Perimenopause Unfiltered: Navigating the Change with Dr. Aisha Patil

This is your Women's Health Podcast podcast. Welcome back to the Women’s Health Podcast, where we lift each other up and shine a light on the topics that matter most for women. Today, we’re going straight into the heart of a transition that affects nearly every woman, yet remains surrounded by myths and silence: perimenopause. Maybe you’ve heard the term in passing, or maybe you're in the thick of it right now, wondering what’s going on with your body and your mind. If so, you’re not alone—and this episode is for you. Perimenopause is the phase before menopause, when periods become unpredictable and hormone levels start to shift, sometimes for years before that final menstrual period. According to the Menopause Society, perimenopause can begin as early as your 30s but most often starts in your 40s. You might notice hot flashes, night sweats, trouble sleeping, or mood swings. Many women report feeling like they’re on an emotional rollercoaster, with anxiety, forgetfulness, and irritability suddenly becoming daily challenges. It’s important to recognize these changes as a normal part of life, not a sign that you’re falling apart. Today, I’m thrilled to talk to Dr. Aisha Patil from UCLA Health, who’s here to answer the questions so many of us are asking: how do I know if I’m in perimenopause, and what can I do about it? Dr. Patil, thank you for joining us. First off, how do women actually know they’ve entered perimenopause, especially when symptoms can mimic other health issues? And is there a specific test? Let’s talk hot flashes and night sweats—so common, yet so disruptive. What are the most effective treatments available today, and how do you help women decide which ones are right for them? We know hormone therapy can be hugely effective but isn’t for everyone. For women who can’t or don’t want to take hormones, what nonhormonal options or lifestyle changes do you recommend to ease symptoms and maintain health? Some listeners have likely heard about bioidentical hormones or natural supplements. How safe and useful are these, and what should women be cautious about when considering alternative therapies? Finally, this transition can take an emotional toll. What advice do you have for women struggling with mood swings, anxiety, or shifts in identity during perimenopause? How important is support, and where can women find it? As Dr. Patil emphasizes, the journey through perimenopause is unique for every woman. Some might find relief with hormone therapy, which can improve hot flashes, sleep, and even bone health. Others may turn to options like Fezolinetant, an FDA-approved medication for hot flashes, or SSRIs—traditionally used for depression but proven effective for mood swings and sleep issues. Simple but profound lifestyle changes—like weight-bearing exercise, a heart-healthy diet, and stress-reduction techniques—become more important than ever. And of course, support from healthcare teams, family, or friends can be transformative. I This content was created in partnership and with the help of Artificial Intelligence AI.