Ep 33 | Do I Need Birth Control or Hormone Therapy?

Birth control or hormone therapy? Why does this decision feel like a personality test you didn't study for?

In this episode of OvaryActive, the Docs tackle one of the most confusing (and hotly debated) topics in perimenopause: when birth control is actually the right choice, when menopausal hormone therapy makes more sense, and why TikTok might not be the best place for medical nuance.

Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch walk listeners through how clinicians actually think about this decision. The process includes contraceptive needs, bleeding patterns, symptom "greatest hits," and medical history that actually matters.

The Docs will guide you through the options and even cover what a combination approach might look like. Most importantly, shared decision-making, not social media panic, should guide treatment choices.

This episode reminds you that perimenopause is real, complicated, and highly individual. And the right plan is the one that treats your physiology, not someone else's algorithm.

What you'll hear in this episode:

[1:05] Birth control vs. hormone therapy

[2:49] Contraception needs during perimenopause

[5:34] Understanding menopausal hormone therapy

[7:45] Assessing symptoms

[16:59] So many choices! How do you choose?

[22:03] Breakthrough symptoms

[23:51] Combination approaches (Amy's FAV)

[29:58] You didn't miss the window!

[35:32] Alternative methods & why they may not be a good fit

[40:22] You're NOT crazy!

Follow the show @OvaryActive Instagram | YouTube

Meet the Docs:

More information about Dr. Rebecca Dunsmoor-Su:

Gennev: www.gennev.com/clinician/dr-rebecca-dunsmoor-su

LinkedIn @rebecca-dunsmoor-su

More information about Dr. Amy Voedisch:

Stanford Medical Clinic: stanfordhealthcare.org/doctors/v/amy-voedisch.html

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Ep 47 | Is Estrogen Safe After a Blood Clot? The Answer Is Annoyingly Complicated

We have an announcement! OvaryActive has a Patreon! Help support the show — become a patron for as little as $5/month! patreon.com/cw/OvaryActive Blood clots and hormone therapy: two things that can m...

27 Elo 32min

Ep 46 | Sex After 40: More Pleasure, Fewer Rules with Julie Weitlauf

We have an announcement! OvaryActive has a Patreon! Help support the show — become a patron for as little as $5/month! patreon.com/cw/OvaryActive Perimenopause can change your sleep, your body, your m...

13 Elo 54min

Ep 45 | Swallow This, Part 3: Hope Is Not a Clinical Trial

We have an announcement! OvaryActive has a Patreon! Help support the show — become a patron for as little as $5/month! patreon.com/cw/OvaryActive Perimenopause has officially entered its supplement er...

30 Heinä 35min

Ep 44 | Swallow This, Part 2: Creatine and Peptides

We have an announcement! OvaryActive has a Patreon! Help support the show — become a patron for as little as $5/month! patreon.com/cw/OvaryActive Perimenopause is apparently the new Black Friday for s...

16 Heinä 26min

Ep 43 | A Terrible Strength: Dr. Kemi Doll on Black Women, Perimenopause, and the Womb Care We're Still Getting Wrong

Perimenopause is already a strange little carnival of bleeding patterns, hot flashes, hormone debates, and wondering whether your body has joined a group chat without you. Dr. Kemi Doll, gynecologic ...

25 Kesä 1h 6min

BONUS: Estrogen, Interrupted UNBOXED

In this special bonus episode of OvaryActive, Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch celebrate the arrival of their new book, Estrogen, Interrupted and share an excerpt from the audiobook. This ...

16 Kesä 16min

Ep 42 | Hormones, Heart Health, and Hot Flash Hype: What Menopause Hormone Therapy Can Actually Do

Perimenopause is already handing out enough surprises without the internet yelling that menopausal hormone therapy is either a miracle cardiology cape or a one-way ticket to doom. In this episode of ...

11 Kesä 24min

Ep 41 | Brain Docs, Part 2: Brain Fog, Dementia Fears, & Perimenopause

Perimenopause is apparently the perfect time to start worrying about dementia, cholesterol, hearing aids, and whether your brain is quietly packing its bags. This episode of OvaryActive is part 2 of ...

28 Touko 38min