Sep 22, 2026 · 26 min · 9 segments
Stop Telling Me It’s Just Stress: The Perimenopause Truth Dr. Heather Macdonald, MD, FACOG, MSCP, Medical Director Women’s Midlife Program and Breast & Ovarian Cancer Prevention Program, Hoag Women’s…
And
we close out our session today, Dr. McDonald, if there was one thing, and I have to preface this by saying that I wish, I wish when I was in my 20s and early 30s, there was more conversation about what happens to you in perimenopause.
Because the thing that I have really struggled with is that those conversations weren't happening.
That information isn't available.
Yes, we're seeing a lot more of it now.
Some of it great, like you've mentioned, and some of it noise.
But Just educating yourself around what the future holds for you as a woman is actually empowering and it will help you mentally,
right? Well, if you think about it as the mother of a teenage daughter, when she was approaching puberty, the school had events and we went and did a mother's tea and we talked.
We talk our young girls very lovingly through what to expect through puberty.
When you reach the point that you want to start your family, there's a whole industry about what to expect when you are expecting.
I still found that book helpful because I was used to looking at this as the doctor, not like, oh, what's happening to me? We do such a great job of preparing our women through these major life transitions, but you get to menopause and it's bupkis.
As women, we fade away in importance when our reproductive capacity is done.
And then even people who are educated about this still have an experience in menopause of what on earth is happening to me.
There is ancient wisdom around this transition that we need to tap back into.
But if I can give one piece of recommendation for women who are facing this down and like, okay, now what do I do? I want you to go find the Menopause Society.
Every medical specialty that takes care of women in midlife, OBGYN, the internists, the endocrinologists, the bone specialists, the cardiologists, the neurologists, we all come together.
And
we close out our session today, Dr. McDonald, if there was one thing, and I have to preface this by saying that I wish, I wish when I was in my 20s and early 30s, there was more conversation about what happens to you in perimenopause.
Because the thing that I have really struggled with is that those conversations weren't happening.
That information isn't available.
Yes, we're seeing a lot more of it now.
Some of it great, like you've mentioned, and some of it noise.
But Just educating yourself around what the future holds for you as a woman is actually empowering and it will help you mentally,
right? Well, if you think about it as the mother of a teenage daughter, when she was approaching puberty, the school had events and we went and did a mother's tea and we talked.
We talk our young girls very lovingly through what to expect through puberty.
When you reach the point that you want to start your family, there's a whole industry about what to expect when you are expecting.
I still found that book helpful because I was used to looking at this as the doctor, not like, oh, what's happening to me? We do such a great job of preparing our women through these major life transitions, but you get to menopause and it's bupkis.
As women, we fade away in importance when our reproductive capacity is done.
And then even people who are educated about this still have an experience in menopause of what on earth is happening to me.
There is ancient wisdom around this transition that we need to tap back into.
But if I can give one piece of recommendation for women who are facing this down and like, okay, now what do I do? I want you to go find the Menopause Society.
Every medical specialty that takes care of women in midlife, OBGYN, the internists, the endocrinologists, the bone specialists, the cardiologists, the neurologists, we all come together.
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