The Tamsen Show

Perimenopause Explained: What’s Happening, What Tests to Ask For, and What Actually Helps

09 Jul 2025

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You’re showing up, pushing through, doing everything you’ve been told to do. But your body feels unpredictable. You’re wired at night, exhausted by morning, gaining weight without changing a thing, and wondering why no one is talking about this. This is perimenopause, and most women have no idea how early it starts or how many symptoms are connected to it. In part one of this two-part conversation, Tamsen sits down with Dr. Heather Hirsch, a leading menopause clinician and author of the upcoming book The Perimenopause Survival Guide, to break down what’s actually happening inside your body and what you can do to take back control. In this episode, they uncover: - The most overlooked symptoms of perimenopause and why they matter - How hormone shifts affect your mood, metabolism, sleep, skin, and focus - Which lab tests are worth requesting in perimenopause and how to interpret them - A clear breakdown of hormone therapy for perimenopause and the questions to ask before exploring it - The key appointment every woman should have by age 38 to protect her long-term health If you’ve been told “you’re fine” but you don’t feel fine, this episode will help you understand why and what to do next. Stop playing whack-a-mole with your symptoms. It’s time to get clear answers. Take this quick quiz to see if you might be in perimenopause and get expert-backed guidance on what to do next. Loving The Tamsen Show podcast? If you have a moment, your review could be the reason another woman finally hears the thing she’s been needing. Watch full episodes HERE Get Tamsen’s new book, How To Menopause: Take Charge of Your Health, Reclaim Your Life and Feel Even Better Than Before Follow The Tamsen Show on Instagram Follow Tamsen on Instagram Follow Tamsen on TikTok Want more from Dr. Heather Hirsch? Check out her website HERE Follow her on Instagram Medical Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show. Learn more about your ad choices. Visit podcastchoices.com/adchoices

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The Tamsen Show

Perimenopause Explained: What’s Happening, What Tests to Ask For, and What Actually Helps

This episode hasn't been transcribed yet

Other episodes from The Tamsen Show

The Anxiety Scientist: Feeling Overwhelmed? Rewire Your Brain With This Science-Backed Method

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The Belly Fat Episode: The Truth About Muscle Loss, Menopause, and Midlife Fatigue

How to Set Boundaries Without Feeling Guilty

Healing the Grief, the Love, and the Silence Around Your Mother

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