Jamie, founder of Peri & Pause—the Menopause Center—and a board-certified nurse practitioner, explores why many women feel dismissed during perimenopause and menopause, emphasizing it’s often rooted in history and training rather than lack of care. She explains how menopause was long framed as a “normal” transition not requiring intervention, despite wide-ranging effects on brain, sleep, mood, metabolism, and cardiovascular health. Jamie highlights limited menopause education in medical training and how normal lab results can lead clinicians to default to stress or mood explanations. She details how the 2002 Women’s Health Initiative study—often misinterpreted, focused on older women and specific hormone formulations—drove widespread fear of hormone therapy, shaping practice for decades. She notes newer, more nuanced evidence is slowly changing care and previews upcoming episodes introducing the clinic’s nurse practitioners.

00:00 Why Women Feel Dismissed

02:14 Menopause Is Natural Not Simple

05:40 Training Gaps In Menopause Care

07:43 Defaulting To Stress And Labs

09:46 WHI Study Changed Everything

10:50 Who WHI Actually Studied

12:24 Hormone Types And Nuance Lost

14:05 Breast Cancer Risk Explained

15:31 Aftermath And Reassessment

19:23 Where Menopause Care Is Now

20:24 Next Series Meet The NPs