Navigating the Change: Your Perimenopause Journey Begins

This is your Women's Health Podcast podcast. Welcome to the Women’s Health Podcast. I’m so glad you’re here for a conversation that has the power to transform how you approach your health and wellbeing. Today, we’re breaking the silence around perimenopause. This transitional time is a reality for millions of women, yet so much of the experience remains in the shadows. Here, we’re shining a light and taking an empowering look at what really happens, why it matters, and the choices you absolutely deserve to know about. Let’s get right to the heart of perimenopause. It can begin in your 40s, sometimes even earlier, as your body gradually prepares for menopause. What does this mean? Estrogen and progesterone can start fluctuating, bringing everything from irregular periods and hot flashes to mood swings, night sweats, trouble sleeping, and that undeniable brain fog. According to experts at UCLA Health, these changes can also show up as joint pain and a curious redistribution of weight – often right around your belly. If this sounds familiar, you’re not alone, and this phase is not the end–it’s simply a new chapter. Today, I’m speaking with Dr. Maya Patil, a women’s health specialist who brings deep experience and honest insight. Dr. Patil, welcome. Let’s start with what you want every woman to know about perimenopause. Dr. Patil shares that knowledge is power: “The more you understand these changes, the more you can make decisions that truly fit your life. For many, the most bothersome symptoms are hot flashes, sleep disruptions, and mood changes. Hormone therapy can be very effective, especially for those without health conditions that make it risky. But there are also non-hormonal medications—like SSRIs for mood, gabapentin for night sweats and sleep, and the new fezolinetant for hot flashes—that can be life-changing for many.” I ask Dr. Patil: What about lifestyle? Is there anything women can do at home to feel better? She says the habits you build now offer big rewards. Think lots of fruits and vegetables, staying active with aerobic exercise and strength training—key for bone and heart health—and, perhaps most importantly, getting enough sleep. If insomnia hits, mind-body relaxation like yoga or meditation can help settle things down. And don’t underestimate the mental impact; making time for social support and creative outlets can buoy your mood through the rough spots. One of the most powerful lessons from experts is that every experience is unique. No two women will navigate perimenopause in quite the same way. Kris Teow from UCL highlights how important it is to listen to your body and define what wellbeing and empowerment mean for you, not by anyone else’s standard. As we wrap up, here are the key takeaways from this empowering discussion. First, perimenopause is a natural, powerful transformation—one you can meet with knowledge and care. Second, both hormonal and non-hormonal treatments exist, and it’s your right to weigh the risk This content was created in partnership and with the help of Artificial Intelligence AI.