Oestrogen protects the brain. When it starts to fall in your late thirties, the mask comes off, and symptoms women have managed their whole lives suddenly can't be managed. This episode is about what that looks like in a consulting room, why so many women are told it's anxiety, and the ten years most of them wait before anyone says the word perimenopause.

Dr Nadia Ramjohn is a GP and women's health specialist, a perimenopause specialist and an ADHD diagnoser. She's also a mum and a Wagyu beef farmer.

WHAT WE COVER

— A&E, general practice, then a farm: how a GP ends up keeping Wagyu cattle

— Why perimenopause and ADHD get mistaken for each other, and the role of oestrogen

— "I'm not coping and something's not right": the golden nugget in a consultation

— Why perimenopause can last ten years, and why nobody waits for night sweats anymore

— The silent benefits of HRT, and why starting before 60 matters

— What actually changes when a woman is diagnosed with ADHD in her forties

— Practising prevention when nothing in the system pays for it

— Know your normal: the blood tests to have while you're well

— The hardest conversations, from the hospice to the ones about screening that came too late

— Earning trust in five minutes, and why silence is the tool

— Why she leads with the farm, not the credentials

ABOUT DR NADIA RAMJOHN

Dr Nadia Ramjohn MBBS BSc DRCOG MRCGP is a GP and women's health specialist with a focus on prevention, perimenopause and ADHD diagnosis. She is writing a children's book about hormones and farms Wagyu beef in the British countryside. Find her at @drnadia_perimenapause.

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