08/03/2026
We are failing women in their 30s and 40s.
In one week I saw three women. One had her ADHD dose increased. One was started on an antidepressant. One was handed sleeping pills. Three different doctors, and every one of them missed the same thing. They were all in perimenopause.
The worsening brain fog got called worsening ADHD. The stress and difficulty coping was called anxiety. The 3am wake-ups got called insomnia. But maybe there was more to it.
The headlines say that 1 in 3 women over 35 can’t tell they’re in perimenopause, because there’s no test for it. But it’s not just that women don’t know. Their doctors don’t either. We were never trained to see it.
If your prescription list keeps growing and no one’s connected the dot, that may be the dot.
Not medical advice, and not a reason to stop any medication - some women genuinely need them. But perimenopause should be on the table, and too often it never is.