Menopause is no longer a silent struggle. From “millennipause” to cutting-edge treatments like GLP-1s, today’s conversation with Jackie Giannelli, a board-certified family nurse practitioner specializing in women's health with extensive expertise in hormonal health, menopause, women's sexual health, and urogynecology, dives into the evolving landscape of perimenopause and menopause care.

We explore the shifting attitudes around hormone replacement therapy, the rise of millennials entering perimenopause, and why lifestyle, supplements, and community matter just as much as medical interventions. Jackie also breaks down how GLP-1 medications may become a new arm of menopause treatment — while highlighting their potential impact on sexual health.

Whether you’re curious about natural options, considering hormone therapy, or just beginning your perimenopause journey, this episode offers clarity, science-backed insights, and compassion for women navigating this complex phase of life.

Timestamps:

0:00 – Welcome & Introduction to Jackie Giannelli

1:15 – What is “Millennipause”?

4:12 – How millennials are approaching perimenopause differently

6:45 – Hormone hesitancy is fading: why women want bioidenticals now

9:50 – Non-hormonal treatments: supplements that actually work

13:30 – Lifestyle shifts that make a difference in perimenopause

16:45 – GLP-1 medications and their surprising potential in menopause care

21:05 – The hidden side effects of GLP-1s on sexual health

23:18 – The power of community and women supporting women

25:10 – Jackie’s definition of sex & closing thoughts

Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out!

Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.

This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.

Looking for some fresh perspective on sex in midlife? You can find me here:

Email: karen@taboototruth.com

Website: https://www.taboototruth.com/

Instagram: https://www.instagram.com/taboototruth

YouTube: https://www.youtube.com/@taboototruthpodcast

Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.

This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.

Looking for some fresh perspective on sex in midlife? You can find me here:

Email: