

Perimenopause, Menopause & PCOS: What You Need to Know with Dr. Lara Briden
Apr 23, 2025
Joining the discussion is Dr. Lara Briden, a naturopathic doctor and author of the Hormone Repair Manual. She reveals the truth about hormone fluctuations during perimenopause and menopause, especially for women with PCOS. Dr. Briden debunks myths around PCOS improving with age and delves into the significance of understanding menstrual cycles. She also addresses how hormonal changes can intensify symptoms like weight gain and hirsutism while stressing the need for personalized management strategies through lifestyle adjustments and holistic approaches.
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Understanding a Normal Menstrual Cycle
- A natural menstrual cycle is defined by ovulation, lasting typically 21-35 days in adults.
- Non-ovulatory cycles still produce bleeding but lack progesterone, crucial for cycle health.
Consider Gynecological Age
- Consider gynecological age: years since starting ovulation, not just chronological age.
- Expect some cycle variability, especially after years on hormonal birth control.
Luteal Phase and Progesterone
- A short luteal phase (under 11 days) signals inadequate progesterone production.
- Regular bleeding does not guarantee ovulation; spotting can signal hormonal imbalance.