Aging Fiercely Podcast
If you've ever left a doctor's appointment feeling dismissed, confused, or handed a prescription that didn't feel right, this episode on perimenopause and women's hormonal health is for you. I'm joined by Dr. Dana Culp, a physician with 25 years of experience who now exclusively specializes in perimenopause, menopause, and postmenopause care. Dr. Culp shares her own deeply personal experience of being dismissed by multiple providers while navigating perimenopause herself, despite being a doctor, and how that journey lit a fire under her to transform her entire practice. We talk about how to advocate for yourself in medical settings, the three questions every woman should bring to her next appointment, hormone testing, HRT myths, and how to find a qualified provider. If you've ever felt like you're not being heard, this conversation will change how you walk into your next appointment. KEY TAKEAWAYS 1. You Are Part of the Medical Team Dr. Culp introduces the concept of shared decision-making and why women need to walk into their appointments as equals, not passive recipients of care. Knowing what questions to ask—including what training your provider has in this specific area, how they individualize care, and how they monitor progress—can completely shift the dynamic and the outcome of your care. 2. Hormones Aren't the Cause of Everything, But They Deserve a Seat at the Table Hormone levels are rarely screened as a standard part of women's healthcare, and Dr. Culp makes the case for why they should be. She walks through how she approaches hormonal health alongside other foundational lab values, and why "normal labs" doesn't always mean the full picture has been examined. 3. Outdated Medical Thinking Is Still Affecting Women's Care Today From providers who are unfamiliar with current HRT research to blanket advice like "eat less, move more," Dr. Culp breaks down how old protocols are still being applied to women today and what you can do about it. She also explains how telehealth and menopause-specialized directories (like the Menopause Society registry) are expanding access to care no matter where you live. FREE RESOURCE Ready to start feeling good? Join me for my Monthly Becoming Her Workshop: my free monthly goal-setting session on Substack Live, designed for women who are done playing small. 👉 Sign up here: Becoming Her Workshop [https://www.amcostanzo.com/free-goal-setting-workshop] CONNECT WITH ME Website: amcostanzo.com [http://amcostanzo.com] YouTube: amcostanzowellness [https://www.youtube.com/@amcostanzowellness] Instagram: am_costanzo [https://www.instagram.com/am_costanzo/] Connect with Dr. Dana Culp: Website: thrivemidlifemed.com [http://thrivemidlifemed.com] (includes a free perimenopause quiz) 📱 Instagram [https://www.instagram.com/thrivemidlifemed/] Facebook [https://www.facebook.com/thrivemidlifemed] LinkedIn [https://www.linkedin.com/company/thrive-midlife-medicine/] LET'S CONTINUE THE CONVERSATION If this hit home for you, I'd love it if you'd leave a quick 5-star rating or just drop a ❤️ in the comments. Or hit that follow button so we can keep spreading the word that midlife isn't a crisis — it's a comeback!
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