OvaryActive

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