Breakouts in your 40s aren't in your head. As estrogen swings erratically through perimenopause while androgens hold steadier, oil glands shift into androgen-driven overdrive. Peer-reviewed research shows perimenopausal acne is common, often distinct from teenage acne, and generally improves after full menopause. This piece covers what diet studies actually support and which treatments — from dermocosmetics to spironolactone — have real evidence behind them.

You're laughing at a party, but half the conversation just went past you. That's not always noise — it can be perimenopause. Estrogen receptors line your inner ear, and as hormones shift, hearing and speech-in-noise processing can shift too. Cathy breaks down what nine studies actually found about perimenopause and hearing loss — the surprising HRT link, the bone-density connection, and what actually helps.

Burning tongue. Metallic taste. Clean dental exam, no answers. If this sounds familiar, it's likely burning mouth syndrome — a real, hormone-linked perimenopause symptom most dentists aren't trained to flag. Here's what the newest research (including a 2025 caffeine trial and a July 2026 systematic review) says about why it happens and what evidence-backed relief actually looks like.

Perimenopause constipation isn't just about fiber or hydration. Hormonal changes—especially fluctuating progesterone and declining estrogen—can slow gut motility and alter the gut microbiome, leading to constipation, bloating, and digestive discomfort. Learn what current research says, how magnesium may help, when symptoms need medical attention, and the practical strategies that made a difference in my own perimenopause journey.

Omega-3s are the most evidence-backed supplement for the menopausal transition. Based on the landmark 2025 SAGE review, this guide breaks down how EPA and DHA support mood, brain fog, and heart health during perimenopause. We move past the marketing fluff to grade the evidence honestly—from the "Strong" data on triglyceride reduction and depression to the "Mixed" results for hot flashes. Discover the practical dosage protocol and why estrogen loss makes Omega-3s essential.