
The Birth Control Illusion: What Every Woman in Perimenopause Needs to Know About Hormones, Cycles, and Coming Off the Pill
From The Wellthy Healthy Life Podcast by Nicole Johnson
May 12, 2026 · 36 min · Episode 135
About this episode
Nicole Johnson discusses the implications of hormonal birth control during perimenopause with guest Tierra Duncan.
Your doctor said birth control would help with your perimenopause symptoms. But did they test your hormones first? For millions of women in midlife, synthetic hormones are being prescribed as a quick fix — masking the very signals your body is sending and leaving you with no real picture of where you are in the transition. In this episode, Nicole talks with Tierra Duncan, women's health educator and author of The Birth Control Illusion , about what's actually happening in your body when you're on hormonal birth control during perimenopause, why coming off the pill after years of use can send your hormones into chaos, and what informed consent around birth control actually looks like. If you've ever been handed a prescription without a conversation, this one's for you. Connect with Tierra on Insta HERE Check out her book HERE Grab her free resources HERE Follow me on Insta HERE Get 20% off Fatty15 HERE Code: NICOLE JOHNSON
People in this episode
Host: Nicole Johnson
Guest: Tierra Duncan
Topics covered
- birth control
- perimenopause
- hormones
- women's health
- informed consent
- synthetic hormones
Keywords
- birth control
- perimenopause
- hormones
- synthetic hormones
- informed consent
- women's health
Sponsors
Fatty15
Mentioned in this episode
Books & works: The Birth Control Illusion
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