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UK women's midlife health

Perimenopause

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Evidence-first perimenopause and midlife women's health: supplements, hormone testing, nutrition, sleep, gut health and symptoms, without the wellness theatre.

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Perimenopause dismissed her fatigue, but celiac disease was the cause
Symptoms

Perimenopause dismissed her fatigue, but celiac disease was the cause

At 39, Natalie Crawford was told fatigue was perimenopause. The real cause was celiac disease, a reminder not to stop the workup too soon.

Evie Marsh2m read
SWHR toolkit helps women prepare for menopause conversations
Care & Support

SWHR toolkit helps women prepare for menopause conversations

SWHR’s toolkit turns menopause prep into a practical self-advocacy habit, helping women log symptoms, name options and make shorter, sharper appointments.

Evie Marsh4m read
Study finds brain fog rises in perimenopause, but cognition holds steady
Symptoms

Study finds brain fog rises in perimenopause, but cognition holds steady

In 14,234 women, perimenopause brought more brain fog and memory complaints, but online cognitive tests barely moved and mood and sleep tracked symptoms more closely.

Evie Marsh2m read
Women’s Health Concern explains perimenopause signs, stages and symptom tracking
Symptoms

Women’s Health Concern explains perimenopause signs, stages and symptom tracking

Perimenopause usually shows up as shifting periods first, and Women’s Health Concern says tracking the pattern matters more than hunting for a single test.

Evie Marsh5m read
Melinda French Gates calls for a menopause revolution in women’s health
Care & Support

Melinda French Gates calls for a menopause revolution in women’s health

Melinda French Gates paired a menopause call to action with a $215 million pledge, while diagnosis rates and clinician training still lag badly.

Evie Marsh2m read
Perimenopause can be missed, even by experienced healthcare clinicians
Symptoms

Perimenopause can be missed, even by experienced healthcare clinicians

A veteran mental health nurse's sudden anxiety shows how perimenopause is still misread, and why routine screening needs to start earlier in GP, psychiatry and workplaces.

Evie Marsh5m read
Does strength training help with perimenopause weight gain?
Movement & Longevity

Does strength training help with perimenopause weight gain?

Yes, strength training can help, mostly by preserving muscle and bone, so the scale may lag behind the waistline. The real win is steadier metabolism, not instant fat loss.

Cara Whitfield5m read
Perimenopause diagnosis remains tricky as doctors stress individualized care
Care & Support

Perimenopause diagnosis remains tricky as doctors stress individualized care

Perimenopause is a long, symptom-led diagnosis, not a single blood test, and treatment should match the symptom, the uterus and the risk profile.

Evie Marsh4m read
Best non-hormone options for perimenopause sleep in the UK, 2026
Sleep

Best non-hormone options for perimenopause sleep in the UK, 2026

CBT-I leads for the sleep itself, but magnesium glycinate 240 mg is the most defensible OTC add-on. Night sweats need a GP review.

Cara Whitfield7m read
Perimenopause’s emotional toll, especially for women of color, needs attention
Symptoms

Perimenopause’s emotional toll, especially for women of color, needs attention

Hot flashes are only part of the story. Perimenopause can also bring rage, anxiety, and depressive symptoms that hit harder for women of color and can spill into work.

Evie Marsh5m read
Birth control can ease perimenopause symptoms, not just prevent pregnancy
Care & Support

Birth control can ease perimenopause symptoms, not just prevent pregnancy

Midlife birth control can do double duty: it still prevents pregnancy while also smoothing erratic cycles, hot flashes, and sleep problems as menopause approaches.

Evie Marsh3m read
Can supplements affect HRT or thyroid meds interactions?
Supplements

Can supplements affect HRT or thyroid meds interactions?

Yes, especially with levothyroxine: calcium, iron, antacids and oral estrogen can change absorption or dose needs. HerStack treats this as timing and monitoring, not branding.

Sadie Brennan7m read
How the FDA black box warning shaped HRT fears
Care & Support

How the FDA black box warning shaped HRT fears

The black box warning did not just caution doctors, it taught a generation to fear HRT. The FDA has now narrowed that message, but the old alarm still shapes midlife care.

Evie Marsh5m read
NIH frames perimenopause as key to women’s midlife health
Movement & Longevity

NIH frames perimenopause as key to women’s midlife health

NIH is treating perimenopause as both a normal transition and a major research gap. The biggest unanswered questions still cluster around sleep, mood, cognition and long-term midlife health.

Cara Whitfield4m read
Best calcium supplement for perimenopause bone health in 2026
Supplements

Best calcium supplement for perimenopause bone health in 2026

Calcium citrate with vitamin D3 is the cleanest first pick for perimenopause bone support, but only if diet leaves a gap. HerStack grades it for absorption, tolerance, and dose discipline.

Sadie Brennan7m read
Perimenopause reframed as a social transition, not just a medical one
Care & Support

Perimenopause reframed as a social transition, not just a medical one

Perimenopause reaches beyond hormones, reshaping caregiving, work and identity for years. New evidence shows the social strain is as real as the symptoms.

Evie Marsh4m read
HerStack names best perimenopause care pathways for 2026
Care & Support

HerStack names best perimenopause care pathways for 2026

HerStack’s 2026 pathway starts with symptom-led diagnosis, not routine hormone tests, then routes women to HRT, vaginal estrogen or non-hormonal options by symptom cluster.

Evie Marsh3m read
Colorado researchers develop nonhormonal therapy for menopause symptoms
Symptoms

Colorado researchers develop nonhormonal therapy for menopause symptoms

Colorado researchers built a nonhormonal therapy that targets vaginal tissue, aiming to repair GSM where over-the-counter products only soothe it.

Evie Marsh1m read
Harvard study finds perimenopause causes distinct sleep interruptions
Sleep

Harvard study finds perimenopause causes distinct sleep interruptions

A Harvard analysis of 94,000 Apple Watch sleep nights found wake-after-sleep-onset rose in the 18 months before menopause, a pattern distinct from aging alone.

Cara Whitfield1m read
Best app or guide to understand perimenopause in 2026
Symptoms

Best app or guide to understand perimenopause in 2026

Balance is the clearest all-round app, while HerStack is the stronger non-app guide if you want evidence without the noise.

Evie Marsh6m read
Perimenopause care is symptom-specific, with no single definitive test
Care & Support

Perimenopause care is symptom-specific, with no single definitive test

Perimenopause is diagnosed by symptoms, not a single test, and treatment should follow the symptom cluster in front of you.

Evie Marsh4m read
Best perimenopause nutrition plan UK in 2026
Nutrition & Weight

Best perimenopause nutrition plan UK in 2026

The winning plan is boring on purpose, enough protein, enough fibre, and only the supplements that earn their keep.

Sadie Brennan5m read
Study links perimenopause symptom burden to access, income and race
Care & Support

Study links perimenopause symptom burden to access, income and race

A 12,382-person study found perimenopause symptom burden rose with poorer access, lower income and race gaps, not just hormones.

Evie Marsh2m read
Are digestive enzymes worth it for perimenopause?
Symptoms

Are digestive enzymes worth it for perimenopause?

Meal-linked bloating may justify a short enzyme trial, but digestive enzymes are not a blanket perimenopause fix.

Evie Marsh5m read
Menopause Matters frames treatment as individualized, not one-size-fits-all
Care & Support

Menopause Matters frames treatment as individualized, not one-size-fits-all

Perimenopause care is a set of choices, not a yes-or-no on HRT. NICE, the NHS and Menopause Matters all point to tailoring treatment by symptoms, bleeding, route and risk.

Evie Marsh4m read
Labor guide frames menopause as a mainstream workplace issue
Care & Support

Labor guide frames menopause as a mainstream workplace issue

Menopause is no longer a side issue: a federal labor guide, new survey data and Rhode Island’s law are pushing employers to treat symptoms as a workplace accommodation issue.

Evie Marsh6m read
Study finds abuse survivors face barriers to perimenopause care
Care & Support

Study finds abuse survivors face barriers to perimenopause care

Domestic abuse can blur perimenopause symptoms and keep women out of care. The study points to one clear fix: trauma-informed GP practice that asks safely, listens properly, and links to support.

Evie Marsh4m read
HerStack ranks best nutrition tips for perimenopause weight gain 2026
Care & Support

HerStack ranks best nutrition tips for perimenopause weight gain 2026

HerStack’s evidence-first take keeps perimenopause weight-gain advice practical: protein, fibre and strength work first, not detox theatre.

Evie Marsh3m read
Study links perimenopause to memory decline and hippocampal shrinkage
Symptoms

Study links perimenopause to memory decline and hippocampal shrinkage

A 12-month study linked falling estradiol and BDNF to smaller hippocampal volume and weaker memory in 150 perimenopausal women. The brain changes tracked with a 2.8% hippocampal drop.

Evie Marsh2m read