Perimenopause symptoms are often mismanaged with birth control pills instead of appropriate hormone replacement therapy (HRT) because many practitioners lack knowledge about the menopausal transition.
• Birth control pills contain synthetic hormones at doses approximately 120 times higher than HRT
• Birth control is designed to prevent pregnancy and control bleeding, while HRT addresses menopause symptoms
• Unlike birth control, HRT does not prevent pregnancy during perimenopause
• Combining methods like a hormonal IUD with bioidentical hormones can provide both contraception and symptom relief
• Transitioning off birth control should be gradual to avoid the "12,000-foot cliff" of hormone withdrawal
• Continuous birth control (skipping the placebo week) is acceptable and was originally designed by men
• Women deserve practitioners who listen, educate, and offer personalized options
• Virtual appointments have increased access to specialized menopause care
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