Perimenopause can feel confusing, isolating, and downright overwhelming. That’s exactly why I wrote The Perimenopause Survival Guide.
Inside you’ll find clear explanations, symptom maps, treatment options, and real scripts to help you advocate for yourself with confidence. You are not broken. If you’re ready to finally understand what your body is trying to tell you, this book is for you.
Migraines in midlife are often about hormone swings, not just hormones themselves. That’s why a postmenopausal estrogen patch can be such a game changer. Unlike birth control pills that keep things “nice and steady,” a patch helps smooth out those fluctuations that trigger migraines in perimenopause and menopause.
Some women also feel better when we add progesterone. Even though it’s traditionally used to protect the uterus, some brains simply thrive with a steady level of micronized natural progesterone, also known as Prometrium.
Your migraine plan should be as individual as your hormone journey.
Check out jointhecollaborative.com if you want expert, personalized menopause care through The Collaborative.
12/19/2025
This is just the beginning. Nearly 2,000 clinicians trained in menopause care, on the way to 100,000.
If you’re a clinician who wants to feel confident treating menopause, start at HeatherHirschAcademy.com.
12/19/2025
On Dr. Marty Makary’s podcast, I shared a story I hear frequently. A patient told me her clinician suggested she garden instead of treating her symptoms. Another said her doctor “doesn’t believe in hormone therapy.”
Hormone therapy is FDA approved. It is not a belief. It’s medicine.
Click here for The Perimenopause Survival Guide https://amzn.to/3KIsBKz
12/18/2025
Every woman asks this at some point: When is it the right time to start HRT?
Here’s the truth. Hormone therapy isn’t just for “hot flashes” or for women who are “suffering enough.” It’s a medical tool with decades of data behind it, and when used correctly, it can support far more than what the FDA labels include.
Your symptoms matter. Your quality of life matters. And you deserve informed care.
Check out jointhecollaborative.com and get matched with a Collaborative clinician who can walk you through your symptoms and your options.
12/18/2025
On the podcast, Dr. Alexandra Sowa shared something every woman needs to hear: weight is biology, not willpower.
She grew up watching the women in her family fight against “eat less, move more” advice that never matched their lived experience. Later, in residency, she discovered the emerging field of obesity medicine and everything clicked. There was science. There were tools. There was real evidence.
What people once called “crazy” is now a rapidly growing medical specialty that finally validates what so many women have felt their whole lives.
🎧 Want the full episode? Listen on Spotify, Apple, or YouTube.
12/17/2025
"I’ve never had such ruminating thoughts… what is going on?" I hear this from my patients all the time. Women with high-powered careers, women running households like CEOs, women who’ve been carrying the load for years. One of the very first signs of perimenopause is often insomnia. And when you’re not getting that restorative sleep, of course, you feel exhausted the next day.
🩷 Have you noticed changes in your sleep? Check out jointhecollaborative.com if this is you and you'd like to be seen by a trained menopause clinician.
12/17/2025
If you work with clients or patients ages 35–65, this .hirsch.academy course was built for you. From mental health providers and social workers to nurses, fitness pros, nutrition experts, life coaches, and more.
This is your roadmap to deeply understanding menopause and elevating your care.If you’ve been wondering whether this course actually counts for your license, it probably does.
This interdisciplinary course offers up to 9 CE credits for:
nurses, pharmacists, social workers, psychologists, dietitians, dentists, athletic trainers — plus IPCE credit and more.
It’s practical, evidence-based, and designed for real-world care of women in midlife.
Learn together. Enroll now. Care better. Check the link in bio!
12/16/2025
The drop in estrogen isn’t just about hot flashes. It’s the moment we see rises in heart disease, osteoporosis, metabolic disorders, cognitive decline, and more.
Women deserve healthcare that connects the dots.
If you’re noticing changes in your health after hormone loss, you’re not imagining it and you’re not alone. There are evidence-based options that can help you protect your long-term health.
Check out jointhecollaborative.com to connect with an expert clinician at The Collaborative.
12/16/2025
Birth control pills can help stop migraines because they prevent ovulation. Ovulation creates big hormone swings, and when those swings are smoothed out, migraines often improve. I sometimes wish we called them migraine medications instead.
Click here for The Perimenopause Survival Guide https://amzn.to/3KIsBKz
12/15/2025
Calling estrogen, progesterone, and testosterone “sex hormones” minimizes how essential they are. These hormones impact the brain, bones, heart, mood, sleep, metabolism and so much more. Women deserve to know the full story.
Click here for The Perimenopause Survival Guide https://amzn.to/3KIsBKz
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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.
