Are you irritable, moody, feeling defeated, gaining weight or not sleeping well? If you're a female close to or over 30, you're experiencing perimenopause and Dr. Deb is here to walk you through your options for managing stress, improving your mood, improving your sleep, and actionable items to get back to feeling like yourself.

Hyperlinked show notes at:

www.ashleydeeley.com/drdeb

• Episode brought to you by: ⁠⁠⁠⁠⁠⁠Forefront Health Bioidentical Progesterone⁠ (Code: DEELEY10)
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4:26: Birth control pills

6:23: Ready to get off birth control?

8:45: Birth control shuts off ovulation

9:25: Periods are a vital sign

10:26: What is perimenopause?

11:59: Progesterone starts to decline14:06: Symptoms of Perimenopause

16:15: Anxiety for no good reason

16:53: More symptoms

17:55: Symptom relief from perimenopause

18:54: First rule: must manage stress

21:12: Ovaries on a trajectory downwards

21:30: How to use Progesterone to manage symptoms 

22:31: Only use Progesterone on days 14-28 of cycle

24:43: Progesterone in the form of soy and yams; can be used topically and orally

26:03: Not sleeping well? Try capsule form of Progesterone (must get prescription)

27:20: Some women don't do well on Progesterone

28:08: The Naked Truth About Bioidentical Hormones book by Suzanne Somers

28:55:  My top hormone recommendations here 

32:56: Estrogen helps our heart, brain, bones, and it's anti-inflammatory; avoid dry eyes, dry skin, dry hair, & dry vagina. Avoid high blood pressure, bladder leaks & UTIs

34:28: Estrogen can help ease joint pain and frozen shoulder

39:41: Breast cancer and estrogen (fear not!)

42:23: Estrogen Matters book by Avrum Bluming

43:40: Herbs to take the edge off

44:26: Why swallowing oral estrogen is not ideal

46:44: Estradiol vs estriol

46:57: Estriol is weaker form of estrogen

48:26: What estrogen Dr Deb recommends (she does NOT recommend estrogen pills)

49:14: Estriol is helpful to keep vagina thriving

50:08: Leans more towards Estradiol over Estriol

50:45: Will estrogen be transferred to partner during sex?

52:19: Estrogen should be used daily (and forever once you're on BHRT!)

53:10: Is BHRT safe if you haven't had a period for over ten years?

53:56: At bare minimum, begin BHRT within first ten years of final period

55:29: Why are hormones important as we age? 

56:56: BIG MYTH: You do NOT have to stop hormones just because you turn a certain age

59:37: Estrogen is extremely protective after menopause

1:01:40: Dr. Devaki Lindsey Berkson on Welcome to Wellness

1:02:06: Hormones keep your voice box from aging (you can sound youthful into old age like Dr. Berkson!)

1:03:37: Testosteron keeps our bones and muscles strong

1:04:02: Full of aches and pain or autoimmune conditions? Might be time to try Testosterone

1:05:51: When and how to take Testosterone

1:07:55: Can try DHEA before Testosterone

1:08:12: Must get Testosterone prescribed by a doctor

1:09:27: Optimal level for Testosterone for women: ABOVE 20 AT LEAST

1:09:59: How to measure hormones1:12:10: Specific day of cycle to test hormones (if you still have a period): DAYS 19-21

1:13:16: Estrogen gives us our waist

1:14:41: The solution to lose weight after 40 (HINT: you'll want to take BHRT with a clinician's supervision) 

1:17:40: Real life story of a woman who was told all her labs looked 'normal' even though she knew there was something wrong

1:18:51: If you're on Estrogen, you NEED Progesterone as well

1:19:43: How quickly do hormones start working?

1:20:18: If you begin taking hormones, you will WANT to take them forever

1:21:12: Can't find a doctor who will prescribe hormones? Find a new doctor (My secret tip: call your local compounding pharmacies and ask them to recommend doctors prescribing hormones)

1:22:30: Dr Deb's book (free on Kindle) This is Not Normal or buy the paperback version