OvaryActive

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?" symptoms. Those random, head-scratching changes that pop up during the menopause transition. Think asthma out of nowhere, itchy ears that won't quit, or sudden dizziness that makes you question your balance and your sanity. Is it hormones? Is it aging? Is it both? Welcome to the gray area. They are sharing what little research exists, where estrogen might be playing a role, and why so many of these symptoms live in the frustrating "we're not totally sure" category.  They also talk about whether menopausal hormone therapy helps, hurts, or lands squarely in the "we'll have to try and see" bucket. Most importantly, this episode reinforces a core truth: you're not making this up. You're definitely not alone. And you're NOT crazy. This is really happening. NOTE: Hey, we misspoke: BPPV is from the semicircular canals, not the ossicles. Thanks to listener Amy Patrick for spotting the error! What you'll hear in this episode: [0:29] We're talking WEIRD [0:58] We have to give a disclaimer…because we're doctors. [2:21] Can hormones fix it? [3:50] Why am I out of breath? [10:39] Okay, now I'm dizzy. [12:47] I can't hear you! [20:30] My ears are itchy?! [22:54] My mouth is on fire! [26:46] Why am I cold all the time? (I thought I was supposed be HOT!) [29:44] This is really weird. My fingers are…buzzing? [33:08] We hope you feel better. You're NOT crazy! 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 This episode was produced by Audiotocracy Podcast Production.

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 questioning everything from your wardrobe to your worth? And more importantly…what if the problem isn't just the symptom, but the story you've been told about it?  In this episode of OvaryActive, Julia Weitlauf joins the Docs to talk all about cognitive behavioral therapy (CBT) for menopause—because apparently, we can't control the hot flashes, but we can control how much they ruin our day. They are covering what CBT is, how it's been used for decades to treat things like anxiety and insomnia, and how it's now being adapted to help women manage menopause symptoms, specifically the distress around hot flashes.  Listeners will also hear why the CBT approach doesn't eliminate symptoms, but can significantly reduce their impact, improve quality of life, and help women get back to doing the things they love.  Bottom line: menopause may still be a buzzkill… but it doesn't have to run the show. What you'll hear in this episode: [3:00] What is CBT? [4:53] How CBT is used for anxiety, depression, & imsomnia [6:23] CBT with menopause and perimenopause [15:08] CBT session-by-session breakdown  [24:47] When menopause overlaps with anxiety and depression [26:58] CBT improves sleep, mood, and quality of life…why? [28:08] DIY options [32:26] Who should use CBT? [33:41] How to find a therapist trained in CBT? [35:19] Final takeaway   Resources: Julia Weitlauf on LinkedIn Managing Hot Flushes and Night Sweats by Myra Hunter psychologytoday.com/us  

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 Shuflet joins the Docs in this episode of OvaryActive to explain FHA, tell us why it is often missed or dismissed, and how it's diagnosed. The conversation explores how disrupted brain signaling leads to low estrogen, why it's a diagnosis of exclusion, and how this condition shows up most often in younger women, even though its impact can follow you well into perimenopause and beyond. As a condition that can look like perimenopause but is actually your brain hitting the pause button on your ovaries. If your cycle disappears and you're nowhere near your forties, it's probably not peri… it's your body responding to stress, under-fueling, over-exercising. Or maybe all of the above. What you'll hear in this episode: [0:34] Welcome Chrisandra Shufelt, MD [3:46] What is FHA? [6:02] A diagnosis of exclusion [7:00] Lab patterns to distinguish FHS, PCOS, POI [8:45] Who is most at risk: [13:42] Why do so many women go years without a diagnosis? [18:14] Long-term risks [20:30] Cardiovascular connection [22:38] ARCH study [29:13] What does a history of FHA mean in perimenopause? [33:34] Treatment approach (sorry, no Rx) [37:22] Final takeaways: you are NOT crazy still applies!   Links: Reveal trial: https://www.mayo.edu/research/clinical-trials/cls-20570285 Dr Shufelt: https://www.mayo.edu/research/faculty/shufelt-chrisandra-l-m-d/bio-20542101 @chrisandra-shufelt-md-ms-facp-mscp on LinkedIn   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 This episode was produced by Audiotocracy Podcast Production.

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 polycystic ovarian syndrome (PCOS), a condition that looks suspiciously like perimenopause but actually comes from a completely different hormonal playbook. The hosts explain what PCOS actually is, why insulin resistance sits at the center of the syndrome, and how symptoms like irregular periods, acne, hair growth, and weight changes can overlap with perimenopause. They also walk through how doctors diagnose PCOS, the famous Rotterdam criteria, and why clinicians often have to rule out several other endocrine issues before landing on the diagnosis. The episode also explores how PCOS evolves across the lifespan and why the metabolic side of the condition still matters long after the reproductive years are over. What you'll hear in this episode: [1:11] PCOS defined and misnamed [3:29] Symptoms that overlap [5:55] Ethnicity and different presentations [7:42] Rotterdam diagnostic criteria [12:16] Who gets diagnosed and when [18:00] Hormone signaling and ovulation disruption [20:48] Fertility timing, OPKs, & birth control [29:54] Lifestyle and metformin [33:22] PCOS in perimenopause [37:10] Research gaps and advocacy [40:09] Takeaways   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 This episode was produced by Audiotocracy Podcast Production.

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 perimenopause are actually something else entirely. Sometimes the ovaries aren't "transitioning"… they're waving a much earlier white flag. This episode of OvaryActive zeroes in on premature ovarian insufficiency (POI). This is a condition where ovarian function declines before age 40. Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch walk through what POI is and what it isn't. They also talk about why diagnosis can take years, how it differs from typical perimenopause, and the detective work involved in ruling out other causes like thyroid issues, genetics, or prior treatments.  Along the way, listeners will understand why symptoms can feel confusingly similar yet require a completely different medical approach. POI is more than a cycle change. It's a long-term health consideration affecting bone, heart, brain, fertility, and mental health. And early treatment matters.  Think of this episode as the "wait, could it be something else?" guide: equal parts validation, science, and practical next steps to help you recognize when maybe it's NOT peri. What you'll hear in this episode: [1:52] Maybe it's NOT peri. Maybe it's POI [6:15] The workup: genetics, fragile x, turner syndrome, & more [9:41] Causes to rule out [12:09] We treat POI aggressively, here's why [15:46] Long-term health stakes bone health, heart & brain, mental health, & sexual health [23:43] How to treat POI [26:25] Contraception options in POI [30:12] Long-term planning [32:54] Special cases [39:06] Key takeaways & wrap-up: POI is NOT peri   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

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" to focus on your cardiovascular health. In this episode of OvaryActive, the Docs zoom out from hot flashes and hormones to talk about the number one killer of women: cardiovascular disease. They also explain why the menopause transition is a critical (and often ignored) window for heart health.  Preventive cardiologist Dr. Beth Abramson joins Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch to connect the dots between perimenopause, estrogen changes, and rising cardiovascular risk.  They talk about why cholesterol and blood pressure tend to creep up after ovarian function declines and how lifestyle factors actually matter more than we'd like them to. This conversation reframes midlife as an opportunity, not a countdown.  The takeaway? You're not doomed, but you do need to pay attention. Your heart has been quietly keeping score this whole time. What you'll hear in this episode: [0:28] Welcome Dr. Beth Abramson [1:20] Heart health 101 [5:21] Understanding risk factors and prevention [7:30] Diet & exercise: practical advice [12:34] Menopause & cardiovascular health [16:30] Pregnancy & long-term heart health [24:11] Lp(a) explained [26:29] Hormones ≠ heart shield [32:14] Risk–Benefit Math [40:16] What the future holds [44:07] Basic health practices are important [44:36] A few final thoughts on heart health   Resources: cardiometabolicprevent.ca 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

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!   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

Hot flashes, mood swings, surprise chin hairs… and now migraines? Welcome to perimenopause, where your hormones throw a rave in your brain and forget to invite you.  In this episode of OvaryActive, the Docs tackle the maddening intersection of migraine misery and perimenopause chaos, complete with aura weirdness, estrogen roller coasters, and the universal fear of bright lights and strong perfumes. Migraines are more than "just a headache" and there is a reason they love to show up right before or during your period. You'll hear about triggers ranging from hormones to allergens to the existential dread of week three of your cycle.  This episode sheds light on the difference between migraines with and without aura, why estrogen drops can send your brain into chaos, and what treatments actually work.  You'll know your options, understand your triggers, and realize (important!) that you do not have to suffer through perimenopausal migraines alone. What you'll hear in this episode: [1:57] Why do migraines appear or get worse during perimenopause? [3:40] Headaches vs. true migraines [8:03] What the what is a migraine "aura"? [13:33] Can you prevent migraines? [21:25] Migraines can also mean anxiety, sleep issues, and hot flashes [22:27] Practical treatment options [29:46] What's new in the migraine treatment world? [32:39] OTC remedies for when a migraine happens [38:41] You're NOT CRAZY!   Resources: curablehealth.com 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

Hot flashes: the unofficial mascot of perimenopause and the original reason so many midlife women carry a personal fan or freezer pack, or insist on that open window in January.  In this episode of OvaryActive, Dr. Amy Voedisch and Dr. Rebecca Dunsmoor-Su finally give hot flashes their own episode. The Docs turn up the heat (literally and emotionally) as they talk through the lived chaos that is "my own personal summer". Our Docs explain what hot flashes actually are, why they show up, and why your brain, not just your hormones, is the real drama queen in this scenario. Listeners will finally understand night sweats, "superflushers," the brain circuits that freak out for no good reason, and why some people glow for a year while others suffer for… well… a decade.  As always, the Docs are delivering solid science, introducing us to vasomotor symptoms, candy neurons (not as fun as they sound), social determinants of health, and the fact that estrogen is not the only character in this soap opera. You'll saunter out of this episode knowing what causes hot flashes, how long they might last, how to treat them, and most importantly: that you're not losing your mind. You're just in perimenopause. What you'll hear in this episode: [2:04] What are hot flashes…actually? [3:24] Hot flashes vs. night sweats [5:54] The FAQ: How common? When do they start? When will they LEAVE? [12:05] Let's get nerdy: the science behind hot flashes [17:38 The lasting impact [20:34] Hot flashes and cardiovascular risk are related [22:15 The good stuff: treatment options [36:30] Let us validate you!    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

Perimenopause: the magical season where sleep disappears, hormones riot, and suddenly everyone thinks you're "doing great" when actually you're googling whether rage counts as cardio.  In this episode of OvaryActive, Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch return with their second annual Menopause Society Conference recap. If you're wondering whether testosterone drops off a cliff in midlife or whether scream cream is a placebo disguised as foreplay… good news! They've got updates. This episode walks through the latest research from menopause experts covering the big three: sexual health, longevity, and cardiovascular disease. You'll also hear about the rising fame of the podcast (including elevator selfies), the promise (and limits) of topical Viagra, and why measuring testosterone might be as useful as measuring vibes. Listeners will get practical takeaways on hormone therapy timing, bone screening, nutrition,  Remember: you're not dramatic. You're not broken. You're just in perimenopause… and it's really happening.  What you'll hear in this episode: [0:36] Menopause society conference highlights [2:21] Connecting with our wonderful listeners [4:27] Testosterone research findings [9:20] Topical viagra for women [13:12] Perimenopause focus [22:04] Bone health and perimenopause [30:00] Cardiovascular disease and sleep [38:11] A few final thoughts and future conferences   Thank you to every clinician who stopped to chat: Rebecca Levy-Gantt, DO MSCP Premierwomenshealthconsulting.com Yashika Dooley, MD MSCP Gennev.com Emily Drath Stone, MD MSCP Virginia Physicians for Women Lisa Savage, MD MSCP Gennev.com Becky Lynn, MD Evora Women's Health May your sleep be long, your bones dense, and your badge scanners always work on the first try. Follow the show @OvaryActive Instagram | YouTube

Welcome back to the annual holiday classic Merry Perimenopause. While there's not much "jolly" about perimenopause, these gifts can add a little more joyeux to your noël! Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch jingle all the way through help for your hot flashes, cold flashes, brain fog, bad backs, night sweats, and the eternal question: why does perimenopause feel like puberty, déjà vu, and a hangover all rolled into one?  In this episode of OvaryActive, they kick things off with the biggest news of all: the Docs very own book on perimenopause is officially available for pre-order! With Estrogen, Interrupted you can now gift yourself the knowledge your hormones refuse to give you. Merry Perimenopause 2025 is your official gift guide for yourself or the lucky person in your life that needs to know they are not crazy, this is really happening. Gift ideas include favorite books, gadgets, creams, cushions, food delivery obsessions, and tech that has saved their sanity this year.  It's a roundup that covers body, brain, home, kitchen, and holiday spirits. After this episode you'll have great ideas for what to read, what to buy, what to smear on your face, what to sleep on, what to stick on your nails, what ice cream machine makes protein shakes taste like dessert, and where to order life-changing pies, kringles, crabcakes, and lobster rolls. What you'll hear in this episode: [0:54] Exciting news! Preorder Estrogen, Interrupted by Dr. Rebecca Dunsmoor Su & Dr. Amy Voedisch [2:39] Book recommendations [6:43] Body & health [13:28] Cognition [17:32] Fashion  [23:17] Tech gadgets [27:56] Skin & nails [32:24] Kitchen essentials [42:05] Travel ideas [46:36] A fun extra or two   Links: Merry Perimenopause 2025 PDF download: https://bit.ly/4pvS34R Preorder Estrogen, Interrupted by Dr. Rebecca Dunsmoor-Su & Dr. Amy Voedisch   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

Perimenopause: that magical stage where your body suddenly decides it's the boss, your pants shrink overnight, and your motivation to exercise hides under the bed.  On the episode of OvaryActive, Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch welcome the hilarious and whip-smart Dr. Marily Oppezzo from Stanford. She is a behavior-change expert who's figured out how to help people actually do the healthy things they already know they should be doing. Spoiler: it involves fewer "shoulds" and more squats. Dr. Oppezzo shares her "Stronger" philosophy, a refreshingly guilt-free approach to perimenopausal wellness that's all about adding joy and ditching deprivation. From "strength snacks" (two-minute squats you can do between Zoom calls) to "breaking the dishes" (yes, that's cardio), she helps women fit movement into real life without the drama.  No boot camps, no macro counting, no shame spirals—just scrunchies, science, and a sense of humor. What you'll hear in this episode: [0:41] Meet Marily Oppezzo PhD, MS, RDN, DipACLM [1:33] Behavioral change and healthy habits [4:13 Strength training is your new bestie [6:16] Exercise "snacks" vs. sessions [9:24] Technique & tips for the squat  [19:28] Finding a balance between cardio and strength training [22:13] Cardio tips [25:07] Nutrition myths BUSTED [27:40] Protein's role [37:08] Healthy snack ideas [39:59] Concluding thoughts and future plans   Links: profiles.stanford.edu/marily-oppezzo 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

You've seen it all over social media, testosterone is apparently the miracle cure for every perimenopausal woe. Low libido? Tired? Losing muscle tone? Influencers say "Just add T!" The Docs say…not so fast  Ready for the truth? In this episode of OvaryActive, Dr. Amy Voedisch and Dr. Rebecca Dunsmoor-Su are here for just that. Even though it is not exactly what you're seeing on social media––it is science, sarcasm, and a few chin-year jokes. The Docs explain what testosterone actually does in women's bodies, why testing it is tricky, and how misinformation has turned a controlled substance into a so-called "elixir of youth." They compare estrogen's unfairly bad reputation with testosterone's sudden celebrity moment. And they also explain why some promises from "hormone balancing" gurus should make you raise an eyebrow. Listeners will learn the good, the bad, and the hairy: when testosterone might be appropriate, the real risks and irreversible side effects, and how to approach hormone therapy safely. In this episode, you'll hear: [1:03] Is testosterone a "fountain of youth"? [5:30] What are the risks? [11:16] Testing is unreliable (and meaningless) [15:15] Can testosterone help libido? [22:04] Testosterone deficiency isn't why you're losing muscle [28:50] The truth about testosterone pellets [30:33] How to use it safely, IF your doctor advises you to [37:47] "We're not here to make friends. We're here to tell women the truth." Resources Mentioned: thecut.com/article/women-in-menopause-taking-testosterone 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

Feeling overwhelmed by the supplement aisle? Are there pills that might actually help during perimenopause or are you just buying expensive urine?   This episode of OvaryActive dives into the pharmacy aisle of supplements. The Docs are talking about everything from influencer "miracle" blends to your best friend's turmeric obsession. Separating data from drama and giving you the straight, if sarcastic, scoop. Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch explain what your body truly needs (hello, vitamin D and calcium), what might help (fiber and omega-3s for the win), and what should probably stay in the compost bin (looking at you, wild yam cream).  They share LOL takes on supplement marketing…"clinically proven" by whom exactly? And they shine a light on the difference between food, vitamins, and herbal remedies. What you'll hear in this episode: [0:30] The supplement struggle is real [1:33] Defining the basics [4:43] If the gut works, use it! [6:32] Natural does not mean safe [8:54] "Clinically proven" is NOT a thing [12:06] The short list: vitamin D, omega-3s, and fiber [19:00] When natural turns dangerous [27:44] Myths and facts [32:26] What to skip if you've had hormone-related cancers [34:57] Final truth bomb: balanced real food wins every time   Follow the show @OvaryActive Instagram | YouTube   Resources Mentioned (a.k.a. The Real Receipts): menopause.org fda.gov ods.od.nih.gov heart.org ods.od.nih.gov/factsheets/list-all/ 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.htm

Perimenopause: your hormones have packed up and left, your skin starts new hobbies, and your vulva occasionally throws a tantrum.  In this episode of OvaryActive, we're talking about that neglected body part everyone loves to ignore—until it itches, burns, bleeds, or grows suspicious bumps. Joining the conversation are gynecologists and fellow podcasters Dr. Ashley Fuller and Dr. Meredith McClure, the brilliant, and hilarious, minds behind Labia Logic. Ashley and Meredith spend their days  — and an entire podcast — focused on vulvas, menopause, sexual health, and the often-overlooked conditions that live "down there."  They're here to shine a light on the things nobody learns in residency, medical school, or, let's be honest, middle school health class. You'll hear about what's normal, what's not, and when to stop Googling and actually see a doctor. Consider this your crash course in vulvar self-awareness sprinkled with humor, honesty, and just enough TMI to keep things interesting. What you'll hear in this episode: [0:33] Welcome Drs. Ashley Fuller and Meredith McClure from Labia Logic [3:00] Your vulva and perimenopause [5:28] Annual check ups [7:33] Lumps, bumps, bleeding, and spotting [12:59] Vulvar biopsies [16:57] Lichen sclerosus [19:37] The power combo: topical steroids+vaginal estrogen [22:13] Want more? Labia Logic podcast is dedicated to all things vulva Follow Labia Logic for the sex ed you should have gotten in the first place!  @labia_logic on Instagram | @LabiaLogic on YouTube Catch full episodes at ashleyfullermd.com/labia-logic-podcast.   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

Perimenopause is already a rollercoaster—hot flashes, brain fog, and now…SURPRISE! cancer screenings.  In this episode of OvaryActive, Amy and Rebecca sit down with Gynecologic Oncologist Fernanda Musa, MD MS to tackle the less-fun-but-super-important reality: perimenopause is also prime time for gynecologic cancers.  Think of it as the sequel nobody asked for, but everybody needs to watch. Dr. Musa brings her scalpel-sharp expertise (she is a surgeon, afterall ) and a refreshingly candid approach to topics we'd rather avoid. Cervical and uterine cancers and pesky fibroids that multiply like bad ex-boyfriends both made the list.  She tells you what's common, what's rare, and when you should actually worry. Hmmm…not every bloated belly means ovarian cancer, but you shouldn't ignore it either. Bottom line? Now you'll know when to laugh off your perimenopausal chaos, and when to call your gynecologist. What you'll hear in this episode: [0:28] Guest intro: Dr. Fernanda Musa [2:28] Understanding cervical cancer [5:19] HPV screening and vaccines [14:15] Symptoms & diagnosis of endometrial cancer [18:11] Hormone therapy after uterine cancer [20:28] Fibroids vs tumors (with symptoms!) [25:55] Risks & symptoms of ovarian cancer [32:23] Don't brush off abnormal bleeding! [34:20] Final thoughts and encouragement   More about Dr. Fernanda Musa: swedish.org/doctors/gynecologic-oncology/wa/everett/fernanda-musa-1700044054 Dr. Musa on Instagram @ferniebo   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

Perimenopause: when sneezing, laughing, or even thinking too hard about a trampoline suddenly becomes a bladder hazard. And guess what!? Kegels aren't the cure-all we were promised. In this episode of OvaryActive, Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch take us below the belt to talk pelvic floor health—the underappreciated muscle group that keeps your insides from falling out and your basement from springing a leak.  Joining the Docs is Tanya Goodrich, founder of Healthy Pelvis Physical Therapy and proud owner of the best blueberry analogy you'll ever hear. Tanya is here to prove that pelvic floor therapy isn't scary—it's empowering, practical, and sometimes even hilarious.  In this conversation, you'll learn why incontinence isn't inevitable, what "panic bladder" really means, and why your pelvic floor might be too tight (not just too loose).  Tanya also shares her signature "poo poo ritual," tips for pain-free sex, and a crash course in blueberry lifting—yes, it's exactly what it sounds like. By the end, you'll walk away with real strategies for bladder, bowel, and bedroom health… and a few jokes you'll never un-hear. What you'll hear in this episode: [0:56] Meet Tanya Goodrich [3:18] What the heck is the pelvic floor? [5:17] Pelvic floor PT [6:37] Perimenopause and incontinence [8:56] Kegels are cancelled [11:01] Stop peeing "just-in-case" [20:01] Let's talk about poop [27:44] Chronic pelvic pain [33:18] Sex, menopause, & pain [42:34] Self-care is NOT scary   Links: healthypelvis.com @thehealthypelvis on Instagram   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

If perimenopause has turned your brain to mush and your patience to vapor, fear not—we've got your next reading list and your next excuse to hide in a closet with a book.  In this episode of OvaryActive, Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch tackle the hot topic of hot flashes and paperbacks, reminding us that reading is not just fundamental—it's survival. These two brilliant minds dive into why reading is a legit form of self-care during perimenopause––wine and doomscrolling can only take you so far. From brain health and stress reduction to reconnecting with yourself when your hormones have ghosted you, they make the case for curling up with a good book—no matter the genre. You'll get recs for everything from practical guides like The Menopause Manifesto and The Vagina Bible, to erotica that might just make your estrogen do a double take. Plus, empowering fiction, spicy sci-fi, feminist fantasy, and memoirs that scream "same, girl, same."  Tune in to fill your TBR pile and your soul. Share this episode and start a book club!  What you'll hear in this episode: [0:34] Reading is fundamental [2:54] Reading instead of scrolling [5:20] Book Recs: Women's health, perimenopause, and sexual health [19:04] Book Recs: Erotica, romance, & beach reads [24:47] Book Recs: Throwbacks, perimenopause fiction, hot "flush", & fun fiction [37:26] Fun Reads from Rebecca: Sci-fi and fantasy [42:20] Fun reads from Amy: Historical fiction, light reads, murder mysteries [47:23] Final thoughts   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

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

In this episode of OvaryActive, the Docs dive headfirst into the hot (flash) topic of hormone replacement therapy (HRT) for breast cancer survivors. It's complicated, it's emotional, and yes, it's got a healthy splash of perimenopause thrown in—because nothing says "fun" like navigating midlife with a side of oncology. They talk all about the swirling myths, the clickbait headlines, and the TikTok "experts" who got their MDs from the comments section. Dr. Dunsmoor-Su even shares her own experience with breast cancer and menopause, adding a real-world lens to the science. We've got real talk on estrogen's role in cancer risk, the current scientific consensus on HRT post-diagnosis, and why early detection still matters.  You'll walk away with a clearer sense of what's fact, what's fiction, and what to actually bring up with your doctor (hint: not what Becky from Instagram said). What you'll hear in this episode: [0:57] The "Influencer Effect" [1:18] Dr. Rebecca Dunsmoor-Su's experience with breast cancer and menopause [7:40] The Gold Standard: Mammograms [11:25] Alternative screening methods: myths and facts [16:48] Estrogen's role in breast cancer [20:43] Understanding HRT & breast cancer [30:24[ Tamoxifen & Aromatase inhibitors: a comparison [39:22] Women's health needs more research   Resources: thewisdomstudy.org   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

Welcome to the magical mystery tour that is perimenopause, where your hormones throw a rave and forget to invite your metabolism.  In this episode of OvaryActive, the Docs tackle the ever-fun topic of weight gain during perimenopause—because just when you thought you had your fitness routine down, suddenly your jeans won't button no matter what you do. Dr. Amy Voedisch and Dr. Rebecca Dunsmoor-Su are here to tell us what's really going on with our bodies during this hormonal joyride. They talk through the outdated gospel of BMI, the realities of lifestyle changes (yes, we see you, kale), and the current science of obesity treatment, fresh off the Obesity Medicine Association runway. From GLP-1s to diabetes meds and everything in between, they cover the full pharmacy aisle of weight loss medications—along with the pros, cons, and costs. Listeners will gain clarity, a few laughs, and a better idea of what might actually work for you. What you'll hear in this episode: [0:31] Hot Topic: Weight loss & perimenopause  [1:35] Obesity Medicine Association Conference insights [3:48] Body composition vs. BMI [7:06] The role of medications in weight management [12:31] Who's a candidate for weight loss medications? [18:15] Did you know there are categories?! [22:43] GLP-1s [27:39] How does one even choose? [30:36] What's the price tag?  [32:00] Wait–there are risks to losing weight during perimenopause? [34:10] Nutrition and lifestyle are very important [35:05] Looking into the [metaphorical] crystal ball   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

Ahhhh…perimenopause: the delightful phase of life where your hormones throw a rager and forget to invite you.  If you thought contraception was a concern of your younger years, think again. In this episode, the Docs are tackling the wild world of birth control during perimenopause—because yes, you can still get pregnant, and yes, that's as terrifying as it sounds.  Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch are talking about everything from IUDs to sterilization myths, and explaining why contraception still matters even when your cycle starts playing hide-and-seek.They break down the science behind IUDs, birth control pills, and other contraceptive options, all while dispelling common misconceptions.  Spoiler alert: IUDs do more than just prevent pregnancy—they can also help manage heavy bleeding and cramping. And birth control pills? Turns out they might just be the unsung heroes of perimenopausal symptom control. This episode is full of information (and some laughs), including your birth control options, the latest advancements like the Nextstellis pill, and why hormones like estetrol and drospirenone are making waves in menopause management. We also cover emergency contraception (because life happens) and safe sex practices—because STIs don't care how old you are.  So grab a cup of tea or a glass of wine and join us for a candid, insightful, and slightly irreverent conversation about contraception in your 40s and beyond. What you'll hear in this episode: [3:34] Understanding contraception during perimenopause  [7:09] How do you choose the right method? [13:51] Long-acting reversible contraceptives (LARS) [16:03] IUDs and their benefits [28:17] The pill [34:37] Nextstellis and E4 [41:42] IUDs as hormone therapy [46:22] Emergency contraception  [50:24] Barriers to contraception and STI prevention   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

Perimenopause: it's not just hot flashes and rage-cleaning your kitchen at 2 a.m. (although that's part of it). In this episode of OvaryActive, the Docs get into the chaos and confusion that is hormonal fluctuation with none other than Dr. Jen Gunter, the internet's favorite OBGYN and myth-slayer-in-chief.  From PMS to PMDD to bleeding that seems to follow no known calendar system, this conversation tackles the messy, misunderstood realities of perimenopause with wit, wisdom, and zero tolerance for pseudoscience. Dr. Gunter is a bestselling author and advocate for fact-based women's health. She brings her signature blend of science, sass, and serious credentials to a conversation that pulls back the curtain on topics that often get ignored—or worse, wildly misrepresented. Whether you've read The Vagina Bible or just Googled "why does everything hurt after 40," this is one guest you'll want to hear from. What you'll hear in this episode: [0:28] Meet Dr. Jen Gunter: author & OBGYN [3:26] Misinformation impacts women's health [8:04] Perimenopause myths [11:05] A legit treatment plan is more than essential oils and good vibes [16:34] When bleeding becomes an issue [25:15] PMS and PMDD – two acronyms of perimenopause [30:38] Pain is not "just part of being a woman' [33:16] Break the silence with your vaginal health [37:23] Caring for your vulva and vagina [51:48] Information is power!    Connect with Dr. Jen Gunter: drjengunter.com @drjengunger   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  

Perimenopause: it's like puberty's older, meaner cousin who shows up uninvited and messes with your thermostat. We asked for your all-things-perimenopause questions on Instagram, and now Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch are here to answer!  In this episode of OvaryActive, the Docs take listener questions in an "Ask Us Anything" session where no question is too personal, too awkward, or too hormonally charged. From postpartum to perimenopause, they unpack how these hormonal roller coasters are more connected than you think—and why your 30s and 40s feel like a chaotic sequel to adolescence. You'll gain clarity on spotting perimenopause symptoms, realistic expectations for hormone therapy, and the lowdown on whether those TikTok GLP-1 weight loss trends are legit—or just another expensive fad.  This episode is full of science AND the kind of real talk you wish came with your last OB-GYN appointment. What you'll hear in this episode: [1:33] Exploring connections between postpartum and perimenopause [8:09] Predicting perimenopause: what signs to look for [12:30] Heavy, heavy periods [19:11] Low (to 'negative-zero') libido  [24:26] Advice on synthetic hormones/bio identical hormones [32:12] GLP-1 medications for weight loss during perimenopause   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

Let's face it—perimenopause isn't exactly known for its sparkling perks (unless you consider surprise hot flashes a "perk"). But what it does bring is a whole new relationship with your skincare routine.  In this episode of OvaryActive, the Docs are diving into the hormonal chaos that makes your skin suddenly act like a moody teenager again—and what you can actually do about it––without buying 47 different serums. Joining the Docs is the fabulous Dr. Jessica Healy, who brings her expert insights and her sunscreen to explain the science (and nonsense) behind skincare. This trio of Docs is talking about everything from niacinamide to red light therapy, the truth about oral collagen, and yes, even the mysterious world of biotin and your brittle nails.  You'll leave with practical tips, a little more science know-how, and maybe, just maybe, the willpower to finally toss that 10-step skincare routine you never really liked anyway. What you'll hear in this episode: [:40]  Meet Dr. Jessica Healy [2:24] I'm wandering Sephora, send help! [8:35] What SPF do I need? [13:49] Is retinol beneficial? [16:38] Is Vitamin C serum worth the price tag? [19:34] Oh no, that made me turn red! [24:33] Exploring topical estrogens [27:11] To collagen or not to collagen? [31:54] What's trending? [34:32] The wonders of red light therapy [37:57] Let's breakdown your day and night routine [42:16] Don't forget your nails!   Links: dermspecpa.com   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

Strap in and grab your magnesium and chamomile tea—this week we're battling Perimenopause's sworn nemesis: a good night's sleep. Joining the Docs for the third part in the Your Brain on Peri series is the brilliant Dr. Meredith Broderick—triple-board certified in neurology, sleep medicine, and behavioral sleep medicine (basically, she's the Swiss Army knife of slumber science).  Dr. Broderick brings her expertise on why perimenopausal sleep is often so elusive, how women are uniquely impacted by sleep disorders, and why sleep medicine isn't just about popping a pill and hoping for the best. Heads up…your smart watch might be lying to you. Basically, if you've ever stared at the ceiling at 3 a.m. wondering if it's you or your hormones—you're in the right place. Share this episode with a tired friend, colleague, or sister! What you'll hear in this episode: [0:41] Meet Meredith Broderick, MD: Sleep Medicine Expert [1:28] Sleep med vs. behavioral sleep medicine [3:05] Why is my body throwing 3 AM tantrums? [6:55] The role of sleep studies and devices [19:51] Circadian rhythms and why shift work = body betrayal [24:18] Sleep quality & your waistline–the sleep-weight connection [29:42] Sleep studies [34:40] Pros and cons of CBTI (Cognitive Behavioral Therapy for Insomnia) [40:30] Modern CPAP machines [43:02] Final Thoughts on sleep and health   Connect with Meredith Broderick, MD: soundsleepguru.com Instagram | @sleepdoctormer   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

Ever walked into a room and immediately forgotten why you're there? Or found yourself staring at a to-do list like it's written in an ancient language? You're not alone.  In this episode of OvaryActive, Dr. Amy Voedisch and Dr. Rebecca Dunsmoor-Su tackle the maddening phenomenon of brain fog during perimenopause. Spoiler alert: It's not just you, and no, you're (probably) not losing your mind—just your estrogen. In this enlightening and comforting conversation, the Docs explain down how hormonal fluctuations can scramble memory, multitasking skills, and general cognitive function. They also discuss the fine line between brain fog, ADHD, and the (sometimes overblown) fear of early dementia. The good news? Research—including the SWAN study—suggests that cognitive function typically rebounds after menopause, meaning there's light at the end of this very foggy tunnel. You might already be knee-deep in perimenopausal forgetfulness or just bracing for impact, but you'll find this episode to be packed with science, strategies, and a reassuring dose of humor (because Dr. Voedisch is right there with us!). Don't forget to share this episode with a friend, sister, colleague, or the woman in front of you at the grocery store who did NOT find everything she was looking for today. What you'll hear in this episode: [0:27] Understanding cognition (brain fog) during perimenopause [1:08] The impact of brain fog [4:56] ADHD and cognitive changes [8:03] Hormone changes and brain function [15:38] Estrogen's role in the brain [20:37] Symptoms are interrelated [23:29] Hormone therapy for cognitive function [28:20] Dementia, hormones, and the brain [35:09] Strategies for optimizing brain health   Resources:  lisamosconi.com The Menopause Brain by Lisa Mosconi, PhD swanstudy.org   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

Perimenopause: the magical time of life when your emotions decide to go on an unpredictable rollercoaster ride, leaving you laughing, crying, and irrationally furious—all within the span of a single coffee break. This is the first in a three-part series about your brain during perimenopause. In part one, OvaryActive hosts Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch dive deep into the murky waters of hormones, mood swings, and cognitive hiccups that make perimenopause feel like an elaborate prank. Good (?) news: you're definitely not alone in feeling like your brain is working against you. The Docs are getting into the science behind perimenopause's mind games. They discuss how neurotransmitters like serotonin and norepinephrine get caught in the hormonal crossfire, making mood change an unfortunate reality.  In more good news (and this really is good), the Docs also highlight the importance of understanding brain chemistry, recognizing symptoms, and—most importantly—knowing that treatment options exist. Hear about treatment avenues, including cognitive behavioral therapy, self-care strategies, and the importance of seeking help for intrusive thoughts. If you've ever found yourself inexplicably rage-cleaning the kitchen or crying over a commercial, listen and share. What you'll hear in this episode: [:44] Understanding mood changes in perimenopause [3:08] Impact of external stressors [8:04] Depression as a risk [13:15] Brain chemistry and hormones [19:24] Understanding hormones and mood [21:41] Navigating treatment options [26:10] Cognitive behavioral therapy [28:36] Prioritizing self-care [34:50] Addressing mental health concerns   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

Ah, perimenopause, that magical time when your body decides to play metabolic musical chairs without telling you the rules. Suddenly your favorite jeans feel like they belong to someone else and the weight gain is like a surprise subscription box — you don't remember signing up for it, but it keeps showing up!   In this episode of OvaryActive, the Docs are chatting with Stasi Kasianchuk, a Registered Dietitian Nutritionist (RDN), Exercise Physiologist, and Gennev's Senior Director of Lifestyle Care. Stasi is on the show to talk all about the complexities of hormonal shifts and weight gain during perimenopause. She is going to help us decode what's actually happening under the hood and why your metabolism seems to suddenly be running on a different operating system. Drs. Rebecca Dunsmoor-Su & Amy Voedisch, along with RDN Stasi, discuss the role of genetics, the importance of shifting health goals, and how to foster a better relationship with our ever-changing bodies.  The team are covering everything from the best exercise strategies for perimenopausal bodies to the power of protein, fiber, and a solid night's sleep (yes, it's possible). They also address myths about body types, discuss the rising rates of diabetes in this demographic, and stress the importance of self-care.  Listen (and share!) for practical tips, a reality check on diet culture, and some much-needed reassurance that you're not alone on this hormonal rollercoaster. What you'll hear in this episode: [0:55] Meet Stasi Kasianchuk [5:28] Genetics & your health [6:47] Hormones & weight changes [16:18] Realistic expectations for weight management [24:13] Making sense of exercise recommendations [31:21] Nutrition in perimenopause [34:23] Finding nutritional balance [48:25] Addressing diabetes in perimenopausal women   Links & Resources: https://www.gennev.com/clinician/stasi-kasianchuk   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

Perimenopause: the time in a woman's life when her hormones decide to play an elaborate game of musical chairs, and her body is just along for the ride. As if hot flashes and brain fog weren't enough, let's talk about another under-discussed topic—sexual health.  In this episode the Docs are talking all about the complexities of intimacy, desire, and connection during perimenopause because, spoiler alert, sexual health doesn't just disappear after 40 (or at least, it doesn't have to). Joining the conversation is Dr. Leah Millheiser, a sexual medicine expert who knows a thing or two about keeping the spark alive. Alongside hosts Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch, she addresses societal myths, the science behind libido, and why "just drink some wine and relax" is possibly the worst advice ever.  They explore the role of hormones, communication, and the importance of treating sexual health like any other part of well-being—because if we don't ignore heart health, why ignore bedroom health? From emotional intimacy to testosterone, vibrators, and even the role of Viagra in women's sexual health, this episode covers it all. If you've ever wondered why desire sometimes feels like a fickle houseguest or why talking about sex with your doctor is more awkward than a middle school health class, this episode is for you.  What you'll hear in this episode: [3:17] The gift of good sex for Valentine Day [6:14] Blazing a trail for female sexual medicine [9:48] Female sexual is complex–sexual function & libido [19:14] Communication & intimacy in relationships [34:42] Desire mismatch &  relationship goals [40:01] Treatment options for low libido [52:53] Vibrators & clitoral stimulation ARE important [56:46] Navigating sexual health conversations   Resources Mentioned: Emergency Sex and Other Desperate Measures: A True Story From Hell On Earth 5lovelanguages.com/learn   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

What do brain fog, bone health, and breast cancer all have in common? They're all part of the rollercoaster ride that is menopause.  Ever wondered how hormone therapy became such a controversial topic, or why some studies seem to contradict each other? And is it possible to navigate perimenopause without feeling like a contestant on "Survivor: Hormonal Edition"? Grab a cup of tea (or a glass of wine—we won't judge) and join the Docs for an enlightening discussion. Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch tackle the ins and outs of the Women's Health Initiative (WHI)—one of the most significant studies in women's health—breaking down its design, purpose, and the ongoing debates around hormone replacement therapy (HRT).  They get into the ripple effects of the WHI findings, touching on everything from cardiovascular and bone health to diabetes and cognitive function. With a blend of expertise and wit, they cut through the noise and help you make sense of the science, while keeping it refreshingly relatable. Listeners will walk away with a deeper understanding of how hormone therapy can impact their health, the risks and benefits involved, and why individualized care is essential during perimenopause.  This episode is your roadmap to navigating menopause with confidence—and maybe even a little humor—so share with friends who could also use the help!  Learn more about the Women's Health Initiative: www.whi.org.   What you'll hear in this episode: [:31] Recap of Women's Health Initiative (WHI) [6:58] Hormone therapy groups and primary outcomes [12:58] Bone health and hormone therapy [16:07] Metabolic disease and diabetes risk [18:09] Cardiovascular disease and hormone therapy [20:50] Blood clot risks and hormone therapy [22:53] Dementia and hHormone therapy [25:05] Understanding Perimenopausal Brain Fog [27:31] Some info on breast cancer and estrogen [34:08] Personalized medical decisions [37:51] Advocate for yourself   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

What do a 1940s scientific breakthrough, a 2000s public health scandal, and your perimenopause symptoms have in common? Answer: Estrogen.  In this episode, the Docs kick off a hormone therapy series by telling listeners the dramatic story of estrogen. How "she" got famous, suffered a scandal, and is beginning to resurge in light of more information on menopausal hormone therapy (MHT).  Dr. Rebecca Dunsmoor–Su and Dr. Amy Voedisch mix science, history, and some observations on how medical research has typically treated women to explain how randomized controlled trials and evolving interpretations of data have reshaped our understanding of hormone therapy.  And why getting the facts straight matters more than ever. Whether you're curious about the science, interested in the drama, or just wondering how hormone therapy became so complicated, this episode delivers the goods. What you'll hear in this episode: [:45] Intro to Hormone Therapy Series [5:30] The history of estrogen [8:32] Hormone therapy on the rise [13:24] Digging into some research observational studies randomized control studies [23:31] HRT as preventive medicine [25:06] HERS study: HRT and heart health [31:52] Ethical considerations [38:14] Coming up in our HRT series   Learn more about the Women's Health Initiative at www.whi.org 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

How does perimenopause show up in your life compared to others'? Why do experiences vary so widely across cultures? What factors contribute to how people experience perimenopause?  Each person's experience is completely unique, but in this episode of OvaryActive, the Docs are offering insight and wisdom to explain the complexities of perimenopause.  Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch get into the epidemiology of perimenopause. They shed light on how genetics, social norms, and environmental factors play a role in shaping individual experiences. They also discuss the importance of a holistic and personalized approach to managing symptoms, emphasizing the need to go beyond the one-size-fits-all perspective.  They also address common myths, examining the impact of diet and stress – things that are actually backed by science. You'll get some practical strategies for managing all the challenges and know how to advocate for the individualized care you deserve.  Rate, review, and share! You are NOT crazy, this is happening and it's happening to someone else too!    What you'll hear in this episode: [1:03] Introduction to perimenopause around the world [2:26] Cultural perspectives on perimenopause [5:29] The soy myth [12:34] Perimenopause in the U.S. [20:39] Challenges in diagnosing perimenopause   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  

Have you seen the headlines about an increased risk of breast cancer associated with levonorgestrel IUDs? You might know these IUDs as Mirena, Kyleena, Skyla, or Liletta. Before you head to your OBGYN to schedule a removal, hang on: there's so much more to the story than just the headline.  Lucky for us, our Docs, Dr. Amy Voedisch and Dr. Rebecca Dunsmoor-Su, have dedicated this episode of OvaryActive to breaking down the science and the stats surrounding breast cancer, the role of progestins, and the implications of recent studies. What are the benefits, risks, truths, and misconceptions around birth control, including IUDs? In this episode, our Docs define the hormone lingo, explain what the Swedish study actually means, and clear up the difference between "absolute" risk and "relative" risk. You will walk away with a much better understanding of what questions to ask your doctor about using an IUD or other birth control during perimenopause. This discussion is a great reminder to dig deeper when you see those scary headlines. Media representation of women's health often lacks nuance, which is why OvaryActive is here for you! And don't forget to share this episode with a friend, sister, or colleague who may benefit from learning more.  What you'll hear in this episode: [0:30] IUDs & breast cancer [3:55] Progestins (different than progesterone)  [10:13] Let's talk about the Swedish study [21:52] Uterine cancer & IUDs (it's good news) [25:42] Other recent studies on IUDs [31:21] IUDs in perimenopause [37:59] Addressing misconceptions and media representation   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  

What do you give to the woman who has everything? She has it all–– including hot flashes, sleepless nights, blotchy skin, unexplained weight gain, and even a decreased (or increased?) libido. Do you need just the perfect gift guide for the woman in your life who has ALL these things?  The Docs have just that for you in this episode of OvaryActive. Drs. Rebecca Dunsmoor-Su and Amy Voedisch are sharing a curated holiday gift list to help you focus on the women in your life that are already getting the joy of perimenopause this holiday season.  They are sharing innovative products that help manage perimenopause and menopause symptoms. If self-care happens in the kitchen, the ideas for cooking gadgets and wellness solutions might be a good fit for the lady in your life. There are also suggestions for some essential reading material and sexual health.  No matter the symptom, these Docs have a solution or gift idea to make sure you help ease the discomfort of the gift that life is giving–perimenopause.  Happy Holidays and Merry Perimenopause!   What you'll hear in this episode: [1:02] Intro to holiday gift ideas [2:16] Hair, skin, & nails [13:41] In the kitchen [22:01] Warming up & cooling off [25:57] Wellness ideas [35:20] Helping her sleep [42:28] Sexual health for her   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

Dr. Amy Voedisch and Dr. Rebecca Dunsmoor-Su attended the Menopause Society's annual conference in September 2024. It wasn't just a chance for them to hang out with each other in person, it was also a great opportunity to gain the latest insights into perimenopause and menopause. In this episode of OvaryActive, the Docs share their top takeaways from the Menopause Society's conference. The sessions they attended covered a wide range of topics from understanding hormonal fluctuations to the significance of nutrition and weight management for women during "The Change." They also heard about new guidelines for breast cancer screenings. The biggest takeaway of all is the importance of a personalized approach for women and their healthcare, because no two people experience perimenopause and menopause the same way. Make sure you pass this episode along to a friend, sister, colleague, or any woman you know that maybe, just maybe, has mentioned one of the MANY symptoms that could indicate perimenopause.  What you'll hear in this episode: [0:50] Annual Meeting of the Menopause Society [3:44] Voice changes during perimenopause [10:40] Weight changes and nutrition during perimenopause [17:06] Sleep disturbance and insulin resistance [24:39] Precision breast health and breast cancer screening recommendations   Links & Resources: menopause.org 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

Changes to your skin––add it to the list of things women face during perimenopause. It's completely understandable that you'll want to change up your skincare routine.  However, you may want to get more information before slathering yourself with topical estrogen in response to skin changes and unwanted signs of aging. In this episode of OvaryActive, Drs. Rebecca Dunsmoor-Su and Amy Voedisch explain recent studies with relevant findings for women's health. First, they look at a study focused on the effects of using topical estrogen during perimenopause and menopause. They also discuss findings from a study on hormone therapy's impact on biological aging. If all that sounds complicated, it is. Amy and Rebecca are geeking out on the findings for you, so you can simply walk away with what you need to know for your health and your skin.  What you'll hear in this episode: [02:29] What's the deal with estrogen face cream? [06:45] Exploring estrogen's impact [09:14] What does this study tell us?  [27:15] Recommendations for alternative skin care  [29:43] Hormone therapy and biological aging [36:19] Practical takeaways and future topics   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

We would have called this episode "What Fresh Hell is This?" but the title was already taken. But this title also works, because when we mention perimenopause to people, we often get that confused German Shepherd head tilt and "periwhatnow?" Given that this podcast is focused around perimenopause, we wanted to make sure listeners were clear on what perimenopause actually is. So what is it? If your periods are changing, if your moods are wonky, if every day something new happens, leaving you wondering "what fresh hell is this?" then it's perimenopause. Truth is, there's no blood test or hormone level that determines perimenopause. It's a diagnosis based on clinical judgment. And frankly, we're less interested in the diagnosis and far more interested in helping you get through it healthfully and happily.  All that said, we do want you to understand what's happening in your body and how what's happening can affect mood, sleep, energy, and so much more. What you'll hear in this episode: [0:00] Understanding perimenopause and its phases [1:05] Pre-, peri-, and full menopause Definitions Diagnoses Blood tests [8:04] Surgical menopause [9:35] What your hormones are up to [17:25] Symptoms and challenges of Peri [20:04] My perimenopause is not your perimenopause [30:30] Treatment approaches [31:49] Peri's potential impact on your quality of life   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

Why are women's bodies and their health so poorly understood and so often ignored, especially after their best baby-making years?  Great question. The good news is, information and truth are out there. The bad news is, so is a lot of nonsense, myth, and fear-mongering. The best news is, OvaryActive exists to get you  answers about your body and what it's up to. Drs. Amy Voedisch and Rebecca Dunsmoor-Su know a lot about women's bodies.  Both doctors are practicing ob/gyns with years of experience and knowledge. Both are champions of and advocates for women and their health, and both are really, REALLY tired of how women of all types have traditionally been treated by the healthcare industry. In this first episode, the docs introduce themselves, give you their credentials so you know you're getting accurate, up-to-date information, and explain why they've decided to take on perimenopause in their podcast. If you have questions, if there are women in your life you care about (including yourself), if you want to enter perimenopause and menopause armed to protect your present and future health, listen, subscribe, rate, review, and share. What you'll hear: [0:25] Meet Dr. Amy Voedisch – you can call her Amy [1:08] Meet Dr. Rebecca Dunsmoor-Su [2:10] Why focus on menopause and perimenopause? [8:06] What you'll hear in the Ovary-Active podcast [10:50] Two core values in the Docs' patient care [12:42] The Docs are IN this with you   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

Two gynecologists walk into a recording studio. Sounds like the start of a joke, and frankly, perimenopause can feel like the start of a joke too. Only this joke is on you. And it's not that funny. But back to those two OB/GYNS…. Dr Rebecca Dunsmoor-Su and Dr. Amy Voedisch have been caring for the reproductive health of those born with uteruses for a while now. And the doctors are frankly pretty tired of how those body bits — and the people they belong to — get ignored by medical science when they are no longer ideal baby-makers. Half of a woman's life comes after her Build a Baby shop shuts down; however, the medical community does little to educate her about or treat her for issues related to her peri- and post-menopausal body. In this smart, funny, incredibly informed, wonderfully irreverent podcast, Doctors Rebecca and Amy give us the down low on our… down lows. What is perimenopause? What can I expect? How can I feel better? And for crying out loud, WHEN IS IT OVER? Tune in on the 2nd and 4th Thursday of each month to get the real information without the hype, the sales, the myths, superstitions, and nonsense. Are your ovaries starting to overreact? Grab a partner, a buddy, a random woman who looks on the verge of tears, and listen up. You're not in this alone. And as the docs say, "You're not crazy. This is actually happening."