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Perimenopause Power-Up: Owning Your Transition Out Loud

Perimenopause Power-Up: Owning Your Transition Out Loud

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 This is your Women's Health Podcast podcast.

Welcome back to the Women’s Health Podcast. I’m your host, and today we’re diving straight into a season of life that too often gets whispered about instead of owned out loud: perimenopause. If your periods are changing, your sleep is off, your moods feel like a roller coaster, and you’re wondering, “Is it just stress, or is something bigger happening?” this episode is for you.

Perimenopause is the transition leading up to menopause, when estrogen and progesterone start to fluctuate and, eventually, decline. The Mayo Clinic explains that this phase can start in your 40s, and sometimes even your late 30s, and it can last several years before your periods stop completely. Common symptoms include irregular cycles, heavier or lighter bleeding, hot flashes, night sweats, vaginal dryness, brain fog, and changes in mood or libido. The North American Menopause Society emphasizes that this is a normal, biological transition, not a personal failure and not “you losing it.”

In today’s episode, we’ll imagine sitting down with an expert like Dr. Mary Jane Minkin, a gynecologist known for educating women about menopause, or Dr. Hazel Wallace, who focuses on women’s health and nutrition. Here are the kinds of questions I’d ask to empower you to advocate for your own care.

First, I’d ask: How does a woman know she’s in perimenopause and not just burned out or anxious? What are the key signs in her cycle, her sleep, and her mood that say, “This is hormonal transition, and it deserves attention”?

Next, I’d ask: What are the most evidence-based options for managing symptoms? According to the North American Menopause Society and resources like the Every Mother perimenopause guide, that toolbox can include lifestyle changes such as strength training, cardio, a balanced diet rich in protein and plants, and stress management, alongside medical options like menopausal hormone therapy for hot flashes, night sweats, and vaginal dryness, as well as non-hormonal medications for mood and sleep when needed.

I’d also dig into mental health. The National Association of Social Workers has highlighted how anxiety, depression, and brain fog often intensify in this transition. So I’d ask: How can women tell when it’s time to seek mental health support, and what kinds of therapy, medication, or community support make the biggest difference?

Another crucial topic is self-advocacy. Blooming Leaf Counseling and the Society for Women’s Health Research both stress that women are often dismissed or gaslit when they raise perimenopause concerns. I’d ask our expert: What language can a woman use in the exam room? How can she bring a symptom journal, clear questions, and trusted sources like NAMS or Jean Hailes for Women’s Health to get the care she deserves?

Finally, I’d ask about long-term health. What does this transition mean for heart health, bone health, and metabolic health? And what can a woman start doing today to protect her future self?

Here are your key takeaways. First, if your body is changing in your late 30s or 40s, you are not imagining it. Perimenopause is real, and your experience is valid. Second, you have options: from movement, nutrition, and stress reduction to hormone therapy and non-hormonal treatments, you do not have to “just put up with it.” Third, your voice matters. Track your symptoms, ask direct questions, and, if you are not being heard, you are allowed to find a new clinician. And finally, this is not the beginning of the end; it is the beginning of a new chapter. With knowledge and support, perimenopause can be a time of powerful recalibration, not silent suffering.

Thank you for tuning in to the Women’s Health Podcast. If this episode spoke to you, share it with a friend, and make sure you subscribe so you never miss an empowering conversation. This has been a quiet please production, for more check out quiet please dot ai.

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