Behind many thriving women-led businesses is a leader navigating the realities of perimenopause and midlife change. In this episode, Marla Noel sits down with Dr. Arianna Sholes-Douglas, board-certified OB/GYN, integrative women’s health expert, author of The Menopause Myth, and founder of Tula Wellness & Aesthetics, to talk candidly about hormone health, brain fog, intimacy, and the business systems that keep leaders steady through it all. Together, they unpack the “myths” that leave women unprepared in their late 30s and 40s, why evidence-based hormone therapy and intimate wellness matter for performance at work, and how Dr. Arianna evolved from corporate medicine to a concierge model serving entrepreneurs and executives. She shares hard-won founder lessons, plus how meditation and mindset help reduce drama, improve decision-making, and support sustainable growth. Practical, holistic, and refreshingly real, this conversation is a toolkit for leaders who want less chaos, more clarity, and a business (and life) that actually feels good.