Everyday Wellness: Midlife Hormones, Health, and Science for Women 35+ Ep. 508 Perimenopause Uncovered: From Heavy Periods to Stubborn Weight Gain – A Talk with Dr. Heather Hirsch
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Oct 11, 2025 
Dr. Heather Hirsch, a board-certified internist and founder of Health by Heather Hirsch, dives deep into perimenopause. They discuss the hormonal chaos behind heavy periods, the correlation between weight loss resistance and midlife, and the importance of strength training and protein. Dr. Hirsch sheds light on estrogen's role in metabolic health and how it impacts multiple organ systems. She emphasizes the need for better clinician education on perimenopause and explores unique symptoms that often go unnoticed, proving it's an eye-opening conversation for women navigating this phase.
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Crime Scene Periods And Puberty In Reverse
- Cynthia described her 'crime scene' heavy periods while working in the hospital and the logistics nightmare they caused.
- Heather compared perimenopause to 'puberty in reverse' that often amplifies menstrual changes and confusion.
Two Main Causes Of Heavy Bleeding
- Heavy bleeding in perimenopause often stems from hormonal shifts and anatomical changes.
- Declining progesterone disrupts lining regulation while fibroids or polyps increase surface area and bleeding.
Track Periods And Symptoms
- Start journaling your cycles and symptoms to provide clear data for clinicians.
- Use tracking to show changes in bleeding, timing, and quality-of-life impact to guide evaluation.
