OvaryActive

Dr Rebecca Dunsmoor-Su, Dr Amy Voedisch
  • 0.0 (0)
  • MEDICINE
  • EVERY TWO MONTHS

Two gynecologists walk into a recording studio. Sounds like the start of a joke, and frankly, perimenopause can feel like the start of a joke too. Only this joke is on you. And it's not that funny. But back to those two OB/GYNS…. Dr Rebecca Dunsmoor-Su and Dr. Amy Voedisch have been caring for the reproductive health of those born with uteruses for a while now. And the doctors are frankly pretty tired of how those body bits — and the people they belong to — get ignored by medical science when they are no longer ideal baby-makers. Half of a woman's life comes after her Build a Baby shop shuts down; however, the medical community does little to educate her about or treat her for issues related to her peri- and post-menopausal body. In this smart, funny, incredibly informed, wonderfully irreverent podcast, Doctors Rebecca and Amy give us the down low on our… down lows. What is perimenopause? What can I expect? How can I feel better? And for crying out loud, WHEN IS IT OVER? Tune in on the 2nd and 4th Thursday of each month to get the real information without the hype, the sales, the myths, superstitions, and nonsense. Are your ovaries starting to overreact? Grab a partner, a buddy, a random woman who looks on the verge of tears, and listen up. You're not in this alone. And as the docs say, "You're not crazy. This is actually happening."

  1. Ep 37 | When Its NOT Peri: Functional Hypothalamic Amenorrhea (FHA) with Chrisandra Shufelt, MD

    6 HR AGO

    Ep 37 | When Its NOT Peri: Functional Hypothalamic Amenorrhea (FHA) with Chrisandra Shufelt, MD

    Perimenopause is still taking the blame… but in this unexpected third installment (because Amy just got too excited), we're talking about functional hypothalamic amenorrhea (FHA).  Dr. Chrisandra Shuflet joins the Docs in this episode of OvaryActive to explain FHA, tell us why it is often missed or dismissed, and how it's diagnosed. The conversation explores how disrupted brain signaling leads to low estrogen, why it's a diagnosis of exclusion, and how this condition shows up most often in younger women, even though its impact can follow you well into perimenopause and beyond. As a condition that can look like perimenopause but is actually your brain hitting the pause button on your ovaries. If your cycle disappears and you're nowhere near your forties, it's probably not peri… it's your body responding to stress, under-fueling, over-exercising. Or maybe all of the above. What you'll hear in this episode: [0:34] Welcome Chrisandra Shufelt, MD [3:46] What is FHA? [6:02] A diagnosis of exclusion [7:00] Lab patterns to distinguish FHS, PCOS, POI [8:45] Who is most at risk: [13:42] Why do so many women go years without a diagnosis? [18:14] Long-term risks [20:30] Cardiovascular connection [22:38] ARCH study [29:13] What does a history of FHA mean in perimenopause? [33:34] Treatment approach (sorry, no Rx) [37:22] Final takeaways: you are NOT crazy still applies!   Links: Reveal trial: https://www.mayo.edu/research/clinical-trials/cls-20570285 Dr Shufelt: https://www.mayo.edu/research/faculty/shufelt-chrisandra-l-m-d/bio-20542101 @chrisandra-shufelt-md-ms-facp-mscp on LinkedIn   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 This episode was produced by Audiotocracy Podcast Production.

    38 min
  2. Ep 36 | When It's NOT Peri: Polycystic Ovarian Syndrome (PCOS)

    12 MAR

    Ep 36 | When It's NOT Peri: Polycystic Ovarian Syndrome (PCOS)

    Perimenopause gets blamed for a lot of things – mood swings, weird cycles, rogue chin hairs – but sometimes the culprit isn't peri at all. In Part 2 of When It's NOT Peri, the Docs are talking about polycystic ovarian syndrome (PCOS), a condition that looks suspiciously like perimenopause but actually comes from a completely different hormonal playbook. The hosts explain what PCOS actually is, why insulin resistance sits at the center of the syndrome, and how symptoms like irregular periods, acne, hair growth, and weight changes can overlap with perimenopause. They also walk through how doctors diagnose PCOS, the famous Rotterdam criteria, and why clinicians often have to rule out several other endocrine issues before landing on the diagnosis. The episode also explores how PCOS evolves across the lifespan and why the metabolic side of the condition still matters long after the reproductive years are over. What you'll hear in this episode: [1:11] PCOS defined and misnamed [3:29] Symptoms that overlap [5:55] Ethnicity and different presentations [7:42] Rotterdam diagnostic criteria [12:16] Who gets diagnosed and when [18:00] Hormone signaling and ovulation disruption [20:48] Fertility timing, OPKs, & birth control [29:54] Lifestyle and metformin [33:22] PCOS in perimenopause [37:10] Research gaps and advocacy [40:09] Takeaways   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 This episode was produced by Audiotocracy Podcast Production.

    42 min
  3. Ep 35 | When It's NOT Peri: Premature Ovarian Insufficiency (POI)

    26 FEB

    Ep 35 | When It's NOT Peri: Premature Ovarian Insufficiency (POI)

    Perimenopause gets blamed for a lot… but sometimes it's innocent. In this first episode of our two-part series When It's NOT Peri, the Docs talk about what happens when symptoms that look like perimenopause are actually something else entirely. Sometimes the ovaries aren't "transitioning"… they're waving a much earlier white flag. This episode of OvaryActive zeroes in on premature ovarian insufficiency (POI). This is a condition where ovarian function declines before age 40. Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch walk through what POI is and what it isn't. They also talk about why diagnosis can take years, how it differs from typical perimenopause, and the detective work involved in ruling out other causes like thyroid issues, genetics, or prior treatments.  Along the way, listeners will understand why symptoms can feel confusingly similar yet require a completely different medical approach. POI is more than a cycle change. It's a long-term health consideration affecting bone, heart, brain, fertility, and mental health. And early treatment matters.  Think of this episode as the "wait, could it be something else?" guide: equal parts validation, science, and practical next steps to help you recognize when maybe it's NOT peri. What you'll hear in this episode: [1:52] Maybe it's NOT peri. Maybe it's POI [6:15] The workup: genetics, fragile x, turner syndrome, & more [9:41] Causes to rule out [12:09] We treat POI aggressively, here's why [15:46] Long-term health stakes bone health, heart & brain, mental health, & sexual health [23:43] How to treat POI [26:25] Contraception options in POI [30:12] Long-term planning [32:54] Special cases [39:06] Key takeaways & wrap-up: POI is NOT peri   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

    41 min
  4. Ep 34 | Heart Disease and Perimenopause: The Risk Factors We're Missing

    12 FEB

    Ep 34 | Heart Disease and Perimenopause: The Risk Factors We're Missing

    When we talk about perimenopause, we talk a lot about symptoms, but not nearly enough about what's happening to your heart. Since February is Heart Health Month, it's the perfect time to take a "beat" to focus on your cardiovascular health. In this episode of OvaryActive, the Docs zoom out from hot flashes and hormones to talk about the number one killer of women: cardiovascular disease. They also explain why the menopause transition is a critical (and often ignored) window for heart health.  Preventive cardiologist Dr. Beth Abramson joins Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch to connect the dots between perimenopause, estrogen changes, and rising cardiovascular risk.  They talk about why cholesterol and blood pressure tend to creep up after ovarian function declines and how lifestyle factors actually matter more than we'd like them to. This conversation reframes midlife as an opportunity, not a countdown.  The takeaway? You're not doomed, but you do need to pay attention. Your heart has been quietly keeping score this whole time. What you'll hear in this episode: [0:28] Welcome Dr. Beth Abramson [1:20] Heart health 101 [5:21] Understanding risk factors and prevention [7:30] Diet & exercise: practical advice [12:34] Menopause & cardiovascular health [16:30] Pregnancy & long-term heart health [24:11] Lp(a) explained [26:29] Hormones ≠ heart shield [32:14] Risk–Benefit Math [40:16] What the future holds [44:07] Basic health practices are important [44:36] A few final thoughts on heart health   Resources: cardiometabolicprevent.ca 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

    46 min
  5. Ep 33 | Do I Need Birth Control or Hormone Therapy?

    22 JAN

    Ep 33 | Do I Need Birth Control or Hormone Therapy?

    Birth control or hormone therapy? Why does this decision feel like a personality test you didn't study for?  In this episode of OvaryActive, the Docs tackle one of the most confusing (and hotly debated) topics in perimenopause: when birth control is actually the right choice, when menopausal hormone therapy makes more sense, and why TikTok might not be the best place for medical nuance. Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch walk listeners through how clinicians actually think about this decision. The process includes contraceptive needs, bleeding patterns, symptom "greatest hits," and medical history that actually matters.  The Docs will guide you through the options and even cover what a combination approach might look like. Most importantly, shared decision-making, not social media panic, should guide treatment choices. This episode reminds you that perimenopause is real, complicated, and highly individual. And the right plan is the one that treats your physiology, not someone else's algorithm. What you'll hear in this episode: [1:05] Birth control vs. hormone therapy [2:49] Contraception needs during perimenopause [5:34] Understanding menopausal hormone therapy [7:45] Assessing symptoms [16:59] So many choices! How do you choose? [22:03] Breakthrough symptoms [23:51] Combination approaches (Amy's FAV) [29:58] You didn't miss the window! [35:32] Alternative methods & why they may not be a good fit [40:22] You're NOT crazy!   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

    42 min
  6. Ep 32 | Perimenopause + Migraines: Your Brain on Hormones

    8 JAN

    Ep 32 | Perimenopause + Migraines: Your Brain on Hormones

    Hot flashes, mood swings, surprise chin hairs… and now migraines? Welcome to perimenopause, where your hormones throw a rave in your brain and forget to invite you.  In this episode of OvaryActive, the Docs tackle the maddening intersection of migraine misery and perimenopause chaos, complete with aura weirdness, estrogen roller coasters, and the universal fear of bright lights and strong perfumes. Migraines are more than "just a headache" and there is a reason they love to show up right before or during your period. You'll hear about triggers ranging from hormones to allergens to the existential dread of week three of your cycle.  This episode sheds light on the difference between migraines with and without aura, why estrogen drops can send your brain into chaos, and what treatments actually work.  You'll know your options, understand your triggers, and realize (important!) that you do not have to suffer through perimenopausal migraines alone. What you'll hear in this episode: [1:57] Why do migraines appear or get worse during perimenopause? [3:40] Headaches vs. true migraines [8:03] What the what is a migraine "aura"? [13:33] Can you prevent migraines? [21:25] Migraines can also mean anxiety, sleep issues, and hot flashes [22:27] Practical treatment options [29:46] What's new in the migraine treatment world? [32:39] OTC remedies for when a migraine happens [38:41] You're NOT CRAZY!   Resources: curablehealth.com 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

    40 min
  7. Ep 31 | This is the HOT FLASH Episode

    25/12/2025

    Ep 31 | This is the HOT FLASH Episode

    Hot flashes: the unofficial mascot of perimenopause and the original reason so many midlife women carry a personal fan or freezer pack, or insist on that open window in January.  In this episode of OvaryActive, Dr. Amy Voedisch and Dr. Rebecca Dunsmoor-Su finally give hot flashes their own episode. The Docs turn up the heat (literally and emotionally) as they talk through the lived chaos that is "my own personal summer". Our Docs explain what hot flashes actually are, why they show up, and why your brain, not just your hormones, is the real drama queen in this scenario. Listeners will finally understand night sweats, "superflushers," the brain circuits that freak out for no good reason, and why some people glow for a year while others suffer for… well… a decade.  As always, the Docs are delivering solid science, introducing us to vasomotor symptoms, candy neurons (not as fun as they sound), social determinants of health, and the fact that estrogen is not the only character in this soap opera. You'll saunter out of this episode knowing what causes hot flashes, how long they might last, how to treat them, and most importantly: that you're not losing your mind. You're just in perimenopause. What you'll hear in this episode: [2:04] What are hot flashes…actually? [3:24] Hot flashes vs. night sweats [5:54] The FAQ: How common? When do they start? When will they LEAVE? [12:05] Let's get nerdy: the science behind hot flashes [17:38 The lasting impact [20:34] Hot flashes and cardiovascular risk are related [22:15 The good stuff: treatment options [36:30] Let us validate you!    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

    40 min
  8. Ep 30 | Topical Viagra & Hot Flash Chaos: The Menopause Conference Recap You Didn't Ask For

    11/12/2025

    Ep 30 | Topical Viagra & Hot Flash Chaos: The Menopause Conference Recap You Didn't Ask For

    Perimenopause: the magical season where sleep disappears, hormones riot, and suddenly everyone thinks you're "doing great" when actually you're googling whether rage counts as cardio.  In this episode of OvaryActive, Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch return with their second annual Menopause Society Conference recap. If you're wondering whether testosterone drops off a cliff in midlife or whether scream cream is a placebo disguised as foreplay… good news! They've got updates. This episode walks through the latest research from menopause experts covering the big three: sexual health, longevity, and cardiovascular disease. You'll also hear about the rising fame of the podcast (including elevator selfies), the promise (and limits) of topical Viagra, and why measuring testosterone might be as useful as measuring vibes. Listeners will get practical takeaways on hormone therapy timing, bone screening, nutrition,  Remember: you're not dramatic. You're not broken. You're just in perimenopause… and it's really happening.  What you'll hear in this episode: [0:36] Menopause society conference highlights [2:21] Connecting with our wonderful listeners [4:27] Testosterone research findings [9:20] Topical viagra for women [13:12] Perimenopause focus [22:04] Bone health and perimenopause [30:00] Cardiovascular disease and sleep [38:11] A few final thoughts and future conferences   Thank you to every clinician who stopped to chat: Rebecca Levy-Gantt, DO MSCP Premierwomenshealthconsulting.com Yashika Dooley, MD MSCP Gennev.com Emily Drath Stone, MD MSCP Virginia Physicians for Women Lisa Savage, MD MSCP Gennev.com Becky Lynn, MD Evora Women's Health May your sleep be long, your bones dense, and your badge scanners always work on the first try. Follow the show @OvaryActive Instagram | YouTube

    40 min
See All (38)

Trailer

About

Two gynecologists walk into a recording studio. Sounds like the start of a joke, and frankly, perimenopause can feel like the start of a joke too. Only this joke is on you. And it's not that funny. But back to those two OB/GYNS…. Dr Rebecca Dunsmoor-Su and Dr. Amy Voedisch have been caring for the reproductive health of those born with uteruses for a while now. And the doctors are frankly pretty tired of how those body bits — and the people they belong to — get ignored by medical science when they are no longer ideal baby-makers. Half of a woman's life comes after her Build a Baby shop shuts down; however, the medical community does little to educate her about or treat her for issues related to her peri- and post-menopausal body. In this smart, funny, incredibly informed, wonderfully irreverent podcast, Doctors Rebecca and Amy give us the down low on our… down lows. What is perimenopause? What can I expect? How can I feel better? And for crying out loud, WHEN IS IT OVER? Tune in on the 2nd and 4th Thursday of each month to get the real information without the hype, the sales, the myths, superstitions, and nonsense. Are your ovaries starting to overreact? Grab a partner, a buddy, a random woman who looks on the verge of tears, and listen up. You're not in this alone. And as the docs say, "You're not crazy. This is actually happening."

Information

  • Creator
    Dr Rebecca Dunsmoor-Su, Dr Amy Voedisch
  • Years Active
    2024 - 2026
  • Episodes
    38
  • Rating
    Clean
  • Copyright
    © 2024
  • Show Website
    OvaryActive

You Might Also Like