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Going Menopostal: What You (and Your Doctor) Need to Know About the Real Science of Menopause and Perimenopause
Half of the population—the female half—is getting healthcare based on medical myth rather than evidence.
Going Menopostal
is Amy Alkon’s mission to change that.
This book started with a flash—Alkon’s first hot flash. Drenching night sweats, insomnia, and brain fog soon followed—along with shame at feeling bewilderingly enraged at everyone and everything. Alkon, an award-winning science columnist and author, wanted to turn to her doctor. But there was a More than half of the medical care we get in the US may not be “based on, or supported by, adequate evidence,” according to the US National Academy of Medicine.
Knowing this, Alkon began a deep dive into the research on menopause and perimenopause––the 3 to 10 years leading up to menopause when women’s symptoms are widely ignored, dismissed, and misdiagnosed (despite doctors having every intention of helping their patients). She was shocked by what she
Most gynecology departments lack even one doctor with training and expertise in menopausal and perimenopausal medicine, and they expect their maternity and general reproductive health specialists to treat these conditions outside their scope of practice without informing patients––a violation of medical ethics.
Perimenopause is wrongly viewed and treated as “menopause lite”––a time of lowered estrogen levels––when estrogen levels actually soar, making many women miserably symptomatic.
Few doctors know that symptomatic perimenopausal women actually tend to lack progesterone, and that replacing it with safe, FDA-approved progesterone would alleviate their insomnia, hot flashes, and other suffering and counteract cell overgrowth that can lead to breast and endometrial cancer.
Many doctors deny estrogen to their menopausal patients, unaware of current research showing that estrogen not only alleviates symptoms but protects against cardiovascular disease (soon to kill 1 in 3 women), bone fractures, metabolic syndrome, and more.
Findings from studies done largely on middle-class white women are wrongly applied to black women and other women of color, ignoring crucial differences, such as generally lower triglyceride levels in black women that can make heart disease harder to detect.
This meticulously researched book is written in clear, everyday language that you don’t need the slightest science background to understand (along with Alkon’s signature dark humor). Alkon equips you with the exact words to confidently ask critical questions and motivate your doctor to partner with you and treat you appropriately––instead of giving you the “treatment” her favorite bus driver told by her doctor to “just wait out” her raging insomnia, night sweats, and hot flashes. Alkon’s ultimate Empowering all women with the science and strategies they need to get the evidence-based care they expect and deserve.
This book started with a flash—Alkon’s first hot flash. Drenching night sweats, insomnia, and brain fog soon followed—along with shame at feeling bewilderingly enraged at everyone and everything. Alkon, an award-winning science columnist and author, wanted to turn to her doctor. But there was a More than half of the medical care we get in the US may not be “based on, or supported by, adequate evidence,” according to the US National Academy of Medicine.
Knowing this, Alkon began a deep dive into the research on menopause and perimenopause––the 3 to 10 years leading up to menopause when women’s symptoms are widely ignored, dismissed, and misdiagnosed (despite doctors having every intention of helping their patients). She was shocked by what she
Most gynecology departments lack even one doctor with training and expertise in menopausal and perimenopausal medicine, and they expect their maternity and general reproductive health specialists to treat these conditions outside their scope of practice without informing patients––a violation of medical ethics.
Perimenopause is wrongly viewed and treated as “menopause lite”––a time of lowered estrogen levels––when estrogen levels actually soar, making many women miserably symptomatic.
Few doctors know that symptomatic perimenopausal women actually tend to lack progesterone, and that replacing it with safe, FDA-approved progesterone would alleviate their insomnia, hot flashes, and other suffering and counteract cell overgrowth that can lead to breast and endometrial cancer.
Many doctors deny estrogen to their menopausal patients, unaware of current research showing that estrogen not only alleviates symptoms but protects against cardiovascular disease (soon to kill 1 in 3 women), bone fractures, metabolic syndrome, and more.
Findings from studies done largely on middle-class white women are wrongly applied to black women and other women of color, ignoring crucial differences, such as generally lower triglyceride levels in black women that can make heart disease harder to detect.
This meticulously researched book is written in clear, everyday language that you don’t need the slightest science background to understand (along with Alkon’s signature dark humor). Alkon equips you with the exact words to confidently ask critical questions and motivate your doctor to partner with you and treat you appropriately––instead of giving you the “treatment” her favorite bus driver told by her doctor to “just wait out” her raging insomnia, night sweats, and hot flashes. Alkon’s ultimate Empowering all women with the science and strategies they need to get the evidence-based care they expect and deserve.
448 pages, Paperback
Published May 20, 2025
36 people are currently reading
4130 people want to read
About the author
Amy Alkon
9 books79 followersAmy Alkon is an independent investigative science writer specializing in “applied science”—using scientific evidence to solve real-world problems.
Alkon critically evaluates and synthesizes research across disciplines and then translates it into everyday language, empowering regular people to make scientifically informed decisions for the best of their health and well-being.
For 25 years, Alkon wrote an award-winning, science-based nationally syndicated advice column, distributed by Creators. With GOING MENOPOSTAL, Alkon has authored five books—most recently, her “science-help” book UNF*CKOLOGY: How to Live with Guts and Confidence (St. Martin’s Press, 2018).
Alkon is the past President of the Applied Evolutionary Psychology Society, which brings evolutionary science to public policy, education, and medicine. She has given invited talks to academics on applied science at scientific conferences and to large groups at universities. She has given two TED talks, and the Los Angeles City Attorney’s Office hires Alkon, a State of California-certified mediator, to do behavioral science-based dispute resolution talks and training videos.
Alkon has been profiled in publications including The New York Times, TIME, The Washington Post, The Independent/UK, and Macleans. Alkon has appeared on numerous national TV and radio shows, including Good Morning America, Today, NPR, CNN, Nightline, Anderson Cooper Live, and Canada’s The Agenda with Steve Paikin. Podcasters who've featured her include Joe Rogan, Michael Shermer, Adam Carolla, Robert Wright, and Scott Barry Kaufman.
Alkon lives in Venice, California. Follow Amy Alkon on X: @amyalkon
Alkon critically evaluates and synthesizes research across disciplines and then translates it into everyday language, empowering regular people to make scientifically informed decisions for the best of their health and well-being.
For 25 years, Alkon wrote an award-winning, science-based nationally syndicated advice column, distributed by Creators. With GOING MENOPOSTAL, Alkon has authored five books—most recently, her “science-help” book UNF*CKOLOGY: How to Live with Guts and Confidence (St. Martin’s Press, 2018).
Alkon is the past President of the Applied Evolutionary Psychology Society, which brings evolutionary science to public policy, education, and medicine. She has given invited talks to academics on applied science at scientific conferences and to large groups at universities. She has given two TED talks, and the Los Angeles City Attorney’s Office hires Alkon, a State of California-certified mediator, to do behavioral science-based dispute resolution talks and training videos.
Alkon has been profiled in publications including The New York Times, TIME, The Washington Post, The Independent/UK, and Macleans. Alkon has appeared on numerous national TV and radio shows, including Good Morning America, Today, NPR, CNN, Nightline, Anderson Cooper Live, and Canada’s The Agenda with Steve Paikin. Podcasters who've featured her include Joe Rogan, Michael Shermer, Adam Carolla, Robert Wright, and Scott Barry Kaufman.
Alkon lives in Venice, California. Follow Amy Alkon on X: @amyalkon
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Displaying 1 - 27 of 27 reviews
October 5, 2025
I received an advance reader copy of this book to read in exchange for an honest review via netgalley and the publishers.
Going Menopostal is a straight-talking and easy to follow informative non-fiction book that dives into the topic of menopause and perimenopause. This was such a thought-provoking and insightful read and is one I highly recommend reading to all women to advocate for better care for themselves whilst going through these changes.
The book starts from the authors own journey after getting hot flashes followed by further symptoms of night sweats, brain fog, and insomnia and her thoughts and feelings. I was so shocked to read about the research she did showing how outdated women's health care is, as well as how most of it is still myth based rather than evidence based. It raised some major concerns about medical care for women not being properly researched backed too, which is very disturbing as we're some of the facts she uncovered in her research for the book in relation to estrogen, progesterone, the percentage of untrained doctors to care for and treat menopause and perimenopause with adequate training and knowledge and how much of the medical research done has been on middle class white females leaving a gap of research and knowledge about women of color which can ultimately cause misdiagnosises and inefficient care for women of color. It was also alarming to read how few GPs and medical professionals can read data produced from research to support the care of women too.
This book is so eye-opening and is definitely worth a read. I want to get a physical copy that I can refer back to as there is a lot of information within the book that it would be handy to have a paper copy to take with me to future medical appointments.
Going Menopostal is a straight-talking and easy to follow informative non-fiction book that dives into the topic of menopause and perimenopause. This was such a thought-provoking and insightful read and is one I highly recommend reading to all women to advocate for better care for themselves whilst going through these changes.
The book starts from the authors own journey after getting hot flashes followed by further symptoms of night sweats, brain fog, and insomnia and her thoughts and feelings. I was so shocked to read about the research she did showing how outdated women's health care is, as well as how most of it is still myth based rather than evidence based. It raised some major concerns about medical care for women not being properly researched backed too, which is very disturbing as we're some of the facts she uncovered in her research for the book in relation to estrogen, progesterone, the percentage of untrained doctors to care for and treat menopause and perimenopause with adequate training and knowledge and how much of the medical research done has been on middle class white females leaving a gap of research and knowledge about women of color which can ultimately cause misdiagnosises and inefficient care for women of color. It was also alarming to read how few GPs and medical professionals can read data produced from research to support the care of women too.
This book is so eye-opening and is definitely worth a read. I want to get a physical copy that I can refer back to as there is a lot of information within the book that it would be handy to have a paper copy to take with me to future medical appointments.
May 16, 2025
DISCLAIMER: I have done zero of my own research so I can't speak to the accuracy of the information in Going Menopostal. Before taking any medical advice I strongly insist - and I am sure Amy Alkon, the author, agrees with me - that you do your due diligence and talk to your medical providers.
Going Menopostal will anger anyone who cares about women's health. How is it possible we know so little about how women's bodies work and change over time? How? You would think curiosity alone would lead researchers and doctors to explore such a fascinating topic. You would be wrong. Instead, women are left to muddle along the best they can with help from each other, a smattering of actual data, and intimate knowledge of their own bodies. Going Menopostal falls into the help from each other category. Amy Alkon shares her own experience and what she has learned through extensive research. Obviously, what works for one person might not for someone else. But it is hugely helpful to hear about one woman's lived experience and what she uncovered while looking for answers. You might come up with different answers. Do we all need to pursue a keto diet? Probably not. But understanding the state of the current scientific understanding of women's changing bodies is such a gift. And hearing Alkon share her story in her own words and voice made me feel not so alone navigating this confusing era. Thank you to the author, publisher, and NetGalley for the audioARC.
Going Menopostal will anger anyone who cares about women's health. How is it possible we know so little about how women's bodies work and change over time? How? You would think curiosity alone would lead researchers and doctors to explore such a fascinating topic. You would be wrong. Instead, women are left to muddle along the best they can with help from each other, a smattering of actual data, and intimate knowledge of their own bodies. Going Menopostal falls into the help from each other category. Amy Alkon shares her own experience and what she has learned through extensive research. Obviously, what works for one person might not for someone else. But it is hugely helpful to hear about one woman's lived experience and what she uncovered while looking for answers. You might come up with different answers. Do we all need to pursue a keto diet? Probably not. But understanding the state of the current scientific understanding of women's changing bodies is such a gift. And hearing Alkon share her story in her own words and voice made me feel not so alone navigating this confusing era. Thank you to the author, publisher, and NetGalley for the audioARC.
April 28, 2025
Well researched!!! Give this a read if you don't know much on the topic. Alkon's goal is to empower you, reader, to have the power of knowledge, data, and assertiveness you need to go to your doctor and get the evidence-based care you deserve.
Thanks Netgalley and Brilliance Publishing for this advance listener copy!
Thanks Netgalley and Brilliance Publishing for this advance listener copy!
January 28, 2025
Going Menopostal offers an approachable overview of menopause, focusing on its natural progression and common symptoms. While covering the usual topics, it doesn’t bring much new to the conversation. Many insights feel like familiar territory for those who’ve already delved into the subject.
That said, it’s a solid primer for someone new to the topic. However, seasoned readers may find themselves wanting a deeper dive or more groundbreaking perspectives. A decent resource, but not essential if you’re already well-versed in the topic.
Many thanks to Edelweiss and BenBella Books for providing me with an eARC of Going Menopostal: What You (and Your Doctor) Need to Know About the Real Science of Menopause and Perimenopause prior to its publication.
That said, it’s a solid primer for someone new to the topic. However, seasoned readers may find themselves wanting a deeper dive or more groundbreaking perspectives. A decent resource, but not essential if you’re already well-versed in the topic.
Many thanks to Edelweiss and BenBella Books for providing me with an eARC of Going Menopostal: What You (and Your Doctor) Need to Know About the Real Science of Menopause and Perimenopause prior to its publication.
May 24, 2025
4.25 stars!
Going Menopausal—er, Menopostal—is Amy Alkon’s blazing, brazen, and unexpectedly empowering deep dive into the hormonal rollercoaster otherwise known as menopause. If you're expecting a demure medical manual, toss that notion out with your expired birth control pills.
Alkon, known for her punchy wit and no-nonsense attitude, navigates night sweats, mood swings, and memory fog with the finesse of a stand-up comic who’s also done her research. Between personal anecdotes, interviews with top-tier scientists, and a barrage of footnotes sassier than your Aunt Linda after a wine spritzer, the book manages to be both laugh-out-loud funny and deeply informative.
Going Menopausal—er, Menopostal—is Amy Alkon’s blazing, brazen, and unexpectedly empowering deep dive into the hormonal rollercoaster otherwise known as menopause. If you're expecting a demure medical manual, toss that notion out with your expired birth control pills.
Alkon, known for her punchy wit and no-nonsense attitude, navigates night sweats, mood swings, and memory fog with the finesse of a stand-up comic who’s also done her research. Between personal anecdotes, interviews with top-tier scientists, and a barrage of footnotes sassier than your Aunt Linda after a wine spritzer, the book manages to be both laugh-out-loud funny and deeply informative.
May 21, 2025
Many, many thanks to the author, narrator, publisher and Net Galley for providing a free e-audio version of this title in exchange for my review.
This book was so good, before chapter 1 ended, I pre ordered a print copy for my bookshelf. I wanted to be able to mark some of the pages and take with me to a doctors appointment. I have done different types of research on my own, but so much information is bizarre or just plain wrong. I'm not a medical provider at all, so I can't speak to the accuracy of the information, but I really, really liked the writing style of the book, the frank and upfront writing was enjoyable and refreshing. This book made me mad, but in a good way, if you know what I mean. The anger is based in the lack of study and understanding of women's bodies. If the medical system's reaction or treatment of female health makes you angry - this book will too. But I also ended up feeling empowered at the end as well. So hopeful anger? Hmm...
The author also shares her story and experiences in her own words, and I felt so much less alone in navigating this time of my life.
4.5 stars. Recommend to women especially
This book was so good, before chapter 1 ended, I pre ordered a print copy for my bookshelf. I wanted to be able to mark some of the pages and take with me to a doctors appointment. I have done different types of research on my own, but so much information is bizarre or just plain wrong. I'm not a medical provider at all, so I can't speak to the accuracy of the information, but I really, really liked the writing style of the book, the frank and upfront writing was enjoyable and refreshing. This book made me mad, but in a good way, if you know what I mean. The anger is based in the lack of study and understanding of women's bodies. If the medical system's reaction or treatment of female health makes you angry - this book will too. But I also ended up feeling empowered at the end as well. So hopeful anger? Hmm...
The author also shares her story and experiences in her own words, and I felt so much less alone in navigating this time of my life.
4.5 stars. Recommend to women especially
May 20, 2025
This book was informative, interesting and helpful. I’m definitely the target audience. I have done a lot of research in this topic as I’m just moving into perimenopause so I don’t know if the science is correct or not. However, the history they presented and the resent research made sense. I thought the narrator did a fine job considering the topic is science and research based. In general, these audiobooks can be a bit dry. This was a topic of interest for me, so I enjoyed it. I received this book from Brilliance audio and Netgalley. All opinions are my own.
June 22, 2025
A Womens guide for sure!
Going Menopostal by Amy Alkon should be every woman's go to concerning Menopause and Perimenopause. I found this book was pack with so much evidence based information that was easily digestible. Unfortunately, there isn't a lot of easily accessible information out there so this book is an amazing resource.
I cannot wait to get a physical copy that I can highlight.
Thank you to Amy Alkon, Brilliance Publishing and NetGalley for the audio-digital ARC provided through NetGalley in exchange for an honest review!
Going Menopostal by Amy Alkon should be every woman's go to concerning Menopause and Perimenopause. I found this book was pack with so much evidence based information that was easily digestible. Unfortunately, there isn't a lot of easily accessible information out there so this book is an amazing resource.
I cannot wait to get a physical copy that I can highlight.
Thank you to Amy Alkon, Brilliance Publishing and NetGalley for the audio-digital ARC provided through NetGalley in exchange for an honest review!
October 15, 2025
4.5⭐️
Once I started listening to this audiobook, narrated, and by Carrington MacDuffie, I immediately felt connected to the author and the narrator by their friendly and engaging reading of the informative yet tongue and cheek text.
Going Menopostal incredibly informative on both perimenopause and menopause. I really appreciated how author Amy Elkin deep dives into both which makes sense with the subject matter from one going to the other. She does a great job hashing out known bad information and detailing her own research into the most current school of thought and methodology.
I did find myself purchasing a physical copy of the book to follow along with the audio since the science involved could be a bit detailed.
Overall, I found this to be an excellent resource and a very enjoyable, listening experience. Though I did purchase a physical copy, the narration brought this informative text to life and created an atmosphere of a friend sharing their stories and experience and knowledge with you.
Once I started listening to this audiobook, narrated, and by Carrington MacDuffie, I immediately felt connected to the author and the narrator by their friendly and engaging reading of the informative yet tongue and cheek text.
Going Menopostal incredibly informative on both perimenopause and menopause. I really appreciated how author Amy Elkin deep dives into both which makes sense with the subject matter from one going to the other. She does a great job hashing out known bad information and detailing her own research into the most current school of thought and methodology.
I did find myself purchasing a physical copy of the book to follow along with the audio since the science involved could be a bit detailed.
Overall, I found this to be an excellent resource and a very enjoyable, listening experience. Though I did purchase a physical copy, the narration brought this informative text to life and created an atmosphere of a friend sharing their stories and experience and knowledge with you.
June 5, 2025
Book Review: Going Menopostal by Amy Alkon
Rating: 4 Stars
I recently finished Going Menopostal by Amy Alkon, and I’m giving it a solid four stars. This book dives into a topic that affects half the population—menopause and perimenopause—but is often misunderstood or overlooked in mainstream healthcare.
Amy Alkon’s journey begins with her own experience of a sudden hot flash, followed by night sweats, insomnia, and that frustrating brain fog. What really hit home for me was how she felt lost and angry, yet also hesitant to turn to medical professionals because so much of women’s healthcare is still based on outdated myths rather than solid evidence. According to recent studies, over half of the medical care in the US might not be backed by adequate research, which is pretty alarming.
Alkon’s deep research uncovers some shocking facts: many gynecology departments don’t even have doctors trained specifically in menopausal medicine, and perimenopause—the years leading up to menopause—is often dismissed as just “menopause lite.” Contrary to popular belief, estrogen levels can actually rise during this phase, causing many symptoms that go unrecognized or untreated. Even more surprising was learning that a lack of progesterone, not estrogen, is often the real culprit behind symptoms like insomnia and hot flashes. And yet, there’s safe, FDA-approved progesterone therapy that could help a lot more women than currently receive it.
The book also sheds light on how medical research has largely focused on middle-class white women, ignoring important differences in symptoms and risks among women of color. This gap in knowledge can lead to misdiagnosis and inadequate care.
What I really appreciated about Going Menopostal is how it’s written in a straightforward, relatable style—no advanced science degree needed here—and sprinkled with Alkon’s sharp wit. She doesn’t just inform; she empowers readers with the right questions to ask their doctors and the confidence to demand appropriate, evidence-based treatment instead of being brushed off.
If you’re new to the topic or feeling frustrated by the lack of clear answers out there, this book is definitely worth a read. It’s meticulously researched and packed with actionable insights. Alkon’s mission to equip women with knowledge and assertiveness is clear and inspiring. Overall, Going Menopostal gave me a lot to think about and the tools to take control of my own healthcare journey. Highly recommend!
⚠️This review was written based on personal opinions and experiences with the book. Individual preferences may vary⚠️
Rating: 4 Stars
I recently finished Going Menopostal by Amy Alkon, and I’m giving it a solid four stars. This book dives into a topic that affects half the population—menopause and perimenopause—but is often misunderstood or overlooked in mainstream healthcare.
Amy Alkon’s journey begins with her own experience of a sudden hot flash, followed by night sweats, insomnia, and that frustrating brain fog. What really hit home for me was how she felt lost and angry, yet also hesitant to turn to medical professionals because so much of women’s healthcare is still based on outdated myths rather than solid evidence. According to recent studies, over half of the medical care in the US might not be backed by adequate research, which is pretty alarming.
Alkon’s deep research uncovers some shocking facts: many gynecology departments don’t even have doctors trained specifically in menopausal medicine, and perimenopause—the years leading up to menopause—is often dismissed as just “menopause lite.” Contrary to popular belief, estrogen levels can actually rise during this phase, causing many symptoms that go unrecognized or untreated. Even more surprising was learning that a lack of progesterone, not estrogen, is often the real culprit behind symptoms like insomnia and hot flashes. And yet, there’s safe, FDA-approved progesterone therapy that could help a lot more women than currently receive it.
The book also sheds light on how medical research has largely focused on middle-class white women, ignoring important differences in symptoms and risks among women of color. This gap in knowledge can lead to misdiagnosis and inadequate care.
What I really appreciated about Going Menopostal is how it’s written in a straightforward, relatable style—no advanced science degree needed here—and sprinkled with Alkon’s sharp wit. She doesn’t just inform; she empowers readers with the right questions to ask their doctors and the confidence to demand appropriate, evidence-based treatment instead of being brushed off.
If you’re new to the topic or feeling frustrated by the lack of clear answers out there, this book is definitely worth a read. It’s meticulously researched and packed with actionable insights. Alkon’s mission to equip women with knowledge and assertiveness is clear and inspiring. Overall, Going Menopostal gave me a lot to think about and the tools to take control of my own healthcare journey. Highly recommend!
⚠️This review was written based on personal opinions and experiences with the book. Individual preferences may vary⚠️
May 9, 2025
Thanks to NetGalley and Brilliance Publishing for the ALC of this book; I am leaving this review voluntarily.
This well-researched book is great for beginners, that is, those starting perimenopause. My generations, Gen X, did not have mothers who talked about "the change" at all. If you don't know much about menopause, you are not alone! I read somewhere that in all of medical school, menopause is given 1 hour of training.
I didn't have a typical perimenopause. I just stopped getting my period and the next year when I went to the doctor, I realized it had been over a year since I'd had a period. .I had zero symptoms or issues. The doctor I had at the time pretty much told me congratulations, I was a bit young to go through menopause (43) and that was that. And I had zero issues until 6 years later, when the weight started piling on and my comprehensive metabolic blood tests showed all sorts of elevated numbers. Doctor said, don't worry about it. Just eat less and exercise more (and this was a female doctor). The next year I went back for my checkup and had gained some more weight and was told the same thing: calorie restriction and exercising more. By the third year, my doctor sent me to a nutritionist, who concluded I was doing everything right in terms of eating and sent me back to my doctor. That was enough for me.
I found another doctor who was like, Holy CRAP, your numbers on your blood tests are terrible and they have been for four years. She conducted more thorough tests and did not tell me to eat less and exercise more. But she left the practice six months later, so I had to find a new doctor. There are only two menopause specialists within a 30-mile radius, and I went to one of them. She ordered a ton of tests, which led to further tests, and more tests after that, all the while, listening to me, really listening and validating my feelings. And I personally think the fact so few doctors concentrate on menopause is ridiculous. It's literally ten years of our lives for some. Everyone picks OBGYN, Pediatrician, or Elderly care, but what about the time after childbearing but before we need senior care?
This book is a great overview, but due to my own research and menopause journey, knew most of the information provided in the book. It's a great resource for anyone who has questions.
This well-researched book is great for beginners, that is, those starting perimenopause. My generations, Gen X, did not have mothers who talked about "the change" at all. If you don't know much about menopause, you are not alone! I read somewhere that in all of medical school, menopause is given 1 hour of training.
I didn't have a typical perimenopause. I just stopped getting my period and the next year when I went to the doctor, I realized it had been over a year since I'd had a period. .I had zero symptoms or issues. The doctor I had at the time pretty much told me congratulations, I was a bit young to go through menopause (43) and that was that. And I had zero issues until 6 years later, when the weight started piling on and my comprehensive metabolic blood tests showed all sorts of elevated numbers. Doctor said, don't worry about it. Just eat less and exercise more (and this was a female doctor). The next year I went back for my checkup and had gained some more weight and was told the same thing: calorie restriction and exercising more. By the third year, my doctor sent me to a nutritionist, who concluded I was doing everything right in terms of eating and sent me back to my doctor. That was enough for me.
I found another doctor who was like, Holy CRAP, your numbers on your blood tests are terrible and they have been for four years. She conducted more thorough tests and did not tell me to eat less and exercise more. But she left the practice six months later, so I had to find a new doctor. There are only two menopause specialists within a 30-mile radius, and I went to one of them. She ordered a ton of tests, which led to further tests, and more tests after that, all the while, listening to me, really listening and validating my feelings. And I personally think the fact so few doctors concentrate on menopause is ridiculous. It's literally ten years of our lives for some. Everyone picks OBGYN, Pediatrician, or Elderly care, but what about the time after childbearing but before we need senior care?
This book is a great overview, but due to my own research and menopause journey, knew most of the information provided in the book. It's a great resource for anyone who has questions.
May 3, 2025
9 days later….
Well this is so so sooo full of information on various aspects genealogical and pharmacological and the usual diet and exercise are paramount during any stage of life but particularly in this book during peri and menopause and even the years post menopause.
Rating this is based purely on the fact that it’s clear this author has done a lot of research based on some aspects I did have my own knowledge of other areas I don’t know about and considering this is the first deep area I’ve read/ listened to means I’ve no other comparison as to what my own beliefs are on the evidence that is shared within this book.
It is well narrated and delivered in such a humorous way I even had a few giggles along the way it is so enlightening for any woman or even men who want to learn about this subject in the medical field or for a loved one. As previously stated there are so many areas covered from fibroids, PCOS, cancers in how the hormones affect the body, to variety of drugs used the pros and cons, bone density affects of aging not mention weight gain, sleep issues, cognitive problems and so much more.
The hormones are explained in great detail in how our bodies are affected through the years and explained is the differences in race and stature etc not that every woman is going to be the same giving some brief outlines of figures for understanding a little more!
This is definitely an audiobook I will have to re-listen to quite a few times to fully absorb and realistically would advise possibly taking notes if you are currently researching this area at a deep level as you may gain a lot of information here! I’d like this one in a hard copy to have for future reference to highlight and review over the years when it’s needed it goes through so much from pre to post menopause it really is packed full of information!
Much gratitude and thanks to NetGalley & Brilliance Audio for this ELC in return for this review. Best wishes for publication on 20th May 2025 📚🎧🙏🏼❤️
Well this is so so sooo full of information on various aspects genealogical and pharmacological and the usual diet and exercise are paramount during any stage of life but particularly in this book during peri and menopause and even the years post menopause.
Rating this is based purely on the fact that it’s clear this author has done a lot of research based on some aspects I did have my own knowledge of other areas I don’t know about and considering this is the first deep area I’ve read/ listened to means I’ve no other comparison as to what my own beliefs are on the evidence that is shared within this book.
It is well narrated and delivered in such a humorous way I even had a few giggles along the way it is so enlightening for any woman or even men who want to learn about this subject in the medical field or for a loved one. As previously stated there are so many areas covered from fibroids, PCOS, cancers in how the hormones affect the body, to variety of drugs used the pros and cons, bone density affects of aging not mention weight gain, sleep issues, cognitive problems and so much more.
The hormones are explained in great detail in how our bodies are affected through the years and explained is the differences in race and stature etc not that every woman is going to be the same giving some brief outlines of figures for understanding a little more!
This is definitely an audiobook I will have to re-listen to quite a few times to fully absorb and realistically would advise possibly taking notes if you are currently researching this area at a deep level as you may gain a lot of information here! I’d like this one in a hard copy to have for future reference to highlight and review over the years when it’s needed it goes through so much from pre to post menopause it really is packed full of information!
Much gratitude and thanks to NetGalley & Brilliance Audio for this ELC in return for this review. Best wishes for publication on 20th May 2025 📚🎧🙏🏼❤️
May 13, 2025
Empowering, Hilarious, and Packed with Science 🌟 A Must-Listen for Women in Midlife
Going Menopausal by Amy Alkon is a powerhouse of a book, over 15 hours long, but worth every minute. This audiobook is equal parts empowering, informative, and laugh-out-loud funny. Alkon masterfully blends scientific research with sharp, irreverent humor, making even the most technical information feel accessible and engaging.
One of my favorite takeaways was her advice to keep a menopause journal to bring to your doctor, a simple but game-changing idea. She emphasizes how important it is to advocate for yourself in medical settings, and gives practical, clear advice on how to do that without apology. Her assertive yet relatable tone really encouraged me to be more proactive about my own health.
What sets this book apart is the balance: it's deeply rooted in research, but never feels dry thanks to Alkon's voice and wit. She covers everything from hormone therapy to diet and exercise, and even shares how she uses self-talk techniques,like reframing certain unhealthy foods as “poison” to motivate herself. It’s honest, raw, and incredibly useful.
I enjoyed the audiobook so much that I’m planning to buy a hard copy just so I can highlight the sections I want to revisit, especially before doctor appointments.
Highly recommended for anyone going through perimenopause, menopause, or supporting someone who is. It’s science-forward without being overwhelming, and a great reminder that knowledge and humor are powerful tools for navigating this stage of life.
Going Menopausal by Amy Alkon is a powerhouse of a book, over 15 hours long, but worth every minute. This audiobook is equal parts empowering, informative, and laugh-out-loud funny. Alkon masterfully blends scientific research with sharp, irreverent humor, making even the most technical information feel accessible and engaging.
One of my favorite takeaways was her advice to keep a menopause journal to bring to your doctor, a simple but game-changing idea. She emphasizes how important it is to advocate for yourself in medical settings, and gives practical, clear advice on how to do that without apology. Her assertive yet relatable tone really encouraged me to be more proactive about my own health.
What sets this book apart is the balance: it's deeply rooted in research, but never feels dry thanks to Alkon's voice and wit. She covers everything from hormone therapy to diet and exercise, and even shares how she uses self-talk techniques,like reframing certain unhealthy foods as “poison” to motivate herself. It’s honest, raw, and incredibly useful.
I enjoyed the audiobook so much that I’m planning to buy a hard copy just so I can highlight the sections I want to revisit, especially before doctor appointments.
Highly recommended for anyone going through perimenopause, menopause, or supporting someone who is. It’s science-forward without being overwhelming, and a great reminder that knowledge and humor are powerful tools for navigating this stage of life.
July 12, 2025
I listed to this as an eAudiobook, which is probably not the ideal format (except for super audio-only learners). Because of how big the book is, this would probably work best as something to reference as needed, rather than reading the entire thing and never needing to use it again.
The author is rather laid back-- even remembering that elder Millennials are entering perimenopause, the frequent use of "boobs" and other slang, like calling something a "mo-fo," seemed a little trying-to-hard-- and the narrator leans into this a bit, using what I always think of as tHe vOicE tHat dOeS tHis when the author is questioning the authority of a doctor or publication.
A comprehensive overview with plenty of detail, this could be a valuable resource for most people-- those approaching menopause and those who live with and/or love them. The author does tend to equate being overweight with bad health outcomes, and although she acknowledges the problems with BMI and offers alternatives, health at any size wasn't included.
eARC from NetGalley.
The author is rather laid back-- even remembering that elder Millennials are entering perimenopause, the frequent use of "boobs" and other slang, like calling something a "mo-fo," seemed a little trying-to-hard-- and the narrator leans into this a bit, using what I always think of as tHe vOicE tHat dOeS tHis when the author is questioning the authority of a doctor or publication.
A comprehensive overview with plenty of detail, this could be a valuable resource for most people-- those approaching menopause and those who live with and/or love them. The author does tend to equate being overweight with bad health outcomes, and although she acknowledges the problems with BMI and offers alternatives, health at any size wasn't included.
eARC from NetGalley.
May 28, 2025
Round of (Meno)plause for this audiobook!!!!
Going Menopostal by Amy Alkon and narrated by Carrington MacDuffie is everything you need to know What You and the Real Science of Menopause and Perimenopause was an excellent audiobook, and it packed with so much information about the 2 dreaded words Perimenopause and Menopause. This is a great book or audiobook for us beautiful ladies who will or are going through this and I learnt so much. . . . . There is a end . . . . but a long way off!!
I really enjoyed the way the author Amy, shares her story and her own experiences in her own words, I thought I was going mad! when I could not get my words out and I started to get hot and sweat, when I was at the checkout to pay for my Shopping. . . . I bet the cashier thought I was drunk and my card was stolen!
This book/audiobook was a breath of fresh air. Thanks Amy!
Big Thank you to Brilliance Publishing | Brilliance Audio for my copy. I could hug you and Amy x
Going Menopostal by Amy Alkon and narrated by Carrington MacDuffie is everything you need to know What You and the Real Science of Menopause and Perimenopause was an excellent audiobook, and it packed with so much information about the 2 dreaded words Perimenopause and Menopause. This is a great book or audiobook for us beautiful ladies who will or are going through this and I learnt so much. . . . . There is a end . . . . but a long way off!!
I really enjoyed the way the author Amy, shares her story and her own experiences in her own words, I thought I was going mad! when I could not get my words out and I started to get hot and sweat, when I was at the checkout to pay for my Shopping. . . . I bet the cashier thought I was drunk and my card was stolen!
This book/audiobook was a breath of fresh air. Thanks Amy!
Big Thank you to Brilliance Publishing | Brilliance Audio for my copy. I could hug you and Amy x
May 6, 2025
Going Menopostal is a bold, eye-opening, and often darkly funny deep dive into the wild world of menopause and perimenopause—where myths too often replace medicine. Amy Alkon blends meticulous research with personal experience to expose how women's midlife health is routinely misunderstood, misdiagnosed, and mistreated.
What starts with her own battle against debilitating symptoms becomes a mission to arm women with the scientific truth. Alkon unpacks the hormonal chaos of perimenopause, reveals how many women are being treated with outdated or harmful protocols, and makes the case for evidence-based care that too few receive.
Written in plain language and laced with wit, this book is as enlightening as it is empowering. Going Menopostal is essential reading for anyone navigating midlife health—or who loves someone who is.
What starts with her own battle against debilitating symptoms becomes a mission to arm women with the scientific truth. Alkon unpacks the hormonal chaos of perimenopause, reveals how many women are being treated with outdated or harmful protocols, and makes the case for evidence-based care that too few receive.
Written in plain language and laced with wit, this book is as enlightening as it is empowering. Going Menopostal is essential reading for anyone navigating midlife health—or who loves someone who is.
July 20, 2025
Going Menopostal was full of information and could be quite overwhelming with the audio version--not being able to see the terminology or charts referenced. But I still was able to take notes and glean good info. This is not one for passive listening or reading, but one to pay attention and ingest...and even refer back to. The narrator did a good, articulate job. I felt the author's humor sometimes got a little tedious, but it did break up the seriousness of the topics.
Overall I thought her attention to detail and clearly meticulous research was very helpful in bringing all this information into one place for those in perimenopause or menopause--an oft-neglected topic that even many doctors are ill-informed about. It's nice to hear from someone who is going through it as well.
Thanks to NetGalley and Brilliance Audio for this ARL. All opinions are mine.
Overall I thought her attention to detail and clearly meticulous research was very helpful in bringing all this information into one place for those in perimenopause or menopause--an oft-neglected topic that even many doctors are ill-informed about. It's nice to hear from someone who is going through it as well.
Thanks to NetGalley and Brilliance Audio for this ARL. All opinions are mine.
Read
November 5, 2025Chapter 2 was alarming. The author goes into detail about how doctors aren't trained to read research and most don't, and how that perpetuates bad medical advice. It freaked me out so much I couldn't keep reading, which was a shame because I need information.
After renewing the library book twice, I finally read the chapter on perimenopause vs menopause, where there's a handy symptom checker that tells you if you're in perimenopause. Seems very useful, but since I've had a partial hysterectomy, a lot of the symptoms don't apply to me.
One day I'll check this book out again, but I'll skip chapter 2 until I've read the rest of it.
After renewing the library book twice, I finally read the chapter on perimenopause vs menopause, where there's a handy symptom checker that tells you if you're in perimenopause. Seems very useful, but since I've had a partial hysterectomy, a lot of the symptoms don't apply to me.
One day I'll check this book out again, but I'll skip chapter 2 until I've read the rest of it.
May 17, 2025
Everything you think you know about menopause is (probably) wrong, or at least, extremely outdated and based on bad research.
This science-driven book on menopause helps arm you with the information you need to know more about your body, be informed, and be able to ask your doctor for the appropriate tests for the highest quality of care. Amy Alkon is an excellent science writer and helps translate medical jargon into an easily readable and applicable book you'd be missing out on if you don't read it.
This science-driven book on menopause helps arm you with the information you need to know more about your body, be informed, and be able to ask your doctor for the appropriate tests for the highest quality of care. Amy Alkon is an excellent science writer and helps translate medical jargon into an easily readable and applicable book you'd be missing out on if you don't read it.
May 4, 2025
Going Menopostal is a bold, eye-opening, and often darkly funny deep dive into the wild world of menopause and perimenopause—where myths too often replace medicine. Amy Alkon blends meticulous research with personal experience to expose how women's midlife health is routinely misunderstood, misdiagnosed, and mistreated.
What starts with her own battle against debilitating symptoms becomes a mission to arm women with the scientific truth. Alkon unpacks the hormonal chaos of perimenopause, reveals how many women are being treated with outdated or harmful protocols, and makes the case for evidence-based care that too few receive.
Written in plain language and laced with wit, this book is as enlightening as it is empowering. Going Menopostal is essential reading for anyone navigating midlife health—or who loves someone who is.
What starts with her own battle against debilitating symptoms becomes a mission to arm women with the scientific truth. Alkon unpacks the hormonal chaos of perimenopause, reveals how many women are being treated with outdated or harmful protocols, and makes the case for evidence-based care that too few receive.
Written in plain language and laced with wit, this book is as enlightening as it is empowering. Going Menopostal is essential reading for anyone navigating midlife health—or who loves someone who is.
November 22, 2025
Essential reading for every woman approaching perimenopause and beyond!!! I feel like I can now advocate for myself regarding hormone replacement.
I did skip the last chapter however as I am not inerested in complaining about the patriarchy or whining about how as a woman I am not seen. That rhetoric doesnt help anyone.
I did skip the last chapter however as I am not inerested in complaining about the patriarchy or whining about how as a woman I am not seen. That rhetoric doesnt help anyone.
July 3, 2025
Loaded with more research that many GYNS ignore, this book arms women with needed information to seek an informed doctor to help her through the ravages of perimenopause and menopause.
Hopefully this is a wake up call for America, to catch up to France's research and proven methods that help women.
Hopefully this is a wake up call for America, to catch up to France's research and proven methods that help women.
October 29, 2025
3.5 more like
Great info and if you are angry about your experience - this author feels your pain. Just a lot of info a little to late . . .
A bit of tips (I wanted more) and a lot about the lack of expertise in the medical world. . .
Great info and if you are angry about your experience - this author feels your pain. Just a lot of info a little to late . . .
A bit of tips (I wanted more) and a lot about the lack of expertise in the medical world. . .
September 13, 2025
Extremely thorough
October 16, 2025
Perfect timing to win this one (thanks Goodreads!)! Great info and passing along to friends around my age that can relate!
June 3, 2025
This is an absolute MUST read for all women! The book is organized perfectly to lead the reader into all aspects of women's help with experience, medical education, and medical journals to back it up. It is balanced perfectly between being medically dense, giving a personal narration, and female jokes. Although I am years from menopause, this book has given me the education I’ve wanted to prepare myself for those years without fear. I am left feeling like there is hope.
Thank you Netgalley, Brilliance Audio and Brilliance Publishing for this advanced audiobook in exchange for a review.
Thank you Netgalley, Brilliance Audio and Brilliance Publishing for this advanced audiobook in exchange for a review.
July 1, 2025
Many thanks to NetGalley and the publisher for the ARC of this book.
I am a physician and woman "of a certain age" who started hormone therapy recently, so I was very intrigued when I saw the description of this book. This book is so chock full of information that at times I almost felt like I was reading a textbook. The author described her menopausal symptoms somewhat (over) zealously, but all of us who have gone through this should can relate, to a certain degree. The bottom line is that - after a very comprehensive review - the author strongly encourages women without risk factors to take oral progesterone for perimenopausal symptoms, specifically at the 300 mg dose if possible. She also discusses the use of estradiol and progesterone in the postmenopausal time frame for their other health benefits, including cardiovascular health and bone health. The ethnic differences she pointed out about African American and Asian women were really interesting, as most of the accepted research has been done on white women.
I did find some of the comments about doctors to be unnecessarily disparaging, as not all doctors in the community are clueless about menopause, but I respect the fact that the author was describing her specific experience. Also, she frequently referred to gynecologists as the doctors who treat menopause, but primary care doctors manage this every day, especially us female docs. But perhaps the community I practice in is different than where she lives.
I had some annoyances with the audiobook narrator which I will detail in my NetGalley review of the audiobook.
All in all, incredibly well researched and super informative. I enjoyed it!
I am a physician and woman "of a certain age" who started hormone therapy recently, so I was very intrigued when I saw the description of this book. This book is so chock full of information that at times I almost felt like I was reading a textbook. The author described her menopausal symptoms somewhat (over) zealously, but all of us who have gone through this should can relate, to a certain degree. The bottom line is that - after a very comprehensive review - the author strongly encourages women without risk factors to take oral progesterone for perimenopausal symptoms, specifically at the 300 mg dose if possible. She also discusses the use of estradiol and progesterone in the postmenopausal time frame for their other health benefits, including cardiovascular health and bone health. The ethnic differences she pointed out about African American and Asian women were really interesting, as most of the accepted research has been done on white women.
I did find some of the comments about doctors to be unnecessarily disparaging, as not all doctors in the community are clueless about menopause, but I respect the fact that the author was describing her specific experience. Also, she frequently referred to gynecologists as the doctors who treat menopause, but primary care doctors manage this every day, especially us female docs. But perhaps the community I practice in is different than where she lives.
I had some annoyances with the audiobook narrator which I will detail in my NetGalley review of the audiobook.
All in all, incredibly well researched and super informative. I enjoyed it!
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