Fix Your Period
The Period Party Podcast · EP. 174 · April 22, 2023

When Is The Right Time For Hormone Replacement Therapy?

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podcast guest

Listen on: Apple Podcasts Spotify

Jill Chmielewski is a Registered Nurse, Certified Health Coach, Advocate for Aging Women, and Mom of Four who is on a mission to change the way we approach menopause and aging. Jill believes that education is the key to helping women understand their bodies, manage their health, and advocate for themselves as they age. She created The Peri to Menopause Roadmap and The Beginner’s Guide to Hormone Replacement Therapy to help women navigate the wild ride from perimenopause through menopause and beyond and she recently launched Pausing Together, an online community for women to connect, learn, and open up discussions on the topics that affect “PAUSAL” women.

In this episode, we talk about the misconceptions around menopause, common symptoms of perimenopause, the right approach to hormone testing in perimenopause, when to consider hormone replacement therapy, how to find the right practitioner, and so much more!

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Episode Highlights

Resources Mentioned

Fix Your Period

How Fix Your Period Supports Women in Perimenopause

Perimenopause is one of the most hormonally complex transitions a woman goes through — and one of the most under-supported. Fix Your Period is built to help you navigate it with clarity.

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Perimenopausal Cycle Tracking

Track the changes characteristic of perimenopause — shifting cycle lengths, changing flow, sleep disruption, hot flashes, mood changes — to understand your transition and monitor your symptoms.

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Hormone Health Assessment

Take Nicole's free Hormone Health Assessment and get personalised results that reflect your perimenopausal symptom picture — including the patterns most common in this hormonal transition.

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Perimenopause Protocols

Fix Your Period Premium includes multiple perimenopause-specific protocols covering estrogen decline, progesterone support, sleep, hot flashes, bone health, and navigating HRT.

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Perimenopausal Education

Nicole's signature Period Pillars include perimenopause-specific content covering the hormonal shifts involved, what drives symptoms, and a root-cause approach to managing the transition.

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Nicole.AI

Fix Your Period Premium includes Nicole.AI — trained on Nicole's complete methodology — giving you personalised guidance on managing perimenopausal symptoms and hormonal changes.

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Personalised Protocol

Fix Your Period Premium unlocks your personalised protocol from your assessment results — a targeted starting point for supporting your hormonal health through the perimenopausal transition.

Explore the App — It's Free to Start

Frequently Asked Questions

Common questions from this episode — and how Fix Your Period can help.

What is perimenopause?
Perimenopause is the hormonal transition phase leading up to menopause — typically beginning in the mid-to-late 40s, though it can start earlier. It's characterised by fluctuating and eventually declining estrogen and progesterone levels, leading to irregular cycles, hot flashes, sleep disruption, mood changes, and other symptoms. Perimenopause can last 4–10 years.
What are the first signs of perimenopause?
Early signs include cycle changes (shorter or longer cycles, skipped periods), worsening PMS, sleep disruption, new or increased anxiety, mood changes, brain fog, and — eventually — hot flashes and night sweats. Progesterone typically begins declining before estrogen, which is why PMS and sleep issues are often the first symptoms.
What drives perimenopausal symptoms?
Perimenopausal symptoms are driven primarily by the erratic fluctuation and eventual decline of estrogen and progesterone. Declining estrogen reduces insulin sensitivity, making blood sugar dysregulation more likely. Declining progesterone affects sleep, mood, and anxiety. The degree of symptom severity is influenced by underlying hormonal health going into the transition.
Is Fix Your Period right for women in perimenopause?
Absolutely. Fix Your Period's free assessment gives you personalised results based on your current symptoms. Fix Your Period Premium unlocks multiple perimenopause-specific protocols, Nicole's Period Pillars education, and Nicole.AI — all tailored to support women through this hormonal transition.
Does Fix Your Period cover HRT for perimenopause?
Yes. Fix Your Period Premium includes a Hormone Replacement Therapy protocol covering the options available, how to have informed conversations with your doctor, and what to consider when exploring HRT as part of your perimenopause support strategy.
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