Three Generations of Women: One Core Problem, One Core Solution

Have you ever looked at your mother’s failing mental and physical health—or your daughter’s menstrual and mood struggles—and felt like you were staring into a mirror and frightened about where it’s all going? You’re not alone.
I can’t tell you how many times over the past couple of decades women have told me how much they fear what is to come as they watch their mothers deteriorate right in front of them. Late-stage perimenopause can be a rude awakening for a lot of women as they realize their prime has just passed, and the next phase of their life does not look promising. It’s very difficult to be happy about the future when you see the acceleration of mental and physical decline just ahead.
Menopause does not occur in isolation. It affects every generation and impacts every family member. Too often, women find themselves caught in a family cycle—daughters entering perimenopause, mothers in the throes of menopause, and grandmothers deep into post-menopause.
What links all three generations and all three conditions? Estrogen deficiency.
Daughters in Perimenopause: The Beginning of the End
Many women claim that perimenopause begins in a woman’s late 30s to early 40s, but the truth is, perimenopause often begins in a woman’s early to late 30s and can last for more than a decade. The earliest signs of the hormonal collapse show up as depression, anxiety, PMS, irregular menstrual cycles, mood swings, irritability, irrational behavior, migraines, clumsiness, weight gain, and brain fog. These changes are rarely understood as estrogen deficiency but are instead misattributed to stress, lifestyle, a part of aging, or mental health disorders.
Women in Menopause: Depleted and Deflated
By the time a woman reaches the menopause—the official marker being 12 months without a menstrual period bleed—estrogen has fallen to critically low levels. Hot flashes, insomnia, memory lapses, weight gain, depression, and physical decline are not simply “aging.” They are symptoms of estrogen deprivation. Low estrogen levels send signals to your brain that your time of reproduction is over, and your brain and body will respond in kind. The brain and body reeve up the living decaying process influenced by systemic estrogen starvation.
Mothers in Post-Menopause: The Walking Dead
After decades of estrogen deficiency, the mental health and physical malfunction effects compound. Osteoporosis, frailty, cardiovascular disease, and dementia risk skyrocket. But these outcomes are not inevitable—they are consequences of long-term estrogen starvation. The longer women go without plenty of circulating estrogen, the further from human form a woman becomes. At this stage of a woman’s life, she is just a shell of who she once was.
The Transgenerational Solution: Advanced Hormone Therapy
For too long, the conventional narrative has encouraged women to “cope” or to accept underdosed, low-yielding hormone therapy that merely manages symptoms without fully restoring depleted hormones. Standard of care medicine only offers women minuscule dosed HRT that keeps women in a state of deficiency.
But the clinical evidence points in another direction: therapeutic-dosed, rhythmic hormone therapy (Advanced HRT) can restore a healthy woman’s brain and body — including a menstrual cycle — at every stage, even if a woman no longer has a uterus.
- For Daughters (Perimenopause): Initiating advanced HRT in any stage of perimenopause can restore and preserve an incident-free menstrual cycle indefinitely, prevent executive decline, and protect brain, bone, and cardiovascular function. The best time to start advanced HRT is in the first phase of perimenopause. Doing so will allow a woman to satiate her estrogen hunger so she never has to experience perimenopause or menopause. The greatest anti-deteriorating agent a woman has is estrogen.
- For Women in Menopause: Fully restoring depleted hormones with an advanced HRT protocol can reverse menopause and restore mental and physical function for most generally healthy women. It also restores sleep, cognition, libido, mood, and physical vitality. Unlike “light dose” HRT regimens, therapeutic dosed HRT targets full restoration so a woman no longer feels “estrogen starved”.
- For Mothers (Post-Menopause): Even after decades of estrogen deficiency, advanced HRT can slow and reverse the devastating effects of long-term estrogen deprivation, restore brain and body function, reduce fracture risk, improve cognitive resilience, and enhance quality of life.
Estrogen is a girl’s best friend to the end if she has enough of it, and her worst enemy anytime she has too little.
Breaking the Transgenerational Cycle
When one generation restores her hormones, she sets an example for the next. The days of waiting until menopause to start HRT are long over. It is now acceptable for young women to start hormone therapy long before menopause. Daughters no longer fear repeating their mother’s mental and physical decline if they intervene early. Mothers regain the vitality and function they thought was gone forever. Grandmothers can get their brain and body function back and protect themselves from further decline. Families finally break free from the multi-generational cycle of estrogen deficiency that everyone pays the price for.
The core problem is estrogen deficiency.
The core solution is advanced hormone therapy.
It’s time for all three generations to consider complete hormone restoration—not just to manage symptoms, but to fully restore your depleted hormones, reclaim health, vitality, and longevity. You have more control over how your brain and body function than ever before.
If you are struggling with hormonal imbalance, even if you are already on HRT, you don’t have to suffer. Now more than ever, you have control over how you age and decline. To see if an advanced HRT approach is a good fit, book a discovery session.
Everybody benefits when hormones are fully restored to the Hormone Sweet Spot™.
References:
Agarwal S, Alzahrani FA, Ahmed A. Hormone Replacement Therapy: Would it be Possible to Replicate a Functional Ovary? Int J Mol Sci. 2018;19(10):3160.
Allaway S, Last P, Hale A. What determines the age at the menopause? BMJ. 1991;303(6796):250. Aubard Y, Teissier MP, Grandjean MH, Le meur Y, Baudet JH. [Early menopause]. J Gynecol Obstet Biol Reprod (Paris). 1997;26(3):231-7.
Bluming A, Tavris C. Estrogen Matters: Why Taking Hormones in Menopause Can Improve Women’s Well-Being and Lengthen Their Lives-- without Raising the Risk of Breast Cancer. New York: Little, Brown Spark; 2018.
Castallo, M A. “Modern Management of the Menopause; This Deficiency Disease, Caused by Lack of Ovarian Hormone, Should Be Treated throughout Life by Estrogen Replacement Therapy.” Penn Med, U.S. Nat’l Lib of Med, May 1967.
Diaz A, Laufer MR, Breech LL. Menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Pediatrics. 2006;118(5):2245-50.
Draper CF, Duisters K, Weger B, et al. Menstrual cycle rhythmicity: metabolic patterns in healthy women. Sci Rep. 2018;8(1):14568.
Ginsberg J. What determines the age at the menopause? BMJ. 1991;302(6788):1288-9.
Greendale GA, Ishii S, Huang MH, Karlamangla AS. Predicting the timeline to the final menstrual period: the study of women's health across the nation. J Clin Endocrinol Metab. 2013;98(4):1483-91.
Lobo RA. Hormone-replacement therapy: Current thinking. Climacteric. 2017.
Reiss, MD, Uzzi, Fitzpatrick B. The Good News About Estrogen, The Truth Behind a Powerhouse Hormone. St. Martin's Press; 2020.
Roshenshein B. Preventing Menopause, Stopping Ovarian Failure Before It Starts. Your Health Press 2013.
Sammel MD, Freeman EW, Liu Z, Lin H, Guo W. Factors that influence entry into stages of the menopausal transition. Menopause. 2009;16(6):1218-27.
Steiner AZ, Baird DD, Kesner JS. Mother's menopausal age is associated with her daughter's early follicular phase urinary follicle-stimulating hormone level. Menopause. 2008;15(5):940-4.
Join my mailing list to receive the latest news and updates on blog posts, new podcast episodes, in-person and online events, appearances, webinars, and programs.