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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Episoder(42)

Ep 41 | Brain Docs, Part 2: Migraines, Hormones, & 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 Mai 38min

Ep 40 | Brain Docs, Part 1: Brain Fog, Dementia Fears, & Perimenopause

Perimenopause can make your brain feel like it left the room — not that it remembers why it went there in the first place. In this first part of a two-part series with the Brain Docs, OvaryActive is t...

14 Mai 27min

Ep 39 | Weird Symptoms of Perimenopause

Perimenopause: where your body starts doing weird things and then gaslights you about it. In this episode of OvaryActive, Dr. Amy Voedisch and Dr. Rebecca Dunsmoor-Su dive into the "wait…what?" sympt...

23 Apr 34min

Ep 38 | When Hormones Are Not the Only Answer

Perimenopause: the phase where your body does whatever it wants, whenever it wants, and your brain has thoughts about it. So what happens when hot flashes hit, anxiety creeps in, and suddenly you're q...

9 Apr 36min

Ep 37 | When Its NOT Peri: Functional Hypothalamic Amenorrhea (FHA) with Chrisandra Shufelt, MD

Perimenopause is still taking the blame… but in this unexpected third installment (because Amy just got too excited), we're talking about functional hypothalamic amenorrhea (FHA). Dr. Chrisandra Shuf...

26 Mar 38min

Ep 36 | When It's NOT Peri: Polycystic Ovarian Syndrome (PCOS)

Perimenopause gets blamed for a lot of things – mood swings, weird cycles, rogue chin hairs – but sometimes the culprit isn't peri at all. In Part 2 of When It's NOT Peri, the Docs are talking about p...

12 Mar 42min

Ep 35 | When It's NOT Peri: Premature Ovarian Insufficiency (POI)

Perimenopause gets blamed for a lot… but sometimes it's innocent. In this first episode of our two-part series When It's NOT Peri, the Docs talk about what happens when symptoms that look like perimen...

26 Feb 40min

Ep 34 | Heart Disease and Perimenopause: The Risk Factors We're Missing

When we talk about perimenopause, we talk a lot about symptoms, but not nearly enough about what's happening to your heart. Since February is Heart Health Month, it's the perfect time to take a "beat"...

12 Feb 45min