{"podcast":{"title":"Gyno Girl Presents: Sex, Drugs & Hormones","slug":"gyno-girl-presents-sex-drugs-hormones-6732899","podcast_index_feed_id":6732899,"rss_url":"https://feeds.captivate.fm/gyno-girl-presents-sdh/","website_url":"https://gyno-girl-presents-sdh.captivate.fm","image_url":"https://artwork.captivate.fm/164e6594-85e1-4e0b-b3b6-d8042b5709a2/yyI1CwqPFkrdLAL8VmdaLXV3.jpg","author":"Dr. Sameena Rahman","episode_count":131,"summary":"As a fierce champion for women empowering women (and the people that love them), GynoGirl provides the knowledge and education to help you advocate for yourself so that you can live your best life! Dr. Sameena Rahman curates a space for exploring hormonal changes, sexual health, and pelvic wellness, while also emphasizing self-love and life improvement. Through collaborations with leading experts and the personal stories of patients, she provides a platform for knowledge-sharing while also addressing healthcare issues that have impaired women’s quality of life. A board-certified, South-Asian Muslim-American gynecologist who specializes in sex medicine and menopause, Dr. Rahman highlights the influence of religion, culture, racial bias, and societal factors on sexual health experiences.","last_synced_at":"2026-06-26T18:19:17.928838+00:00","page_url":"https://stenobird.com/podcast/gyno-girl-presents-sex-drugs-hormones-6732899"},"episode":{"title":"PMDD and Perimenopause: Symptoms, Diagnosis, and Treatment","slug":"pmdd-and-perimenopause-symptoms-diagnosis-and-treatment","published_at":"2026-01-02T09:00:00+00:00","page_url":"https://stenobird.com/podcast/gyno-girl-presents-sex-drugs-hormones-6732899/pmdd-and-perimenopause-symptoms-diagnosis-and-treatment","show_page_url":"https://stenobird.com/podcast/gyno-girl-presents-sex-drugs-hormones-6732899","url":"https://www.cgcchicago.com/demo-podcast-page/pmdd-and-perimenopause-symptoms-diagnosis-and-treatment","audio_url":"https://episodes.captivate.fm/episode/990d1e3f-a2f4-4690-8f4a-922998ee6edd.mp3","summary":"What happens when your family stages an intervention because they've been avoiding you 10 days every month? I'm sharing the story of a patient who had a complete breakdown at Christmas dinner. She snapped at her husband, her kids, her mom, her in-laws—everyone. A few hours later, her family told her: \"We love you, but for 10 days every month, we actively avoid you.\" She came to me asking: Am I bipolar? Am I manic? What's happening to me? This is PMDD premenstrual dysphoric disorder. And when it collides with perimenopause, it becomes a perfect storm. This is not just PMS. This isn't you being dramatic. It's a real biochemical thing happening in your brain an abnormal response to normal hormonal changes. I discuss the science of PMDD: how GABA receptors respond to progesterone metabolites, why some brains are change sensitive, and why the hormonal volatility of perimenopause (erratic estrogen, declining progesterone, unpredictable timing) makes everything exponentially worse. I explain treatment options from luteal-phase SSRIs to Yaz to Duavee for refractory cases, and why tracking your symptoms for at least two cycles is critical for diagnosis. Highlights: Why \"I feel like I'm watching myself burn down my life and can't stop it\" is the hallmark of PMDD. The DRSP tracking tool: why you need 2 cycles to diagnose PMDD properly. Why Vitex (chasteberry) might help mood swings and breast pain. What Duavee is and why it works for women who can't tolerate progestins. Why Dr. Tammy Rowan calls PMDD a progesterone sensitivity issue. Ulipristal: the emergency contraception drug being studied for PMDD. If you've ever felt like your brain gets hijacked on a schedule, if you've felt completely out of control, this episode is for you. Track your symptoms. Find a clinician who takes c…","meta_description":"What happens when your family stages an intervention because they've been avoiding you 10 days every month? I'm sharing the story of a patient who had a c…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2824,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/gyno-girl-presents-sex-drugs-hormones-6732899/episodes/pmdd-and-perimenopause-symptoms-diagnosis-and-treatment/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/gyno-girl-presents-sex-drugs-hormones-6732899/pmdd-and-perimenopause-symptoms-diagnosis-and-treatment.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}