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

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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