After a routine tubal ligation, Dr. Betty Murray’s hormones spiraled — heavy 21-day cycles, hair loss, estrogen dominance, sleep disruption, and rapid weight gain after testosterone pellets. In this episode, she explains how altered ovarian blood flow post-surgery can trigger early perimenopause and why women are so often dismissed when symptoms begin.

Dr. Betty also breaks down the case for early HRT, why progesterone alone isn’t enough for many women, and how airway issues (even without snoring) can worsen cortisol, sleep, and weight.

About Dr. Betty

Dr. Betty Murray is a functional medicine practitioner, PhD, hormone researcher, and host of Menopause Mastery. She founded Minerva (gethormonesnow.com), a national telemedicine platform focused on individualized hormone replacement for women in perimenopause and beyond.

What You’ll Learn

Tubal ligation + ovarian signaling changes
Why pellets can trigger weight gain
When estrogen helps even if you’re estrogen dominant
Oxygen, airway, and sleep in perimenopause
Early HRT as protection, not risk

Connect with Dr. Betty

Website: drbettymurray.com
Telemedicine HRT: gethormonesnow.com
Podcast: Menopause Mastery

Connect with Esther

Website: estherblum.com
Instagram: @gorgeousesther

Resources & Links

Join the Midlife Realignment community: estherblum.com/community
Learn more about Esther’s program: Make Menopause Your B*tch™ Elite estherblum.com/elite

Subscribe & Connect

If you loved this episode, subscribe to The Midlife Realignment wherever you listen to podcasts, and leave a review to help other women find this show.

Connect with Esther on Instagram, LinkedIn, or at estherblum.com.

World Questions - Greenland

The Documentary Podcast

Is independence a realistic goal?

The AI-powered Podcast Player