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Perimenopause Unfiltered: Navigating The Change with Dr. Shamsah Amersi

Perimenopause Unfiltered: Navigating The Change with Dr. Shamsah Amersi

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 This is your Women's Health Podcast podcast.

Welcome to the Women's Health Podcast! Today, we’re diving straight into a life transition every woman deserves to understand: perimenopause. I’m your host, and whether you’re in your thirties hearing the first whisper of changes, or your late forties and experiencing the full spectrum of symptoms, this episode is for you.

Perimenopause marks the years leading up to menopause, often beginning in the mid-40s but sometimes as early as the late thirties. What does it feel like? Hot flashes that come out of nowhere, mood swings that seem impossible to predict, changes in cycle, night sweats, and even unexpected brain fog. So many of us wonder, “Is this normal?” The answer: yes, it’s all part of the process. Knowledge is power, and today, we empower each other.

To unpack perimenopause, I recently sat down with Dr. Shamsah Amersi, an expert in women’s health. I asked her, “What are the most common symptoms women should watch for?” She shared that besides hot flashes and sleep issues, mental shifts—like anxiety and difficulty focusing—are just as much a part of the picture as physical ones.

We talked about management, too. Hormone replacement therapy, or HRT, often comes up in conversations, but it’s not the only solution. Dr. Amersi explained the importance of tailoring care to each woman: some opt for bioidentical HRT, others find relief with healthy eating, regular exercise such as yoga or strength training, improved sleep routines, or therapy. For some, antidepressants like SSRIs can help with mood symptoms. The key is always individualized care—a truly empowered approach.

I then asked Dr. Amersi, “How do women advocate for themselves in a healthcare setting?” She emphasized self-advocacy, recommending women educate themselves, track their symptoms, and bring up concerns with their providers directly. Unfortunately, too many women encounter medical gaslighting, where symptoms are minimized or dismissed. Dr. Amersi encouraged listeners to trust their intuition, seek second opinions, and use community resources—like support groups and online forums—to find validation and practical advice.

One listener, Sarah from Chicago, wrote in asking, “How can I manage stress during perimenopause?” Dr. Amersi said mindfulness, meditation, and deep breathing can all help. Even short daily moments of reflection can reduce anxiety and improve sleep. Remember, lifestyle changes are as important as medical ones, and even small steps—walking outside for 20 minutes, joining a local yoga class, or getting a friend to talk through your experience with—can make a lasting difference.

Let’s recap the key takeaways. Perimenopause is natural, common, and different for everyone. The best management blends personalized medical advice with lifestyle changes—think balanced eating, regular activity, and good sleep hygiene. Self-advocacy is essential; be informed, trust your experience, and ask questions until you have the answers you need. And you’re never alone—reach out to your community, and keep this conversation going.

Thank you for tuning in to the Women's Health Podcast. We’re here to empower, inform, and support you through every stage of womanhood. Remember to subscribe so you never miss an episode. This has been a quiet please production, for more check out quiet please dot ai.

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