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As a Woman

The Perimenopause Shift: Understanding the Hormones Behind the Change | Mary Claire Haver, MD

As a Woman

Natalie Crawford

Health & Fitness, Medicine

4.81.1K Ratings

🗓️ 29 July 2025

⏱️ 46 minutes

🧾️ Download transcript

Summary

Dr. Natalie Crawford is joined by Dr. Mary Claire Haver, a board-certified OBGYN and fierce advocate for changing the conversation around women's health. Together, they demystify perimenopause and menopause by breaking down the hormonal changes women experience and providing empowering strategies for navigating this critical life transition. Key Topics: 1. Your Changing Body's Hormonal Journey - How your ovaries start becoming less cooperative - Why estrogen matters more than you think - Decoding the symptoms no one talks about 2. The Real Story About Hormone Replacement - Busting myths about hormone treatments - What science really says about staying healthy - Finding the right hormone solution for your body 3. Lifestyle Hacks for Feeling Your Best - Building strength when your body feels different - Eating for your inflammation - Nutrition strategies that actually work for midlife 4. Taking Charge of Your Health - Learning the language of your body - Finding doctors who will really listen - Becoming the CEO of your personal health journey Follow Dr. Mary Claire Haver TikTok @drmaryclaire Instagram @drmaryclaire @the_pause_life  Facebook The Pause Life by Dr Mary Claire Haver  YouTube: Mary Claire Haver, MD LinkedIn The 'Pause Life with Dr. Mary Claire Haver Purchase her book The New Menopause  Want to receive my weekly newsletter? Sign up at ⁠⁠⁠⁠nataliecrawfordmd.com/newsletter⁠⁠⁠⁠ to receive updates, Q&A, special content, and freebies If you haven’t already, please rate, review, and follow the podcast to be notified of new episodes every Tuesday. Plus, be sure to follow along on Instagram ⁠⁠⁠⁠@nataliecrawfordmd,⁠⁠⁠⁠ check out Natalie’s YouTube channel Natalie Crawford MD⁠⁠⁠⁠, and if you're interested in becoming a patient, check out ⁠⁠⁠⁠Fora Fertility. Join the Learn at Pinnacle app ⁠to earn FREE CE Credit for listening to this episode! This episode is brought to you by The Pinnacle Podcast Network! Learn more about Pinnacle at learnatpinnacle.com  Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

So will you define for us parimenopause and menopause?

0:03.1

Menopause medically is one year after the final natural menstrual period.

0:07.8

Perimenopause begins when we reach a critical egg threshold level where the usual signals

0:13.1

that actually come from the brain stop working on the ovaries as well.

0:17.3

And we end up in the 7 to 10 year zone of chaos, really. No one sat down and said, hey,

0:24.6

all of this is going to be affected. All of these organs are going to be affected. She's going to have

0:28.7

symptoms. You are going to struggle to recognize as part of her perimenopause or menopause.

0:35.7

When I was in training, we were not prescribing hormones for menopause.

0:41.4

There was a big study that came out that really made everybody very fearful.

0:46.2

Hormone therapy is not only not harmful, it will prolong her health span.

0:52.7

Welcome back to the As a Woman podcast.

0:55.0

I'm Dr. Natalie Crawford, and today we're tackling one of the most misunderstood

0:58.4

and most important chapters in hormone health, parimenopause and menopause.

1:03.1

Joining me is Dr. Mary Claire Haver, a board-certified OBGYN, author of the New York Times

1:08.1

bestseller, The New Menopopause and fierce advocate for changing the

1:11.6

conversation around women's health. She's helped millions of women feel seen and supported during

1:16.7

midlife, not just by explaining the science, but by validating their experience. And in this episode,

1:22.8

we're diving into what really happens to your body, what symptoms like mood swings, weight gain, brain fog, fatigue,

1:30.7

are hormone-driven, and how to approach this transition with clarity, strategy, and self-compassion.

1:36.2

So whether you're in your 30s or 40s or just want to be better prepared, this conversation will

1:41.4

give you the language, tools, and support that you need to navigate the stuff with confidence.

1:46.4

Let's get started.

...

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