Episode 3: Perimenopause Unplugged: Understanding the Transition

In this episode, we dig deep into one of the most confusing—and most misunderstood—topics in women’s health: perimenopause.

September is Perimenopause Awareness Month, which makes this the perfect time to shift the paradigm and reframe what women have been told for decades.

Conventional medicine defines perimenopause as the 10 years leading up to menopause, a “transitional phase” marked by fluctuating hormones and inevitable suffering. But after decades in the field of female hormone medicine, I’ve come to see it differently: perimenopause is not inevitable, and the so-called “symptoms of perimenopause” are really symptoms of estrogen deficiency.

What You’ll Learn in This Episode:

• The conventional vs. advanced definition of perimenopause—and why the old model fails women.
• Why perimenopause is not one single event but a three-stage process (early, middle, and late), each tied to declining estrogen and rising FSH levels.
• The real first signs of perimenopause: not irregular cycles, but mental health struggles like anxiety, depression, and brain fog.
• Why so many women in their 30s are already in perimenopause (or even earlier) without realizing it.
• How social media has shaped the narrative into a “sisterhood of misery”—and why we must change that mindset.
• The dangerous impact of the WHI study which scared both patients and doctors away from estrogen for two decades.
• Why conventional and functional medicine often fail women with low-dose HRT protocols, supplements, and band-aid approaches.
• The hopeful truth: full hormone restoration can prevent and reverse perimenopause.

Resources & Next Steps

• Ready to learn if advanced hormone therapy could be right for you? Book a complimentary discovery session at advancedhormonebalancing.com.
• Have a question or topic you’d like us to cover? Visit menopausemoxie.com/podcast to share your ideas—you may hear your question on a future episode!