Navigating Perimenopause: Your Journey, Your Power
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Navigating Perimenopause: Your Journey, Your Power
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Welcome to the Women's Health Podcast, a space dedicated to real conversations about what matters most to women. Today, we’re talking about perimenopause—a major chapter in many women’s lives that comes with a host of questions and, too often, a sense of solitude. If you’re in your 30s, 40s, or early 50s and have noticed sudden changes in your cycles, your mood, or your energy levels, you’re not alone. Perimenopause is a natural, empowering transition, and it’s time we talk about it clearly and openly.
So, what is perimenopause? This is the period leading up to menopause, when the ovaries gradually decrease hormone production. It can last anywhere from a few months to several years. According to the Mayo Clinic, women may see their periods become unpredictable, experience hot flashes, night sweats, sleep disturbances, and shifts in mood. There isn’t a single test for perimenopause—your story, your symptoms, and your experience matter most. This is about your body’s journey and owning it with knowledge.
To shed light on perimenopause and how we can best navigate it, I’m joined by Dr. Lisa Petlow, a specialist in women’s health. Dr. Petlow, thank you for being here.
Dr. Petlow, what are the earliest and most overlooked signs of perimenopause that women should be aware of? How do you recommend women track or document changes so they can have informed discussions with their healthcare providers?
Many listeners want clear guidance. What are the medical and nonmedical treatments that really make a difference for the most common symptoms like hot flashes, insomnia, or mood swings? According to experts at the Mayo Clinic and WebMD, treatment isn’t about stopping perimenopause—it’s about relief. There’s systemic estrogen therapy, birth control pills, and newer medications like fezolinetant, which has been approved for intense hot flashes. For women who can’t use hormones, there are effective options like selective serotonin reuptake inhibitors and gabapentin. Simple things like good sleep, balanced nutrition, and movement are powerful too.
Vaginal dryness and pain with sex are especially important, but often left undiscussed. Dr. Petlow, how can women bring these concerns up with their providers, and what treatments are safe and effective? It’s encouraging to know that estrogen creams or local treatments can make a significant difference, as recommended by Planned Parenthood and Mayo Clinic.
Let’s talk about emotional wellness. Perimenopause can bring anxiety and depression. Dr. Petlow, what supports do you suggest—both therapeutic and community-driven?
Every journey is unique. From our conversation, here’s what I want every woman to take away: you are not powerless in perimenopause. Knowledge is your right and support is available. Track your symptoms, speak up, and ask about all treatment options, both medical and lifestyle. Seek community; don’t isolate. The more we talk—and demand answers—the better care we all receive.
Thank you for tuning in to the Women's Health Podcast. If today’s conversation resonated, please subscribe and share with the women you love. Stay empowered, stay curious, and above all, know that you are not alone. This has been a quiet please production, for more check out quiet please dot ai.
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