Dr. Tara Narula Sheds Light on the Silent Struggles of Perimenopause
When it comes to menopause, many women are braced for the hot flashes and mood swings—but fewer are prepared for the quiet storm that comes before it: perimenopause. ABC News’ Dr. Tara Narula is on a mission to change that.
In a recent segment, Dr. Narula, a board-certified cardiologist and women’s health advocate, broke down the complex, under-discussed realities of perimenopause—the transitional stage leading up to menopause. Her message was clear: this phase matters, and women deserve to be informed, validated, and supported.
What Is Perimenopause, Really?
Perimenopause can start as early as a woman’s mid-to-late 30s, though it’s more common in the 40s. It typically lasts for several years and ends when a woman has gone 12 consecutive months without a period, marking the official start of menopause.
What’s often missed is that perimenopause is not just about irregular periods. Dr. Narula explains, “This stage can come with over 30 different symptoms—from brain fog and anxiety to joint pain, weight gain, and sleep disturbances. And many women don’t realize it’s all hormonally driven.”
Why Women Are Often Caught Off Guard
One major reason perimenopause flies under the radar? A lack of education—even in the medical community.
“Many women are told, ‘You’re too young for menopause,’ or that their symptoms are stress-related,” says Dr. Narula. “That invalidation leaves women confused and suffering in silence.”
She also emphasizes the gap in routine care: “We do a poor job of screening and talking about this in annual check-ups. Hormonal health should be part of that conversation.”
Treatment Options: In the Doctor’s Office and at Home
Fortunately, there are options—and they’re not one-size-fits-all.
In the doctor’s office, women can explore:
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Hormone Replacement Therapy (HRT): Still considered the gold standard for many, HRT can alleviate a wide range of symptoms when used appropriately.
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Non-hormonal medications: For those who can’t or prefer not to take hormones, there are alternatives for hot flashes, mood swings, and more.
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Pelvic health support: From vaginal estrogen to physical therapy, targeted care can improve sexual health and comfort.
At home, lifestyle adjustments can make a big difference:
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Nutrition and supplements: Foods rich in calcium, magnesium, and phytoestrogens (like flaxseed and soy) can support hormonal balance. Dr. Narula also points to vitamin D and omega-3s as allies.
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Sleep hygiene: Simple steps—like limiting screens before bed and establishing a routine—can fight the insomnia that plagues so many women.
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Mind-body techniques: Meditation, yoga, and cognitive behavioral therapy (CBT) have all been shown to ease perimenopausal stress and anxiety.
Breaking the Silence
Dr. Narula is part of a growing chorus of medical professionals calling for a cultural shift. “This is not just about managing symptoms—it’s about empowering women to understand their bodies,” she says.
And as more celebrities and clinicians speak out, the stigma is finally starting to crack.
“Perimenopause should not be a mystery,” Dr. Narula insists. “It’s a biological reality that half the population will face. And with the right tools and information, women can thrive through it—not just survive it.”
