When should you actually start considering hormone replacement therapy? Because contrary to what a lot of women have been told, you don't have to wait until your periods disappear or you're having raging hot flashes before HRT is worth discussing.
In this solo episode, I'm breaking down nine commonly overlooked signs of perimenopause that may warrant a conversation about hormone replacement therapy—from sleep changes, joint pain and anxiety to brain fog, libido, vaginal changes and urinary symptoms. We'll talk about which hormones may be involved, what the science actually says, and why these symptoms aren't as random as they can seem when you look at them together.
I'm also breaking down a real patient case to show you what this can look like in the real world—and why treating the whole picture matters more than chasing one symptom or one hormone level.
If you've been told you're too young, your labs are normal, or what you're experiencing is "just aging," this episode will give you a much better framework for what questions to ask next.
