31: The Conversation Your Doctor Never Had with You | Dr. Sarah Berg, OB-GYN

This is the conversation most women never get in a doctor's office.I sat down with Dr. Sarah Berg, a board-certified OB-GYN and Certified Menopause Practitioner, to talk about what is actually happening in your body during the perimenopause transition, why your doctor may not have had the tools to help you even when they wanted to, and what changed when the FDA removed the black box warning from hormone therapy in November 2025.In this episode we cover:The slope shoulder moment: what Dr. Berg saw happening to her patients, and why it stopped her in her tracksWhy estrogen is not just a reproductive hormone, and how it affects your brain, joints, and genitourinary systemWhy most OB-GYNs received fewer than four lectures on menopause during training, and what that means for your careThe Women's Health Initiative study: what it actually showed, and why the headlines got it so wrongThe difference between vaginal estrogen and systemic hormone therapy, and why Dr. Berg says vaginal estrogen is for every womanThe estrogen patch shortage: why it is happening, and what it says about how little the medical system has invested in women's healthThree things every woman navigating perimenopause needs to know right nowThis episode connects to the Regulate and Connect pillars of the Perimenopause Matrix. Understanding the biology behind your symptoms is the foundation of breaking the shame spiral and getting the care you deserve.👉 ⁠Full Episode Show Notes⁠Find Dr. Sarah Berg:Selfority@selforitySubstackAbout the Perimenopause Matrix:The Matrix is my framework for navigating perimenopause across 6 pillars: Fuel, Move, Recharge, Regulate, Connect, and Clean. But this episode isn't about optimizing all 6 - it's about choosing the ONE that matters most in YOUR current reality.🧬 Ready to stop guessing?I help women interpret their labs so they can make nutrition decisions based on data, not diet trends.👉 Book your personalized Lab Review here🎁 FREE RESOURCE: Download the free Perimenopause Decoder . It helps you understand what's happening during perimenopause so you can make decisions from a place of clarity, not chaos.📱 CONNECT WITH ME:Website⁠⁠Instagram⁠⁠LinkedIn⁠Facebook ⁠YoutubeYou're not crazy. You're not broken. You're not alone. And you absolutely deserve to feel like yourself again.Listen to Mornings with Megan Podcast 🎧 New episodes drop every Wednesday!AppleSpotifyAmazonYoutube