The Perimenopause Survival Guide

Dr. Heather Hirsch, renowned founder of the Menopause Clinic at Brigham and Women’s Hospital and featured expert on Oprah Winfrey’s The Life You Want series, offers a groundbreaking, expert-led guide to not only navigate—but truly thrive—through perimenopause.

Perimenopause, the transitional phase before menopause, can feel like one of the most disorienting and unspoken chapters in a woman’s life. From hot flashes and brain fog to anxiety, back pain, and sleep disruption, the symptoms are real, but the guidance often isn’t. Too many women between the ages of 35 and 50 find themselves confused, dismissed, or unsupported by their providers.

The Perimenopause Survival Guide is a clear, compassionate, and evidence-based resource from one of the most trusted voices in women’s hormonal health. Dr. Heather Hirsch draws on her years of clinical experience to help women understand what’s happening in their bodies, and how to take charge of their care.
In this essential guide, you’ll learn:

• What’s really driving your symptoms and how to decode them
• Proven, FDA-approved treatment options—plus how to evaluate what’s right for you
• The importance of managing perimenopause now for long-term health
• How to advocate for yourself and build a care plan around your individual needs and goals

Whether you’re just starting to notice subtle changes or already deep in the hormonal rollercoaster, The Perimenopause Survival Guide empowers you with clarity, confidence, and the tools to feel like yourself again.

• "The Perimenopause Survival Guide by Dr. Heather Hirsch is a compassionate, science-backed roadmap for women over 35 who feel blindsided by shifting hormones and unexplained symptoms. With expert insight and real-world strategies, this essential guide empowers readers to understand their bodies, take charge of their health, and finally feel like themselves again."
   
  Tamsen Fadal, New York Times bestselling author of How to Menopause and host of The Tamsen Show podcast
• "Dr. Heather Hirsch cuts through the confusion (and myths) of perimenopause with clarity, science, and heart. The Perimenopause Survival Guide is the empowering, practical resource every woman needs to take back control and thrive. A must-read!"
  Dr. Kelly Casperson, urologist, author of You Are Not Broken, and host of the You Are Not Broken Podcast
• "Perimenopausal women now have the accessible voice that we deserve thanks to Heather Hirsch, who combines deep medical expertise with the relatability and humor of a friend. This phase of life might be intimidating -- but Heather is anything but."
  Kara Baskin, journalist and contributor to the Boston Globe
• "The Perimenopause Survival Guide is the ultimate roadmap for navigating the rollercoaster of perimenopause. In this book, Dr. Hirsch provides you with actionable strategies for every perimenopausal symptom you might encounter, including lifestyle changes and evidence-based treatments that actually work. She debunks common (and harmful) myths about perimenopause, equipping you with the information you need to better understand your changing body. Every woman should have this book on her shelf as a trusted companion when preparing for and going through perimenopause. Read it and be prepared to feel in control and, importantly, like yourself again."
  Rena Malik, MD, urologist and pelvic surgeon, and host of the Rena Malik M.D. YouTube channel
• “To date there has not been a book on perimenopause. We are so in need of this book because women are suffering and are not getting presented with a full toolbox of options to help them. We are so lucky that this is becoming more and more openly discussed. Women should not be suffering!” 
  Rachel Rubin MD, urologist and New York Times contributor