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The Longest Shortest Time

WTF Is Perimenopause?

The Longest Shortest Time

Hillary Frank | Realm

Kids & Family, Sexuality, Health & Fitness, Parenting

4.74.2K Ratings

🗓️ 18 February 2026

⏱️ 49 minutes

🧾️ Download transcript

Summary

Hot flashes! Weight gain! Headaches! Rage! If these symptoms sound familiar, you may be in perimenopause. But who among us actually knows what perimenopause is? Menopause specialists Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch offer an informative and irreverent primer. … More episodes about clinicians as patients • #183 Postpartum House Arrest • #230 Secrets from the Vagina Whisperer • #38 Pediatricians, They’re Just Like Us … More from the docs • Rebecca and Amy’s podcast about perimenopause: OvaryActive • Rebecca and Amy’s book: Estrogen Interrupted: A Guide to Surviving and Thriving in Perimenopause (purchasing/pre-ordering through our link helps support LST!) … Episode resources • Find a provider through the Menopause Society … • Join LST+ for community and access to You Know What, another show in the Longest Shortest universe! • Follow us on Instagram • Sign up for our newsletter, where we recommend other parenting + reproductive health media • Buy books by LST guests (your purchase supports the show!) • Website: longestshortesttime.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

Hey there, longest, shortest time listener. Be honest. Do you like listening to stories about

0:08.7

parenthood and reproductive health? Do you like when they're bold and complicated and funny and

0:14.3

poignant all at the same time? Of course you do. That's why you listen to the show, and it's part of what makes you special.

0:22.2

So I want to invite you to join our special club. It's called LST Plus, and when you join, you get all kinds of cool stuff.

0:30.7

You get to be part of our community where you can bond with other listeners.

0:34.3

You get to suggest story ideas for future episodes. You get access to a whole other show

0:39.8

with super awesome college kids talking about sex, dating, and relationships. And you get to hang out

0:45.9

with me and reproductive health experts and past guests and ask them questions. Membership is just

0:52.7

50 bucks a year or seven bucks a month. And if you want to give

0:56.0

more, you can. We've relaunched independently. So when you join the club, you're helping this show

1:02.2

to simply exist. Sign up is easy. Just go to longest shortest time.com slash club. See you there.

1:18.6

I think if you looked at my Instagram right now, you would think I was like a late 40s woman who collects lots of vinyl.

1:24.9

Yeah. One of those things is true. One of those things is true.

1:29.2

One of those things is true, yeah.

1:36.0

Meet Michael Raphael, collector of vinyl, and technical director of the longest, shortest time.

1:41.6

When he started working on the show last year, he noticed his algorithm had changed. You know, based on our guests and everything, I'll check out, like, what's going on on the show, and I'm kind of curious.

1:48.6

And, like, when we had the vagina whisperer on, I got a lot of pelvic floor rehab content.

1:54.8

Lately, Michael's been getting a lot of perimenopause content.

1:59.4

It's, like, a lot of stuff about, you know, like mood changes,

2:04.6

hot flashes, like people waking up sweaty in their sheets. Okay, so Michael, I have a very simple

2:15.5

question for you. Okay.

2:19.2

What is perimenopause?

...

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