When Women Get Sick
Did you know the average professional woman loses 20 to 25% of her annual income to menopause? Not from medical bills alone, but from invisible career costs and compounding retirement losses that most women never see coming. If you're a woman over 40 navigating perimenopause, midlife career decisions, or a second act reinvention, this conversation will change how you think about menopause, money, and your future. Dr. Kim Derezil is a double board-certified physician and certified wealth manager, and the only practitioner in the country combining medical expertise with financial planning specifically for women in menopause.
In this episode, you'll learn how menopause affects your career decisions, retirement savings, and long-term financial health, and what to do about it right now, whether you're 25 or 65.
Dr. Derezil began her career treating women through the menopause transition and watching them describe, visit after visit, how their symptoms were affecting their work and their money decisions. It wasn't until she went through the transition herself and turned down a contract that cost her $121,000 in retirement savings that she understood what her patients had been telling her for years. That moment became the catalyst for her life's mission: giving women the language, the data, and the strategy to fight back against what she calls the Menopause Tax.
What You'll Learn:
How perimenopause career change happens invisibly — the small, well-intentioned decisions that quietly cost you hundreds of thousands of dollars
The three-part Menopause Tax framework — care costs, career costs, and compounding costs, and how to calculate your own
What midlife women over 40 can do right now — from tracking symptoms to building a financial reserve using your HSA
Why women changing careers in their 40s often blame themselves — and why the real culprit is hormones, not ambition
How to build confidence after 40 as a female professional — using a coach, a doctor, and a financial advisor together
Starting over during menopause with a plan — why having a plan is protection, and what a menopause financial audit actually looks like
What companies can do to stop losing their most experienced female talent — a clear business case for menopause workplace support
Key Takeaways:
For midlife career changers: The decisions that feel responsible in the moment (turning down opportunities, leaning out of leadership) can cost you six figures in retirement. See your doctor first, then build your plan.
For women over 40 seeking purpose: You haven't lost your ambition. You may have lost your hormones. Getting support, medically and financially, is not a luxury; it is protection.
For perimenopause entrepreneurs and 1099 workers: Your menopause tax is approximately 25% of income when you account for the self-employment gap, the benefit gap, and the career decisions you make while symptomatic.
Featured Quote: "Your brain, your body, and your bank account just need a different approach, a fresh new perspective." — Dr. Kim Derezil
Resources & Links:
Free Menopause Tax Risk Assessment: menoandmoney.com [http://menoandmoney.com]
Book a Menopause Financial Audit: menoandmoney.com [http://menoandmoney.com]
Instagram/Facebook: @menoandmoney
LinkedIn: linkedin.com/in/kderezilmd
The Menopause Society (practitioner directory): menopause.org [http://menopause.org]
Related Uplifters episodes:
Julie Gordon White, CEO of MenoWell: Spotify [https://open.spotify.com/episode/5v26RRivOJUPakiRba6Emz?si=ARFF70MvSwiaxxp_Oaa5ug]
Denise Pines, founder of WisePause Wellness: Spotify [https://open.spotify.com/episode/3VxSqvRC8PdHJMSMzR3YpC?si=WfDPM6LoSAWfdXX7jFR3WQ]
Karissa Pfeffer episode: Spotify [https://open.spotify.com/episode/1pXVgkWs6abWHGmonv3RXl?si=3a1810dcf7544277]
About Dr. Kim Derezil: Dr. Kim Derezil is a double board-certified physician and certified wealth manager, and the founder of Meno and Money. She is the only practitioner in the country combining menopause medicine with financial planning to help high-performing women over 40 recognize and reduce the hidden financial toll of perimenopause, before it becomes a six or seven-figure loss.
About Your Host: Aransas Savas is a wellbeing and leadership coach specializing in helping women over 40 navigate midlife transitions, career changes, and second-act reinvention. With 20+ years of behavioral research experience partnering with companies like Disney, Weight Watchers, and Best Buy, she hosts The Uplifters Podcast, featuring women doing transformative work in the second half of their lives. Aransas brings both research rigor and personal experience to conversations about courage capital, midlife transformation, and building meaningful second acts.
Connect with Aransas:
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Keywords: perimenopause career change, women over 40, midlife reinvention, menopause second act, starting over at 40, women changing careers 40s, midlife transition women, second half of life, courage capital, midlife transformation, women entrepreneurs over 40, female founders midlife, perimenopause motivation, starting business during menopause, midlife purpose women, second act career women, women 40s new career, building confidence after 40, midlife dreams women, perimenopause fresh start, menopause tax, menopause financial planning, menopause career costs, menopause workplace, perimenopause retirement savings
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