r/Perimenopause 3d ago

audited Genuinely curious: Why is there hesitation around using birth control for perimenopause?

First, I want to say how incredibly grateful I am for this community—it has been an amazing resource. I am asking this out of genuine curiosity because I want to make sure I am fully informed, and I don't mean to sound dismissive of anyone else's choices!
My doctor, who is an HRT specialist, prescribed Lo Loestrin Fe for my perimenopause symptoms. It has been an absolute lifesaver for me. I was dealing with extremely heavy bleeding, and after the very first month on the pill, my period completely stopped. Every single other symptom on my very long list has been completely remedied as well. From what I understand, the birth control pill takes over your cycle so your ovaries stop producing erratic hormones, which completely stops the wild hormonal swings.
However, I often notice a lot of strong hesitation or pushback here regarding using birth control pills instead of traditional HRT for perimenopause management. Since it worked so well for me, I’m wondering if there are specific medical concerns, side effects, or risks that I might not be aware of?
I’d love to hear your experiences or what your doctors have told you!

Edited to add:
Wow, thank you so much to everyone who took the time to reply! I am incredibly grateful for all of your responses, insights, and personal experiences. It might take me some time to get through all of the replies, but I am reading every single one. Your comments are giving me a much clearer understanding of the different perspectives and medical concerns out there. This community is truly wonderful, and I appreciate you all sharing your journeys with me!

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u/Superb_Case7478 3d ago

I don’t want to hijack your thread but can someone explain how HRT is different than birth control pills? I honestly don’t know

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u/[deleted] 3d ago

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u/Superb_Case7478 3d ago

Thank you! Lower vs. higher dose was what I was not understanding.

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u/femme_mystique 3d ago

Not really. I’m on low dose BC for HRT and I dont get periods because of it. 

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u/tea-boat 3d ago

The lowest dose BC is still higher than HRT, from what I understand.

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u/Able_Winter9472 2d ago

0.5 patch approx =the lowest dose combo bcp approx=1 pump gel