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Perimenopause can feel like losing control of your own body: the hot flashes, the sleepless nights, the brain fog, the sudden anxiety. In this powerful conversation, Tamsen sits down with leading OB/GYN and author of the upcoming book The New Perimenopause, Dr. Mary Claire Haver, to unpack what’s really happening during perimenopause and menopause, and what women can do to take control.
In this episode, Dr. Haver breaks down everything you need to know about hormone therapy, vaginal estrogen, and testosterone for women, and how small changes in sleep, nutrition, and protein can improve libido, bone health, and even anxiety and depression. This episode is about understanding your body, not fighting it.
Dr. Haver breaks down what most women are never told:
- Why sleep becomes harder and what actually helps
- How estrogen, progesterone, and testosterone work together
- The truth about hormone therapy and who it’s safe for
- What to do when your doctor dismisses your symptoms
- How protein, strength training, and supplements like magnesium make a real difference
This conversation will leave you feeling seen, informed, and more in control of what’s happening in your body. Because perimenopause isn’t the end of something, it’s the beginning of understanding yourself in a whole new way.
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Learn How To Perimenopause with Tamsen’s free guide: https://www.tamsenfadal.com/how-to-perimenopause
Want to learn how you can advocate for yourself in the doctor’s office or at work? Get Tamsen’s FREE Menopause Action Plan: https://www.tamsenfadal.com/map-menopause-action-plan
0:00 Intro
2:08 Preparing for Perimenopause: What to Do Before It Starts
3:05 Why You Can’t Sleep and What Actually Helps
5:36 The Best Sleep Tools & Supplements for Midlife Women
8:12 Anxiety, Depression & Hormones: What the Latest Research Shows
10:53 Nutrition in Perimenopause: How to Eat for Hormones, Bones & Energy
14:42 Libido in Midlife: How to Get It Back
18:04 The Truth About Hormone Pellets and Safer Options
25:10 Birth Control, Estradiol & The Estrogen Fear Myth
28:04 Who Can’t Take Hormone Therapy and Why It’s Safer Than You Think
32:34 Protecting Your Bones: Dr. Haver’s Top 3 Game-Changing Habits
34:41 Why Every Woman Needs Vaginal Estrogen
38:47 How to Talk to Your Doctor and Get the Care You Deserve
42:18 New Research & Legislation Changing Women’s Health
Watch the Full Episode Here: https://www.youtube.com/@TamsenFadalTV
Get my new book, How To Menopause, Take Charge of Your Health, Reclaim Your Life and Feel Even Better Than Before 💖 https://www.tamsenfadal.com/how-to-menopause
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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.
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I’m an Emmy Award-winning journalist, filmmaker, author, speaker, certified integrative nutrition coach, and passionate menopause advocate.
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Every episode of The Tamsen Show is here to help you navigate every stage of life with confidence. From career pivots to menopause, relationships to reinvention, Tamsen tackles the conversations women actually need, with real talk from experts, wellness advice and no filters.
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