Your cycle is still regular. You’re getting your period every month.

So why does PMS feel heavier, more emotional, more exhausting than it used to?

In this episode, Kat and Andrew explain why PMS often intensifies long before your cycle becomes irregular. Regular bleeding does not mean balanced hormones. As you move through your 30s and 40s, progesterone output can gradually decline while estrogen becomes more unpredictable. The result is worse sleep, higher stress sensitivity, stronger cravings, brain fog, and mood swings that feel out of proportion.

They break down what’s actually changing hormonally in perimenopause, why blood sugar and gut health play a major role in PMS symptoms, why standard bloodwork often misses the full picture, and how to tell the difference between normal aging and a body that simply needs better support.

If your PMS feels different but your labs are “normal,” this episode will help you understand what’s happening and what you can do about it.

(01:45) Regular cycle, worse PMS — why this happens
(08:30) What’s changing hormonally in perimenopause
(16:00) Blood sugar, gut health, and estrogen dominance
(26:00) Hormone testing, progesterone, and what to track

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