You have twelve minutes with your doctor.
Forty symptoms of the menopause transition, the exact questions to ask, and the labs to request. Plus a one-page prep sheet you print and hand across the desk.
Two PDFs, delivered to your inbox immediately. No spam.
Two documents. One job.
One is for reading before you go. One is for using once you are in the room. They do different things and you need both.
The Doctor Prep Guide
Eight pages. Forty symptoms sorted into ten groups, so you can find the ones that match what you are actually experiencing. For each group: the questions to ask, the tests to request, and the treatment options worth knowing about before someone tells you there is nothing to be done.
The Appointment Prep Sheet
One page, built to be printed and carried. Space to write your three worst symptoms, the eight questions that work in any appointment, a checkbox list of every lab worth requesting, and room to write down what you actually decided together.
Three things to know before you go
This is page two of the guide. It is the part most women tell me they wish they had read years earlier.
Your bloodwork probably will not prove anything
FSH and estradiol swing week to week in perimenopause, so a normal result on a random Tuesday proves nothing. Over 45 with symptoms and cycle changes, the diagnosis is clinical. Being told your labs look fine is not a reason to go home.
The hormone therapy label changed in November 2025
The FDA removed the boxed warning regarding cardiovascular disease, breast cancer, and probable dementia, following the first major reassessment in more than twenty years. If the conversation you get is still built on the 2002 headlines, you are allowed to say so.
You do not have to wait until your periods stop
Perimenopause is when most women suffer most, and being told to come back when your cycles end can cost four to eight years. Treatment during perimenopause exists and is appropriate. Ask for it.
Sorted into ten groups, so you can find yours
Most of these arrive one at a time and get dismissed one at a time. Handed over as a pattern, they are a very different conversation.
Karen Cerezo
I spent seventeen years teaching middle school before I did this work, and it turns out the skill transfers. Making complicated material land, holding a room, and meeting people exactly where they are.
I built this guide because I kept watching women walk out of appointments with nothing. Not because their doctors did not care, but because twelve minutes is not long enough to figure out what to ask while you are also trying to explain that something has changed and you cannot say what.
Walking in prepared changes the outcome. That is the whole idea.
Certified Menopause Expert | Certified Personal Trainer
TEDx Speaker | Author, Navigating Menopause: A Wellness Tracking Journal for Women
Walk in with a list instead of a feeling
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