Ep 9 | Hormone Replacement Therapy Series: Women’s Health Initiative
Release Date: 01/23/2025
OvaryActive
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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
info_outlineWhat 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
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Meet the Docs:
More information about Dr. Rebecca Dunsmoor-Su:
Gennev: www.gennev.com/clinician/dr-rebecca-dunsmoor-su
LinkedIn @rebecca-dunsmoor-su
More information about Dr. Amy Voedisch:
Stanford Medical Clinic: stanfordhealthcare.org/doctors/v/amy-voedisch.html