Welcome to my show, Health by Heather Hirsch, where I sit down with Dr. Kalena Lanuza, a dual-certified family and psychiatric mental health nurse practitioner providing virtual care across Hawaii, Washington, Oregon, and California. In this episode, we dive deep into the physiological and mental transitions women experience between later-in-life pregnancy, IVF trauma, perinatal anxiety, and the onset of perimenopause. Discover empowering alternatives to traditional insurance-based western medicine as we discuss the vital role of pelvic floor physical therapy, vaginal estrogen, and rebuilding your community village.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

I’m diving deep into the debate on whether you should cycle your hormones, separating the facts from the dangerous myths often seen on social media. I make a strong medical case against postmenopausal hormone cycling, sharing how it forces women to take high doses of synthetic progesterone just to trigger an artificial bleed. If you want to work directly with me and my team for personalized, proactive midlife healthcare, head over to jointhecollaborative.com to join my private telemedicine practice.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

I’m excited to share the raw, unpublished findings from my "Menopause in 2026" survey, where I analyzed data from 766 women to identify the optimal "sweet spot" for testosterone levels in hormone replacement therapy (HRT). Through these real-world insights, I break down why many women feel best at levels between 50 and 80 ng/dL and why I strongly caution against the permanent side effects and health risks associated with high-dose pellet therapy. Whether you're struggling with brain fog, mood changes, or joint pain, this video offers a holistic look at how to safely manage testosterone and navigate your menopausal journey with evidence-based guidance.🩷 Shop Cozy Earth here: ⁠https://cozyearth.com⁠Use code COZYDRHEATHER at checkout to save.This video is sponsored by Cozy Earth.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...I’m excited to share the raw, unpublished findings from my "Menopause in 2026" survey, where I analyzed data from 766 women to identify the optimal "sweet spot" for testosterone levels in hormone replacement therapy (HRT). Through these real-world insights, I break down why many women feel best at levels between 50 and 80 ng/dL and why I strongly caution against the permanent side effects and health risks associated with high-dose pellet therapy. Whether you're struggling with brain fog, mood changes, or joint pain, this video offers a holistic look at how to safely manage testosterone and navigate your menopausal journey with evidence-based guidance.🩷 Shop Cozy Earth here: ⁠https://cozyearth.com⁠Use code COZYDRHEATHER at checkout to save.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com

I’m Dr. Heather Hirsch, and in this week's video, I’m diving into the exciting news that Polycystic Ovarian Syndrome (PCOS) has been officially renamed Polyendocrine Metabolic Ovarian Syndrome (PMOS) to better reflect its nature as a lifelong metabolic condition. I’ll explain why this name change is so validating for women and how it shifts our focus toward managing critical health factors like insulin resistance, heart disease risks, and long-term uterine health. If you’re looking for personalized hormone care, I invite you to check the links in the description to book a discovery call at my telemedicine clinic, which currently serves patients in almost all 50 states.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com

Navigating your hormone replacement therapy journey isn't a one-stop shop, and after treating thousands of women, I've found that 95% of you will need more than a few visits to truly find your balance. In this video, I break down the three common paths, the Titrator, the Superstar, and the Highly Sensitive, to help you identify your own experience and understand why tweaking and titrating is a normal, necessary part of the process. Whether you're dealing with perimenopause shifts, pharmacy shortages, or unexpected sensitivities, I'm here to show you that while the journey is unique for everyone, you are definitely not alone.🩷 Shop Cozy Earth here: ⁠https://cozyearth.com⁠Use code COZYDRHEATHER at checkout to save.This video is sponsored by Cozy Earth🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787bdd57796e835ea84e10• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/11077747ff• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9825fb5• Clinicians: Elevate your medical career. Join the course transforming how I prescribe  HRT: https://heatherhirschmd.myflodesk.com/prescribehrt• Find Your Menopause Type https://view.flodesk.com/pages/647b461a3e266b3df9f1e253🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/titles/heather-hirsch/the-perimenopause-survival-guide/9781538774106/🩷Video Gear: Camera: https://amzn.to/2SnFT4e Mic: https://amzn.to/3viq6kD Studio Light: https://amzn.to/3iBGYjB🩷Stay Connected:Instagram → https://www.instagram.com/heatherhirschmd/TikTok → https://www.tiktok.com/@heatherhirschmd?lang=enFacebook → https://www.facebook.com/heatherhirschmd/Twitter/X → https://x.com/heatherhirschMDLinkedIn → https://www.linkedin.com/in/heather-hirsch-md-ms-mscp-161556168Pinterest → https://www.pinterest.com/heatherhirschmd/Podcast → https://podcasts.apple.com/us/podcast/health-by-heather-hirsch/id1423965506Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → https://www.instagram.com/thecollaborative.telemed/ Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/heather.hirsch.academy/ Website →  https://heather-hirsch-academy.kit.com/a0354f0b4a🩷Disclaimer:Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

In this special episode, I’m joined by Dr. Alexandra Sowa and Rachel Goldman, Ph.D. for a powerful midlife health masterclass on the topics every woman deserves to understand. From perimenopause and menopause to hormones, symptoms, treatment options, metabolism, mindset, and the future of women’s healthcare, this conversation brings together leading voices in the field to help educate, empower, and support women through midlife and beyond.Whether you are navigating symptoms yourself, supporting someone you love, or simply want to better understand what happens during this stage of life, this episode is packed with expert insight, practical guidance, and the kind of information too many women are still missing.Rachel Goldman's Book: https://whenlifehappensbook.com/Dr. Alexandra Sowa's Book: https://getsowell.com/products/the-ozempic-revolution🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787bdd57796e835ea84e10• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/11077747ff• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9825fb5• Clinicians: Elevate your medical career. Join the course transforming how I prescribe HRT: https://heatherhirschmd.myflodesk.com/prescribehrt• Find Your Menopause Type https://view.flodesk.com/pages/647b461a3e266b3df9f1e253🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/titles/heather-hirsch/the-perimenopause-survival-guide/9781538774106/🩷Video Gear: Camera: https://amzn.to/2SnFT4e Mic: https://amzn.to/3viq6kD Studio Light: https://amzn.to/3iBGYjB🩷Stay Connected:Instagram → https://www.instagram.com/heatherhirschmd/TikTok → https://www.tiktok.com/@heatherhirschmd?lang=enFacebook → https://www.facebook.com/heatherhirschmd/Twitter/X → https://x.com/heatherhirschMDLinkedIn → https://www.linkedin.com/in/heather-hirsch-md-ms-mscp-161556168Pinterest → https://www.pinterest.com/heatherhirschmd/Podcast → https://podcasts.apple.com/us/podcast/health-by-heather-hirsch/id1423965506Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → https://www.instagram.com/thecollaborative.telemed/ Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/heather.hirsch.academy/ Website → https://heather-hirsch-academy.kit.com/a0354f0b4a🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

In this episode, I draw on my 12 years of experience as a menopause specialist in New York City to break down the myths and truths about using hormone therapy when you have fibroids or endometriosis. I explain why these common gynecologic conditions are not absolute reasons to avoid HRT and how you can safely achieve symptom relief and long-term health benefits. My goal is to arm both proactive patients and clinicians with evidence-based information so you can navigate complex hormone therapy cases with confidence and ease.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787bdd57796e835ea84e10• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/11077747ff• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9825fb5• Clinicians: Elevate your medical career. Join the course transforming how I prescribe HRT: https://heatherhirschmd.myflodesk.com/prescribehrt• Find Your Menopause Type https://view.flodesk.com/pages/647b461a3e266b3df9f1e253🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/titles/heather-hirsch/the-perimenopause-survival-guide/9781538774106/

Menopause care needs to be a team effort. As a board-certified internist with training in both OB/GYN and internal medicine, I see menopause as so much more than a gynecological issue. The loss and fluctuation of sex hormones, especially estrogen, can impact nearly every system in the body, including the heart, brain, joints, GI tract, urinary system, mood, sleep, and overall quality of life.I’m grateful to partner with Cozy Earth for this episode. Shop Cozy Earth here: ⁠https://cozyearth.com⁠Use code COZYDRHEATHER at checkout to save.In this video, I’m breaking down why cardiology, neurology, psychiatry, rheumatology, oncology, gastroenterology, urgent care, and primary care all need a deeper understanding of menopause.When clinicians are not trained to recognize menopause-related symptoms, women can be misdiagnosed, overmedicated, or sent from specialist to specialist without getting the right support.It is time for a more integrated, informed, and compassionate approach to menopause care.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787bdd57796e835ea84e10• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/11077747ff• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9825fb5• Clinicians: Elevate your medical career. Join the course transforming how I prescribe HRT: https://heatherhirschmd.myflodesk.com/prescribehrt• Find Your Menopause Type https://view.flodesk.com/pages/647b461a3e266b3df9f1e253🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/titles/heather-hirsch/the-perimenopause-survival-guide/9781538774106/

The Menopause Talk Every Daughter Deserves // Perimenopause and menopause are more than hot flashes, and I want women to know the early signs can include anxiety, insomnia, depression, irritability, brain fog, and feeling like you are not yourself. In this conversation, I sit down with my daughter to talk about generational health, menopause education, women’s health research, and what the next generation deserves to know about midlife hormones. My hope is that we keep having more open conversations around perimenopause, menopause, aging, and women’s health so future generations feel more informed, prepared, and supported.More about Dr. Hirsch: Order My New Book: The Perimenopause Survival Guide: https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join The Collaborative Medical Practice: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://thecollaborative.kit.com/11e9825fb5⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enroll in my course on HRT management: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://heatherhirschmd.myflodesk.com/prescribehrt⁠⁠⁠⁠⁠⁠⁠⁠⁠

Is Your Birth Control Making Perimenopause Worse? When to Switch to HRTDescription: Are you still on birth control during perimenopause — and wondering if it's masking your symptoms or actually helping? Dr. Heather Hirsch breaks down the key differences between birth control pills and menopausal hormone therapy (MHT), explaining why the estrogen in your pill isn't the same as the estradiol in HRT and what that means for your perimenopause symptoms like hot flashes, night sweats, and brain fog. Whether you still need contraception or you're ready to transition fully to MHT, this video walks you through every option so you can have an informed conversation with your doctor.More about Dr. Hirsch: Order My New Book: The Perimenopause Survival Guide: https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join The Collaborative Medical Practice: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://thecollaborative.kit.com/11e9825fb5⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enroll in my course on HRT management: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://heatherhirschmd.myflodesk.com/prescribehrt⁠⁠⁠⁠⁠⁠⁠⁠⁠