Megan Pfiffner, Perimenopause Expert

05/06/2026

Here's something most women are never told about perimenopause and libido. 🌡️

It's not just about estrogen.

Progesterone is often the first hormone to decline, and she does a lot more than most people realize. When progesterone steps back, cortisol tends to step up. And chronically elevated cortisol is one of the most powerful suppressors of sexual desire.

When desire feels complicated in perimenopause, it is not a character flaw. It is a hormonal cascade with a name and a mechanism. And once you understand it, everything changes. 💡

This is part of my three-part series on sexual health in perimenopause, starting with what is actually happening in your body.

🎙️ Listen to the full episode here: https://meganpfiffnernutrition.com/mental-emotional-health/28-lets-talk-about-it-baby-whats-actually-happening-in-your-body-part-1/

👉 Or find the link in my bio

05/04/2026

If you've been doing all the cardio and wondering why nothing is changing, this one is for you. 🏃‍♀️

After 38, your muscle is your metabolic engine. Cardio alone sends your body the signal that endurance matters more than carrying muscle. And muscle is exactly what keeps your metabolism running, your blood sugar stable, and your energy steady.

You don't have to give up cardio. You just have to add the other piece. This week's episode covers why, and what to do instead. 💪

🎙️ Listen to the full episode with here: https://meganpfiffnernutrition.com/metabolic-health/fourth-trimester-x-mornings-with-megan-postpartum-recovery-after-38/

👉 Or find the link in my bio

05/02/2026

Three or four months postpartum and still feeling off? It might be time to have a different conversation with your doctor. 🗓️

Blood sugar crashes, mood swings, and that relentless 3pm slump are not just signs you need more sleep. They can be early indicators that your metabolic health needs attention, especially if you're in your late 30s or 40s.

You deserve answers. This week's episode walks you through what to look for and what to say. 💬

🎙️ Listen to the full conversation with here: https://meganpfiffnernutrition.com/metabolic-health/fourth-trimester-x-mornings-with-megan-postpartum-recovery-after-38/

👉 Or find the link in my bio

05/01/2026

If you're over 38, there is one lab test I want every woman to ask for at her next appointment. 🩸

Fasting insulin. It starts rising before anything else shows up in your standard bloodwork, and it is one of the best early predictors of your metabolic health. Most doctors aren't ordering it routinely. That means you have to ask.
This week's episode gets into exactly why it matters and what to do with the information once you have it. 👇

🎙️ Listen to the full episode with here: https://meganpfiffnernutrition.com/metabolic-health/fourth-trimester-x-mornings-with-megan-postpartum-recovery-after-38/

👉 Or find the link in my bio

04/30/2026

That 3pm crash you keep pushing through? It's not just tiredness. It's your body asking for help. 📉

One of the earliest signs of insulin resistance is that afternoon slump or those morning cravings that hit before you've even had a chance to get hungry. Most women write it off. But your body is actually giving you really useful information.
In this week's episode I break down what's going on metabolically and what to do about it. 🎧

🎙️ Listen to the full episode here: https://meganpfiffnernutrition.com/metabolic-health/fourth-trimester-x-mornings-with-megan-postpartum-recovery-after-38/

👉 Or find the link in my bio

04/29/2026

Postpartum recovery has a secret weapon, and it's probably already in your fridge. 🥚

30 grams of protein per meal is one of the simplest things you can do to support your body as it heals. It anchors your blood sugar, fuels tissue repair, and keeps you from hitting that wall mid-afternoon.

In this week's episode I talk through exactly what that looks like on your plate and why it matters even more after 38 with . 🍳

🎙️ Listen to the full episode here: https://meganpfiffnernutrition.com/metabolic-health/fourth-trimester-x-mornings-with-megan-postpartum-recovery-after-38/

👉 Or find the link in my bio

04/26/2026

There is an assumption baked into our culture about who walks through the door of a fertility clinic. She is young. She is not in perimenopause. 🚪

Even though women can start entering perimenopause in their late 30s. Even though this overlap happens every single day. We have been taught to downplay what is happening in our bodies, to suck it up, to not bother anyone with it because no one will believe us anyway.

The system has never had to reckon with what it is missing. Until now.

🎙️ Listen to the full episode here:

https://meganpfiffnernutrition.com/mental-emotional-health/i-spent-a-year-looking-for-a-doctor-who-would-believe-me-this-is-what-i-found/

👉 Or find the link in my bio

04/25/2026

I walked into that appointment with a stack of studies, symptoms mapped in clinical language, ready to prove that what I was experiencing was real. Because that is what we learn to do. We learn to come in armed. 📚

She asked me to tell her my experience. So I did. And when I was on the verge of tears, about to pull out my studies, she looked me in the eyes and said: I believe you.

I don't have words for what that moment felt like. But I know I'm not the only one who has needed to hear those three words from a doctor.

🎙️ Listen to the full episode here:

https://meganpfiffnernutrition.com/mental-emotional-health/i-spent-a-year-looking-for-a-doctor-who-would-believe-me-this-is-what-i-found/

👉 Or find the link in my bio

04/24/2026

A full year. In New York City. Looking for one doctor willing to support me in perimenopause while I was also trying to have a baby. 🗽

Every single one said they couldn't help me. They did fertility, or pregnancy, or perimenopause. No one did the crossover. And I just kept thinking: how is this not a thing?

If you have ever had to fight this hard just to find care, you are not alone. I see you.

🎙️ Listen to the full episode here: https://meganpfiffnernutrition.com/mental-emotional-health/i-spent-a-year-looking-for-a-doctor-who-would-believe-me-this-is-what-i-found/

👉 Or find the link in my bio

04/22/2026

Being taken seriously. Being believed. Having someone actually listen. That is work. That is labor we do every single day just to get basic care. 💙

Now add fertility. Now add perimenopause. That constellation of needs in a medical system that was never built for you? Getting support for all of it at the same time is exhausting in a way that is hard to put into words.

If you have ever felt this, this episode is for you.

🎙️ Listen to the full episode here: https://meganpfiffnernutrition.com/mental-emotional-health/i-spent-a-year-looking-for-a-doctor-who-would-believe-me-this-is-what-i-found/

👉 Or find the link in my bio

04/20/2026

04/19/2026

The biggest protein mistake I see? Trying to go from zero to 90 grams overnight. 😅 It is a recipe for feeling overwhelmed and giving up before it has a chance to work. Meal by meal, baby steps. That is how real change actually sticks.

This week's episode gives you a realistic, doable starting point and tells you exactly what to watch for when you begin increasing your protein. 🎧

🎙️ Listen to the full episode here: https://meganpfiffnernutrition.com/metabolic-health/is-it-willpower-or-is-it-biology-what-protein-actually-does-in-a-perimenopause-body/
👉 Or find the link in my bio