Ep. #563 | Fertility Tracking in Perimenopause and Menopause – Yup, It’s A Thing! with Rose MacKenzie

By Jenn Pike | February 23, 2026

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In this episode, I sat down with Rose MacKenzie, Clinical Manager at Mira, to discuss hormone tracking and why it matters from puberty through menopause. Rose has over a decade of experience as a natural family planning instructor and has helped countless women understand their hormonal patterns.

Key Topics:

  • Why hormone tracking matters at every age
    • If you have functioning ovaries, your hormones fluctuate and impact everything about you
  • The limitations of period tracking apps
    • Most apps use outdated calendar methods and only 4 out of 74 studied apps were actually accurate
  • How the Mira fertility tracker works
    • An at-home hormone monitoring system that tracks estrogen, LH, progesterone, and FSH through urine testing
  • My personal experience
    • At 46 and in perimenopause, I’ve been using Mira for two months and the data has been fascinating
  • Understanding perimenopause
    • Why this phase is so confusing and how tracking can give you back control
  • Failed ovulation attempts
    • What happens when your body tries to ovulate but doesn’t succeed (common in perimenopause, PCOS, and postpartum)
  • Timing progesterone supplementation
    • Why taking it on a set day (like day 14) might not align with YOUR body’s actual ovulation
  • The importance of FSH
    • Why this often-ignored hormone deserves more attention, especially 6+ years before menopause
  • Who can benefit from tracking
    • From teens to postmenopausal women, including those who’ve had hysterectomies or ablations

Let’s dive in!

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Have a question? Send it over to hello@jennpike.com and I’ll do my best to share helpful insights, thoughts and advice.

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