Perimenopause Symptoms: The Early Signs You May Not Recognize with Dr. Alicia Robbins

Natalie Crawford, MD

Natalie Crawford, MD

4,301 views

What is perimenopause? What happens to your body before menopause?

In this episode of the As a Woman podcast, Dr. Natalie Crawford talks with Dr. Alicia Robbins, a board-certified OB/GYN, certified Menopause Society Practitioner, and founder of The Elm. They discuss why sleep and mood can change before hot flashes or irregular periods begin, how cycle tracking may reveal patterns, and how progesterone, estrogen, and testosterone are considered in individualized perimenopause care. They also explain the connection between fertility and perimenopause, what else should be ruled out, and how to advocate for better care when your symptoms are dismissed.

IN THIS EPISODE:
00:00 What Is Perimenopause and When Does It Start?
03:20 Why Dr. Alicia Robbins Changed Her Approach to Perimenopause
09:55 Perimenopause vs. Menopause: What’s the Difference?
11:23 Fertility and Perimenopause
12:22 How Do You Know if You’re in Perimenopause?
14:47 How to Track Perimenopause Symptoms
16:02 Hormone Therapy During Perimenopause
17:38 Symptoms of Low Progesterone
18:11 Hormone Therapy, Birth Control, and Pregnancy
20:17 Testosterone and Pregnancy
21:21 Testosterone for Women
23:43 Symptoms of Low Estrogen
25:12 When to Start Hormone Therapy
27:04 Estrogen Patches vs. Pills
27:40 Do You Need Hormone Testing for Perimenopause?
30:01 Is It Perimenopause or Something Else?
32:13 How to Advocate for Better Perimenopause Care

GUEST RESOURCES:
Instagram: Instagram: aliciarobbinsmd
Website: https://www.theelmgreenwich.com/
Podcast: https://www.draliciarobbins.com/podcast

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AS A WOMAN WITH DR. NATALIE CRAWFORD:
YouTube: AS A WOMAN PODCAST
Apple Podcasts: https://podcasts.apple.com/us/podcast...
Spotify: https://open.spotify.com/show/12IYOLH...

HOST RESOURCES:
Order The Fertility Formula: https://www.nataliecrawfordmd.com/book
Newsletter: https://www.nataliecrawfordmd.com/new...
Instagram: Instagram: nataliecrawfordmd
YouTube: @nataliecrawfordmd
Become a patient: https://www.forafertility.com
Earn FREE CE/CME: https://learnatpinnacle.com/education

This episode is brought to you by The Pinnacle Podcast Network.

ABOUT DR. NATALIE CRAWFORD:
Natalie Crawford, MD, is a double board-certified OB/GYN and reproductive endocrinologist, co-founder of Fora Fertility, and author of The Fertility Formula. She helps women understand their hormones, fertility, and reproductive health so they can make informed decisions about their bodies.

Disclaimer: Natalie Crawford, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care.

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