Bendy Menopause

Bendy Menopause Vanessa Weiland, NP, HT, MSCP (she/her). Founder of Phases Clinic in Washington State (Telehealth, Shoreline, North Bend). Click the bio for free quiz & more!

We specialize in menopause and hypermobility care where science meets compassion.

02/21/2026

Many neurodivergent people are first labeled as “anxious” before ADHD or autism is ever recognized. Sometimes the overwhelm isn’t primary anxiety at all, but a nervous system that’s wired differently trying to function in an environment that isn’t set up for it.

Hormones help buffer stress, dopamine, and sensory input. During perimenopause, when estrogen fluctuates widely, that buffering effect can weaken. It’s common to see ADHD symptoms worsen, feel less stable on a previously steady regimen, or even receive a first diagnosis during this phase.

👉 Read the full blog: “ADHD, Neurodiversity, and Menopause: When Coping Skills Stop Working” — link in bio!

Let’s talk about it.Do you ever p*e “just in case” because your bladder feels unpredictable?Maybe you:• Wake multiple ti...
02/19/2026

Let’s talk about it.

Do you ever p*e “just in case” because your bladder feels unpredictable?

Maybe you:
• Wake multiple times at night
• Feel pressure even after going
• Get urgency during hormone shifts
• Notice swelling during the day and more urine at night
• Feel lightheaded and urgent at the same time

When your body feels unreliable, staying ahead of it feels protective.

But urgency in bendy menopause is rarely just a bladder issue.

It can involve inflammation, mast cell mediators, fluid shifts, dysautonomia, hormone withdrawal, small fiber neuropathy, or pelvic floor coordination.

You’re not overreacting.
Your nervous system may just be amplifying signals.

Tell me —
Do you relate to this?

COMMENT BELOW!

P*eing “just in case” makes sense when your body feels unreliable, but emptying early every time can teach your bladder ...
02/18/2026

P*eing “just in case” makes sense when your body feels unreliable, but emptying early every time can teach your bladder to signal sooner, lowering tolerance over time.

Bladder training works best when we identify the real driver: inflammation, fluid redistribution, hormone shifts, low blood volume, signal distortion, or pelvic coordination — rarely just the bladder.

👉 Read the full blog: “Why You Shouldn’t P*e “Just in Case” (And What to Do Instead)” — link in bio!

✨ NEW BLOG POSTIf your bladder feels unpredictable — more frequent trips, nighttime waking, or pressure — you’re not alo...
02/18/2026

✨ NEW BLOG POST

If your bladder feels unpredictable — more frequent trips, nighttime waking, or pressure — you’re not alone. In bendy bodies, urgency is rarely just a bladder problem. It can be caused by inflammation and mast cell activity, fluid redistribution, hormone changes, low blood volume, small fiber neuropathy, or pelvic floor issues. P*eing “just in case” may actually make urgency worse.

Read the full blog. LINK IN BIO!

02/17/2026

Do you ever use the term "bioidentical"? Or, do you perhaps prefer to make the people around you feel smaller than a speck of dust?

, I love your thoughtful approach to communication. Sorry you caught a stray 🙏

Menopause specialists, what's your communication model?

02/17/2026

Accepting new patients in Washington State 💅

02/16/2026

Estrogen plays a role in the brain in more ways than most people realize. It helps modulate dopamine, which impacts executive function like focus, planning, and decision-making. For people with ADHD, that system may already work differently, so estrogen fluctuations can feel even more disruptive.

Estrogen also affects blood flow patterns in the brain and can impact the cortisol system, which influences stress response. It may not mean higher stress overall, but it can mean less resilience to changes in stress and environment.

👉 Read the full blog: “ADHD, Neurodiversity, and Menopause: When Coping Skills Stop Working” — link in bio!

We’re so grateful to be trusted with your care — and even more grateful that you feel heard, supported, and believed.✨ R...
02/13/2026

We’re so grateful to be trusted with your care — and even more grateful that you feel heard, supported, and believed.

✨ Ready for clarity in your symptoms and next steps? Book a consult today. Link in bio!

02/13/2026

If your symptoms come in waves, you’re not imagining it. Many people notice histamine-type flares like flushing, heat intolerance, itching, and stomach upset around ovulation, and tracking can be incredibly helpful, especially if you don’t bleed due to an IUD or hysterectomy.

If your flares line up with ovulation, that can be a clue that high estrogen is a trigger, and it may mean you need a slower, more thoughtful approach to adding estrogen to a hormone therapy regimen. Response to menopause and response to treatment are both highly individualized.

👉 Read the full blog: “Why Everything Feels Inflamed in Perimenopause (It’s Not Just Hormones)” — link in bio!

Yes, it can. Mast cells are immune cells that release histamine and other inflammatory agents when provoked. They're des...
02/11/2026

Yes, it can. Mast cells are immune cells that release histamine and other inflammatory agents when provoked. They're designed to fight off foreign invaders, but when they're too reactive they can cause havoc. It turns out that mast cells carry receptors for hormones like estrogen and progesterone, so the chaotic changes in hormone levels that occur during perimenopause can lead to unpredictable flares in mast cell activity. Many people notice high histamine symptoms like allergies, food intolerance, and hives.

Have you noticed more histamine symptoms in this phase of life?
👇 Let me know in the comments!

02/11/2026

Last time we talked about POTS and dysautonomia, and today we’re going one step further into the cluster that so many people are starting to recognize: mast cell activation. Mast cells are immune cells that live in connective tissue and line the skin, digestive tract, and airways. When they’re activated, they can release inflammatory markers that show up as flushing, rashes, heat intolerance, digestive upset, pelvic sensitivity, fatigue, brain fog, headaches, and more.

This can also get worse in perimenopause, and the symptoms don’t look the same for everyone. If you’re wondering where you fit, I made a free quiz in my link in bio.

✨ 5,000 followers! ✨We’re officially a 5K community, and we just want to say thank you. ❤️We’re so grateful you’re part ...
02/10/2026

✨ 5,000 followers! ✨

We’re officially a 5K community, and we just want to say thank you. ❤️

We’re so grateful you’re part of this space!

Address

16300 Aurora Avenue N, Suite A
Shoreline, WA
98133

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Tuesday 9am - 5pm

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