The perimenopause moment
Jul 26, 2026 · 30m
Summary
Host John Gwynn Hill explores perimenopause with guests Amy Sibyl, Dr. Heather Hirsch, and Dr. Elizabeth Komen. They discuss the wide range of symptoms, the history of medical dismissal, and the stigma surrounding hormone therapy. The episode clarifies that perimenopause is a clinical diagnosis based on symptoms rather than lab tests. Listeners learn how hormone replacement therapy can effectively manage symptoms and improve quality of life.
Topics discussed
Sponsor: Fetch Pet Insurance
Promo: The Long Game podcast
Listener story: Amy's perimenopause symptoms
Defining menopause and perimenopause
Diagnosing perimenopause: tracking vs. labs
The social stigma and isolation of midlife
Transition to treatment discussion
Sponsor: Fetch Pet Insurance
Sponsor: I'm 8 supplements
How hormone replacement therapy works
The role of hormone panels and tracking
Why people fear the word 'hormones'
Transition to historical context
Sponsor: Quince summer wardrobe
Sponsor: Whatnot live shopping
Listener call: Frustration with PCPs
Interview with Dr. Elizabeth Komen
History of women's medicine and 'hysteria'
Marketing of HRT and sedatives in the 50s-70s
The Women's Health Initiative and HRT risks
Rebuilding trust in healthcare providers
Amy's update and advice for younger women
Outro and credits
Sponsor: Odoo business software
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