Perimenopause Treatment Right Now Is an Insult to Every Woman Going Through It episode artwork

EPISODE · Jun 4, 2026 · 18 MIN

Perimenopause Treatment Right Now Is an Insult to Every Woman Going Through It

from The Hormone Truth with Rowan Sanderson · host Rowan

📌 Book your complimentary Discovery Call: https://thehormonebalanceclinic.com/85% of women put on HRT are still suffering. Not because they aren't trying hard enough. Because most of them are being treated for the wrong hormonal problem.The standard model treats perimenopause like menopause. It's not. They are completely different biological states. And prescribing for one when your body is in the other doesn't just fail to help; for a significant number of women, it actively makes things worse.In this episode, I'm going to show you the specific flaw in standard perimenopause treatment, what is actually happening in your hormonal biology during this transition, and the questions to bring to your next appointment before you accept another prescription.⏱️ TIMESTAMPS0:00 Why 85% of women on standard HRT are still suffering1:20 The flaw baked into the standard model that almost guarantees failure2:06 Why perimenopause and menopause are completely different biological states3:55 What adding more estrogen actually does when your body is already estrogen dominant5:48 Estrogen dominance explained7:46 Five questions to identify whether the standard model has been failing you11:14 Two biological states that need two completely different maps12:32 Client case study: 47-year-old, nearly 2 stone gained on HRT, anxiety escalating13:57 Standard blood test vs. the DUTCH test 16:14 The questions to bring to your next appointment ❓ QUESTIONS ANSWEREDQ: Why does HRT often fail to help with perimenopause symptoms?A: In perimenopause, estrogen can remain elevated while progesterone drops sharply, creating a state called estrogen dominance. Standard HRT adds more estrogen to a system that already has too much, which worsens symptoms for a significant number of women rather than resolving them.Q: What is the difference between a standard blood test and the DUTCH test for hormones?A: A standard blood test shows your hormone levels at a single point in time. The DUTCH test shows how your body is metabolizing and clearing those hormones over time, including whether your estrogen and progesterone are appropriately balanced relative to each other at the right point in your cycle.Q: What are the symptoms of estrogen dominance in perimenopause?A: Estrogen dominance in perimenopause produces weight gain, brain fog, mood swings, poor sleep, anxiety, and low libido. This is why women are frequently prescribed more estrogen when the real problem is insufficient progesterone to balance it.📱 RESOURCESWebsite: https://thehormonebalanceclinic.com/Instagram: https://www.instagram.com/thehormonebalanceclinic/Youtube: https://www.youtube.com/@TheHormoneBalanceClinic/videos🔔 Subscribe to this podcast for weekly evidence-informed content on female hormonal health, perimenopause, and the clinical approach that conventional medicine is not designed to deliver.ABOUT ROWAN SANDERSON: I'm Rowan Sanderson, a Functional Diagnostic Nutrition Practitioner specialising in female functional endocrinology. After more than a decade working exclusively with women navigating perimenopause and hormonal transition, and having worked with over a thousand women who arrived having already failed conventional HRT, I founded The Hormone Balance Clinic to give women the precise clinical approach that the standard medical model has consistently failed to provide.#Perimenopause #HRTNotWorking #EstrogenDominance #HormoneHealth #WomensHealth

📌 Book your complimentary Discovery Call: https://thehormonebalanceclinic.com/ 85% of women put on HRT are still suffering. Not because they aren't trying hard enough. Because most of them are being treated for the wrong hormonal problem. The standard model treats perimenopause like menopause. It's not. They are completely different biological states. And prescribing for one when your body is in the other doesn't just fail to help; for a significant number of women, it actively makes things...

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Perimenopause Treatment Right Now Is an Insult to Every Woman Going Through It

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This episode was published on June 4, 2026.

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📌 Book your complimentary Discovery Call: https://thehormonebalanceclinic.com/85% of women put on HRT are still suffering. Not because they aren't trying hard enough. Because most of them are being treated for the wrong hormonal problem.The...

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