S3 Ep156: Perimenopause Problems : An Expert’s Approach with Steven Goldstein MD

Dr. Streicher’s Inside Information: THE Menopause Podcast

The only thing predictable about perimenopause is that it is …unpredictable. My guest today is Dr. Steven Goldstein, a tenured professor at NYU's Grossman School of Medicine, the past President of the International Menopause Society, Past President of The Menopause Society, and one of the WORLD’S top experts on the science of perimenopause.

• The problem with the standard definition of menopause.
• Why bleeding and having a period is not the same thing
• Why perimenopausal women bleed erratically
• Why anxiety and other symptoms occur during
• How to interrupt FSH and estradiol blood levels
• The best treatment for perimenopause
• Why birth control pills work so well during perimenopause
• Myths about birth control pills
• The concept of “suppression and substitution”
• How long perimenopause lasts
• What triggers perimenopause
• Why fibroids often grow during perimenopause
• How to know if symptoms are perimenopause hormonal fluctuations or something else
• How long someone can stay on a birth control pill
• When the 12-month rule doesn’t hold
• When perimenopause and menopause hit before the age of 40.
• When perimenopause hits before 40 why it needs to be treated
• Options if someone can’t take birth control pills
• When you can ignore irregular bleeding and when it needs to be evaluated
• What Black women need to know about perimenopause bleeding
• The likelihood of cancer if there is a uterine polyp and you are not bleeding

Link to John Rock’s Error Article

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

• Substack.com/@DrStreicherDrStreicher.com
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Books by Lauren Streicher, MD

• Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
  
  
• Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat
  
  
• Sex Rx- Hormones, Health, and Your Best Sex Ever
  
  
• The Essential Guide to Hysterectomy
  
  

To Find a Menopause Clinician

Midi Health www.Joinmidi.com
Midi Health is a telehealth company that provides high-level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi’s Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country.
The Menopause Society- Certified Menopause Practitioner List Menopause.org

• To find a menopause practitioner: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx
• Put in your zip code and designate NCMP or CMSP to get a certified menopause practitioner. While all people on this list have passed a competency examination, Dr. Streicher does not vouch for every one of these clinicians. Most are excellent.
  

Major Medical Centers
It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who have an interest and expertise in menopause.
If you are in the Chicago area, the center founded by Dr. Streicher:
The Northwestern Medicine Center for Sexual Medicine and Menopause Sexmedmenopause.nm.org
Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.