The Luminescence Podcast with Schuyler Grant

Missed, Dismissed & Misdiagnosed: Perimenopause Explained Part 1 of 2

46 min · 12. maj 2026
episode Missed, Dismissed & Misdiagnosed: Perimenopause Explained Part 1 of 2 cover

Description

Most women don't recognize perimenopause until they're already deep in it, and their doctors often miss it too. In this episode, Schuyler Grant sits down with Dr. Somi Javaid, founder of HerMD and women's sexual health expert; Dr. Sarah de la Torre, OB-GYN and functional medicine physician; and Elena Brower, bestselling author and teacher, to talk about what's actually happening hormonally during perimenopause and why so much of it goes unrecognized, minimized, or misdiagnosed. They discuss: * Why perimenopause often starts in the late thirties and early forties, long before hot flashes or cycle changes appear * The symptoms most commonly missed — sleep disruption, brain fog, anxiety, mood swings, and changes in body composition * Why so many women leave their doctor's office with an antidepressant when what they actually needed was hormone support * How siloed specialties, underfunded research, and undertrained clinicians are failing women at midlife * What it means to be the CEO of your own healthcare — and how to advocate for yourself inside a system that wasn't built with you in mind If you've ever walked out of a doctor's office with more confusion than you walked in with, this episode is for you. For information on our upcoming events, retreats, and to connect with specialists and other women in our online community, visit www.luminescence.health [http://www.luminescence.health].  Presented by our sponsors: Stripes: Visit stripesbeauty.com [http://www.stripesbeauty.com/?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=WTF+Is+Happening+to+My+Face%3F] and use the code COMMUNE20 for 20% off the entire product line. Genova Connect: Save 20% on testing with code COMMUNE20 so you can stop guessing and make adjustments to support what matters. Visit connect.gdx.net [http://connect.gdx.net]. LivOn Labs: Get 15% off your first order of elite-absorption, foundational supplements that fit into your routine with code COMMUNE15 (valid through 6.30.26) at LivOnLabs.com [https://www.livonlabs.com/discount/COMMUNE15?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=Free+Course%3A%C2%A0Rooted+Healing+with+Mona+Sharma]. BiOptimizers: Go to bioptimizers.com/luminescence [http://bioptimizers.com/luminescence] and use code LUMINESCENCE for 15% off.

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23 episodes

episode Red Light, Testosterone & Pelvic Health: WTF Is Happening to My Lady Parts? Part 2 of 2 artwork

Red Light, Testosterone & Pelvic Health: WTF Is Happening to My Lady Parts? Part 2 of 2

Most women are handed lube and told the changes are normal. This episode goes considerably further than that. This is part two of the conversation on sexual health in midlife. Schuyler Grant, Dr. Somi Javaid, and Dr. Sarah de la Torre go through the full toolkit for vaginal health, pelvic floor strength, and sexual function. From red light therapy and testosterone delivery methods to why most women are doing their Kegels wrong. They discuss: * How red light therapy stimulates collagen, elastin, and blood flow in vaginal tissue — why it works similarly to estrogen and what the research actually shows * The difference between stress and urge incontinence — why the fix is different for each, and what pelvic floor PT, wands, and vibration devices can do that Kegels alone can't * How Botox for vaginismus works — why the success rate is remarkably high, and what the treatment actually involves * Testosterone delivery methods — pellets vs. gels vs. injections, absorption differences, and why estradiol, FSH, and DHT labs are non-negotiable for monitoring * What DHT is and how your genetic predisposition affects hair loss, acne, and facial hair — the trade-offs of testosterone therapy most women don't expect For any woman who wants solutions that go beyond "use more lube" — your sexual health deserves the same attention as everything else you're tracking. For information on our upcoming events, retreats, and to connect with specialists and other women in our online community, visit www.luminescence.health [http://www.luminescence.health].  Presented by our sponsors: Stripes: Visit stripesbeauty.com [http://www.stripesbeauty.com/?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=WTF+Is+Happening+to+My+Face%3F] and use the code COMMUNE20 for 20% off the entire product line. Genova Connect: Save 20% on testing with code COMMUNE20 so you can stop guessing and make adjustments to support what matters. Visit connect.gdx.net [http://connect.gdx.net]. LivOn Labs: Get 15% off your first order of elite-absorption, foundational supplements that fit into your routine with code COMMUNE15 (valid through 6.30.26) at LivOnLabs.com [https://www.livonlabs.com/discount/COMMUNE15?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=Free+Course%3A%C2%A0Rooted+Healing+with+Mona+Sharma]. BiOptimizers: Go to bioptimizers.com/luminescence [http://bioptimizers.com/luminescence] and use code LUMINESCENCE for 15% off. Lube Recommendations:  Foria Plant-based intimacy oils and arousal products (including CBD options) designed to enhance sensation and relaxation.⁠ https://www.foriawellness.com⁠ [https://www.foriawellness.com?utm_source=chatgpt.com] Joylux — Let’s Spin A water-based intimacy gel focused on hydration and comfort, created with women’s hormonal changes in mind. ⁠https://joylux.com⁠ [https://joylux.com] Stripes Beauty — Oh My Glide An oil-based lubricant formulated with nourishing ingredients like squalane for longer-lasting glide. ⁠https://iamstripes.com⁠ [https://iamstripes.com] Playground A gentle, water-based lubricant with a clean ingredient profile and an approachable, modern feel. https://itsplayground.com Nécessaire — The Sex Gel A simple, aloe-based intimacy gel designed to support hydration and pH balance. ⁠https://necessaire.com⁠ [https://necessaire.com] Maude Minimal, design-forward lubricants including both water-based and oil-based options.⁠ https://getmaude.com⁠ [https://getmaude.com] Überlube A high-quality silicone-based lubricant known for its long-lasting, ultra-smooth glide.⁠ https://uberlube.com⁠ [https://uberlube.com]

7. juli 202631 min
episode Libido, GSM & Vaginal Health: WTF Is Happening to My Lady Parts? Part 1 of 2 artwork

Libido, GSM & Vaginal Health: WTF Is Happening to My Lady Parts? Part 1 of 2

When estrogen starts to decline, the vagina is one of the first places you feel it, and one of the last things women talk about. In this episode, we're going there. In this episode of the Luminescence Podcast, Schuyler Grant sits down with Dr. Somi Javaid and Dr. Sarah de la Torre — two OB-GYNs who specialize in women's sexual health — plus Elena Brower, who brings the honest, personal perspective we all need. Together they break down what's actually happening inside the body, from tissue changes and UTIs to libido that's gone quiet and orgasms that feel out of reach. They discuss: * What genital urinary syndrome of menopause (GSM) actually is — why estrogen and testosterone are essential to vaginal tissue health, sensation, and lubrication, and why this affects nearly everyone * The difference between spontaneous and responsive desire — why most women have always been wired for the latter, and what that means for navigating changes in midlife * How low libido shows up before you even realize hormones are involved — and why your Peloton seat may tip you off first * What happens to fibroids, endometriosis, and PMDD during perimenopause — the changes to expect and what shifts after menopause * The truth about orgasm in midlife — what the data says, what anatomy has to do with it, and why inattention may be the biggest factor For any woman who wants the real conversation about sexual health in midlife — no awkwardness, no hedging, zero judgment. For information on our upcoming events, retreats, and to connect with specialists and other women in our online community, visit www.luminescence.health [http://www.luminescence.health].  Presented by our sponsors: Stripes: Visit ⁠stripesbeauty.com⁠ [http://www.stripesbeauty.com/?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=WTF+Is+Happening+to+My+Face%3F] and use the code COMMUNE20 for 20% off the entire product line. Genova Connect: Save 20% on testing with code COMMUNE20 so you can stop guessing and make adjustments to support what matters. Visit ⁠connect.gdx.net⁠ [http://connect.gdx.net]. LivOn Labs: Get 15% off your first order of elite-absorption, foundational supplements that fit into your routine with code COMMUNE15 (valid through 6.30.26) at ⁠LivOnLabs.com⁠ [https://www.livonlabs.com/discount/COMMUNE15?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=Free+Course%3A%C2%A0Rooted+Healing+with+Mona+Sharma]. BiOptimizers: Go to ⁠bioptimizers.com/luminescence⁠ [http://bioptimizers.com/luminescence] and use code LUMINESCENCE for 15% off. Lube Recommendations:  Foria Plant-based intimacy oils and arousal products (including CBD options) designed to enhance sensation and relaxation.⁠⁠ https://www.foriawellness.com⁠⁠ [https://www.foriawellness.com?utm_source=chatgpt.com] Joylux — Let’s Spin A water-based intimacy gel focused on hydration and comfort, created with women’s hormonal changes in mind. ⁠⁠https://joylux.com⁠⁠ [https://joylux.com] Stripes Beauty — Oh My Glide An oil-based lubricant formulated with nourishing ingredients like squalane for longer-lasting glide. ⁠⁠https://iamstripes.com⁠⁠ [https://iamstripes.com] Playground A gentle, water-based lubricant with a clean ingredient profile and an approachable, modern feel. https://itsplayground.com Nécessaire — The Sex Gel A simple, aloe-based intimacy gel designed to support hydration and pH balance. ⁠⁠https://necessaire.com⁠⁠ [https://necessaire.com] Maude Minimal, design-forward lubricants including both water-based and oil-based options.⁠⁠ https://getmaude.com⁠⁠ [https://getmaude.com] Überlube A high-quality silicone-based lubricant known for its long-lasting, ultra-smooth glide.⁠⁠ https://uberlube.com⁠⁠ [https://uberlube.com]

30. juni 202643 min
episode Thyroid, Testing & Medical Dismissal: The Risks No One Told You About Part 2 of 2 artwork

Thyroid, Testing & Medical Dismissal: The Risks No One Told You About Part 2 of 2

Women are medically dismissed every single day, and knowing that doesn't help you unless you know what to do about it. This is part two of the conversation on what's changing inside your body. Schuyler Grant, Dr. Somi Javaid, and Dr. Sarah de la Torre break down the thyroid-hormone connection that conventional medicine consistently underestimates. Because brain fog, fatigue, hair changes, and weight gain could be perimenopause, or your thyroid, and the answer is often both. They discuss: * Why thyroid dysfunction and perimenopause symptoms are so easily confused — and the full thyroid panel you should be asking for beyond just TSH * How estrogen and thyroid hormone influence each other — why fluctuating hormones destabilize both systems, and why autoimmune conditions like Hashimoto's surface during perimenopause * How to advocate for yourself in short appointments — what to say when your doctor says no, why asking them to put a refusal in writing might be your most powerful move * The case for tracking your symptoms and bringing your own data — how to frame difficult conversations with providers and when to get a second opinion * Lightning round on saunas, grip strength, nasal breathing, Brazil nuts, and yes, the tequila protocol For any woman who's tired of being dismissed and wants concrete strategies for getting better care inside a broken system. For information on our upcoming events, retreats, and to connect with specialists and other women in our online community, visit www.luminescence.health [http://www.luminescence.health].  Presented by our sponsors: Stripes: Visit stripesbeauty.com [http://www.stripesbeauty.com/?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=WTF+Is+Happening+to+My+Face%3F] and use the code COMMUNE20 for 20% off the entire product line. Genova Connect: Save 20% on testing with code COMMUNE20 so you can stop guessing and make adjustments to support what matters. Visit connect.gdx.net [http://connect.gdx.net]. LivOn Labs: Get 15% off your first order of elite-absorption, foundational supplements that fit into your routine with code COMMUNE15 (valid through 6.30.26) at LivOnLabs.com [https://www.livonlabs.com/discount/COMMUNE15?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=Free+Course%3A%C2%A0Rooted+Healing+with+Mona+Sharma]. BiOptimizers: Go to bioptimizers.com/luminescence [http://bioptimizers.com/luminescence] and use code LUMINESCENCE for 15% off.

23. juni 202627 min
episode Your Heart on Hormones: The Risks No One Told You About Part 1 of 2 artwork

Your Heart on Hormones: The Risks No One Told You About Part 1 of 2

Heart disease is the number one killer of women in the US, more than all cancers combined, and yet the cardiovascular changes happening during perimenopause are still widely misunderstood, undertested, and dismissed. In this episode of the Luminescence Podcast, Schuyler Grant sits down with Dr. Somi Javaid and Dr. Sarah de la Torre to get into what's actually happening to your heart as estrogen declines. Dr. Somi opens with the call that became her calling: her mother's near-fatal heart attack at 45, dismissed for six weeks as "too much caffeine." A story that is far too common. They discuss: * Why perimenopause dramatically shifts cardiovascular risk — how estrogen loss stiffens arteries, raises blood pressure, and changes cholesterol profiles in ways most women aren't being told about * The difference between standard lipid panels and the advanced markers that actually matter — ApoB, LipoA, hs-CRP, and why your doctor might not be ordering them * What "cotton candy vs. gummy bear" LDL means — why particle type and number both count, and how this changes your treatment approach * The direct link between metabolic health and heart disease — how glucose regulation affects everything, and why CGMs are revealing patterns doctors miss * Why women are more likely to die from a heart attack than men — the diagnostic gaps, symptom differences, and systemic issues that have to change For any woman who wants to understand her cardiovascular risk before something happens. For information on our upcoming events, retreats, and to connect with specialists and other women in our online community, visit www.luminescence.health [http://www.luminescence.health].  Presented by our sponsors: Stripes: Visit stripesbeauty.com [http://www.stripesbeauty.com/?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=WTF+Is+Happening+to+My+Face%3F] and use the code COMMUNE20 for 20% off the entire product line. Genova Connect: Save 20% on testing with code COMMUNE20 so you can stop guessing and make adjustments to support what matters. Visit connect.gdx.net [http://connect.gdx.net]. LivOn Labs: Get 15% off your first order of elite-absorption, foundational supplements that fit into your routine with code COMMUNE15 (valid through 6.30.26) at LivOnLabs.com [https://www.livonlabs.com/discount/COMMUNE15?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=Free+Course%3A%C2%A0Rooted+Healing+with+Mona+Sharma]. BiOptimizers: Go to bioptimizers.com/luminescence [http://bioptimizers.com/luminescence] and use code LUMINESCENCE for 15% off.

16. juni 202646 min
episode Metabolic Protocols, GLP-1s & Habit Stacking: WTF Is Happening Inside Me? Part 3 of 3 artwork

Metabolic Protocols, GLP-1s & Habit Stacking: WTF Is Happening Inside Me? Part 3 of 3

Hormone therapy, GLP-1 medications, vitamin D, creatine, vibration plates, cold plunging, butter coffee. The list of things women in midlife are being told to try keeps growing. This is part three of the conversation on what's happening structurally in your body. Schuyler Grant, Dr. Somi Javaid, and Dr. Sarah de la Torre get into what the science actually supports for metabolic health, muscle preservation, and bone density in perimenopause and menopause and go deep on GLP-1 medications, including why microdosing is quieting food noise and anxiety in ways that go well beyond weight loss. They discuss: * Why GLP-1 medications are changing the conversation around weight, metabolism, and anxiety in midlife — and what microdosing actually does that full doses don't * What you need to know to protect muscle mass if you're on a GLP-1 — why the medication doesn't distinguish between fat and muscle loss, and how to work with that * The role of vitamin D, calcium, and omega-3s for bones and hormones — what the research supports and what's marketing * What actually moves the needle for metabolic health beyond the basics — from strength training to vibration plates, and why some interventions work better than others * Lightning round verdicts on step tracking, butter coffee, creatine, squats after meals, and cold plunging — what's worth your time and what isn't For any woman trying to sort through the noise around what actually works for midlife health. For information on our upcoming events, retreats, and to connect with specialists and other women in our online community, visit www.luminescence.health [http://www.luminescence.health].  Presented by our sponsors: Stripes: Visit stripesbeauty.com [http://www.stripesbeauty.com/?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=WTF+Is+Happening+to+My+Face%3F] and use the code COMMUNE20 for 20% off the entire product line. Genova Connect: Save 20% on testing with code COMMUNE20 so you can stop guessing and make adjustments to support what matters. Visit connect.gdx.net [http://connect.gdx.net]. LivOn Labs: Get 15% off your first order of elite-absorption, foundational supplements that fit into your routine with code COMMUNE15 (valid through 6.30.26) at LivOnLabs.com [https://www.livonlabs.com/discount/COMMUNE15?__s=xxxxxxx&utm_source=drip&utm_medium=email&utm_campaign=Free+Course%3A%C2%A0Rooted+Healing+with+Mona+Sharma]. BiOptimizers: Go to bioptimizers.com/luminescence [http://bioptimizers.com/luminescence] and use code LUMINESCENCE for 15% off.

9. juni 202634 min