How to Know You're in Perimenopause (Before Your Doctor Does) episode artwork

EPISODE · Mar 9, 2026 · 48 MIN

How to Know You're in Perimenopause (Before Your Doctor Does)

from The Midlife Realignment: Menopause, Hormones, HRT, Perimenopause, Weight Gain,Progesterone, Estrogen · host Esther Blum

If you’ve been dealing with fatigue, brain fog, mood swings, insomnia, or unexplained weight gain, you might be experiencing perimenopause symptoms—even if your doctor hasn’t mentioned it yet.In this solo episode, Esther Blum breaks down how to know when you’re in perimenopause, what hormonal changes are happening in your body, and how to advocate for yourself when it comes to hormone replacement therapy and bioidentical hormones.Drawing from her personal experience after a hysterectomy and decades of clinical work with women in midlife, Esther explains:The early warning signs of perimenopause most doctors missHow progesterone, estrogen, testosterone, and DHEA affect mood, sleep, metabolism, and brain functionWhy fatigue and brain fog become so common in perimenopauseThe difference between bioidentical progesterone and synthetic progestinsHow to find a hormone-literate doctor who actually understands menopauseWhich hormone tests you should request from your providerYou’ll also learn practical strategies to track your symptoms, stabilize blood sugar, support hormone detoxification, and navigate conversations with your doctor about hormone therapy for perimenopause and menopause.If you’ve ever wondered:“Why do I suddenly feel exhausted, anxious, or unlike myself?”This episode will help you understand what’s happening—and what you can do about it.Connect with EstherWebsite:⁠ estherblum.com⁠Instagram: @gorgeousestherDisclaimer: This podcast is for education only and is not medical advice.

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How to Know You're in Perimenopause (Before Your Doctor Does)

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This episode was published on March 9, 2026.

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