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Perimenopause Unpacked: Navigating the Change with Confidence
This is your Women's Health Podcast podcast.
Welcome back to the Women’s Health Podcast. Today’s episode dives right into perimenopause—a transition that millions of women experience but often find confusing or overwhelming. We’re here to shed light on it, break down the facts, and empower every listener to make this journey with knowledge and confidence.
Perimenopause is not just the lead-up to menopause. It’s a distinct phase that can start as early as our mid-30s and usually hits in the 40s. This is when hormone levels, especially estrogen and progesterone, start to shift. Some listeners might notice changes in their periods—maybe they're heavier, lighter, more irregular, or surprisingly absent. You’re not imagining it; these are classic signs of perimenopause. Others may feel ripples in mood, energy, sleep, or even memory. According to Mayo Clinic and UCLA Health, these symptoms can include hot flashes, night sweats, dry skin, and even a change in how we store body fat—hello, surprise belly fat. You’re not alone.
To really dig into this, I connected with Dr. Anita Patil at UCLA Health, who specializes in women's hormones and menopause care. I asked Dr. Patil: what’s behind the variety of symptoms women experience in perimenopause? She explained that hormone fluctuations affect every woman differently—some have severe hot flashes, others get insomnia, and some just feel “off.” I wanted to know which symptoms should prompt a visit to a healthcare provider. Dr. Patil said: never ignore unusual bleeding patterns, severe mood shifts, or physical symptoms like joint pain that persist. These could indicate health issues beyond hormonal changes.
A lot of you have asked about treatment options. Hormone replacement therapy is often discussed and, as Dr. Patil mentioned, can be an effective way to address hot flashes, night sweats, and protect bones. There are risks, though, so it's essential to have a personalized approach and revisit your treatment choices yearly. Other options include non-hormonal medications like fezolinetant for hot flashes, antidepressants for mood swings, and even medications like gabapentin for sleep issues.
I wanted to explore alternatives beyond traditional medicine. Dr. Patil suggests lifestyle changes—focusing on movement, a heart-healthy diet, and prioritizing sleep. Even weight training is crucial to maintaining bone strength. Mind-body practices like yoga and meditation can ease anxiety and improve sleep. Cognitive behavioral therapy, acupuncture, and even hypnosis might offer relief for symptoms. The Menopause Society and Harvard Health both echo the importance of exercise and nutrition in easing transitions and protecting long-term health.
A common misconception is that perimenopause means a rapid decline in well-being. In truth, this can be a chance to take charge of your health, advocate for your needs, and pursue new goals. Perimenopause doesn’t define you—it’s a phase, not a fate.
Let’s finish with some key takeaways from today. Perimenopause is normal but symptoms can be disruptive—don’t downplay your experience. Medical help is available and treatment is not one-size-fits-all. Speak up, ask for options, and remember that small lifestyle changes can have big health payoffs. Most importantly, this transition is about empowerment—making confident decisions, seeking support, and thriving every step of the way.
Thank you for tuning in to the Women’s Health Podcast. Don’t forget to subscribe so you never miss an empowering episode. This has been a quiet please production, for more check out quiet please dot ai.
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Published on 13 hours ago