In this eye-opening and essential episode of Quietly Visible, host Carol Stewart is joined by Dr. Manna Sembyâformer Goldman Sachs VP turned naturopathic physician, TEDx speaker, and author of The Perimenopause Broken Rung (launching 15th June).
Together, they unpack a critical but often overlooked issue: why so many high-achieving women step back or leave their careers at their peakâand how perimenopause may be the hidden factor behind it.
Dr. Manna shares her powerful personal journey from Wall Street to medicine, revealing how her own experience of burnout, brain fog, and hormonal changes led her to uncover what she calls the âPerimenopause Broken Rungââa biological challenge that is quietly impacting womenâs confidence, cognition, and career progression.
In this episode, youâll hear about:
- Why burnout isnât always what it seemsâand what might really be going on
- The early (and often missed) signs of perimenopause, especially brain-related symptoms
- How hormonal changes impact memory, focus, sleep, and decision-making
- Why so many women blame themselves instead of understanding the biology
- The link between women leaving leadership roles and midlife health changes
- Practical steps women can take to regain energy, clarity, and control
Dr. Manna also challenges the silence and stigma around womenâs health, calling for greater awareness, education, and supportâboth individually and within organisations.
This episode is a must-listen for women navigating midlife, leaders who want to retain top talent, and anyone ready to challenge outdated narratives around burnout and performance.
đ Book Launch â Out June 15th
The Perimenopause Broken Rung: The Hidden Threat to Womenâs Brains and Careers
The first book to connect perimenopause symptoms with career derailmentâand what we can do about it.
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