324. Perimenopause is Real

324. Perimenopause is Real

🎙️ Episode 324: Perimenopause is Real—What You Need to Know with Jackie Piasta, WHNP-BC Perimenopause is real—and often misunderstood. In this episode, I sit down with women’s health nurse practitioner Jackie Piasta to unpack the truth about this critical (and neglected) phase of midlife. If you’ve been told “you’re too young” or “just tough it out,” this conversation will feel like the validation you’ve been missing. Jackie and I dive into what perimenopause really looks like—from migraines and mood swings to weight gain and disrupted sleep—and why these symptoms deserve real answers, not dismissal. We talk through what’s happening hormonally, why lab tests aren’t the gold standard, and how to shift from a “birth control” mindset to a hormone-optimization mindset in your 30s, 40s, and beyond. In this episode: Why perimenopause can start in your 30s—even with regular periods Common myths that keep women suffering in silence How to track symptoms and cycles instead of chasing lab results The role of hormonal birth control—and when it helps vs. masks symptoms How estradiol, progesterone, and vaginal hormones can support brain, sleep, and libido Supplements and newer options: magnesium, L-theanine, flibanserin, even topical CBD Real-world patient cases that show how individualized care changes lives Top takeaways: Perimenopause is a clinical diagnosis—there’s no perfect test. Hormonal fluctuations can cause real physical, emotional, and cognitive changes. Bone loss, lipid changes, and heart risks start before menopause. Progesterone is often underused but powerful for night sweats, anxiety, and sleep. SSRIs are not first-line for new-onset mood changes in perimenopause. Early intervention matters—don’t wait until menopause to get help. We also talk about newer birth control formulations, managing migraines, and what the research is showing us about how menopause impacts heart health and brain function. Spoiler: it’s not just about hot flashes. This episode is your permission slip to stop toughing it out and start asking for care that actually helps. 🔗 Referenced Studies & Resources: Brinton RD et al. Perimenopause as a neurological transition state. Nat Rev Endocrinol. 2015;11(7):393-405. Wu B et al. Trajectories of Blood Lipids Profile in Midlife Women. J Am Heart Assoc. 2023;12(22):e030388. SWAN Study: Lipid trajectory insights through the menopausal transition https://www.instagram.com/jackiep_gynnp https://www.mymonarchhealthco.com/ Want more honest, empowering conversations like this one?⁠Preorder my Next Book⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠ To learn more about GennaMD by Solv Wellness, visit ⁠⁠⁠⁠⁠⁠⁠gennaMD.com ⁠⁠⁠⁠⁠⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠⁠⁠⁠⁠⁠gennaMDHCP.com⁠⁠⁠⁠⁠⁠⁠. Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

Avsnitt(334)

Meet BIGLOVEFIERCEJUJU - an OB/GYN with her own cancer story

Meet BIGLOVEFIERCEJUJU - an OB/GYN with her own cancer story

PART 1 - Today I am so excited to chat with BIGLOVEFIERCEJUJU!!! Or in her day job Dr. Shieva Ghofrany. She is a medical doctor, who is an OB/GYN practicing in Connecticut. You can find her at biglovefiercejuju.com On IG at biglovefiercejuju -she as 23k followers! Through the BIG LOVE FIERCE JUJU Foundation, Dr. Shieva Ghofrany plans to help people engage in their mindset and "lose the fear" of VERY common, everyday, but admittedly anxiety-provoking issues. 01:19 – Origin of the name Big Love Fierce Juju 02:42 – Talking about Ovarian Cancer – her personal journey 06:!5 – Surgical Menopause – how is this different than “regular” menopause 08:39 – Managing Hot Flashes – natural non-hormonal options 12:35 – Vaginal Dryness 22:18 – Libido Check out her TRIBECALLEDV - www.instagram.com/tribecalledv Where she increases your knowledge about your female health to decrease your anxiety! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

10 Jan 202128min

Happy New Year 2021! Tips for impossible goals!

Happy New Year 2021! Tips for impossible goals!

Happy New year! I reflect on the past year. How I got started by listening to the voice in my head.  Yeah, kinda like Frozen 2 (which my kids are currently watching). - You have to deal with your limiting beliefs that aren’t moving you forward Impossible goal for 2021 – how about intimacy?  It is the journey, not the destination – a journey of 1,000 miles starts with a single step. It is not the YOU when you get there – but the journey What is your reason for your goal? If it is so you feel better about yourself, ask yourself why you can’t feel good about yourself now. You are worthy now, just as you are. Nothing you can get/obtain will CREATE the worthiness. Feeling of worthiness comes from thoughts, not circumstances. So, if you want to have a better sex life to feel worthy as a spouse etc etc….what is preventing you from feeling worthy as a spouse now? Watch out for the SHOULDS! I also share the top four rules by Dr. Rachel Carlton Abrams in “the Multi-Orgasmic Woman". Self-cultivation – best renaming EVER! And in the meantime, remember, you are not broken. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

3 Jan 202116min

LUBE! An Overview. Interview with Jenn Mason

LUBE! An Overview. Interview with Jenn Mason

Jenn Mason, owner of the sex shop Wink Wink Boutique in Washtington state joins us today! www.winkwinkboutique.com IG: www.instagram.com/winkwinkboutique Lubrication  - why people are resistant to the idea of lubrication How to have a conversation with your partner about sex Water based lube Silicone based lube Hybrid lube Flavored Lube Desire Arousal mismatch Lube doesn’t replace the need for preparing the body for sex CBD Lube --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

27 Dec 202020min

2/2 - Dr. Rashmi Kudesia - part two - hormone replacement 101 and hormone healthy bodies

2/2 - Dr. Rashmi Kudesia - part two - hormone replacement 101 and hormone healthy bodies

Taking it up right where we left off! Dr. Rashmi Kudesia - part two - hormone replacement 101 and hormone healthy bodies. 1) Who is a good candidate for hormone replacement therapy? 2) Who is NOT a good candidate for hormone replacement therapy? 3) Androgens in polycystic ovarian syndrome 4) Where do androgens come from in the female 5) It is so popular now to read about “balancing your hormones” – help us out with that – are people talking about lifestyle habits or what are your thoughts about “balanced hormones” 6) The role of diet in your hormones. The “pro-fertility” diet. https://www.ccrmivf.com/houston/rashmi-kudesia/ www.instagram.com/RKudesia www.facebook.com/RKudesia --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

20 Dec 202018min

EPISODE 50!!! Dr. Rashmi Kudesia - part one - hormones throughout life

EPISODE 50!!! Dr. Rashmi Kudesia - part one - hormones throughout life

Hormones throughout our life. Today I am so excited to interview Dr. Rashmi Kudesia. She is a practicing infertility specialist at CCRM Fertility in Houston, Texas. https://www.ccrmivf.com/houston/rashmi-kudesia/ www.instagram.com/RKudesia www.facebook.com/RKudesia She did medical school at Duke, then a OB/Gyn Residency at Cornell.  She then did additional fellowship training in Reproductive endocrinology and Infertility, as well as a Masters in Clinical Research, at Albert Einstein, and now practices in Houston. Part One – Hormones throughout life and sex while trying to conceive. 1) What is a reproductive endocrinologist? 2) Can you talk about how infertility affects a couple’s sex life – turning it into work. 3) What are the sexual side effects of a. Birth control b. Infertility treatments c. Menopause d. PCOS BIRTH CONTROL SE – what do do about periods 4) What are the roles of hormones in sexual health estrogen, progesterone, thyroid, androgens 5)  Why are women so afraid of estrogen in our society? The “shame” of being hormonal combined with the WHI study. The myth that birth control affects fertility. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

13 Dec 202021min

The Spice of Life - Toys!

The Spice of Life - Toys!

I am interviewing Jenn Mason again!  So Good! www.winkwinkboutique.com IG: www.instagram.com/winkwinkboutique The Stigma of sex toys Sex toys can level the orgasmic inequality in a partnership – level the playing field Types of toys How toys can help people with disabilities Options in the toy department --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

6 Dec 202025min

Money and Sex! An interview with Latifat Alli-Akintade, MD

Money and Sex! An interview with Latifat Alli-Akintade, MD

Today I am so excited to talk with Dr. Latifat! She is a GI doctor working in Sacramento, California She is a graduate of the Life Coach School and coaches women on Money Mindset. You can find her on FB at MoneyfitMD and at www.moneyfitmd.com She helps women go from financially overwhelmed to financially confident. It all starts with transforming your relationships with money. Why talk about money on a podcast about sex? When She coaches women about money, They spend a lot of time on the relationship with self and how this money drama is really just a phenotype of a deeper issue. When we heal from the inside, money falls into line. I think this relates to sex as well. Tell us how you got into coaching on money mindset! Sex , money, mindset are so connected. 1) money in relationships. How to money date your partner. What do you mean by this? - We don’t have to like the same things, but communication helps us understand the language we are speaking to each other. - Safe spaces and communicating BEFORE there are issues 2) How to get more (money & sex) 3) Money worries and sex. They can buffer each other . Discuss 4)  Developing your other confidence: money confidence. 5) The common beliefs limiting to conquer that will grow your money and sex life. 6) Understanding our capacity to do many, wonderful things 7) Money Scarcity beliefs --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

29 Nov 202032min

#47 - Your Partner Is Not Broken

#47 - Your Partner Is Not Broken

This one is for the dudes!  And the women who love the dudes! Truthfully, it works for same sex couples too. Let's talk about changing your partner - ha!  You can't!!! Starting from a place of appreciation. Avoid assumptions. Erectile Dysfunction Loving what is.  Intimacy avoidance. Avoiding being critical. Discover what makes your partner feel loved. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

22 Nov 202020min

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