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!

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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