Heather Hirsch MD MS NCMP

Heather Hirsch MD MS NCMP Women's health physician, podcast host, and media contributor on a mission to make your hormones make sense in your 40s and 50s.

Pre-order my new book The Perimenopause Survival Guide, out in October.

06/17/2026

Your period does not have to be irregular for you to be in perimenopause. Brain fog, night sweats, hot flashes, headaches, weight changes, dry skin, lighter periods, or suddenly awful cramps can all be signs that hormones are shifting. Perimenopause is a clinical diagnosis, and tracking your symptoms can help you and your clinician see the bigger picture.

đź’– Click here for The Perimenopause Survival Guide
https://amzn.to/3KIsBKz

Vaginal dryness, painful s*x, and recurring UTIs are not just “menopause problems.” They can happen anytime estrogen is ...
06/16/2026

Vaginal dryness, painful s*x, and recurring UTIs are not just “menopause problems.” They can happen anytime estrogen is low, including postpartum, during perimenopause, and after menopause. And no, you do not have to just live with it. These symptoms are common, hormonal, and treatable.

If this is happening to you, it is worth bringing up with a clinician who understands vaginal and urinary health. You deserve options.

Check out my free mini course for patients by clicking https://heatherhirschmd.myflodesk.com/freeclass?fbclid=PARlRTSAQJoFJleHRuA2FlbQIxMABzcnRjBmFwcF9pZA8xMjQwMjQ1NzQyODc0MTQAAadtXbdBltMX68fO9V0ua4_sks4vqYxKwwkEbREDDFtl4QsrbRdDl4h-J3mxvA_aem_HTAnTY6_PMuoy5TMHaWVRw

06/16/2026

We talk a lot about longevity right now. Saunas, supplements, red light masks, cold plunges, all of it. But here’s what I wish more women knew: starting hormone therapy within 10 years of menopause has been associated with living longer, lower all-cause mortality, and lower rates of heart disease, diabetes, and fractures. And heart disease is still the number one killer of women. So yes, lifestyle matters. Sleep matters. Strength training matters. Nutrition matters. But estrogen is not just about hot flashes. For the right woman, at the right time, it can be a powerful part of long-term health.

Click this link and I’ll add you to my newsletter so you’re the first to hear what I’m teaching, what’s new in women’s health, and the things I don’t always share on social. https://heatherhirschmd.myflodesk.com/freeclass?fbclid=PARlRTSAQK6BlleHRuA2FlbQIxMABzcnRjBmFwcF9pZA8xMjQwMjQ1NzQyODc0MTQAAadaQWp0digI3WW7IK1h6yxSMP8Pap6ueqKSKsvnL6AH04K6NANhZKA5NVca6Q_aem_SrWA-9l6MUS4W2DnUWEncA

Perimenopause can last years, and nobody prepares women for that. The mood changes, sleep issues, anxiety, irregular per...
06/15/2026

Perimenopause can last years, and nobody prepares women for that. The mood changes, sleep issues, anxiety, irregular periods, brain fog, and feeling like you don’t recognize yourself can all be part of this transition. You’re not crazy, you’re not alone, and you deserve real answers.

đź’– Click here for The Perimenopause Survival Guide
https://amzn.to/3KIsBKz

06/15/2026

If you feel like your HRT journey has been two steps forward and one step back, you are not doing anything wrong. This is actually how it goes for most people. This journey is rarely a straight line, and I see so many patients worry that they are the only one struggling or that something must be wrong because it is taking longer than they expected. The goal is not perfection every single day. The goal is that, over time, you are moving in the right direction.

Check out my free mini course for patients by clicking https://heatherhirschmd.myflodesk.com/freeclass?fbclid=PARlRTSAQJoFJleHRuA2FlbQIxMABzcnRjBmFwcF9pZA8xMjQwMjQ1NzQyODc0MTQAAadtXbdBltMX68fO9V0ua4_sks4vqYxKwwkEbREDDFtl4QsrbRdDl4h-J3mxvA_aem_HTAnTY6_PMuoy5TMHaWVRw

Thank you to Lisa Arbetter and Oprah Daily for including my perspective on migraines in perimenopause.New or worsening h...
06/14/2026

Thank you to Lisa Arbetter and Oprah Daily for including my perspective on migraines in perimenopause.

New or worsening headaches in your 40s are not something to brush off. Hormone fluctuations can affect the brain in very real ways, and migraines can be part of that picture.

So if this is happening to you, please bring it up with your doctor. You don’t have to just live with it.

Click this link and I’ll add you to my newsletter so you’re the first to hear what I’m teaching, what’s new in women’s health, and the things I don’t always share on social. https://heatherhirschmd.myflodesk.com/freeclass?fbclid=PARlRTSAQK6BlleHRuA2FlbQIxMABzcnRjBmFwcF9pZA8xMjQwMjQ1NzQyODc0MTQAAadaQWp0digI3WW7IK1h6yxSMP8Pap6ueqKSKsvnL6AH04K6NANhZKA5NVca6Q_aem_SrWA-9l6MUS4W2DnUWEncA

06/14/2026

I know everyone wants to talk about the perfect diet, the perfect workout, or the perfect supplement. But somtimes we have to back up and ask: are you sleeping, and are you living in a constant state of stress? In this conversation with Dr. Alexandra Sowa and Rachel Goldman, Ph.D., we talked about how sleep, stress, hormones, metabolism, and mindset are all deeply connected in midlife. And no, stress management is not always easy. But it matters more than most women are ever told.

🎧 Want the full episode? Listen on Spotify, Apple, or YouTube.

Let’s clear this up because vaginal estrogen is so misunderstood. When we use low-dose vaginal estrogen, we are not tryi...
06/13/2026

Let’s clear this up because vaginal estrogen is so misunderstood. When we use low-dose vaginal estrogen, we are not trying to raise estrogen levels throughout the whole body. We are treating the tissue locally.

That means it can help with things like vaginal dryness, pain with s*x, urinary urgency, and recurrent UTIs without acting like systemic hormone therapy. And this is why I talk about it so often. Because women are suffering with symptoms they were told were “just part of aging,” when we actually have safe, effective options.

Check out jointhecollaborative.com and get matched with a Collaborative clinician who can walk you through your symptoms and your options.

06/13/2026

Menopausal hormone therapy is still dramatically underused. Only a small percentage of women are currently using MHT, ven though many more may be good candidates for it. That gap matters. It means too many women are not being given the full conversation about their options, their symptoms, their risks, and their quality of life. Hormone therapy is not required, and it is not for everyone, but every woman deserves an informed discussion about what is available to her.

Check out my free hormone health guide https://heatherhirschmd.myflodesk.com/freeclass?fbclid=IwY2xjawOlgk1leHRuA2FlbQIxMABicmlkETEwNVF4QURiNXRDNDZuQVMxc3J0YwZhcHBfaWQPNTE0NzcxNTY5MjI4MDYxAAEeCk8GOHq-hj5kD3kuqTwGvViVNGBRLsXFuzoKCt8RVt5hev_WEoKqiGo8Xao_aem_01MHUCiDsoITQkW2cfDhiA

Most women are only told about one form of vaginal estrogen, but there are actually multiple options. Creams, tablets, r...
06/12/2026

Most women are only told about one form of vaginal estrogen, but there are actually multiple options. Creams, tablets, rings, and inserts can all work differently depending on your symptoms, your routine, and what feels realistic for you to use consistently. If you were prescribed something that didn’t work for you, it may not mean vaginal estrogen failed. It may mean you need a different form.

Save this so you know what to ask about at your next appointment.

Check out jointhecollaborative.com and get matched with a Collaborative clinician who can walk you through your symptoms and your options.

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