Episode 26 — Dr. Jackie Piasta: Perimenopause Truths, Midlife Myths & The Power of Personalised Care This week on The House of Hormones, we’re stepping into the world of midlife women’s health with the phenomenal Dr. Jackie Piasta — or simply “Dr. Jackie” to the thousands of women who trust her expertise, warmth, and straight-talking wisdom. A Women’s Health Nurse Practitioner with advanced credentials from Vanderbilt, Dr. Jackie specialises in perimenopause, menopause, hormonal balance, midlife metabolism, sexual wellness, and the often-misunderstood emotional landscape that comes with shifting hormones. She’s also the founder of Monarch Health, a membership-based, telehealth-powered clinic designed to give women what traditional healthcare so often fails to deliver: time, compassion, clarity, and truly personalised care. Dr. Jackie is on a mission to re-educate women about their bodies, challenge outdated assumptions, and make sure no woman feels confused or dismissed—whether she’s dealing with midlife PCOS, persistent brain fog, fluctuating libido, or simply trying to feel comfortable in her own skin again. Expect a conversation filled with humor, humanity, and no-nonsense truths about what’s really happening during the midlife transition.