Podcasts about gsm

 In this episode, I'm talking about something I see all the time in my practice but that too many women still suffer through in silence: Genitourinary Syndrome of Menopause (GSM). This condition shows up in women as estrogen levels decline, most commonly during and after menopause.If you've been dealing with vaginal dryness, itching, pain with intercourse, or repeated urinary tract infections, you're not alone, and it may be GSM.I walk you through the updated guidelines from the American Urologic Association (AUA) and the American Urogynecologic Society (AUGS) for diagnosing and treating GSM. We talk about what symptoms to look for and the full range of treatment options, including hormonal and non-hormonal therapies, so you can make informed decisions that work for you.In this episode, I also cover:Why follow-up care is just as important as starting treatmentHow shared decision-making with your provider changes outcomesWhat research still needs to catch up when it comes to cost and accessIf you've ever wondered if your symptoms are "just aging" or felt unsure about what's normal after menopause, this episode is for you. My goal is to empower you with information and make sure you know you're not alone.For more information on this study: https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopauseTimeline:00:30 Introduction to Genital Urinary Syndrome of Menopause 01:25 Understanding the Symptoms and Diagnosis 03:15 Guidelines for Treatment 06:09 Hormonal Treatments and Recommendations 07:43 Non-Hormonal Treatments and Considerations 08:49 Energy-Based Treatments and Their Efficacy 10:36 Cancer Concerns and Hormonal Treatments 13:14 Follow-Up and Long-Term Management 14:04 Conclusion and Future Research

Everyone thinks hormone therapy is finally getting attention but no one's really talking about the fact that estrogen can be life-saving. The data is right there: lower mortality, fewer hospitalizations, less sepsis. So why is it still being overlooked?In my practice, I see patients every day who are silently suffering dealing with UTIs, vaginal dryness, painful sex, and bladder issues they think are just part of aging. But these symptoms often point to something much bigger: Genitourinary Syndrome of Menopause. And what's worse, it's still widely misunderstood or ignored.A recent study with new data stopped me in my tracks. Over 11 million patient records showed that vaginal estrogen doesn't just improve quality of life it dramatically reduces serious outcomes like sepsis and even death. That kind of impact should be front-page news in every medical journal, yet here we are… still debating whether it's “necessary.”We also talked about the brand new AUA guidelines, which now make it clear: local estrogen is first-line therapy. It's safe, even for many patients who were once told they couldn't use hormones. These guidelines finally reflect what we've known clinically for years that low-dose vaginal estrogen isn't just symptom relief. It's prevention.There's still a lot of confusion about systemic absorption, cancer risk, and when to refer out. So in this episode, I'm breaking down what's new, what's misunderstood, and what every patient and provider needs to know. I'm also sharing how I approach treatment options from estrogen and DHEA to pelvic floor therapy and even energy-based devices (yes, we go there).If you've ever been told this is just part of aging, or you're not sure what your options are, I hope this gives you clarity—and maybe a little validation, too. Highlights:Why vaginal estrogen can lower mortality, sepsis, and hospital stays.What the AUA's 2025 GSM guidelines say—and why they matter.Clearing up myths about hormone absorption and cancer risk.When to consider DHEA, Ospemifene, or non-hormonal options.The role of pelvic floor therapy in managing GSM.Resources:AUA's GuidelinesGyno Girl-GSM VideoGet in Touch with Dr. Rahman:WebsiteInstagramYoutube

Graham "GSM" Matthews is eating his hat (okay, not literally) to kick off WrestleRant Radio this week after admitting RJ Marceau was right: Mariah May has officially arrived in WWE! They get into her departure from AEW and quick debut on NXT this past Tuesday, why it's smart for her to head there first ahead of a main roster run, her successful AEW run and if Tony Khan could be hesitant to push certain people in the future in fear they'll jump to WWE, and more! The duo are also discussing R-Truth, Carlito and Valhalla (a.k.a. Sarah Lorgan) not having their contracts renewed by WWE, why releases are the nature of the beast but Truth being an exception, loyalty not meaning a damn thing to the TKO regime, and if fans are overreacting to the news. Plus, GSM and RJ give their complete preview and predictions for this weekend's Worlds Collide and Money in the Bank premium live events!

In this episode of the You Are Not Broken podcast, I'm diving into the brand-new clinical guidelines for Genitourinary Syndrome of Menopause (GSM)—because you deserve facts, not fear. We're breaking down what GSM actually is, why it's so often overlooked, and how these updated recommendations can help you and your clinician make informed, collaborative decisions about your care. I walk you through the full range of treatment options—yes, including hormones—and explain why vaginal estrogen remains a safe, effective choice, even for breast cancer survivors. We also talk about: Why education around hormonal changes in midlife isn't optional The role of pelvic exams (and how to make them less intimidating) Non-hormonal treatments that actually work Why this all matters: GSM impacts your quality of life, intimacy, and overall health This episode is your call to action. Use these new guidelines as a springboard for conversations with your healthcare provider—especially if they're not up to speed. Your body. Your voice. Your choice. AUA 2025 GSM Guidelines ⁠⁠⁠⁠Order my book⁠⁠⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠⁠⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠⁠⁠ Listen to my Tedx Talk: ⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠ ⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠ ⁠⁠⁠⁠My Website⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠Waitlist is open⁠⁠⁠ To learn more about GennaMD by Solv Wellness, visit ⁠⁠⁠⁠gennaMD.com ⁠⁠⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠⁠⁠gennaMDHCP.com⁠⁠⁠⁠.   Thanks to our sponsor ⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

Our guest is Dr. Irene Crescenze, an Associate Professor of Urology at Ohio State Univeristy. She talks with us about Genitourinary Syndrome of Menopause, or GSM. Learn what you should know about symptoms, treatment and improving your quality of life.  For more podcasts, follow The Urology Care Podcast on Spotify, SoundCloud, and/or iTunes.  Don't forget to subscribe to our free digital magazine, UrologyHealth extra® at www.urologyhealth.org/uhe. **** May 30, 2025

In this episode, Dr. Carolyn Moyers dives into one of the most overlooked yet impactful topics in women's health: low sexual desire. Despite growing recognition of sexual wellbeing as a key part of overall quality of life, sexual concerns are still rarely addressed in clinical settings. Drawing from the ISSWSH Process of Care for Hypoactive Sexual Desire Disorder (HSDD) and a new 2025 study published in Menopause, Dr. Moyers explores the barriers women face in getting support—and what healthcare providers can do to change that.Nearly 50% of postmenopausal women experience GSM symptoms — yet many suffer in silence. From vaginal dryness to recurrent UTIs and painful sex, these symptoms are chronic, progressive, and treatable.In this episode you will learn:Why sexual health conversations are often missing from routine careHow to use the Decreased Sexual Desire Screener (DSDS) to identify HSDDWhat a targeted physical exam can reveal—think clitoral adhesions, vulvodynia, high-tone pelvic floor dysfunction, and moreMedical and psychological conditions that contribute to low desireHow medications may be sabotaging sexual functionEvidence-based treatment strategies that go beyond “just relax and try wine”Why giving women permission to talk about sex is a clinical skill we all need to practiceISSWSH Process of Care for the Management of Hypoactive Sexual Desire Disorder in Women, published in Mayo Clinic Proceedings, April 2016New study in Menopause (May 2025) exploring physician barriers to addressing sexual concerns in clinical care

A captivating conversation between Sonya and Jo explores the rapidly evolving landscape of menopause healthcare, research, and politics in Australia. In this episode we begin by unpacking the viral podcast between Dr. Rachel Rubin and Dr. Peter Attia – a two-and-a-half hour deep dive into menopause, vaginal health and GSM that's being celebrated as "the best podcast that has been recorded to date on this topic." What makes it exceptional isn't just the content but the peer-to-peer dynamic between two medical professionals sharing both evidence-based information and clinical experience.The conversation takes a powerful turn when journalist Jamila Rizvi's health journey is discussed. At just 31, a missed period led to the discovery of a rare brain tumour affecting her hormone production – a sobering reminder that health changes should never be dismissed without proper investigation. This naturally leads us to a discussion of exciting new research published in Clinical Endocrinology that examines the relationship between sex hormones and dementia risk.Politics takes centre stage as we celebrate Australia's increasingly female Parliament, with two major parties now led by women and gender equality achieved in the Labor cabinet. The shift in ministerial portfolios sees Rebecca White stepping into the Assistant Minister for Health role. We wrap up with news of an Australian company developing the first new estrogen patch in 22 years, potentially addressing supply issues and skin irritation problems plaguing current options.Links:ABC Conversations with Jamila RizviDr Rachel Rubin and Dr Peter Attia Podcast - Apple PodcastsDr Rachel Rubin and Dr Peter Attia Podcast - YouTubeSex Hormones and Risk of Incident Dementia in Men and Postmenopausal Women - Clinical Endocrinology ArticleThank you for listening to my show! Join the conversation on Instagram

Sep Vermeersch: Master of Ceremony, dansfacilitator, presentator, DJ en nog veel meer. Ik ging met Sep in gesprek over de connectie tussen muziek en dans. Het werd een diepgaand gesprek over de culturele betekenis van dans- en bluesmuziek, over appropriatie, over “Can white man dance and sing the blues?”. Luister en geniet mee, in deze aflevering van de podcast “Into the Soul of the Blues”!Je kan Sep Vermeersch bereiken via de website www.sepvermeersch.be, via sep.vermeersch@gmail.com of op GSM +32 472489262.Vind je deze podcast inspirerend en leerrijk? Deel hem dan in jouw netwerk en volg de podcast zodat je geen enkele nieuwe aflevering mist. En een review is ook altijd fijn

 JUST DROPPED! The 2025 Genitourinary Syndrome of Menopause (GSM) guidelines are here — and trust us, they're a game-changer for pelvic health pros. Pelvic pain, dryness, urgency, and more — GSM is so much more than just hot flashes.The 2025 Genitourinary Syndrome of Menopause guidelines just dropped — and they're packed with clinical pearls pelvic health OTs can't afford to miss. What's new? What's outdated? What's YOUR role as an OT?We're breaking it all down in this week's episode of the OTS in Pelvic Health Podcast — and let's just say…you'll never look at menopause the same way again. Listen now. Learn more. Lead better. Link in bio.#PelvicHealthOT #GSM2025 #MenopauseMatters #OccupationalTherapy #WomensHealthOT #PelvicFloorTherapy #GSMguidelines #TraumaInformedOT #OTpodcast_______________________________________________________________Podcast: OTs in Pelvic HealthOT Pelvic Health HeadQuarters____________________________________________________________________________________________Pelvic OTPs United - Lindsey's off-line interactive community for $39 a month! Inside Pelvic OTPs United you'll find:​ Weekly group mentoring calls with Lindsey. She's doing this exclusively inside this community. These aren't your boring old Zoom calls where she is a talking head. We interact, we coach, we learn from each other.​ Highly curated forums. The worst is when you post a question on FB just to have it drowned out with 10 other questions that follow it. So, she's got dedicated forums on different populations, different diagnosis, different topics (including business). Hop it, post your specific question, and get the expert advice you need. More info here. Lindsey would love support you in this quiet corner off social media!

In this episode of the Sky Women's Health Podcast, Dr. Carolyn Moyers, board-certified OB/GYN and Menopause Society Certified Provider, breaks down the newly released 2024 American Urological Association (AUA) Clinical Guideline on Genitourinary Syndrome of Menopause (GSM).

Graham "GSM" Matthews and RJ Marceau open this week's WrestleRant Radio remembering Terry "Sabu" Brunk following his passing over the weekend, his influence on the industry, the legacy he leaves behind and their favorite matches of his. They then get into their in-depth review of WWE's Backlash premium live event including Jeff Cobb's debut and how he'll fit into the fold, Lyra Valkyria and Becky Lynch stealing the show, if outside interference is becoming a recurring problem in WWE, what worked (and what didn't) about Gunther vs. Pat McAfee, and if the John Cena vs. Randy Orton main event exceeded expectations. GSM and RJ are also discussing WWE's upcoming stretch of shows, if they're spreading themselves too thin and if it'll have a negative effect on the company's creative direction, if Goldberg's return is imminent with Gunther challenging for the World Heavyweight Championship on the June 9th Raw, WWE's Rhea Ripley problem and how it's affecting newcomers Roxanne Perez and Giulia, and more!

Join Sean V. Bradley and L.A. Williams as they feature the incredible Toni Cornell, a true trailblazer in automotive sales who's making waves with her innovative use of social media. From being a young mom to becoming a six-figure earner, Toni's journey is nothing short of inspiring! "I went from a 15-year-old mom to making over six figures. You know, I haven't needed state assistance." – Toni Cornell In this episode, she opens up about how she's leveraged her personal and business Facebook pages to generate leads, sell cars, and grow her network organically, creating lasting relationships along the way! "I've been using social media for, I would say 10 years... and it's my main source of business." – Toni Cornell Toni shares the secrets behind her content strategy, designed to foster personal connections and community trust. With the support of her manager, she dives into her transition from BDC to full-time sales, emphasizing the power of adaptability and a human-first approach, especially in an era dominated by AI. Plus, discover how AI technologies like Podium's conversational AI are helping salespeople engage with customers continuously, enhancing their sales efforts. This episode is packed with game-changing insights you don't want to miss!   Key Takeaways: ✅ Toni Cornell achieved an impressive feat in automotive sales, selling up to 51 cars in one month, primarily through social media strategies. ✅ By using her Facebook pages, Toni reaches nearly 300,000 people, with over 90,000 direct engagements, which translates to daily leads and consistent sales. ✅ Social media is not only about direct sales; Toni emphasizes the importance of community engagement, authentic content sharing, and building trust with followers. ✅ Integrating AI into sales processes can facilitate continuous customer interaction, allowing professionals like Toni to manage increased leads without compromising personal touch. ✅ Managers like Harry play a pivotal role in recognizing and nurturing talent, encouraging the use of innovative platforms like the Millionaire Car Salesman Network to drive success.   About Toni Cornell Toni Cornell is a distinguished automotive sales professional who has mastered the art of selling vehicles through social media! Starting as a BDC representative, Toni has built an impressive career, selling up to 51 cars in a month and leveraging platforms like Facebook to expand her clientele. With over 17,500 organic followers and an engagement reach of 90,000 on her personal Facebook page, Toni has become a social media influencer in the automotive industry. Aside from her sales achievements, she is also recognized for her commitment to community service and advocacy!   Unlocking Success in Car Sales: Leveraging Social Media, Mentorship, and Innovation Key Takeaways: Social Media Mastery: Harnessing Facebook to generate leads and influencer-level engagement can significantly boost car sales. Mentorship and Empowerment: A supportive management team can elevate salespeople, transforming potential into performance. Innovation in a Changing Landscape: Staying ahead in the auto industry requires thinking outside the traditional dealership model.   Harnessing the Power of Social Media for Car Sales In today's digital age, social media has emerged as an invaluable tool for car sales professionals looking to maximize their reach and influence. Leveraging platforms like Facebook not only enhances personal branding but also serves as a powerful lead generation tool. Toni Cornell, a standout figure in automotive sales, exemplifies this transformation with her impressive use of social media to drive business outcomes. Toni's journey from a beginner to a leading salesperson showcases the monumental power of social media in sales. By cultivating a staggering 17,500 followers on her organic page, she managed to achieve an engagement level that reaches up to 300,000 people, with 90,000 directly engaging with her content. As she shares, "I have videos with up to 1.4 million views, and it's my main source of business." What sets Toni apart is not just her ability to attract followers but also her strategic use of Facebook as a revenue-generating tool, earning $1,000 to $2,000 a month from ad revenue. This showcases the potential of social media to supplement income while bolstering sales efforts. Her story is a testament to the impact of integrating social media into a sales strategy, emphasizing how platforms like Facebook can become indispensable allies in a competitive market.   The Role of Mentorship and Empowerment in Sales Success Behind every high-achieving professional is often a supportive mentor who recognized and nurtured their potential. For Toni Cornell, that mentor was her general sales manager, Harry, who not only identified her potential but also directed her towards invaluable resources to foster her growth. "I've been following it for a while. Someone just suggested it for me, and I really like the content, what you guys were about," Harry explains. Harry's approach highlights a critical element of success: empowerment. By encouraging Toni to join the "Millionaire Car Salesman Facebook Group," he provided her with tools that propelled her knowledge and operations beyond traditional dealership expectations. Harry describes Toni as someone who "took off with it" and transformed her online presence into a consistent source of leads, thereby enhancing dealership sales without any direct dealership expenditure. The essence of Harry's mentorship style lies in allowing salespeople to explore creative methods of growing their business while offering unwavering support. This strategy has propelled Toni to achieve remarkable feats, such as selling 51 cars in a single month. Her experience shows how encouragement and autonomy can unlock previously untapped potential within sales professionals.   Innovation: Leading the Auto Sales Industry into a New Era In a rapidly evolving automotive landscape, innovative thinking has become non-negotiable. The traditional dealership model's limitations are becoming increasingly apparent, especially when contrasted with the fresh approaches of individuals like Toni Cornell. Her story is a blueprint for those looking to thrive amidst industry changes. The proactive pursuit of alternative avenues, such as strategic social media utilization, not only fills the gaps left by traditional methods but also opens new doors for customer engagement. Harry, the GSM at her dealership, recognized this dynamic early on: "I didn't do anything with it. I didn't prospect it, I didn't work or lead. I wasn't in the CRM, didn't pay for it. It's all extra." Such forward-thinking approaches are critical, especially in an industry where to remain stagnant is to fall behind. As dealerships face tighter competition and evolving consumer expectations, integrating innovative tools like AI chatbots and personalized social media campaigns can enhance customer experience and loyalty.   Gaining Traction: Elevating Car Sales through Creativity and Community The journey depicted in this conversation serves as a powerful example of how combining social media prowess with effective mentorship can lead to unprecedented success in car sales. Toni Cornell's achievements underscore the profound impact that social media and community engagement can have on business outcomes. Her story is a reminder that in an ever-changing industry, innovation and adaptability remain the cornerstones of sustained success. Supporting team members and equipping them with the tools to thrive is not just beneficial for individual professionals; it contributes to a dealership's overall growth and resilience. As Toni continues to forge ahead, her journey inspires others to explore how they can reinvent their practices and embrace the digital age's opportunities. The account from the millionaire car sales podcast offers crucial insights into the changing automotive sales landscape. It shows that by embracing technology, mentoring talented professionals, and fostering a culture of innovation, dealerships can not only survive but thrive in a rapidly evolving marketplace.   Resources: Podium: Discover how Podium's innovative AI technology can unlock unparalleled efficiency and drive your dealership's sales to new heights. Visit www.podium.com/mcs to learn more!   ProMax: Complete CRM: Complete CRM is a streamlined, all-in-one system that simplifies your dealership software and processes so you can manage every aspect of your operation with ease; from tracking and following up on leads, desking deals, managing inventory, marketing to your customers, and more. Visit www.nccdirect.com/dealer-synergy to learn more!   Dealer Synergy & Bradley On Demand: The automotive industry's #1 training, tracking, testing, and certification platform and consulting & accountability firm.   The Millionaire Car Salesman Facebook Group: Join the #1 Mastermind Group in the Automotive Industry! With over 29,000 members, gain access to successful automotive mentors & managers, the best industry practices, & collaborate with automotive professionals from around the WORLD! Join The Millionaire Car Salesman Facebook Group today!   Win the Game of Googleopoly: Unlocking the secret strategy of search engines.     The Millionaire Car Salesman Podcast is Proudly Sponsored By: Podium: Elevating Dealership Excellence with Intelligent Customer Engagement Solutions. Unlock unparalleled efficiency and drive sales with Podium's innovative AI technology, featured proudly on the Millionaire Car Salesman Podcast. Visit www.podium.com/mcs to learn more!   ProMax: Complete CRM: As an innovative leader in the industry for the last 30 years, Complete CRM is designed to give your dealership the competitive edge in a demanding marketplace. Powered by Complete Credit™ and award-winning desking, Complete CRM™ is the industry's only credit and compliance-enabled CRM that lets dealers achieve maximum profitability on every deal. Built on modern technology, Complete CRM seamlessly integrates credit, compliance, inventory, data mining, lead generation, enterprise functionality, and customized reporting in one tool with a single login. Visit www.nccdirect.com/dealer-synergy to learn more!   Dealer Synergy: The #1 Automotive Sales Training, Consulting, and Accountability Firm in the industry! With over two decades of experience in building Internet Departments and BDCs, we have developed the most effective automotive Internet Sales, BDC, and CRM solutions. Our expertise in creating phone scripts, rebuttals, CRM action plans, strategies, and templates ensures that your dealership's tools and personnel reach their full potential.   Bradley On Demand: The automotive sales industry's top Interactive Training, Tracking, Testing, and Certification Platform. Featuring LIVE Classes and over 9,000 training modules, our platform equips your dealership with everything needed to sell more cars, more often, and more profitably!

Studio GSM, internationally renowned for its expertise in experience design, teamed up with artist Justine Emard, whose work is exhibited around the world. Their respective approaches to immersive creation met the objectives of COFREX (Compagnie Française des Expositions), in charge of organizing the French Pavilion at the World Expo: to create a sensory experience to promote French creation and excellence in Japan during this major event.Together, GSM and Justine Emard co-created the overall narrative of the exhibition and the paintings that make it up, with the contribution of COFREX and the Pavilion's partners. They established the artistic and scenographic principles of the experience around the common thread of pulsation. GSM is also responsible for the Pavillon's visual identity, including the logo, signage, artistic direction of the exhibition, and the attire of the hosts and hostesses.“This experience is the result of an ambitious co-creation process with all the project partners. This is surely the greatest challenge that GSM has taken up over the past two years: to bring together all the players around the table and imagine together this Pavilion in the image of France.” - Fabien Lasserre, Project Manager, GSM Project to listen to in this new Com d'Archi.Image teaser © Justine EmardSound engineering : Ali Zogheib___If you like the podcast do not hesitate:. to subscribe so you don't miss the next episodes,. to leave us stars and a comment :-),. to follow us on Instagram @comdarchipodcast to find beautiful images, always chosen with care, so as to enrich your view on the subject.Nice week to all of you ! Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

GSM Project est une agence québécoise qui conçoit des expositions en créant des expériences qui émeuvent, sensibilisent, déstabilisent. En bousculant la logique, les idées toutes faites, les fantasmes, les équipes GSM Project visent à procurer une compréhension plus profonde du monde.Après quelques années à Montréal chez GSM, en complément des antennes de Singapour et Dubaï, Fabien Lasserre, architecte, monte l'antenne de GSM à Paris en 2018. Récemment Laure Cheung a rejoint Fabien à la tête de l'agence. Nous connaissons déjà Laure qui était venue témoigner dans le numéro S2#66, dans un autre cadre. Dans ce nouveau numéro de Com d'Archi, Fabien Lasserre nous raconte son parcours. Laure nous raconte sa trajectoire depuis le numéro S2#66. Puis ils nous parlent de cette agence atypique, GSM Project, qui travaille sur des sujets très diversifiés de Star Wars au Vitrail, en scénographie, en muséographie, en graphisme, production audio-visuelle et multimédia. En continuité de nos précédents sujets, il est question d'architecture bien sûr, mais aussi d'histoire(s), de storytelling, d'expérience à partir du vécu de cette prestigieuse agence qui vient de signer et d'inaugurer la scénographie du pavillon de la France à l'exposition universelle d'Osaka. Image teaser © Laetitia Prieur - Laure Cheung & Fabien Lasserre, GSM Project ParisIngénierie son : Ali Zogheib____Si le podcast COM D'ARCHI vous plaît n'hésitez pas :. à vous abonner pour ne pas rater les prochains épisodes,. à nous laisser des étoiles et un commentaire, :-),. à nous suivre sur Instagram @comdarchipodcast pour retrouver de belles images, toujours choisies avec soin, de manière à enrichir votre regard sur le sujet.Bonne semaine à tous ! Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Dustin Hertz & Blvckprint - Disconnected Being played by supportive DJ's for quit some time now, this GSM interference themed track is now available for your sets! -- Yellow Fever Records is proud to present our latest sampler featuring six refreshing bangers. With this sampler, we're bringing you the freshest and most exciting sounds in jump music today. From ethereal melodies to driving basslines, these tracks showcase the diversity and innovation of the jump music scene. With this release, Yellow Fever continues our commitment to supporting harddance artists and pushing the boundaries of the jump genre. Whether you're a die-hard fan of electronic music or a newcomer to the scene, this sampler is sure to satisfy your craving for cutting-edge beats and melodies.

Episode OverviewIn this episode of Fempower Health, we break down one of the most common—and misunderstood—conditions women face after menopause: Genitourinary Syndrome of Menopause (GSM).Often referred to by symptoms like vaginal dryness, painful sex, burning with urination, or frequent UTIs, GSM affects nearly half of postmenopausal women. Yet many women are never told it has a name—let alone that it's treatable.We're unpacking what the new 2025 GSM guidelines reveal, and why they mark a turning point in how clinicians should diagnose and treat this condition.What You'll LearnWhat Genitourinary Syndrome of Menopause (GSM) really meansHow GSM symptoms impact vaginal, sexual, and urinary healthWhy vaginal estrogen is a frontline treatment, even with systemic HRTCommon myths about lubricants, moisturizers, and “just aging”The difference between managing GSM vs. masking itWhy GSM often goes unaddressed in clinical settings—and what needs to changeWhat the 2025 guidelines clarify for patients and providers alikeHow untreated GSM can impact confidence, relationships, and even career performanceWhy This MattersToo often, women's health is narrowly defined as periods, pregnancy, and menopause hot flashes. But vaginal and urinary health after menopause deserves equal attention.Whether you're a patient, provider, or policymaker, understanding GSM is essential to changing the conversation around what midlife care really looks like.Related ResourcesRead Burning, Dryness, Pain? These New Guidelines Change EverythingRead the 2025 GSM GuidelinesResources and episodes on Perimenopause & Menopause and sign up for the Perimenopause and Menopause newsletter **Top 50 Health Podcast of 2024** Want men to better understand how to you during your menopause journey! Tell us what you want them to know.If you're passionate about advancing women's health, there are many ways you can support and stay in touch with Fempower Health. Here's how:Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!Engage in Discussions: Join the Fempower Health Women's Health Community. Learn more here. Find Us on...

The term "genitourinary syndrome of menopause" (GSM) was introduced in 2014 by the International Society for the Study of Women's Sexual Health and the North American Menopause Society (now the Menopause Society). This new term was created to replace older terms like vulvovaginal atrophy, urogenital atrophy, and atrophic vaginitis, and it encompasses the range of symptoms related to hormonal changes in the vulvovaginal and urinary tract areas that can occur during menopause. Recurrent UTIs are more likely in postmenopausal women not on vaginal estrogen therapy. IN this episode, we will highlight new data from the recent AUA meeting which looked at surprising benefits on postmenopausal vaginal estrogen in women with recurrent UTIs. Nonetheless, questions on the data remain. Listen in for details.

Torbreck Vintners "The Steading" In this episode, Rob and Scott review a GSM blend from Barossa Valley in Australia by Torbreck Vintners known as The Steading. So come join us, on The Wine Vault.  

Meeting summary for Dana Claire talking about fulfillment (06/18/2024)Quick recapThe team discussed the challenges and strategies of book printing, importing, and marketing, with a focus on crowdfunding campaigns and special editions. They also explored the importance of clear communication with manufacturers, the benefits of pre-production samples, and the potential of Kickstarter for book launches. Lastly, they discussed the different paper types and weights, the services offered by Dana's company, and the need for accurate project details to ensure successful campaigns.Next steps• Dana to provide quotes for special edition printing based on book specifications like page count, size, etc.• Authors to book a call with Dana on theinfluence.com for Kickstarter campaign management or special edition printing services.• Authors to consider getting pre-production samples from Dana's team to review before full production run.• Authors to provide separate files for different printing elements like foil, spot UV, etc. to the printer.• Authors to communicate clearly with the printer regarding paper weight (GSM or pounds), printing techniques, and other specifications.• Authors to explore options like split shipping, different cover variants, and inserts for added exclusivity.• Authors to educate themselves on printing terminology and best practices using resources like Russell's article "How to Print Books for Fun and Profit".• Authors to consider long-term sales strategies for special editions beyond just Kickstarter, such as direct sales, subscriptions, or Amazon FBA.SummaryNavigating Crowdfunding and Book Marketing ChallengesRussell introduced Dana Claire, founder of The Influence, a company that helps authors with marketing, importing, and Kickstarter campaigns. Dana shared her experience navigating the ever-changing landscape of crowdfunding campaigns and the importance of her company's advisory role. The team discussed the challenges of book printing, importing, and shipping, including factory relationships, quality control, and communication issues with foreign printers. They explored cost-saving strategies like gang printing and binding for bulk orders. Dana outlined her company's project management approach, guiding clients through campaign planning, design, and launch without handling fulfillment or advertising. Russell suggested options for simpler campaigns, such as special editions or relaunches, to appeal to existing audiences.Promotional Items, Shipping, and Special EditionsDana shared her extensive experience in promotional items, custom designs, and manufacturing processes, highlighting her plans to launch a new website with about 20 unique, inexpensive items. Russell discussed the challenges and potential solutions for shipping large quantities of plushes, while Monica emphasized the need to develop a strategy for selling special editions, beyond just Kickstarter. Dana pointed out the increasing trend of publishing houses releasing special editions, indicating a potential opportunity for self-publishing authors to follow suit.Exploiting Book Cover Variations for Kickstarter SuccessDana and Russell discussed the benefits of using different covers for the same book on Kickstarter and other platforms, emphasizing the potential for increased sales and exclusivity. They highlighted the strategy of printing a standard interior and utilizing change fees for various cover options, such as different dust jackets or hardcovers, to cater to different markets. They also discussed the option of inserting custom illustrations or signed pages into Kickstarter campaigns for added exclusivity. They shared personal experiences and examples from successful campaigns, underscoring the effectiveness of these methods.Enhancing Communication With Chinese ManufacturersMonica, Dana, and Russell discussed the importance of clear communication, particularly when working with manufacturers in China. Dana emphasized the need to provide detailed instructions and specifications, and to confirm details repeatedly to avoid misunderstandings. She also highlighted the significance of understanding the nuances of paper units, such as GSM and Pounds, to avoid errors in production. Russell suggested carrying a paper thickness sample as a reference when communicating with manufacturers. Lastly, the team touched upon the value of pre-production samples to avoid any unforeseen errors or misunderstandings.Pre-Production Samples and Printing TechniquesDana explained the process and advantages of ordering a pre-production sample for book printing, emphasizing that it could save significant costs in the long run. She also clarified the differences between spot gloss and foil, noting that the latter cannot have shading or gradients. Russell shared his practice of sending detailed files to printers for specific effects. Monica suggested working with designers to understand the technical language and specifications required by printers. The team also clarified that they offer campaign management services but do not handle audio production.Kickstarter Campaign Strategy for Book SeriesRussell sought advice from Dana on the best approach to a Kickstarter campaign for the fifth book in a series. Dana suggested keeping the campaign simple with creative rewards, such as naming a character after a backer or having a virtual Zoom party. Russell proposed offering ebooks and print books of the series, with additional rewards for higher tiers. Dana reassured him about flexibility in ordering and fulfillment, suggesting that they could adjust the quantity based on demand. The team also discussed the long-term planning for future campaigns, with Dana mentioning a friend's successful strategy of setting stretch goals for add-ons.Book Printing Best Practices DiscussedDana, Russell, and Monica discussed the best practices for book printing, focusing on the paper quality and thickness. Dana suggested a 80 lb paper for most books, including special editions, as it strikes a good balance between quality and thickness. However, for more artistic or custom illustrations, a 100 lb paper might be necessary. Children's books, on the other hand, might require thicker paper due to their intended use. Dana also clarified that clients should always provide accurate details about their book, such as page count and size, to ensure an accurate quote.Clarifying Printing Services and Special EditionsRussell asked Dana for clarification on the services her company offers for those who don't require design services but need help with overseas printing. Dana explained that her company has three tiers of service: special editions, production, and campaign management. She also mentioned that they could assist with split shipping, a service that has become increasingly popular. The group further discussed the concept of "special editions," with Russell and Dana emphasizing that these editions should offer something unique to the reader, such as a signed copy. They also touched on the potential of Kickstarter for book launches, with Russell cautioning that not all books need a massive, special campaign.Book Printing, Paper Types, and MeasurementsRussell, Monica, and Dana discussed various aspects of book printing, focusing on paper types and weights. They clarified that GSM and pounds are two different measurements for paper thickness. Dana advised that to understand the measurements, it's best to obtain samples from different companies. Monica suggested that interested parties should book a call with Dana for a discussion on their project, be it a Kickstarter campaign or a special edition. Dana emphasized that inquiries about Kickstarter should go through her, while special edition inquiries should go directly to her. The team also mentioned a useful article on printing books for fun and profit that Russell had shared. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.writermba.com/subscribe

What if your LLM could think ahead—preparing answers before questions are even asked?In this week's paper read, we dive into a groundbreaking new paper from researchers at Letta, introducing sleep-time compute: a novel technique that lets models do their heavy lifting offline, well before the user query arrives. By predicting likely questions and precomputing key reasoning steps, sleep-time compute dramatically reduces test-time latency and cost—without sacrificing performance.​We explore new benchmarks—Stateful GSM-Symbolic, Stateful AIME, and the multi-query extension of GSM—that show up to 5x lower compute at inference, 2.5x lower cost per query, and up to 18% higher accuracy when scaled.​You'll also see how this method applies to realistic agent use cases and what makes it most effective.If you care about LLM efficiency, scalability, or cutting-edge research.Explore more AI research, or sign up to hear the next session live: arize.com/ai-research-papersLearn more about AI observability and evaluation, join the Arize AI Slack community or get the latest on LinkedIn and X.

On this episode, Dr. Sadaf breaks down everything you need to know about the newly released American Urological Association guidelines on Genitournary Syndrome of Menopause (GSM). Learn all about this common condition that is caused by low estrogen after menopause, how doctors diagnose GSM, and what symptoms it comes with. This episode is a full breakdown of these new guidelines that are essential towards providing women and their providers with valuable insights and strategies for effectively treating GSM.You can read the new GSM guidelines here: https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopauseDisclaimer: Anything discussed on the show should not be taken as official medical advice. If you have any concerns about your health, please speak to your medical provider. If you have any questions about your religion, please ask your friendly neighborhood religious leader. It's the Muslim Sex Podcast because I just happen to be a Muslim woman who talks about sex.To learn more about Dr. Sadaf's practice and to become a patient visit DrSadaf.comLike and subscribe to our YouTube channel where you can watch all episodes of the podcast!Feel free to leave a review on Apple Podcasts and share the show!Follow us on Social Media...Instagram: DrSadafobgynTikTok: DrSadafobgyn

渋谷で発見された携帯電話の「偽基地局」にはインバウンド狙いのフィッシングや通信傍受のリスクがあるという話題から、サイバーセキュリティの注目動向、長い文章が読まれない問題や、AIの要約機能のバランスについて語りました03:12 渋谷のど真ん中で携帯の偽基地局の報告 − 特定エリアで圏外、日本では使われていないGSMの電波が飛んでいるらしい04:12 渋谷109からスクランブル交差点間でフィッシングや通信傍受の危険性04:33 「IMSIキャッチャー」で通信傍受し、携帯のデバイスIDを抜き取られる危険性05:20 偽基地局はインバウンド客のフィッシングが目的？06:19 シンガポールでは偽基地局使って大統領府へのスパイ活動で逮捕された事例があるらしい08:08 ニューヨークで突然iPhoneに「E」という古い通信規格（エッジ）が表示され、偽基地局だったのかも？な体験13:22 パスワードがない無料WiFi、野良WiFi接続する？18:11 Deep Tech分野での最近の注目はロボティクスに加えてサイバーセキュリティ18:36 クラウドセキュリティ企業「Wiz」をGoogleが320億ドル（約5兆円）で買収、最高額記録19:37 国際女性サイバーセキュリティコンテスト「Kunoichi」の女性ハッカーたちがカッコいい26:23 文字が多くて長すぎると頭がシャットダウンして読めない/読まれない問題 − 読まれる・伝えるための工夫あれこれ25:06 2パラグラフ以上にしない、分かってほしいところを太字で表記 → それでも太字部分を質問される28:03 長めの文を要約したものだけを摂取すると自分で考えるチカラと読解力が落ちてしまう自覚症状と懸念エピソード内で取り上げた情報へのリンク： 偽基地局 Togetter Google、Wiz との買収合意を発表 国際女性CTF「Kunoichi Cyber Game」テック業界で働く3人が、テクノロジーとクリエイティブに関するトピックを、視点を行き交わしながら語り合います。及川卓也 @takoratta プロダクトマネジメントとプロダクト開発組織づくりの専門家 自己紹介エピソード ep1, ep2関信浩 @NobuhiroSeki アメリカ・ニューヨークでスタートアップ投資を行う、何でも屋 自己紹介エピソード ep52上野美香 @mikamika59 マーケティング・プロダクトマネジメントを手掛けるフリーランス 自己紹介エピソード ep53Official X: @x_crossing_ https://x-crossing.com

Le Millenium ! Il y a 25 ans tout rond, nous venions de le passer, ce fameux réveillon de l'an 2000 qui allait être le truc le plus extraordinaire jamais vu et que finalement … bon vous savez. Du moins pour ceux qui étaient déjà en âge de faire réveillon, de rester éveillé jusqu'au 31 décembre 1999 à 23 heures 59.Et franchement, combien ont dit : J'ai bien réfléchi, partez sans moi, je reste au XX° siècle ! Je vous rejoindrai p't'être. Ils auraient eu tort, hein ? Ils auraient raté les smartphones et la révolution du numérique qui s'est installée dans nos vies quotidiennes à coup de réseaux sociaux, d'infos et d'images en tout genre. Non, pas sûr que beaucoup d'auteurs de science-fiction des années 50 à 70 qui nous ont fait rêver avec leurs mondes futurs aient vu venir cette génération perpétuellement collée à une petit planche électronique qui tient dans la poche. Je n'exagère pas. De 2001, où on était censé partir en odyssée dans l'espace à 2010, on est passé de 500 millions de personnes possédant un GSM à 4 milliards six cents millions. Voilà qui a changé nos sociétés et notre vie. Connectée qu'ils disent. Aux autres, au monde, disent les optimistes, à un monde virtuel, en d'autres mots “pas la vraie vie” disent les autres.C'est vrai qu'on ne regarde plus les disques tourner en écoutant la musique qui est devenue un fond sonore et non plus une occupation. C'est vrai aussi qu'on ne doit plus attendre le journal télé du soir pour connaître les infos du jour. Et c'est vrai qu'on peut même regarder des films et écouter de la musique sans avoir à payer (et entre parenthèses en toute illégalité). On peut même parler à certains d'entre eux sur un site nommé MySpace. C'est étonnant mais ils y ont ouvert chacun leur compte pour y déposer des sons, des photos, des images, des infos et parfois, ils répondent à vos messages. Ca fait tout drôle d'être dans son espace, un contact direct avec un musicien ou une chanteuse. Le nombre des chaînes télés explose sur nos téléviseurs, les jeux vidéos passent en haute définition, l'internet en haut débit (vous vous souvenez des 4 lettres ADSL?), les films deviennent des séries de Harry Potter aux Super Héros Marvel, DC Comics et autres. Un besoin de super héros sans doute rassurant avec la montée de super méchants, bien ancrés dans le monde réel, eux. Et donc, un nouveau monde baptisé 2.0 s'éveille comme en témoigne ces nouveaux leaders héros entrepreneurs, comme Bill Gates et Steve Jobs. Des nouveaux leaders et des nouvelles stars, nées à la fin des années 80, et qui ont grandi dans ce nouveau monde digital avec Toy Story comme la jeune Taylor Swift, 18 ans et déjà un deuxième album. Les lendemains qui chantent toujours dans cette nouvelle ère, avec cette nouvelle version de Roméo et Juliette qui vont finalement se marier et qui vont hisser son interprète à un niveau jamais atteint par une chanteuse dans le coeur du public.

This episode is a playbook for any curious 20-something in India dreaming of building the next big consumer electronics brand. Whether it's smartphones, earbuds, AI-powered glasses or health wearables, we dig into what it really takes to break into, and survive, this highly competitive space.I sat down with three brilliant minds in the game who've actually done it: Carl Pei (Co-Founder, Nothing), Rahul Sharma (Co-Founder, Micromax), and Amit Khatri (Co-Founder, Noise). We tried to decode the what, how, and WTF of this industry—from regulations and the fairness of trade tariffs, to startup realities and what disruption might look like next.You might just spot the next big idea as they share some untapped opportunities waiting to be built in this sector.Resource Document: https://iridescent-party-a15.notion.site/Consumer-Electronics-Resource-Document-1e1aef3ec3e980f29b86dd9bae34410dTimestamps:00:00 - Intro01:12 - How Apple sparked Carl's love for tech05:05 - The reason for Y Combinator's success07:28 - Carl's ‘lazy genius' approach towards his career15:05 - How Nothing differentiated itself16:36 - US tariff's impact on China, India & the industry (Note: Since this episode was recorded before recent changes to global trade & tariff policies, some views may not reflect current regulations.)22:10 - Carl's philosophical views on life24:23 - Rahul's journey & the roots of his entrepreneurial spirit29:30 - Micromax's early days: From payphones to GSM innovation38:23 - How traveling to villages led to Micromax's success50:47 - Competing with China & Micomax's manufacturing pivot1:00:00 - Apple's vertical integration strategy: Lessons for companies & governments1:05:00 - Learnings from Rahul's risk-taking & resilience1:09:00 - Amit's journey from education to building Noise1:23:34 - Roadmap for 20-somethings entering the electronics industry01:41:47 - Identifying gaps in the commodity market1:48:02 - Disruption in smartphones through design and AI opportunities1:57:40 - Today's youth vs. yesterday's corporations2:01:13 - Building India's supply chain & unlocking its market opportunity2:07:21 - An electronics launchpad for young entrepreneurs2:16:45 - India's semiconductor push & restarting efforts2:22:26 - Future of TV: One UI for all streaming apps?2:25:41 - Can India build a global ecosystem in electronics?2:35:58 - Health wearables & EdTech opportunities2:42:44 - Advice for 20-somethings who want to break into this industry#NikhilKamath - Investor & EntrepreneurTwitter: https://x.com/nikhilkamathcioLinkedIN: https://www.linkedin.com/in/nikhilkamathcio/ Instagram: https://www.instagram.com/nikhilkamathcio/ Facebook: https://www.facebook.com/nikhilkamathcio/ #CarlPei - CEO & Co-Founder, NothingTwitter: https://x.com/getpeidLinkedIN: https://www.linkedin.com/in/getpeid/Instagram: https://www.instagram.com/getpeid/Facebook: https://www.facebook.com/getpeid/ #RahulSharma - Co-Founder, MicromaxTwitter: https://x.com/rahulsharma LinkedIN: https://www.linkedin.com/in/rahul-sharma-83038634a/ #AmitKhatri - Co-Founder, NoiseTwitter: https://x.com/iamamitkhatri LinkedIN: https://www.linkedin.com/in/iamamitkhatri/Instagram: https://www.instagram.com/itsamitkhatri/

I am really excited to chat to today's special guest Kay Wilson. Kay is a Nottingham-based illustrator, most well known for her cover of the best-selling book A Kind of Spark, as well as Keedie, Like a Charm and Like a Curse by Elle McNicoll. Kay has worked on a wide range of projects, from editorial illustration to podcast art. I hope you enjoy listening to our chat!Things Kay mentioned and recommended (with notes below provided by Kay!):Gabe Dunn Article - Get Rich or Die Vlogging (the original was posted to Fusion, which doesn't seem to exist anymore, hence the reupload)Layout Paper - I used Seawhite of Brighton's one if people want exactTombow Brush PensPosca MarkersPentel Arts Pocket Brush Pen - the name of the pen Kay couldn't remember!Pith Sketchbook - technically I use their "blank notebook" as their official sketchbooks have much heavier GSM paper, and I mainly use ink. The heavier GSM is probably better for painting, but the notebook level is perfect for sketching and doodles :)Kay's links:Instagram: Kay Wilson

*DISCLAIMER* This episode covers adult topics that are not intended for young ears.   260. Sex After Cancer with Dr. Kris Christiansen   James 1:19 (NIV) My dear brothers and sisters, take note of this: Everyone should be quick to listen, slow to speak and slow to become angry,   **Transcription Below**   Questions We Discuss: What is common mis-information that you want to set straight as it relates to cancer and sex? If someone is walking their own cancer journey right now, what would you advise them to both do and avoid doing so that they can still enjoy the healthiest sex life possible with their spouse? What hope do you have to share with people who have battled cancer and still desire to connect intimately with their spouse?   Dr. Kris Christiansen is a board-certified family physician who specializes in sexual medicine. She attended medical school and completed her residency in family medicine at the University of Minnesota. She practiced full spectrum family medicine for 10 years and then pursued additional training to specialize in sexual medicine. She works as a sexual medicine specialist at two different clinics in the twin cities.   Her clinical interests include both male and female sexual dysfunction, and she loves working with individuals and couples to restore an important part of life. Dr. Christiansen is involved with teaching medical students and residents at the University of Minnesota Medical School, and she has presented at multiple local, national, and international medical conferences. She is involved with the International Society for the Study of Women's Sexual Health (ISSWSH) and serves on committees, collaborates with other experts to publish articles for medical journals, and edits informational articles for the society's new patient facing website. She is passionate about teaching patients, students, and colleagues about the importance of sexual health and well-being. In her free time, she started her own business called Intimate Focus which provides information and quality products to enhance and restore sexual health and wellness. She also enjoys shopping, hiking, and spending time with her family.   Dr. Kris Christiansen's Website   Previous Episodes featuring Dr. Kris Christiansen on The Savvy Sauce: 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen   Additional Place to Find More Episodes from The Savvy Sauce Related to This Topic: One-Stop Shop for Marriage and Intimacy Resources   Dr. Kris Christiansen's Recommended Websites for Sexual Health: The Menopause Society Mayo Clinic National Institutes of Health International Society for the Study of Women's Sexual Health American Urological Association International Society of Sexual Medicine Sexual Medicine Society of North America American Cancer Society ISSWSH International Society for the Study of Women's Sexual Health SMSNA Sexual Medicine Society of North America  ISSM International Society of Sexual Medicine The Menopause Society   Find a provider: For a women's sexual health provider, pelvic floor physical therapist, (non-Christian) sex therapist ABCST American Board of Christian Sex Therapists (for a Christian sex therapist)   Thank You to Our Sponsor: Leman Property Management Company   Connect with The Savvy Sauce on Facebook or Instagram or Our Website   Please help us out by sharing this episode with a friend, leaving a 5-star rating and review on Apple Podcasts, and subscribing to this podcast!   Gospel Scripture: (all NIV)   Romans 3:23 “for all have sinned and fall short of the glory of God,”   Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.”   Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.”    Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.”    Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”    Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.”    John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.”   Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.”    Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.”   Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus”   Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.”   Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.”   Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“   Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“   Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”   **Transcription**   Music: (0:00 – 0:09)   Laura Dugger: (0:10 - 1:22) Welcome to The Savvy Sauce, where we have practical chats for intentional living. I'm your host, Laura Dugger, and I'm so glad you're here.    Leman Property Management Co. has the apartment you will be able to call home, with over 1,700 apartment units available in Central Illinois.   Visit them today at lemanproperties.com or connect with them on Facebook.    Today's message is not intended for little ears. We'll be discussing some adult themes, and I want you to be aware before you listen to this message.   Not many people specialize in the same thing as our returning guest for today, Dr. Kris Christiansen. She specializes in sexual medicine, and today she's going to provide clarity, information, and direction for how to maximize sexual pleasure with our spouse after one receives a cancer diagnosis. Here's our chat.   Welcome back to The Savvy Sauce, Dr. Christiansen.   Dr. Kris Christiansen: (1:23 - 1:30) Well, thank you so much, Laura. We had so much fun last time, and I'm looking forward to this conversation again today.   Laura Dugger: (1:31 - 1:57) Likewise. I feel the same way. And it really wasn't that long ago that you were on The Savvy Sauce two times, so I'll make sure and link to both of those episodes in the show notes for today.   But hopefully everybody's already well acquainted with you, and that's why we're just kind of diving right into our topic today. So, for starters, how did this topic of sex after cancer become an interest of yours to study?   Dr. Kris Christiansen: (2:00 - 2:32) Well, so Laura, my job as a sexual medicine physician is that I work with both men and women and helping them with their sexual lives when they have problems or whatever. So, cancer is often a big part of that. So, through my journey with work, I've just developed a significant interest in learning how to really care for people to help restore this important part of life.   Laura Dugger: (2:33 - 2:52) Absolutely, because a lot is taken away when somebody gets that awful diagnosis, and so I'm very grateful for people like you who are experts. But is there any common misinformation that you would like to set straight as it relates to cancer and sex?   Dr. Kris Christiansen: (2:55 - 6:42) Well, interesting you say that, because there is so much misinformation out there just about sex in general. And then when we throw cancer in on top of that, it just makes it even more complicated. So, I think a common fear that people experience when they get that diagnosis that they hope they never hear, the C word, is that it's going to have a significant impact on their sexual intimacy.   And you know what, it can, but that doesn't mean that that chapter in life is closed. We just have to remember that sexual intimacy is much, much broader than just intercourse. So, if we can refer to this as PIV sex, penis in vagina sex, many people view it as kind of an all or none thing.   If they can't have vaginal intercourse or that PIV sex, then they don't want anything at all. Unfortunately, that just rules out or shuts out so much of sexual intimacy that God has intended for us. We may not be able to engage in the same activities for a time or even long term, but that doesn't mean that we can't connect.   So, if we try to remember that intimacy, sexual intimacy is all about giving and receiving pleasure, then there are so many more opportunities. So, we have to get beyond the fact that sexual intimacy, sexual intercourse is just vaginal intercourse because it's not. It's giving and receiving pleasure.   And however people want to connect or comfortable connecting, that they can still enjoy a very fruitful sex life. The other thing that is misunderstood and misconceptions is estrogen, vaginal estrogen, especially. Because, well, all women who enter menopause and you're in menopause for the rest of your life do experience some changes.   And it's so common that women experience the genital urinary syndrome of menopause. That's vaginal atrophy, or when the tissues get drier and thinner and there can be tearing and pain as well as bleeding and decreased sensation, decreased sensitivity. These things are common with aging, but oftentimes cancer treatments emphasize that or accelerate it or make it even worse.   And vaginal estrogen is really, really safe. It does not cause cancer. And most of the studies show that even in women who have breast cancer, that it doesn't cause recurrence.   So vaginal estrogen, being so safe, can really save our vaginas. And we're talking about vaginal health and bladder health. It's not just about sex, but it helps keep our bodies functioning properly and minimizing pain and discomfort.   So, if a woman is diagnosed with breast cancer and she's on treatment, then obviously we have to talk to the oncologist, make sure they're okay with that. But we get more and more studies showing it's safety and it's definitely effective and can help keep our tissues young.   Laura Dugger: (6:42 - 7:25) This is really helpful and brand new information to me. So someone, like you used that example, if they have breast cancer diagnosis and there's different types, but if they're doing the treatment where perhaps they go into early menopause or they have a hysterectomy or remove their ovaries and they even have an estrogen blocker so that they're not producing estrogen, for that type, you're still saying as long as you're working with the oncologist for that personal client, even in those situations, vaginal estrogen, which would be, I'm assuming, more of a cream or something you insert to the vagina, is that right? That that would be safe?   Dr. Kris Christiansen: (7:25 - 10:55) So, where it gets a little gray is if the woman is taking an aromatase inhibitor, which is the estrogen blocker. So, it pretty much wipes all estrogen out of her system. There's a little more risk there.   So most definitely we need to double check with the oncologist. But it often comes down to quality of life. I have a patient who, she was diagnosed with breast cancer, I believe, in her early 60s.   And she came to me at the sexual medicine clinic and she was just miserable. I mean, when we think of vaginal dryness, you think of, okay, it's annoying. You use a lubricant, right, and it's going to be just fine.   In the beginning, yes, that's the case. But this genital urinary syndrome of menopause, GSM, gets worse with time, especially with those anti-estrogen treatments. And for this poor woman, she couldn't exercise.   She loved to go hiking. She loved to go skiing. And just any kind of movement was painful.   And we don't think of that. We kind of take it for granted. But for some women who really experience severe side effects of the breast cancer treatments and causing dryness and irritation, it affects everything.   And for her, we tried all the non-hormonal things first. They didn't work. And her oncologist gave us the blessing saying, you know, we tried it.   This is really important to you. Let's give it a try. And so, we've monitored her, and the vaginal estrogen hasn't caused any problems.   So, a couple points on that. With the vaginal estrogen, yes, it comes as a cream. There's a tablet, which is like a little pill with an applicator that you insert in the vagina.   There are vaginal inserts. They look like little caplets that you just insert with the finger. There's a vaginal ring.   But with the localized treatment, it's meant to just act locally, meaning just on the vaginal tissues. And, oh, package insert. So, you know, here we tell patients, vaginal estrogen is safe.   Don't worry. It's not going to cause cancer, heart attack, strokes, or blood clots. But then they go home.   They get their prescription. They open up the patient insert, package insert, and it talks about risks and bad things that can happen and side effects. Unfortunately, the FDA says we have to use the class labeling or the side effects that are associated with systemic estrogen.   And it automatically gets applied to the localized or vaginal estrogen treatments. So, patients go home, they read that, and they think we're lying to them. But, unfortunately, it's just very misleading because we have plenty of studies to show that vaginal estrogen doesn't cause those terrible things.   And it's very safe. So, they just have to trust us. And there are groups and people out there trying to work with the FDA to get that class labeling effect removed because it just scares everybody away from using estrogen, which can be so helpful.   Laura Dugger: (10:57 - 11:04) Wow, that is helpful. Is there any other common misinformation you want to make sure we don't overlook before we continue on?   Dr. Kris Christiansen: (11:05 - 11:29) Well, I made a few notes here. No, I don't think so. Except that media, television, and all that other stuff that we see out there is so misleading when it comes to sexual intimacy.   Because sex in real life doesn't look like what you see in the movies. Yeah.   Laura Dugger: (11:30 - 11:45) Great, great point. And so, when somebody does get, like you said, that dreaded C-word diagnosis, what's a common path that they may experience as it affects them sexually?   Dr. Kris Christiansen: (11:48 - 14:00) Well, so, the different cancers are so different and treatments are so different that it's hard to generalize for everybody. But, you know, first thing most people experience is fear. What's this mean for me?   What's this mean for my life, my family? Am I going to be around in five years? So, it's that fear.   And the initial part of that journey is often involved with meeting with lots of doctors, having all the tests, trying to figure out what's going on, what we're going to do. And sexual intimacy often isn't part of that first steps that they take. So, but when things kind of finally settle down, then those questions start popping up.   What does this mean? It's important to talk with your cancer journey, your cancer team, the oncology team to find out what's going on. And it's important to ask all these questions because doctors really aren't very good about asking about sexual health and what that means to you.   Oncologists, generally speaking, they want to treat the cancer and their job is done when the cancer is treated, under control, gone, whatever. And they've done a good job. However, so many of us are just left afterwards saying, okay, thanks, cancer's gone, but now what?   And so, it's a matter of really trying to figure out what's important over time, learning what's going to work and what's not. And know that there are people out there to help you and that want to help you if it's not going as planned. You know, I just want to reiterate that people really need to advocate for themselves and they need to ask questions.   And if they're not getting the answers that they want, don't give up because there are people, organizations, information out there that can be helpful. So rather than just worrying about what's next, seek help.   Laura Dugger: (14:02 - 14:18) That's really great advice. And I think this may be an appropriate place to pause and just get some of those recommended places. Because if somebody, this is new to them and they don't know where to turn, do you have any places or websites off the top of your mind that you would recommend?   Dr. Kris Christiansen: (14:20 - 15:41) Well, so cancer.org, the American Cancer Society has a lot of resources on there. When it comes to menopause-type symptoms and such, menopause.org is the Menopause Society, which has a lot of information. And a website called PROSAYLA, it's P-R-O-S-A-Y-L-A.com, is a website that's managed by ISHWISH.   We've got all these acronyms. The International Society for the Study of Women's Sexual Health. So that is my go-to.   Okay, so that's the organization where there's so much research and science and such happening. And the PROSAYLA.org or prosayla.com, either one works, is a website where there are several articles written by experts in the field. So, these are articles backed by science.   It's not just somebody's opinion or somebody's blog. And I know there's an article on there about sex or cancer and sexuality. So, some generalities and some other references on that site too.   Laura Dugger: (15:42 - 15:51) Okay, that is super helpful information. We'll make sure and add links to those places as well. Anything else that you want to make sure we don't miss?   Dr. Kris Christiansen: (15:52 - 17:36) Well, when we talk about sexual concerns or sexual problems, we always try to approach it from a biopsychosocial aspect. Because those three different entities all play a big role in what works well and what doesn't. So, from the biological section, that's pain, medications, nerve problems, chronic medical problems.   So obviously cancer plays a big role in that. And with cancer treatments and such, pain may be part of that, nausea, fatigue. And so, we just don't feel the same going through these treatments because it's really hard.   As far as the psych bubble, I'm usually referencing a Venn diagram here. Psychological, so when we experience anxiety or depression or performance anxiety, that plays a big role. So, we need to take a step back and realize that what happens up here in our brain has a huge impact on how our bodies function physically.   And then as far as the social aspect, that's our relationships, our interpersonal relationships with our partner, our spouse, with our family and how things are going on at work. A cancer diagnosis and treatment can affect all of those. And so, it's not just a magic pill to improve your libido because if we don't treat all these other things, people continue to struggle with their sexual function.   Laura Dugger: (18:01 - 19:46) Duplexes, studios and garden style options located in many areas throughout Pekin. In Peoria, a historic downtown location and apartments adjacent to the OSF Medical Center provide excellent choices. 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Check them out on Facebook today or email their friendly staff at Leasing@LemanProps.com. You can also stop by their website at lemanproperties.com.   That's LEMANproperties.com. Check them out and find your place to call home today.    Also, Dr. Kris, are there any certain cancers or treatments that have the most detrimental impact on a person's sex life?   Dr. Kris Christiansen: (19:48 - 23:15) We know that cancers that affect the breast, for women, but men too get breast cancer, and also the genital area have the biggest impact. We've talked a fair amount about breast cancer. Many of the treatments for breast cancer result in early menopause.   If a woman is premenopausal when this happens, menopause can have a definite impact. The treatments can cause the pain and dryness and decrease sensitivity. Also, if surgery is involved in a mastectomy, it can affect our own body self-image.   From a more physical standpoint too, when we have the mastectomy and those nerves are cut, it decreases the sensitivity. For a lot of women, breast stimulation is really important as part of their sexual play. If now her breasts are gone and she can't feel anything when her husband is touching her breasts, that can be a really hard adjustment.   Any cancers that affect the genital area, uterine cancer, ovarian cancer, or anal rectal cancer for both men and women, and prostate cancer for men, those all have a huge impact. In addition to working with a lot of women who have breast cancer and overcoming and improving those areas, I work with a lot of men who have prostate cancer. Those treatments usually result in erection problems and urinary incontinence, which can be hard to deal with.   Men who have a prostatectomy, so if they have their prostate removed, then 100% of them are going to have erectile dysfunction in the beginning. It's going to take time for those nerves to recover, and it may take up to two years to see that full recovery. In those first few months when I'm working with men, I'm trying to be their cheerleader, saying, don't lose hope, don't give up, because this is going to get better.   It just takes time for those nerves to regrow. In the process, though, it is important to do whatever we can to make sure that that tissue stays healthy. Remember that the penis is actually muscle, muscle tissue, smooth muscle.   If we don't use a muscle for several months, atrophy sets in, which is a bad thing. With atrophy, the penis can shrink in size, and scar tissue potentially can set in, and it just makes that recovery less optimal than what it would have been. Trying to maintain the blood flow during those first few months or first year is really helpful.   Just to help maintain the blood flow and the oxygen to help keep the tissues healthy, so when the tenders do recover as best as they're going to, we get the best outcome.   Laura Dugger: (23:16 - 23:36) This may be an ignorant question, but then if erectile issues are present during that first time period, but it's crucial to have the blood flow to that area, what can men do to increase blood flow there, even if erection is difficult or impossible?   Dr. Kris Christiansen: (23:36 - 25:01) That's a great question. Taking a medication like Viagra or Cialis. Cialis is my favorite because it stays in the system for a good 36 to 48 hours every time you take it.   If you're just taking a low dose every day, it just encourages a little bit of that blood flow every day. Using a vacuum device, which I just happen to have one right here, looks like this. A penis goes inside the cylinder, we create a vacuum or suction, and it pulls the blood flow in.   It's not the most sexy thing, but using it and using the vacuum device several times a week just to get that blood flow going is a very helpful way to keep the tissues healthy. Getting an erection with the vacuum doesn't get those arousal-type feelings, so it looks a little weird, but it does work. For men who want to use this for sexual activity, you can get the erection within the tube, and then it comes with these tight rings that are stretched over the edge of the cylinder.   Once you get the full erection within the tube, you slide that ring off to maintain the erection.   Laura Dugger: (25:04 - 25:14) That's incredible just to pause and think of God's grace and these inventions and how incredible that there are solutions. Please continue, but I find that encouraging.   Dr. Kris Christiansen: (25:16 - 27:39) There are all kinds of encouraging things, but if you're in the middle of this journey, it can be sometimes hard to keep going when you're not getting the results that you want to. But we believe in a big God, and he created sexual intimacy, and it's a gift. Other ways to help manage erectile dysfunction and a couple other show-and-tell things here.   This medication is called Muse. The actual medication is a pellet that comes preloaded in this applicator. You insert it in the tip of the penis, the medication gets absorbed, and 10 minutes later, magic happens.   I don't prescribe this very often because it's really, really expensive, a little harder to find. But the advantage to this medication is that it doesn't need the nerves to work, whereas the medications like Viagra and Cialis, they need the nerves. Guys usually kind of turn white when I pull this out.   For our listeners, I'm holding an insulin syringe and needle. There is such a treatment where you can actually inject a tiny amount of medicine directly into the penis, and it will give you an erection. I tell men that with the pills like Viagra and Cialis, just in general with ED, it works in about 60% of men.   We can get this to work, the injections to work, in 90-95%. It's such a tiny needle that men say it feels like a poke or a pinch once they get past that initial shock that they think is going to hurt. The usual response is, oh, that wasn't so bad, and it's very effective.   This can work within four to six weeks, so whenever your surgeon says it's okay to engage in sexual activity again, this will work. Then last but not least is a penile implant. That's surgery, and that you have to wait at least a year, if not two, after the prostate surgery.   That works in 99.99%. Wow.   Laura Dugger: (27:40 - 27:56) We were focusing a lot on men for that one. Is there any medication or any other injections or anything like that for women, other than the vaginal cream or different ways to get estrogen in the vagina?   Dr. Kris Christiansen: (27:58 - 31:15) Yes, we've got all kinds of treatments. If a woman has breast cancer, or for whatever reason we want to avoid hormones as much as possible, then generally we're starting with a vaginal moisturizer, which is different than a lubricant. A lubricant is just for sexual activity and just to make things slipperier and feel better.   That often helps in the beginning, but as the GSM or the atrophy continues, the lubricant isn't enough. A moisturizer, think of like a facial moisturizer or a moisturizer for your hand, in order for it to work, you have to use it regularly, which is probably at least three times a week. These moisturizers can come in forms of a liquid that gets injected.   They're little capsules that you can insert. Reveri is a hyaluronic acid suppository, which you insert in the vagina and over time that can be really helpful. One of my favorites is this Rosebud Everyday Balm.   It's a really nice balm that you can put on the tissues inside the lips and inside the vagina. It's just really, really soothing. Again, you've got to use these things regularly.   It will take a good two months at least to see the full effect, so it doesn't work right away. Just like with the guys where they've got to be patient with the nerves, we have to be persistent and patient with things that can work. A vaginal moisturizer is really helpful.   A lubricant for sexual activity. There are over-the-counter and prescription medications that can help with arousal and orgasm. There are two approved medications for the treatment of low libido in premenopausal women.   One is Addi, which is a pill that you take every day, also known as the pink pill. Another treatment is Vilece, which is an injection. It comes in a pen, so you never see the needle and really don't feel the needle.   You give it to yourself about 45 minutes to an hour before sexual activity. Both of these medications are working on the brain chemistry because the brain is the biggest sex organ in the body. It's the most important sex organ.   It works on the brain chemistry and improving the dopamine and norepinephrine and the good sex positive hormones. Like I said, it's only approved for premenopausal women, but many of us do prescribe it for postmenopausal women. We have studies to show that it's safe and it's effective.   The drug companies didn't go through with all the rigmarole they had to do to get the FDA-approved indication for that. We've got all kinds of tricks up our sleeve.   Laura Dugger: (31:16 - 31:26) Absolutely. Just piggybacking on that, they wouldn't oftentimes follow through on all those studies, would you say primarily because of financial restraints?   Dr. Kris Christiansen: (31:27 - 31:41) Totally. To get a medication approved for female sexual function, it's multi-million, if not a billion dollars. Studies and everything that needs to be done, it's crazy.   That's why these meds are so expensive.   Laura Dugger: (31:42 - 32:14) Then you also mentioned earlier bringing in the quality of life. There are so many options to consider, but such a personal basis. I had another question that arose.   You kind of were answering that because this one works with the brain chemistry. I'm thinking the body parts may be functioning and you can do different things to have an erection or be aroused with your genitalia, but how is desire affected with cancer?   Dr. Kris Christiansen: (32:16 - 35:03) It's huge, unfortunately. Again, if we go back to that biopsychosocial model and for everything to work well, everything's got to be working well. If we have pain, of course that drives down desire.   We use the analogy of putting your hand on a hot stove. Pain with sex can hurt just as badly as that. I have women tell me it's 10 out of 10 pain feels like shards of glass.   Obviously, that's not pleasant. If we compare that to putting your hand on a hot stove, why in the world would you want to do that? We've got to take care of the pain.   When it comes to pain, it becomes imprinted in the brain and the body responds by just amplifying that pain. You've got more pain and you have less desire. Part of GSM or surgery or chemotherapy and other treatments, radiation, can affect the nerves.   We don't get those positive sensations and the arousal anymore. There's arousal in the brain as well as arousal in the genital area. If we're not getting that positive feedback that this just isn't fun anymore, it's hard to get enthused about engaging in that.   Sex therapy can be really helpful. Sex therapy isn't going to fix thin tissues, but a sex therapist is very skilled and trained at working with people and working with couples on trying to process this, working through the process and the changes that are happening. Sometimes it is a permanent change in sexual function, so there's grief involved.   Helping to process through some of that is really important. But again, if we take a step back and remember that sexual intimacy is more than just PIV sex, that there are all kinds of ways to be able to give and receive pleasure, as long as each person is comfortable with this. And moving beyond the thinking that, well, if I can't have intercourse, I'm not going to have anything at all, then that may mean you might not have anything at all for the rest of your life.   That makes me sad. We just have to take a step back, work through some of this, because it's a journey, it's a cancer journey, it's an aging journey, and try to make the most of it.   Laura Dugger: (35:04 - 36:32) I want to make sure that you're up to date with our latest news. We have a new website. You can visit thesavvysauce.com and see all of the latest updates. You may remember Francie Hinrichsen from episode 132, where we talked about pursuing our God-given dreams. She is the amazing businesswoman who has carefully designed a brand-new website for Savvy Sauce Charities, and we are thrilled with the final product. So, I hope you check it out.   There you're going to find all of our podcasts, now with show notes and transcriptions listed, a scrapbook of various previous guests, and an easy place to join our email list to receive monthly encouragement and questions to ask your loved ones so that you can have your own practical chats for intentional living. You will also be able to access our donation button or our mailing address for sending checks that are tax deductible so that you can support the work of Savvy Sauce Charities and help us continue to reach the nations with the good news of Jesus Christ. So, make sure you visit thesavvysauce.com.   What are some of those examples for someone if they can't have PIV sex anymore? What are ways that you encourage continuing to build intimacy and a knowing of one another and offering and receiving pleasure?   Dr. Kris Christiansen: (36:34 - 41:17) Well, starting with making sure each person is on the same page as far as what they're comfortable with. Okay? Communication is key.   To be able to talk about what you want, what you desire, what your needs are, and listening to your partner say that same thing, trying to make no judgments and not forcing anybody into anything, but just so that we can help understand each other. And when it comes to actual giving and receiving pleasure, whether that's with manual stimulation, with your hands, with your fingers, or if you have a massager, oral stimulation, using a vibrator. And a vibrator can be really helpful for women in menopause, women dealing with cancer treatments, and also for men if they need a little extra help with the stimulation because their nerves aren't working so well.   A vibrator, using it together in the context of giving and receiving pleasure can help, just help with the response, help with the enjoyment, and make it a little more fun, as long as everybody's okay with that. Using a lubricant is really important. And a good lubricant, you want to use a good lubricant because some of the more common ones, unfortunately, have ingredients in them that can actually hurt or irritate.   And like KY and Astroglide, sorry to name names here, but they're basic water-based lubricants, have either glycerin, parabens, or propylene glycol in them, and those can irritate, so we want to try to avoid those. A silicone-based lubricant doesn't have those preservatives, and it stays slippery longer. Where we have to be careful with that is that if you're using a silicone tool, otherwise known as a vibrator, you don't want to use those together because it can ruin the tool.   And if the man is struggling with ED, using too much, especially of a silicone lubricant, can make it too slippery. And too slippery is not so good for him. Oil-based lubricants, they're very nice, except if you're using condoms, it will degrade the condom and create other problems, potentially.   Other ways to stimulate, manually, orally, and when women have pain with intercourse, I'm going to bring in another show-and-tell here, the pain is often coming from the vulva, not so much in the vagina. We talk about vaginal dryness and vaginal atrophy, but the part that's most sensitive is often just right inside the little lips here. And so, if we have terrible pain with penetration, we want to avoid that.   However, the whole surrounding vulvar area is very rich in nerves, can be very much stimulated, and it can feel really good, however each person is comfortable stimulating that area. And another fun fact is that this entire structure is the clitoris. You know, when we think of the clitoris, we think of the glands, this tiny little magic button right here, which, by the way, has 10,000 nerve endings in it.   It's incredible. But the legs, the legs are the cruise of the clitoris, as well as the bulbs. They come down on either side of the vagina.   So, the vagina is here. However, this part of the clitoris can easily be stimulated, so the legs of the clitoris can be easily stimulated, just inside the labia majora, or the outer lips. So, using a vibrator here can be really pleasurable, and you're avoiding the part that hurts.   So, stimulating externally the clitoris, the labia, and wherever else feels good can be very fun. And so, if you try to approach it may be like a game, making it fun and exploring each other's bodies so that you can really figure out ways to make the other person feel good or experience pleasure without causing pain.   Laura Dugger: (41:18 - 41:43) That's so great. And like you had mentioned, if they go see a Christian sex therapist, they would say the same thing as you to stop when there is pain, because it just makes it worse over time. And so, I love that you've given us other options, if that is the case.   Is there ever a time where orgasm is no longer possible after cancer?   Dr. Kris Christiansen: (41:46 - 43:14) It's possible. Yes. Depending on the cancer and the treatment, that it can make it really difficult or even impossible to get there.   But that's where we want to not focus on orgasm as the ultimate goal, because if we engage in sexual activity with orgasm as the ultimate goal, your brain's not going to let you go there, whether it's the male or the female, either one, the brain is the biggest sex organ in the body. Just trying to go for the gold just won't let you get there. So, you have to relax and enjoy the journey regardless.   So even if the cancer or the treatment didn't necessarily affect orgasm or if it's just our brains, my encouragement is to approach a sexual encounter as an experience. Enjoy the experience. It's not a performance.   We don't want to perform because then we get in our head, and we get nervous and our muscles all tighten up. So, we don't want to perform. We want to enjoy the experience, and it can be very pleasurable.   Even if orgasm isn't part of the picture anymore, it doesn't mean you can't have fun and can't connect because you can.   Laura Dugger: (43:15 - 43:25) But then I guess also to offer the hope, if I ask it a different way, are there times that orgasm is still possible after a cancer diagnosis?   Dr. Kris Christiansen: (43:27 - 44:01) Absolutely. We always have hope. We always have hope.   Just because you're diagnosed with cancer doesn't mean you're not going to be able to engage in PIV sex or be able to experience an orgasm because that's always a possibility. Don't focus on just getting to the big orgasm. You want to slow down, enjoy the journey, and oftentimes it will come.   There are medications that help with blood flow, that help with arousal and orgasm, and sometimes they can be helpful. Sometimes they're not, but usually it doesn't hurt to try them.   Laura Dugger: (44:02 - 44:26) There you go. That's a very helpful reminder. It's a piece of the puzzle, not the whole thing.   But if someone right now is walking through their own cancer journey, what else would you advise them both to do and to avoid doing so that they can still enjoy the healthiest sex life possible with their spouse?   Dr. Kris Christiansen: (44:29 - 47:19) That's going to involve several pieces. One, first and foremost, maintain the communication about wants and desires, what hurts, what doesn't, what can we do, what do you want to try tonight? Maintaining the communication.   It's much better to prevent problems like the vaginal dryness and pain than to try to treat it after you've been dealing with it for years sometimes, or even months. If you have, say, breast cancer, just getting in the habit of using one of those vaginal moisturizers from the get-go even before the dryness starts can help prevent problems. Seeing a pelvic floor physical therapist can be really, really helpful.   A pelvic floor physical therapist is a physical therapist who specializes in these pelvic floor muscles that help support everything on the inside. And so if these muscles are too tight, causes pain, and if they're already too tight, doing tangles is the last thing that you want to do, because sometimes it means being able to relax them. Or women who have, who need pelvic radiation, say for uterine cancer, the gynecologic oncologist is usually really good about giving you a vaginal dilator and to use it, but they're not always really good at telling you exactly how to use it, how frequently and how long, so be sure and ask.   Because again, we want to maintain the integrity of the tissues, because it's better to maintain them than try to get it back. That's often quite hard. For guys, especially with prostate cancer, it means participating in that, we call it penile rehabilitation.   So, it's basically physical therapy for the penis. You know, its muscle, so we want to keep that muscle healthy and to help maintain healthy tissues. And just trying to be as good to ourselves as we can, giving ourselves and our partners grace when we need it, because it's a journey and it's not an easy one.   But we believe in a big God and he's there to help us through this and he delights when husband and wife can unite as one, whatever that looks like. And it makes him happy and he's there to try to keep this going for us.   Laura Dugger: (47:21 - 47:40) And you may have already answered this question with that, but I love how you're always encouraging and gentle and full of hope. So, any other hope that you want to share with anyone who's battled cancer or is in the midst of their journey, but they're still desiring to connect intimately with their spouse?   Dr. Kris Christiansen: (47:47 - 48:33) Sometimes it means asking for help. So, for finding a provider, whether that's a therapist, a gynecologist, a sexual medicine provider, or even your pastor counselor to help you through this. In the show notes, we'll put in websites where you can find a provider because not everybody is educated.   Hardly anybody's educated on this, unfortunately. But there are people out there throughout the country, throughout the world, where you can find to help guide you on this journey. Don't suffer in silence.   We're here to help. So be sure to reach out so we can help you.   Laura Dugger: (48:33 - 48:50) That's so good, Dr. Christiansen. And are there any other proactive measures that all of us can take to set us up for a healthy sex life into aging or any diagnoses that we may get in the future?   Dr. Kris Christiansen: (48:53 - 50:38) Well, treating our body like a temple, like God says. We have to take good care of ourselves. And just in general, going for your preventative visits and checking your cholesterol and your blood sugar and your blood pressure and screening for cancer so we can prevent them or catch them really early.   And it's so much easier to treat. But things like smoking and diabetes and being overweight and high blood pressure, high cholesterol, they impact sexual function very negatively, especially smoking. Guys are still surprised when I tell them, or I show them a picture of a cigarette with ashes that are kind of wilting off the end.   This is your penis. This is what happens with smoking. Okay.   So quitting smoking. And in women, we have those same little blood vessels and nerves that men do. And so not taking care of ourselves as far as weight, exercise and diabetes and all that stuff, that affects our sexual function, too.   So just making sure that we take a proactive stance on just taking really good care of our medical and our mental health because that's so important. And our spiritual health. Can't forget that, too.   Yeah. Just, you know, taking care of ourselves because aging does impact sexual function. As we get older, our endurance isn't quite what it used to be.   Certainly not as flexible as we used to be. Things kind of hurt. Achy joints and whatever.   So, the more we can take care of ourselves, the more we can enjoy that sexual intimacy, which does involve a little bit of physical exertion.   Laura Dugger: (50:39 - 51:03) Absolutely. Well, you've shared a lot of places where we can go to seek help. But I would love to know where we can continue to learn from you or a website where people can find out more of your offerings because you mentioned not many people are educated in this field or on this topic, but you are a great resource.   So where would you direct all of us after this chat?   Dr. Kris Christiansen: (51:05 - 52:23) Well, I started my own business called Intimate Focus, Intimate-Focus.com. Where my goal is to offer education and quality products that people can use to help equip them and enhance sexual intimacy. As part of my clinical career where I see patients, we'd often talk about using a good lubricant or getting a vibrator to help with those nerves that just aren't quite as effective anymore.   And so many times they told me they were just not comfortable going to an adult store or they didn't want to purchase them on Amazon because it could be a shared account and kids or whatever may see what they're ordering. So, this is a private and secure site and I don't even know how to sell your email so don't worry, that's not going to happen. Where you can purchase good quality products, I vet them out myself to make sure that they don't contain the ingredients that I encourage women to avoid and no pictures with nudity or anything like that because I want it to be a comfortable space or at least as comfortable as we can make it for everybody.   Laura Dugger: (52:24 - 52:43) Wonderful. Well, I'll certainly link that in the show notes as well. And Dr. Christiansen, you are already a friend of The Savvy Sauce, so you know that we're called The Savvy Sauce because savvy is synonymous with practical knowledge. And so, as my final question for you today, what is your Savvy Sauce?   Dr. Kris Christiansen: (52:46 - 53:15) Well, you know, James in the Bible is a very practical kind of guy and I love his advice that we should all be quick to listen, slow to speak and slow to become angry. And if we were all able to do that or at least just a little more of that, I think our world would be a much better place to live.   Laura Dugger: (53:16 - 53:42) This is so good. I cannot hear that verse enough and I just truly look so forward to the times that I get to spend with you. You are such a calming presence full of wisdom.   That's what we prayed for before we had the recording begin for today. And I am just overflowing with gratitude. So, thank you, Dr. Christiansen, for all that you've shared. Thank you so much for being my returning guest.   Dr. Kris Christiansen: (53:43 - 53:48) Well, thank you, Laura. This has been great. It's an honor to be on your show.   Laura Dugger: (53:50 - 57:32) One more thing before you go. Have you heard the term gospel before?   It simply means good news. And I want to share the best news with you. But it starts with the bad news.   Every single one of us were born sinners, but Christ desires to rescue us from our sin, which is something we cannot do for ourselves. This means there is absolutely no chance we can make it to heaven on our own. So, for you and for me, it means we deserve death and we can never pay back the sacrifice we owe to be saved.   We need a savior. But God loved us so much, he made a way for his only son to willingly die in our place as the perfect substitute. This gives us hope of life forever in right relationship with him.   That is good news. Jesus lived the perfect life we could never live and died in our place for our sin. This was God's plan to make a way to reconcile with us so that God can look at us and see Jesus.   We can be covered and justified through the work Jesus finished if we choose to receive what He has done for us. Romans 10:9 says, “That if you confess with your mouth Jesus is Lord and believe in your heart that God raised him from the dead, you will be saved.” So, would you pray with me now?   Heavenly Father, thank you for sending Jesus to take our place. I pray someone today right now is touched and chooses to turn their life over to you. Will you clearly guide them and help them take their next step in faith to declare you as Lord of their life?   We trust you to work and change lives now for eternity. In Jesus' name we pray. Amen.   If you prayed that prayer, you are declaring him for me, so me for him. You get the opportunity to live your life for him. And at this podcast, we're called The Savvy Sauce for a reason.   We want to give you practical tools to implement the knowledge you have learned. So, you ready to get started? First, tell someone.   Say it out loud. Get a Bible. The first day I made this decision, my parents took me to Barnes & Noble and let me choose my own Bible.   I selected the Quest NIV Bible and I love it. You can start by reading the book of John. Also, get connected locally, which just means tell someone who's a part of a church in your community that you made a decision to follow Christ.   I'm assuming they will be thrilled to talk with you about further steps, such as going to church and getting connected to other believers to encourage you. We want to celebrate with you too, so feel free to leave a comment for us here if you did make a decision to follow Christ. We also have show notes included where you can read scripture that describes this process.   And finally, be encouraged. Luke 15:10 says, “In the same way I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.” The heavens are praising with you for your decision today.   And if you've already received this good news, I pray you have someone to share it with. You are loved and I look forward to meeting you here next time.

“We're continuing to grow, while others are shrinking,” said Stan Gray, Senior Vice President of IoT Broadband and HiCat Vertical Sales at Telit Cinterion, in a recent conversation with Technology Reseller News. As Q2 begins, Gray shared how Telit Cinterion is building on its 40-year legacy to meet today's demand for intelligent, always-on, and high-bandwidth IoT solutions. Stan Gray At this year's Mobile World Congress, Telit Cinterion unveiled its fourth generation of 5G modules powered by Qualcomm's SDX82 and 85 chipsets. These new offerings combine advanced connectivity with Qualcomm's AI engine, enabling edge intelligence and prioritization—especially for video applications that demand real-time processing. “It's a critical capability when you're streaming rich video or other latency-sensitive content,” said Gray. Another game-changing release: Telit's new multi-profile eSIM. With it, devices like point-of-sale terminals can instantly switch between carrier profiles to ensure constant uptime. “It's all about mission-critical continuity,” Gray emphasized. This latest innovation continues Telit's tradition of delivering products that evolve with market needs—from GSM beginnings to full-spectrum 5G support. Today, Telit Cinterion is the Western market leader in cellular IoT modules. That leadership was bolstered by its 2022 acquisition of Thales' cellular IoT division, propelling Telit into new territories and giving customers access to comprehensive solutions spanning hardware, connectivity, and cloud. Yet growth in 5G also brings challenges. “The biggest one is education,” Gray noted. Many OEMs still sell globally without embedding connectivity, relying on customers to figure out how to connect. That often creates friction—and missed opportunities. “We want to help those OEMs become ecosystem players, not just hardware vendors,” said Gray. Another challenge is the speed of innovation. “The market is moving fast, from LTE Cat-1 to 5G REDCap. We're not just talking about what customers need now—we're helping them prepare for 2026 and beyond.” Future-proofing, Gray explained, starts with product longevity. “We work with customers to choose the right technologies that will still be supported seven to eight years down the line.” Gray's message to enterprises weighing tech investments carefully in 2024: “There's always risk, but if you work with a trusted partner that sees the road ahead, you can make smart, future-focused decisions.” Learn more: telit.com  

In this enlightening episode of the Millionaire Car Salesman Podcast, host Sean V. Bradley, joined by Dealer Synergy's Director of CRM and Technologies, Jonathan Schrieber, delves deep into the intricacies of Customer Relationship Management (CRM) systems in the automotive industry. The discussion highlights the evolving roles within the dealership environment and the crucial importance of CRM systems as a cornerstone for modern automotive businesses. The episode begins with an exploration of Jonathan's extensive background, emphasizing the value of his varied experience from education to high-ranking dealership roles and through to his tenure at LotPop. "I fell in love with the CRM because you can't hide from it. You either do or you don't." – Jonathan Schrieber Throughout the episode, Sean and Jonathan stress the significance of effectively leveraging CRM systems to ensure dealership success and growth. They explore common shortcomings and strategies for enhancing CRM processes, from setup and employee training to AI integration with tools like Podium AI.  "Information without application is just information. Information with application equals transformation." – Sean V. Bradley Key insights include the necessity of customizing CRM processes to align with dealership specifics, promoting accountabilities such as making CRM usage a condition of employment, and the underutilized potential of CRM in reducing dealership dependency on expensive third-party lead providers. During the conversation, the seamless integration of AI with CRM systems is identified as a vital step towards optimizing customer engagement and dealership efficiency. "The hardest part about this job is just getting customer engagement." – Jonathan Schrieber   Key Takeaways: ✅ The seamless integration of CRM systems with AI holds significant potential to enhance dealership efficiency, especially beyond regular business hours. ✅ Customized CRM processes are vitally important for the unique needs of each dealership, particularly in managing the lifecycle of leads from various sources. ✅ Proficient use of CRM can dramatically reduce unnecessary expenditure on third-party lead services by maximizing existing databases. ✅ Consistent training and management accountability are essential to encourage proper CRM use by employees, enhancing dealership profitability. ✅ Innovative applications of AI within CRM not only streamline dealership operations but also improve customer engagement and management decision-making processes. About Jonathan Schrieber Jonathan Schrieber is a seasoned automotive professional with over 20 years of diverse experience in the industry. Jonathan is a graduate of the NADA University and has held various pivotal roles, including Internet Director and GSM. His career spans several key areas, including sales, service, parts, and management in dealerships, which provided him a holistic understanding of automotive operations! Jonathan currently serves as the Director of CRM and Technologies at Dealer Synergy, where he leads initiatives to maximize dealership efficiency and customer relationship management globally. His expertise has been honed further through a significant tenure at LotPop, where he analyzed and enhanced dealership processes across the country.   Mastering the Art of CRM Integration: Strategies for Automotive Dealership Success   Key Takeaways: Outsourcing and AI integration are pivotal for thriving CRM strategies. Comprehensive CRM training is essential for maximizing dealership potential. CRM is not just a tool but a culture that needs top-down commitment and execution.   Innovative CRM Strategies for Automotive Dealerships The landscape of the automotive industry is rapidly evolving, with customer relationship management (CRM) as a linchpin for success. As dealerships strive to sell more cars, customer engagement remains the hardest part of the job. The introduction of AI and dedicated call centers has revolutionized how dealerships manage leads and customer interactions. Sean V. Bradley, president of Dealer Synergy, underscores the importance of CRM by stating, "One of the biggest challenges that I keep hearing from dealers across the United States is, man, I don't have enough people." Outsourcing is a game-changer in this context. By expanding their operations across three countries, including Belize and the Philippines, Dealer Synergy leverages skilled agents ensuring no customer is left unattended. This operational efficiency not only addresses the perennial complaint of insufficient staffing but also enhances customer engagement through continuous, round-the-clock service. Such strategies allow dealers to focus more on profitable engagements, rather than scrambling to maintain their current workloads. The advent of AI, especially solutions like Podium's AI BDC, amplifies this strategy. Podium's Jerry provides 24/7 lead conversion powerhouses, engaging customers even after hours. "Meet Jerry Podium's new AI BDC. Jerry is a lead conversion powerhouse designed to respond instantly to every incoming lead," offers a practical glimpse into leveraging technology for superior customer management without direct human intervention. Such integrations streamline processes, ensuring a smooth handover to human staff without disrupting customer interaction.   The Importance of Robust CRM Training and Processes While sophisticated tools and AI are invaluable, the human factor remains central to CRM success. Dealerships often overlook thorough training for their teams, leading to suboptimal use of available technology. Jonathan Schrieber, an automotive veteran and Director of CRM and Technologies at Dealer Synergy Global, emphasizes the need for a sound training structure. "I think the hardest part about this job is just getting customer engagement," he echoes, highlighting how a well-trained staff is instrumental in overcoming this challenge. Schrieber's personal journey from the floor of a dealership to overseeing CRM at an executive level underscores the value of comprehensive training and experienced leadership. His background in every facet of the dealership—from driving a parts truck to handling finance—shows how familiarity with all processes enriches CRM strategy and execution. His insight into the importance of analytics ensures that dealership's sales, service, and parts departments align seamlessly, fostering an environment where CRM is not just a database, but a dynamic tool driving meaningful customer interactions. Training should not simply involve checking off a list. Instead, it requires ongoing commitment from all levels of management. "It's not what you preach, it's what you tolerate," a quote from Extreme Ownership as referenced by Schrieber, encapsulates the idea that CRM proficiency must be embedded in the dealership's culture. Overcoming CRM hesitance requires robust leadership that practices what it preaches, making CRM compliance and training a non-negotiable part of dealership operations.   Elevating CRM from Tool to Cultural Cornerstone The successful execution of CRM strategies stretches beyond technology and tools; it requires a paradigm shift in how dealerships perceive CRM. Sean V. Bradley advocates for viewing CRM as fundamental to dealership operations, not just an optional tool. "Information without application is just information. Information with application equals transformation," he states, urging dealerships to transform data into actionable insights. Transitioning CRM from a supportive tool to an operational cornerstone involves aligning AI, human resources, and backend processes. The trifecta approach—human resources, CRM automation, and AI—ensures all dealership functions operate synergistically. When set up correctly, these elements prevent duplicate efforts and ensure smooth customer interactions. Achieving this integration requires a commitment to cleanliness and optimization of existing CRM processes. As Schrieber advises, "The first step…is just clean up and optimize what you do have first." By eliminating redundancies and enhancing process flows, dealerships can fully leverage AI capabilities, ensuring customer interaction fidelity and real-time engagement. Crafting a future-proof CRM strategy in the automotive industry necessitates a blend of advanced technology, diligent training, and a cultural shift in CRM perception. As experts like Schrieber and Bradley illustrate, converting CRM from a task-driven utility to an integral cultural component is crucial. This ensures not only enhanced customer experiences but also maximizes profitability in an increasingly competitive market. Through embracing technology, fostering comprehensive training, and committing to a culture of accountability, dealerships can thrive in the complex ecosystem of modern automotive sales.     Resources: Podium: Discover how Podium's innovative AI technology can unlock unparalleled efficiency and drive your dealership's sales to new heights. Visit www.podium.com/mcs to learn more!   NCC: Credit-Driven Retailing - NCC delivers industry-best credit-driven retailing for auto dealerships, combining a powerful credit and compliance engine and fully integrated CRM/Desking platform for maximum profitability.   Complete CRM: Complete CRM is a streamlined, all-in-one system that simplifies your dealership software and processes so you can manage every aspect of your operation with ease; from tracking and following up on leads, desking deals, managing inventory, marketing to your customers, and more.   Dealer Synergy & Bradley On Demand: The automotive industry's #1 training, tracking, testing, and certification platform and consulting & accountability firm.   The Millionaire Car Salesman Facebook Group: Join the #1 Mastermind Group in the Automotive Industry! With over 28,000 members, gain access to successful automotive mentors & managers, the best industry practices, & collaborate with automotive professionals from around the WORLD! Join The Millionaire Car Salesman Facebook Group today!   Win the Game of Googleopoly: Unlocking the secret strategy of search engines.     The Millionaire Car Salesman Podcast is Proudly Sponsored By: Podium: Elevating Dealership Excellence with Intelligent Customer Engagement Solutions. Unlock unparalleled efficiency and drive sales with Podium's innovative AI technology, featured proudly on the Millionaire Car Salesman Podcast. Visit www.podium.com/mcs to learn more!   NCC: Powered by proprietary solutions such as Intelligent Credit Engine™ and LenderSelect™, NCC transforms the car-buying experience for dealers and their customers. From compliance and lender selection to CRM and desking, to marketing and data mining—NCC integrates them all in a single, seamless platform to deliver better customer experiences, maximum efficiency and maximum profit.   Complete CRM: As an innovative leader in the industry for the last 30 years, Complete CRM is designed to give your dealership the competitive edge in a demanding marketplace. Powered by Complete Credit™ and award-winning desking, Complete CRM™ is the industry's only credit and compliance-enabled CRM that lets dealers achieve maximum profitability on every deal. Built on modern technology, Complete CRM seamlessly integrates credit, compliance, inventory, data mining, lead generation, enterprise functionality, and customized reporting in one tool with a single login.   Dealer Synergy: The #1 Automotive Sales Training, Consulting, and Accountability Firm in the industry! With over two decades of experience in building Internet Departments and BDCs, we have developed the most effective automotive Internet Sales, BDC, and CRM solutions. Our expertise in creating phone scripts, rebuttals, CRM action plans, strategies, and templates ensures that your dealership's tools and personnel reach their full potential.   Bradley On Demand: The automotive sales industry's top Interactive Training, Tracking, Testing, and Certification Platform. Featuring LIVE Classes and over 9,000 training modules, our platform equips your dealership with everything needed to sell more cars, more often, and more profitably!  

Has the WWE Hall of Fame jumped the shark by starting to induct matches and moments? Graham "GSM" Matthews and RJ Marceau share their two cents on this week's WrestleRant Radio along with why "Stone Cold" Steve Austin vs. Bret Hart is a worthy first inductee, WWE following in UFC's footsteps, and what other matches should be inducted eventually. They then get into a ton of other topics including Stephanie Vaquer relinquishing the NXT Women's North American Championship, the criticism surrounding CM Punk vs. Seth Rollins vs. Roman Reigns being officially announced as the main event of Night 1 of WrestleMania 41, WWE upping the anticipation for Gunther vs. Jey Uso as well as Cody Rhodes vs. John Cena with two great Raw segments on Monday night, the AJ Styles vs. Logan Paul feud falling flat, and full predictions for the men's and women's Owen Hart Cup tournaments as well as AEW Dynasty this Sunday! GSM and RJ are also discussing UFC, music and more chaotic randomness!

In this episode, host Andrea Donsky, nutritionist, menopause educator, published menopause researcher, and co-founder of WeAreMorphus.com, chats with Kim Vopni, a menopause support practitioner and Vagina Coach, about vaginal health in perimenopause and menopause. Our podcast has been recognized as the top-ranked menopause podcast worldwide on Feedspot's 2025 list of best Menopause Podcasts and Perimenopause Podcasts.They discuss different aspects of the genitourinary syndrome of menopause (GSM), a newer term used to describe symptoms including vaginal dryness, thinning of vaginal tissues, the shrinking or disappearance of the labia minora, UTIs, incontinence, prolapses, and more.Topics Discussed:Kim's journey to becoming a vagina coachUnderstanding Genitourinary Syndrome of Menopause (GSM), what it is, and what symptoms are related to itThe role of estrogen in vaginal health, its different forms, and varying formatsAlternatives to estrogen for vaginal healthWhy UTIs are more common in perimenopause and menopause and how to manage them with fiber and hydrationIntroduction to prolapse and its different typesThe importance of pelvic floor physical therapy and other non-surgical treatment options for prolapseKim's top tips for improving or managing genitourinary healthBladder irritation and dietary things to keep in mind to minimize itLinks:Kim's website: https://www.vaginacoach.com/UTI Test Strips from Utiva: https://www.utivahealth.com/Squatty Potty: https://amzn.to/43WNn09Send us a text ✅ Fill out our surveys Support our SPONSORS: Qualia https://bit.ly/42mtvmx CODE MORPHUS15 BEAM Minerals https://bit.ly/43MrfFL Code MORPHUS EnergyBits https://bit.ly/49f05YV Code MORPHUS Livon: https://bit.ly/3EjrcGG CODE MORPHUS Order 1 carton of Lypo-Spheric® Vitamin C at LivOnLabs.com & get 1 carton of B Complex Plus FREE ($56 value) just by adding both products to the cart Timeline: timeline.com/morphus CODE MORPHUS MyVitalC https://bit.ly/3EQ9bAf CODE MORPHUS15

What is a GSM blend and why is it called a Rhone Blend? The G, S and M stand for Grenache, Syrah, and Mourvedre. The Rhone Valley is the original home of GSM blends and of course the reason why it is sometimes referred to as a Rhone Blend. The Rhone Valley has two parts: the Northern Rhone Valley is known for its steep-sloping vineyards, where Syrah is produced. The Southern Rhone is a much larger region and lacks the steep slopes of the north. This is where the GSM blends are produced. Probably the most famous area in the Southern Rhone is Chateauneuf-du-Pape. Wine Folly says these wines will have more red fruit flavors with notes of herbs. While, GSM blends from California or Australia will have darker fruits with notes of clove.Tonight, we are enjoying two GSM Blended wines including:2019 Delas Freres Cotes du Rhone Saint-Esprit purchased at Costco for $13. It has delicate tannins which is unique for the Côtes-du-Rhône appellation. The nose is classic syrah, with berry fruit, violet and licorice.2018 Skylark Wine Company Red Belly Rhone Blend. This wine was purchased from Wine Styles for $17. It is juicy and creamy black fruits plum, blackberry and crushed cherry fruit coat the entire palate, with intricately woven tannins.We scored both wines a 3 out of 5. Denise would buy both again. I would pass on both. Next week we will explore the differences between Pinot Gris, Pinot Blanc, and Chenin Blanc.

Le 8 janvier, une attaque a coûté la vie à plus de 30 soldats au Bénin, dans la zone dite du « Point Triple », à la frontière avec le Niger et le Burkina Faso. Revendiquée par le Jnim, le Groupe de soutien à l'islam et aux musulmans, elle s'est soldée par la plus lourde perte depuis le déploiement de l'opération Mirador. À Banikoara, la situation sécuritaire est dans tous les esprits et les habitants adaptent leurs habitudes quotidiennes, surtout en soirée. De notre envoyée spéciale de retour de Banikoara,Les commerces sont ouverts à Banikoara centre, dans le nord du Bénin. Issiako attend les clients derrière la grille de son kiosque jaune et bleu. « GSM, c'est mon activité ! Je fais les transferts d'argent et je vends aussi des crédits. Avant, ça marchait, mais maintenant, il faut être patient, les temps sont un peu durs, confie-t-il. Dans la journée, on ne vend pas, et maintenant, le soir, notre temps est limité. Je pars d'ici à 20 h 30 pour ma sécurité. »Plusieurs sources locales évoquent le transport de carburant par des jeunes soupçonnés de ravitailler les groupes armés. « Des fois, les militaires viennent pour embarquer certaines personnes, poursuit Issiako, ils leur disent : “On vous a vu transporter des bidons d'essence, amener ça de l'autre côté de la commune...” Parce qu'il y a certaines localités, tu ne peux pas y aller, si on te prend là-bas, c'est toi seul qui vas subir les conséquences. Si bien que nous-mêmes, on ne se retrouve pas là-bas. »À lire aussi Bénin : le chef d'état-major rend hommage aux soldats tués dans le nord« Il y a la peur, on ne sait pas qui est qui »À côté de lui, des zémidjans, des motos-taxis, patientent à l'ombre. Ce jeune homme, casque sur la tête, s'arrête sur un côté de la voie pavée. « Vraiment, il y a la peur, on ne sait pas qui est qui, si on prend un jihadiste, on ne sait pas, ou un criminel, on a toujours peur de travailler. Par exemple, il y a des lieux interdits à cause de l'insécurité, comme Guimbagou, Kaobagou, Mékrou. On ne peut pas y aller. Si tu pars là-bas, on va te qualifier de jihadiste ou de criminel, donc ça fait qu'on reste toujours en ville. »À écouter dans Grand reportageDans le nord du Bénin, l'opération militaire Mirador face à la pression terroristeBrouettes, motos et piétons circulent dans les rues adjacentes. Ce jeune homme vend des produits alimentaires avec son père. L'activité marche bien. C'est surtout le soir que la vie a changé. « La nuit, les militaires patrouillent. À partir de minuit, il n'y a pas trop de promenades, comme un confinement, explique le jeune commerçant. Avant, je me promenais de 22 h à 1 h, mais depuis que les militaires ont commencé, à 22 h, je suis à la maison. On entend des frappes ailleurs, on ne sait pas quand ça vient chez nous. Mais quand même, pour l'instant, ça va. »Il n'y a officiellement pas de couvre-feu à Banikoara centre. Mais, de source locale, plusieurs villages de la commune riverains du parc W et frontaliers du Burkina Faso sont concernés, de 18 h à 6 h du matin.À écouter dans l'Invité d'Afrique midi Attaque meurtrière dans le nord du Bénin : « La phase de harcèlement des Forces de défense prend une tout autre ampleur »

​Graham "GSM" Matthews is on-site in Indianapolis for Royal Rumble weekend and previewing the entire event with RJ Marceau on this week's WrestleRant Radio! Before then, they discuss Paul "Triple H" Levesque being announced the headliner for the WWE Hall of Fame Class of 2025 and who else could join him. They also share their thoughts on the latest installment of Saturday Night's Main Event, the fact it once again wasn't newsworthy, and what's next for Jey Uso. Most importantly, who's winning the men's and women's Royal Rumble matches?! GSM and RJ have their picks for both bouts as well as the two-out-of-three falls match for the WWE Tag Team Championship and the Ladder match for the Undisputed WWE Championship. They're also guessing the final fours, potential surprise entrants, which Royal Rumbles to rewatch, and more!

Before takeoff and shortly before landing, flight attendants ask passengers to switch their electronic devices to flight mode. However, far from everyone complies because we just don't understand how our small smartphones can interfere with the operation of a high-tech aircraft. This seemingly simple command leaves us with the questions “Why?” and “What will happen if I don't?” And some of us, particularly the brave and rebellious types, choose to leave our gadgets. So, why do we have to turn off our phones for takeoff and landing? Get ready to find out the answer to this inquiry and many others. Other videos you might like: Why Planes Don't Fly Over the Pacific Ocean    • Why Planes Don't Fly Over the Pacific...   Why Planes Don't Fly Faster    • Why Planes Don't Fly Faster   Why Planes Don't Fly Over Kaaba    • Why Planes Don't Fly Over Kaaba   TIMESTAMPS: ✈️ What is flight mode for? 0:57

In this episode, Ingrid Harm-Ernandes, PT, WCS, a seasoned physical therapist, author, and speaker with over 40 years of experience, including almost three decades specializing in women's health, joins us for a discussion into the often overlooked but crucial topic of pelvic health, its critical role in everyday functions like bowel and bladder control, sexual health, & maintaining stability, and treatment options and resources available including NMF's free Menopause MicroCourse on genitourinary symptoms of menopause (GSM). As women enter menopause, the pelvic floor faces additional challenges, including incontinence, prolapse, and pain during sex (aka sex dysfunction). Ingrid noted that these issues are commonly misunderstood or dismissed as inevitable and as a result are not addressed. In actuality, these issues are quite treatable and should be addressed as soon as they are noted.She stressed the importance of recognizing symptoms early and seeking help from qualified, credentialed professionals (e.g., physical therapists, urogynecologists, and certified menopause practitioners / CMPs). Many of these conditions, though common, are manageable with the right care.One of the most misunderstood pelvic health issues is prolapse, where organs like the bladder or uterus shift from their normal position. Ingrid explained how prolapse often starts subtly, with symptoms like pressure or discomfort, but can progress over time without intervention. Fortunately, prolapse is treatable with both non-surgical and surgical options.Ingrid emphasized the importance of follow-through, whether it's attending physical therapy after surgery or making small changes to daily habits. Being aware of changes and understanding how to navigate health issues is an important part of continued self-care. She shared simple but effective strategies to promote pelvic health:Strengthen the Pelvic FloorStay ActiveHydrate and Eat WellSeek Professional HelpAsk QuestionsIngrid is a member of NMF's Medical Advisory Committee (MAC) and was co-faculty for the NMF's Menopause MicroCourse on genitourinary symptoms of menopause (GSM). Her book, The Musculoskeletal Mystery: How to Solve Your Pelvic Floor Symptoms, provides a deeper exploration of these topics. She has served on committees for both the American Physical Therapy Association's (APTA) Specialization Academy of Content Experts (SACE) committee and the American Urogynecologic Society (AUGS), including serving as the Chair and Vice Chair for the Advanced Practice, Physical Therapy and Allied Health (APPTAH) Special Interest Groups (SIG) and the AUGS Advanced Practice Provider (APP) conference committee.Connect with Ingrid:LinkedIn: https://www.linkedin.com/in/ingrid-harm-ernandes-5057773b/Instagram: @harmernandesFacebook: https://www.facebook.com/ingrid.harmernandes.71/Resources referenced in the podcast: The Musculoskeletal Mystery: How to solve your pelvic floor symptoms -- available on DesertHarvest.com and Amazon.comThe National Menopause Foundation's Menopause MicroCourses

If you love Oregon wines and biodynamic wines, we have a treat for you! And, if you think you know Oregon wines, this episode is a must listen. Did you know that there are two major wine growing regions in Oregon? It's true! Most people think about the Willamette Valley, which is where our guest Morgan Beck is making beautiful Burgundy style wines for Johan Vineyards. But we bet you don't know that in Southern Oregon, where the climate and soils are much different, there are people like our other guest Vince Vidrine making beautiful Rhône Valley style wines, like GSM and Viognier, and Vince makes these wines for Cowhorn Vineyard and Garden. Both of these winemakers are focusing on biodynamic wines - which in essence means they let the grapes and the juice and the specific weather and growing conditions each year tell them how the wines should be made each year. And it also means that they try and do less in the cellar and be more proactive in the vineyard. This was an amazing conversation, and if you want to learn more about wine, you would be hard pressed to find two better teachers than Morgan and Vince!Send us a Text Message and we'll respond in our next episode!Contact The Wine Pair Podcast - we'd love to hear from you!Visit our website, leave a review, and reach out to us: https://thewinepairpodcast.com/Follow and DM us on Instagram: https://www.instagram.com/thewinepairpodcast/Send us an email: joe@thewinepairpodcast.com

What's the silent threat that could derail your independence in midlife? We're breaking down why bone health is key to your long-term well-being.In this episode, I'm joined by Jen Lanoff, a nurse practitioner with a passion for women's health, to explore the critical connection between menopause and bone health. We uncover the rapid decline in bone density during menopause, why early screening with DEXA scans is crucial, and how hormone therapy can make all the difference.Jen shares her journey from public defender to nurse practitioner and explains why she's on a mission to empower women with actionable steps to protect their health and quality of life. We also dive into the nuances of osteoporosis treatments, from the benefits of anti-resorptives and anabolics to practical lifestyle modifications.If you've ever wondered how to interpret a DEXA scan, what medications are truly effective, or why bone health impacts everything from mobility to longevity, this conversation is packed with evidence-based insights. Jen's relatable approach and dedication to patient care make this episode both educational and empowering.Whether you're entering menopause, supporting someone in midlife, or just want to better understand your body, you won't want to miss this deep dive into maintaining health and independence.HighlightsHow menopause accelerates bone density lossThe essential role of estrogen in preventing osteoporosisWhy early DEXA scans can be life-changingBusting myths about osteoporosis prevention and treatmentProactive steps to maintain health and independenceSubscribe, like, and comment to join the conversation about thriving in midlife. Let's prioritize your health together!Jennifers Bio:Jennifer Lanoff, WHNP-BC, MSCP, JD, is a board-certified Women's Health and Gender-Related Nurse Practitioner. She currently has a GYN-only practice at Reiter, Hill and Johnson, an Advantia Practice, and sees patients in their Washington, DC, Chevy Chase, MD, and Falls Church, VA offices, where she focuses on menopause, osteoporosis, complex sexual health disorders, pelvic floor dysfunction, incontinence, hypoactive sexual desire disorder, persistent genital arousal disorder, and other vulvovaginal disorders such as vulvodynia, lichen sclerosus, and genitourinary symptoms of menopause (GSM) in addition to well-woman exams and related care. Jennifer has a passion for gynecological health and well-being at all stages of life. She is a Menopause Society (formerly NAMS) Certified Provider and currently serves as the Chair of the Menopause Society Education Committee, in addition to being on the Trustee Nominating Committee and a peer reviewer for the Menopause Journal. She also serves on Ms. Medicine's Physician Executive Group, The Body Agency's Medical Expert Board, and on the National Menopause Foundation's (NMF) Medical Advisory Committee (MAC). She is a member of The Menopause Society, The International Menopause Society, the International Society for the Study of Women's Sexual Health (ISSWSH), the International Society for the Study of Vulvovaginal Disease (ISSVD), the Bone Health and Osteoporosis Foundation, the American Urogynecology Society, the American College of Obstetrics and Gynecology (ACOG), and the Society for Family Planning (SFP).Jennifer completed her undergraduate studies at Stanford University, receiving her MSN at Johns Hopkins School of Nursing, and her Women's Health Nurse Practitioner degree from Georgetown School of Nursing. Prior to entering the medical field, Jennifer earned a law degree from the University of Michigan Law School and was a trial and appellate attorney for over 20 years at the Public Defender Service...

On today's episode: The internet TURNS on Dobyns rods, but should YOU?! We're going to take what I think is a very calm, rational look at the news coming from this very popular line of rods, and what it really means for you as a consumer. We also have some interesting news coming from Major League Fishing, we have a major announcement about the next four weeks of Tackle Talk shows, and we answer some or your questions about lure retrievers, and Pflueger and Bates reels.     Brought to you by: American Legacy Fishing & Outdoors www.americanlegacyfishing.com Use Code: TACKLETALK10 for 10% Off*     Additional Support Provided By: Dakota Lithium Batteries - Use Code TACKLETALK5 for 5% Off Mossy Oak | Mossy Oak Fishing 

In this jam-packed episode of Jigs and Bigs, we're diving into some wild stories and intriguing updates from the fishing world!

The first WrestleRant Radio of 2025 is a historic one as the show streams LIVE for the first time in nearly a decade! After giving their two cents on Mufasa: The Lion King, Graham "GSM" Matthews and RJ Marceau review the last Raw of the USA Network era, Dakota Kai and Lyra Valkyria advancing to the finals of the Women's Intercontinental Championship Tournament, if American Made is headed to SmackDown following Chad Gable's win over Otis, what's next for the Intercontinental Championship scene and CM Punk and Seth Rollins' heated exchange. Plus, hear their predictions for the first Raw on Netflix including what John Cena will be doing as he officially kicks off his retirement tour, Drew McIntyre vs. Jey Uso, Liv Morgan vs. Rhea Ripley in a Last Woman Standing match for the Women's World Championship, Roman Reigns vs. Solo Sikoa in a Tribal Combat match, and Punk vs. Rollins. Will one of them soon set their sights on the World Heavyweight Championship? GSM and RJ close out the show with quick picks for the double main event at NXT Year's Evil and what they expect to happen in WWE and AEW in 2025!

As 2024 ends, I decided to revisit the top episodes from last year. If I were to go by my favorites, choosing would be impossible. According to the number of downloads,  the two top contenders are Top Tips for Skin and Hair with Dr. Ellen Gendler and Musculoskeletal Syndrome of Menopause with Dr. Vonda Wright.  I am going to update Dr. Gendler's episode in a few weeks.  In this episode I am going to revisit Musculoskeletal Syndrome of Menopause with Dr. Vonda Wright. Dr. Vonda Wright, an orthopedic surgeon has made it her mission to raise awareness about the musculoskeletal changes that occur because of menopause, and how a lack of estrogen sabotages the ability to be active. And that lack of activity not only impacts bone health and cardiovascular health but also cognitive function.   At the end, is an update on what has happened since I recorded that episode.  In this episode:  ·      The six symptoms of musculoskeletal syndrome of menopause ·      The relationship between GSM and dementia ·      Why frozen shoulder is the number one complaint ·      The relationship of menopause to osteoarthritis ·      The impact of mobility on cognitive function ·      The impact of menopause on frailty ·      The impact of testosterone on musculoskeletal syndrome of menopause ·      Exercise and cancer risk reduction ·      How heavy your weights should be to increase muscle power  Dr. Wright's publication Wright VJ, et al.  The musculoskeletal syndrome of menopause. Climacteric. 2024 Oct;27(5):466-472. Dr. Vonda Wright Podcast: Hot for Your Health  Instagram: @DrVondaWright For more information on this topic:  Substack.com/@DrStreicher Episode 59 - Boning Up on Bones: Part 1 with Dr. Kristi Tough DeSapri (Risk Factors for Osteoporosis, and Screening) Episode 61 Boning Up on Bones: Part 2 with Dr. Kristi Tough DeSapri (Prevention and Treatment)  Episode 67- How Long Can you Safely Take Hormone Therapy? Episode 85 Estrogen and Alzheimer's Disease Episode  111 Bone Up with Hormone Therapy with Dr. DeSapri Episode 123 Hormone Therapy After Age 60 with Dr. James Simon Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Dr. Streicher's Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER'S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram       @DrStreich Facebook         @DrStreicher YouTube          DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

On the holiday edition of WrestleRant Radio, Graham "GSM" Matthews and RJ Marceau delve into their review of the return of Saturday Night's Main Event! They talk Drew McIntyre decimating Sami Zayn and McIntyre potentially rekindling his rivalry with Roman Reigns heading into WrestleMania 41, who he could face instead, Liv Morgan defending the Women's World Championship against IYO SKY and what the WrestleMania match could be for the belt, Gunther retaining his World Heavyweight Championship in a Triple Threat match, if War Raiders' World Tag Team Championship win is a sign that WWE will start prioritizing tag team wrestling again (or at least on Raw), what's next for Finn Balor, Chelsea Green becoming the inaugural Women's United States Champion, Cody Rhodes vs. Kevin Owens for the Undisputed WWE Championship, the future of their feud and why the post-match angle should have aired on the broadcast. ​They then discuss everything advertised so far for the first episode of Raw on Netflix including Roman Reigns vs. Solo Sikoa in Tribal Combat, CM Punk vs. Seth Rollins and if it's meant to be one-off, Morgan vs. Rhea Ripley for the Women's World Championship, Logan Paul joining the Raw roster, and a vignette from Raw hinting at former AEW star Penta El Zero Miedo's imminent arrival in WWE. GSM and RJ then close out the episode with their on-site report of Tuesday's double taping of NXT TV at the Lowell Memorial Auditorium!

Hello & Welcome To This Week's Episode! I'm really excited to share the conversation that I recently had with Dr Lori Brotto, and to take a dive into the research around mindfulness & pelvic health If you're enrolled in my Female Pelvic Pain Rehab or my Female Sexual Dysfunction courses, you'll know that I love the research of Dr Lori Brotto; I think she makes the science around mindfulness & pelvic health clinically useful & accessible Dr Brotto is a researcher and clinician who has authored over 150 papers on the benefits of mindfulness and she is also the author of one of my most recommended books, 'Better Sex Through Mindfulness: How Women Can Cultivate Desire' She is a fan of multimodal biopsychosocial approaches to pelvic health, whether we are talking about GSM at menopause, vestibulodynia and sexual health concerns including lack of desire In this conversation we discuss: what mindfulness is, and how it can significantly affect pelvic health issues, from vestibulodynia to dyspareunia how stress affects desire, and the differences between male an female responses how to incorporate mindfulness when working with people who have vestibulodynia, as part of a multimodal approach why we don't necessarily have to avoid painful touch - teaching people resilience and self-management and what to do in a flare and much more! I hope you enjoy this conversation as much as I did - I've been practicing and teaching mindfulness for years now but I definitely picked up some more pearls of wisdom here! You can find Dr Brotto on Instagram as @drloribrotto and she also features on Masterclass (in the Menopause class) and The Principles of Pleasure on Netflix If you'd like to learn more about multi-modal approaches to pelvic health AND ave some money, don't forget to use the code COCCYX24 at checkout on any of my online courses to save €75 - but only until the end of this month! All the course info can be found at CelebrateMuliebrity.com Until next time! Onwards & Upwards, Mx

Graham "GSM" Matthews and RJ Marceau waste no time on this week's WrestleRant Radio getting into their thoughts on NXT Deadline! They talk the winners of the Iron Survivor Challenge matches and if new champions will be crowned at New Year's Evil next month, the NXT Underground match, the NXT Tag Team Championship match stealing the show, Trick Williams retaining the NXT Championship, and what's next for Ethan Page. Plus, who's switching shows as part of WWE's upcoming "trade window"? GSM and RJ have their picks, along with why the concept should outright replace the annual WWE Draft. They also discuss CM Punk vs. Seth Rollins reportedly being planned for the first Raw on Netflix, what that means for WrestleMania 41 and a possible program between Punk and Roman Reigns, the nuclear heat The New Day received on Raw, Lyra Valkyria and Dakota Kai advancing in the Women's Intercontinental Championship Tournament, why The Wyatt Sicks aren't "buried" following their first loss, Rey Fenix's controversial comments about AEW and how the situation should be handled, and FULL PREDICTIONS for the return of Saturday Night's Main Event featuring Cody Rhodes vs. Kevin Owens for the Undisputed WWE Championship!

The annual Thanksgiving episode of WrestleRant Radio kicks off with Graham "GSM" Matthews chatting with WWE Raw Superstar Raquel Rodriguez about returning to WarGames, if it will be a full circle moment for her at Survivor Series, being back on WWE TV, her skin condition affecting her performance inside Elimination Chamber earlier this year, reuniting with Liv Morgan, turning heel, wanting to win the newly-announced Women's Intercontinental Championship, and more! GSM then gives his full review of AEW's Full Gear pay-per-view event featuring an impressive outing from Big Boom! A.J., Mercedes Mone having her best match in months, Kyle Fletcher's shocking win over Will Ospreay, Daniel Garcia capturing the AEW TNT Championship, Jon Moxley vs. Orange Cassidy in the main event for the AEW World Championship and the show's chaotic ending. He also previews the 2024 Continental Classic before he and RJ Marceau discuss what's in store for The New Day's 10-year anniversary edition of Raw next week coming off their stellar segment this past Monday night, who will be the inaugural Women's Intercontinental Champion, WWE not prioritizing tag team wrestling, and Cody Rhodes and Kevin Owens set for Saturday Night's Main Event. Plus, hear their complete predictions for WWE Survivor Series this Saturday including two midcard title matches, Gunther vs. Damian Priest for the World Heavyweight Championship, who attacked Jade Cargill, seeds being planted for a future feud between CM Punk and Roman Reigns, and which teams will reign supreme in WarGames.

Graham "GSM" Matthews has plenty to discuss on the AEW front to kick off this week's WrestleRant Radio! Hear his thoughts on how AEW will benefit from running smaller buildings in 2025 starting with a string of shows at the Hammerstein Ballroom next month, Kenny Omega saying that AEW doesn't need him right now, and "Speedball" Mike Bailey reportedly being AEW bound. He also gives his complete predictions for Saturday's Full Gear pay-per-view event headlined by Jon Moxley vs. Orange Cassidy for the AEW World Championship. GSM and RJ Marceau then get into the Netflix flight between Mike Tyson and Jake Paul and how it underwhelmed despite all the hype, what's next for both men and if we'll see them interact again at WrestleMania 41, what Netflix's streaming issues mean (or rather don't mean) for WWE come the Raw premiere in January, news on who's advertised to appear including Travis Scott and potentially Becky Lynch, Netflix wanting three major names on Monday nights, the return of Rhea Ripley and women's WarGames being officially announced, Bronson Reed teaming with The Bloodline for the men's WarGames match and why it still wouldn't make sense for Seth Rollins to agree to team with Roman Reigns, and more!

With an estimated 3.8 million breast cancer survivors in the United States, OBGYNs and other women's healthcare providers often are on the front lines of addressing survivorship issues, including the hypoestrogenic-related adverse effects of cancer therapies or early menopause in survivors. Although systemic and vaginal estrogen are used widely for symptomatic relief of genitourinary syndrome of menopause in the general population, among individuals with a history of hormone-sensitive cancer, there is uncertainty about the safety of hormone-based therapy, leading many individuals with bothersome symptoms to remain untreated, with potential negative consequences on quality of life. The term genitourinary syndrome of menopause (GSM) is the term used to describe to a constellation of symptoms that relate to hypoestrogenic effects on the genital epithelium, such as genital dryness, burning, and irritation; potential downstream effects of vulvar and vaginal atrophy such as dyspareunia; urinary symptoms such as urgency or dysuria; and recurrent urinary tract infections. Is vaginal estrogen or estrogen-like therapies safe in these patients? What about in those using aromatase inhibitors? A new Meta-Analysis (AJOG) provides insights. Listen in for details.

Graham "GSM" Matthews kicks off WrestleRant Radio this week with his raw thoughts on Wednesday's edition of AEW Dynamite in Bridgeport, including why the show has become depressing to watch some weeks and what can be done to fix it. It wasn't all bad, however, as he also gets into what he liked from the show and how Full Gear is guaranteed to deliver next weekend. RJ Marceau then joins GSM to discuss NXT returning Lowell for the December 17th episode of NXT TV, any notable names that can appear on the show, WWE taping upcoming episodes of Raw and SmackDown, and the announcement of an all-new Women's United States Championship! Is it an overall positive for the women's division? On what brand(s) should the belt be defended? Is a Women's Intercontinental Championship imminent? Who should be the inaugural champ? Plus, GSM has a WarGames RANT on why it's ridiculous that the men's match is five-on-five, who could join each side and why it wouldn't make sense regardless, WWE seemingly setting up a women's WarGames match despite it not being necessary, the rushed build to Survivor Series this year on the whole, and more!

Rumors ran rampant this week that WWE will be heading to Japan for next year's Backlash event, and although that was ultimately untrue, Graham "GSM" Matthews and RJ Marceau kick off WrestleRant Radio discussing the company's continued global expansion heading into 2025 with a good chunk of the road to WrestleMania 41 happening overseas. They also have thoughts on NXT invading the ECW Arena and why their women's division deserves WarGames at Survivor Series. GSM and RJ then break down WWE's latest round of releases, where it went wrong for Tegan Nox, Indi Hartwell and Baron Corbin, and what's next for each of them before talking Goldberg confirming that he'll be returning to the ring next year, when it will be exactly and who it will be against, a full review of the Crown Jewel pay-per-view, Solo Sikoa's clean win over Roman Reigns, if the end of Bianca Belair and Jade Cargill's WWE Women's Tag Team Championship reign is imminent, who won the Men's and Women's Crown Jewel Championships, Cody Rhodes' and Gunther's next challengers, and more!

Do you use vaginal estrogen? Recommended by top menopause specialists, backed by multiple studies, vaginal estrogen is proven to work to prevent or treat the Genitourinary Syndrome of Menopause (GSM). GSM is incredibly common and includes bladder leaks, vaginal dryness, painful sex, and frequent UTIs, which can be deadly as we age. But many women are scared of vaginal estrogen due to an outdated and misleading FDA-mandated warning label that treats local vaginal estrogen with the same broad brush as systemic estrogen. In this episode, Katie connects with three women's health leaders behind a new campaign called “Unboxing Menopause” which calls for the FDA to update or remove this misleading warning label. Top urologists Drs. Kelly Casperson and Rachel Rubin give us an explainer on how vaginal estrogen prevents the tissue decline and infections that kill too many elderly women and costs the economy billions. Let's Talk Menopause co-founder Donna Klassen loops us in on the goals of the campaign and how you can help move this critical women's health initiative forward. SHOW NOTES + TRANSCRIPT acertainagepod.com FOLLOW A CERTAIN AGE: Instagram Facebook LinkedIn GET INBOX INSPO: Sign up for our newsletter AGE BOLDLY We share new episodes, giveaways, links we love, and midlife resources Learn more about your ad choices. Visit megaphone.fm/adchoices