Perimenopause and the New Midlife Playbook with Dr. Alyssa Dweck (Episode 266)

Hit Play Not Pause

Health & Fitness, Medicine, Fitness

4.9 • 769 Ratings

🗓️ 18 March 2026

⏱️ 52 minutes

🔗️ Recording | iTunes | RSS

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Summary

Now that menopause is finally getting the research and medical attention it deserves, we are finally putting perimenopause in the spotlight as a pivotal period in a woman’s life that demands its own care and attention. This week, midlife gynecologist Dr. Alyssa Dweck returns to break down perimenopause care, the state of hormone therapy, and much more. We dig into how perimenopause is so variable, how to think about the pill, IUDs, hormone therapy, and the new non-hormonal drugs, plus what hot flashes may be revealing about your heart health. We wrap with a look at wearables, telehealth, and the coming era of precision menopause medicine that treats ovaries as the powerful “conductor” organ they are. (Note: Dr. Dweck accidentally misspoke regarding fezolinetant. She would like to clarify that it is an NK3 receptor antagonist not an NK1.)

Alyssa Dweck MS MD FACOG MSCP is a practicing gynecologist at Well by Messer in New York City and the Chief Medical Officer at Bonafide Health. Dr. Dweck is a menopause society certified provider with a special interest and expertise in female sexual health and medical sex therapy. Dr. Dweck was recently appointed to the Board of Directors of HERmedicine, a nonprofit education organization dedicated to advancing women’s healthcare across the lifespan. This role at HERmedicine recognizes her as a distinguished leader dedicated to educating clinicians and integrating evidence-backed care into everyday medical practice. Dr. Dweck has authored three books, the most recent The Complete A to Z For Your V also co-hosts Business of the V, a podcast which focuses on unmet needs in gynecology and women’s health and the businesses created to fulfill these needsYou can learn more about her and her work at drdweck.com

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Transcript

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0:00.0	You are listening to Hit Play Not Pause, a feisty menopause podcast for active performance-minded women.
0:12.3	I am your host, Celine Yeager. Each week, I bring you advice from athletes, scientists, researchers, and other experts to help you feel and perform your best no matter what your
0:22.0	hormones are doing. This show is a production of feisty media. Hello, strong feisty women. I hope you all
0:30.1	are well. So now that menopause is finally getting the research and medical attention it deserves,
0:36.4	we are finally putting perimenopause
0:38.9	in the spotlight as a pivotal period in a woman's life that demands its own care and attention.
0:44.8	And I wanted to explore a bit about where we are with perimenopause care and where we're going broadly
0:50.5	with care for women in the menopause transition. So I called back friend of the show,
0:55.4	Dr. Alyssa Dweck, who keeps her pulse on such things to break it down and see where we are
1:01.5	in perimenopause care and the state of hormone therapy and much more.
1:06.5	Alyssa is a great resource for all of this. She is a practicing gynecologist and menopause society certified provider at Well by Messer in New York City, and she is also the chief medical officer at Bonafide Health.
1:19.9	Alyssa was also recently appointed to the board of directors at Her Medicine, which is a nonprofit education organization dedicated to advancing women's
1:29.3	health care across the lifespan. She has authored three books. She co-hosts the Business of the
1:35.4	V, which is a podcast, which focuses on the unmet needs and gynecology and women's health, and the
1:41.5	business is created to fulfill those needs. You can find everything you want to know about her at Dr.dweck.com, which, of course, I will
1:48.6	put in the show notes.
1:50.1	In this episode, we just dig into how perimenopause is so incredibly variable among
1:55.6	women, how to think about the pill, IUDs, hormone therapy, and the new non-hormonal drugs in the span
2:03.8	of menopause care, plus what hot flashes tell us about heart health, which we keep uncovering
2:09.3	more about. We also take a look at wearables, telehealth, and the coming era, which I cannot
2:14.8	wait, of precision metapause medicine that treats the ovaries as the powerful
2:20.8	conductor organs that they are. I hope you enjoy this one as much as I did. Before we get into it,
	...

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