
Perimenopause Uncovered: Your Body, Your Journey, Your Voice
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About this listen
Welcome to the Women's Health Podcast, the show where we empower you with real talk on what matters most to your health, right now. I’m your host, and today we’re diving straight into a topic that touches the lives of millions: perimenopause.
Perimenopause isn’t just a medical milestone—it’s a pivotal transformation that can span several years, often beginning in your 40s but sometimes sneaking up even earlier. It’s the body’s way of preparing for menopause, and it can bring a rollercoaster of changes. Think irregular periods, intense hot flashes, mood swings, sleep disruption, brain fog, and more. These changes are real—and they deserve to be talked about, not endured in silence.
To shed light on this transition, I’m thrilled to introduce Dr. Emily Carter, a leading gynecologist from Johns Hopkins Medicine. I asked Dr. Carter: What exactly is happening in the body during perimenopause? She explained it's all about fluctuating hormone levels—mainly estrogen and progesterone—which cause the symptoms so many of us experience. I followed up by asking: How can you distinguish perimenopause from other potential medical concerns? Dr. Carter stressed the importance of keeping track of your symptoms and having open conversations with your healthcare provider, since symptoms like mood changes or sleep issues can overlap with other conditions.
Next, I wanted to talk practical solutions. I asked Dr. Carter: What are the most effective treatments for perimenopausal symptoms? She highlighted hormone replacement therapy, or HRT, as a proven option for many women. HRT can be given as patches, gels, sprays, or tablets, and is particularly good at easing hot flashes, night sweats, and mood swings. But, like all treatments, it’s not one-size-fits-all. Dr. Carter outlined that HRT isn’t suitable for everyone—particularly those with certain medical histories, such as stroke, heart attack, or blood clots. We also discussed alternatives, from non-hormonal medications to lifestyle adjustments. Regular exercise, staying at a healthy weight, eating a balanced diet, and managing stress are all ways to help your body and mind through this transition.
Finally, I asked Dr. Carter: What’s the single most important message you’d share with women experiencing perimenopause? She said, “Don’t go it alone, and don’t ignore your symptoms. You have options, and you deserve care tailored to you. Seek support, ask questions, and trust your instincts.”
Before we wrap up, let’s highlight today’s key takeaways. Perimenopause is normal, but your experience is unique to you. There are safe, effective treatments—ranging from medical therapies to lifestyle strategies—that can help you feel your best. Most importantly, your voice matters, and there’s power in sharing your story and seeking support.
Thanks for listening to today’s episode. You are not alone on this journey—so let’s keep breaking the silence, supporting one another, and owning our health. If you found this episode helpful, share it with a friend and stay tuned for more empowering conversations right here on the Women’s Health Podcast.
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