Empowering Women Through Midlife Transitions: A Conversation with Amanda Maingi

On Peri and Pause the podcast, host interviews women’s health nurse practitioner Amanda Maingi, who shares why she chose women’s health, her education at Georgetown, and how menopause and perimenopause received limited focus in training despite women spending a third of life in this stage. Amanda describes noticing gaps while working in a fast-paced traditional GYN clinic, where time constraints and protocol-driven care could miss the “whole woman” experience. She contrasts younger patients’ typically more straightforward visits with the complexity of midlife, highlighting under-research, life stressors, and chronic conditions. Common perimenopause symptoms often mislabeled as anxiety or depression include sleep disruption, heart palpitations, brain fog, irritability, overwhelm, and feeling out of control. The episode emphasizes validation, individualized high-touch care beyond algorithms, and addresses misconceptions that hormone therapy is inherently dangerous, stressing risk-benefit tailoring and comprehensive evaluation.

00:00 Welcome and Guest Intro

00:53 Why Womens Health

02:17 Academic Journey Highlights

04:09 Menopause Education Gap

05:24 Clinic Reality and Missing Care

08:57 Midlife vs Younger Patients

13:14 Symptoms Mistaken for Anxiety

17:43 Beyond Protocols Individual Care

19:34 Patch And Pill Problem

21:21 Telehealth Versus High Touch

22:56 Layered Whole Woman Care