Perimenopause Unfiltered: Your Health, Your Power

This is your Women's Health Podcast podcast. Welcome to the Women's Health Podcast. I'm your host, and today, we're going to talk about something that every woman deserves to understand and feel empowered about: perimenopause. Whether you're in your thirties, forties, or fifties, or supporting someone who is, this episode is for you. Perimenopause is more than just a medical transition—it's a journey that impacts every domain of our lives: physical, emotional, social, even intellectual health. It’s not just about hot flashes or irregular periods. For many women, perimenopause brings a tangle of symptoms—maybe you’ve noticed mood swings, fatigue that just doesn’t quit, brain fog, joint pain, or even changes in libido and vaginal dryness. The reality is, there are nearly 40 possible symptoms, and no two women will experience them the same way. That uniqueness is both challenging and powerful, because it means your story matters, and your needs are valid. Today, I’m thrilled to welcome Dr. Mary Rosser, gynecologist at NewYork-Presbyterian and Columbia, who’s dedicated her career to women’s midlife health. Dr. Rosser, thank you for joining us. Dr. Rosser, a lot of women hear about perimenopause and think it’s just a handful of years before periods stop. Can you clarify what perimenopause really is and how it’s different from menopause itself? Let’s talk symptoms. What are the most common changes women report during perimenopause, and what should women watch for as “red flags” to bring up with their healthcare provider? Brain fog, anxiety, depression—these symptoms are not just in our heads. How do you help women differentiate between perimenopausal symptoms and other medical conditions, like thyroid disorders or even anemia? Treatment is a huge part of the conversation. Can you walk us through the best current options, whether that’s lifestyle changes, hormonal therapy, or alternative approaches? Finally, Dr. Rosser, so many women feel isolated or even ashamed t