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Perimenopause Power-Up: Your Journey, Your Way

Perimenopause Power-Up: Your Journey, Your Way

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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 right into a topic that doesn’t get nearly enough honest conversation—perimenopause. If you’re feeling a little lost, overwhelmed, or even empowered by the changes happening in your body, you are definitely not alone. Perimenopause is a transition, not a malfunction, and it’s time we approached it with the information and confidence every woman deserves.

Perimenopause can start as early as your late 30s or early 40s, and it’s marked by shifting hormone levels that can lead to symptoms like hot flashes, sleep issues, mood changes, anxiety, and even changes in libido. The Harper Clinic explains that this phase is as individual as each of us—every woman’s journey will look different, and that is absolutely normal. Recognizing symptoms early is key to feeling empowered during this time.

To guide us through the medical side, I sat down with Dr. Sharon Minkin, professor of obstetrics, gynecology, and reproductive sciences at Yale School of Medicine. I asked her, what are the most common misconceptions about perimenopause? She emphasized that it isn’t a disease—it’s a natural phase, and understanding what’s happening is the foundation of empowerment. We also discussed hormone replacement therapy, or HRT. For decades, HRT was widely used, but after a controversial study in 2002, many women became fearful of it. Dr. Minkin clarified that more recent research has shown that, especially for women under 60 or within 10 years of menopause, HRT can be safe and effective when tailored personally. There’s a range of delivery methods now—pills, patches, gels, and more—so it’s no longer a one-size-fits-all approach. The important part is having an open, informed discussion with your healthcare provider about what’s right for you.

We talked about holistic therapies too—acupuncture, yoga, and certain medicinal plants like black cohosh have shown promise in easing symptoms like hot flashes and sleep disruption. The team at LynLake Health reminds us that these complementary treatments can help manage anxiety, chronic pain, and improve overall well-being. They may not work for everyone, but having a toolkit—traditional medicine, lifestyle changes, mental health support—means you’re meeting this stage with strength from many directions.

My favorite takeaway from this episode actually comes from a recent article in The Lancet, advocating for an empowerment approach to perimenopause. Instead of overmedicalizing, the empowerment model focuses on each woman as an active partner in her own care, equipped with the knowledge to make choices based on her needs and preferences. The World Health Organization defines empowerment as gaining control over the factors that shape your life, and that’s exactly what we’re advocating for here today.

Before we close, here are a few key takeaways: perimenopause is normal and happens in stages; HRT may be an option but isn’t the only one; holistic therapies can be valuable; and the most powerful tool you have is information.

Thank you for tuning in to the Women’s Health Podcast. Empower yourself and others by sharing what you’ve learned today. Be sure 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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