#440
December 23, 2025

Reimagining Menopause
Heidi Lovie, DACM, L.Ac

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There are seasons in a woman’s life that don’t arrive quietly. They come with a tremor, a shimmer, a sense that something deep in the architecture of who you are is being rewritten. It’s not collapse, but instead a reordering that can’t be ignored. 

In this conversation with Heidi Lovie, we wander into the transformation of menopause. She invites us to consider this transition not as a breakdown, but as a profound renegotiation between heart and kidney, ancestry and agency, biology and identity. 

Listen into this discussion as we explore how hormones shape our sense of reality, why perimenopause can feel like the caterpillar dissolving into goo phase of becoming a butterfly, how grief and sovereignty intertwined in midlife, and ways clinicians can expand their imagination beyond the default kidney-yin story. This is about expanding language, reframing experience, and recognizing the second spring as a time of creativity, clarity, and unapologetic self-definition.

In this episode, we discuss:

  • The transformation of menopause — how it is less a breakdown and more a profound reordering of physiology and identity.
  • Hormones as shapers of subjective reality — how shifts in estrogen, progesterone, and testosterone reshape perception, mood, and experience.
  • Perimenopause as the “goo phase” — the caterpillar-to-butterfly dissolution that feels chaotic but is essential for transformation.
  • Reframing menopause through Chinese medicine — moving beyond the default kidney-yin lens into a richer, five-phase, multi-system understanding.
  • The renegotiation between heart and kidney — how the flow of blood and Jing reverses direction and reorganizes the Chong.
  • The role of narrative in clinical care — how practitioner framing can either empower or overwhelm patients in midlife transitions.
  • The grief woven into perimenopause — mourning lost possibilities, shifting identities, and the closing of certain life chapters.
  • Sovereignty in midlife — stepping into personal power, redefining boundaries, and reclaiming agency.
  • The invisibility of aging women — how societal fixation on youth and sexual attraction distorts the value of women in their second spring.
  • Evolutionary perspectives — the grandmother hypothesis, longevity, and the cultural role of post-reproductive women.
  • Menopause within relationships — the need for partners to protect a woman’s peace, understand the transition, and renegotiate roles.
  • Liver-qi constraint and emotional overwhelm — why this pattern often underlies the hardest perimenopause experiences and how clinicians can work with it.

Decenter yourself in the intake; your job isn’t to sound insightful, but to create enough space for the patient’s experience to organize itself out loud. The pattern often declares itself once the room feels quiet enough.

Heidi Lovie, DACM, L.Ac

I believe women deserve care that makes sense. Care that explains what’s happening in their bodies and takes their experiences seriously. I’m Dr. Heidi Lovie, a New York based doctor of acupuncture and Chinese medicine, herbalist, and educator focused on women’s health across the lifespan.

My clinical work draws on Chinese medicine while engaging modern biomedical thinking, particularly around hormonal change, immune regulation, and the transitions of perimenopause and menopause. In my Manhattan practice, I work with women whose symptoms are often layered and difficult to fit into a single diagnosis, especially during midlife.

Beyond the clinic, I teach and mentor advanced practitioners, helping them think more clearly, listen more deeply, and practice medicine that is both compassionate and rigorous. My goal is simple: to help women feel understood and supported during one of the most significant transitions of their lives.

Links and Resources

Visit Heidi on her website.

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