if someone needs some help like in my case, I told you I need your therapy, mental therapy, I had all kinds of issues Then you can seek online, but then as far as the local or the meeting in person, that would probably come later, but right now it's going to be online.
Speaker 3All right, there you have it, amita. She's the founder of NourishDot, an Indian native and holistic health expert, an advocate for women's empowerment and self-care that leads toward a healthy lifestyle. Thank you, amita. This was very informative and I'm sure it's going to change some lives. Remit, I appreciate having you on the Queer Understanding Podcast.
Speaker 2Thank you so much.