Hot flashes and irregular bleeding are the symptoms everyone talks about — but they're only a fraction of what perimenopause actually looks like. Dr. Amy Jean Voedisch is a gynecologist who practices the same way Dr. Rahman does: extended visits, precision diagnosis, individualized treatment. She joins the show to talk about the symptoms that go unrecognized for years, why sleep has become central to her practice, and why hormone therapy is a tool — not a cure-all — for what perimenopause actually brings.