If you’ve ever felt blindsided by menopause — especially when it comes early, suddenly, or after surgery — and you’re left thinking, “Why didn’t anyone warn me?” this episode is for you. Today, Ashley sits down with Julie Parana (The Menopause OT) — occupational therapist, certified menopause coach, and women’s health educator — to talk about what really happens when menopause doesn’t follow the “normal” timeline. Julie shares her own experience of entering menopause after a hysterectomy (even with her ovaries intact), the confusing symptoms that came first, and the life-changing support and education that helped her feel like herself again. This conversation is honest, practical, and deeply validating — with clear steps you can take to advocate for your health and build a plan that supports both symptoms and long-term wellbeing. 🎙️ StrongHER Voices is the empowering podcast helping women navigate their StrongHER Era with clarity, confidence, and practical, expert-backed support. Hosted by Ashley Basilio — certified menopause health coach, fitness professional, and women’s wellness advocate. In this episode, we cover: ✅ How Ashley met Julie at the Philadelphia Conference for Women — and why “The Menopause OT” instantly stood out ✅ Julie’s personal story: hysterectomy, unexpected symptoms, and the moment she realized it was menopause ✅ The wide range of “surprise” symptoms that can show up before hot flashes — including brain fog, dizziness, rashes, joint/foot pain, and weight changes ✅ Why a hysterectomy can still impact ovarian function — even when ovaries are left intact — and how it can shift menopause earlier ✅ What surgical menopause is and why symptoms can feel more severe when hormones drop abruptly ✅ The problem with “wait and see” after ovary removal — and what a real post-surgery hormone plan should include ✅ How to find a menopause-informed provider (and what to look for in the directory) ✅ What to do if you’re told “you can’t take hormones” — the exact follow-up questions to ask and why “hormones” is not one-size-fits-all ✅ Where to start when everything feels overwhelming: Julie’s 3 foundations — sleep, nervous system regulation, and blood sugar stability ✅ Why hormone therapy can support long-term health (bone, heart, brain) — and why lifestyle still matters either way ✅ Julie’s resources for women navigating early, surgical, or treatment-induced menopause — including her free audio series and coaching options 👥 Featured Guest Julie Parana — occupational therapist, certified menopause coach, and founder of The Menopause OT. With over 20 years of experience helping adults navigate complex health challenges, Julie now supports women through the physical, emotional, and cognitive shifts of midlife — with a special focus on early, surgical, and treatment-induced menopause. Her approach is grounded, practical, and empowering, helping women feel informed and supported when their menopause journey doesn’t follow the “expected” path. Connect with Julie: Website: https://themenopauseot.com/ Instagram: https://www.instagram.com/themenoot/ TikTok: https://www.tiktok.com/@themenopauseot Resources mentioned: The Menopause Society provider directory (look for the Certified Practitioner seal): https://menopause.org/ ISSWSH (International Society for the Study of Women’s Sexual Health): https://www.isswsh.org/ @sarahgirlstrong Tai Chi Routine: https://www.sarahgirlstrong.com/videos/energizing-tai-chi "Menopause Doesn't Have to Suck" Audio Guide: https://the-menopause-ot.kit.com/da610e33d2 Early, Surgical & Treatment Induced Menopause Newsletter: https://the-menopause-ot.kit.com/07dd5fd3b4 -- If this episode resonated with you, I’d love to keep supporting you on your StrongHER journey. 💛 🩷 Join StrongHER Together Get ongoing support, accountability, education, and the tools you need to feel stronger—inside and out. Use code VOICES for $25 off any membership: 👉 https://getfitwithashley.com/strongher/ 💌 Stay Connected Sign up for my email list to get blogs, classes, coaching updates, podcast drops, free workouts, and upcoming events delivered right to your inbox: 👉 https://getfitwithashley.com/signup/ 💪 Move With Me Enjoy free, beginner-friendly to advanced workouts any time on my YouTube channel: 👉 https://youtube.com/getfitwithashley/ 📲 Follow Along on Social Media Daily tips, real talk, behind-the-scenes, and encouragement for your StrongHER Era: Instagram: https://www.instagram.com/getfitwithashley2012/ Facebook: https://www.facebook.com/getfitwithashley2012/ ⚠️ Disclaimer: The information shared in this podcast is for educational and informational purposes only. It is not medical advice and should not replace consultation with your healthcare provider. Always talk with a qualified professional about your individual health needs before making changes to your diet, exercise, or treatment plan.
