Hormones
Vaginal Dryness in Menopause: Understanding GSM
Dryness, irritation, and recurrent urinary symptoms share one cause and one highly effective family of treatments.
Fine Wines Health
News
Insights on midlife wellness, hormonal health, and aging well.
LatestCycles
Irregular Periods in Perimenopause: What Is Normal and What Is Not
Cycles that shorten, skip, or turn heavy are the earliest sign of perimenopause. Some patterns are expected. A few need evaluation.
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Getting Started
Perimenopause or Menopause? How to Tell Where You Actually Are
Menopause is a single day on the calendar. Perimenopause is the decade that leads up to it, and it is where most...
Metabolism
Insulin Resistance in Midlife: The Shift Behind the Scale
The metabolic change of perimenopause begins years before a blood sugar reading turns abnormal, and it is largely reversible.
Perimenopause
Why Sleep Breaks in Midlife, and What Actually Helps
Waking at 3am is not a personal failing. Here is the physiology behind midlife sleep loss and what the evidence supports.
Hormones
Painful Sex After 40: Why It Happens and What Actually Treats It
Pain with intercourse in midlife is common, physical, and highly treatable. Most women wait years before mentioning it.
Energy
Fatigue in Midlife: Why You Are Tired and What Is Worth Testing
Midlife fatigue is rarely one problem. It is usually three smaller ones stacked, and most of them are measurable.
Hormones
Hot Flashes and Night Sweats: What Is Happening and What Helps
Vasomotor symptoms affect up to eight in ten women and can last far longer than most expect. Here is the mechanism and...
Getting Started
Hormone Testing in Midlife: What Is Worth Checking
If you are not sure what is happening, testing can help. But the panel that helps is not the one most often...
Brain Health
Brain Fog in Midlife: Why It Happens and When to Worry
Word-finding trouble and slower recall are documented features of the menopause transition. For most women they are temporary.
Hormones
Joint Pain in Menopause: The Symptom Nobody Warned You About
Stiff hands in the morning and aching shoulders are far more common in the menopause transition than most women are told.
Hormones
Hormonal Acne in Your 40s: Why Breakouts Come Back
Adult acne along the jaw and chin is driven by a shifting estrogen to androgen ratio, and it does not respond to...