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Hit Play Not Pause

Women Need Earlier Perimenopausal Care with Nina Coslov (Episode 160)

Hit Play Not Pause

Hit Play Not Pause

Health & Fitness, Education, Self-improvement, Mental Health

4.9 • 696 Ratings

🗓️ 10 January 2024

⏱️ 48 minutes

🧾️ Download transcript

Summary

Most women don’t expect menopause symptoms to start until age 50. Neither do many of their healthcare providers. That’s a problem because, as this week’s guest Nina Coslov’s research shows, women can actually start experiencing symptoms associated with menopause during their late reproductive years before their periods become noticeably irregular and they’re officially in perimenopause. Yet when they seek care, they’re often told they’re “too young for menopause” because they still have regular cycles. This week, Coslov talks about her research on the late reproductive stage in a woman’s life as well as womenlivingbetter.org, the organization she started to help women get the menopausal information they need before they’re suffering and not knowing where to turn.

Nina Coslov created Women Living Better (womenlivingbetter.org) to provide anticipatory guidance about perimenopause. Intent on better characterizing the path to menopause, she focuses on education and research, and along with her partners, has published six papers in peer-reviewed journals. Nina was the lead author on “Symptom experience during the late reproductive stage and the menopause transition: observations from the Women Living Better survey,” published in the journal Menopause. She authored the chapter “Women’s Voices: The Lived Experience of the Path to Menopause” in Each Women’s Menopause: An evidenced Based Resource. Nina received the 2021 Media Award from the North American Menopause Society. Prior to Women Living Better, Nina worked in the biotech industry and before that was a management consultant. Nina has an MBA from the Tuck School of Business at Dartmouth and a BA from Williams College. 

Resources

Menopause Journal study https://pubmed.ncbi.nlm.nih.gov/34313615/

Women Living Better Instagram https://www.instagram.com/womenlivingbetter/

Perimenopause care resources: https://womenlivingbetter.org/published-research-health-care-for-perimenopause/

https://womenlivingbetter.org/hormonal-changes/

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Transcript

Click on a timestamp to play from that location

0:00.0

You are listening to Hit Play, Not Pause, a feisty menopause podcast for active performance-minded women.

0:14.6

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 you best no matter what your hormones are doing.

0:25.0

This show is a production of Live Feisty Media.

0:30.4

Hello, strong feisty women.

0:33.0

So there's something that I see come up in our community a lot.

0:37.2

A woman, maybe in our early

0:38.8

40s, will start experiencing symptoms. Often it's waking up at 2.30 in the morning, wide awake,

0:45.3

maybe with feelings of impending doom or panic, night after night out of nowhere. Or maybe

0:51.3

she suddenly can't remember one of her co-workers' names, despite seeing her every single day for seven years.

0:57.8

She's just not herself.

1:00.6

And because of shows like this one and all the media attention to menopause, she recognizes this could be a sign of perimenopause.

1:09.5

So she goes to her doctor, and one of the first questions is,

1:13.2

are you still getting regular periods? If she says yes, very often any notion of perimenopause is

1:20.6

quickly swept out the door. And that's what happened with this week's guest, Nina Kozlov, founder of Women Living Better.

1:30.3

And she has both personal and research experience in exactly this.

1:35.7

In fact, she conducted an entire study on this topic that was published in the journal Metapause.

1:41.4

And that study found that women in what is known as the late

1:44.9

reproductive stage, when you still have a regular cycle, which may have nearly imperceptible

1:50.3

changes to it, can experience symptoms very similar to what we associate with the menopause

1:56.9

transition or even postmenopause. That's a problem because one, we as women ourselves

2:03.4

aren't often expecting symptoms to show up that early. Two, our doctors aren't either. They're

2:10.7

not expecting symptoms to show up often until about 50. And three, we're not getting the care

...

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