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Navigating the Change: Your Perimenopause Primer

Navigating the Change: Your Perimenopause Primer

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 This is your Women's Health Podcast podcast.

Welcome back to the Women's Health Podcast. Today, we’re diving into perimenopause—a topic that affects millions, but doesn’t get nearly enough open, empowering conversation. Chances are, you, your friend, your sister, or someone you care for is navigating this transition. Let’s get right to it.

Perimenopause is the stage leading up to menopause where hormone levels start to fluctuate, and periods become unpredictable. The changes can begin as early as your late 30s or early 40s and last several years. What does it actually feel like? For some, it’s sneaky—maybe sleeping is suddenly harder, you notice mood shifts, irregular cycles, or hot flashes that catch you off guard. The Mayo Clinic describes how symptoms can vary wildly, from hot flashes and night sweats to joint pain, brain fog, and changes in sexual health.

Today, we’re grateful to be joined by Dr. Nina Patil from UCLA Health, who has been helping women navigate this journey for over twenty years. Dr. Patil, let’s start at the heart of it: Why is perimenopause still misunderstood, and what signs should women look out for early on?

Dr. Patil explains that, for many women, perimenopause can feel like “your body’s flipping a switch—some changes happen slowly, others overnight.” She emphasizes noticing recurring symptoms: more intense PMS, sleep disruption, or even changes in skin and hair can be early clues. Another core message: Trust your instincts. If something feels different, don’t brush it off—bring it to your healthcare provider’s attention.

So, how do we manage it all? Dr. Patil highlights a spectrum of treatments. Hormone therapy is the gold standard for tackling hot flashes and night sweats, but it’s not the only route. Medications like selective serotonin reuptake inhibitors—SSRIs—or new options like fezolinetant can help those who can’t or choose not to use hormones. For vaginal dryness and sexual discomfort, localized estrogen creams or rings work wonders. But every option comes with unique risks and benefits—it’s critical to talk them through with your doctor.

Let’s shift to what you can control, right now, at home. Both Mayo Clinic and UCLA Health stress lifestyle’s enormous impact. Eating a heart-healthy, calcium-rich diet, moving your body—especially with weight-bearing exercise to protect your bones—reducing alcohol and caffeine, and finding time for stress-reducing activities like yoga or meditation can be powerful tools. Dr. Patil encourages her patients to become their own advocates—get curious, ask for options, and remember that sexual wellness, sleep, and mood are all valid topics for your primary care visit.

Here are the key takeaways: Perimenopause is real, physical, and can impact every woman differently. Symptoms are not just “all in your head,” nor are they something you need to power through alone. There are effective, evidence-based treatments—hormonal and nonhormonal—and your daily choices around movement, nutrition, and self-care matter. You are not losing control; you are gathering new information about your body, and there is strength in that.

Thank you for tuning in today. Please remember to subscribe to the Women's Health Podcast wherever you listen, and share this episode with anyone who might need it. This has been a quiet please production, for more check out quiet please dot ai.

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