In this episode of the Fueled & Free Podcast, Margaret explores the reality of PMS and PMDD, especially for women in their 30s and 40s. She challenges the conventional approach of prescribing birth control as a “fix,” explaining why it fails to address the root causes of hormonal imbalance.

Instead, she highlights the role of bioidentical progesterone in easing symptoms, supporting perimenopause, and protecting long-term health.

This conversation sheds light on why women need real hormone support — not suppression — and how understanding progesterone’s benefits can transform mental health, sleep, and overall well-being.

Episode Recap:

Why birth control is the default prescription for PMS, PMDD, and perimenopause symptoms {01:53}
How medical training and pharma influence keep doctors from addressing root causes {04:59}
Why suppressing ovulation in perimenopause makes symptoms worse, not better {06:08}
The critical difference between synthetic progestins and natural progesterone {07:32}
How bioidentical progesterone supports mood, sleep, metabolism, and long-term health {09:26}
The outdated fears around hormone therapy—and why they don’t apply to progesterone {11:10}
Best practices for progesterone use—and how to know if it’s working for you {13:26}
Questions to ask your provider so you can advocate for better hormone care {24:04}

Links & References:

Connect with me on Instagram @margaretannpowell

**Disclaimer: The information shared in this podcast is NOT meant to be taken as individual or medical advice. Please seek the guidance of your physician or healthcare provider regarding any medical condition or treatment.

78. The problem with birth control for PMS, PMDD, Perimenopause and what to do instead