'Those fluctuations set off a smouldering fire in your body' – Dr William Declerck with Suzanne Rethans

What to expect from this podcast
In episode 70 of 'We zijn toch niet gek?', Suzanne Rethans talks to Dr William Declerck, physician and co-founder of Uma Health, about what actually happens in your body during perimenopause.
William describes the hormonal fluctuations of perimenopause as a smouldering fire: inflammation that burns quietly below the surface, and that shows up in symptoms which at first glance seem unrelated.
The conversation covers:
- why perimenopause is more than hot flushes, and where inflammation fits in
- which blood tests are useful, and why women in the Netherlands often struggle to get them
- the question of sterilisation around the age of 38
- how hormone therapy is talked about, and what dosing means in that discussion
- breast cancer risk, informed consent, and staying in charge of your own body
A 45-minute conversation, in Dutch.
Extended show notes, summaries and sources are on Suzanne Rethans' Substack, MenoWiser.
Does this sound familiar?
Talk it through with a care provider on Uma who works with (peri)menopause every day. You leave with a clear explanation and concrete next steps. No account needed · booking takes under 2 minutes.
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