Essential Tips for Your Gynecologist Appointment

How to Prep for Your Gynecologist Appointment to Discuss Perimenopause Symptoms

Navigating perimenopause is a unique journey—one that often brings unexpected physical and emotional changes. As you prepare for your next gynecologist appointment, it’s essential to feel confident, empowered, and equipped with the information you need to get the support and answers you deserve.

In this blog, I’ll share some practical tips on preparing for your appointment, as well as ways to handle those tougher conversations if you feel your symptoms are being brushed aside. And for an even more in-depth guide, make sure to download my free resource, Perimenopause 101: What You Need to Know Before You Talk to Your GYN.

Why It’s Important to Advocate for Yourself

Perimenopause isn’t widely discussed, and unfortunately, even some healthcare professionals may overlook or downplay its impact.

It’s not a disease or a condition that needs “fixing” or “curing”—it’s a natural hormonal transition that every woman will go through, much like puberty.

During this time, symptoms like irregular periods, mood swings, sleep disruptions, and physical changes can vary widely from person to person.

Your body isn’t broken—it’s changing.

That’s why having an open, informed conversation with your gynecologist is essential. Here’s how to approach it, so you leave feeling truly seen, heard, and supported in this life stage.

1. List Out Your Symptoms

Perimenopause symptoms can be subtle or dramatic, and they often come and go unpredictably. Before your appointment, jot down anything unusual you’ve noticed—whether it’s changes in your cycle, energy dips, sleep disruptions, or mood shifts.

Be as specific as possible. For example:

“My periods have become more irregular, sometimes skipping months or lasting longer than usual.”
“I’m experiencing hot flashes that disrupt my day and make it hard to focus.”

These details give your doctor a clearer picture of what you’re dealing with and help establish a baseline for your health.

2. Know What to Expect

Having a general understanding of perimenopause can empower you during your appointment. In a perfect world, doctors would have time to explain what to expect from this hormonal transition, often called your second puberty, but they don’t.

Familiarize yourself with common symptoms, so you know what questions to ask.

Remember, this is about equipping yourself with knowledge so you can have a more productive conversation with your gynecologist.

My free guide, Perimenopause 101, is a great starting point if you’re looking for clear, accessible information on what to expect during perimenopause and beyond.

3. How to Stand Firm When Your Doctor Isn’t Listening

Navigating a tough conversation with a doctor who isn’t taking your symptoms seriously can be incredibly frustrating—and it happens way too often, especially when discussing perimenopause.

But you don’t have to settle for feeling dismissed or unheard.

Here are some phrases that can help you advocate for yourself during your gynecologist appointment:

At the Beginning of the Appointment

Start the appointment by setting clear expectations for open communication. Try saying:

“I’ve felt really dismissed by other doctors in the past, and I want to make sure that doesn’t happen today.”

This upfront approach can set the tone for a more respectful and productive conversation, letting your doctor know that you expect to be heard.

If Your Doctor Dismisses Your Symptoms

If your symptoms are brushed off as “normal” or not significant, it’s okay to ask for clarification and emphasize your experience:

“Can you help me understand why these symptoms aren’t significant? Because they’re impacting my daily life in a big way.”

This phrase invites your doctor to explain their perspective without allowing them to minimize the impact these symptoms are having on your life.

If They Tell You Nothing’s Wrong

You deserve answers that resonate with your experience. If you’re told nothing’s wrong, try one of these:

“I value your expertise, and I also value my own instincts and experiences. Can you explain what led you to that conclusion?”

“Are there other possibilities we might not be considering?”

These responses remind your doctor that your lived experience matters and should be part of the diagnostic process, encouraging a more thorough evaluation.

If They Blame Your Symptoms on Your Weight

It’s common for doctors to attribute symptoms to weight, but that’s not the full picture. Try redirecting the conversation:

“I understand that some health issues are connected to weight. But I want to dig deeper because I don’t want to overlook something important.”

“If weight loss wasn’t on the table as a solution, what would you suggest to a patient in a smaller body?”

These responses prompt your doctor to consider your health from a broader perspective rather than defaulting to weight as the sole focus.

If the Appointment is Ending and You’re Not Satisfied

If the appointment feels rushed or unresolved, it’s okay to request more time or follow-up:

“I think we should dig deeper. Should we schedule a follow-up visit? Are there other tests we could do?”

This statement opens the door to additional testing or a follow-up plan, ensuring you don’t leave without a path forward.

4. Don’t Leave Without a Follow-Up Plan

Leaving the appointment with a clear plan gives you peace of mind and next steps. Whether it’s scheduling follow-up visits, requesting blood work, or exploring treatment options, make sure you and your gynecologist have a shared understanding of what’s next.