Season 1 | Episode 6 | Perimenopause Explained: What Every Woman Should Know
Perimenopause is more than just the years leading up to menopause—it's a time of dramatic hormonal fluctuations that can affect nearly every aspect of a woman's physical and emotional health.
In this episode of Positively Flourishing, host Cyndi Overton sits down with Miranda to discuss what's happening inside the body during perimenopause, why symptoms can seem unpredictable, and how bioidentical hormone replacement therapy may help improve quality of life.
Miranda explains the difference between perimenopause and menopause, why hormone levels fluctuate instead of simply declining, what symptoms women commonly experience, and what treatment options—including testosterone pellet therapy—can and cannot do. She also addresses common misconceptions about hormone replacement, realistic expectations for treatment, and lifestyle strategies that can help women navigate this stage of life.
Whether you're just beginning to notice changes or you're already experiencing symptoms, this episode provides practical, educational information to help you better understand your body and make informed decisions about your health.
Perimenopause, menopause, bioidentical hormone replacement therapy, BHRT, testosterone pellets, hormone optimization, hormone imbalance, women's health, hormone therapy, hot flashes, night sweats, mood swings, brain fog, low libido, sleep problems, hormone health, Flourish Hormone Replacement Therapy
- Understanding perimenopause vs. menopause
- Why hormones fluctuate during perimenopause
- Common symptoms including hot flashes, night sweats, mood swings, sleep issues, and low libido
- Bioidentical hormone replacement therapy (BHRT)
- Testosterone pellet therapy: benefits and expectations
- Treatment timing and follow-up care
- Hormone therapy myths and misconceptions
- Lifestyle strategies to support hormone health
- "Perimenopause isn't just low hormones—it's constantly changing hormones."
- "Your body is preparing for menopause long before your periods actually stop."
- "Hormone therapy isn't about turning back the clock—it's about improving your quality of life."
Chapters
00:00 – Introduction to Perimenopause
02:01 – Understanding Hormonal Changes
03:48 – Common Symptoms of Perimenopause
07:52 – Bioidentical Hormone Replacement Therapy
12:06 – How Pellet Therapy Works
17:01 – Treatment Timing & Expectations
24:10 – Hormone Therapy Myths & Safety
29:03 – Patient Experiences & Common Questions
35:03 – Long-Term Benefits & Lifestyle Support
Resources Mentioned
- Bioidentical Hormone Replacement Therapy (BHRT)
- Testosterone Pellet Therapy
- Vaginal Estrogen Therapy
- Functional Medicine Approaches to Hormone Health
- Flourish Hormone Replacement Therapy
