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The perimenopause symptom no one expects.
Most women are told to watch for hot flashes, but the perimenopause symptoms that send many of them looking for help are insomnia, rage, anxiety, brain fog, and the feeling of not recognizing themselves in the mirror. And when they finally get to a specialist, normal lab results can send them home with no answers, because hormone levels in perimenopause swing too much for a single blood test to capture.
We dive deeper into this in Her Time, Her Health with Melani Sanders, founder of the We Do Not Care Club. We also chat about the surprising joint symptom Melani later connected to perimenopause, what "we do not care" really means (and what you still need to care about), and how to take the pressure off before you hit a breaking point.
Melani Sanders is the founder of the We Do Not Care Club®, a global community of more than 4.5 million followers, and the New York Times bestselling author of The Official We Do Not Care Club Handbook: A Hot-Mess Guide for Women in Perimenopause, Menopause, and Beyond Who Are Over It. She was named PEOPLE's 2025 Creator of the Year and is the founder of JBM Entertainment and Done Performing Productions. She is also the creator of The We Do Not Care Club Coloring Book and the host of The We Do Not Care Club Podcast with Melani Sanders.
If you've been telling everyone you're fine when you're not, this episode is for you!
In this episode, we cover:
How one parking lot video started a worldwide movement.
"I don't feel like myself": what women say most in perimenopause.
The symptoms that tipped Melani off: insomnia and frozen shoulder.
Why sleep and mood, not hot flashes, are often the first signs.
Three referrals, normal labs, and a specialist with no answers.
"We don't treat labs. We treat symptoms."
The hormone therapy boxed warning and why some providers are still catching up.
Why perimenopause should be treated, not waited out.
Why laughing about it together brings so much relief.
What community gives women that a doctor or a book can't.
What "we do not care" really means, and what you still have to care about.
How to take the pressure off before you hit a breaking point.
How to find your people when no one around you gets it.
Is your gynecologist judging you during an exam?
Connect with Dr. Jila Senemar:
Instagram: @drjilasenemar
YouTube: @Dr.JilaSenemar
Learn More About Melani Sanders:
Instagram: @justbeingmelani
Website: wedonotcareclub.com
Podcast: The We Do Not Care Club Podcast with Melani Sanders