Perimenopause Confusion: Birth Control vs. Hormone Therapy Explained - #131
Sun Jan 04 2026
So many women in perimenopause find themselves asking the same confusing question: Should I stay on birth control, switch to menopause hormone therapy, try both, or do nothing at all? And why does it feel like everyone has a different answer?
In this episode, we unpack why perimenopause can feel like a medical gray zone. Symptoms can be intense and unpredictable, hormone testing isn’t always clear, and many women are told they’re “too young” or “just stressed.” Add in social media opinions, antidepressants being prescribed first, and inconsistent medical guidance, and no wonder women feel lost.
We break down the real science behind:
• Birth control vs. Menopause Hormone Therapy (MHT)
• How doctors decide what to recommend
• Whether you can transition directly from the pill to MHT
• What realistic symptom relief looks like
• How long adjustments actually take
• What to do if spotting or symptoms continue
We also address the biggest myths, like:
• “You can’t be in perimenopause if you’re on the pill.”
• “You have to wait until your period stops to use hormones.”
Plus, we shine a light on women who are often left out of the conversation:
• Those with severe PMS or PMDD
• Women in early menopause
• Women after hysterectomy
• Women wondering about testosterone, libido, brain fog & mood
This episode is about clarity, options, and informed choice. Perimenopause is not a failure of your body, and confusion around hormones is NOT your fault. You deserve education, thoughtful support, and individualized care, not guesswork or fear-based advice.
If you’re feeling overwhelmed, you’re not alone. This conversation will help you understand what’s really happening in your body and how to approach hormone decisions with confidence.
Find Dr. Sarah here:
Website: https://www.lumaniwellness.com/
IG: drsarah_menopausemd
Stay connected to JFW:
Watch on my YouTube channel: https://www.youtube.com/@jillfooswellness/videos
Follow me on Instagram: https://www.instagram.com/jillfooswellness/
Follow me on Facebook: https://www.facebook.com/jillfooswellness
Grab discounts on my favorite biohacking products: https://www.jillfooswellness.com/health-products
Enjoy 20% savings and free shipping at Fullscript for your favorite supplements by leading brands:
https://us.fullscript.com/welcome/jillfooswellness
Subscribe to the JFW newsletter at www.jillfooswellness.com and receive your FREE Guide on How To Create Your Menopause Health Equation Ebook.
Schedule your complimentary 30-minute Zoom consultation here:
https://calendly.com/jillfooswellness/30-minute-zoom-consultations
If you’re a Chicago-area midlife woman, check out the Chicago Menopause Collective, a nonprofit dedicated to navigating menopause locally with experts. Our inaugural event is February 3rd, 2026, in Winnetka. Tickets are on sale now.
Learn more:
https://chicagomenopausecollective.org
More
So many women in perimenopause find themselves asking the same confusing question: Should I stay on birth control, switch to menopause hormone therapy, try both, or do nothing at all? And why does it feel like everyone has a different answer? In this episode, we unpack why perimenopause can feel like a medical gray zone. Symptoms can be intense and unpredictable, hormone testing isn’t always clear, and many women are told they’re “too young” or “just stressed.” Add in social media opinions, antidepressants being prescribed first, and inconsistent medical guidance, and no wonder women feel lost. We break down the real science behind: • Birth control vs. Menopause Hormone Therapy (MHT) • How doctors decide what to recommend • Whether you can transition directly from the pill to MHT • What realistic symptom relief looks like • How long adjustments actually take • What to do if spotting or symptoms continue We also address the biggest myths, like: • “You can’t be in perimenopause if you’re on the pill.” • “You have to wait until your period stops to use hormones.” Plus, we shine a light on women who are often left out of the conversation: • Those with severe PMS or PMDD • Women in early menopause • Women after hysterectomy • Women wondering about testosterone, libido, brain fog & mood This episode is about clarity, options, and informed choice. Perimenopause is not a failure of your body, and confusion around hormones is NOT your fault. You deserve education, thoughtful support, and individualized care, not guesswork or fear-based advice. If you’re feeling overwhelmed, you’re not alone. This conversation will help you understand what’s really happening in your body and how to approach hormone decisions with confidence. Find Dr. Sarah here: Website: https://www.lumaniwellness.com/ IG: drsarah_menopausemd Stay connected to JFW: Watch on my YouTube channel: https://www.youtube.com/@jillfooswellness/videos Follow me on Instagram: https://www.instagram.com/jillfooswellness/ Follow me on Facebook: https://www.facebook.com/jillfooswellness Grab discounts on my favorite biohacking products: https://www.jillfooswellness.com/health-products Enjoy 20% savings and free shipping at Fullscript for your favorite supplements by leading brands: https://us.fullscript.com/welcome/jillfooswellness Subscribe to the JFW newsletter at www.jillfooswellness.com and receive your FREE Guide on How To Create Your Menopause Health Equation Ebook. Schedule your complimentary 30-minute Zoom consultation here: https://calendly.com/jillfooswellness/30-minute-zoom-consultations If you’re a Chicago-area midlife woman, check out the Chicago Menopause Collective, a nonprofit dedicated to navigating menopause locally with experts. Our inaugural event is February 3rd, 2026, in Winnetka. Tickets are on sale now. Learn more: https://chicagomenopausecollective.org