Dr. Louise Newson

And it's the same as menopause actually.

The body can adapt, but it will often be in a different level and a different gear and obviously there's more inflammation.

But in perimenopause, hormone levels, especially estradiol, but also testosterone and progesterone really do fluctuate.

And it's a bit similar to women before they have their periods.

They can get real changes in their hormone levels just before their periods.

So those symptoms are the same because of the changing hormone levels.

Yeah.

I mean, the problem is, you know, it's really sad because the divorce rate increases in the forties, but we know that a lot of couples, I see so many couples who have just their relationships falling apart.

And, and it's not because they don't love each other.

They just can't tolerate each other in the same way.

And they don't realize what's going on.

And, and,

You know, I was perimenopausal about 11 years ago.

And, you know, just looking at the way my husband ate food and listening to him breathing was just the most frustrating thing ever.

It's really hard to explain.

I had an argument once and I've got three daughters and we're really close.

I've known my husband since I was 18.

But we were having breakfast one morning at a hotel and another surgeon came over to talk to him.

And they just had a nice chat and then he left.

And I said to Paul, who's this guy?