About
"My doctor says I can't be in perimenopause because I still get my period. So why don't I feel like myself?"
Andrea has talked about perimenopause and menopause together for years. This is the first episode just about perimenopause, and she brought in Dr. Mariza Snyder to do it. Dr. Mariza is a functional practitioner, host of the Energized with Dr. Mariza podcast and author of The Perimenopause Revolution. She calls perimenopause your second puberty, and like the first one, it takes years.
She walks through the three stages: the late reproductive years, when PMS suddenly gets worse in your late 30s; the "something has fundamentally shifted" years in your early 40s, when your cycle still looks fine; and late perimenopause, when you're skipping periods for 60 days or more. That last stage is the one most doctors were trained to recognize, which is why so many women get dismissed before they get there.
Andrea and Dr. Mariza also get personal. Both had babies in their 40s and went more or less straight from postpartum into perimenopause. They talk about the tests worth knowing about if you're thinking about pregnancy after 35, why fatigue is so often brushed off, and the new, higher ferritin cutoff that could change what "normal iron" means for you.
What you'll learn:
- How to tell which stage of perimenopause you might be in
- Why you can be in perimenopause with a regular period
- What changes when you get pregnant in your late 30s or 40s
- Why you might be so tired, and the labs worth asking about
- How to push for answers when you feel dismissed
Episode Chapters:
1:24 Why "It's Just Perimenopause" Isn't Good Enough
3:10 Meet Dr. Mariza Snyder
6:03 Perimenopause vs Menopause: Your "Second Puberty"
9:12 Still Getting a Regular Period? You Can Be in Perimenopause
12:49 The 3 Stages of Perimenopause, From Your Late 30s On
21:31 Can You Get Pregnant in Perimenopause? Postpartum vs Peri
29:39 Fertility Tests After 35: AMH, FSH, Estradiol and Thyroid
36:27 Perimenopause Treatment Starts With Believing Women
37:46 Why Am I So Tired? Ferritin, Vitamin D and Thyroid Labs
42:02 How to Push for the Blood Tests You Need
48:11 Why Fatigue Gets Ignored: There's No Pill for Energy
50:32 A Perimenopause Plan That Fits Your Real Life
53:20 Dr. Mariza's Advice: Take 5 Minutes That Are Yours
55:24 Where to Find Dr. Mariza
Links:
Dr. Mariza Snyder: https://drmariza.com
The Perimenopause Revolution: https://link.amazon/B0cmIoA1x
Midlife on Fire Collective (30-day trial): https://drmariza.com/midlife
Take our new research survey, Perimenopause & Menopause Across Ethnicities: https://docs.google.com/forms/d/e/1FAIpQLSeETDntSjZxIpJ8smhR8n6RoOJVFqTPkSUnfP_oP4nKW_P4Hw/viewform
This episode is for education purposes only and isn't medical advice.
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