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Energized with Dr. Mariza

721: No, It’s Not All in Your Head: The Medical Truth About Perimenopause with Dr. Jila Senemar

Energized with Dr. Mariza

Dr. Mariza Snyder

Alternative Health, Health & Fitness, Medicine

4.8999 Ratings

🗓️ 17 February 2026

⏱️ 51 minutes

🧾️ Download transcript

Summary

What if midlife wasn’t a crisis to survive—but a turning point to optimize your health?  In this episode, I’m joined by the brilliant Dr. Jila Senemar, who breaks down what’s really happening in midlife and why preventative medicine is your greatest advantage.  Instead of waiting for a diagnosis, we explore why being proactive with your hormones, heart, brain, and metabolic health can change the trajectory of your next decades.  Dr. Jila reminds us that women’s health is rarely one-size-fits-all. Rather, it needs personalized, outside-the-box thinking. We talk about removing the shame, stigma, and outdated myths around perimenopause and menopause and celebrating this transition for what it truly is.  Tune in here for honest insight and practical lifestyle shifts to help you thrive in midlife! Jila Senemar, MD, FACOG, MSCP Dr. Jila Senemar is a board-certified OB/GYN with over 20 years of clinical experience. She’s a certified menopause specialist, longevity physician, and proud mom of three, who’s helped thousands of women feel strong and healthy at any age. Dr. Jila blends the best of conventional medicine with cutting-edge holistic solutions. Her individualized patient plans combine conventional gynecology practices with holistic care, prioritizing metabolic health, hormone optimization, and lifestyle redesign. IN THIS EPISODE Recognizing initial symptoms of perimenopause  The importance of prioritizing preventative medicine  Addressing the biggest myths around perimenopause  Supporting your body in ways you may not be used to during midlife  How to shift the midlife and menopause conversation  Setting yourself up for success before reaching menopause  QUOTES “I can be their gynecologist, and I can help them with the other components of their lifestyle modifications with exercise, nutrition, and hormonal optimization.” “I've learned a lot just by going through it and what the method provided me, which is how to learn and listen to my body. It was so different than what I was used to, and I think we each need to find what works for us.” “We need to change all of it. It's normal. It needs to be celebrated. It is what it is. It's part of us just being who we are… That’s our chemistry, that's our biology.” RESOURCES MENTIONED Order my latest book: The Perimenopause Revolution https://peri-revolution.com/ Dr. Jila’s Website Dr. Jila on Instagram  RELATED EPISODES  720: Why No One Talks About Loneliness in Midlife—And Why It’s Not Just You 717: “I Don’t Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause 716: Midlife, Hormones & Heart Health: The Critical Connection You’re Not Hearing About with Cathy Eason 704: Hormone Intelligence for Women in Midlife: How to Thrive Through Perimenopause with Dr. Aviva Romm 690: The Perimenopause Revolution: Why midlife isn’t the end — it’s the beginning of your most energized, powerful, and vibrant self

Transcript

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0:00.0

Don't keep pushing, pushing, pushing old things that we know do not work or serve our bodies anymore.

0:09.2

We really need to kind of shift the mindset.

0:12.0

And again, this is part of the conversation I have with my patients when I meet with them.

0:17.2

It's like, okay, what are you doing?

0:19.1

What's working?

0:19.9

What isn't?

0:20.5

And how are we going to make it better?

0:22.9

Welcome back to the energized with Dr. Marisa podcast. I'm your host, Dr. Marisa, and I'm here to

0:29.9

help you rock your hormones, optimize your metabolic health, and feel energized in your body

0:35.1

so that you can age powerfully and wake up feeling amazing

0:39.1

in your body for many years to come. Let's jump on in. For far too long, the conversation

0:45.4

about women's bodies have stopped at fertility or our periods or bikini medicine. Think back

0:53.9

to the last time that you had a physical. For me,

0:56.8

it was almost a year ago. I'll be making my next appointment pretty soon. And the two major things

1:03.5

that we discussed that was on my primary doctor's list was scheduling a mammogram and seeing if I needed a pap. Also, we talked about a colonoscopy,

1:14.1

which I did, and I am free and clear. And let me tell you, it's important that we're looking

1:18.8

at these things in terms of preventing cancer, breast cancer, colon cancer, and cervical

1:24.6

cancer. I get how important they are. But our bodies are so much more than that.

1:30.0

And hopefully, in your physical, you had an opportunity to at least run your labs and you got a chance to look at your vitals.

1:37.3

Right. But when we think about the way that we are taking care of, even in the health care system, it's really around our reproductive health,

1:45.9

as if our life, our vibrancy, and vitality, and when our hormones begin to shift and decline.

1:53.2

But the truth is, and this is something you and I both know, that perimenopause isn't an ending.

...

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