Ep 21 | Hormones Hocus Pocus: Lab Testing in Perimenopause
OvaryActive24 Juli 2025

Ep 21 | Hormones Hocus Pocus: Lab Testing in Perimenopause

Welcome to the wild west of perimenopause, where hot flashes meet hashtags and popular influencers suddenly have a lab test recommendation—thanks, TikTok. Hormone lab testing is "trending" and the Docs are taking a skeptical scalpel to the flood of hormone lab testing trends that have invaded exam rooms and inboxes alike.

In this episode of OvaryActive, Dr. Amy Voedisch and Dr. Rebecca Dunsmoor-Su go over which hormone tests are actually helpful and which ones are just good at emptying your wallet. Remember: just because your favorite influencer swears by a saliva test doesn't mean your ovaries agree.

They explain why testing isn't always the best next step, even if AI says so. This episode has everything you wanted to know about hormone testing (minus the woo, plus the wisdom).

What you'll hear in this episode:

[0:45] Social media and AI's influence on patient expectations

[2:45] Understanding labs

[3:37] Estrogen, progesterone, and other commonly requested tests

[11:16] Progesterone: When and why to test

[16:07] FSH and LH: Key hormones in menopause

[20:03] What you need to know about thyroid testing

[26:02] Understanding cortisol

[30:43] The Role of DHEA in hormone production

[36:28] Pitfalls of unnecessary testing

[40:04] Testing methods: blood vs. urine vs. saliva

[41:58] The Importance of symptom-based treatment

[43:37] A few things to remember

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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Avsnitt(42)

Ep 41 | Brain Docs, Part 2: Migraines, Hormones, & Perimenopause

Ep 41 | Brain Docs, Part 2: Migraines, Hormones, & Perimenopause

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28 Maj 38min

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

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 Maj 27min

Ep 39 | Weird Symptoms of Perimenopause

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

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

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 Mars 38min

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

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 Mars 42min

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

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

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

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