Dr. Kate Naumes, ND

03/10/2026

03/06/2026

Perimenopause is not a fertility free-for-all.

Irregular cycles don’t mean ovulation packed up and left. They mean it got sneaky.

In the new blog, I break down:
• why contraception still matters in perimenopause
• why The Pill isn’t always the best tool in this phase of life
• what often works better instead (yes, IUDs — and no, they’re not the villain)
• how IUDs actually work, how to choose the right one, and what the research really says about mood

This isn’t about avoiding responsibility. It’s about protecting choice in a body that’s changing and deserves thoughtful care.

Contraception is autonomy, so let’s choose care that supports your whole self, not just a checkbox.

Read the full post at naumesnd.com/blogs

Still have questions? Drop them in the comments below!

02/22/2026

The newest newsletter is out, and this one surprised me too. 🐝

It starts with a movie, spirals into a new hobby, and lands somewhere very midlife: the realization that sometimes you don’t need to master a new thing — you just need something that helps you belong in your own life again.

This is an excerpt from my upcoming book, I HATE EVERYONE: Confessions of a Perimenopausal Woman, and it’s about trying, failing, loving anyway, and not needing to be the queen bee to matter.

If you’re already on the list, it should be waiting in your inbox.
If you’re not, you can still sign up before the next send.

🔗 Link in bio to join.

Midlife metaphors show up in strange forms. Sometimes they buzz.

02/12/2026

New blog is live: Perimenopause: Weeds, Wrinkles, and What Still Grows.

This one started in my garden and turned into a meditation on midlife, hormones, friendship, and the seasons that refuse to behave on command.

Perimenopause doesn’t arrive neatly. Growth isn’t always pretty. And sometimes what’s saving you isn’t the thing you planted — it’s the bouquet a friend brings when your own patch won’t bloom.

I also share a few gentle, real-life tips for planning a Galentine’s or girls’ night — because connection counts as care, and honestly, it’s always a good idea.

If you’re in a season that feels messy, stubborn, or out of sync with expectations, this one’s for you.

Read it now at http://naumesnd.com/blogs 🌱

And if it resonates, send it to the friend who shows up with flowers — or becomes one when things feel unruly.

02/08/2026

One of the biggest myths I hear from women in their 40s:
“If my periods are weird, I can’t get pregnant… right?”

Not exactly.

Perimenopause is chaotic, not conclusive. Ovulation can still happen — just inconsistently and without warning. That means pregnancy is less predictable, not impossible.

This carousel breaks down what actually matters, why cycle tracking often stops working in this phase, and what contraception options are still safe and appropriate in midlife. No shame. No scare tactics. Just physiology.

If you don’t want surprises, you deserve real guidance — not assumptions based on age.

📩 DM “BOOK” and let’s talk through what makes sense for your body.

01/31/2026

Is it too late to start hormone replacement therapy in your 60s?

Not necessarily.

Age alone isn’t the deciding factor.

What matters more is how long it’s been since menopause, your personal risk profile, and the reasons you’re considering HRT in the first place.

Hormone therapy shouldn’t be used to prevent heart disease, dementia, or aging, but it can be an option for symptom relief or bone support with the right guidance.

If you're wondering whether HRT makes sense for you at this stage of life, DM BOOK and I’ll send you the scheduling link.

01/27/2026

New blog is live: Tired Is Not a Personality.

For years, I was told I was “fine.”

My labs were brushed off. My exhaustion was minimized. My ferritin stayed low while I was told to hydrate, eat more steak, and try harder.

This post is about iron deficiency in women, why it’s so often missed, and how perimenopause can quietly make everything worse. It’s also about the knowledge gap and the trust gap — what happens when data exists, solutions exist, but women still aren’t believed.

Fatigue isn’t a character flaw.
Brain fog isn’t a mindset problem.
And being tired all the time is not who you are.

If you’ve been pushing through symptoms you were taught to downplay, this one is for you.

You deserve care that listens.

Read the full post at http://naumesnd.com/blogs

01/24/2026

Bone health is one of the areas where hormone therapy makes a real, measurable difference. It slows bone loss, supports density, and reduces fracture risk in healthy postmenopausal women.

For those who reach menopause early, it’s especially important to protect the bones during those extra years without estrogen.

It isn’t a stand-alone treatment for osteoporosis, and it’s not the right fit for everyone — but for many women, it’s a key part of long-term bone support.

If you want to understand what your bones actually need at this stage of life, DM BOOK and I’ll send you the scheduling link.

01/23/2026

January has a way of making women feel like they’re supposed to start over. Fix everything. Try harder. Power through.

Perimenopause and menopause don’t work like that.

They don’t need resolutions or grit.�They need competent, evidence-based care, and a clinician who actually knows how to guide you through change instead of minimizing it.

I’m MSCP-certified through The Menopause Society, which means my training, clinical standards, and continuing education are grounded in the most current, peer-reviewed menopause science. No trends. No fear tactics. No “this is just how it is now.”

Combined with 17+ years as a naturopath, that means care that’s both rigorous and whole-person. Care that’s thoughtful, individualized, and built to last beyond January motivation.

Here’s what that looks like in practice:�
• slowing down enough to see the full picture�
• making sense of labs instead of chasing numbers�
• choosing treatments that fit your body now�
• creating a plan that adapts as this season unfolds

If you want fewer guesses and more clarity, 📩 DM me BOOK to schedule or learn more about working together.

01/17/2026

I can't tell you how many times I've been asked about the cognitive benefits of hormone replacement therapy.

But here's the truth of the matter...

For most women entering menopause at the usual age, we don’t have evidence that HRT protects the brain long-term.

There are a few specific cases where early hormone therapy may support cognitive health — particularly for women who experience surgical menopause before the natural age — but this doesn’t apply to everyone.

And timing matters: starting certain hormone therapies after age 65 was linked to an increased dementia risk in the WHI Memory Study.

For personalized guidance or questions about your own hormone options, DM “BOOK” and I’ll send you the scheduling link.

01/15/2026

There is so much noise about menopause and hormone therapy right now — TikTok hot takes, outdated guidelines, recycled myths from 20 years ago.

YOU DESERVE BETTER.

My latest blog post breaks down what we actually know, using evidence-based answers adapted from The Menopause Society’s 2022 Position Statement… translated into language real women can use.

No fearmongering. No confusion. No guessing.

Just clear, grounded information to help you understand your options and make decisions that support your long-term health.

Read the full post at http://naumesnd.com/blogs

Still have questions? Drop them in the comments below!