A 16-year-old walks into your office with acne and walks out with a birth control script. So does the 28-year-old with heavy periods, the 35-year-old with PMS, and the 42-year-old with migraines. Same prescription for almost every female symptom that touches the cycle. Most of us write it without thinking, and most of us were trained to.

In this episode, Nico Misleh, MSN, FNP-C makes the case that birth control isn't medicine for any of those things. It's medicine for pregnancy prevention. For everything else we use it for, it's suppression, and it costs the patient the diagnostic information you needed to actually treat what's wrong. He walks through what hormonal contraception is doing to the HPO axis, why synthetic progestins aren't the same compound as bioidentical progesterone, and what a real PCOS (now renamed PMOS) workup looks like when the pill isn't the first move. He's also honest about the cognitive dissonance providers run into when they realize the prescription they've written thousands of times might not have been the right call, and reframes that moment as the start of better practice, not a verdict on what came before.

The HRT University Master Course is jointly accredited through Pinnacle Conference LLC (ACCME, ACPE, ANCC) and offers 30 CE credits across six modules, including the Female and Advanced Female sections that cover hormonal contraception, bioidentical progesterone, and PMOS in clinical depth.

Explore the Master Course: https://bit.ly/4twBb0D

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