In this episode of The Midlife Reset, Dr. Shakila Smith Bay speaks with family medicine physician Dr. Dionne Castillo about perimenopause, menopause, women's wellness, and the physical and emotional changes that can occur during midlife. They discuss how to recognize perimenopause symptoms, understand the transition from perimenopause to menopause, and identify commonly overlooked concerns including weight gain, brain fog, anxiety, depression, mood changes, fatigue, insomnia, sleep problems, and hormonal changes.

The conversation also explores why menopause and women's health have historically been under-discussed, the stigma surrounding menopause, health disparities affecting women of color, and the importance of self-advocacy in healthcare. Dr. Castillo shares her personal experience with menopause and explains why women should not simply push through symptoms without seeking medical evaluation. This episode offers practical education to help women better understand their changing bodies and approach perimenopause and menopause with greater awareness and confidence.