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April 7, 2025 47 mins

In this episode of Women Mastering Midlife, host Victoria Byrd welcomes back Dr. Aoife O’Sullivan, MD MSCP, for an in-depth conversation about perimenopause. While the menopause movement is gaining momentum, perimenopause often remains misunderstood and underrepresented in medical discussions. Together, Victoria and Dr. O’Sullivan shed light on the symptoms, challenges, and treatment options for perimenopause, providing women with the knowledge they need to advocate for their health.

Key Topics Discussed:

  • The lack of standardized care and awareness around perimenopause

  • Why many doctors still don’t recognize or treat perimenopause effectively

  • The hormonal shifts that occur and how they impact the body and brain

  • The connection between progesterone, sleep issues, and anxiety

  • How fluctuating estrogen levels contribute to hot flashes and night sweats

  • The impact of perimenopause on cognitive function, brain fog, and mood

  • Why perimenopause-related anxiety is different from traditional anxiety disorders

  • Understanding perimenopausal menstrual cycle changes and irregular bleeding

  • The importance of hormone therapy and how to advocate for the right treatment

  • Dr. O’Sullivan’s insights on the latest research in menopause and brain health

  • How perimenopause symptoms affect women in the workplace and daily life


Dr. O’Sullivan also shares exciting news about her new podcast, The Dusty Muffins, co-hosted with Dr. Rebbecca Hertel (DO, MSCP)  and Dr. Christine Hart Kress (DNP). This show offers a mix of expert insights and candid conversations about navigating perimenopause and menopause.


Resources Mentioned:


  • Connect with Victoria Byrd:


  • If you’ve ever felt dismissed or confused about what’s happening to your body, this episode is for you. Tune in to gain clarity and confidence in navigating perimenopause!


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