episode #303

A Masterclass on Perimenopause (Pt. 1) with Dr. Stephanie Estima


In today’s special episode with Dr. Stephanie, we answer your questions about what perimenopause really is, the four different phases, how to know you are experiencing it, and the action steps you can take to improve your life as a perimenopausal woman. Stay tuned for part 2 next week!


Jennifer Kolari Interview

Emily Fletcher Interview

Jenn Mansell Breathwork

Sam Skelly Breathwork

Kelsey Ramsden Interview

Jason Prall Interview

Yoga Nidra

Alan Aragon Interview

Schinouusa Whey Protein


  • 0:00:00 – Intro
  • 0:02:18 – Definition of perimenomause
  • 0:04:38 – Normal looks different for everyone
  • 0:06:44 – The best time to take baseline hormone measurements
  • 0:10:53 – A word from our sponsors
  • 00:16:07 – Subtle symptoms of low progesterone
  • 00:22:57 – The four phases of perimenopause
  • 00:28:38 – Action items
  • 00:29:40 – Prioritizing stress management
  • 00:37:01 – Meditation and breathwork
  • 00:41:48 – CBT and psychedelic therapy
  • 00:47:54 – Yoga Nidra
  • 00:50:31 – Exercise
  • 00:59:05 – Movement program goals as a perimenopausal woman
  • 01:03:48 – Stephanie’s current workout split
  • 01:05:56 – Cardio
  • 01:05:42 – Progressive overload
  • 01:09:09 – Resistance training helps us with resilience
  • 01:09:53 – Nutrition for perimenopausal women
  • 01:19:25 – You can still have great sex
  • 01:20:34 – Pelvic floor exercises
  • 01:21:33 – Orgasms for stress management
  • 01:23:26 – Intro to next week’s episode
  • 01:24:38 – Outro



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I’m Dr. Stephanie

Part geek, part magic, and all the way passionate about being a well-lived woman.

I want to throw my grandkids in the air in my 70’s. I want to be squatting even more weight than I am now, and putting my OWN luggage in the overhead bin. Sound like weird goals? For me these are just some of the little things that represent a life well-lived.

My health is MY job – I’ll be damned if I rely on luck, ‘good genes’ or a cocktail of drugs that over promise and under deliver.

The Betty Body is my first book-baby, and a collection of what I’ve learned after thousands of clinical hours, hundreds of conversations with the world’s top experts, and most importantly…

This book is an outline of what took ME from “rock-bottom health” at 38, to being my own version of a Betty in my perimenopausal mid 40’s. A woman who is physically strong, full of energy, enjoys mental clarity, great sex and a joyful family life. Is it all roses? Of course not. But I have the stamina and tools to deal with the push and pull of life so that it doesn’t turn into chronic stress.

I want this for you too. Let’s go Bettys!