Going Menopostal

What You (and Your Doctor) Need to Know About the Real Science of Menopause and Perimenopause

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Pub Date May 20 2025 | Archive Date Jun 01 2025

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Description

Half of the population—the female half—is getting healthcare based on myth rather than evidence. Going Menopostal is Amy Alkon’s mission to change that.

This book started with a flash—Alkon’s first hot flash. Drenching night sweats and horrible insomnia soon followed, along with shame—at being inexplicably wired and enraged at everyone and everything. Alkon, an award-winning science columnist and author, wanted to turn to her doctor. But there was a problem: More than half of the medical care we get in the US may not be "based on, or supported by adequate evidence," according to the US National Academy of Medicine. Knowing this, Alkon began a deep dive into the research on menopause and perimenopause—the 3 to 10 years leading up to menopause in which women’s symptoms are widely ignored, dismissed, and misdiagnosed. Alkon was shocked by what she found, and in Going Menopostal, she shares this crucial information with readers, including:  

  • Perimenopause is wrongly viewed and treated as “menopause lite”—a time of decreasing estrogen levels—when estrogen levels actually soar in perimenopause, making many women sick.
  • Women in perimenopause are prescribed estrogen, essentially overdosing them on the hormone causing their suffering.
  • Women who could be prescribed safe, symptom-alleviating FDA-approved progesterone are frequently given the cheaper synthetic knockoff that does not curb insomnia and increases their risk of breast cancer.

If scientific evidence actually drove medicine, the safe, effective treatment Alkon got for herself—after three research-armed battles with her HMO—would be made available to all women. But millions of midlife women are left to suffer needlessly, like Alkon’s favorite bus driver, advised by her doctor to "just wait out" her insomnia and night sweats. In Going Menopostal, Alkon brings the science to all of these women. This meticulously researched book is written in clear, everyday language you don’t need the slightest science background to understand (along with Alkon’s trademark dark humor). Alkon’s ultimate goal: empowering all women with the information they need to get the evidence-based care they expect and deserve.
Half of the population—the female half—is getting healthcare based on myth rather than evidence. Going Menopostal is Amy Alkon’s mission to change that.

This book started with a flash—Alkon’s first...

Advance Praise

“Amy Alkon’s Going Menopostal is a masterpiece of scientific inquiry and clarity, cutting through decades of misinformation and fear around menopause. With her keen scientific mind and her ability to examine clinical and epidemiological evidence honestly, critically, and objectively, she has created a work of great importance for women struggling with menopause and perimenopause. Alkon empowers women to understand the research and advocate effectively for evidence-based care, addressing the medical neglect women have endured for far too long.”

—Dr. Kevin B. Knopf, MPH, Clinical Assistant Professor of Medicine, University of California San Francisco School of Medicine

“In Going Menopostal, Amy Alkon exposes the truth about the medical neglect and mistreatment of women in perimenopause and menopause. But more than that, she gives you the language and strategies to advocate for yourself with your doctors without antagonizing them, making them partners in your healthcare so you get the evidence-based care you deserve.”

—Catherine Salmon, PhD, Professor of Psychology at the University of Redlands, coauthor of The Secret Power of Middle Children

“Amy Alkon’s Going Menopostal is a groundbreaking book that exposes the inequities in medical research and care, particularly for women from underrepresented communities. As a family doctor on Chicago’s South Side, I see how these gaps in care amplify challenges for African American women. Alkon courageously addresses how the existing research is centered on white, middle-class women, leaving the unique needs of women from diverse backgrounds inadequately explored and understood. This book empowers readers with knowledge, challenges systemic inequities, and gives voice to women who have long been overlooked, fostering a more inclusive approach to women's health."

—Dr. Tony Hampton, Family and Obesity Medicine Specialist at Advocate Health, author of Fix Your Diet, Fix Your Diabetes, host of the Protecting Your NEST podcast

Going Menopostal is essential reading for women navigating perimenopause and menopause. Veteran science writer Amy Alkon brings an outsider’s objectivity and cuts through outdated advice with a rigorous, evidence-based approach. Infused with warmth, wit, and compassion, she tackles everything from hot flashes and weight gain to mood changes and insomnia, offering clear, science-backed solutions."

—Nina Teicholz, PhD, internationally bestselling author of The Big Fat Surprise and science journalist

“In Going Menopostal, Amy Alkon exposes the inadequacies of traditional menopause care in the United States and critiques the overreliance on clinical practice guidelines, which leave little room for individualized care. A compelling call to action, this work challenges clinicians to move beyond the status quo and empowers women with solutions grounded in both evidence and empathy.”

Dr. Andréa Salcedo, ob-gyn, Assistant Professor of Gynecology and Obstetrics at Loma Linda University School of Medicine, host of the Conscious Gynecology podcast

“Amy Alkon’s Going Menopostal is a masterpiece of scientific inquiry and clarity, cutting through decades of misinformation and fear around menopause. With her keen scientific mind and her ability to...


Available Editions

EDITION Paperback
ISBN 9781637742457
PRICE $21.95 (USD)
PAGES 336

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Featured Reviews

Going Menopostal is a bold, eye-opening, and often darkly funny deep dive into the wild world of menopause and perimenopause—where myths too often replace medicine. Amy Alkon blends meticulous research with personal experience to expose how women's midlife health is routinely misunderstood, misdiagnosed, and mistreated.

What starts with her own battle against debilitating symptoms becomes a mission to arm women with the scientific truth. Alkon unpacks the hormonal chaos of perimenopause, reveals how many women are being treated with outdated or harmful protocols, and makes the case for evidence-based care that too few receive. As someone who has had major issues with perimenopause that started a few years ago, this book has helped me so much and I took notes to take to my Dr. So thankful for it.

Written in plain language and laced with wit, this book is as enlightening as it is empowering. Going Menopostal is essential reading for anyone navigating midlife health—or who loves someone who is.

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I don't think I've ever taken so many notes from a book before (that wasn't for class)! I can't remember a time when perimenopause and menopause were ever discussed so publicly as within the past few years, and it's wonderful for women's health. We need more of this! Alkon has gone the distance, doing tons of medical research, slogging through the systems, and even trying out various treatments so that we don't have to (granted, every body is different, and you'll still need to see what works best for you). She's given us a blueprint for empowerment as we move through these seasons of life, and knowledge and empowerment make a huge difference in navigating a better quality of life. I'll definitely be recommending this book to everyone in my peer group!

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Menopause is certainly having its moment in the spotlight. Amy Alkon, author of "Going Menopostal" is determined that menopause stay in the spotlight for as long as it takes for medical professionals to take this part of women's life more seriously. As a women approaching menopause, I am grateful to authors like Ms. Alkon who are taking the lead and making this underserved and mis-served population heard. I especially appreciated that the author provides specific questions to ask a provider before agreeing to treatment. as well as advice on how to talk with your doctor. If you are interested in hormone therapy, you may find this book helpful in how to navigate that conversation with your doctor.

Thank you to NetGalley, BenBella Books, and Amy Alkon for this advanced reader copy. The opinions here are my own.

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