Perimenopause Power-Up: Embracing the Change, Demanding the Care
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Perimenopause Power-Up: Embracing the Change, Demanding the Care
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About this listen
Welcome to the Women’s Health Podcast. Today we are going straight into a season so many women whisper about, but deserve to shout their power through: perimenopause.
Perimenopause is the transition leading up to menopause, when hormones like estrogen and progesterone start to fluctuate. The Mayo Clinic explains that this phase can start in your 40s, sometimes even mid‑30s, and it can last several years. Listeners, if your cycle is getting irregular, your sleep is suddenly broken at 3 a.m., or your moods feel like they’re on a roller coaster, you are not “going crazy” – you may be in perimenopause.
According to the North American Menopause Society, common symptoms include hot flashes, night sweats, heavier or lighter periods, brain fog, vaginal dryness, and changes in libido. Every body is different, but none of this means you are less vibrant, less capable, or less you. This is not the end of your story; it is a powerful rewrite.
In today’s episode, we’re imagining an expert guest, Dr. Sara Thompson, a gynecologist who specializes in perimenopause care. If Dr. Thompson were here with us, I’d begin by asking:
“Dr. Thompson, for a woman who’s hearing the word perimenopause for the first time, how do you define it in plain language, and how is it different from menopause itself?”
Then I would ask:
“What early signs do you want women to pay attention to, so they can recognize perimenopause instead of blaming themselves or dismissing symptoms as stress?”
From there, we’d move into daily life:
“How do hormonal shifts in perimenopause affect sleep, mood, and concentration, and what practical strategies do you recommend to manage those changes at home and at work?”
Because evidence‑based options matter, I’d ask:
“Can you walk us through the range of treatments, from lifestyle approaches like exercise and the Mediterranean‑style diet, to therapies such as menopausal hormone therapy and non‑hormonal medications? How can women work with their clinicians to choose what’s right for them?”
Advocacy is crucial. Essential Health and the North American Menopause Society both highlight that many women feel dismissed when they bring up symptoms. So I would ask:
“What does a good perimenopause appointment look like, and how can a woman prepare – with symptom tracking, questions, and boundaries – so she leaves feeling heard and supported rather than gaslit?”
Then I’d invite hope and reframing:
“Perimenopause is often framed as loss. How do you help women see this as a time to reassess priorities, strengthen self‑care, and step more fully into their power?”
Before we wrap, here are a few key takeaways for you to carry into your day.
First, awareness is power. If your cycle, sleep, or mood have changed, you are not imagining it. Learn the signs of perimenopause and give your experience legitimacy.
Second, you deserve informed, respectful care. Track your symptoms, bring your notes to appointments, and do not hesitate to seek a second opinion if you feel dismissed.
Third, lifestyle is leverage, not a moral test. Movement, nourishing food, stress reduction, and supportive relationships are powerful tools, not perfection goals.
Finally, this transition can be a portal to deeper self‑trust. Your body is not betraying you; it is inviting you to renegotiate how you care for yourself and how you demand to be cared for by others.
Thank you for tuning in to the Women’s Health Podcast. If this episode helped you feel more informed and more empowered, make sure you subscribe so you never miss an episode.
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