Share

cover art for Menopause as a Reckoning: BRCA, Grief, Hormones, and Health with Johanna Swanson

The Pelvic Pulse

Menopause as a Reckoning: BRCA, Grief, Hormones, and Health with Johanna Swanson

Season 4, Ep. 83
•

083: If you’re navigating perimenopause, menopause, hormonal changes, or the grief of not feeling like the woman you used to be, this episode is going to feel like an exhale. Johanna Swanson, certified menopause and wellness coach, joins me to talk about BRCA, medically induced menopause, self-advocacy, progesterone, grief, and what it means to rebuild your health in a way that actually honors this new stage of life.


Feeling the Pulse on


  • Testing positive for the BRCA mutation at 38 and the decisions that followed
  • The emotional and physical reality of medically induced menopause
  • Rage, depression, anxiety, and the symptoms women are often left to navigate alone
  • Why self-advocacy matters when it comes to hormones, surgery, menopause, and quality of life
  • The role progesterone played in changing Johanna’s wellbeing
  • Learning to honor a more mellow energy instead of pathologizing it
  • The grief of no longer feeling like the same version of yourself
  • The “radical sabbatical” that helped Johanna realize she needed to mourn
  • Menopause as a stage of new strengths, not just loss
  • Perimenopause as a reckoning and an invitation to finally tell the truth
  • What time with Native Colombians taught Johanna about modern life, rhythm, and health
  • Why she isn’t interested in biohacking, and what actually helped her rebuild her metabolism and circadian rhythm


If this conversation with Johanna has you reflecting on your own relationship with your body — your pelvic health, your pleasure, your changing seasons, your grief, your sensuality, or the ways you’ve learned to disconnect from yourself — I’d love to support you deeper.

Start with my free class, Pleasure Independence, happening July 8th, where we’ll explore what it means to reconnect with your body, your pelvic floor, your pleasure, and your own inner authority. Join here for free.


And if you’re ready for the deeper body-based journey, Vaginal Alchemy is the place to begin.

You can get started here or join the live cohort experience beginning in July, learn more and sign up here.


Connect with our guest, Johanna



Connect with Dr. Brittney



Support the show



For our listeners only


More episodes

View all episodes

  • 88. The Village We Need: Endometriosis, Motherhood, and Healing with Dr. Marisa Blume

    01:06:24||Season 4, Ep. 88
    087: What happens when your own health journey becomes the doorway into your life’s work? In this deeply personal conversation, Dr. Marisa Blume shares the winding path that led her to Chinese medicine—from debilitating period and gut issues to a stage III endometriosis diagnosis, excision surgery, pregnancy, birth, and the realities of early motherhood. We talk about the places where Eastern and Western medicine can beautifully meet, what it means to be truly supported through the postpartum season, and why finding your village may be one of the most important forms of healing we have.Feeling the Pulse onHow Marisa’s own health struggles with her period, acne, and gut health ultimately led her to Chinese medicineThe serendipitous moment her mom introduced her to an acupuncturist who would change the course of her life—and invite her to consider becoming an acupuncturist herselfMoving through acupuncture school, losing a mentor tragically, and how her own health journey continued to shape her pathBeing told by an acupuncturist that she might have endometriosis—and what it was like to finally have a possible explanation after years of symptomsDiscovering she had stage III endometriosis and fibroids during excision surgery, and how that surgery ultimately became part of her path toward pregnancyWhy Marisa believes that “Western medicine will save your life, Eastern medicine will change your life”—and how both approaches played an important role in her own healing and pregnancy journeyImagining what could be different if young women—and their daughters—learned to recognize the signs of endometriosis much soonerHer pregnancy, C-section, and unexpected postpartum experience, including her son’s time in the NICU and the challenges she faced with breastfeedingThe traditional Chinese medicine approach she leaned into during postpartum, from staying close to home to nourishing herself with warm, cooked foodsWhy we were never meant to do motherhood alone, what finding your village can look like, and why Marisa is more committed than ever to helping women build the support systems they needConnect with our guest, MarisaWebsite: Bewellencinitas.comIG: @drmarisablume and @bewellencinitasConnect with Dr. BrittneyWebsiteSupport the showFollow @‌pelvicpulsepodcast, subscribe, rate, review, or leave a commentDonate for more embodied wisdom and empowering stories for pelvic healing and vitalityFor our listeners onlyFreebies for pelvic health, including HELD, Arousal Anatomy Adventure, and the Pool of PresenceRecommended products
  • 87. Rewriting the Rules: Sobriety, Shame, Sacred Intimacy, and Self Trust with Paige Calentino

    01:24:56||Season 4, Ep. 87
    087: Paige Calentino started drinking at 14 and spent her 20s in a cycle of blackout weekends, a toxic long-term relationship, and a corporate culture built around happy hour — until a 75HARD challenge cracked something open. In this candid conversation, Paige shares the spring break night that nearly killed her, how she rebuilt her identity from the ground up, and why she believes you don't need a rock bottom to want something better. This is a conversation about self-trust, sober sex, and designing a life — and a wedding — that actually reflects who you've become.Feeling the Pulse onPaige's early relationship with alcohol and how it escalated through a party-heavy sorority and college cultureThe harrowing spring break night in the Bahamas — being roofied, a fall from a hotel balcony, and the aftermath she carried herselfHow corporate "happy hour culture" reinforced her drinking and how leadership sets the tone for a company's relationship with alcoholThe toxic, codependent five-year relationship that finally ended — and became the start of her Saturn ReturnMoving to San Diego, the COVID lockdown, and the slow pull toward meditation, astrology, and spiritualityTrying 75HARD — and the moment, 40 days in, she realized she didn't want to drink againWhy 75HER is a more cycle-informed, inclusive alternative to 75HARD, and what Paige learned about her own body and phasesHow self-trust built through consistency became the throughline connecting her sobriety, her relationships, and her businessAlcohol, numbing, and sexual intimacy — why sober sex requires more vulnerability and can access deeper pleasureMeeting her fiancé — both newly soberDesigning a wellness-focused, alcohol-free wedding after being a bridesmaid 11 times in the traditional, drink-heavy wedding cultureHow her family and friends have responded to her transformation, including her dad's own shift away from drinkingHer advice for anyone sober-curiousHer harm-reduction approach to coaching — helping women either cut back or quit entirely, on their own timelineWhy you don't need to hit rock bottom, or take on a label like "alcoholic," to decide you want a different relationship with drinkingFor women who desire to feel even more deeply connected to their bodies, pelvic space, their pleasure, and their power - Vaginal Alchemy is the place to begin.You can get started here during Alchemy August (first 10 women get personalized roadmap from Dr. Brittney) or join the waitlist for the next live cohort experience (2027), learn more and sign up here.Connect with our guest, PaigeInstagram & TikTok: @sober_calienteNewsletter: Substack (weekly, Friday mornings)Website: paigecalentino.comConnect with Dr. BrittneyWebsiteSupport the showFollow @‌pelvicpulsepodcast, subscribe, rate, review, or leave a commentDonate for more embodied wisdom and empowering stories for pelvic healing and vitalityFor our listeners onlyFreebies for pelvic health, including Arousal Anatomy Adventure and the Pool of PresenceRecommended products
  • 86. Fascination Over Control: Birth, Healing, and Becoming with Amanda Lea

    01:16:58||Season 4, Ep. 86
    086: What happens when life arrives with a plan entirely different from the one you thought you needed? In this raw, expansive conversation, master hypnotherapist Amanda Lea shares the moments that asked her to loosen her grip, meet herself more honestly, and discover a deeper reason to stay present for her own life. This is an episode about the beautiful, complicated mosaic of becoming—and allowing every piece of your story to belong.Feeling the Pulse onThe unexpected moment she learned she was pregnant—and why it challenged her relationship with control and having life go “her way”The life-altering decision of whether motherhood was something she truly wantedHer journey healing disordered eating and body dysmorphia through pregnancy and motherhoodDiscovering hypnobirthing, navigating preeclampsia, and experiencing a vaginal birthWhat it means to bridge different worlds, belief systems, and versions of yourself during healingHer experience with mental health struggles and suicidal ideation—and how becoming a mother transformed her relationship with being hereThe support that carried her through postpartum, including how friends and family showed up for herSpending time alone in Australia and Bali, sitting with herself, and finding silver linings after difficult seasonsReleasing shame around the chapters of her life and embracing every piece as part of the mosaic of who she isFeeling at home in yourself, accepting your full story, and letting yourself actually enjoy your lifeFor women who desire to feel even more deeply connected to their pelvic bowl, their pleasure, and their power - Vaginal Alchemy is the place to begin.You can get started here during Alchemy August (first 10 women get personalized roadmap from Dr. Brittney) or join the waitlist for the next live cohort experience (2027), learn more and sign up here.Connect with our guest, AmandaWebsite: https://therebelrising.com/IG: @authentic_mama_, @the.rebel.risingConnect with Dr. BrittneyWebsiteSupport the showFollow @‌pelvicpulsepodcast, subscribe, rate, review, or leave a commentDonate for more embodied wisdom and empowering stories for pelvic healing and vitalityFor our listeners onlyFreebies for pelvic health, including Arousal Anatomy Adventure and the Pool of PresenceRecommended products
  • 85. How Your Beliefs Become Symptoms with Dr. Corina Dunlap

    54:03||Season 4, Ep. 85
    085: What if the subtle shifts you’ve been noticing in your body aren’t “nothing”? In this episode, I’m joined by Dr. Corina Dunlap to explore pelvic health, perimenopause, vaginal health, hormone support, and the deeper patterns that can shape the way we care for ourselves. Dr. Corina is a naturopathic doctor and women’s health specialist who supports women from fertility through menopause. Together, we talk about the often-overlooked healthcare gap for women in perimenopause, why you don’t need to wait for major symptoms or an irregular cycle to get curious about your hormones, and how personalized support can help you better understand your body through every changing season. We also dive into the three health archetypes Dr. Corina sees in her work — the caretaker, the achiever, and the survivor — and how these patterns can influence our stress, nervous systems, gut health, behavior, and healing journeys.Feeling the Pulse onDr. Corina’s journey from women’s empowerment work into naturopathic medicine and women’s healthHow her own health challenges shaped her root-cause, holistic approach to healingWhy pelvic health, leaking, vaginal infections, and vaginal wellbeing deserve more open conversationThe perimenopause healthcare gap — especially for women who are not trying to conceive but know something in their bodies is changingWhy regular periods do not necessarily mean your hormones are unchangedThe importance of paying attention to subtle shifts in your cycle, mood, energy, sleep, and bodyComprehensive lab testing and understanding your unique hormone landscapeBrittney’s experience noticing subtle changes in her cycle after coming off hormonal birth controlThe three health archetypes: the caretaker, the achiever, and the survivorHow the caretaker archetype can be connected to nervous system and HPA-axis supportHow achievement, stress, and workaholic tendencies can impact health and healingWhy survivor patterns can be connected to feeling stuck, gut health, detoxification, and safety in the bodyDr. Corina’s own journey with adrenal burnout, thyroid health, gut disruption, achievement, and caretakingThe overlap between postpartum, perimenopause, motherhood, and self-careWhy postpartum women may benefit from checking micronutrients and understanding their hormone landscapeVaginal estrogen therapy and its role in supporting vaginal health, vaginal flora, infections, and atrophy during menopauseSupportive foundations for pelvic and vaginal health, including gut health, hydration, movement, and exerciseWhy finding a provider who listens — and learning to trust your body — matters deeplyFor women who desire to feel even more deeply connected to their pelvic bowl, their pleasure, and their power - Vaginal Alchemy is the place to begin.You can get started here during Alchemy August (first 10 women get personalized roadmap from Dr. Brittney) or join the waitlist for the next live cohort experience (2027), learn more and sign up here.Connect with our guest, Dr. CorinaPersonal Website: https://drcorinadunlap.com/Clinic Website (Naturopathic by Design®): https://www.naturopathicbydesign.com/Dr. Dunlap’s Supplement Line (Aligned by Design®): https://shopalignedbydesign.com/IG: @drcorinadunlapLinkedIn: @drcorinadunlapContact: info@drcorinadunlap.comHormone Powered Book: https://drcorinadunlap.com/hormonepowered/Hormone Type Assessment: https://drcorinadunlap.com/assessment/Top Lab Guide: https://www.naturopathicbydesign.com/newsletter-signupConnect with Dr. BrittneyWebsiteSupport the showFollow @‌pelvicpulsepodcast, subscribe, rate, review, or leave a commentDonate for more embodied wisdom and empowering stories for pelvic healing and vitalityFor our listeners onlyFreebies for pelvic health, including Arousal Anatomy Adventure and the Pool of PresenceRecommended products
  • 84. Ovarian Longevity, Fertility & Perimenopause with Dr. Miranda Naylor

    50:41||Season 4, Ep. 84
    084: What if preparing for perimenopause started long before symptoms appeared? In this episode, I’m joined by Dr. Miranda Naylor to explore ovarian longevity, the role our ovaries play across a woman’s lifespan, and how stress, lab markers, fertility, and functional medicine can all shape our hormonal future. We talk about taking an empowered approach to women’s health — one that treats aging less like something to fear and more like something we can consciously support, invest in, and even receive gifts from.Feeling the Pulse onWhat “ovarian longevity” means and why it mattersThe role of the ovaries throughout a woman’s lifespanHow stress can impact ovarian and hormonal healthWhy preconception health and perimenopause are more connected than we may thinkFunctional medicine markers Dr. Miranda recommends women considerA review of Brittney’s labs and what they revealedHow to support your body before and during perimenopauseWhy menopause doesn’t have to be approached as inevitable declineWhat the Menotime data revealed and how it’s shaping Dr. Miranda’s workHow to think about your health like a long-term investmentTaking an empowered stance in your hormonal health journeyThe unexpected gifts of aging, menopause, and becomingIf this conversation with Miranda has you reflecting on your own relationship with your body — your pelvic health, your pleasure, your changing seasons, your grief, your sensuality, or the ways you’ve learned to disconnect from yourself — I’d love to support you deeper.Vaginal Alchemy is the place to begin.You can get started here right away or join the live cohort experience beginning July 21st, learn more and sign up here.Connect with our guest, Dr. MirandaWebsite: https://drmirandanaylor.com/IG: https://www.instagram.com/drmirandanaylor/Connect with Dr. BrittneyWebsiteSupport the showFollow @‌pelvicpulsepodcast, subscribe, rate, review, or leave a commentDonate for more embodied wisdom and empowering stories for pelvic healing and vitalityFor our listeners onlyFreebies for pelvic health, including Arousal Anatomy Adventure and the Pool of PresenceRecommended products
  • 82. Why You Need to Be More of a BITCH with Anjali Romaniuk

    53:38||Season 4, Ep. 82
    082: In this episode, I’m joined by Radical Woman, Anjali Romaniuk, for a raw and powerful conversation on reclaiming your body, your voice, and your truth. We explore her journey with hormonal birth control, PCOS, womb healing, people-pleasing, being canceled online, and what it really means to become a BITCH: Brave, Intuitive, Truth-Centered Hottie. This is a conversation about self-responsibility, sovereignty, embodiment, boundaries, and the sacred power of saying no.Feeling the Pulse onAnjali’s awakening in 2018 and her path into becoming a Radical WomanReclaiming responsibility for your relationships, happiness, body, and lifeHer experience with hormonal birth control, cystic acne, low libido, missing periods, PCOS, and reconnecting with her cycleThe potent moment of apologizing to her womb and honoring the messages of her bodyWhat happened when Anjali recently used her voice and said “no” to a manWhy you need to be more of a BITCH: Brave, Intuitive, Truth-Centered HottieThe death of the inner people-pleaser after being canceled onlineWhy being alone matters, why regulation is not the goal 24/7, and why conditions don’t have to be perfect for you to trust yourselfIf this conversation with Anjali inspires you to pursue your own womb work...Through Vaginal Alchemy, you can get started here! If you're interested in the live cohort experience, learn more and sign up here.Connect with our guest, AnjaliWebsite: Www.radical-woman.comIG: https://www.instagram.com/radicalxwoman/Connect with Dr. BrittneyWebsiteSupport the showFollow @‌pelvicpulsepodcast, subscribe, rate, review, or leave a commentDonate for more embodied wisdom and empowering stories for pelvic healing and vitalityFor our listeners onlyFreebies for pelvic health, including Arousal Anatomy Adventure and the Pool of PresenceRecommended products
  • 81. The Woman You Become: A Birth Story of Trust, Support, and Self-Love with Anya Millstein

    58:22||Season 4, Ep. 81
    081: Anya’s birth story begins with the kind of moment that makes you lean in — upright, squatting, pushing, and not tearing as a first-time mom. But this conversation goes far beyond the birth room into the deeper initiation of motherhood: learning to trust your body, receive support, and let self-love ripple into every part of your life. If you’re pregnant or a new mom, you’ll come away inspired after hearing Anya’s story.Feeling the Pulse onAnya’s conception journey with her husband, ConorPreparing for birth through birth stories and intuitionWhat her first and second trimesters were likeHer labor and birth story as a first-time momPushing upright, squatting, and not tearingUsing an epidural for rest and support during laborHow scar tissue from a prior LEEP procedure impacted birthWhat her midwife taught her about the epiduralHow her birth team supported her through pushingEarly postpartum and breastfeeding challengesHow Anya moved through breastfeeding hurdles and continued exclusively breastfeeding for 8 monthsWhy having the right people on your birth and postpartum team mattersWhether or not to track baby’s and our sleep, diapers, poops, and cycle dataBuilding a movement practice before pregnancy and postpartumCreating a strong, pain-free body through consistent movementThe ripple effect of self-love in motherhood, partnership, and family lifeIf this conversation with Anya inspires you to pursue your own work...Through Vaginal Alchemy, you can get started here! If you're interested in the live cohort experience, join the waitlist here.Join us on the 75HER summer wellness challenge to practice self-devotion, elevating our game and cyclical living. Doors close June 8th!Connect with our guest, AnyaWebsite: https://www.iso-movement.com/ (if you join us in ISO, let them know I sent you!)Connect with Dr. BrittneyBook a free call to get startedWebsiteSupport the showFollow @‌pelvicpulsepodcast, subscribe, rate, review, or leave a commentDonate for more embodied wisdom and empowering stories for pelvic healing and vitalityFor our listeners onlyFreebies for pelvic healthRecommended products
  • 80. From Shame to Self-love: Body Connection, Cycle Syncing + Business with Emily LeDuc

    49:18||Season 4, Ep. 80
    080: In this episode, Emily shares her journey of reconnecting with her body after growing up with internal shame, secrecy, and uncertainty around her cycle. What began with coming off hormonal birth control and learning to track her cycle became a deeper path of self-trust, embodiment, and healing. Together, we talk about cycle syncing as a doorway into listening more closely to the body, how Vaginal Alchemy supported Emily in chipping away at shame and deepening self-love, and the ways body connection impacts relationships, visibility, and business. This is a conversation for the woman who feels curious about her body, her sexual energy, and her inner world — and is ready to go one layer deeper.Feeling the Pulse onComing off hormonal birth control and beginning the journey inwardInternal shame, secrecy, and uncertainty around the body and menstrual cycleThe first steps into cycle tracking and cycle syncingSelf-pleasure, embodiment, and softening shameEmily’s experience inside Vaginal AlchemyHow body connection shapes self-trust, relationships, and personal healingThe link between embodiment, visibility, and entrepreneurshipLimiting beliefs, success, and being more fully seen in businessEmily’s perspective on personal branding and relationship buildingEncouragement for women who feel curious, but nervous to beginIf this conversation with Emily inspires you to pursue your own womb work through Vaginal Alchemy, you can get started here! Doors are open until midnight (tonight) May 20th! If you're interested in the live cohort experience, join the waitlist here.Connect with our guest, EmilyWebsite: https://www.emilyleduc.com/Substack: https://bloomwithemily.substack.com/Instagram: https://www.instagram.com/bloom_withemily/Connect with Dr. BrittneyBook a free call to get startedWebsiteSupport the showFollow @‌pelvicpulsepodcast, subscribe, rate, review, or leave a commentDonate for more embodied wisdom and empowering stories for pelvic healing and vitalityFor our listeners onlyFreebies for pelvic healthRecommended products