Cycles
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.
Fine Wines Health
News
Insights on midlife wellness, hormonal health, and aging well.
Hormones
Vaginal Dryness in Menopause: Understanding GSM
Dryness, irritation, and recurrent urinary symptoms share one cause and one highly effective family of treatments.
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...
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...
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...
Heart Health
Heart Palpitations in Perimenopause: When Flutters Are Hormonal
Skipped beats and sudden pounding are common in the menopause transition. Knowing which ones need a cardiac workup matters.
Heart Health
Heart Health in Midlife: The Risk Shift Nobody Mentions
Cardiovascular disease is the leading cause of death in women, and risk changes measurably during the menopause transition.
Hormones
Libido and Intimacy in Midlife: An Honest Conversation
Changes in desire and comfort during midlife have specific, treatable causes. Most women are never asked about them.