Perimenopause, menopause, and the changing of the world: Professor Mandy Mangler and host Friederike Kempter explore how hormones, daily life, and health are interconnected during this phase of life. Where does "normal stress" end—and where do hormonal changes begin?

🌙 We discuss why "the changing of the world" isn't strictly a clear medical term and what perimenopause, menopause, and postmenopause actually mean. Mandy explains which typical symptoms are statistically linked to estrogen deficiency—from sleep disturbances and hot flashes to vaginal dryness—and how difficult it can be to distinguish them from the normal aging process.

🏥 In the second part, we focus on visiting a gynecologist: Which questions are helpful, which examinations are useful—and which benefit the labs more than the patients? We show you what a sensible, step-by-step approach to menopause therapy looks like: adjusting your lifestyle, using herbal remedies and topical treatments, non-hormonal options, and only then hormone replacement therapy – always tailored to your individual needs, never following a one-size-fits-all approach.

🔥 Finally, we shift the focus of menopause from a problem to an opportunity: for health, self-determination, and a clearer understanding of ourselves. It's about sleep, exercise, nutrition, social connections – and about no longer just trying to "please" others, but rather utilizing your own experience and strength.

In this video:

00:00 Intro
01:55 When does perimenopause begin?

07:10 What's happening in research?

11:05 Opportunities during menopause
19:30 Exercise, nutrition & hormones for mild menopausal symptoms

Subscribe now to "40 plus – just for women" if you want to hear in-depth discussions about women's health, and let us know in the comments which questions about perimenopause and menopause you'd like us to explore in more depth in future episodes. 👉

Credits:

Host: Friederike Kempter
Guests: Mandy Mangler

Editors: Sandra Kolnik, Florian Rimmele, Rebecca Rodrian
Camera: Bettina Krczal, Andreas Bulling
Sound: Claudia Constantin, Sascha Biesz
Editing: Franka Wunder, Dennis Gründel

Production Management: Lena Grupp, Natascha Schultheiß
Project Management: Ellen-Scarlett Messing
Production Supervisor: Kathrin Tiefenthaler

Overall Director: Manuel Dörflinger

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Welcome to the official SWR Deep Talk YouTube channel – the place for in-depth conversations and real stories. Here, we explore the big issues that matter to us: from personal stories and societal challenges to inspiring life paths. Profound, relatable, and honest – we put people, emotions, and their stories at the heart of everything we do.

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