April 23, 2026

S4 Ep200: Perimenopause Problems-an Experts Approach with Dr. Steven Goldstein

53 minutes

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This is my 200th episode! So I decided to replay a fan favorite.
Dr. Steven Goldstein's perimenopause episode was among the top 5 most downloaded, with good reason.

The only thing predictable about perimenopause is that it is …unpredictable. My guest today is Dr. Steven Goldstein, a tenured professor at NYU's Grossman School of Medicine, the past President of the International Menopause Society, Past President of The Menopause Society, and one of the WORLD’S top experts on the science of perimenopause.

The problem with the standard definition of menopause.

Why bleeding and having a period is not the same thing

Why perimenopausal women bleed erratically

Why anxiety and other symptoms occur during

How to interrupt FSH and estradiol blood levels

The best treatment for perimenopause

Why birth control pills work so well during perimenopause

Myths about birth control pills

The concept of “suppression and substitution”

How long perimenopause lasts

What triggers perimenopause

Why fibroids often grow during perimenopause

How to know if symptoms are perimenopause hormonal fluctuations or something else

How long someone can stay on a birth control pill

When the 12-month rule doesn’t hold

When perimenopause and menopause hit before the age of 40.

When perimenopause hits before 40 why it needs to be treated

Options if someone can’t take birth control pills

When you can ignore irregular bleeding and when it needs to be evaluated

What Black women need to know about perimenopause bleeding

The likelihood of cancer if there is a uterine polyp and you are not bleeding

Link to Steven Goldstein MD
https://www.goldsteinmd.com/services/gynecologist-perimenopause-specialist/

Link to John Rock’s Error Article

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society.

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

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By Lauren Streicher, MD

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