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Energized with Dr. Mariza

704: Hormone Intelligence for Women in Midlife: How to Thrive Through Perimenopause with Dr. Aviva Romm

Energized with Dr. Mariza

Dr. Mariza Snyder

Medicine, Alternative Health, Health & Fitness

4.8 • 974 Ratings

🗓️ 18 December 2025

⏱️ 62 minutes

🧾️ Download transcript

Summary

Perimenopause and menopause can bring surprising changes to your brain—making multitasking even harder and emotional overwhelm way more real. That’s why in this episode, women’s health expert Dr. Aviva Romm joins us to break down what’s really happening cognitively in midlife and how these shifts can be a normal, navigable transition.  Together, we’re debunking common perimenopause myths and unpacking how sleep, nutrition, exercise, and daily lifestyle choices can dramatically support your brain power and emotional resilience.  Dr. Romm shares her top practical tools that will help you feel clear, focused, and confident as your body evolves in midlife.  Ready to thrive—not just survive—through midlife and beyond? Tune in now and discover how to support your brain and body so you can step into this next chapter feeling your best! Aviva Romm, MD Dr. Aviva Romm is a Yale-trained family physician, midwife, and herbalist who’s been a leading voice in women’s, maternal, and environmental health for over 35 years. She’s the author of nine books, including the landmark Botanical Medicine for Women’s Health, the New York Times bestseller Hormone Intelligence, and the forthcoming Force of Nature, a groundbreaking guide to perimenopause and menopause. Dr. Romm sees patients in New York, Massachusetts, and via telehealth. She also runs acclaimed online health programs and hosts the popular podcast On Health with Aviva Romm, empowering women worldwide. IN THIS EPISODE Navigating symptoms and changes in perimenopause  The cognitive emotional overwhelm that happens for women  Recognizing the common causes of midlife cognitive issues  The importance of advocating for yourself with your doctor   The massive benefits of sleep for cognitive functioning  Why you should focus on strength training in perimenopause  Creating your own community for perimenopause support  Debunking the myths and misinformation in the media around perimenopause and menopause  QUOTES“So often sleep is disrupted by perimenopause and menopause. What a lot of women don't realize is you can be having hot flashes but not consciously registering you're having hot flashes. So a lot of women are being woken up by hot flashes they didn't realize they were having.” ”We desperately need more practitioners who can answer those questions for women, whether it's a more natural, holistic approach that does or doesn't include hormone therapy, antidepressants, or any of the other things. Because the other problem is that these doctors are often doling out pharmaceuticals for sleep.” ”We now know that the impact of declining estrogen and progesterone on the brain [and] on the nervous system absolutely has an impact on anxiety, depression, and sleep.”  RESOURCES MENTIONED Order my new book: The Perimenopause Revolution https://peri-revolution.com/ Use code ENERGIZED and get 10% off on your MitoQ order https://www.anrdoezrs.net/click-101585564-17091761 Dr. Aviva Romm’s Website Dr. Aviva Romm on Instagram Dr. Aviva Romm’s Podcast: On Health  RELATED EPISODES  701: Mood Swings, Brain Fog & Exhaustion: The Hormone Conversation You Deserve with Dr. Carrie Jones 690: The Perimenopause Revolution: Why midlife isn’t the end — it’s the beginning of your most energized, powerful, and vibrant self 689: The Hidden Brain Shift: Why Perimenopause Symptoms Start Earlier Than You Think 686: Your Second Puberty Explained: What’s Really Happening to Your Body in Perimenopause 673: From Fatigued to Energized: Reclaiming Sleep in Midlife With Evidence-Based Solutions

Transcript

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0:00.0

I was holding myself back for a while in there, and now I feel a little bit more unleashed again.

0:07.6

What I can say is that I give less Fs than ever.

0:11.4

Like that is one really big shift for me, but I feel like I'm owning coming into a new level of my own self.

0:17.9

Where I've gotten clearer and more boundary

0:21.4

is just in being more honest and more direct.

0:25.0

Welcome back to the energized with Dr. Marisa podcast.

0:29.0

I'm your host, Dr. Marisa,

0:31.4

and I'm here to help you rock your hormones,

0:33.5

optimize your metabolic health,

0:35.2

and feel energized in your body

0:37.3

so that you can age powerfully and wake up feel energized in your body so that you can age powerfully

0:39.0

and wake up feeling amazing in your body for many years to come.

0:43.2

Let's jump on in.

0:44.8

Have you started forgetting words mid-sentence or waking up at 3 a.m. wired and anxious

0:49.6

or gaining weight despite eating the exact same or feeling like your brain and body are short-circuiting,

0:57.0

yet no one warned you.

0:59.0

These aren't character flaws.

1:01.2

They're not just in your head.

1:03.2

They're the real lived effects of perimenopause.

1:06.5

If this sounds familiar, you are not alone, and you're definitely not broken.

1:11.2

Your body is going through a profound hormone transition.

1:14.9

And this is the revolution you've been waiting for.

...

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