This Is Perimenopause: Menopause, Perimenopause and Women's Health in Midlife

Running on autopilot? Constantly giving to everyone else while neglecting your own needs? Feeling disconnected from yourself? Welcome to our world! And unfortunately, the place where so many of us live. Until now.Meet Dr. Kristine Laderoute, a clinical psychologist with over 15 years of experience who's made it her mission to help women create space for themselves in their lives. Her approach goes beyond traditional therapy - she's a proponent of depth therapy and self-connection who believes that true healing happens when we learn to show up for ourselves.In this transformative conversation, Dr. Laderoute reveals why the self-care industry has it backwards and shares the simple but profound practices that can help you reconnect with yourself, even in the chaos of midlife.Feeling anxious, overwhelmed, or just vaguely discontent without knowing why, this episode offers practical tools and a fresh perspective on what it really means to show up and take care of yourself.In this episode, you'll discover:Why making space for yourself isn't selfish, rather it's essentialThe difference between being "selfish" and "appropriately self-focused" How to break free from autopilot self-sacrificing behavior The power of self-compassionate language (and why you should start sentences with "of course")How to set boundaries that respect both yourself and others Why disconnection from yourself leads to that mysterious midlife discontent The connection between stockpiled emotions and physical health symptoms How to show up for yourself like you would for your best friendDr. Laderoute reminds us that you don't need a spa day or expensive retreat to make space for yourself - you need just 30 seconds, a few conscious breaths, and the revolutionary act of turning your attention inward.Now is the time to show up for yourself.This podcast is brought to you by Coral, a virtual clinic designed for women in midlife. They provide personalized, evidence-based care that supports every woman’s unique journey—whether you’re in perimenopause, menopause, or the years beyond. Use code TIP5 for 5% off at coral.ca.Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookDr. Kristine Laderoute BioDr. Kristine Laderoute is a dedicated clinical psychologist and lifelong proponent of mental wellness. She has over 15 years of experience helping people with a broad range of mental health concerns using her diverse skill set. She completed her doctoral degree in Clinical Psychology at York University and underwent training spanning various therapeutic approaches and clinical settings, including The Centre for Addiction and Mental Health, Toronto General Hospital, North York General Hospital, the York University Counseling Centre, and private practices. In both her own private practice and her role at Lume Women + Health, she is driven by a desire to help people improve their lives through self-connection. She is especially passionate about creating space for women to feel seen, heard, and freed-up from emotional burden, as well as helping them to create space for themselves in their lives. Links for this episodedrkristineladeroute.com Dr. Kristine on Instagramlume women+health

Dealing with crippling uncontrollable rage, anxiety, and crushing depression? Feeling like you're completely falling apart and your doctor's solution is to just ‘manage your stress’? Not sure if what you're experiencing is depression, perimenopause, or something else entirely?You're not losing your mind, you're not broken, and you're definitely not alone.Consider this startling statistic from the SWAN study: a woman’s risk of experiencing depression in the menopause transition is 59% if she has a previous history of depression, and 28% for those without a history of depression. Those are some big numbers. And most women, and their doctors, are unaware of this risk.Meet Dr. Ariel Dalfen, a psychiatrist who spent 12 years running the largest women's mental health program in Ontario – where she became frustrated watching women suffer unnecessarily. As CEO and Co-founder of BRIA, a revolutionary virtual clinic, Dr. Dalfen and her Co-founder Dr. Bev Young have created the one-stop shop women desperately need: comprehensive, individualized mental health and hormone care that actually works.In This Episode Why some women's brains are "hormonally sensitive" and how to identify if you're one of them The critical questions about your reproductive history that can predict your perimenopause experience How to distinguish between perimenopause symptoms, depression, and PMDD Why tracking your cycles gives healthcare providers game-changing data The non-negotiables for mental health survival in midlife How BRIA's team-based approach stops women from falling through the cracks The stigma that’s keeping women silent about their strugglesDr. Dalfen’s new "Menopause Mental Health Certification" programIf you've been suffering alone or thinking this is just how midlife feels, this conversation will change everything. Dr. Dalfen will show you there's so much more than just surviving – and how to start thriving.Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookDr. Ariel Dalfen BioDr. Ariel Dalfen is a psychiatrist with over 20 years of experience treating women across reproductive life stages: from those trying to conceive, those who are pregnant and postpartum through to the perimenopause/menopause population.  She ran the largest women's mental health program in Ontario at Mount Sinai Hospital for 12 years and started the first of its kind province-wide women’s mental health telemedicine program in 2014.In 2022, Dr. Dalfen co-founded and became the CEO of BRIA (www.betterbria.com) - a virtual care platform for women with mental health issues across reproductive life stages.After completing her undergraduate degree at Princeton University, she attended McMaster University medical school, and then completed her specialty training in psychiatry at the University of Toronto’s Temerty Faculty of Medicine. Dr. Dalfen's research area explored technology innovations in women's mental health and she has published in academic medical journals.She lectures for medical and public audiences on various topics related to women’s health and has been a medical contributor for many media outlets, from television to podcasts. In 2008, she published a book, When Baby Brings the Blues: Solutions for Postpartum Depression. This book is highly regarded and utilized by both healthcare providers and the general public.Links for this episodewww.betterbria.comBRIA on Instagram

In the second part of this incredible episode with Master’s level clinician and eating disorder specialist, we dive even deeper into how disordered eating shows up in ways we never expected – especially during the hormonal chaos of midlife.In this episode, you'll discover:Why "clean eating" (clinically called orthorexia) is becoming increasingly problematicThe deeper psychological roots beneath our food and body strugglesHow to model healthy eating behaviors for your children without passing on your own issuesThat freedom from these patterns is absolutely possible, no matter how long you've been stuckWe live in a culture that normalizes disordered eating. Luckily Kyla is here to show us what true food freedom actually looks like.Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookKyla Fox BioKyla Fox has established herself as a visionary and innovator, when it comes to re-framing the way Canadians think about and treat eating disorders. As someone who struggled herself with an eating disorder, Fox identified care gaps and fundamental flaws in the treatment and recovery approach. Kyla is a Master’s level clinician with degrees from both the University of Toronto in the Master’s of Social Work program as well as an Honours Bachelor of Arts Degree in Women’s Studies. Kyla is a member of the Ontario Association of Social Workers and is registered with the Ontario College of Social Workers and Social Service Workers. She is also a member of the Academy of Eating Disorders and the National Eating Disorders Association. With such deep and varied experience in the field, Kyla is regularly called on by Canada’s top media outlets as a special commentator on a broad list of topics, including eating disorders, self-esteem, women’s health, body image, pregnancy and body confidence and more. For more information please visit www.kylafoxcentre.com.Links for this episodeInstagram: @KylaFoxRecoveryFacebook: @KylaFoxCentreTwitter: @KylaFoxCentreThe Centre

Think eating disorders only affect teenagers? Think again. What if we told you that the food rules, exercise obsessions, and body struggles you're experiencing during perimenopause might actually be disordered eating in disguise?Meet Kyla Fox, a Master's level clinician and eating disorder specialist who's spent 20 years revolutionizing treatment approaches. After her own struggle with an eating disorder, Kyla identified critical gaps in traditional recovery methods and founded an innovative treatment center that's helping thousands of women break free from patterns they didn't even realize they had.From the woman who exercises for hours after eating to the one sneaking food when her partner's away (Michelle, I see you!), Kyla reveals how disordered eating shows up in ways we never expected – especially during the hormonal chaos of midlife.In this episode, you'll discover:The difference between eating disorders and disordered eating Why perimenopause often triggers or amplifies disordered eating patternsThe three core symptoms of disordered eating: binge, purge, and restrictWhy exercise is actually the most common form of purging behaviorWe live in a culture that normalizes disordered eating. Luckily, Kyla is here to show us what true food freedom actually looks like.Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookKyla Fox BioKyla Fox has established herself as a visionary and innovator, when it comes to re-framing the way Canadians think about and treat eating disorders. As someone who struggled herself with an eating disorder, Fox identified care gaps and fundamental flaws in the treatment and recovery approach. Kyla is a Master’s level clinician with degrees from both the University of Toronto in the Master’s of Social Work program as well as an Honours Bachelor of Arts Degree in Women’s Studies. Kyla is a member of the Ontario Association of Social Workers and is registered with the Ontario College of Social Workers and Social Service Workers. She is also a member of the Academy of Eating Disorders and the National Eating Disorders Association. With such deep and varied experience in the field, Kyla is regularly called on by Canada’s top media outlets as a special commentator on a broad list of topics, including eating disorders, self-esteem, women’s health, body image, pregnancy and body confidence and more. For more information please visit www.kylafoxcentre.com.Links for this episodeInstagram: @KylaFoxRecoveryFacebook: @KylaFoxCentreTwitter: @KylaFoxCentreThe Centre

We learned so much in Season 2 from so many incredible experts, here are just a few of the mic drop moments that every woman deserves to know:Giving your body what it needs to function optimally and lose weight with Gina Livy.You DO NOT need testing to be prescribed MHT with Dr. Jen Zelovitzky.Understanding the increased risks we all need to manage in perimenopause with Dr. Sarah Shaw.Skidding into menopause with Dr. Kirsten Smith, ND and what it takes to stop the skid.The clip we needed to hear 10 years ago: It’s not burnout, it’s perimenopause with Janet Ko, Co-founder of The Menopause Foundation of Canada.Perimenopause is not a synonym for suffering with ‘the’ Menopause Chick, Shirley Weir.Learn what a shame bomb is and how to diffuse it with Dr. Justine Corry.Thank you for listening and letting us be part of your journey.This podcast is brought to you by IRIS. Daily care products made with clean ingredients for hydrated vulvas and vaginas. Use code TIP20 for 20% off at lovemyIRIS.com.Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on Facebook Links for this episodeGina Livy InstagramThe Livy MethodDr. Jen Zelovitzsky InstagramMedcan Women’s HealthLume on InstagramLume Women + Health ClinicDr. Kirsten Smith, ND InstagramWork with Dr. Kirsten Smith, NDMenopause Foundation of Canada InstagramMenopause Foundation of Canada WebsiteShirley Weir InstagramMenopause Chicks WebsiteDr. Justine Corry InstagramDr. Justine Corry Website

 What Would Dr. Premji Do?Before menopause was having a moment, before celebrities were talking about it, before it was cool - Dr. Shafeena Premji was already deep in the trenches helping women navigate perimenopause, menopause and postmenopause.As one of Canada's earliest certified menopause practitioners (2015) and a board member of the Canadian Menopause Society, she's seen it all. Thousands of patients. Every symptom combination. Every misconception. Every treatment - success and failure. This isn't theoretical knowledge - this is a decade of real women, real problems, and real solutions.In This Episode The biggest misconceptions she's debunked after seeing thousands of patients How her approach has evolved from 2015 to now - and what she wishes she'd known earlierWhat your mother’s perimenopause and menopause experience might help you predictWhy "biology beats chronology" when it comes to hormone therapy decisionsHer personal strength training transformation and how it changed how she counsels patientsPlus, a sneak peak into the revolutionary women’s clinic she's buildingThis podcast is brought to you by IRIS. Daily care products made with clean ingredients for hydrated vulva and vaginas. Use code TIP20 for 20% off at lovemyIRIS.com.Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookDr. Shafeena Premji Dr. Shafeena Premji is a nationally recognized family physician and menopause care leader dedicated to advancing women's health through compassionate, evidence-based, and individualized care. With over a decade of experience, she has built an impactful career as the Founder and Medical Director of three women’s health–focused clinics, including her most recent one, "Milestone – Menopause Centre of Southern Alberta", a visionary center created to provide comprehensive, community-based menopause care rooted in validation, education, and empowerment.A Certified Menopause Society Practitioner since 2015 and a Board Member of the Canadian Menopause Society since 2020, Dr. Premji is committed to reshaping how menopause is understood, treated, and experienced in Canada. She also serves on the Medical Advisory Board of the Menopause Foundation of Canada, where she contributes to national advocacy, policy development, and public education.Links for this episodeMahogany Medical ClinicDr. Shafeena Premji on InstagramDr. Shafeena Premji on LinkedInCanadian Menopause Society

We refuse to play by rules written by an industry that sees dollar signs in our self-doubt. We're breaking up with the lie that our worth diminishes with each birthday candle, and we're here for the rebellion. In today's episode we're flipping the script on society's ridiculous beauty standards.Meet Andrea Claire, makeup artist and licensed hairstylist with 35+ years in the beauty industry. She's our beauty industry insider turned rebel, boldly declaring what we've all been thinking: the beauty "rules" for women over 40 are complete bullshit.Through her bold podcast "The F*ck You 50s," Andrea's dismantling the beauty myths that have kept us small, challenging society's bullshit beauty standards, and empowering women to age unapologetically.In This Episode Why beauty "rules" for women over 40 are designed to keep us insecure and spendingThe double standard that crowns men "distinguished" while women are "letting themselves go"How to trust your instincts and stop following beauty trends that don't serve youWhy anti-aging makeup is a scamThe one moisturizer she swears by for mature skinWhy most influencer beauty advice is "full of shit"Why she's sharing her age (54!) as an act of rebellionWhether you're rocking your gray hair, white-knuckling your youth, or somewhere in between, this conversation will help you redefine what it means to age powerfully and beautifully - on YOUR terms.This podcast is brought to you by IRIS. Daily care products made with clean ingredients for hydrated vulva and vaginas. Use code TIP20 for 20% off at lovemyIRIS.com. Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookAndrea Claire BioAndrea Claire is a hair and makeup artist who has recently said FxCK this… being exhausted by the constant sexism and patriarchy drivel; the OMG - how are YOU in your 50s - you don’t look it! (because how the FxCK does one look in their 50s?!) - the pushing upstream against the ageism downstream while walking to and from set - uphill both ways in the snow… enough she says! Thus the birth of  her podcast The FxCK YOU 50s! Aside from getting a little feisty…  Andrea’s talent and hard work has presented her with opportunities to work in Toronto, L.A., Paris, Laos, Vietnam, Thailand, Singapore and New York. Andrea has many years of experience both on-camera and behind the scenes in television. She has also co-starred on seven seasons of the makeover shows Canada’s Stylin’ Gypsies and So Chic and has led hair teams for Canadian Idol where she was featured on-air as the Idols’ hairstylist. She has also been seen on Asia's Next Top Model [cycle one] and Cash Cab Asia [celebrity episode]. Andrea has extensive advertising, beauty and editorial portfolios which include campaigns for L’Oreal Paris, Revlon, Lancôme, Neutrogena, Unilever, P & G and editorials in Solstice, Shape, Bazaar, ELLE, L’Officiel, Lucy’s, HUF, Beauty Archive and more.Her celebrity clients include Liv Lo Golding, Henry Golding, Romee Strijd, The Bond Quartet, Sarah Slean, Alanis Morissette, Bill Nighy, Jon Lovitz, Patrick J Adams, Russell Peters, Victoria Loke and Seal to name a few. Andrea’s drive for success and lively, easy-going nature is what makes her so popular among top clientele. Links for this episodeAndrea on InstagramAndrea on TiktokAndrea Claire BeautyThe Fxck You 50s PodcastFxck You 50s on Instagram

Ever wonder why you keep repeating the same relationship patterns? Why you apologize for everything, even when it's not your fault? Or why you logically understand what needs to change but emotionally can't get there?Dr. Justine Corry, trauma-informed relationship coach and former clinical psychologist, explains why this happens - and how to break free from these patterns for good.In this powerful conversation, Dr. Corry introduces schema therapy, a game-changing approach that looks at patterns rather than symptoms. She explains how childhood experiences create mental frameworks (schemas) that influence how we show up in relationships, and why perimenopause triggers these patterns in overwhelming ways.Each episode will share life stories and expert insight into women's health and your perimenopause and menopause journey.In this episodeWhat schema therapy is and why understanding patterns is more powerful than managing symptomsThe six common schemas plaguing high-achieving women: abandonment, emotional deprivation, defectiveness, self-sacrifice, subjugation, and unrelenting standardsWhy perimenopause acts as a schema trigger, making it harder to power through life while ignoring your needsHow to recognize when you're having a "schema trigger" vs. a rational responseWhy self-trust and self-respect are the best antidepressants you've never triedThe difference between being "self-led" vs. constantly seeking external validationHow long real pattern change takes (spoiler: it's not quick, but it's worth it)Practical tools like the SIFT exercise to understand your emotional responses in real timeThere's always a "why" behind your emotions, even when you can't see it. Let Dr. Corry help you uncover yours.This podcast is brought to you by IRIS. Daily care products made with clean ingredients for hydrated vulvas and vaginas. Use code TIP20 for 20% off at lovemyIRIS.com. Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookDr. Justine CorryDr. Justine Corry is a trauma-informed relationship coach and former clinical psychologist with over 20 years of experience guiding women through deep emotional healing. Her superpower? Helping high-achieving, deeply giving women break the patterns that keep them small, silent, and stuck in relationships that no longer fit. Through a powerful blend of schema therapy, nervous system wisdom, and sharp emotional insight, Dr. Corry helps women rebuild self-trust, reclaim their voice, and step into lives where they no longer have to shrink to belong.Her signature 5-step Relationship Reinvention Method guides women to understand their self-sabotaging patterns, prioritise their emotional needs, and create relationships that feel balanced, respectful, and real. What sets Justine apart is her ability to help smart, self-aware women who’ve already done the work bridge the gap between knowing what’s wrong and finally doing something different. Whether they’re navigating the aftermath of divorce or separation or leading in business and life while secretly battling patterns like over-functioning, perfectionism, and people-pleasing, Justine helps women unravel the emotional blueprints that kept them stuck, so they can thrive in love, leadership, and self-trust from the inside out.Dr. Corry’s Signature Program: Your Relationship Reinvention is a 6-month group experience for women navigating life after divorce, separation, or a significant breakup. It’s designed to help you break the patterns that no longer serve you (like people-pleasing, poor boundaries, and over-functioning) so you can rebuild self-trust and create a life that feels grounded, honest, and fully yours. Because the version of you that was in that relationship isn’t the one who’s going to create what comes next, and this next chapter can be your best one yet. Links for this episodeDr. Justine CorryYour Relationship ReinventionInner Success Leadership CoachingDr. Justine Corry on InstagramDr. Justine Corry’s BlogsResource Dr. Corry mentioned in episode: Reinventing Your Life: the bestselling breakthrough program to end negative behaviour and feel great

The OG menopause trailblazer is back on The TIP Podcast to share what she’s been up to. And she’s been busy. In the last year Shirley Weir has launched a new platform called The Nest, a soft place for Menopause Chicks to land and her Facebook group hit 59,0000 members. Shirley worked with the Women’s Health Research Network in BC to support the HER-BC study, investigating the health experiences of midlife women and the impacts of menopause. She created Speak Menopause, to help us focus on the agency we each have when it comes to decisions about our own health. And never one to rest on her laurels, on her birthday she crafted a list of the 58 things she wants to see change in women’s health in the next 42 years, before she turns 100. Today she’s giving us a sneak peek and inspiring us to help make her list a reality.In This Episode Less than 7% of all health research dollars are allocated to women’s research, and that number has not changed in 13 yearsWhy our medical providers need at least as much information, direction, and input as we provide to our hairdressersWhy Shirley is done with the pervasive gatekeeping in women’s healthWhy we all need to take recurring UTIs more seriously, andThe alarming numbers involved in Pad Math: incontinence pads are meant to be temporary, not a solution.We all deserve to feel amazing. Thank you, Shirley, for your dedication to helping us figure out how to make that happen.Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookShirley Weir BioShirley Weir is a women's health advocate, author, and the founder of MenopauseChicks.com. With over a decade of experience in menopause education, Shirley has become a trusted voice in the field, empowering women to take charge of their midlife health journey.Launched in 2012, MenopauseChicks.com has grown into a thriving online community with over 300,000 members, providing evidence-based information and support for women navigating perimenopause and beyond. Shirley's work addresses critical gaps in women's health education, particularly in areas like vaginal health, where her research shows 77% of women have questions but struggle to find reliable answers.A three-time author and TEDx speaker, Shirley has been featured in various media outlets and has even tweeted for Oprah. She hosts a popular podcast and regularly speaks at conferences and corporate events, advocating for menopause-inclusive workplaces.Shirley's mission extends beyond education to developing thoroughly-researched products that address common menopausal concerns. Her ultimate goal? To ensure that every woman has the resources and support to feel amazing during this transformative life stage.Links for this episodeMenopause Chicks WebsiteShirley Weir on InstagramShirley Weir on FacebookThe HER-BC Report

Sex used to be fun. Now it's either painful, non-existent, or something you do because you feel like you should. Your body doesn't feel like yours anymore, and you're honestly starting to wonder if this is just what happens when you hit midlife.Dr. Arielle Buch-Frohlich hears this exact story all the time in her Toronto practice. She's a clinical psychologist who specializes in sex and couples therapy, and women show up to her office feeling broken, ashamed, and pretty convinced that their sexual life is basically over. But after years of working with women going through perimenopause and menopause, she's got a totally different take on things.Each episode will share life stories and expert insight into women's health and your perimenopause and menopause journey.In This Episode Why most women experience decreased libido during menopause (and why that's totally normal)How hormones, stress, and body changes create the perfect storm for sexual challengesThe psychosocial approach to understanding your sexual health - it's not just physical!Why "good enough sex" might be exactly what you need right nowThe biggest sexual myths that are sabotaging your intimacy Treatment options beyond just "use more lube" - from pelvic floor therapy to hormone therapyHow to navigate mismatched libidos without destroying your relationshipPlus, Dr. Arielle gives us the inside scoop on:Anna & Solomon - Toronto's first comprehensive sexual health clinic Why multidisciplinary care is the future of sexual wellnessThe changes you're experiencing? They're real, but they don't have to be permanent. And the solutions are way more comprehensive than most people realize.This podcast is brought to you by IRIS. Daily care products made with clean ingredients for hydrated vulvas and vaginas. Use code TIP20 for 20% off at lovemyIRIS.com. Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookDr. Arielle Buch-Frohlich Dr. Arielle Buch-Frohlich is a Clinical Psychologist licensed with the College of Psychologists of Ontario and Quebec. She studied psychology in Montreal, where she completed a doctorate in Clinical Psychology (Psy.D) from the Université du Québec à Montréal (UQAM). Additionally, she completed clinical training at the Sex and Couple Therapy Service at the Allen Memorial Institute.She is the Founder Clinical Director of Anna & Salomon: Sex and Couples Health, a comprehensive care clinic for individuals and couples navigating the complexities of sexual and relational health.In her practice, she provides inclusive Sex and Couples Therapy using a combination of Emotionally Focused Therapy (EFT), Cognitive Behavioural Therapy and Acceptance and Commitment Therapy (ACT). She offers specialized services to address communication challenges, infidelity, and transitions into parenthood, from fertility to perinatal and postpartum care. Additionally, she offers dedicated support for those experiencing intimacy-related challenges during or after oncology treatments. She strives to foster connection, healing, and resilience for every stage of life.Her virtual practice services clients located across Ontario and Quebec, including Toronto (GTA), Montreal and Ottawa. Therapy can be provided in English and in French.  Links for this episodeDr. Arielle Buch-FrohlichAnna & Salomon: Sex and Couples HealthDr. Arielle on Instagram

Today’s question for Dr. Sarah Shaw is:Are there other reasons to take hormone therapy besides the approved list?In this episode, you'll discover:Hormone therapy is not a panacea and requires a nuanced approachThe appropriate off-label uses for hormone therapyWhat is the Musculoskeletal Syndrome of MenopauseThe importance of HT when menopause happens before the age of 40Lume Women + Health is now open! They understand the unique challenges women face during perimenopause and beyond. Be sure to check out their dedicated menopause program that provides personalized support, medical guidance, and lifestyle optimization education to help you manage symptoms, improve your well-being, and thrive during this life stage.Every week, the team at Lume Women + Health will be dropping into our podcast to answer one of your questions. Be sure to follow our podcast so that you never miss these Lume Minutes. Find ‘This Is Perimenopause, the podcast’ wherever you listen to your favorites.Episode LinksDr. Sarah Shaw BioLume Women + HealthConnect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on Facebook

Each episode will share life stories and expert insight into women's health and your perimenopause and menopause journey.**Correction**  Dr. Jen mentions a breast cancer risk of 8/1,000 in this episode; she meant 8/10,000. "Vaginal estrogen should just be over the counter at this point," says Dr. Jennifer Zelovitzky. This is just one of the many facts she shares that'll change how you think about menopause care. As the clinical director of women's health at MedCan Toronto, Dr. Jen isn't just pushing back against outdated medical beliefs—she's showing us how women are suffering needlessly because doctors are treating menopause based on fear instead of facts.With incredible clarity and genuine compassion, Dr. Jen connects the dots between your hot flashes, middle-of-the-night wake-ups, and anxiety attacks, giving you the evidence-based insights to get better care from a medical system that has let women down. "Hormone therapy is held to a higher standard than literally any other treatment out there," she points out, and her breakdown of the double standards will leave you nodding along and ready to take action.In This Episode Why most doctors miss perimenopause symptoms and how to get them to listenThe truth about hormone therapy safety that wasn't covered in your doctor's half-day of menopause trainingHow micronized progesterone is different from the progestins used in the WHI studyWhy guidelines are called "guidelines" not "rules," and why this matters for your careThe truth about vaginal estrogen safety and why warning labels are misleadingThe connection between estrogen and serotonin that explains your shifting mental healthHow to stand your ground when your family doctor tries to take you off hormone therapy that's workingWhat makes the MedCan six-month program different from standard menopause careA preview of Dr. Jen's new educational course that puts expert knowledge within everyone's reachWhether you're just starting to notice changes or you've achieved menopause, Dr. Jen's holistic approach and straight-talk will help you advocate for the care you deserve. Because as she puts it, "Menopause is inevitable, but suffering is completely optional."This podcast is brought to you by IRIS. Daily care products made with clean ingredients for hydrated vulva and vaginas. Use code TIP20 for 20% off at lovemyIRIS.com. Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover nextSign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookDr. Jennifer ZelovitzkyDr. Jennifer Zelovitzky is a certified Menopause Specialist and the Clinical Director of Women’s Health at Medcan Toronto. She is helping women better understand their bodies and advocate for their needs in the Canadian Healthcare system.  She is also the mom of 2 amazing daughters and 3 fur babies. Links for this episodeJennifer Zelovitzky InstagramMedcan Women’s HealthProfessor Susan Davis  InstagramSinai Health Menopause ClinicBetter with Bria

Today’s question for Dr. Amy Louis Bayliss is: I have heard about testosterone replacement for women. What is it for?In this Lume Minute, you'll discover:The truth about testosterone researchTestosterone's role in libidoWhy female desire is complexCurrent prescription optionsKey safety considerationsThe need for more research Lume Women + Health is now open! They understand the unique challenges women face during perimenopause and beyond. Be sure to check out their dedicated menopause program that provides personalized support, medical guidance, and lifestyle optimization education to help you manage symptoms, improve your well-being, and thrive during this life stage.Every other week, the team at Lume Women + Health will be dropping into our podcast to answer one of your questions. Be sure to follow our podcast so that you never miss these Lume Minutes. Find ‘This Is Perimenopause, the podcast’ wherever you listen to your favorites.Episode LinksDr. Amy Louis-BaylissLume Women + HealthConnect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on Facebook

Each episode will share life stories and expert insight into women's health and your perimenopause and menopause journey. Today we’re talking about something we all do but rarely discuss: pooping. In this episode, pelvic floor physiotherapist Aliya Dhalla helps us unclench and get real about bowel health.From constipation confessions to hemorrhoid horror stories, we're flushing away the taboos and getting down to business. Got insufferable hemorrhoids? Are you a twice-a-day pooper, or someone who struggles to go more than once a week? Or are you just wondering if your pooping habits are normal. This episode has all the bowel health insights you need. In this episode:The ideal pooping frequency How to establish a morning poop routine that worksWhy your poop should resemble a "ripe banana" in consistencyWhat a squatty potty is and why everyone needs oneThe truth about hemorrhoids, and how to manage flare-ups and reduce discomfortThe connection between constipation and bladder leaksWhy you should pay attention to your pelvic floor healthEven a breathing technique to help you poopSo, stop holding it in and join us for a conversation about bathroom anxiety, hemorrhoids, squatty potties, and optimizing your output. Because everybody poops. And with Aliya's practical advice, you'll learn how to work with your body's natural rhythms for smoother, more satisfying bathroom visits.This podcast is brought to you by IRIS. Daily care products made with clean ingredients for hydrated vulva and vaginas. Use code TIP20 for 20% off at lovemyIRIS.com. Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookAliya Dhalla (B.Sc, MPT) BioAliya Dhalla (B.Sc, MPT) is a Pelvic Floor Physiotherapist and the host of The Not Your Mother's Pelvic Floor Podcast. She has a clinical practice in Toronto, Canada and spends her non-clinical time educating women, both on and offline, about the changes that occur in their bodies throughout their lifetimes. From puberty, pregnancy, postpartum + perimenopause, Aliya loves talking about the things we don't talk about, but should - like our sexual, bowel, bladder, and reproductive health. You can learn from her on Instagram @boxwellnessco, through her podcast, at community events, or through her online courses + programs.When not changing the face of women’s health one pelvic floor at a time, you can find her lifting heavy things in the gym, running, cooking up her favourite high-protein + high-fibre recipes, reading a book, building LEGO with her son, or eating popcorn. Links for this episodeAliya on InstagramNot Your Mother’s Pelvic Floor PodcastBox Wellness CoBox Wellness Online Courses

Today’s question for Dr. Woganee Filate from one of our listeners is, why can't I sleep anymore? Why don't I sleep through the night? Why am I waking at 3 a.m. all the time?In this Lume Minute, you'll discover:The variety of symptomsTracking and rating symptomsMQ6 ToolMenopause Foundation of Canada symptom trackerHave a goal for your appointment with your medical providerLume Women + Health is now open! They understand the unique challenges women face during perimenopause and beyond. Be sure to check out their dedicated menopause program that provides personalized support, medical guidance, and lifestyle optimization education to help you manage symptoms, improve your well-being, and thrive during this life stage.Every other week, the team at Lume Women + Health will be dropping into our podcast to answer one of your questions. Be sure to follow our podcast so that you never miss these Lume Minutes. Find ‘This Is Perimenopause, the podcast’ wherever you listen to your favorites.Episode LinksDr Woganee Filate BioLume Women + Health Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on Facebook

Each episode will share life stories and expert insight into women's health and your perimenopause and menopause journey. "It's not just about HRT or not...it's about realizing that the landscape has changed, and the playbook has changed. Full stop." Powerful words from Dr. Kirsten Smith set the stage for an enlightening conversation about what women really need during the menopause transition. Drawing on her extensive 15+ years of experience as a naturopathic doctor specializing in women's hormonal health, Dr. Smith challenges the simplistic narratives around hormone therapy and offers insights you likely won't hear in a standard medical appointment.In This Episode: The true role of hormone therapy—valuable but just one tool in your health toolkit The shocking connection between hormonal changes and mental health, including increased suicide risk in women aged 45-55 Why conventional antidepressants might fail during perimenopause The art and science of hormone dosing, and why your perfect dose might be completely different from your friend's Red flags that your hormone dose might need adjustment The critical gaps in medical training around women's health How to find healthcare providers who understand the complexities of menopause Practical strategies for building a complete approach to lasting health during menopause and beyondDr. Smith expands the conversation beyond hormones to address the complete picture of women's health during this transition, acknowledging that midlife health "does require more work.” But she also offers the reassurance that perfection isn't required—just consistent attention to the foundations of health. Whether you're currently on hormone therapy, considering it, or seeking alternatives, this conversation provides important information to help you advocate for yourself and make informed decisions about your health.This podcast is brought to you by IRIS. Daily care products made with clean ingredients for hydrated vulva and vaginas. Use code TIP20 for 20% off at lovemyIRIS.com. Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookDr. Kirsten Smith, ND | MSCP (cand.) | Visionary Women’s Health Expert | Integrative Hormone SpecialistFor over 16 years, Dr. Kirsten Smith has redefined care for women navigating perimenopause and menopause, blending cutting-edge evidence-informed science with the wisdom of naturopathic medicine. Her pioneering work bridges the gap between conventional diagnostics and holistic healing, offering women a third path - one where bioidentical hormones (HRT), targeted nutrition, and evidence-backed botanicals work in harmony to restore vitality.Based between Ontario’s forests and Costa Rica’s Pacific coast, Dr. Smith aims for the balance she teaches: mornings analyzing menopause research and doing patient consults, afternoons surfing with her son. This synergy of science and nature fuels her mission to reclaim midlife as a launchpad for women - not an expiration date. Dr. Smith's mission goes beyond treating patients; her legacy is cultivating a movement where women approach menopause with knowledge and agency, not fear. By mentoring practitioners and advocating for systemic change, she hopes future generations will inherit a healthcare model that honours hormonal transitions as important times in a woman's life that deserve, research, training and care. ️Links for this episodeWork with Dr. Kirsten SmithDr. Kirsten Smith on Instagram

Today’s question for Dr. Sarah Shaw is:What are the Health Canada approved indications for hormone therapy?In this episode, you'll discover:The approved indications for hormone therapy in Canada are limited to three main areasOff-label prescribing allows for hormone therapy use beyond approved indicationsYellow light indications where hormone therapy may be beneficialThe timing of hormone therapy initiation is crucial for maximizing benefitsLume Women + Health is now open! They understand the unique challenges women face during perimenopause and beyond. Be sure to check out their dedicated menopause program that provides personalized support, medical guidance, and lifestyle optimization education to help you manage symptoms, improve your well-being, and thrive during this life stage.Every week, the team at Lume Women + Health will be dropping into our podcast to answer one of your questions. Be sure to follow our podcast so that you never miss these Lume Minutes. Find ‘This Is Perimenopause, the podcast’ wherever you listen to your favorites.Have a question? Send us a message at hello@thisisperimenopause.com and we’ll get you an answer.Episode LinksDr. Sarah Shaw BioLume Women + HealthMQ6 ToolMenopause Foundation of Canada symptom trackerConnect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on Facebook

Each episode will share life stories and expert insight into women's health and your perimenopause and menopause journey. Imagine a menopause practitioner who says hormone change can actually be fun. Meet Dr. Kara Dionisio, a naturopathic doctor who describes her work as "helping hormone change not suck."In this candid and refreshing conversation, Dr. Kara unpacks what she calls "the art of clinical practice" – where medical guidelines meet real women's lives. With humor and depth, Dr. Kara explains why your perimenopause experience deserves personalized care rather than one-size-fits-all solutions, and offers practical strategies you can implement right away.In This Episode: Why most healthcare providers receive little to no training in menopause careThe importance of finding a Menopause Society certified practitioner (MSCP)How to build your own "menopause support team" beyond just your doctorThe art of clinical practice: merging evidence, clinical judgment, and patient valuesThe truth about hormone therapy for mood and cardiovascular healthWhy consistency beats perfection when it comes to perimenopause health habitsHow to take agency over your health while navigating this transitionWhether you're just noticing the first signs of change or deep in the hormone hurricane, this episode reminds us that while perimenopause can be challenging, it's also an opportunity to reclaim your health and reimagine your future.Because as Dr. Kara emphasizes, "Suffering is not an option."Connect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookDr Kara Dionysio BioDr. Kara Dionisio, ND, MSCP, is a Naturopathic Doctor and menopause nerd who brings evidence-based care, strategic education, and fierce advocacy to midlife health. Menopause is her magic—and she believes midlife is a time to rise.As founder of Dr. Kara & Associates in Owen Sound, Ontario, Kara has supported thousands through the menopause transition with personalized, evidence-informed care—continually redefining the art of comprehensive support (no one-trick ponies here), where each woman gains the agency to be the author of her own menopause story.A trailblazer in her field, Kara holds a BSc and MSc in Nutrition & Metabolism, and was among the first Naturopathic Doctors in North America to earn the Menopause Society Certified Practitioner designation, inspiring many to follow. She teaches clinical menopause education in academic and professional settings and leads the Confident Clinician Menopause Fellowship, now in its third year.She lives in Owen Sound with her two feisty kids, a red-bearded Irish dude, and a beagle with main-character energy. Kara believes thriving midlife women can (and should) rule the world—and she’s here for it. Links for this episodeDr Kara Dionisio PracticeDr Kara’s Geeky BioFollow Dr Kara on InstagramThe Menopause Society - Find a Healthcare Practitioner 

Today’s question for Dr. Amy Louis Bayliss is:Which supplements are best for me to prioritize and for what?In this Lume Minute, you'll discover:Supplement safety considerationsDr Amy Louis-Bayliss’ recommended supplements:Vitamin D Iron Calcium CreatineMagnesium B12Lume Women + Health is now open! They understand the unique challenges women face during perimenopause and beyond. Be sure to check out their dedicated menopause program that provides personalized support, medical guidance, and lifestyle optimization education to help you manage symptoms, improve your well-being, and thrive during this life stage.Every other week, the team at Lume Women + Health will be dropping into our podcast to answer one of your questions. Be sure to follow our podcast so that you never miss these Lume Minutes. Find ‘This Is Perimenopause, the podcast’ wherever you listen to your favorites.Episode LinksDr. Amy Louis-BaylissLume Women + HealthMQ6 ToolMenopause Foundation of Canada symptom trackerConnect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on Facebook

Each episode will share life stories and expert insight into women's health and your perimenopause and menopause journey. Is perimenopause threatening to derail your career just when you're hitting your stride? Time to flip that script. Today's guests, Lauren Glazer and Salima Valji, are executive coaches who discovered a troubling pattern: successful women at their career peak were being derailed by perimenopause and menopause symptoms, often suffering in silence and leaving the workforce as a result of their symptoms. Their response? Creating M Power, a revolutionary platform helping women thrive through "the change" while staying at the top of their game.Whether you're navigating hot flashes during presentations or dealing with brain fog in the boardroom, their insights will help you reclaim your confidence and power.In this episode, you’ll learn:How to maintain your executive presence while managing symptomsWhy silence is NOT the best strategy (and what to do instead)The "FLIP" method for having difficult conversations at workTools for advocating for yourself and others in the workplaceThe four-phase approach to becoming "uninterrupted" in your careerPlus, Lauren and Salima share their vision for creating menopause-friendly workplaces and why this life stage can actually be a period of renewed energy and growth.Links for this episodeMPower Resource GuideMenopositivity KeynoteMPower Coaching ProgramMPower for Businesses Connect with them on Social MediaFacebook GroupLauren Glazer LinkedInSalima Valji LinkedInConnect with Mikelle & Michelle at This is PerimenopauseEmail us and let us know what you think of the podcast and what topic you want us to cover next.Sign up for our weekly newsletterFollow This Is Perimenopause on InstagramFollow This Is Perimenopause on FacebookLauren Glazer Bio Lauren Glazer is a leadership coach who helps emerging and experienced leaders become even more thoughtful, intentional and resilient—prepared to take on new roles and business challenges, capable of deftly navigating uncharted waters and poised to guide and empower their own people to do the same. Leveraging over two decades of experience in team and brand building, she helps individuals, teams and organizations with a multidisciplinary perspective, deep sensitivity and voracious curiosity. Having experienced surgical menopause in her mid-40s, Lauren has firsthand knowledge of this roller coaster journey. She created MPower to help women take charge of “the change” so they can continue to share their considerable skills and expertise while experiencing fulfillment and joy.Salima Valji BioSalima Valji is an internationally sought-after speaker, thought- leader and certified executive coach on leadership topics related to advancing women and people of color. Salima was recently awarded the 2023 recipient of The World of Difference award by The International Alliance for Women (TIAW) recognizing her impact to women’s economic empowerment. Additional awards include Top 100 Speakers 2023 by Women in Tech, and Global Women Power Leaders 2024 by White Page International. Salima experienced menopause unexpectedly and realized there was a serious gap in resources and community support for executives navigating this life phase. She created MPower to fill that void, empowering leaders to thrive through menopause and beyond.