Dr. Arianna Sholes-Douglas is a board-certified OB-GYN, founder of TULA (“balance” in Sanskrit), and author of The Menopause Myth. We decode perimenopause starting in your 30s, how dropping estrogen rewires the brain (hello, rage/brain fog/sleep chaos), and why these shifts are biochemical—not character flaws. We delve into a practical approach to an integrative plan that combines hormones, nutrition, movement, and mental health; how to distinguish between TikTok tips and evidence-based recommendations; and why menopause is a workplace issue that leaders can’t ignore. If you’ve ever been dismissed, told to “just manage stress,” or treated like midlife is a decline, this one’s for you. You’re not “overreacting”—you’re adapting to a new operating system.

In this episode:

• Perimenopause, decoded: symptoms beyond hot flashes and why they can start in your 30s.
• Brain on estrogen: irritability, brain fog, and sleep disruption explained—what’s chemistry vs. “personality.”
• Whole-person care: how hormones, nutrition, movement, and mental health work together (and why one pill isn’t the plan).
• Misinformation filter: where to go for science (e.g., The Menopause Society), how to vet influencers, and what red flags to look out for.
• Community > isolation: the “science of sisterhood,” why real-life circles matter, and using social platforms without the overwhelm.
• Equity lens: how race, culture, and bias shape symptoms, access, and outcomes, and why women of color need extra advocacy.
• Be your own advocate: what to track, when to get a second opinion, and why bringing an appointment buddy can be lifesaving.
• Lifestyle pivots that help: alcohol, food, stress, and sleep. What served you at 25 may sabotage you at 45.
• Sexual health is health: normalizing conversations about vaginal changes, pain, and libido—evidence-based options included.

The Pain Gap

Dr. Arianna's website

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