Holding Space
Holding Space
Dr. Cassidy Freitas
158: What You Need to Know About Perimenopause and Hormone Replacement Therapy with Dr. Pany Robinson
46 minutes Posted May 11, 2026 at 11:00 am.
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In this episode, I sit down with Dr. Pany Robinson, a board-certified family practitioner with 22 years of experience and one of the most refreshingly no-nonsense voices I've encountered on women's hormonal health to talk about everything you weren't told about perimenopause and menopause.

I met Dr. Pany at a training on maternal rage (yes, there's a connection), and I was immediately like: I need her on this podcast.

This one is for anyone who has ever felt like something was off but couldn't name it — and for your partner too, honestly.

We talk about:

  • The symptoms nobody mentions: itchy ears, frozen shoulder, cystic acne, vertigo, palpitations, recurrent UTIs, and more
  • Why hot flashes are actually a later symptom...and what's already happening in your body long before that
  • How to advocate for yourself in a system that isn't quite caught up yet (including what to ask for and how to say it)
  • The long-term case for hormone therapy: dementia, cancer risk, muscle loss, and more
  • The relational toll: libido, intimacy, and why 45 is both the hardest year for women on average and the peak age for divorce
  • Why this is a whole-body, multidisciplinary issue, not just a "get on a patch and call it a day" situation

To connect with Dr. Pany or book a free 20-minute phone consult, visit nextphaseclinic.com.

To learn more about my therapy practice or book a free consult you can visit drcassidymft.com.

You can learn more about Dr. Cassidy's book Mom Needs a Moment here or you can buy it wherever books are sold!



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