Perimenopause, PMDD, and neurodivergence questions

Today we’re diving into a topic that so many women experience but far too few of us are adequately prepared for—perimenopause. My guest is Dr. Mary Claire Haver, a board-certified OB-GYN, Certified Menopause Practitioner, and New York Times bestselling author of The New Menopause and her most recent book, The New Perimenopause. Through her clinical work, her online programs like The Galveston Diet, and her platform The ’Pause Life, Dr. Haver has become a leading voice in making menopause education accessible, practical, and grounded in science.

In our conversation, we explore the biological and emotional complexities of perimenopause, why early intervention—including hormone therapy—can be so important, and the gaps in medical training that have left many women feeling dismissed or unprepared. Dr. Haver shares practical strategies for managing symptoms, explains what she calls “The Menopause Toolkit,” and offers empowering guidance to help women advocate for their health and navigate this transformative phase with more knowledge, confidence, and support.

 About Dr. Mary Claire Haver 

Dr. Mary Claire Haver, MD, FACOG, CMP, is a board-certified Obstetrics and Gynecology specialist, a Certified Menopause Practitioner from The Menopause Society (formerly the North American Menopause Society (NAMS)), an Adjunct Associate Professor at University of Texas Medical Branch (UTMB), a Certified Culinary Medicine Specialist, and a passionate entrepreneur and best-selling author with a focus on women's health. Dr. Haver graduated from Louisiana State University Medical Center and completed her Obstetrics and Gynecology residency at UTMB. 

As her patient population grew older, Dr. Haver started receiving numerous complaints and concerns about weight gain during menopause. This inspired her to do a deep dive into the science of menopause, aging, and inflammation beyond what she was taught in school and residency, which led to the creation of The Galveston Diet online program and, in 2023, a national bestselling book. Dr. Haver integrates a patient's medical history, symptomatology, nutrition, exercise, supplements, and possibly hormone therapy, or what she likes to call "The Menopause Toolkit." 

Dr. Haver has a large social media following of over 7 million, where she posts advice for menopausal women and learns a great deal from her followers and community. She aims to make menopause care easy and accessible for everyone. She founded The 'Pause Life, a comprehensive approach to menopause education and support, and is the author of the New York Times bestseller, The New Menopause and her most recent title The New Perimenopause. 

Things you'll learn from this episode 

• What differences there are between the biological process of perimenopause and menopause

• The impact of hormone shifts in estrogen, progesterone, and testosterone on women’s mental health and brain fog during perimenopause

• Ways to effectively communicate with healthcare providers who may not be up to speed on menopause research and/or may be dismissive of symptoms

• The benefits and timing of menopause hormone therapy during perimenopause

Resources mentioned

• The Pause Life (Mary Claire’s website and online community)

• The New Perimenopause: An Evidence-Based Guide to Surviving the Zone of Chaos and Feeling Like Yourself Again by Dr. Mary Claire Haver

• The New Menopause: Navigating Your Path Through Hormonal Change with Purpose, Power, and Facts by Dr. Mary Claire Haver

• UnPaused Podcast

• Dr. Mary Claire Haver on Instagram

• Dr. Mary Claire Haver on YouTube

• Dr. Mary Claire Haver on Facebook

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