About this episode

Dr. Fiona Lovely discusses menopausal medicine updates with nurse practitioner Shelby Sheppard, focusing on personalized care and various health topics affecting women.

In this empowering episode, Dr. Fiona Lovely welcomes nurse practitioner Shelby Sheppard, a trusted hormone and sexual health expert who has been caring for Dr. Lovely's own patients for years. Shelby's journey from labor and delivery RN to founding Pause Health reflects her deep commitment to offering women the time, space, and personalized care they deserve—something that simply cannot happen in the standard medical seven-minute appointment. The conversation opens with the remarkable story of how Shelby helped a patient navigate postpartum depression using supplemental progesterone, challenging conventional medical dogma. They then dive into the blind spots of thyroid care, explaining why TSH alone is an unreliable marker and why T4-only medications often leave women feeling unwell. Shelby shares her philosophy of offering patients a menu of options rather than a one-size-fits-all approach. They explore the newly renamed PMOS (Polyendocrine Metabolic Ovarian Syndrome) from PCOS, the underutilized role of testosterone in women's health, and the profound impact of GLP-1 medications on metabolic health and mental well-being. The episode also addresses sexual health, pleasure…

People in this episode

Host: Dr. Fiona Lovely

Guest: Shelby Sheppard

Topics covered

• menopause
• hormone health
• thyroid care
• postpartum depression
• sexual health
• metabolic health

Keywords

• menopause
• hormones
• thyroid
• postpartum
• progesterone
• sexual health
• GLP-1 medications

Mentioned in this episode

Organizations: Pause Health

More episodes of Not Your Mother's Menopause with Dr. Fiona Lovely

• Ep. 228 - The Upgrade: What Awaits You on the Other Side of Menopause with Dr. Louann Brizendine · July 21, 2026 · 1h 2m
• Ep. 227 - Menopause Weight Loss with Sarah Kennedy · July 14, 2026 · 1h 15m
• Ep. 226: Mental Health and Iron, what's the connection with Dr. Fiona Lovely · July 7, 2026 · 30 min
• Ep. 224 -Patriarchy Stress Disorder and Menopause with Jeffrey Tambor · June 23, 2026 · 1h 17m
• Ep. 223 - Nervous System Regulation for Menopausal Health with Dr Navaz Habib · June 16, 2026 · 1h 19m
• Ep. 222 - Protein, Aminos, and Creatine for Midlife with Liz Baker Plosser · June 9, 2026 · 1h 11m

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