When does puberty start, and what should parents know about teen weight, sleep, perimenopause, and HRT? Pediatric and adolescent medicine specialist Dr. Sophia Yen answers listener questions from puberty through midlife. Why we're re-releasing this episode: Women's hormonal health is always timely, and many of you have joined us since this conversation first aired. We didn't want it to be missed. "Painful periods, exhausting perimenopause: that's just what you deal with." Is it? In this episode of The Parenting Pair Podcast, Dr. Suzanne Allen and Dr. Annalise Caron welcome back Dr. Sophia Yen to talk about hormonal health across the female lifespan. Dr. Yen walks through the typical ages puberty begins for girls and boys, when early or delayed puberty is worth a doctor's visit, and how nutrition, sleep, and screen time relate to weight during the teen years. She also shares practical, shame-free ways families can build healthier habits. The conversation then turns to midlife: the role of the birth control pill or ring during perimenopause, how she frames hormone replacement therapy (HRT) after menopause, and why the Women's Health Initiative study still shapes the HRT debate. Her views are her clinical perspective, and decisions about HRT are individual ones to make with your own doctor. Whether you're parenting a tween who is starting puberty, raising a teen while navigating perimenopause yourself, or both, this episode offers practical, evidence-informed conversation starters. You'll learn: - The typical age range puberty begins for girls and boys, and when to check in with a doctor- How to talk with your teen about weight and food without shame- Simple swaps and habits around drinks, snacks, screens, and sleep- How to evaluate health information from social media, supplements, and self-described "doctors"- What perimenopause and menopause can look like, and how the pill, ring, and HRT fit in- Questions worth bringing to your own doctor Episode highlights: 00:00 – Science and Medicine Can Improve Life for People with a Uterus 02:19 – When Puberty Typically Begins for Girls and Boys 04:54 – Supporting Children Through Early Puberty 06:25 – When to See a Doctor If Puberty Hasn't Started 08:14 – Puberty in the Age of Social Media: What Parents Should Know 12:14 – How to Talk to Kids About Weight Gain During Puberty 15:24 – Is Diet Soda Really a Problem? 18:07 – The Benefits of Sleep & Turning Off Screens After [confirm: 2 hours before bed, or 2pm? original text was ambiguous] 20:32 – Helping Teens Build Healthier Eating Habits Without Shame 23:38 – Hormone Replacement Therapy: Is It Advisable? 26:22 – The Impact of Estrogen Decline on Women's Health 33:21 – Learn More About Pandia Health 34:26 – Birth Control vs. HRT: Perimenopause vs. Menopause If you've ever wondered whether your child's puberty timing is typical, or how to support your own hormonal health through perimenopause, this episode offers practical, evidence-informed insight for every parent — and every woman. Dr. Sophia Yen is co-founder of Pandia Health, an online birth control and menopause care service. The Parenting Pair does not endorse products or services. Resources: Dr. Yen's TEDx talk: https://www.youtube.com/watch?v=uJ7-_MOjEeYCompanion episode: our #PeriodsOptional conversation with Dr. Yen: https://drscaronandallen.com/podcast/episode/is-it-safe-to-skip-your-period-birth-control-cancer-risk-dr-sophia-yen/ You can also follow Dr. Yen on Instagram & TikTok at: https://www.instagram.com/drsophiayen https://www.tiktok.com/@drsophiayen 🔔 New episodes every Wednesday. Subscribe for more expert conversations on parenting, health, and raising confident, well-informed teens. 🌐 Visit https://drscaronandallen.com/ to listen and learn more. Dr. Sophia Yen, Parenting Pair Podcast, when does puberty start, early puberty, delayed puberty, puberty, teen weight gain, teen health, perimenopause, perimenopause symptoms, menopause, HRT, hormone replacement therapy, bioidentical hormones, Women's Health Initiative, perimenopause birth control, women's health, hormonal health, parenting teens, teen sleep, screen time and sleep, talking to teens about weight, diet soda teens, tweens, parenting teenagers, podcast, teenage behavior, psychology, adolescent brain development, emotional outbursts, parenting podcast, teen independence, teen relationships, family relationships, parental burnout, teenage mental health, stress, ADHD, depression, anxiety, OCD, mood disorders, developmental psychology, tween parenting, teen emotions, adolescent autonomy, teen moodiness, parenting tips, parent anxiety, parenting science, parent well being, parent mental health, raising teens, raising tweens, child psychologist, clinical psychologist, evidence-based parenting, authoritative parenting, The Parenting Pair, Dr. Annalise Caron, Dr. Suzanne Allen DISCLAIMER: The Parenting Pair Podcast is designed for informational and educational purposes only. Do not rely on the information presented in this podcast as a substitute or replacement for professional (psychological or medical) advice, diagnosis, or treatment. If you have concerns about your or a family member's well-being, please contact a licensed mental health professional or physician.