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BETTER! with Dr. Stephanie Estima | Strength, Body Composition & Perimenopause

Your Gynecologist Can't Fix This: The Cardiometabolic Side of Menopause with Dr. Heather Hirsch

BETTER! with Dr. Stephanie Estima | Strength, Body Composition & Perimenopause

Dr. Stephanie Estima

Intimacy, Menopause, Betterpodcast, Nutrition, Women's Health, Menstruation, Hormones, Optimization, Sex, Fitness, Sleep, Dr. Stephanie, Health & Fitness, Science, Parenting, Motherhood, Health, Self Care, Drstephanie, Mindset, Alternative Health, Self Love

4.8 β€’ 613 Ratings

πŸ—“οΈ 11 May 2026

⏱️ 69 minutes

🧾️ Download transcript

Summary

Dr. Heather Hirsch, MD, Perimenopause & Mid-Life Expert, explains how treating menopause as an OB-GYN problem has deprived women of proper care β€” and what needs to change. From the heart and brain to bones and body composition, she lays out the full-body impact of this transition, and how to protect your health now, at any age. Watch the full episode at https://youtu.be/ME_mDKHK6jA

Transcript

Click on a timestamp to play from that location

0:00.0

It is easy to brush patients off because doing menopause care in an RVUB system does not make a clinic money, does not make a doctor money. In fact, usually they're losing money.

0:12.0

I say a lot that hormone therapy can be just as diagnostic as it is therapeutic.

0:18.0

And it's funny to think, oh, we're going to use hormone therapy as a diagnostic tool.

0:22.8

But I have done this many, many times.

0:25.9

Let's be clear, research is really nothing more than artwork.

0:29.4

And it's the artist who's going to put their impression into the artwork.

0:32.4

I'm sorry, it is impossible for us to be biased about anything.

0:36.1

I think that a lot of women arrive in perimenopause under muscled.

0:40.5

They are especially like the cardio bunnies, right?

0:43.0

Speak it, girls, speak it.

0:44.5

We spent hours, I spent hours, years on the elliptical machine.

0:49.3

This is a great time to reinvest in your health.

0:51.7

So maybe you need that trainer and you have put off your

0:55.4

own health or put off your needs because you're paying for your kids travel soccer and the big

0:59.7

graduation party and you're putting your money into all these people, but a little bit of money

1:04.3

into yourself will take you and your family so far.

1:12.9

Hello, my friends.

1:14.1

Welcome back to another episode of Better with Dr. Stephanie.

1:16.5

Tis me, as always, your host, Dr. Stephanie.

1:19.0

Stima, you want to be listening to this show today because we are taking perimenopause

1:24.2

beyond bikini medicine.

1:26.3

And that is to say, beyond what is just underneath

...

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