Mornings with Megan

In this episode of Mornings with Megan, perimenopause nutritionist Megan Pfiffner sits down with Dr. Jennifer Helft, pelvic floor physical therapist and founder of Modern Pelvic Health Physical Therapy, to talk about what estrogen decline is actually doing to your pelvic floor, why leaking during exercise is common but not normal, and why Kegels are almost never the complete answer.

What we cover:

• What happens to pelvic floor tis...

In this episode of Mornings with Megan, chronic stress and nervous system dysregulation in perimenopause take the spotlight.

Certified Nutrition Specialist Megan Pfiffner breaks down why the Regulate pillar of the Perimenopause Matrix, the one piece most women skip, might be the reason your gut protocol, hormone therapy, or nutrition plan isn't working the way it should.

Megan introduces "Monica," her name for the inner critic that n...

In this episode of Mornings with Megan, rucking in perimenopause takes center stage: what it actually is, why it matters for hormones, muscle, and bone health, and how to start this week. I'm bringing back one of our most-loved episodes as I take some downtime before fall content kicks off.

Rucking is simply walking with a weighted pack, a term borrowed from the military. But as I explain in this episode, women have quietly been doi...

I tried five different diets over the years, made just about every mistake you can make, and I'm sharing all of it in this episode: vegetarian, paleo, keto, a candida protocol, and a short-term bulking phase. What worked, what backfired, and what I finally landed on.

This week I'm bringing back one of the most loved episodes in the Mornings with Megan archive while I take a little downtime before things pick back up this fall. It's ...

In this episode of Mornings with Megan, we are back with pelvic floor occupational therapist Marlene Handler for Part 2, and we are getting into what actually happens when you walk through the door of a pelvic floor therapy clinic for the first time.

If something from Part 1 landed for you: the leaking, the painful sex, the prolapse, the constipation, the shame of not asking for help sooner. This is the episode that tells you exactl...

In this episode of Mornings with Megan, we are talking about one of the most overlooked pieces of perimenopause care: the pelvic floor.

Leaking, painful sex, prolapse, constipation. These are being dismissed in seven-minute appointments across the country. Women are being sent to three different specialists, and told it is just part of getting older. It is not. Most of it is treatable. Much of it is preventable. And there is an enti...

What the Scale Isn't Telling You: Strength Training with Noelle McKenzie (Part 2)

Part of the Move and Regulate Pillars of the Perimenopause Matrix™

If you have ever felt frustrated that the number on your scale will not move, even though your pants fit differently and you feel stronger, this episode is going to change how you think about that number completely.

This is part two of my conversation with Noelle McKenzie, co-founder of L...

Muscle Is Your Retirement Plan: Strength Training with Noelle McKenzie (Part 1)

Part of the Move Pillar of the Perimenopause Matrix™

If you have ever been afraid that lifting weights will make you bulky, or you have been doing the same workout for years without seeing changes in your strength, this episode is for you.

In this episode, I sit down with Noelle McKenzie, co-founder of Leading Edge Personal Trainers, to talk about strength...

In this episode of Mornings with Megan, we are getting into the 2 a.m. wakeup and what is actually driving the sleep disruption so many women experience in perimenopause and midlife.

This is part two of my conversation with Morgana Lakatos-Hayward, certified perimenopause health coach, bestselling author, and founder of This Isn't a Diet. If you haven't listened to Episode 36 yet, start there.

What we cover:

• Why sleep belongs at t...

In this episode of Mornings with Megan, we are talking about one of the most common and frustrating experiences in perimenopause: doing everything right and still watching your body change.

I sat down with Morgana Lakatos-Hayward, certified perimenopause health coach, bestselling author, and founder of This Isn't a Diet, to dig into the real biology of why midlife weight loss is so different, and why the thing most of us reach for f...

This one is a solo episode, and it is a little different.

No research roundup. No guest. Just me, pulling up a chair and actually seeing you for a minute before the summer disappears.

Before we fly through the next three months, I want to ask you something: what have you done this year that you feel good about? Not what's left on the list. What's already here.

In this episode we cover:

• Why summer is genuinely hard for women in peri...

If you have ever searched "what to do about perimenopause" and closed the tab more overwhelmed than when you opened it, this episode is for you.

I am breaking down exactly where I start with every single client, and it is not a 12-step plan. It is two pillars of the Perimenopause Matrix that, when you get them moving, shift everything else.

But before we get into the how, we need to talk about the story we have been told about menopa...

Last week I told you that the 6% saturated fat guideline is not what it appears to be. This week we get into the part that actually matters: what does the research say really moves your cholesterol numbers?

This episode lives in the Fuel pillar of the Perimenopause Matrix. Fuel is about how your body uses energy, and for a lot of women in perimenopause, the lipid picture is one of the first places the Fuel pillar starts to signal.

I ...

I failed before lunch on day one. And I did not eat a single thing on the American Heart Association's high-saturated-fat restricted list.

This is Part 1 of a two-part series sitting in the Fuel pillar of the Perimenopause Matrix. Fuel is about how your body uses energy, and for a lot of women in perimenopause, the lipid picture is one of the first places the Fuel pillar starts to signal.

In this episode I walk through why the 6% sat...

This is the conversation most women never get in a doctor's office.

I sat down with Dr. Sarah Berg, a board-certified OB-GYN and Certified Menopause Practitioner, to talk about what is actually happening in your body during the perimenopause transition, why your doctor may not have had the tools to help you even when they wanted to, and what changed when the FDA removed the black box warning from hormone therapy in November 2025.

In ...

Episode 30: IT Just Got a Whole Lot Better -- Vaginal Estrogen, the FDA, and What Changes Now

This is the finale of my three-part series on sexual health in perimenopause, and the episode I have been most excited to record.

We are going deep on vaginal estrogen: what it is, what it does, the history that kept millions of women away from it, what changed in November 2025, and what is coming next with the FDA push to make it available ...

This is part two of my three-part series on sexual health in perimenopause, and this week we are getting practical.

Part one was about understanding what is happening in your body. This episode is the toolkit. We cover everything from solo sex as a health practice to the lubrication conversation most women have never had clearly enough, and everything in between.

What we cover:

• Why solo sex is a body literacy tool and one of the m...

This is part one of a three-part series on sexual health in perimenopause, and it is one of the most important conversations we are going to have on this show.

I open with my own story: twenty years on birth control with essentially no libido, the practitioners who missed it, and the one sentence from a nutrition counselor that changed everything. From there we go deep on the hormonal biology of desire and what perimenopause does to...

Postpartum after 38 is metabolically different. Here's why, and what to do about it.

If your body isn't bouncing back after having a baby the way you expected, you're not imagining it. Recovery is genuinely harder in your late 30s and 40s, and for a growing number of women, the reason is the overlap between postpartum recovery and early perimenopause.

I joined Sarah Trott on the Fourth Trimester Podcast to talk about the physiology b...