For most of my adult life, I was the person who held things together. I'm a dental hygienist — I've been cleaning teeth and talking patients through their anxiety for over two decades. I managed a staff of 25 at a large dental office. I raised boys, stayed married, kept the house running, showed up on time and put together. Organized. Steady. Capable.
Then, somewhere in my early forties, the wheels started coming off — quietly at first, then all at once.
It started with my body. Weight I couldn't explain. A face I didn't recognize in the mirror. Blood pressure that had never been an issue suddenly flagged at every appointment. My fasting glucose and A1C were creeping up. I was doing everything right — tracking food, weight training six days a week, eating clean — and nothing was responding the way I expected. My doctor kept telling me my bloodwork was "mostly normal." I kept nodding and going home feeling like I was losing my mind.
Then my brain stopped cooperating.
I'm a dental hygienist. I have used the word sulcus — the groove at the base of each tooth — at least five times a day for twenty years. One morning, mid-sentence with a patient, the word simply vanished. Gone. I searched for it like you search for something you know you set down somewhere. It wasn't there. That was the moment I started quietly wondering if something was seriously wrong with me.
Words disappeared. Names disappeared. My ability to focus, to stay present, to be fully in a conversation — all of it started slipping. My thoughts moved slower. My patience got shorter. My emotions became louder and less predictable. I started meltdowns I didn't understand. I pulled back from friendships I'd had for years — not because I wanted to, but because I was afraid of my own reactions. I'm an extrovert. Isolation makes everything worse for me. But at the time, it felt like the only safe option.
The responses I got were consistent. You're getting older. Try magnesium. Sleep more. You're managing a lot — that's normal. Have you tried meditation? I started to believe maybe they were right. Maybe this was just my limit. Maybe the sharp, organized version of me had been overestimating herself all along.
Two years in, I found an answer.
It came from an unexpected place — a PBS documentary called The M Factor. What I found there wasn't a cure or a treatment protocol. It was something simpler and more valuable: an explanation. A name for what was happening to me. Validation that this was real, that it wasn't in my head, and that I was not alone.
Perimenopause. The years before menopause, when hormones shift in ways that affect your weight, your cognition, your mood, your cardiovascular health, your relationship with food, your sense of self. I had been living it for years without knowing what to call it — and without anyone thinking to tell me.
That's why I'm writing this.
Not because I have all the answers — I'm still figuring a lot of this out. But because I know what it feels like to sit in a doctor's office and be told everything looks "mostly normal" while you feel anything but. I know what it feels like to pull away from the people you love because you don't trust your own reactions. I know what it feels like to find a word in a PBS documentary that explains two years of confusion.
I want to write the thing I needed to read. Honest, specific, not wrapped in wellness language or pink packaging. Just one woman, telling the truth about what happened to her, in the hope that someone else feels a little less alone in what's happening to them.
You're not out of range. You're still becoming.
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