Integrating HRT and Positive Outcomes

Award-winning British television creator Sally Wainwright joins Dr. Mary Claire Haver to discuss her groundbreaking new BBC series Riot Women, a drama about five midlife women who form a punk rock band while navigating menopause, aging parents, and the complexities of life after 50. Sally, the creative force behind acclaimed series including Happy Valley, Gentlemen Jack, and Last Tango in Halifax, shares how her own experience with perimenopause and menopause inspired the show and why she calls this life stage "identity theft."

The conversation explores Sally's journey from bus driver to one of British television's most celebrated showrunners, her commitment to portraying authentic female characters who carry grief, desire, sexuality, rage, and resilience in bodies that reflect actual lived experience, and how brain fog, joylessness, and depression led her to finally try hormone replacement therapy after initially believing outdated myths about breast cancer risk, and how that decision transformed her wellbeing.

Dr. Haver and Sally discuss the critical importance of naming menopause symptoms, from the devastating loss of motivation and confidence that can accompany hormonal changes to the sandwich generation pressures of dementia care for aging parents while raising teenagers. The episode examines why female stories, particularly those featuring women over 50, face funding challenges in entertainment, how male writers have historically constructed female characters through the male gaze, and why Sally believes women are more heroic and emotionally articulate than men.

They explore the revolutionary aspects of Riot Women, including its honest portrayal of sexual health, libido changes, medical gaslighting, and the transformative power of HRT, rarely if ever depicted on screen with such nuance and optimism. Sally discusses audience response to the series, including an unprecedented volume of thank-you letters to the BBC from viewers who felt seen for the first time, men's surprising embrace of the show despite its focus on female experience, and a handful of critics who complained about the absence of "nice men" despite the show's ensemble of complex, flawed characters of all genders. This conversation offers validation for anyone navigating the physical and emotional challenges of perimenopause and menopause, inspiration for creative midlife reinvention, and hope that entertainment is finally beginning to tell the truth about women's lives with the honesty, ferocity, humor, tenderness, and rage they deserve.

Guest links:

Sally Wainwright (Instagram)

Sally Wainwright (IMDB)

Articles

Menopausal Hormone Therapy and the Breast: A Review of Clinical Studies (Breast Care)

Anhedonia: A Concept Analysis (Archives of Psychiatric Nursing)

Other Resources

Primary Ovarian Insufficiency in Adolescents and Young Women (American College of Obstetricians and Gynecologists)

Riot Women (BBC)

Clips from Riot Women:

251105_RiotWomen_Ep1_Clip_Satisfaction_Bug.mp4

251105_RiotWomen_Ep1_Clip_WithAttitude_Bug.mp4

251105_RiotWomen_Ep1_Clip_RiotWomen_Bug.mp4

251105_RiotWomen_Ep1_Clip_OneMenopausalWomanToAnother_Bug.mp4

251105_RiotWomen_Ep1_Clip_ForTheRefugees_Bug.mp4

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