In this episode of Ob/Gyn Time, host Erica Newlin, MD, is joined by Rachel Novik, DO, to break down what patients need to know about perimenopause and menopause—from early symptom recognition to the latest evidence-based treatment options. With 1.3 million individuals entering menopause each year in the U.S., the conversation emphasizes informed, personalized care tailored to each patient’s symptoms, risk factors, and goals. Dr.

Novik explores the full spectrum of menopausal symptoms beyond hot flashes—including mood changes, brain fog, sleep disruption, vaginal dryness, and shifts in body composition—and clarifies the distinction between perimenopause and menopause. The discussion provides a comprehensive overview of hormone therapy, including systemic versus local options, cardiovascular and bone health considerations, safety data, and evolving guidance on use within 10 years of…