Perimenopause often arrives during the exact years women are leading teams, running businesses, pursuing promotions and managing enormous responsibilities at work and at home.

But many women do not recognize what is happening.

They blame the anxiety on stress. The exhaustion on their schedule. The 3:00 a.m. wake-ups on everything running through their minds. And because they are not having hot flashes, they dismiss perimenopause as a possible explanation.

In this episode, Betsy sits down with Dr. Caissa Troutman, a physician specializing in menopause and midlife health—and Betsy’s own doctor—to talk about how perimenopause can affect sleep, focus, confidence, credibility and career decisions.

They explore the difference between perimenopause and menopause, the symptoms women commonly miss and why women are so often told th ...