Navigating your hormone replacement therapy journey isn't a one-stop shop, and after treating thousands of women, I've found that 95% of you will need more than a few visits to truly find your balance. In this video, I break down the three common paths, the Titrator, the Superstar, and the Highly Sensitive, to help you identify your own experience and understand why tweaking and titrating is a normal, necessary part of the process. Whether you're dealing with perimenopause shifts, pharmacy shortages, or unexpected sensitivities, I'm here to show you that while the journey is unique for everyone, you are definitely not alone.

🩷 Shop Cozy Earth here: ⁠https://cozyearth.com⁠Use code COZYDRHEATHER at checkout to save.

This video is sponsored by Cozy Earth

🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net

🩷Ways to Work with Me:

• Free Hormone Health Guide

 https://view.flodesk.com/pages/5f787bdd57796e835ea84e10

• Free Reclaiming Menopause Masterclass

 https://thecollaborative.kit.com/11077747ff

• Looking for expert menopause care? Learn more about The Collaborative:

 https://thecollaborative.kit.com/11e9825fb5

• Clinicians: Elevate your medical career. Join the course transforming how I prescribe  HRT:

 https://heatherhirschmd.myflodesk.com/prescribehrt

• Find Your Menopause Type

 https://view.flodesk.com/pages/647b461a3e266b3df9f1e253

🩷Books by Dr. Heather Hirsch:

 Unlock Your Menopause Type → https://amzn.to/3N0YcEC

 The Perimenopause Survival Guide → https://www.hachettebookgroup.com/titles/heather-hirsch/the-perimenopause-survival-guide/9781538774106/

🩷Video Gear:

 Camera: https://amzn.to/2SnFT4e

 Mic: https://amzn.to/3viq6kD

 Studio Light: https://amzn.to/3iBGYjB

🩷Stay Connected:

Instagram → https://www.instagram.com/heatherhirschmd/

TikTok → https://www.tiktok.com/@heatherhirschmd?lang=en

Facebook → https://www.facebook.com/heatherhirschmd/

Twitter/X → https://x.com/heatherhirschMD

LinkedIn → https://www.linkedin.com/in/heather-hirsch-md-ms-mscp-161556168

Pinterest → https://www.pinterest.com/heatherhirschmd/

Podcast → https://podcasts.apple.com/us/podcast/health-by-heather-hirsch/id1423965506

Website → https://heatherhirschmd.com/

🩷The Collaborative:

 Instagram → https://www.instagram.com/thecollaborative.telemed/

 Website → https://jointhecollaborative.com/

🩷The Academy:

 Instagram → https://www.instagram.com/heather.hirsch.academy/

 Website →  https://heather-hirsch-academy.kit.com/a0354f0b4a

🩷Disclaimer:

Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

In this special episode, I’m joined by Dr. Alexandra Sowa and Rachel Goldman, Ph.D. for a powerful midlife health masterclass on the topics every woman deserves to understand. From perimenopause and menopause to hormones, symptoms, treatment options, metabolism, mindset, and the future of women’s healthcare, this conversation brings together leading voices in the field to help educate, empower, and support women through midlife and beyond.

Whether you are navigating symptoms yourself, supporting someone you love, or simply want to better understand what happens during this stage of life, this episode is packed with expert insight, practical guidance, and the kind of information too many women are still missing.

Rachel Goldman's Book:
https://whenlifehappensbook.com/

Dr. Alexandra Sowa's Book:

https://getsowell.com/products/the-ozempic-revolution

🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787bdd57796e835ea84e10• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/11077747ff• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9825fb5• Clinicians: Elevate your medical career. Join the course transforming how I prescribe HRT: https://heatherhirschmd.myflodesk.com/prescribehrt• Find Your Menopause Type https://view.flodesk.com/pages/647b461a3e266b3df9f1e253🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/titles/heather-hirsch/the-perimenopause-survival-guide/9781538774106/🩷Video Gear: Camera: https://amzn.to/2SnFT4e Mic: https://amzn.to/3viq6kD Studio Light: https://amzn.to/3iBGYjB🩷Stay Connected:Instagram → https://www.instagram.com/heatherhirschmd/TikTok → https://www.tiktok.com/@heatherhirschmd?lang=enFacebook → https://www.facebook.com/heatherhirschmd/Twitter/X → https://x.com/heatherhirschMDLinkedIn → https://www.linkedin.com/in/heather-hirsch-md-ms-mscp-161556168Pinterest → https://www.pinterest.com/heatherhirschmd/Podcast → https://podcasts.apple.com/us/podcast/health-by-heather-hirsch/id1423965506Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → https://www.instagram.com/thecollaborative.telemed/ Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/heather.hirsch.academy/ Website → https://heather-hirsch-academy.kit.com/a0354f0b4a🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

In this episode, I draw on my 12 years of experience as a menopause specialist in New York City to break down the myths and truths about using hormone therapy when you have fibroids or endometriosis. I explain why these common gynecologic conditions are not absolute reasons to avoid HRT and how you can safely achieve symptom relief and long-term health benefits. My goal is to arm both proactive patients and clinicians with evidence-based information so you can navigate complex hormone therapy cases with confidence and ease.

🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net

🩷Ways to Work with Me:

• Free Hormone Health Guide https://view.flodesk.com/pages/5f787bdd57796e835ea84e10

• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/11077747ff

• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9825fb5

• Clinicians: Elevate your medical career. Join the course transforming how I prescribe HRT: https://heatherhirschmd.myflodesk.com/prescribehrt

• Find Your Menopause Type https://view.flodesk.com/pages/647b461a3e266b3df9f1e253

🩷Books by Dr. Heather Hirsch:

Unlock Your Menopause Type → https://amzn.to/3N0YcEC

The Perimenopause Survival Guide → https://www.hachettebookgroup.com/titles/heather-hirsch/the-perimenopause-survival-guide/9781538774106/

Menopause care needs to be a team effort. As a board-certified internist with training in both OB/GYN and internal medicine, I see menopause as so much more than a gynecological issue. The loss and fluctuation of sex hormones, especially estrogen, can impact nearly every system in the body, including the heart, brain, joints, GI tract, urinary system, mood, sleep, and overall quality of life.

I’m grateful to partner with Cozy Earth for this episode.

Shop Cozy Earth here: ⁠https://cozyearth.com⁠Use code COZYDRHEATHER at checkout to save.In this video, I’m breaking down why cardiology, neurology, psychiatry, rheumatology, oncology, gastroenterology, urgent care, and primary care all need a deeper understanding of menopause.When clinicians are not trained to recognize menopause-related symptoms, women can be misdiagnosed, overmedicated, or sent from specialist to specialist without getting the right support.It is time for a more integrated, informed, and compassionate approach to menopause care.

🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787bdd57796e835ea84e10• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/11077747ff• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9825fb5• Clinicians: Elevate your medical career. Join the course transforming how I prescribe HRT: https://heatherhirschmd.myflodesk.com/prescribehrt• Find Your Menopause Type https://view.flodesk.com/pages/647b461a3e266b3df9f1e253🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/titles/heather-hirsch/the-perimenopause-survival-guide/9781538774106/

The Menopause Talk Every Daughter Deserves // Perimenopause and menopause are more than hot flashes, and I want women to know the early signs can include anxiety, insomnia, depression, irritability, brain fog, and feeling like you are not yourself. In this conversation, I sit down with my daughter to talk about generational health, menopause education, women’s health research, and what the next generation deserves to know about midlife hormones. My hope is that we keep having more open conversations around perimenopause, menopause, aging, and women’s health so future generations feel more informed, prepared, and supported.

More about Dr. Hirsch:

Order My New Book: The Perimenopause Survival Guide: https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Join The Collaborative Medical Practice: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://thecollaborative.kit.com/11e9825fb5⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Enroll in my course on HRT management: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://heatherhirschmd.myflodesk.com/prescribehrt⁠⁠⁠⁠⁠⁠⁠⁠⁠

Is Your Birth Control Making Perimenopause Worse? When to Switch to HRT

Description: Are you still on birth control during perimenopause — and wondering if it's masking your symptoms or actually helping? Dr. Heather Hirsch breaks down the key differences between birth control pills and menopausal hormone therapy (MHT), explaining why the estrogen in your pill isn't the same as the estradiol in HRT and what that means for your perimenopause symptoms like hot flashes, night sweats, and brain fog. Whether you still need contraception or you're ready to transition fully to MHT, this video walks you through every option so you can have an informed conversation with your doctor.

More about Dr. Hirsch:

Order My New Book: The Perimenopause Survival Guide: https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Join The Collaborative Medical Practice: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://thecollaborative.kit.com/11e9825fb5⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Enroll in my course on HRT management: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://heatherhirschmd.myflodesk.com/prescribehrt⁠⁠⁠⁠⁠⁠⁠⁠⁠

If You Care About Longevity, You Need to Care About Menopause

Perimenopause and menopause are more than hormone changes. They are a major turning point for long-term health. In this video, I explain why the years between 45 and 60 can shape how you feel for the next 30 years and why menopause is not just about your period stopping. We talk about estrogen decline, progesterone decline, testosterone decline, chronic disease risk, health span, lifespan, and how to build generational health for yourself and your family.

I also break down why midlife is the time to pay attention to cholesterol, blood pressure, sleep, prediabetes, strength, mobility, social connection, and the everyday habits that influence your future. We cover family medical history, epigenetics, trauma, behavior modeling, and how your choices today can impact the next generation.

If you are in perimenopause or menopause and want to feel strong, informed, and proactive about your health, this video is for you.

More about Dr. Hirsch:

Order My New Book: The Perimenopause Survival Guide: https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Join The Collaborative Medical Practice: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://thecollaborative.kit.com/11e9825fb5⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Enroll in my course on HRT management: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://heatherhirschmd.myflodesk.com/prescribehrt⁠⁠⁠⁠⁠⁠⁠⁠⁠

Perimenopause and Brain Fog: What’s Actually Happening to Your Brain

Perimenopause brain fog, executive dysfunction, memory issues, focus problems, and cognitive overload are some of the most frustrating symptoms women experience in midlife. In this episode, Dr. Heather Hirsch and Anne Denigris discuss perimenopause symptoms, brain health, executive functioning, mental load, working memory, and why so many women feel overwhelmed during the menopause transition.

They break down how perimenopause can affect focus, task initiation, word retrieval, emotional regulation, and cognitive flexibility. You’ll also learn practical strategies for managing brain fog, reducing overwhelm, and building systems that actually help.

More about Dr. Hirsch:

Order My New Book: The Perimenopause Survival Guide: https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Join The Collaborative Medical Practice: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://thecollaborative.kit.com/11e9825fb5⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Enroll in my course on HRT management: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://heatherhirschmd.myflodesk.com/prescribehrt⁠⁠⁠⁠⁠⁠⁠⁠⁠

Why Midlife Women Have More Joint Pain and What Actually Helps // Dr. Sonali Lal breaks down frozen shoulder, joint pain, PRP, regenerative medicine, arthritis, and non-surgical pain relief for women in perimenopause and menopause. Learn how hormones, strength training, musculoskeletal care, and accurate diagnosis can impact pain, mobility, and recovery in midlife.

Find Dr. Sonali on Instagram: https://www.instagram.com/drsonali.nyc/

More about Dr. Hirsch:

Order My New Book: The Perimenopause Survival Guide: https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Join The Collaborative Medical Practice: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://thecollaborative.kit.com/11e9825fb5⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Enroll in my course on HRT management: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://heatherhirschmd.myflodesk.com/prescribehrt⁠⁠⁠⁠⁠⁠⁠⁠⁠

Using Humor to Navigate Midlife & Menopause with Lisa Corrao // In this episode, I sit down with comedian Lisa Corrao to talk about perimenopause, menopause, hormone replacement therapy (HRT), and navigating midlife symptoms. We discuss menopause symptoms, hormone health, midlife changes, and how HRT can improve quality of life for women going through perimenopause and menopause.

Lisa shares her journey from teacher to stand-up comedian and how humor has helped her navigate the ups and downs of midlife. We also talk about how laughter can be a powerful tool during the menopause transition and why having open, honest conversations about women’s health and hormone therapy is so important.

More about Dr. Hirsch:

Order My New Book: The Perimenopause Survival Guide: https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Join The Collaborative Medical Practice: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://thecollaborative.kit.com/11e9825fb5⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Enroll in my course on HRT management: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://heatherhirschmd.myflodesk.com/prescribehrt⁠⁠⁠⁠⁠⁠⁠⁠⁠