06/18/2026
When most women think about perimenopause, they think about hot flashes, irregular periods, or sleep changes.
But for many women, the first signs are emotional.
In this conversation, Dr. Kumar and Dr. Onyi Okeke discuss how women in their 40s and 50s often describe feeling "off" without knowing exactly why. They may feel more irritable, overwhelmed, less resilient, or unlike themselves, even if they don't identify as anxious or depressed.
Today's midlife experience is also unique. Many women are balancing careers, raising children, caring for aging parents, and navigating constant pressures from modern life. It can be difficult to know whether symptoms are related to hormones, stress, burnout, mental health, or a combination of all of the above.
The good news is that you do not have to figure it out alone.
Understanding what's changing is often the first step toward feeling better. π
Have you noticed changes in your mood, stress levels, or emotional wellbeing during midlife that caught you by surprise? Share below.
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