Women go on hormone therapy to manage peri/menopause symptoms and feel better. But sometimes to their surprise, they feel worse. Or some symptoms go away while others pop up. That’s because of the hormones! We have hormone receptors all over our body and whenever we switch up the signals they’re receiving, whether through the menopause transition itself or through the hormones we use, they’re going to respond to those changes, and sometimes not in the way we want. Most side effects are manageable with time or by dialing in delivery methods and/or doses. It’s just important to know what to expect. We talk all about it this week with our resident menopause specialist Dr. Carla DiGirolamo.

Carla DiGirolamo, MD, PhD, is a Double Board Certified Reproductive Endocrinologist and Obstetrician/Gynecologist specializing in infertility and menopausal medicine. She is also a Crossfit Level 1 trainer, Certified Nutrition Coach, and member of CrossFit Health. She is a MedFit Care provider and provides weekly workouts and medical updates at her Substack Athletic Aging. She is an Endocrine Consultant for Wild Health. Most recently, she has launched her own private practice specializing in helping active and high-performing women reach their performance potential from puberty through menopause. Dr. DiGirolamo is now seeing patients for virtual consultations for menopausal care and performance optimization. Visit her website www.drcarlad.com to learn more about her services and schedule an appointment.

Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/

Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/

Follow Us on Instagram:

Feisty Menopause: @feistymenopause

Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099

Support our Partners:

Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/

Hettas: Use code STAYFEISTY for 20% off at https://hettas.com/

Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/

Wahoo: Use the code FEISTY2026 to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/WVhdr