What happens when everything is “normal” on paper—but you don’t feel normal at all?

In this solo episode, Dr. Jillian Woodruff reflects on what she sees every day in exam rooms and hears in quiet conversations with women moving through perimenopause and midlife. From unexplained anxiety and exhaustion to sleep disruption, weight changes, and shifts in identity, this episode explores why so many women feel dismissed when their symptoms don’t fit a neat medical box.

Dr. Woodruff unpacks the limitations of “normal” test results, the long-standing gaps in menopause education, and the gender double standard that asks women to tolerate what would never be ignored in men. She also explains why these symptoms are biologically real, why they’re often misunderstood, and why quality of life is a legitimate medical outcome—not a luxury.

This is a grounded, thoughtful conversation about midlife complexity, medical humility, and why women deserve curiosity instead of dismissal.

In this episode, we discuss:

• Why midlife and perimenopause look different for every woman

• The symptoms that often get overlooked or minimized in midlife

• How hormone changes interact with the nervous system

• Why “everything is normal” can shut down meaningful care

• The historical impact of the Women’s Health Initiative on hormone education

• When “normal aging” becomes a barrier to treatment

• The gender double standard in how aging symptoms are treated

• Why quality of life matters for long-term health and longevity

Key takeaways:

• Variation in midlife symptoms is biology—not failure

• Normal tests do not mean nothing is happening

• Medical humility is good medicine

• Aging should not require suffering

• Longevity without function is not success

Host:

Dr. Jillian Woodruff, MD

OB-GYN | Co-host, The Modern Midlife Collective

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