When Perimenopause Begins

What does it look like to remain faithful to Christ when your hormones feel like they’re crashing out?

In this first episode of a two-part series on perimenopause and menopause, Alisa shares her own experience with hot flashes, sleep disruption, anxiety, and intense mental and emotional symptoms—and how learning to care for both her spiritual and physical health changed everything.

She is joined by physician assistant Hillary Morrison, who has spent more than a decade working in functional and integrative medicine. Together, they discuss what actually happens to a woman’s hormones during perimenopause, common symptoms to watch for, why some women struggle more than others, and the connection between hormonal changes, sleep, mood, weight, and overall health.

They also discuss hormone replacement therapy, progesterone, estrogen, testosterone, testing options, nutritional deficiencies, thyroid and gut health, and how women can advocate for themselves when seeking medical care.

Most importantly, Alisa and Hillary consider these questions through a Christian worldview. Hormonal changes may make obedience more difficult, but they do not define us or excuse sin. At the same time, caring for the physical body God has given us is not somehow less spiritual.

Whether you are currently in perimenopause, preparing for it, or trying to better understand a woman you love, this conversation offers practical information, biblical encouragement, and hope for navigating this season faithfully.

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