What Your Friends & Neighbors Got Right About Perimenopause (and What It Left Out)
Let's talk about estrogen: what it's actually approved to treat, where the evidence is strong, and where we're still waiting for better data.
11 minutes ago
The Way I Survived
So instead of a medical lesson this week, you get pure emotion.
When my dad was diagnosed with pancreatic cancer, I knew.
I knew he was going to die from this horrible disease.
You could tell me I was being negative.
You could say I never gave him a chance.
Maybe you're right.
7 days ago
Is This Perimenopause… or Am I Just Losing It? Understanding Mood Changes During Perimenopause
Studies estimate that 45–70% of women experience depressive symptoms during perimenopause, compared with roughly 25–30% of premenopausal women. One small study even found that the risk of depression was 14 times higher during the two years leading up to menopause than during the preceding three decades.
No wonder so many of us feel like we're losing our minds.
Jul 20
Progesterone Side Effects: What to Do When You're the Exception
Progesterone is an essential part of hormone replacement therapy for many women with a uterus. While most women tolerate it well—and some even sleep better because of it—a small percentage experience unexpected side effects like increased anxiety, mood changes, or feeling "not like themselves." If that's you, you're not imagining it.
Jul 13
MidLife Changes
Twenty-four years ago, I graduated from medical school. Since then, I've had the privilege of experiencing medicine from many different perspectives: community-based research, teaching medical students and residents, working in a group practice, and owning a direct primary care practice. About five years ago, I found myself at a crossroads. Between the pandemic, burnout, and the growing divide around science and healthcare, I realized I needed to step back and reconnect with
Jul 6
