The 4 Most Misdiagnosed Hormone Issues in Women and What to Do About Them

This is the third episode in Treated’s ongoing hormone series, and it’s a must-listen if you’ve ever been told “you’re fine” when you know something’s off. Dr. Sara uncovers the four most commonly misdiagnosed hormone conditions in women—PCOS, endometriosis, Hashimoto’s thyroiditis, and perimenopause—and breaks down why symptoms like fatigue, mood swings, irregular periods, and weight changes are so often dismissed as stress. She explains how traditional lab panels often miss early signs, how to track patterns your doctor might overlook, and how to advocate for the right diagnostic tests and care. At the end, Dr. Sara answers a listener voicemail from a woman recovering from a hysterectomy and offers guidance for navigating surgical perimenopause. If you've ever felt misdiagnosed, dismissed, or gaslit—this episode is your permission slip to dig deeper and take back control of your hormonal health.

// REFERENCES //

Listen to the first episode in Treated’s Hormone Series, Hormones 101, and the second episode with Dr. Thaïs Aliabadi, which explores endometriosis, PCOS, and breast cancer.

Read, The Hormone Cure, by Dr. Sara.

Check out Dr. Sara’s website, How to Track Your Blood Sugar and Lab Reference Ranges for Healthy Adults.

Period Tracking Apps: Flo or Clue

Continuous Glucose Monitor (CGM): Now available over-the-counter.

• Abbott—Libre Rio and Lingo are both over the counter, no prescription needed. https://www.hellolingo.com/. Libre Rio is designed for people ages 18 years and older with prediabetes or Type 2 diabetes who do not use insulin. Lingo is designed for healthy people who want to improve glucose control and energy.
• Dexcom—you can now purchase Stelo over-the-counter https://www.stelo.com/

Zondervan, K. T., C. M. Becker, and S. A. Missmer. "Endometriosis." New England Journal of Medicine 382, no. 13 (2020): 1244–1256. https://doi.org/10.1056/NEJMra1810764.

// KEEP IN TOUCH WITH DR. SARA //

If you have a question, leave a voicemail at speakpipe.com/treated

Follow on IG: @saragottfriedmd @treatedwithdrsara

Watch Treated on YouTube

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