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Perimenopause Unfiltered: Real Talk, Real Empowerment

Perimenopause Unfiltered: Real Talk, Real Empowerment

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 This is your Women's Health Podcast podcast.

Welcome to the Women’s Health Podcast, where real talk meets real empowerment. I’m your host, and today we’re diving straight into a topic that impacts millions, yet is rarely discussed openly—perimenopause. That stretch of time before menopause, when hormones can feel like they’re throwing your body and mind a bit off-balance. It can start in your late 30s or early 40s and last for several years, but no two women experience it quite the same. So why does it feel like nobody’s talking about it?

Let’s get to the heart of it. Perimenopause is more than hot flashes or the occasional sleepless night. For many, it’s a rollercoaster of mood swings, irregular periods, brain fog, and changes in sex drive—sometimes all at once. According to the Harper Clinic, these symptoms are driven by fluctuations in estrogen and progesterone, and recognizing them is the first step toward taking back control. Knowledge is your superpower, and it’s time to use it.

But here’s what’s frustrating: Women are often dismissed, told it’s just stress or “all in your head.” Blooming Leaf Counseling points out that medical gaslighting is still far too common in women’s health. That’s why self-advocacy is crucial. Track your symptoms, document your questions, and don’t be afraid to push for answers. Remember, this is your health—you deserve to be heard.

To guide us through what helps and what you can ask your provider, I had the pleasure of interviewing Dr. Kirtly Jones, a leading women’s health expert at University of Utah Health and host of the 7 Domains of Women’s Health show. I asked her: What are the telltale signs of perimenopause that women should watch for? She emphasized that while hot flashes and night sweats are common, women should also pay attention to subtle changes—like brain fog, mood shifts, and changes in sexual health. These aren’t just annoyances; they’re valid medical symptoms.

Another vital question: What are the latest recommendations for managing perimenopause symptoms? Dr. Jones explained that treatment is highly individual. Hormone Replacement Therapy, now sometimes called Menopausal Hormone Therapy, can be very effective for many women but isn’t right for everyone. There are also non-hormonal medications, lifestyle strategies, and holistic approaches that can make a huge difference.

I also asked, How can women advocate for themselves when their symptoms are dismissed? Her advice: Come prepared. Bring a detailed symptom diary. Ask specific questions about the risks and benefits of treatment options. And don’t leave the office until you feel satisfied with the information provided—it’s your right.

Let’s break down the key takeaways. Perimenopause is a normal and significant life stage that every woman deserves to navigate with dignity and support. Your symptoms are real, and you have every right to seek help. Learn what’s happening to your body, track your health, and work in partnership with your healthcare team. With the right information and the confidence to advocate for yourself, perimenopause can be not just survived—but embraced as a time of growth and empowerment.

Thank you for joining me today on the Women’s Health Podcast. If you found this episode helpful, please subscribe and share it with everyone who could use a little extra support on their wellness journey. This has been a quiet please production, for more check out quiet please dot ai.

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