Episode 262: The Pill Isn't Your Only Option in Perimenopause — Here's the Whole Menu

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Recorded09 Aug 2026

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You're waking up at 3 a.m. drenched, your moods don't feel like your own, and your once-predictable period has gone haywire. You finally ask for help — and you're told to just take a birth control pill, or to come back when your cycles stop.Here's what I want you to know: you don't have to wait to feel better, and the pill is one option, not the only one.In this episode, I take that myth apart and lay out the whole menu. I start with what I rule out first — because thyroid disease and insulin resistance can masquerade as perimenopause — and the full lab panel I run to catch them. Then the two questions that actually decide your treatment: do you need contraception, and what are your cycles doing? You'll hear why a birth control pill and menopausal hormone therapy are not the same medicine, how the hormonal IUD can cover contraception and protect your uterine lining while you add estradiol for symptoms, and why the delivery form — patch, gel, spray, ring, or pill — is part of the decision.Whatever you start with, hormone therapy is never one-and-done. The magic happens in the edits.Referenced in this episode:Progesterone vs. Progestins (Episode 253) → https://podcasts.apple.com/us/podcast/episode-253-the-hormone-question-i-answer-multiple/id1541657642?i=1000769336110Come work with us at skywomenshealth.com.🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

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