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Welcome to
Midlife Revival Resources
This is your destination for thoughtful, evidence-based content on perimenopause, menopause, and whole-person midlife health.
Here you’ll find the Midlife Revival podcast, educational blog articles, and curated resources designed to help you better understand your changing body, navigate midlife transitions, and feel more confident in your care.
Whether you prefer to listen, read, or explore at your own pace, this space exists to support you — without rush, dismissal, or overwhelm.
The Revival Blog
The FDA Removed the Black Box Warning on Menopause Hormone Therapy: Here’s What That Actually Means
If you’ve ever picked up vaginal estrogen or a hormone therapy patch from the pharmacy, unfolded that giant paper insert, and thought: “Wait… is this trying to kill me?” You’re not alone. On November 10, 2025 , the U.S. Food and Drug Administration announced it would initiate removal of the boxed (“black box”) warning language that has lived on menopause hormone therapy labels for more than two decades—language referencing risks like cardiovascular disease, breast cancer, a
Feb 104 min read
Pleasure in Perimenopause: 3 Ways to Reclaim Yourself in Midlife
For many women, perimenopause doesn’t arrive quietly. It shows up as anxiety that won’t settle. Chest tightness you can’t explain. Burnout that rest alone doesn’t fix. A body that feels like it’s sounding an alarm you can’t ignore. For me, that alarm went off in a parking lot in the spring of 2022—sitting in my minivan, white coat on, heading into a packed clinic day, convinced I might be having a heart attack. What I know now is this: My body wasn’t failing me. It was trying
Feb 103 min read
Perimenopause Nutrition, Stress & Sleep: 3 Takeaways to Feel Like You Again
Perimenopause has a way of waking women up—sometimes gently, sometimes all at once. You may notice your body responding differently to food. Sleep becomes elusive. Stress hits harder. Weight shifts in ways that feel unfamiliar. And yet, when you ask for help, you’re often told everything looks “normal.” In a recent episode of the Midlife Revival Podcast , I sat down with certified health coach Dana Lawson to talk about what’s actually happening in perimenopause—and how nutr
Feb 103 min read
Menopause, Diet Culture, and Privilege: Why There Is No “Right Way” to Do Midlife Health
If you’ve spent any time in menopause spaces lately—on social media, in podcasts, or even in doctors’ offices—you’ve probably felt it: That quiet (or not-so-quiet) pressure that there’s a right way to do menopause. Eat more protein. Lift heavier weights. Track everything. Take the supplements. Optimize harder. And if you’re not doing all of it? It can feel like you’re failing midlife. As an OB-GYN and certified menopause specialist, I want to say this clearly: Menopause care
Feb 104 min read
Menopause Pellets: Where They Fit—and Why They’re Not My First Choice
If you’ve spent any time in menopause spaces—online, at med spas, or talking with friends—you’ve probably heard about pellet therapy . And inevitably, the question comes up: “Dr. T, what do you think about pellets?” The short answer is this: Pellets are an option—but they’re not where I start. This post isn’t about shaming pellets or the women who choose them. It’s about helping you understand where pellets fit in the larger picture of menopause care , so you can make an info
Feb 83 min read
Is Your Period Acting “Weird”?
What Irregular Bleeding Can Mean in Perimenopause If you’re in your late 30s or 40s and your menstrual cycle suddenly feels unpredictable, you’re not imagining things—and you’re not alone. One of the earliest signs of perimenopause is change in your menstrual cycle. Periods may come closer together, stretch farther apart, become heavier, lighter, longer, shorter—or all of the above. For many women, this is the moment they start wondering: What is going on with my body? Under
Feb 83 min read
Hormone Testing in Perimenopause: What Labs Can’t Tell You (and What Matters More)
A lot of women come to me with the same request: “Dr. T, I need ALL my hormones tested.” And I get it. When you’re tired, moody, not sleeping well, and your body feels… off… you want answers. You want data. You want something that proves what you’re experiencing is real. But here’s the truth I wish more women heard early: Hormone labs often don’t diagnose perimenopause—and they can actually send you down the wrong path. Not because your symptoms aren’t real. But because your
Feb 84 min read
Creatine in Menopause: When It Helps, When It Doesn’t, and What Most Advice Gets Wrong
If you spend any time in menopause spaces—online or in real life—you’ve probably heard the buzz: “Take creatine. It’s a game-changer for women in midlife.” And while creatine can be helpful for some women, the way it’s being talked about right now lacks context, nuance, and—most importantly—physiology. As an OB-GYN and certified menopause specialist, my goal isn’t to tell women what not to do. It’s to help you understand what works, when it works, and why —so you can make d
Feb 84 min read
“This Doesn’t Feel Like My Usual Anxiety”—Mood Changes in Perimenopause Explained
“I know what my anxiety feels like—and this is different.” I hear this all the time from women in their 40s and early 50s. They’re still having regular periods. They’re functioning at work. But emotionally, something feels off . More irritability. Lower frustration tolerance. Mood swings that don’t respond to the usual tools. And too often, they’re told: “It’s just stress.” Why Perimenopausal Mood Changes Feel Different Estrogen and progesterone don’t just regulate perio
Feb 82 min read
“I Was Bad at Treating Perimenopause”—And Why That Truth Matters
I have a confession. I’ve been a menopause specialist for nearly ten years—and when I first started caring for women in the menopausal transition, I was bad at it . Not careless. Not dismissive on purpose. But incomplete. And that truth matters, because it explains why so many women walk out of medical appointments feeling unheard, unseen, and untreated for the full picture of what’s happening in their bodies. What I Was Trained to See—and What I Missed I finished residency
Feb 83 min read
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