In this Fresh Air interview, Miranda July discusses her novel *All Fours*, which delves into a woman's journey through perimenopause and her reevaluation of life and marriage. Initially worried about how readers would react to the book’s explicit themes and focus on midlife struggles, July has been pleasantly surprised by its positive reception. The conversation explores the intricate realities of aging as a woman, the challenges that come with shifting life circumstances, and how these changes affect family dynamics. July also shares her own experiences with changing relationships and the journey of parenthood.