Perimenopause can feel like your body has changed overnight, but what if the real problem is that the health system around you is stretched thin and your nearest “next step” is hours away? We sit down with Tamworth naturopath Jane Sharpham to talk about women’s health in rural Australia, where isolation, long travel times, and limited access to gynaecologists and integrative doctors can turn manageable symptoms into months of stress, poor sleep, and feeling dismissed. We unpack what Jane sees daily in clinic: anxiety and depression that women feel they “shouldn’t” talk about, hot flushes and heavy bleeding, and the extra layer of advocacy required when scans, referrals, or hormone support are hard to access. Jane shares how she approaches clinical case taking to tease apart overlapping drivers like perimenopause, burnout, thyroid issues, and metabolic dysfunction, while still starting with what the patient needs most right now. You’ll also hear how she builds collaborative relationships with local GPs, and how testing choices can be shaped by cost and geography. Food and environment matter too. We explore rural nutrition realities, from limited fresh seafood and common omega-3 deficiency to the “four Maccas, two KFCs, zero salad bars” problem, plus rural exposures like farm sprays, mould in older homes, and water quality concerns. Jane outlines practical foundations and tools she uses for sleep, mood, oestrogen clearance, and cardiometabolic risk, including magnesium, iodine screening, and evidence-informed options like berberine and OEA when appropriate. She also introduces her Rural Clinic Initiative, a five-day intensive designed to bridge the gap between study and confident clinical practice in regional settings. If you care about perimenopause support, rural health care, naturopathy, and realistic strategies that work outside major cities, this conversation will land. Subscribe, share with a friend who needs better support, and leave a review to help more rural women and practitioners find the show. What’s the biggest barrier to care where you live? Shownotes and references are available on the Designs for Health website Register as a Designs for Health Practitioner and discover quality practitioner- only supplements at www.designsforhealth.com.au Follow us on Socials Instagram: Designsforhealthaus Facebook: Designsforhealthaus DISCLAIMER: The Information provided in the Wellness by Designs podcast is for educational purposes only; the information presented is not intended to be used as medical advice; please seek the advice of a qualified healthcare professional if what you have heard here today raises questions or concerns relating to your health Shownotes and references are available on the Designs for Health website Register as a Designs for Health Practitioner and discover quality practitioner- only supplements at www.designsforhealth.com.au Follow us on Socials Instagram: Designsforhealthaus Facebook: Designsforhealthaus DISCLAIMER: The Information provided in the Wellness by Designs podcast is for educational purposes only; the information presented is not intended to be used as medical advice; please seek the advice of a qualified healthcare professional if what you have heard here today raises questions or concerns relating to your health
