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Perimenopause Power: Navigating the Change with Knowledge and Grace

Perimenopause Power: Navigating the Change with Knowledge and Grace

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 This is your Women's Health Podcast podcast.

Welcome to the Women's Health Podcast. Today, we’re diving into one of the most pivotal, yet misunderstood, transitions in a woman’s life: perimenopause. If you’re noticing your body changing, your moods shifting, and your sleep patterns thrown off—and you don’t know whether to call it aging, stress, or something else—you’re in the right place. Let’s get straight to it.

Perimenopause typically begins in your 40s, but for some women, it starts earlier. This phase can last several years before menopause officially sets in, bringing an evolving list of physical and emotional symptoms. According to Dr. Shamsah Amersi, a leading gynecologist in Santa Monica, perimenopause is when estrogen levels fluctuate, causing a range of effects like irregular periods, hot flashes, night sweats, brain fog, and even changes in libido. It is not just about periods ending—it's a multi-dimensional experience impacting your whole well-being.

But here's the empowering message: knowledge is the first step in taking charge of your health. Dr. Elina Zeldina at Premier OBGYN in New Jersey reminds us that each woman's perimenopause journey is unique, warranting solutions that fit her life and needs. Today, I’m thrilled to welcome Dr. Zeldina for our expert conversation.

Dr. Zeldina, many listeners are hearing the term ‘perimenopause’ for the first time or are unsure if what they’re experiencing—like mood swings or sleep troubles—might be related. What are the earliest signs, and how can women distinguish these from everyday stress or other life changes?

Let’s talk treatment. For those overwhelmed by symptoms, where should they start? What role does hormone replacement therapy play, and are there non-hormonal options?

Lifestyle sources often mention nutrition and exercise. Can you speak about practical daily habits—perhaps specific foods or fitness routines—that can reduce the intensity of perimenopausal symptoms?

Mental health is often overlooked. How can women address the emotional side—irritability, brain fog, low mood? When is it time to consult a professional, and what support systems should women seek out?

Lastly, some women feel isolated or even embarrassed by what’s happening. What words of advice or encouragement would you give to those struggling to talk about perimenopause with friends, family, or even their doctor?

Dr. Zeldina’s insights make it clear: while the challenges of perimenopause are very real, support, information, and tailored medical care can transform this experience into a powerful passage rather than a silent struggle. Dr. Haleema Sheikh from the Marion Gluck Clinic stresses that education and open conversation empower women to become advocates for their own health. This is your body, your journey.

So here are some key takeaways. First, don’t dismiss your symptoms or try to ‘tough them out’ alone—there is help out there, from hormone therapy to lifestyle changes to the support of a caring professional. Second, diet and exercise really do help—making time for yourself is not selfish, it’s essential. And third, start talking. Whether it’s with your friends, your doctor, or a trusted podcast community, your story matters and your questions deserve answers.

Thank you for tuning in to the Women's Health Podcast. If you found today’s episode helpful, please subscribe and share it with other women navigating this journey. This has been a quiet please production, for more check out quiet please dot ai.

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