Is It Perimenopause? The Symptoms, the Science, and the Solutions with Dr. Heather Hirsch

Is It Perimenopause? The Symptoms, the Science, and the Solutions with Dr. Heather Hirsch

June 22, 2026 · 41 min

About this episode

This episode discusses the symptoms and solutions related to perimenopause with Dr. Heather Hirsch.

If you've been dismissed, confused, or told to "just push through"—this episode is for you. CEO Amanda Tress sits down with Dr. Heather Hirsch, board-certified internist, nationally recognized menopause specialist, and bestselling author of The Perimenopause Survival Guide , to have the conversation millions of women desperately need: what is actually happening in your body during perimenopause, why so many women go misdiagnosed for years, and what you can do about it—right now. Dr. Heather breaks down the hormonal rollercoaster of perimenopause—progesterone dropping first, estrogen swinging high and low—and explains why symptoms like migraines, anxiety, sleeplessness, and hair loss often get treated as separate problems when they're all the same root cause. You'll hear her take on HRT (spoiler: the fear has been wildly overblown), what bioidentical progesterone actually does in the brain, and why she compares starting hormone therapy to "trying on jeans—you have to try it on to see what your body needs." You'll learn: The earliest signs of perimenopause most women—and their doctors—completely miss The three buckets of solutions: lifestyle, non-hormonal medications, and hormone…

People in this episode

Host: Amanda Tress

Guest: Dr. Heather Hirsch

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Mentioned in this episode

Books & works: The Perimenopause Survival Guide

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