Perimenopause & Infertility: Brain Fog, Hormones, and the Menopause “Awakening” | Dr. Tina Segocio

Описание: In this episode of the Love and Science podcast, we sit down with Dr. Tina Segocio, an OBGYN and menopause specialist with over 20 years of experience, to talk about the menopausal transition especially when it shows up in the years women are still trying to build their families.


Dr. Tina shares her personal perimenopause experience, including brain fog, memory changes, joint pain, and the moment she realized she needed to “save herself first” in order to care for her patients at the highest level. Together, we unpack why perimenopause is often missed in women in their 30s and 40s, how diminished ovarian reserve can show up earlier than expected, and why “normal” labs don’t always tell the full story.


You’ll hear practical, physician-level insight on:

• Perimenopause symptoms that often start 10–15 years before menopause
• Fertility in perimenopause and what makes these cycles harder to predict
• Key labs and timing considerations when ovarian function is changing
• Why both partners must be evaluated (and why semen analysis matters early)
• When generalists should refer sooner to avoid losing critical time
• The role of sleep, stress, and physician burnout in fertility outcomes
• Preventive care that shouldn’t be missed during fertility treatment (Pap, mammogram, colonoscopy)
• Donor egg and donor embryo options—and why menopause doesn’t have to be the end of family building
• Reframing menopause as an awakening, not an ending



This conversation is for anyone navigating perimenopause, infertility, diminished ovarian reserve, or menopause and especially for high-achieving women and female physicians who need evidence-based guidance and a more honest roadmap.



About Dr. Tina Sogocio


Dr. Tina Sogocio is an OB/GYN with a special focus on menopause and midlife women’s health. She’s known for making complex topics feel approachable, honest, and even a little fun. 


Dr. Tina is passionate about helping women understand what’s happening in their bodies without fear or shame, so they can feel informed, supported, and confident through fertility challenges, perimenopause, menopause, and the years beyond.


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As always, please keep in mind that this is my perspective and nothing in this podcast is medical advice.

If you found this conversation valuable, book a consult call with me using this link:


https://www.loveandsciencefertility.c...


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Please don’t let infertility have the final word. We are here to take the burden from you so that you can achieve your goal of building your family with confidence and compassion. I’m rooting for you always.

In Gratitude,


Dr. Erica Bove