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Health By Heather Hirsch

264. Is Your Birth Control Making Perimenopause Worse? When to Switch to HRT

April 17, 2026·22 min
Episode Description from the Publisher

Is Your Birth Control Making Perimenopause Worse? When to Switch to HRTDescription: Are you still on birth control during perimenopause — and wondering if it's masking your symptoms or actually helping? Dr. Heather Hirsch breaks down the key differences between birth control pills and menopausal hormone therapy (MHT), explaining why the estrogen in your pill isn't the same as the estradiol in HRT and what that means for your perimenopause symptoms like hot flashes, night sweats, and brain fog. Whether you still need contraception or you're ready to transition fully to MHT, this video walks you through every option so you can have an informed conversation with your doctor.More about Dr. Hirsch: Order My New Book: The Perimenopause Survival Guide: https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join The Collaborative Medical Practice: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://thecollaborative.kit.com/11e9825fb5⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enroll in my course on HRT management: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://heatherhirschmd.myflodesk.com/prescribehrt⁠⁠⁠⁠⁠⁠⁠⁠⁠

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