Perimenopause is typically attributed to the hallmark symptoms—hot flashes and irregular bleeding. But that represents only a fraction of the clinical picture. The reality encompasses a range of symptoms that often emerge gradually and go unrecognized as perimenopausal.
Dr. Amy Jean Voedisch is a gynecologist whose clinical approach mirrors mine. We practice evidence-based medicine through extended patient visits that allow for precision diagnosis and individualized treatment plans.
Sleep is one of the foundational pillars Amy emphasizes. It's become central to her practice, and addressing sleep disturbance often requires specialty consultation with a sleep medicine specialist.
We also discuss hormone therapy. While it can be an effective therapeutic tool, it's not a panacea and won't serve as a singular solution for all perimenopausal symptoms. This conversation is about what real perimenopause treatment looks like.
Episode Highlights
The same symptoms may react different to treatment in each patient.
Menopause education could have a larger role in medical school training.
Birth control might be part of a patient's treatment plan, not just contraception.
Reframing expectations about your body and grieving what you had before.
The role of life circumstances and stress colliding with perimenopause.
Understanding responsive desire in relationships.
If you're in your 40s and something feels off, this episode is for you. Perimenopause is something you just have to tolerate and there are doctors who care and want to help. Make sure to subscribe so you don't miss future conversations about what real women's health care looks like.
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