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Karen Herrera

Karen Herrera

Karen A. Herrera, Dallas-based author of Perimenopause Clarity (2025), a University of Texas at Austin graduate who writes about perimenopause, midlife, and career longevity.

Oct 15, 2026

Nekaila Matthews OkomeADVERTISER
18:25
Repeat users, more than one Pay Later purchase in the past year.
18:27
year.Ooh.
18:34
So, one thing I see, right, with high-performing women, especially in their 40s, is that we suddenly start feeling like we've lost our edge at work.
18:48
And that confidence dips, you know, that we start to have, um, things like our memory feeling different, right? Uh, we start guessing ourselves in meetings.
19:00
Um, a lot of women think it's, it's burnout or that we're somehow losing our edge professionally.
19:06
But, but more often than not, right, it's ac- [laughs] it's actually perimenopause.
19:12
It's these hormonal shifts that, that can affect our cognition, right? It's affecting our sleep.
21:39
And with that, uh, Karen, let's move to the next one and talk about which symptom-driven shifts most distort self-perception, and what's your three-part self-audit to separate this biology from identity?
21:33
What, what do, what is like a common misconception that women have about this time, time of life, you know, going through this change?
21:43
Oh man.
21:44
I think one of them is, is how early it can start really.
21:48
Because I'm growing up.
21:51
I mean, I used this example a lot, but growing up, I always thought a woman going through the change looked like one of the golden girls.
21:57
Right.
21:57
I never thought that they looked like, okay, I'm 52.

7 MINS LATER

29:02
And, you know, doing research, talking to your doctor, if you're not getting the help that you or the answers from your doctor, then, you know, talk to your friends or family members and get a referral to somebody else who can help you.

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