Dr. Streicher’s Inside Information: Menopause, Midlife, and More

23 Apr 2026 12:30

S4 Ep200: Perimenopause Problems-an Experts Approach with Dr. Steven Goldstein

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This is my 200th episode! So I decided to replay a fan favorite. Dr. Steven Goldstein's perimenopause episode was among the top 5 most downloaded, with good reason.

The only thing predictable about perimenopause is that it is …unpredictable. My guest today is Dr. Steven Goldstein, a tenured professor at NYU's Grossman School of Medicine, the past President of the International Menopause Society, Past President of The Menopause Society, and one of the WORLD’S top experts on the science of perimenopause.

The problem with the standard definition of menopause.
Why bleeding and having a period is not the same thing
Why perimenopausal women bleed erratically
Why anxiety and other symptoms occur during
How to interrupt FSH and estradiol blood levels
The best treatment for perimenopause
Why birth control pills work so well during perimenopause
Myths about birth control pills
The concept of “suppression and substitution”
How long perimenopause lasts
What triggers perimenopause
Why fibroids often grow during perimenopause
How to know if symptoms are perimenopause hormonal fluctuations or something else
How long someone can stay on a birth control pill
When the 12-month rule doesn’t hold
When perimenopause and menopause hit before the age of 40.
When perimenopause hits before 40 why it needs to be treated
Options if someone can’t take birth control pills
When you can ignore irregular bleeding and when it needs to be evaluated
What Black women need to know about perimenopause bleeding
The likelihood of cancer if there is a uterine polyp and you are not bleeding

Link to Steven Goldstein MD https://www.goldsteinmd.com/services/gynecologist-perimenopause-specialist/ Link to John Rock’s Error ArticleLauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical dir

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