Your symptoms feel scattered and unrelated.
Anxiety, brain fog, 3 a.m. waking, joint pain, palpitations, weight changes, lower libido — and a different specialist for every piece.
Understand your hormones. Advocate for your care.
Perimenopause, Decoded
Thrive through the transition no one explained. A clear, evidence-based course for women who are tired of being told their labs are “normal,” their symptoms are “just stress,” or they are too young for hormones to be part of the picture.
Self-paced education · Practical tools · No wellness fluff
9 modules
23 lessons
23 lessons
9Focused modules
23Practical lessons
35+Symptoms connected
∞Lifetime access
Sound familiar?
You know something changed. You just cannot get a straight answer.
Perimenopause rarely arrives as one tidy symptom. It shows up across your brain, sleep, body, cycle, relationships, and sense of self — often years before anyone names it.
Your labs came back “normal,” so the conversation stopped.
You were handed a reference range instead of an explanation of hormone fluctuation, timing, or how your actual symptom pattern fits.
You are interested in HRT, but the internet is a minefield.
One person says hormones are dangerous. Another says they fix everything. You want the evidence, the tradeoffs, and the right questions to ask.
You do not want to become your own doctor.
You want to be an informed participant in your care — able to organize your symptoms, understand your options, and walk into appointments prepared.
What changes for you
From second-guessing yourself to understanding what is actually happening.
This course gives you the medical framework most women are never taught — without asking you to earn a medical degree or spend the next year sorting through contradictory podcasts.
Before
- Wondering whether your symptoms are “real”
- Feeling intimidated by hormone labs
- Searching the internet after every appointment
- Unsure whether HRT is safe or appropriate
- Trying random fixes without a clear plan
After
- Seeing the hormonal pattern across your symptoms
- Knowing which labs matter — and their limits
- Understanding HRT routes, options, and tradeoffs
- Preparing focused questions for your provider
- Building and tracking a personalized protocol
The hormone-informed lens
Clear enough to use. Nuanced enough to trust.
Dr. Salama brings the hormone and mental-health lenses together, translates the evidence into plain language, and stays honest about what is known, what is individualized, and what still requires a real clinician.
01
Evidence without fear tactics
Understand what the major hormone-therapy research actually showed, why formulation and timing matter, and how to think in absolute rather than headline-level risk.
02
Whole-person, not symptom-by-symptom
Connect mood, cognition, sleep, metabolism, sexual health, skin, hair, and cycle changes through one coherent hormone-informed framework.
03
Advocacy without self-diagnosis
Learn how to organize your history, read your results more intelligently, ask better questions, track change, and use AI safely — while keeping medical decisions with your care team.
The curriculum
Nine modules. One complete map of the transition.
Start with the biology, move through hormone therapy and the brain-body symptoms that affect daily life, and finish with a protocol you can actually use.
015 lessons
What’s Actually Happening to You
Make sense of the chaos: what perimenopause is, why symptoms scatter, and why you are not too young.
Perimenopause versus menopause, hormones in plain English, the 35+ symptom picture, why doctors miss it, and the emotional weight of the transition.Name the pattern
022 lessons
Your Hormones, Your Labs
Know what to test, when to test it, and why one “normal” result does not close the case.
What to test, why FSH alone can miss the picture, how cycle timing changes interpretation, and why “normal” is the start of a conversation — not the end.Understand the data
034 lessons
The Case for Hormones
Sort through HRT fear, candidacy, contraception, sexual health, and the questions worth bringing to your clinician.
What the WHI actually found, bioidentical versus synthetic options, route and risk, contraception in perimenopause, and sexual health concerns that deserve real treatment.Evaluate your options
042 lessons
Your Brain on Perimenopause
Understand why mood, anxiety, focus, and motivation can shift when hormones become unpredictable.
How estrogen and progesterone affect mood, cognition, dopamine, serotonin, and anxiety — plus when psychiatric medication is and is not the right tool.Connect hormones + mood
052 lessons
Sleep, the Non-Negotiable
Get beyond generic sleep hygiene and understand the hormone-driven 3 a.m. wake-up.
Why sleep falls apart, what drives the classic 3 a.m. waking, what actually helps, what is overmarketed, and how to think beyond generic sleep hygiene.Protect your sleep
062 lessons
The Body Keeps Score
Learn why body composition can change despite effort — and what actually supports metabolism in this phase.
Why the old diet-and-exercise playbook can stop working, plus evidence-based guidance on protein, resistance training, inflammation, gut health, and GLP-1s.Work with your body
072 lessons
Skin & Hair
Connect collagen, dryness, texture changes, and hair thinning to the same hormone story.
Estrogen, collagen, dryness, texture changes, hair thinning, the labs and treatments worth discussing, and the routines that matter more than marketing.Know what works
082 lessons
Your Protocol
Turn everything you’ve learned into priorities, tracking, and a plan you can revisit over time.
Choose your priorities, track symptoms and sleep, create a practical care plan, evaluate interventions over a real timeline, and adapt as your hormones change.Build your plan
092 lessons
Your AI Co-Pilot
Use AI to organize your story and prepare for care — without letting it diagnose or prescribe.
Use AI to organize symptoms, translate jargon, prepare for visits, and make sense of tracking — with firm guardrails around privacy, accuracy, and medical decisions.Advocate more clearly
What you’ll use
More than information. A system for making it usable.
The course is designed to turn a complicated medical transition into clear next steps — before, during, and after your appointments.
9 On-Demand Video Modules
Short, focused lessons you can watch in order or revisit whenever a new symptom or decision comes up.
Symptom & Cycle Tracking Framework
Turn scattered daily experiences into a timeline that helps you and your provider see patterns and measure change.
Lab & Appointment Preparation
Know what to ask about, how timing affects results, and how to walk into a visit with a concise, organized summary.
HRT Decision-Making Framework
Understand routes, formulations, candidacy, potential benefits, and risk questions without reducing hormones to a blanket yes or no.
Personalized Protocol Builder
Identify your top priorities, choose evidence-aligned interventions with your clinician, and define what improvement should look like.
Safe AI Advocacy Prompts
Use technology to organize and understand — not diagnose or prescribe — with explicit privacy and accuracy guardrails.
Reproductive psychiatrist specializing in hormones and mental health
Your instructor
Meet Dr. Kate Salama
Dr. Salama is a Harvard-trained reproductive psychiatrist and the founder of Tend to Her, M.D. Her work sits in the overlap most medical training leaves fragmented: mood, hormones, sleep, cognition, and the lived experience of women across the reproductive lifespan.
She created this course so women can understand the medical logic behind what they are feeling, recognize when a hormonal lens belongs in the conversation, and show up to care informed rather than intimidated.
- Board-certified psychiatrist
- Women’s mental-health specialist
- Hormone-informed clinical practice
- Direct, practical teaching style
- Evidence-based and transparent
- Focused on informed partnership
Questions & answers
Before you join
This course is education, not individualized medical care. Its goal is to help you understand the landscape and participate more confidently in decisions with your own clinicians.
Is this course only for women who already know they are in perimenopause?
No. It is designed for women who suspect hormones may be contributing to changes in mood, sleep, cognition, cycles, body composition, sexual health, skin, or hair — including women whose periods are still regular.
Is this a course that tells everyone to take HRT?
No. You will learn why hormone therapy is appropriate for many women, why it is not right for everyone, how route and formulation affect the conversation, and which parts of the decision must be individualized with a qualified clinician.
Will I learn how to interpret my own labs?
You will learn what common tests measure, how cycle timing and fluctuation limit a single result, and how to ask better questions. The course does not replace professional interpretation in the context of your full history and symptoms.
Does the course address anxiety, depression, ADHD symptoms, and brain fog?
Yes. An entire module explains how reproductive hormones interact with the brain and how to think about psychiatric medication and hormone treatment as potentially complementary rather than competing approaches.
Does this replace my physician, psychiatrist, or OB-GYN?
No. It is designed to make your work with them better. You will be able to organize your symptoms, understand the vocabulary, prepare focused questions, and track whether a treatment plan is helping.
How long will I have access?
The page is currently set up for lifetime access. Update this answer before launch if your final course access policy is different.
Enrollment opening soon
Stop piecing this together one late-night search at a time.
Join the early-access list to be the first to hear when Perimenopause, Decoded opens, receive launch details, and get the founding enrollment offer.
Your labs can be normal. Your symptoms can still make sense. And you do not have to white-knuckle your way through it.
Understand the transition, know your options, and build a plan with the clarity you should have been given from the beginning.
Join the Early-Access List