We’re Not Going Quietly Into Perimenopause

Under the Influence with Jo Piazza

For decades, menopause has been treated like a medical afterthought—a punchline, a whisper, or something to “just get through.” But millennial women are starting to hit perimenopause, and we’re not going quietly. The hormones are unpredictable, the rage is real, and the information gap is staggering.

Psychotherapist and author Lauren Tetenbaum, who wrote Millennial Menopause: Preparing for Perimenopause, Menopause, and Life’s Next Period, joins the show to unpack how an entire generation is redefining what it means to age. The conversation moves from sleepless nights and hormonal chaos to the deeper stuff—mental health, careers, sex, friendship, and the ways the medical system continues to fail women.

With humor and clarity, Lauren explains what perimenopause actually is, why most doctors aren’t trained to recognize it, and how millennial and Gen X women are demanding better care, better research, and better conversations. This isn’t the end of anything—it’s the start of women taking ownership of their bodies and rewriting the story of midlife.

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