Perimenopause Isnt Just the End of Your Periods | Dr. Heather Hirsch @DrStephanieEstima
Perimenopause Isnt Just the End of Your Periods | Dr. Heather Hirsch  @DrStephanieEstima
Uploaded May 2026 | Updated September 2026, 2 weeks ago
Board-certified internist Dr. Heather Hirsch — founder of the Menopause and Midlife Clinic at Brigham and Women's Hospital — breaks down why perimenopause has been catastrophically misfiled under gynecology, and what the actual stakes are for the women paying the price. Watch the full episode at youtu.be/ME_mDKHK6jA

In this clip: estrogen's role in vessel health, nitric oxide, coronary protection, brain function, and why the AHA's 2020 landmark paper — declaring menopause an independent risk factor for heart disease — got zero coverage. (You can probably guess what else happened in 2020.)

The bottom line: this transition touches your cardiologist, your endocrinologist, your sleep doctor, and your mental health provider. Treating it like a pelvic problem is costing women their health.

#perimenopause #menopause #estrogenhealth #womenshearthealth #HRT #cardiometabolic #hormonetherapy #betterwithstephanie
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Perimenopause Isn't Just the End of Your Periods | Dr. Heather Hirsch

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