Episode 115: Perimenopause, PMDD & What Women Need to Know with Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch

What if more women actually knew what to expect from perimenopause before they were in the middle of it? In this episode, Rachael sits down with Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch to talk about perimenopause, PMDD, menopause, and the hormonal changes that can impact both physical and mental health during this stage of life.

Together, they break down what’s actually happening to our hormones and brain chemistry, why symptoms can look so different from person to person, and what treatment options are available. They also discuss birth control, SSRIs, hormone therapy, supplements, mental health risks, and why understanding your medical history and tracking your symptoms can make such a difference in getting the right care.

Inside this episode:

When perimenopause can begin and how long it can last

The signs and symptoms of perimenopause and menopause

Understanding PMDD and how it differs from typical PMS

How hormonal fluctuations can affect mood, anxiety, and brain chemistry

Why mental health symptoms can become more intense during perimenopause

Treatment options including birth control, SSRIs, and hormone therapy

Common misconceptions about birth control and hormone therapy

Supplements, unregulated products, and what women should know before taking them

Why tracking symptoms can help you advocate for better care