Perimenopause, Menopause, and HRT: What Every Woman Should Know
Perimenopause and menopause affect every woman who lives long enough, yet these transitions remain deeply misunderstood, underdiagnosed, and undertreated. In this episode, Dr. Ravi Kumar sits down with two menopause experts, Dr. Diana Kumar and Dr. Teresa Walsh, to break down what’s actually happening with hormones, why so many women are dismissed by the medical system, and how modern hormone therapy can safely transform a woman’s quality of life. This conversation covers the real symptoms of perimenopause, the difference between perimenopause and menopause, why labs often come back “normal” despite debilitating symptoms, what the Women’s Health Initiative really showed, and how bioidentical hormone therapy fits into modern evidence-based care. If you or someone you love is struggling with brain fog, night sweats, weight gain, joint pain, urinary issues, low libido, or chronic fatigue, this episode gives a clear roadmap for what to ask, who to see, and what treatment options are available. WHAT WE COVER IN THIS EPISODE • What perimenopause actually looks like in real life: brain fog, sleep issues, anxiety, joint pain, weight gain, hair changes, vaginal symptoms, palpitations, and more • Why perimenopause is often diagnosed late or missed entirely • How estrogen fluctuations — not absolute numbers — cause symptoms • Why hormone labs are usually unhelpful in perimenopause • The real story behind the WHI study and the 2002 HRT scare • The difference between synthetic hormones and modern bioidentical options • How estrogen and progesterone therapy are safely used today • Why transdermal estrogen is preferred for many women • The role of micronized progesterone for sleep and uterine protection • Vaginal estrogen for UTIs, dryness, discomfort, and sexual pain • When testosterone or DHEA may be considered for women • The risks of HRT versus the risks of not treating hormone loss • Long-term effects of untreated menopause: bone loss, fractures, heart disease, cognitive changes, recurrent infections • Who should not start HRT and how to approach nuanced cases • How to find a qualified menopause specialist if your doctor won’t help • Telemedicine options for UTIs, vaginal symptoms, and sexual health ABOUT DR. TERESA WALSH Dr. Teresa Walsh, MD FACOG MSCP, is a board-certified OB-GYN and certified menopause specialist with more than a decade of experience supporting women through surgical and natural menopause. Fellowship-trained in minimally invasive gynecologic surgery with a focus on endometriosis and pelvic pain, she has helped thousands of women navigate hormonal transitions with clarity and confidence. She is a graduate of the University of Hawai‘i, UTMB Galveston, and Baylor College of Medicine. Dr. Walsh is passionate about making women feel heard, validated, and empowered. ABOUT DR. DIANA KUMAR Dr. Diana Kumar, MD FACOG MSCP, is a board-certified OB-GYN specializing in menopause care, sexual health, PCOS, and anti-aging medicine. With over 14 years of clinical experience, she is dedicated to evidence-based care and helping women reclaim their energy, mood, libido, and long-term health. A former engineer, she attended Texas A&M College of Medicine and completed her residency in Denver, Colorado. She is committed to dismantling the stigma around menopause and improving access to high-quality care. CONNECT WITH THE GUESTS Website: https://www.findgliss.com/ Instagram (Gliss Wellness): https://www.instagram.com/glisswellness/ Instagram (Gliss Spot): https://www.instagram.com/glissspot/ Their Podcast: https://linktr.ee/glisswellness IF THIS EPISODE HELPED YOU Please rate and review The Dr. Kumar Discovery Podcast on Apple Podcasts. It helps more people find the show. And if you know someone who is struggling with unexplained symptoms in their 40s, 50s, or beyond, please send this episode their way.
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