Early Signs of Perimenopause: Why Your Body May Feel Different Even When Your Labs Are Normal

Early Signs of Perimenopause: Why Your Body May Feel Different Even When Your Labs Are Normal

From Women's Digital Health by Women's Digital Health

March 16, 2026 · 26 min · Season 4 · Episode 25

About this episode

Dr. Brandi Sinkfield discusses the early signs of perimenopause with menopause specialist Dr. Leah Millheiser.

Send us Fan Mail Many women begin noticing changes in their late 30s and early 40s—trouble sleeping, mood shifts, weight gain, or feeling more anxious than usual. Yet when they seek medical care, their lab tests often come back completely normal. In this episode, Dr. Brandi Sinkfield speaks with menopause specialist Dr. Leah Millheiser about the early stages of the menopause transition and why perimenopause is often overlooked in clinical care. Dr. Millheiser explains why hormone levels fluct...

People in this episode

Host: Dr. Brandi Sinkfield

Guest: Dr. Leah Millheiser

Topics covered

  • perimenopause
  • menopause transition
  • hormone fluctuations
  • women's health
  • clinical care

Keywords

  • perimenopause
  • menopause
  • hormone levels
  • women's health
  • symptoms

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