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In this powerful and wide-ranging conversation, Victoria Byrd sits down with OB-GYN and menopause advocate Dr. Sarah Berg to talk honestly about what is really happening to women in midlife — and why our healthcare system, workplaces, and culture are still falling short. From the “slope shoulder moment” Dr. Berg noticed in her patients to the systemic gaps in menopause education, this episode explores how women are often left to navigate perimenopause and menopause without adequate support, accurate information, or validation. Together, they discuss: • Why menopause education is still missing from most medical training • How misinformation from the WHI study continues to affect hormone therapy conversations • Why only a fraction of women prescribed hormone therapy actually start it • The foundational role of sleep in managing midlife symptoms • Practical strategies to improve sleep without medication • The importance of nervous system regulation, breathwork, and meditation • Sexual health, orgasm, and why pleasure is not optional healthcare • Why menopause should be treated as preventive care — not an afterthought • Menopause in the workplace and the financial cost of losing women in leadership • How cultural language around menopause shapes perception and opportunity • The need for male education and co-ed menopause conversations • Why symptom checklists should be standard in primary care visits Dr. Berg also shares her journey creating Self Aware-ity, a digital menopause education platform designed to translate evidence-based medicine into relatable, story-driven learning that women can actually absorb — without needing to read another dense textbook at bedtime. This episode is both validating and action-oriented. It reframes menopause not as decline, but as a powerful transition stage that deserves education, support, and structural change. About Dr. Sarah Berg Dr. Sarah Berg is an OB-GYN who specializes in menopause education and advocacy. After recognizing patterns in her midlife patients that were not being adequately addressed in traditional care models, she deepened her focus on menopause medicine and created Selfority, a digital educational platform designed to make evidence-based menopause care accessible and relatable. Follow Dr. Sarah Berg ( / sarah-berg-selfority ) and learn more about Selfority (https://www.selfority.com/) Let’s Keep the Conversation Going: If this episode resonated with you, please rate, review, and share it with someone who needs to hear it. Subscribe to Women Mastering Midlife on your favorite podcast platform to receive weekly conversations that help you navigate perimenopause, menopause, and midlife health with clarity and confidence. Join the Women Mastering Midlife Community (https://www.womenmasteringmidlife.com) and let’s grow stronger together. Get your FREE guides HERE: www.womenmasteringmidlife.com/free-guides (http://www.msvictoriabyrd.com/free-gu...) Share your thoughts and stories on our social channels and tag us @WomenMasteringMidlife ( / womenmasteringmidlife ) and @misvictoriabyrd ( / msvictoriabyrd ) Let’s rewrite the narrative together! Find more information on our website: www.womenmasteringmidlife.com (http://www.womenmasteringmidlife.com) Book a FREE 1:1 discovery call (http://www.msvictoriabyrd.com/booknow) to learn more about coaching programs and courses Disclaimer This podcast is for entertainment, educational, and informational purposes only. The hosts, guests, and experts featured are not your personal healthcare providers or advisors. The content should not be considered as professional, personalized medical, psychological, or prescriptive advice. Always consult qualified professionals such as your physician, therapist, pharmacist, or coach for specific concerns and decisions related to your health or lifestyle. Women Mastering Midlife is not responsible for any undesired outcomes resulting from actions taken based on the content of this podcast.