Why Everything Comes Up At Once In Perimenopause - And How To Handle It

There's a shift in consciousness that slowly creeps in at midlife. It doesn't announce itself dramatically. It arrives as a background whisper — a gradual sense that the life we've been living, perhaps quite happily, no longer quite fits. Not because anything is wrong with it. But because something within us is fundamentally changing.That feeling — of being slightly unattached, energetically out of sorts, like wearing someone else's itchy jumper — is often the very first psychological sign that perimenopause has begun.In this episode, Melanie shares her own experience of this disorientation, what's actually happening beneath it, what makes it harder, and what genuinely helps.In this episode:— Why the first sign of perimenopause is often psychological, not physical— What's really happening when we feel detached, distant and out of sorts— Why this shift is slow by design, and why that matters— How early attachment trauma mixes with the genuine unknown of perimenopause — and why it matters to unblend them— What acceptance really means in perimenopause (and what it definitely doesn't)— Why trying to fix, skip, or medicate this process makes it much harder— How to stay present with the discomfort without collapsing into itMelanie also reads aloud, for the first time since writing it, a poem from her forthcoming book Poems for Perimenopause — written at the very beginning of her own perimenopause journey, at the edge of the lake, just before acceptance arrived.A note if this is where you are right nowIf you're reading this with one toe in the old and one in the new — energetically out of step, quietly wondering if something is wrong — you're not broken. You're not in crisis. You're at the beginning of one of the most significant transitions of your life, and your whole system is doing exactly what it should.Stay with the process. Keep breathing. The emergence will come.But first — the detachment, the composting, and the completion.Free Resources & Further Support🎧 Free 10-minute perimenopause guided practice — create more capacity and internal space during this transition.Navigating Perimenopause as an Initiation — Live Online WorkshopWork with Melanie 1:1If you want the depth of connection of one-to-one support, Melanie works with women individually online worldwide. The entry point is a Soul-Deep Clarity Session — one hour, trauma-specialised, womb-centred. Melanie will see what's happening in your system and make a bespoke recommendation for the work ahead.Book your Soul-Deep Clarity Session → Send us Fan Mail Support the showMelanie Swan is a Trauma Resolution Specialist, Womb Medicine Woman, Perimenopause Guide, and host of The Sacred Womb Podcast. With over 24 years of clinical and metaphysical experience, she supports women to resolve repeating patterns at the root, heal the womb, and navigate perimenopause as a profound initiation into their true nature. She leads the Womb Medicine Woman Training® and is currently writing her first book, Sacred Womb, Sovereign Woman.The Sacred Womb Podcast is available on Spotify, Apple Podcasts, and all major platforms.

Perimenopause can feel like our whole inner world cracks open at once — even when we've done years of therapy and personal development. In this episode, I explain why that intensity is not a malfunction. It is a deliberate hormonal shift that ends suppression, opens the subconscious, and activates dormant potential simultaneously.I cover:Why the hormonal shift in perimenopause is designed — not a decline or an ovarian failureThe oestrogen veil lifting and what it opens in the subconsciousWhy unresolved feelings, abandoned parts of self, and dormant potential all surface togetherCutting out the noise, slowing down, and creating the space this transition demandsThe old self composting — why identity can feel like a costume, and why that's rightThe 3am wake-up loop as a completion signal, and a practical way to work with itIsolation as one of the hardest parts of perimenopause — and why we need our sistersThe broken transmission from wise women and why oral guidance from lived experience mattersCircadian rhythm support and living in tune with nature — what changed my sleep in two daysMy own three years of perimenopause retreat, and what's supported me throughI also share my personal experience — including what it's actually felt like to go through this nose to the fire, and what I'm coming out the other side knowing.I've recorded a free guided practice to help you create more capacity in perimenopause — 10 to 15 minutes >I'm also running regular workshops on navigating perimenopause as an initiation, and I offer 1:1 perimenopause support >Send us Fan Mail Support the showMelanie Swan is a Trauma Resolution Specialist, Womb Medicine Woman, Perimenopause Guide, and host of The Sacred Womb Podcast. With over 24 years of clinical and metaphysical experience, she supports women to resolve repeating patterns at the root, heal the womb, and navigate perimenopause as a profound initiation into their true nature. She leads the Womb Medicine Woman Training® and is currently writing her first book, Sacred Womb, Sovereign Woman.The Sacred Womb Podcast is available on Spotify, Apple Podcasts, and all major platforms.

The conflicting advice around reproductive health — from conventional medicine and from the wellness world — leaves most women cycling through practitioners with no real answers. I invited Michelle on because she has done what many women are told isn't possible, and she did it by going back to the root cause.Michelle Byrt is a natural fertility educator and founder of Get Fertile. After years of endometriosis, amenorrhea, hypothyroid, chronic fatigue, and over 50 other conditions, she had five natural periods in ten years. One year after finding the right information, she was pregnant naturally.In this episode she shares what made things worse — including two years on a high-protein, high-fat protocol that caused significant weight gain and worsening symptoms — and exactly what turned everything around: the Medical Medium morning cleanse, removing pathogen-feeding foods, and lowering fat intake.She also covers what to expect during the healing process (it is not linear), and the four root causes of infertility she identifies in the women she now works with: pathogens, toxins and heavy metals, low reproductive battery, and a weakened adrenal connection.If your reproductive system has been written off, or you are still moving through the loop of endless testing and no real answers — this one is for you.Find Michelle's fertility healing resources and e-bundle at stan.store/getfertile and on Instagram, YouTube, and TikTok at @getfertile.Send us Fan Mail Support the showMelanie Swan is a Trauma Resolution Specialist, Womb Medicine Woman, Perimenopause Guide, and host of The Sacred Womb Podcast. With over 24 years of clinical and metaphysical experience, she supports women to resolve repeating patterns at the root, heal the womb, and navigate perimenopause as a profound initiation into their true nature. She leads the Womb Medicine Woman Training® and is currently writing her first book, Sacred Womb, Sovereign Woman.The Sacred Womb Podcast is available on Spotify, Apple Podcasts, and all major platforms.

It’s winter in Chiang Mai — sunlit, yet crisp enough to invite true wintering: slow, quiet, reflective. As I prepare for the Womb Medicine Woman Training starting in January, one word has defined 2025 for me: REFINEMENT.I share what’s been refining me: returning to the UK and realising it’s no longer home; the relational tenderness of Singing in the Wild; perimenopause demanding simplicity; starting Qi Gong; and becoming fiercely aware of where my attention goes (including cancelling Netflix). I also share what’s changing in 2026.My anchor is simple: embody truth and love. No goals, no resolutions — just presence and choice.Work with me:1:1 Womb Healing, Perimenopause Support & Soul-Deep Restoration• Womb Medicine Woman 6-month Training®• Audio courses + resources• YouTubeSend us Fan Mail Support the showMelanie Swan is a Trauma Resolution Specialist, Womb Medicine Woman, Perimenopause Guide, and host of The Sacred Womb Podcast. With over 24 years of clinical and metaphysical experience, she supports women to resolve repeating patterns at the root, heal the womb, and navigate perimenopause as a profound initiation into their true nature. She leads the Womb Medicine Woman Training® and is currently writing her first book, Sacred Womb, Sovereign Woman.The Sacred Womb Podcast is available on Spotify, Apple Podcasts, and all major platforms.

Ready to feel strong, steady, and unapologetically capable through perimenopause and menopause? We sit down with Charlotte, a Chiang Mai–based fitness and nutrition coach who specialises in midlife women, to unpack what actually changes as hormones shift and how to train smarter without turning your life upside down. No gimmicks, no “train by your phase” templates — just practical strategies that meet you where you are.We dig into why strength training becomes non-negotiable as oestrogen declines, and how load helps protect muscle and bone health when sarcopenia and osteopenia start to creep in. Charlotte breaks down simple ways to pick the right weight using RIR and RPE, how to keep the training stimulus while swapping movements you hate, and why enjoyment is the secret to consistency. You’ll hear real talk on the hip thrust nemesis, unexpected confidence boosts, and the quiet “grit” that keeps you coming back, even when the music is loud and the excuses pile up.Recovery takes centre stage. We reframe days off as recovery days, explore what active rest can look like, and explain why sleep, protein intake, and stress management drive progress more than one brutal workout ever will. Expect clear protein targets for midlife, pragmatic guidance on adapting training around fluctuating cycles without rigid rules, and a blueprint for getting started with a coach, a community, or a well-built program. By the end, you’ll have a grounded plan to build a resilient frame, better moods, and the kind of everyday strength that makes life feel easier.If this conversation helps, follow the show, share it with a friend who needs a confidence nudge, and leave a quick review — your feedback helps more women lift well through midlife.Send us Fan Mail Support the showMelanie Swan is a Trauma Resolution Specialist, Womb Medicine Woman, Perimenopause Guide, and host of The Sacred Womb Podcast. With over 24 years of clinical and metaphysical experience, she supports women to resolve repeating patterns at the root, heal the womb, and navigate perimenopause as a profound initiation into their true nature. She leads the Womb Medicine Woman Training® and is currently writing her first book, Sacred Womb, Sovereign Woman.The Sacred Womb Podcast is available on Spotify, Apple Podcasts, and all major platforms.

You were told a love story. That if you were chosen — really chosen — everything would finally feel okay. The loneliness would ease. The ache would quiet. You'd feel complete.It doesn't work. Because it's a fantasy. And in this episode, I'm naming it directly.I explore:— What the Disney princess fantasy actually is and where it comes from: the real, tender, core fears underneath it — loneliness, abandonment, a fear of not existing, a perpetual lack of self-trust — and how the fantasy promises to resolve all of that through being chosen by a man— Why the programming is so effective: it lands on genuine unmet needs, it's embedded everywhere, and our nervous system gets temporary relief from it — so we cling to it even when it hurts— The father wound underneath: how the fantasy sticks to the gaping ache of never being met, validated, or protected in the way we needed — and how it drives who we choose to be in relationship with— How the fantasy shows up in daily life: waiting to be chosen, putting men on a pedestal, the illusion of the ring, the wedding, the house, the children as safety and worth and identity— How we try to uphold the fantasy through subtle control: managing his responses, overfunctioning, hoping he'll "wake up," trying to make him fit the fantasy rather than seeing who he actually is— What happens when control fails: raging, protesting, trauma dumping, self-suppression, holding our own growth back to keep the relationship intact— Extraction versus love: the difference between trying to get safety and worth from someone outside ourselves, and actually bringing love to a relationship— How to dissolve the spell: acknowledging the function the fantasy served, grieving what we didn't have, reassuring our system that killing the fantasy is not killing love — and orienting to what we are creating rather than waiting for someone to rescue usThe shift I'm inviting: from will he choose me? to what am I bringing?Relationships are where we were hurt. They're also where we get to heal. But we have to bring ourselves into them — not a fantasy.Send us Fan Mail Support the showMelanie Swan is a Trauma Resolution Specialist, Womb Medicine Woman, Perimenopause Guide, and host of The Sacred Womb Podcast. With over 24 years of clinical and metaphysical experience, she supports women to resolve repeating patterns at the root, heal the womb, and navigate perimenopause as a profound initiation into their true nature. She leads the Womb Medicine Woman Training® and is currently writing her first book, Sacred Womb, Sovereign Woman.The Sacred Womb Podcast is available on Spotify, Apple Podcasts, and all major platforms.

Become the frequency of this work and guide women home to their true, sovereign nature.I’m truly delighted to share this with you. The Womb Medicine Woman Training® is back!This training has run in different forms for seven years. I then chose to pause—to reflect, deepen my skills, get divorced, and move to Thailand… and then peri-menopause kicked in. To say I needed time to rest and recalibrate would be an understatement.Now, with fresh eyes, in a new chapter of life, and with a clinically rooted, trauma-specialised approach, I’m bringing back this much-needed training—clearer, deeper, and more comprehensive than ever.The Womb Medicine Woman Training® is a 12-month Certified Professional Training in womb healing and feminine leadership, alchemising deep personal work with professional development.In this episode—celebrating the relaunch—I walk you through why women need specialised healing and leadership, why trauma-specialised womb work matters, and how the structure of the training—CORE · FLOW · STRUCTURE · LEAD—is designed to take us from stabilising core needs to sovereignty, self-responsibility, and heart-centred leadership.I also share how Medicine Circles, partner practice, and sisterhood support real-world integration—repatterning the nervous system and bringing this work to women in a way that lights you up.Why women need specialised healing & leadershipWhy trauma-specialised womb healing mattersThe structure of the training — CORE, FLOW, STRUCTURE & LEAD, and whyCORE — Restoring Core Needs and Orienting To The Love WithinFLOW — Menstrual Cycle Embodiment, Rites of Passage and Womb HealingSTRUCTURE — Restoring & Unifying The Divine Masculine & Divine FeminineLEAD — Cultivating Aligned Action, Value, Visibility, Internal Authority, Self-Responsibility and SovereigntyMedicine Circles — how we workCommunity — the field you’ll be held inRoots & Origins of this workCourse outcomes — what you’ll be able to offerI’m thrilled to invite you into this expanded and upgraded training—one that will equip you with the experience, healing, transformation, and clinical skills to embody your role as a Womb Medicine Woman®.The training starts every September.FULL DETAILS OF THE WOMB MEDICINE WOMAN TRAININGSend us Fan Mail Support the showMelanie Swan is a Trauma Resolution Specialist, Womb Medicine Woman, Perimenopause Guide, and host of The Sacred Womb Podcast. With over 24 years of clinical and metaphysical experience, she supports women to resolve repeating patterns at the root, heal the womb, and navigate perimenopause as a profound initiation into their true nature. She leads the Womb Medicine Woman Training® and is currently writing her first book, Sacred Womb, Sovereign Woman.The Sacred Womb Podcast is available on Spotify, Apple Podcasts, and all major platforms.

Women and MONEY! Why are so many women struggling to earn, receive and retain money?!!Women are conditioned—subtly and overtly—to emotionally over-give, to feel guilty for charging for their time, to equate compassionate with “low fee,” and not to have “too much.”Add attachment patterns that mean receiving can feel existentially loaded, generational trauma that women simply can’t survive without a man (and his money), plus a split from our true masculine nature and the distortions that comes with, and we’ve got a heady concoction of lack and struggle.So where does it come from?From my experience, the actual root is a perceived lack of ability and a rupture of trust in oneself, leading to a subsequent attempt to fill that void with someone or something outside of us. When it comes to money and women, we usually fill our perceived lack of ability to earn with a man (who provides money, but also has his own deficit, usually emotional intelligence, and the ability to care for himself, which women then make up for in exchange). So the problem isn’t “out there.” It's not 'the universe's' fault - it’s the unconscious patterns within—a blend of attachment templates, generational imprints, gendered socialisation and our own outsourcing vs resourcing across our Soul’s Journey—that runs how women charge, receive, retain, manage, and relate with money. In this episode, I talk through:Not working at the root, nervous-system override at the moment of charging/receiving, and the feast-and-famine cycle.Gendered programming (be small, be nice, be grateful, don't charge for caring) fused with attachment patterns centred around a longing to be truly cared for keeps the loop on rewind and repeat.Outsourcing vs resourcing through the soul’s journey – our rupture with self-trust and source, and unwillingness (for various reasons) to take self-responsibility.What creates real change: a direct, embodied process that restores stability and congruence so your relationship with money feels steady and safe.I’ve created A FREE guided practice and worksheet to locate your personal glitches and core beliefs in the cycle of money. Download it here >AND if you’re ready to stop patching symptoms, blaming ‘the universe’ and want to resolve the root, I have created a container where we can work through all of this together – the Money Patterns Rewired intensive, for women.MONEY REWIRED FULL DETAILSSend us Fan Mail Support the showMelanie Swan is a Trauma Resolution Specialist, Womb Medicine Woman, Perimenopause Guide, and host of The Sacred Womb Podcast. With over 24 years of clinical and metaphysical experience, she supports women to resolve repeating patterns at the root, heal the womb, and navigate perimenopause as a profound initiation into their true nature. She leads the Womb Medicine Woman Training® and is currently writing her first book, Sacred Womb, Sovereign Woman.The Sacred Womb Podcast is available on Spotify, Apple Podcasts, and all major platforms.

Agnieszka Drabek-Prime weaves the cyclical wisdom of goddess archetypes into a rich map for navigating life’s transitions — from menstruation to motherhood, through perimenopause and beyond. Her new book, Dancing With Goddesses: An Archetypal Journey Through The Menstrual Cycle, offers women a way to embrace their natural rhythms and seasons with reverence.The book arrived in a single, luminous moment of inspiration while Agnieszka was camping — a fully-formed vision blending her work as a doula, womb medicine woman, and celebrant with deep archetypal goddess wisdom.In our conversation, we explore:• How goddess archetypes can act as mirrors for women’s lived experiences• A five-season approach to understanding the menstrual cycle• Why each woman’s cycle has its own unique nature and rhythm• How life transitions can be fertile ground for growth and transformation• The wisdom encoded in women’s bodies and experiences• Agnieszka’s personal perimenopause journey• The healing power of being heard without judgmentYou can find Agnieszka at primetherapy.co.uk on Instagram and Substack, and her book is available at all good bookshops and Amazon.Send us Fan Mail Support the showMelanie Swan is a Trauma Resolution Specialist, Womb Medicine Woman, Perimenopause Guide, and host of The Sacred Womb Podcast. With over 24 years of clinical and metaphysical experience, she supports women to resolve repeating patterns at the root, heal the womb, and navigate perimenopause as a profound initiation into their true nature. She leads the Womb Medicine Woman Training® and is currently writing her first book, Sacred Womb, Sovereign Woman.The Sacred Womb Podcast is available on Spotify, Apple Podcasts, and all major platforms.

The journey through perimenopause is unique for every woman, yet the unsolicited and contrary advice remains universal. This was the inspiration for my latest poem, which is part of a book of poetry in which I’m documenting the entire perimenopause journey from beginning to end.What makes perimenopause so challenging isn’t just the physical symptoms – the hormonal fluctuations, the muscle mass changes – but the barrage of contradictory advice from people who often have no personal experience with it. From well-meaning friends suggesting I drink my own piss, to fitness bros blindly prescribing calorie deficits and skipping meals, the poem highlights the absurdity of simplistic solutions to this multi-faceted physiological transition.The journey through perimenopause, like other significant life transitions, ultimately belongs to the person experiencing it, and external perspectives – however well-intentioned – need to be filtered through our intuition.Ugh, where do I start….?The flurry of adviceFrom uninformed folkWho all have their priceEstrogen is droppingYour bones will crumble!Drink loads of milkOr take a tumbleIngest creatine nowOr lose all your muscleYou should intermittent fast!There’s no end to this hustleEat chunks of proteinAt every single mealEventually, it’ll kill youAll that dairy, tofu and veal“Hey” someone whispers“You should drink your own piss“So I squat over a glass *Gulp*Alright then, come give us a kiss!But my all-time favouriteIs from the 30-something broYou wanna lose weight?His face starts to glowAh, he squints,Like he’s about to shit goldYou just need to be in a calorie deficit!Seriously, this never gets old?Oh! I exclaimWhy didn’t I think of that?!Thank you so much bruhYou dumb little twatHe no longer existsThat poor, sweet boyWho made the mistakeOf thinking I was old & coyBut seriously thoughThis is not about bro’sIt’s the not-so-miracle adviceThat you can stick it up your……noseTo give you a vague ideaOf what it’s like to be in periPut a blindfold onAnd navigate the contraryThe vitamins, the supplementsThe creams and the spraysCan all just f**k offI don’t care what anyone saysMy body is my bodyMy age is my ageMy intuition rulesAnd THAT’S my primary gaugeBY MELANIE SWANSend us Fan Mail Support the showMelanie Swan is a Trauma Resolution Specialist, Womb Medicine Woman, Perimenopause Guide, and host of The Sacred Womb Podcast. With over 24 years of clinical and metaphysical experience, she supports women to resolve repeating patterns at the root, heal the womb, and navigate perimenopause as a profound initiation into their true nature. She leads the Womb Medicine Woman Training® and is currently writing her first book, Sacred Womb, Sovereign Woman.The Sacred Womb Podcast is available on Spotify, Apple Podcasts, and all major platforms.