704: Hormone Intelligence for Women in Midlife: How to Thrive Through Perimenopause with Dr. Aviva Romm

December 18, 2025 in Podcast, Women’s Health 0

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Episode Summary

Perimenopause and menopause can bring surprising changes to your brain—making multitasking even harder and emotional overwhelm way more real.

That’s why in this episode, women’s health expert Dr. Aviva Romm joins us to break down what’s really happening cognitively in midlife and how these shifts can be a normal, navigable transition.

Together, we’re debunking common perimenopause myths and unpacking how sleep, nutrition, exercise, and daily lifestyle choices can dramatically support your brain power and emotional resilience.

Dr. Romm shares her top practical tools that will help you feel clear, focused, and confident as your body evolves in midlife.

Ready to thrive—not just survive—through midlife and beyond?

Tune in now and discover how to support your brain and body so you can step into this next chapter feeling your best!

Aviva Romm, MD

Dr. Aviva Romm is a Yale-trained family physician, midwife, and herbalist who’s been a leading voice in women’s, maternal, and environmental health for over 35 years. She’s the author of nine books, including the landmark Botanical Medicine for Women’s Health, the New York Times bestseller Hormone Intelligence, and the forthcoming Force of Nature, a groundbreaking guide to perimenopause and menopause. Dr. Romm sees patients in New York, Massachusetts, and via telehealth. She also runs acclaimed online health programs and hosts the popular podcast On Health with Aviva Romm, empowering women worldwide.

IN THIS EPISODE

Navigating symptoms and changes in perimenopause
The cognitive emotional overwhelm that happens for women
Recognizing the common causes of midlife cognitive issues
The importance of advocating for yourself with your doctor
The massive benefits of sleep for cognitive functioning
Why you should focus on strength training in perimenopause
Creating your own community for perimenopause support
Debunking the myths and misinformation in the media around perimenopause and menopause

QUOTES

“So often sleep is disrupted by perimenopause and menopause. What a lot of women don’t realize is you can be having hot flashes but not consciously registering you’re having hot flashes. So a lot of women are being woken up by hot flashes they didn’t realize they were having.”

”We desperately need more practitioners who can answer those questions for women, whether it’s a more natural, holistic approach that does or doesn’t include hormone therapy, antidepressants, or any of the other things. Because the other problem is that these doctors are often doling out pharmaceuticals for sleep.”

”We now know that the impact of declining estrogen and progesterone on the brain [and] on the nervous system absolutely has an impact on anxiety, depression, and sleep.”