One of the most empowering topics for women in their 40s, 50s, 60s, and beyond: longevity through the lens of personalized health. Midlife is not a decline — it’s a recalibration. This is the perfect window to tune into your body's needs, optimize your biology, and set the stage for decades of vitality. As the science of longevity continues to evolve, women are no longer sidelined in the conversation. We're talking about the tools, tests, and strategies tailored to you, not based on outdated, one-size-fits-all approaches.

In this episode, we explore how personalized medicine is reshaping midlife health, including a breakdown of the vital role of mitochondrial health, the powerhouses of your cells that affect everything from your energy levels to how quickly you age. When mitochondria start to sputter, so does your resilience. But with targeted support — through movement, nutrition, and certain strategies — you can dramatically improve how your body creates and sustains energy. We also talk about nitric oxide and why all midlife women need to understand what this amazing molecule is and to support its production.

My guest today is Dr. Jila Senemar, a board-certified obstetrician and gynecologist with over 20 years of clinical experience dedicated to advancing women's health. Based in Miami, Florida, Dr. Jila is renowned for her expertise in menopause, hormone therapy, and metabolic health, providing innovative, evidence-based care to help women thrive at every stage of life.

Dr. Jila’s commitment to empowering women inspired her to establish JilaMD, a concierge practice that provides personalized care, with a focus on perimenopause, menopause, hormone therapy, metabolic optimization, and longevity science. As the founder of the Miami Menopause Collective and EmpowHer Miami, she collaborates with patients to tailor holistic treatment plans that align with their unique health journeys.

Medical Disclaimer:

By listening to this podcast, you agree not to use this podcast as medical advice or to make any lifestyle changes to treat any medical condition in yourself or others. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any of my guests on my podcast.

To learn more about Dr. Senamar:

website: https://jilamd.com/

IG: @drjilasenemar

Stay connected with JFW:

Watch on my YouTube channel: https://www.youtube.com/@jillfooswellness/videos

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Schedule your complimentary 30-minute Zoom consultation here:

https://calendly.com/jillfooswellness/30-minute-zoom-consultations

In this episode, we dive into the complex relationship between ADHD and menopause, exploring how hormonal shifts can intensify ADHD symptoms. Many women with ADHD find that perimenopause brings heightened struggles with focus, executive functioning, and emotional regulation. As estrogen declines, so does dopamine—an essential neurotransmitter for motivation and attention—worsening ADHD-related brain fog, forgetfulness, and mental fatigue. These changes can feel overwhelming, but understanding the biological connections between ADHD and menopause is key to managing them effectively.

Despite the challenges, ADHD isn’t just a collection of deficits; it also comes with unique strengths such as creativity, resilience, and dynamic problem-solving. However, during perimenopause, declining estrogen can make it harder to harness these gifts. Women may feel more scattered, struggle with organization, or experience mood swings that disrupt daily life. Fortunately, effective treatments can help restore balance. Stimulant medications remain a cornerstone of ADHD management, but cognitive behavioral therapy (CBT) and mindfulness practices can also be powerful tools for improving focus and emotional regulation. These strategies build structure, enhance self-awareness, improve overall well-being, and help women work on lifestyle interventions, such as sleep, nutrition, and exercise.

Additionally, menopause hormone therapy (MHT) can be a game-changer for some women. By stabilizing estrogen levels, MHT may help mitigate the cognitive effects of menopause and support dopamine function, making ADHD symptoms more manageable. When used alongside stimulants, hormone therapy can offer a more comprehensive approach to treatment, addressing both the hormonal and neurological aspects of ADHD. Whether through medication, lifestyle changes, or a combination of treatments, midlife women with ADHD can regain control, optimize their cognitive function, and continue to thrive.

Dr. Adrienne Mandelberger, MD is a board-certified gynecologic surgeon and menopause specialist. She is the founder of Balanced Medical, a gynecology and preventative women's health practice on Long Island, NY, and the founder and CEO of the virtual education company All Things Menopause™. Dr. Mandelberger is passionate about educating and empowering women to make informed choices during the menopause transition. Her special interests include the intersection of ADHD and perimenopause.

Medical Disclaimer:

By listening to this podcast, you agree not to use this podcast as medical advice or to make any lifestyle changes to treat any medical condition in yourself or others. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any of my guests on my podcast.

Find Dr. Mandelberger here:

Website: https://www.balancedmedicalny.com/

IG: @DrMandelberger

Educational Program: https://www.all-things-menopause.com/

Stay in touch with JFW:

Watch on my YouTube channel: https://www.youtube.com/@jillfooswellness/videos

Follow me on Instagram: https://www.instagram.com/jillfooswellness/

Follow me on Facebook: https://www.facebook.com/jillfooswellness

Grab discounts on my favorite biohacking products: https://www.jillfooswellness.com/health-products

Enjoy 20% savings and free shipping at Fullscript for your favorite supplements by leading brands:

https://us.fullscript.com/welcome/jillfooswellness

Subscribe to the JFW newsletter at www.jillfooswellness.com and receive your FREE Guide on How To Increase Your Protein in 5 Easy Steps and your free Protein Powder Recipe Ebook.

Schedule your complimentary 30-minute Zoom consultation here:

https://calendly.com/jillfooswellness/30-minute-zoom-consultations

Many women struggle to discuss their sexual health and pleasure with their providers, friends, and family members. And for good reason. They're sensitive topics to bring up. Women are navigating various physiological changes during the menopause transition (weight gain, hair loss, insomnia), and to further complicate things, changes are happening in their vagina and vulva - not exactly coffee talk topics. Or are they? Midlife women need to normalize our sexual health and pleasure so that we can improve our sex lives for the next 30-40 years. After all, we will be postmenopausal women until the day we die. A healthy sex life is part of our longevity equation.

In this episode, we delve into the impact of hormones, particularly testosterone, on libido during midlife and beyond. Additionally, we’ll explore somewhat controversial topics, such as vaginal rejuvenation therapies, and cosmetic gynocologic procedures, their benefits, and how they enhance comfort, confidence, and intimacy. Plus, we’ll discuss tools like vibrators and other strategies to reignite passion and connection.

My guest today is Dr. Sameena Rahman, a board-certified OB/GYN, sex-med gynecologist, and menopause specialist with an academic affiliation at Northwestern University Feinberg School of Medicine. She is the founder of the Center for Gynecology and Cosmetics, a successful practice that emphasizes evidence-based medicine. Dr. Rahman is dedicated to evaluating and treating each patient with compassion, trauma-informed care, and an awareness of personal bias. Additionally, she hosts the podcast Gyno Girl Presents: Sex, Drugs & Hormones and is working on a book exploring sexual function from the lens of different cultures, norms, and religions.

Medical Disclaimer:

By listening to this podcast, you agree not to use this podcast as medical advice or to make any lifestyle changes to treat any medical condition in yourself or others. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any of the guests on my podcast.

Learn more about Dr. Sameena:

Website: https://www.cgcchicago.com/

Podcast: https://www.cgcchicago.com/podcast/

IG: @gynogirl

Stay connected to JFW:

Watch on my YouTube channel: https://www.youtube.com/@jillfooswellness/videos

Follow me on Instagram: https://www.instagram.com/jillfooswellness/

Follow me on Facebook: https://www.facebook.com/jillfooswellness

Grab discounts on my favorite biohacking products: https://www.jillfooswellness.com/health-products

Enjoy 20% savings and free shipping at Fullscript for your favorite supplements by leading brands:

https://us.fullscript.com/welcome/jillfooswellness

Enjoy a free upgrade on a Joylux redlight therapy vaginal device: https://joylux.com/pages/vfit-gold-plus-upgraded-device?UTM_CAMPAIGN=X4mzJZVODxyKT6mSnGTaFx5iUksxMnx7STixRU0&UTM_MEDIUM=Online%20Tracking%20Link&UTM_SOURCE=referral&irgwc=1

Subscribe to the JFW newsletter at www.jillfooswellness.com and receive your FREE Guide on How To Increase Your Protein in 5 Easy Steps and your free Protein Powder Recipe Ebook.

Schedule your complimentary 30-minute Zoom consultation here:

https://calendly.com/jillfooswellness/30-minute-zoom-consultations