About this episode

This episode discusses the connection between thyroid dysfunction and hormone symptoms during perimenopause with Dr. Amie Hornaman.

By the time perimenopause begins, fatigue, stubborn weight changes, irregular cycles, low progesterone, low mood, and fertility struggles can all be folded into the same explanation: hormones are changing. But what if some of the symptoms women are taught to expect during this transition are also pointing to a gland that rarely gets included in the conversation? Most women hear about the thyroid in relation to metabolism, yet its reach extends through the cycle, ovaries, ovulation, progesterone, fertility, and the wider endocrine system. In this episode of The Ovary Club, I sit down with Dr. Amie Hornaman to uncover why thyroid dysfunction can be hidden inside what looks like perimenopause, why having the thyroid checked is not always the same as having it fully evaluated, and what women may be missing when every symptom is treated as a separate problem. We also examine the surprising research connecting long-term hormonal contraceptive use with thyroid risk and the overlooked overlap Dr. Amie calls thyropause. Dr. Amie Hornaman is a functional medicine clinician, founder of the Advanced Thyroid and Hormone Clinic, host of the top-rated The Thyroid (and Hormone) Fixer Podcast…

People in this episode

Host: Alisa Vitti

Guest: Dr. Amie Hornaman

Topics covered

• thyroid dysfunction
• hormone symptoms
• perimenopause
• functional medicine
• hormonal contraceptives
• thyropause

Keywords

• thyroid
• hormones
• perimenopause
• fatigue
• fertility
• progesterone
• hormonal contraceptives
• thyropause

Mentioned in this episode

Organizations: Advanced Thyroid and Hormone Clinic

Books & works: The Thyroid Fix, The Thyroid (and Hormone) Fixer Podcast

More episodes of The Ovary Club with Alisa Vitti

• 20: The Science Behind Your Libido + Why It Changes Across Your Cycle and Perimenopause · September 8, 2026 · 42 min
• 19: The Cortisol Loop Hijacking Your Hormones with Dr. Taz Bhatia · September 1, 2026 · 56 min
• 18: The Muscle-Hormone Connection Every Woman Needs to Know · August 25, 2026 · 37 min
• 16: The Questions Women Are Asking About Hormones Over 35, Answered by Women's Hormone Health and Functional Nutrition Expert · August 11, 2026 · 37 min
• 15: Why Perimenopause Is a Critical Window for Cardiovascular Health with Dr. Suzanne Steinbaum · August 4, 2026 · 1h 15m
• 14: PMOS (PCOS) Part 2: What Triggers It and How to Start Healing · July 28, 2026 · 48 min

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