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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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