Heather Hirsch MD MS NCMP

Heather Hirsch MD MS NCMP Women's health physician, podcast host, and media contributor on a mission to make your hormones make sense in your 40s and 50s.

Pre-order my new book The Perimenopause Survival Guide, out in October.

Women doctors are no longer accepting burnout as the norm. We’re rewriting the rules with clinics that give more time, b...
02/04/2026

Women doctors are no longer accepting burnout as the norm. We’re rewriting the rules with clinics that give more time, better care, and focus on whole-body wellness. This isn’t just change, it’s a movement.
Check out heatherhirschacademy.com to get info on Heather Hirsch Academy Classes for clinicians.

02/04/2026

PMDD is not “just PMS.” It’s PMS on steroids, and it’s real.
The mood changes can be severe, disruptive, and life-altering, and they often worsen in perimenopause. For many patients, this is driven by sensitivity to hormonal shifts in the luteal phase, particularly declining estrogen or inadequate progesterone.
The good news is this is treatable.
Track your symptoms and talk to a clinician sooner rather than later. You do not have to suffer in silence.
Check out jointhecollaborative.com to be seen by a clinician at The Collaborative who can help.

Libido is not just about hormones.Pain, sleep deprivation, and exhaustion profoundly affect sexual desire. When we addre...
02/03/2026

Libido is not just about hormones.
Pain, sleep deprivation, and exhaustion profoundly affect sexual desire. When we address these factors, sexual health often improves. This is part of comprehensive menopause care.
Check out my free hormone health guide https://heatherhirschmd.myflodesk.com/freeclass?fbclid=IwY2xjawOlgk1leHRuA2FlbQIxMABicmlkETEwNVF4QURiNXRDNDZuQVMxc3J0YwZhcHBfaWQPNTE0NzcxNTY5MjI4MDYxAAEeCk8GOHq-hj5kD3kuqTwGvViVNGBRLsXFuzoKCt8RVt5hev_WEoKqiGo8Xao_aem_01MHUCiDsoITQkW2cfDhiA

02/03/2026

It's my opinion that a real expert listens first. They take your symptoms seriously, validate your experience, and spend more time learning about you than talking at you. They use SHARED decision-making, meaning your treatment plan is built with you, not for you, and fits your lifestyle and goals. They can confidently answer your questions about safety, dosing, and formulation so you understand exactly what you’re taking and why. And they’re properly trained and certified, whether through the Menopause Society or advanced education focused specifically on menopause care.
If you’re looking for certified clinicians, you can find them at HeatherHirschDirectory.com.

The conversation around estrogen and blood clots is often oversimplified.Transdermal estrogen does not increase blood cl...
02/02/2026

The conversation around estrogen and blood clots is often oversimplified.
Transdermal estrogen does not increase blood clot risk beyond baseline. Oral estrogen slightly increases risk, but that increase is small and still lower than the risk associated with birth control or pregnancy.
When we talk about risk without numbers or context, fear takes over.
Context matters when making informed decisions.
💖 Save this and share it with someone who needs accurate information.

02/02/2026

You’ve probably heard of the “window of opportunity” for hormone therapy- starting between ages 50–60 or within 10 years of your final period. That idea comes from one study showing benefits in that group. But here’s the nuance: it only looked at one dose, one route, and one formulation of hormones.
So the data is limited. And real life isn’t one-size-fits-all.
💕 Follow for more menopause facts you won’t hear anywhere else.

Sexual desire does not disappear without a reason.Hormonal changes play a significant role in libido and sexual function...
02/01/2026

Sexual desire does not disappear without a reason.
Hormonal changes play a significant role in libido and sexual function.
This is a medical issue and it is treatable.
Share this with a friend who has been frustrated by changes in her libido and doesn't know what to do.

02/01/2026

✨Estrogen can be life changing, but too much or too little can throw your whole system off. From mood swings to tender breasts to bloating, side effects are real and worth paying attention to.
💖Comment BOOK to grab The Perimenopause Survival Guide and learn what your hormones are really doing.

01/31/2026

On the podcast, Dr. Poonam Desai shared that the number one thing we can all do for our health is to be mindful of our day-to-day choices, because that’s what really moves the needle.
Being mindful means pausing and asking, “What is this going to do for my body?” instead of eating four cookies and dealing with it later. It means getting curious about things like your coffee. Who made it? Where did it come from? What’s actually in it?
We live in a world where everything is incredibly easy and convenient. But your health is built in the small, intentional choices you make every single day.
🎧 Want the full episode? Listen on Spotify, Apple, or YouTube.

01/30/2026

Honored to be part of BALANCE: A Perimenopause Journey, a powerful 4-part docuseries bringing evidence-based medicine and real women’s stories together to move women’s health forward.
Streaming on Apple TV and Amazon Prime starting January 30. WatchBalance.com

Menopause isn’t a disease.But pretending the symptoms aren’t disruptive helps no one. Education matters. Evidence matter...
01/29/2026

Menopause isn’t a disease.
But pretending the symptoms aren’t disruptive helps no one. Education matters. Evidence matters. Women’s experiences matter.
Check out jointhecollaborative.com and get matched with a Collaborative clinician who can walk you through your symptoms and your options.

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Boston, MA

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https://heatherhirschacademy.com/, https://jointhecollaborative.com/

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About me

I am Board certified in Internal Medicine and completed advanced fellowship training in Women’s Health at the Cleveland Clinic. My specialty practice includes internal medicine and office gynecology with a focus on menopausal hormone therapy, contraception and family planning, breast health, sexual dysfunction, and urinary incontinence. Fellowship training included an emphasis on scholarly activity, development of women’s health curriculum, clinical research and leadership. My clinical work and research centers on inequalities or unanswered questions in the field of women’s health, specifically in menopause and its role in chronic disease development and in evaluating the harms of over-screening for chronic diseases. My Academic work centers on enhancing women’s health curriculum for the fellow, resident, and medical student.

-------------------------------------------------------------------------------------------------------------- GET MY FREE HORMONE HEALTH GUIDE: https://late-fog-4927.ck.page/f6ca155fbb/ -------------------------------------------------------------------------------------------------------------- Get My $9.99 E-BOOK: HOW TO TALK TO YOUR DOCTOR ABOUT MENOPAUSE: https://www.heatherhirschmd.com/product/to-my-doctor-help-me-on-my-menopause-journey-a-workbook-journal-in-one/

Check out my menopause course, "The Complete Guide To Menopause:" on my website. https://the-menopause-course.teachable.com/p/menopause/ The first lesson is FREE! So don't wait to check this out!