Authentic Parenting
Authentic Parenting
Anna Seewald
Perimenopause Explained: Symptoms, Hormones, and What Every Woman Should Know
1 hour 1 minutes Posted Mar 16, 2026 at 12:21 pm.
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Show notes

Board-certified physician Dr. Heather Hirsch on the symptoms of perimenopause, hormonal therapies, and what women need to know about this often misunderstood stage of life. In this conversation, we explore common perimenopause symptoms—including anxiety, insomnia, mood changes, brain fog, and shifts in energy and why these hormonal changes in women are often mistaken for depression or anxiety disorders. Dr. Hirsch explains what happens to estrogen, progesterone, and testosterone during perimenopause, when this transition typically begins, and how menopausal hormone therapy may help some women feel like themselves again. 

  1. Get her book: The Perimenopause Survival Guide: Make Sense of Your Symptoms and Build Your Personalized Treatment Plan
  2. Listen to: The TRUTH About Menopause: Symptoms, Solutions & Finding the Gifts in Midlife! with Tamsen Fadal

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Podcast Production by Aminur.