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Every 49 seconds in America, an abortion happens — not in a clinic, not under medical supervision, but quietly through the mail.In this episode of Culture Apothecary, I'm joined by Dr. Christina Francis, board-certified OB/GYN and CEO of the American Association of Pro-Life Obstetricians and Gynecologists, to expose what almost no health and wellness podcast will touch. We tackle the real physical risks of abortion pills, what happens when women are left to manage serious complications alone, and the overlooked environmental impact of fetal tissue and blood entering our water systems.Thank you to our sponsors!ZEBRA: Use code "ALEX" for 10% off any order.MASA CHIPS: Use code "ALEXCLARK" for 25% OFF.BEEKEEPER'S NATURALS: Use code “ALEXCLARK” for 20% off sitewide.CROWDHEALTH: Use code “CULTURE” to get your first three months for only $99/month.PALEOVALLEY: Use code ALEX for 15% off your first order.WILD PASTURES: Get an exclusive discount on your next order.Our Guest:Dr. Christina Francis, MDDr. Christina's Links:WebsiteInstagramAAPLOG InstagramFacebookYouTubeX
There have been plenty of advancements in women's healthcare & sex ed over the years. The reality is, we still have such a looooooooooooong way to go. That's the focus of Dr. Maria Sophoclese, a Gynecologist, Women's Health Advocate, Menopause Problem Solver, Documentarian, and Author of “The Bedroom Gap: Rewrite the Rules and Roles of Sex in Midlife.” Hear what she learned speaking with patients every day, how we can modernize both women's healthcare & sex ed, the staggering stats about sex ed in the US today, why the porn industry is still so incredibly biased towards men, and what healthcare workers can do to improve the lives of women. Tune in to this episode to advance healthcare for women & sex ed for all. Learn more: Dr. Maria Sophocles Dr. Maria Sophocles LinkedIn The Bedroom Gap: Rewrite the Rules and Roles of Sex in Midlife Today's Hot Flash and other stats from: Women's Healthcare of Princeton
Navigating perimenopause and menopause Guest Bio: Michele Lapayowker, DO, a board-certified Obstetrician and Gynecologist, has been practicing in South Florida since 1995. She takes pride in truly understanding from both personal and professional experiences a woman's health concerns. She also helps women navigate the menopause maze and understand the changes occurring as well as how to manage their health concerns. #LELearn #EDULiveforeverish
Menopause isn't just hot flashes ... it's often accompanied by symptoms like painful sex or loss of libido. Gynecologist and sexual medicine specialist Dr. Maria Sophocles joins Jennie to shed light on what she calls (and wrote a book about) the "bedroom gap," or the difference in sexual expectations of men and women in midlife due to societal norms and what to do about it! Follow the "I Choose Me" Podcast on Instagram and TikTok Follow Jennie on Instagram, TikTok, and FacebookSee omnystudio.com/listener for privacy information.
Learn how ACOG turns advocacy into action, supports clinicians, and creates community. Plus, get tips on how you can get involved. In this episode of BackTable OBGYN, Dr. Sivani Aluru from Endeavor Health in Chicago shares her journey and involvement with ACOG, from her medical school days to her current role as the national JFCAC Chair. --- SYNPOSIS Dr. Aluru describes her experiences on various task forces, including the ACOG 75th Anniversary Task Force, and emphasizes the importance of education, advocacy, and community within the organization. She offers insights into the challenges and benefits of participating in ACOG, provides tips for getting involved, and highlights the ongoing efforts to address critical issues in women's health. The conversation also touches on adapting to the changes brought by the COVID-19 pandemic and the value of staying organized and connected in a demanding field. Find out what ACOG is working on, how it benefits patient care, how it benefits provider education and resources, how it builds community. Get involved! Go to meetings! There are so many roles. If you don't get your role on the first go, try again. Showing up is huge! --- TIMESTAMPS 00:00 - Introduction03:41 - Residency and Early Involvement in ACOG07:29 - Advocacy and Government Affairs18:40 - Balancing Professional and Organizational Work24:28 - Listening to Members' Needs26:36 - Challenges and Value of ACOG Membership29:00 - The Importance of In-Person Meetings34:45 - ACOG's Legislative Advocacy and Future Plans35:48 - Advice for Getting Involved with ACOG40:16 - Conclusion --- RESOURCES ACOG (American College of Obstetricians and Gynecologists)https://www.acog.org/ ACOG CAARE Delegation https://www.acog.org/about/diversity-equity-and-inclusive-excellence/collective-action-strategy/caare-delegation ACOG CREOG (Council on Resident Education in Obstetrics and Gynecology) https://www.acog.org/education-and-events/creog/about
Menopause isn't just hot flashes ... it's often accompanied by symptoms like painful sex or loss of libido. Gynecologist and sexual medicine specialist Dr. Maria Sophocles joins Jennie to shed light on what she calls (and wrote a book about) the "bedroom gap," or the difference in sexual expectations of men and women in midlife due to societal norms and what to do about it! Follow the "I Choose Me" Podcast on Instagram and TikTok Follow Jennie on Instagram, TikTok, and FacebookSee omnystudio.com/listener for privacy information.
Navigating perimenopause and menopause In this episode of Live Foreverish, Dr. Mike and Dr. Crystal sit down with Dr. Michele Lapayowker to discuss all things menopause. Tune in as we explore the latest insights, symptoms, and solutions for navigating menopause, including expert advice on health, wellness, and hormonal management. Whether you're experiencing menopause or supporting someone who is, you'll gain valuable information and practical tips from a gynecologist treating women daily! #LELearn #EDULiveforeverish Guest Bio: Michele Lapayowker, DO, a board-certified Obstetrician and Gynecologist, has been practicing in South Florida since 1995. She takes pride in truly understanding from both personal and professional experiences a woman's health concerns. She also helps women navigate the menopause maze and understand the changes occurring as well as how to manage their health concerns. #LELearn #EDULiveforeverish
Many studies demonstrate the benefits of yoga during pregnancy, including shorter labor and improved newborn outcomes. The American College of Obstetricians and Gynecologists states that modified yoga is one of the safest exercises for pregnant women. But what exactly does modified yoga mean? ACOG cautions against specific poses and hot yoga. As with any activity, there is nuance in determining which activities are safe. This episode will examine the research on specific poses and on practicing yoga in a heated environment. Plus, the physical changes that can affect your practice, precautions, and tips for modifying yoga during pregnancy. Full article and resources for this episode: https://pregnancypodcast.com/yoga/ Thank you to the brands that power this podcast: The True Belly Serum from 8 Sheep Organics is specially formulated with clinically proven ingredients that penetrate deep into the skin to effectively prevent stretch marks. Like all 8 Sheep products, the True Belly Serum comes with a 100-day Happiness Guarantee. You can try it completely risk-free for 100 days! If you feel the serum has not worked for you, or if you're not 100% happy with your purchase, simply send them an email and they will get you a refund, no questions asked. Save 10% off 8 Sheep Organics at https://pregnancypodcast.com/8sheep/ AG1 is the Daily Health Drink that combines your multivitamin, pre- and probiotics, superfoods, and antioxidants into one simple, green scoop. It's one of the easiest things you can do to support your body every day. When you first subscribe to AG1, you'll get an AG1 Welcome Kit, a bottle of Vitamin D3+K2, AND you'll get to try each new flavor of AG1 and their new sleep supplement, AGZ: https://drinkAG1.com/pregnancypodcast Get More from the Pregnancy Podcast Join thousands of expecting parents who stay up to date with the latest pregnancy news, new episode alerts, exclusive offers, and more: https://pregnancypodcast.com/newsletter Upgrade to Pregnancy Podcast Premium for ad-free episodes, full access to the back catalog, and a free copy of the Your Birth Plan book: https://pregnancypodcast.com/premium Save with discounts and deals available for Pregnancy Podcast listeners: https://pregnancypodcast.com/resources Follow your pregnancy week-by-week with the 40 Weeks podcast. Learn how your baby grows, what's happening in your body, what to expect at prenatal appointments, and get tips for dads and partners: https://pregnancypodcast.com/week Find more evidence-based information on the Pregnancy Podcast website: https://pregnancypodcast.com
Welcome to Perimenopause WTF!, brought to you by Perry—the #1 perimenopause app and safe space for connection, support, and new friendships during the menopause transition. You're not crazy, and you're not alone! Download the free Perry App on Apple or Android and join our live expert talks, receive evidence-based education, connect with other women, and simplify your perimenopause journey.Today's episode is titled “Motherhood Reloaded: Perimenopause, Hormones, and the Path Back to Yourself” with Dr. Fenske, Beth Crosby, Dr. Sameena Rahman. In this episode we discuss the challenges of motherhood whilst in Perimenopause. Tune in as our experts answer the Perry Community's questions; from wild emotions to getting enough sleep to the benefits of testosterone! This is the motherload of familiar situations and great advice.
While the topic of incontinence may feel taboo, new research has found it is a widespread women's health issue in Ireland, with 64% of Irish women having experienced incontinence at some point in their lives. So, why do so few seek help?Joining Ciara to discuss this is Dr. Breffini Anglim O'Regan, Consultant Obstetrician, Gynecologist and Urogynecology Subspecialist at The Coombe Hospital, and President of the Continence Foundation of Ireland and Lisa Watson, who is awaiting a surgery that is currently on pause in Ireland for incontinence.
It's Monday, January 19th, A.D. 2026. This is The Worldview in 5 Minutes heard on 140 radio stations and at www.TheWorldview.com. I'm Adam McManus. (Adam@TheWorldview.com) By Adam McManus Inside Southeast Asia's expanding Islamization In one part of Southeast Asia, angry mobs constantly threaten a congregation with physical violence to try to prevent the Christians from worshipping Jesus. In yet another area, a young Christian female student fends off Muslim men relentlessly pressuring her into marriage, resulting in her forced conversion to Islam. These are real-life situations that countless Christians face daily across Southeast Asia as they live in Muslim-majority nations, reports International Christian Concern. Islam has a strong presence and history in Asia, with 1.3 billion Muslims across the region and 242 million followers in Southeast Asia alone. More than 60% of the world's Muslims live in Asia. US kills Al-Qaeda leader linked to deadly ISIS attack on US troops U.S. Central Command, known as CENTCOM, announced on Friday a deadly strike on a leader affiliated with Al-Qaeda in northeast Syria, reports The Epoch Times. The man had direct ties to an ISIS attack that killed two American service members and an interpreter on December 13, 2025, according to a Saturday CENTCOM post on X. CENTCOM Commander Admiral Brad Cooper said, “The death of a terrorist operative, linked to the deaths of three Americans, demonstrates our resolve in pursuing terrorists who attack our forces. There is no safe place for those who conduct, plot, or inspire attacks on American citizens and our warfighters. We will find you.” Argentinian President Javier Milei defends unborn babies The abortion wars in Argentina are ongoing, reports LifeSiteNews.com. Javier Milei, who was elected president of Argentina in December 2023, ran on a staunchly pro-life platform. During his campaign, he promised to repeal Argentina's pro-abortion law, which passed narrowly in December 2020, and allows a mother to have her unborn baby killed up until 14 weeks of gestation. In a 2023 interview, Milei said, “It is true that women have the right to their own bodies. But the child in a woman's body is not her body. … That makes abortion a murder, enabled and aggravated by a power imbalance against a child that has no way to defend itself. … Life is a continuum with two quantum leaps – birth and death. Any interruption in the interim is murder.” In Psalm 139:13, King David told God, “For You created my inmost being; You knit me together in my mother's womb.” To his credit, Argentinian President Milei has halted the national distribution of abortion kill pills, canceling the planned distribution of over 100,000 doses. Abortion groups claim that these barriers likely account for the drop in the Argentinian abortion rate from 107,500 in 2023 to 79,186 in 2024. Senator to leftist obstetrician: “Can men get pregnant?” In a January 14th hearing on Abortion Kill Pill safety before the Senate Health, Education, Labor, and Pensions Committee, Republican Senator Josh Hawley of Missouri could not get a straight answer from Dr. Nisha Verma, a board member of The American College of Obstetricians and Gynecologists, about basic biological reality. Listen. HAWLEY: “Dr. Verma, do you think that men can get pregnant?” VERMA: “I'm not really sure what the goal of the question is.” HAWLEY: “The goal is just to establish a biological reality. You just said a moment ago that ‘science and evidence should control, not politics.' So, let's just test that proposition. Can men get pregnant?” VERMA: “I take care of people with many identities, but …” HAWLEY: “Can men get pregnant?” VERMA: “I take care of many women that can get pregnant. I do take care of people that don't identify as women that…” HAWLEY: “Can men get pregnant?” VERMA: “Again, as I'm saying …” HAWLEY: “Let me just remind you what you testified to a moment ago. ‘Science and evidence should control, not politics.' Can men get pregnant? You're a doctor.” VERMA: “I totally agree that science and evidence should guide medicine.” HAWLEY: “Do science and evidence tell us that men can get pregnant? Biological men, can they get pregnant?” VERMA: “I also think yes/no questions like this are a political tool.” HAWLEY: “No, yes/no questions are about the truth, doctor. Let's not make a mockery of this proceeding. This is about science and evidence, and I'm asking you. “The United States Supreme Court just heard arguments yesterday at great length on this question. This is not a hypothetical question. This is not theoretical. It affects real people in their real lives. And you're here as an expert, called by the other side, as an expert. You're a doctor, and you follow the science and the evidence. So, I just want to know, based on the science, can men get pregnant? That's a ‘yes or no' question. It really is, I think.” VERMA: “I think you're trying to reduce the complexity of a lot.” HAWLEY: “I'm not. It's not complex. I'm trying to get to an answer, and I'm trying to test, frankly, your veracity as a medical professional and as a scientist. Can men get pregnant?” VERMA: “I think you're also conflating male and female.” HAWLEY: “This is extraordinary. No, I'm not conflating male with female. They're two different things. There's biological men and there's biological women. And I want to know, can men get pregnant?” VERMA: “What you are talking about is biological.” HAWLEY: “I'm not going to answer my question.” VERMA: “biological males….” HAWLEY: “This isn't hard, doctor. Can men get pregnant? Yes or No?” Instead of answering Senator Hawley's very simple question, Dr. Verma continued to play games and sidestep a direct answer. VERMA: “I would be more than happy to have a conversation with you that is not coming from a place of trying to be polarized and pushing…” HAWLEY: “I'm not trying to be polarizing. I'm trying to ask. I think it is extraordinary that we are here in a hearing about science and about women. And for the record, it's women who get pregnant, not men. “Science shows that this abortion drug causes adverse health events in 11% of cases. That's 22 times greater than the FDA label, another fact you haven't acknowledged, and yet you won't even acknowledge the basic reality that biological men don't get pregnant. “There's a difference between biological men and biological women. I don't know how we can take you seriously and your claims to be a person of science, if you won't level with us on this basic issue. I thought we were past all of this, frankly.” Christian publisher Robert Wolgemuth entered Heaven at 77 And finally, the widow of the recently deceased Christian author and publisher Robert Wolgemuth, remembered by ministry leaders as a “legend in Christian publishing,” has revealed additional details about his sudden death, reports the Christian Post. Nancy DeMoss Wolgemuth, the founder of Revive Our Hearts ministry, who married Wolgemuth in 2015, published a social media post last Thursday, providing additional details about her husband's final days before his death on January 10 at age 77. She explained, “Early Christmas Eve morning, I took him to the ER, as he was in pain, struggling to breathe. He declined quickly and within a few days was totally unresponsive. On January 10, I returned to our home a widow. That same day, Robert moved to his eternal Home, to find unending joy and rest with Christ.” Nancy added, “In the midst of tears aplenty, I rejoice in the incredible joy and gift of walking with Robert as his wife for the last ten years.” Evangelist Greg Laurie said, “Robert helped bring about the New Believer's Bible, which has literally touched millions of people around the world, as well as my book Jesus Revolution. As Robert often said, ‘The anticipation of Heaven changes everything.' May we all live with that anticipation.” No doubt, upon admission to Heaven, Robert Wolgemuth heard the words of Matthew 25:23 from his Savior: “Well done, good and faithful servant.” Close And that's The Worldview on this Monday, January 19th, in the year of our Lord 2026. Follow us on X or subscribe for free by Spotify, Amazon Music, or by iTunes or email to our unique Christian newscast at www.TheWorldview.com. I'm Adam McManus (Adam@TheWorldview.com). Seize the day for Jesus Christ.
Show #2579 Show Notes: LAN Events: https://thelibertyactionnetwork.com/calendar/ Created Equal: https://www.createdequal.org/ Justice Ride: https://www.createdequal.org/justiceride/ It’s still a baby video: https://www.facebook.com/reel/1598847134460248 Gynecologist says men can get pregnant: https://www.facebook.com/reel/26190559007218868 Dr. Verma won’t answer ‘Can Men Get Pregnant’: https://www.facebook.com/reel/26190559007218868 Follow […]
An easy way to learn APGAR, a scoring system designed to assess newborns. Includes APGAR mnemonic! PDFs available here: https://rhesusmedicine.com/pages/paediatricsConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Buy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is the APGAR Score?0:19 APGAR Score Mnemonic1:50 APGAR Score Interpretation / APGAR Score MeaningMSD Manual Professional Edition (2025) Neonatal resuscitation. MSD Manual Professional Edition. Available at: https://www.msdmanuals.com/professional/pediatrics/perinatal-problems/neonatal-resuscitation MedlinePlus (2024) Apgar score. MedlinePlus Medical Encyclopedia. Available at: https://www.medlineplus.gov/ency/article/003402.htm American College of Obstetricians and Gynecologists (2015) Committee Opinion No. 644: The Apgar score. Obstetrics & Gynecology, 126(4), pp.e52–e55. DOI: 10.1097/AOG.0000000000001108. Available at: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2015/10/the-apgar-score LINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/Disclaimer: Please remember this video and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.
The discussion emphasizes proactive checkups, lifestyle adjustments, and open communication to support long-term physical and emotional well-being throughout 2026.
In this episode we're taking everyday professions and breaking the Greek words apart to see where they come from and what they literally mean. Because in Greek, words aren't random.They're built with intention, logic, and history.Nurse = νοσοκόμα. The Greek word νοσοκόμα comes from two parts: νόσος = disease, illness and κομέω / κομώ = to take care of, to tend. So νοσοκόμα literally means:
Why are women developing chronic illness at younger ages—and why are they so often dismissed when they seek answers?In this episode of Brave New Us, bioethicist and chronic illness patient Samantha Stephenson explores why women are disproportionately affected by autoimmune disease, migraines, infertility, depression, and other chronic conditions. Drawing from ethics, medicine, and lived experience, she examines the role of environmental toxins, hormonal contraception, abortion, and inequities in medical research—and asks how women can pursue real healing without ignoring the spiritual meaning of suffering.In This EpisodeWhy women are getting sicker at younger agesChronic illness, autoimmune disease, and women's healthEndocrine-disrupting chemicals in beauty, cleaning, and food productsThe “generally recognized as safe” (GRAS) loopholeHormonal birth control as a band-aid—not a cureSide effects of hormonal contraceptives, including brain changesRestorative reproductive medicine and NaProTechnologyAbortion and women's physical and psychological healthWhy women are underrepresented in medical researchThe ethics of studying women's bodiesFinding meaning, faith, and intimacy with Christ through sufferingEssays & ArticlesSamantha's Essay (discussed in this episode)“Why Are Women So Sick?” — Claire the Catholic FeministAbortion Is the Real Assault on Women— Crisis MagazineWomen Deserve Better Than Abortion — Word on FireBooks & FilmsYour Brain on Birth Control— Sarah E. HillOffer It Up: Discovering the Power and Purpose of Redemptive Suffering— Megan Hjelmstad (Blessed Is She)Hush(documentary)Women's Health & FertilityNatural Cycles AppTempDropOther MentionsAlex ClarkAmerican College of Obstetricians and Gynecologists on the menstrual cycle as the “fifth vital sign”Momosophy Substack (Elizabeth Kulze)Resources from SamanthaSubscribe to the newsletter for essays, link roundups, and book updatesDetails on Samantha's chronic illness journey Grow Where You're Planted — including a downloadable list of favorite non-toxic products available with preorderJoin the ConversationHave thoughts on this episode or personal experience with chronic illness? Join the discussion at choosinghuman.org.If this episode resonated, consider leaving a review on Apple Podcasts—it helps others find the show.
Breech presentation can bring up a lot of questions, uncertainty, and fear for expecting families—especially when conversations quickly turn to C-sections as the default option. In this episode of The New Mom Talk Podcast, we take a closer look at the current ACOG (American College of Obstetricians and Gynecologists) guidelines on breech presentation and vaginal delivery, and what they actually mean for parents navigating this situation.Our guest, Dr. Elliot Berlin, is a pregnancy-focused chiropractor, childbirth educator, and host of the Informed Pregnancy Podcast. He is also the creator of Informed Pregnancy Plus, a streaming platform for pregnancy education, and One Way or a Mother, an audio docuseries that explores real birth stories in depth. With decades of experience supporting families through pregnancy and birth, Dr. Berlin brings a balanced, evidence-based perspective to this important topic.In this conversation, we start by breaking down what ACOG stands for and why its guidelines matter when making informed decisions about birth. Dr. Berlin explains how ACOG's stance on vaginal breech birth has evolved over time, including why access to vaginal breech delivery has become more limited despite updated guidance that supports it in specific situations.We discuss the criteria providers may consider when determining whether someone is a good candidate for a vaginal breech birth, such as fetal position, gestational age, provider training, and birth setting. Dr. Berlin also shares insight into how accessible vaginal breech birth is today, why many families struggle to find supportive providers, and how parents can advocate for themselves when discussing options.Finally, we explore the risks and benefits of planned vaginal breech birth versus scheduled C-section, along with practical ways parents can educate themselves and prepare mentally, emotionally, and physically—especially if a breech presentation is discovered later in pregnancy.Whether you're currently facing a breech diagnosis or simply want to be more informed about your options, this episode empowers you with knowledge, context, and tools to have confident, informed conversations with your care team.Connect with Dr. Elliot Berlin:Official Website: https://www.doctorberlin.com/IG: @doctorberlin acog guidelines breech birth, vaginal breech delivery, breech presentation pregnancy, vaginal breech birth risks and benefits, breech birth options, informed pregnancy podcast, dr elliot berlin, breech birth advocacy, pregnancy education, childbirth decision makingwww.NewMomTalk.comBuy Me A CoffeeIG: @NewMomTalk.PodcastYouTube: @NewMomTalkMariela@NewMomTalk.comInterested in being a guest? Shoot us an email!- best parenting podcast- best new mom podcast- best podcasts for new moms- best pregnancy podcast- best podcast for expecting moms- best podcast for moms- best podcast for postpartum- best prenatal podcast- best postnatal podcast- best podcast for postnatal moms- best podcast for pregnancy moms- new mom - expecting mom- first time mom
Vaccines are one of public health's greatest success stories—but what happens when people start saying no? In this episode, Kevin and Dr. Lisa Wolf dig into the rising tide of vaccine refusal, what's fueling it, and how it's already impacting what we see in the emergency department. If you've ever struggled to explain vaccine science to a skeptical patient, this episode is essential listening. Resources mentioned: · American Academy of Pediatrics vaccination recommendations · American College of Obstetricians and Gynecologists vaccine guidelines · Studies on shingles vaccine and dementia reduction · HPV vaccine and cervical cancer elimination in Scotland · Vaccination in the emergency department study Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/ YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/ To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!
Actress and model Delilah Hamlin and software engineer Hayley Pearson didn't know each other before walking into the hospital—but after receiving endometriosis surgery from Dr. A on the same day, they met in recovery and instantly connected over their shared struggles. In this episode, they open up about their diagnosis, their surgeries, their healing journeys, and the friendship that grew from one unexpected moment.This episode breaks down what endometriosis really is—clear, accessible, and grounded in real medical insight. We walk through the most common warning signs, the subtle symptoms people often overlook, and how to know when it's time to advocate for yourself and ask for help. If you've ever wondered whether your pain is “normal,” this conversation is a must-listen.Subscribe to SHE MD Podcast for expert tips on PCOS, Endometriosis, fertility, and hormonal balance. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.SponsorsiRestore: Reverse hair loss with @iRestorelaser and unlock HUGE savings on the iRestore Elite with the code SHEMDPOD at https://www.irestore.com/SHEMDPOD!Cymbiotika: Go to Cymbiotika.com/Shemd for 20% off plus free shippingProlon: Prolon is offering SHE MD listeners 15% off sitewide plus a $40 bonus gift when you subscribe to their 5-Day Program!Vibrant Wellness: Ask your provider for the Hormone Zoomer by Vibrant Wellness — or find a Vibrant-certified provider today at vibrant-wellness.com/SheMDAura Frames: $35 off with code SHEMDWhat You'll Learn How to recognize symptoms of endometriosis and avoid misdiagnosisThe importance of finding an experienced specialist for surgeryFertility preservation and egg count testing considerationsHow chronic inflammation impacts ovarian reserveKey Timestamps00:00 Introduction and episode overview01:50 Fear, self-doubt, and uncertainty before diagnosis04:33 Explanation of PMDD10:00 Acne, bloating, hormonal imbalance, and painful periods15:55 Why women's pain is dismissed and misdiagnosed29:20 Finding skilled endometriosis surgeons32:00 Checking and freezing eggs39:00 Painful sex and its impact on relationships48:00 Mental health and sobriety 51:00 Autoimmune risk and systemic inflammation52:35 Self-advocacy, research, and navigating the healthcare systemKey Takeaways Women's pain is often dismissed, making self-advocacy and research essentialPainful sex and severe menstrual symptoms can signal endometriosis, not “normal” crampsEarly diagnosis and surgery by an experienced specialist can protect fertilityChronic inflammation from endometriosis can affect ovarian reserve and overall reproductive healthEndometriosis is linked to autoimmune risks, highlighting the need for comprehensive careLinks:Delilah's Instagram: https://www.instagram.com/delilahbelle/?hl=enEndometriosis Foundation of America: https://www.endofound.orgAmerican College of Obstetricians and Gynecologists: https://www.acog.orgSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Menopause expert Dr. Maria Sophocles explains why women approaching menopause may avoid sex, and how to manage perimenopause and menopause symptoms — even if your doctor dismisses your concerns.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Ottawa family physician Dr. Nili Kaplan-Myrth faced a long wait for surgery after post-menopausal bleeding, and has seen her patients endure the same. Dr. Nick Leyland, president-elect of the Society of Obstetricians and Gynecologists of Canada, explains that gynecologists have limited operating room access, fewer perform surgery, and ovaries are valued less than testicles in the surgery hierarchy. Also: what's being done to improve care for women nationwide.
Recurrent pregnancy loss (RPL) affects approximately 5% of couples and is an emotional burden on those affected. There is some evidence that vaginal progesterone supplementation may be considered in patients with recurrent pregnancy loss who are experiencing vaginal bleeding during the first trimester. But what about prophylactic low dose aspirin in the first trimester, or preconceptionally, for unexplained RPL? Is that evidence-based? A new publication from the SMFM's journal Pregnancy has examined this. Listen in for details. 1. 22 November 2025: Low-dose aspirin in unexplained recurrent pregnancy loss: A systematic review and meta-analysis (Pregnancy): https://obgyn.onlinelibrary.wiley.com/doi/10.1002/pmf2.700992. American College of Obstetricians and Gynecologists' Committee on Obstetric Practice, T. Flint Porter, Cynthia Gyanff-Bannerman, Tracy Manuck. Low-Dose Aspirin Use During Pregnancy. American College of Obstetricians and Gynecologists (2018)3. Naimi AI, Perkins NJ, Sjaarda LA, et al. The Effect of Preconception-Initiated Low-Dose Aspirin on Human Chorionic Gonadotropin-Detected Pregnancy, Pregnancy Loss, and Live Birth : Per Protocol Analysis of a Randomized Trial. Annals of Internal Medicine. 2021;174(5):595-601. doi:10.7326/M20-0469.4. Lee EE, Jun JK, Lee EB.Management of Women With Antiphospholipid Antibodies or Antiphospholipid Syndrome During Pregnancy. Journal of Korean Medical Science. 2021;36(4):e24. doi:10.3346/jkms.2021.36.e24.5. de Assis V, Giugni CS, Ros ST. Evaluation of Recurrent Pregnancy Loss. Obstet Gynecol. 2024 May 1;143(5):645-659. doi: 10.1097/AOG.0000000000005498. Epub 2024 Jan 4. PMID: 38176012.
Strep is more than just a sore throat. Today we're talking about Group B Strep (GBS), which usually isn't serious for adults, but it can hurt newborns. Learn what it is, how to test for it, and the importance of treatment.Host Jessica Stewart-Gonzalez sits down with Dr. Sarah Sams, a family physician and American Academy of Family Physicians board member, for a comprehensive guide to prepare moms for the safest possible delivery.Host:Jessica Stewart-Gonzalez is the Chief of the Office of Children's Health at the Arizona Department of Health Services. She is married, has two young children, and loves reading (anything except parenting books!) and watching movies and TV.She enjoys spending time with her kids (when they aren't driving her crazy) and celebrating all of their little, and big, accomplishments. Jessica has been in the field of family and child development for over 20 years, focused on normalizing the hard work of parenting and making it easier to ask the hard questions.Links:Strong Families AZHost: Jessica Stewart-GonzalezGuest: Dr. Sarah SamsFamilydoctor.orgThe American College of Obstetricians and Gynecologists
Norton Healthcare's Parenting With You is the podcast that helps you keep your kids healthy and safe by providing practical, down to earth advice for parents of children of any age, from babies through the teen years. In this Episode: Hot Topics in Pregnancy In this episode, our host, Dr. Erin Frazier speaks about Hot Topics in Pregnancy with C. Reed Nett, an obstetrician/gynecologist with Advocates for Women's Health, a Part of Norton Women's Care. Dr. Nett earned her medical degree from the University of Louisville School of Medicine and completed her residency in obstetrics and gynecology at the University of Cincinnati in Ohio. Dr. Nett is a member the American College of Obstetricians and Gynecologists and has a special interest in patient education, in-office surgery for treatment of abnormal bleeding and elective sterilization, and natural childbirth in the safety of a hospital setting. Her mission is to provide a comfortable and inviting atmosphere in which to care for and educate patients. During this episode, Dr. Frazier refers to pregnancy education courses through Norton Healthcare. For more information, visit this link: https://nortonhealthcare.com/services-and-conditions/obstetrics-and-gynecology/services/pregnancy/during-pregnancy/childbirth-classes/ About Norton Children's Center for Prevention and Wellness A healthy kid is a happy kid. Norton Children's Prevention & Wellness provides resources to help you and your child build healthy habits. Established in 1991, the Office of Child Advocacy of Norton Children's Hospital, now Norton Children's Prevention & Wellness, takes an active leadership role in teaching healthy habits in children, including injury prevention and educating children and their families on healthy lifestyle choices. Advocacy and outreach educational programs are at the heart of the Norton Children's mission. Norton Children's Prevention & Wellness is funded through donations to the Norton Children's Hospital Foundation. Our efforts are focused around: Safety and injury prevention Promoting healthy lifestyles Key community partnerships Government relations Norton Children's Prevention and Wellness Classes: https://nortonchildrens.com/prevention-wellness/classes-events/ Find a pediatrician go to https://nortonchildrens.com/locations/pediatrician-offices/ or call 502-629-KIDS, option 3.
The nation’s top doctors and midwives are calling for a crackdown on free births – where women give birth at home without a medical professional present. There’s been a concerning increase in complications and deaths around freebirths, with some unqualified support workers misleading vulnerable mothers to be. In this episode of The Briefing, Natarsha Belling is joined by the President of the Royal Australian and New Zealand College of Obstetricians and Gynecologists, Dr Nisha Khot, who explains why women need better support to make informed decisions about the best way to give birth safely. Follow The Briefing: TikTok: @thebriefingpodInstagram: @thebriefingpodcast YouTube: @TheBriefingPodcastFacebook: @LiSTNR Newsroom See omnystudio.com/listener for privacy information.
Vidcast: https://www.instagram.com/p/DQdknrnjVnr/For nearly the first time in the history of American public health, there is mass confusion and lack of credible information coming from our usual public health channels about which vaccines adults should receive. I want to arm all of you you with the latest immunization recommendations from the American Academy of Family Physicians and the American College of Obstetricians and Gynecologists. These guidelines are all based on the latest scientific information which demonstrates that these vaccines are safe and very, very effective at preventing and/or minimizing the effects of sometimes deadly diseases. For Pregnant Women since you are immunizing for yourself and your new baby:TDap, in 3rd trimester; Influenza, anytime during flu season; CoVid, anytime; RSV, late 3rd trimester during RSV season.Adults, 18 through 64 year of age: Td/TDap, every 10 years; MMR, if not immune, 1-2 doses; Varicella, if not immune; HPV, through age 26 or 45 if never immunized; Influenza, annually late October; CoVid, 2-3 times a year with latest vaccines; Hepatitis A/B, as needed for travel or chronic illness; Meningitis, as needed for high risk, travel, outbreak, complement deficiency; Pneumococcal, if never immunized, high risk, immunodeficient; RSV, if never immunized, high risk, immunodeficient.Seniors, 65 years and older: Influenza, yearly, high dose or adjuvated; CoVid: high potency mNEXSPIKE (Moderna) or equivalent Twice yearly, regular potency 2-3 times a year; RSV, single dose ? Every 2 years; Pneumococcal, PCV20 or PCV15+PCV23; Shingles, RZV or Shingrix, 2 dose series at 50 years or more, 19 years or more if immunocompromised; TDap, every 10 years.These are the vaccines that each of us should have. Look at this as a scorecard for you to follow along with your medical team. These days, so many of us are mobile, vaccination records may be scattered and not up to date in any single medical record, electronic or otherwise. Your own checklist, digital or paper, should be the most complete. When you do get a vaccine, let's say at your local pharmacy, be certain to text or email your medical team so that the information can be added to your electronic medical record.I have posted the American Academy of Family Physicians summary chart of all adult immunizations on my website at drhowardsmith.com/adult-immunizations-2025-6.https://www.aafp.org/family-physician/patient-care/prevention-wellness/immunizations-vaccines/immunization-schedules/adult-immunization-schedule.htmlhttps://www.drhowardsmith.com/adult-immunizations-2025-6#adults #pregnancy #seniors #immunizations #vaccines
We asked for your big questions on hormone therapy–and an avalanche ensued! This week, after 5+ years of Hit Play Not Pause, we're doing a level set on hormone therapy. This week's guest, nationally-recognized menopause expert Lauren Streicher, MD, digs into hormone therapy research, what it tells us and what it doesn't, why formulations matter, perimenopause versus postmenopause therapy, the cardiovascular implications of hot flashes, why hormone therapy needs to be personalized, and how every woman should approach her own care. 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. Dr. Streicher is a Certified Menopause Practitioner of The Menopause Society, serves on the Editorial Board of the journal Menopause, and is a Senior Research Fellow for the Kinsey Institute, Indiana University. She is a Fellow in the American College of Obstetricians and Gynecologists and The International Society for the Study of Women's Sexual Health. She is also a best-selling author and the host of two podcasts. Resources:Dr. Streicher's Substack: Menopause: The Inside InfoLearn more about her and her work at www.drstreicher.comPodcasts:Menopause, Midlife and More Podcast. COME AGAIN Sexuality and OrgasmBooks:The Essential Guide to HysterectomySex Rx: Hormones, Health, and Your Best Sex Ever. Slip Sliding Away: Turning Back the Clock on Your Vagina Hot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More and Register for our Feisty 40+ Strong Retreat: https://feisty.co/events/feisty-40-strong-retreat/ Learn More and Register for our 2026 Tucson Bike Camp: https://feisty.co/events/gravel-camp-x-bike-mechanic-school/ Follow Us on Instagram:Feisty Menopause: @feistymenopause Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Support our Partners:Phosis: Use the code FEISTY15 for 15% off at https://www.phosis.com/ Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Nutrisense: Go to nutrisense.io/hitplay and use code: HITPLAY to get 30% offWahoo KICKR RUN: Use the code FEISTY to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/maTzL This podcast uses the following third-party services for analysis: Spotify Ad Analytics - https://www.spotify.com/us/legal/ad-analytics-privacy-policy/Podcorn - https://podcorn.com/privacyPodscribe -...
Get the full show notes: https://www.draimee.org/intrauterine-surgery-and-other-life-saving-interventions-with-dr-emery-and-dr-sanfilippo In this episode, I'm joined by two incredible guests: Dr. Steven Emery, a maternal fetal medicine specialist and director of the Center for Innovative Fetal Intervention at the University of Pittsburgh, and Dr. Joseph Sanfilippo, a renowned reproductive endocrinologist, past President of the American Society for Reproductive Medicine, and author of "Everyday Medical Miracles." Together, we explore the latest advances in intrauterine surgery, fetal interventions, and fertility innovations that are changing lives for families everywhere. In our conversation, we dive deep into the courage and hope that medical innovation brings to patients. Dr. Emery and Dr. Sanfilippo share real-life stories, discuss the evolution of fetal and reproductive care, and offer practical advice for anyone navigating fertility or high-risk pregnancies. We also touch on the future of medicine, from gene therapy to the impact of artificial intelligence in the embryology lab. In this episode, we cover: A remarkable case of fetal anemia and the life-saving power of intrauterine transfusions What pre-implantation genetic testing (PGT) is: and what it can and can't detect The latest interventions for fetal conditions, including twin-twin transfusion syndrome and fetal hydrocephalus How to prepare for pregnancy: lifestyle, medical, and genetic considerations The role of maternal fetal medicine specialists and when to seek their expertise New research and approaches to fibroid prevention and treatment The future of fertility and fetal medicine, including gene therapy and AI Resources: Dr. Sanfilippo's book website: Everyday Medical Miracles or order via Amazon Dr. Sanfilippo's book Expert Guide to Fertility via Amazon Dr. Emery's email: emerysp @ upmc.edu Dr. Sanfilippo's email: sanfjs @ upmc.edu American College of Obstetricians and Gynecologists: acog.org American Society for Reproductive Medicine: asrm.org Join me for a screening of the movie THAW: Parenthood on Ice. Wednesday November 5: Doors Open 6 PM / Screening starts 6:30 PM Alamo DraftHouse, Mountain View, California The screening will be followed by a panel discussion with Dr. Aimee (me!), Ivana Muncie-Vasic (Vitra Labs), Prof. Hank Greely and other fertility tech experts. Moderated by Sara Vaughn, MD. THAW examines the rapidly growing egg and embryo freezing industry, revealing its profound implications for women's reproductive health and rights. Through the stories of three American women navigating the world of fertility preservation, the film sheds light on the deeply personal, social, and ect. Get your tickets here. Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School Checkout the podcast Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.
Trending with Timmerie - Catholic Principals applied to today's experiences.
Episode Guide Former abortionist Dr. Catherine Wheeler shares her story (2:40) How the abortion industry vets mom against baby (29:16) Advice to aspiring physicians (35:18) What did feminists get wrong for women and families? (39:00) Pope St. John Paul II lost his mom at 9 and embraced Mother Mary (46:05) Resources mentioned: American Association of Pro-Life Obstetricians and Gynecologists https://aaplog.org/ Abortion worker quit https://abortionworker.com/quitter-of-the-month-abby-johnson/ Healing after abortion https://supportafterabortion.com/ Mother of the Redeemer https://www.vatican.va/content/john-paul-ii/en/encyclicals/documents/hf_jp-ii_enc_25031987_redemptoris-mater.html The End of Woman: How Smashing the Patriarchy has Destroyed Us https://www.regnery.com/9781684515295/the-end-of-woman/ A Boy Who Became Pope: The Story of John Paul II https://paulinestore.com/a-boy-who-became-pope-the-story-of-st-john-paul-ii-anniv-ed.html
Once the One Big Beautiful Bill was signed into law, it triggered coverage cuts to Medicaid. For rural hospitals that treat large numbers of Medicaid recipients, that means less revenue. According to the Center for Healthcare Quality and Payment Reform, the loss of funds is putting as many as 20 rural hospitals at risk of closing in Georgia. Some have already started to cut services, causing patients to drive an hour away for labor and delivery care. On today’s “Closer Look with Rose Scott,” Dr. Joy Baker, an Obstetrician and Gynecologist within the Wellstar Health System and Whitney Griggs, the Director of Health Policy at Georgians for a Healthy Future, discuss the impact this will have on rural communities. Some of the most eye-catching aspects of Atlanta are its art, statues, and architecture. But younger generations have not been quick to fill jobs related to architecture, engineering, and building. Oscar Harris, a notable Black architect in Atlanta, has stepped in with SPIKE Studio to inspire the next generation on the Atlanta they would build for the future. To discuss the SPIKE Studio Summer Academy, “Closer Look” is joined by Founder Oscar Harris and Melody Harclerode, the executive director of SPIKE Studio. Also, Students Warren Johnson and Anna-Bella Madison.See omnystudio.com/listener for privacy information.
If you've ever walked out of a gynecology appointment still dealing with itching, burning, or a lingering sense that something's off—this conversation is for you. Most gynecologists still treat vaginal symptoms with a basic checklist: swab, prescribe, dismiss. But when those symptoms keep coming back, it's not a coincidence. It's a sign that the standard approach missed something important. On this episode of Medical Disruptors, I'm talking with Dr. Peggy Margetson—a women's health physician who doesn't just treat symptoms, she investigates. Together, they unpack why standard swabs often miss critical information about the vaginal microbiome, including collapsed Lactobacillus populations, hidden pathogens, and recurring pH imbalances that keep infections coming back. From there, the conversation moves into solutions. Dr. Peggy Margetson shares how her clinic uses targeted vaginal probiotics, treats partners when needed, and retests after treatment—not just to manage symptoms, but to confirm resolution. This is about real healing, not repeat prescriptions. If you've been handed the same antibiotic over and over while your symptoms keep returning—or if you've ever felt blamed instead of helped—this episode will give you the language and confidence to push back in the exam room. It's not about being a “difficult” patient. It's about refusing to accept half-answers when your body is asking better questions. Watch now to find out what your doctor isn't testing—and what you can do about it. Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters [00:00:00] Intro & mission [00:03:00] Founding her practice [00:14:00] Hidden causes of infection [00:21:00] Vaginal biome testing explained [00:32:00] Partner treatment & estrogen link Guest Links: FB: www.facebook.com/trustwomenshealthcare IG: www.instagram.com/trustwomenshealthcare YT: www.youtube.com/@drpeggynyc Website: www.trustwomenshealthcare.com Learn more about your ad choices. Visit megaphone.fm/adchoices
See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog This Blog contains dialogue of a sexual nature In my 29-year history of practicing gynecology and 23 years of practicing hormone replacement medicine, there have always been a few questions that only the bravest and most comfortable patients would ask me during a well-woman visit or consultation. During the next few weeks, I will dedicate my blog to those usually unanswered questions, but most probably those questions that women are too embarrassed to ask. The first question is asked in many forms, but the general idea of the question is:” What should I do if I think my vaginal area smells weird?” “Smelling weird” is a common description that can imply many things, so I will outline what I ask my patients to gather enough information to provide them with a medically relevant answer. What does it smell like? Yeasty, like baked bread? Sweaty-like body odor? Sour- like a towel that has been we too long? Musky – like the musk type of perfumes? Urine? everyone knows what that smells like Old people in a nursing home? OR “Like something is dead in there?” “Like Fish?” These are the actual descriptions that I have received in response to my question, and they all identify different. In case some of you are worriers, I will start with the fact that vaginal odors 1-6 are likely due to a minor infection, either an overgrowth of yeast, or the fact that you don't air out that area at night which makes yeast and bacteria grow in the warm environment between your legs or under the covers. Vaginal odors 7 and 8 are more serious and require treatment. I will first discuss the most important conditions based on their odors. These can be quite dangerous if ignored. Let me start by addressing odors 7 and 8. Odor # 7. If your vagina smells foul, like “something is dead in there,” you should probably make an appointment with your GYN. It could result from something as simple as a tampon that was “lost” in the vagina, leading to bacteria growing from menstrual blood and semen. This is a common cause of such vaginal odor. The GYN will need to use an instrument to grasp the tampon and remove it. She will then prescribe an antibiotic to treat the infection that has developed. While there's no harm in removing it, leaving it in place can lead to a serious pelvic infection. If your doctor doesn't find a tampon and this odor is confirmed by her, then she will do bacterial cultures and a pap to look for cervical cancer or endometrial cancer. It is important that you don't ignore this odor. It won't get better on its own. Odor #8. If your vagina smells like fish it is likely an infection with a bacteria called hemophilous vaginalis, or from Trichomonas (“Trick”). Hemophilus can be caused by wiping back to front (the wrong way), which allows rectal bacteria to enter the vagina. Additionally, Hemophilus can be introduced into the vagina during intercourse. In these two cases, it is not considered a venereal infection– NOT an infection you acquired from your sexual partner. However, Hemophilus can be a venereal infection that you contract from a sexual partner if he acquired it from someone else and transmitted it to you! The treatment is essentially the same: a medication called Flagyl or metronidazole, taken three times a day for 7-10 days. If your partner has it too, he needs to take the medication at the same time so you don‘t keep passing it to each other. These infections require examination and testing to receive an antibiotic. The last possible cause of a fishy-smelling vagina is Trichomonas, a parasite that produces a significant amount of thin, greenish discharge along with a fishy odor. It is sexually transmitted, and both partners should be treated. He should also have his other contacts treated. The group of infections in #8 is treatable and curable with medical help. Another quality of Hemophilus and Trichomonas is that if you have nitrazine pH paper and test the discharge with it, it will turn the paper dark blue. Dark blue means go to the GYN! We'll start back up at 1-6 discussing the causes of “funny smelling discharge. ” These are the least likely to be serious infections. I need to provide some initial information before I discuss the various reasons for vaginal odor. First, there is always a slight odor that is uniquely yours. You shouldn't try to eliminate all signs of vaginal odor because it results from a combination of yeast, good bacteria, estrogen, testosterone, and progesterone, which help protect your vagina and vulva, the area surrounding the vagina. Changes in hormones such as pregnancy, menopause, hormone replacement therapy, diet, antibiotics, and dehydration can alter the vaginal smell and discharge. The yeasty odor that resembles baked bread comes from normal yeast present in the vagina. Some women naturally have this odor. It becomes a concern only when it is accompanied by itching and a significant amount of white discharge. These yeast infections can occur after taking antibiotics that eliminate good bacteria. They may also arise when blood sugar levels are elevated, as seen in diabetics or prediabetics. The pH paper will not change color. Treatment involves yeast medication, which can be either vaginal or oral, along with oral probiotics and sometimes vaginal probiotics to help restore the good bacteria. If you are diabetic, you may experience yeast infections until your blood glucose levels are normalized. Sweaty-like body odor.The vagina can develop body odor from sweat that fosters the same bacteria found under your armpits. This matter is simple. Change out of wet swimsuits, wash gently with the same soap you use for the rest of your body, and allow your vagina to dry by sleeping without underwear. Sour like a towel that has been wet too long. The ability to detect sour odors is genetically determined. You may not notice it, but your significant other might, or you may smell his clothes that have this odor, while he doesn't. Either way, it is caused by bacteria from sweaty, damp clothes thrown into a hamper, allowing fungus and bacteria to grow. For some reason, you then wear these clothes, and your vagina ends up harboring the same jungle of bacteria and fungus. This one is easy: air out clothes before wearing them, avoid putting on garments that are not clean, and wash these clothes in warm water to eliminate the microbes. You may need a doctor's visit for diagnosis and treatment. Musky -you know, like the musk type of perfumes. A musky smell is the natural scent of fertile women with testosterone, especially when they are sexually stimulated. This is not an infection; it is the normal sexual scent of attraction. This odor usually diminishes with menopause or when you are on the pill and your testosterone levels decrease. Like urine. The smell of urine is usually caused by leaking urine, poor wiping, or wearing a pad that absorbs leaking urine. It can precede a yeast infection because urine wetness encourages the growth of yeast. Treating urine leakage is imperative for resolving this issue. Options include surgery, Emsella magnetic pelvic floor strengthener, or a pessary. All of these can be discussed with your doctor when you inform them that you experience this odor consistently. Like Elderly individuals in a nursing home? Sadly, nursing homes do have a characteristic odor; it is a combination of urine and cleaning chemicals, but there is something more. Elderly people who lack hormones have lost protective bacteria and exhibit a dominant odor of deterioration. This is what the vagina smells like without hormones and the beneficial bacteria they support. This is a smell that many women ask me about after menopause when they don't take hormones. The only way to return the odor to normal is to reinstate hormones. If you have other vaginal odors I have not addressed, then send your email questions to podcast@biobalancehealth.com. I pray you will trust your gynecologist enough to ask any questions you need to understand your own body. I hope I have provided you with some material to reflect on and compare to help answer your questions.
See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog This Blog post is for mature women to read. If you feel embarrassed by sex or offended that I am addressing these genuine female concerns, please skip this Blog. Among the many questions I have received, I am sharing a few with you in case you also have these questions but are hesitant to ask when you visit your gynecologist's office. At BioBalance Health, our doctors conduct consultations with new patients and follow-up visits that last an hour. During these consultations, patients are free to ask questions about their health including sexual questions. The atmosphere in our office is open to all questions, and the doctors offer hour-long visits, fostering a supportive environment for discussing embarrassing sexual situations, asking awkward questions, and addressing concerns about sexuality and aging. I am going to offer some of the questions I have been asked and the answers that I give to my patients who ask. Question 1:” Am I normal to think about sex and fantasize about having sex all the time now that I have testosterone pellets?” Yes, that is normal and healthy to think about sex…humans are sexual beings and thinking about or planning to have sex with your partner is normal. After Testosterone pellets are inserted for the first time, they have magnified sexuality for a few weeks. After that the sex drive of a patient goes back to what was normal for them when they were at their prime. Testosterone is necessary for a person, women and men to have a sexual drive. Those women and men who have had a healthy sex life before their testosterone was lost can still have sex, on their usual schedule, but what we think of sex DRIVE, won't be there without T….just the habit of having sex will make them continue to have an active sex life. Question 2: “Before pellets I didn't have any discharge in my underwear, and I thought that was a benefit of menopause but now I experience wetness/slight white discharge Am I OK?” When women are mature and have fertility, (women between 12 years old and menopause) have some discharge clear or white in their underwear. It is from the vagina, and it is a way of the vagina cleansing itself. Without the hormones estradiol and testosterone, as in menopause and when a woman takes low dose birth control pills, the vagina dries up and doesn't “cleanse itself”. Vaginal lubrication stops, so does vaginal discharge, and painful intercourse is a real problem for women after they are not producing estradiol or replacing it with HRT. Experiencing normal vaginal discharge is a small price to pay to comfortable sex and a good sex drive. If the discharge changes, please watch or read my last Healthcast #685 or blog #685 to determine if you need to see a Gynecologist. Question 3: A question women ask me before they experience replacement of testosterone and estradiol. “Do I have Alzheimer's disease? I'm only 50 and I can't remember things. I lose words and I am always late because I can't remember appointments.” One of the most important benefits of taking testosterone by pellet insertion is that my patients usually get their brain back! It is rare that anyone who is having trouble with their memory before age 55 is really starting to have an early onset dementia. By taking Estradiol and Testosterone pellets my patients regain their normal brain function in the first 8-12 months. Those women who are still struggling with memory after taking Estradiol and Testosterone Pellets should be evaluated by a psychiatrist or neurologist to test them to see if they are having the beginnings of a type of dementia. The sooner a person takes TE hormone pellet replacement, the longer they will have a clear and functional mind. If a woman takes T and or E2 pellets, they can delay the genetic onset of dementia by 10 years. That means if genetically you were wired to lose your ability to think at age 70, then you should get a ten-year delay in the onset of your dementia. E + T pellets are the only treatment I know can preserve your ability to think 10 years longer than if you didn't take them within 10 years of losing your Estrogen and Testosterone (around age 45). Question 4: “Now that I have pellets, I have great orgasms but I produce a lot of fluid when I come. Is that normal?” Yes. Estrogen increases vaginal wetness, and lubrication for sex. Testosterone stimulates the sensitivity of the area around and inside the vagina. Testosterone pellets are the only form I have heard of that can cause vaginal ejaculation, or forceful production of fluid from the vagina. Not everyone experiences this phenomenon, and some women love it as do their partners, and other women dislike it because it makes sex messier than usual. It is a testosterone dose dependent action, and lowering the T dose in pellets can decrease the response to sexual stimulation. Question 5: “My husband can't keep up with my sex drive. I have the same drive as I had when I was younger, but he is not able to keep up with my libido. What can I do?” My response has several options because every sexual partnership is different. You can use vibrators or sex toys to stimulate yourself. He can use the same toys to engage in sexual activity with you. You can lower your dose of T pellets to decrease your sex drive. You can invite your husband to visit us or another Pellet practice to have his level of T and Free T checked and replaced if it is low and he is a good candidate. Question 6: “My husband likes me to give him oral sex. I like it, but what do I do with the semen he produces? The eternal problem: to swallow ejaculate or not. You can only decide this for yourself and if you are uncomfortable with this, then have a washcloth or Kleenex handy to handle the fluid. Question 7:” I have had pellets for a year now, and I have never been so happy, and I feel young again, but my gynecologist examined me and said I had an enlarged clitoris, and she told me to stop pellets because of that! I don't get it! It doesn't bother me; why is she so upset? What should I do?” Your GYN is clearly not educated in hormone therapy using T pellets. She also seems to be uncomfortable with her own sexuality if she cannot see the benefit of having a clitoris that is slightly larger than normal, so it is easy for a partner to access. She may be recalling something from residency, that we were taught: “An enlarged clitoris is a sign of an ovarian tumor, and these tumors secrete high levels of testosterone-like hormone. This is not the same as a slight enlargement of the clitoris that is normal with T replacement. She has not considered that you are receiving Testosterone to replace what you are no longer producing. When we no longer make testosterone at fertile levels, our clitoris shrinks so small that it can hardly be found. Testosterone reverses that change reviving the size and function of the clitoris. Honestly, the change is minimal, and the size of the clitoris varies based on a woman's genetics and testosterone levels before the age of 40. The natural shrinkage of the clitoris after menopause corresponds with low levels of testosterone, along with the loss of clitoral sensitivity, which can lead to a decrease in orgasms! We are sexual beings, and testosterone is essential for sexual function. The ignorance of your gynecologist is both sad and common. In the last 20 years, there has been no training for OBGYNs in sexuality or hormone replacement during menopause. There is complete ignorance regarding treating women with testosterone. As in the general population that has a subset of people who are sexually inhibited, the group of board certified gyns carry their own attitude into the treatment room. Clitoral orgasms are the most common type of orgasm in women. After menopause, they can disappear without testosterone stimulation. That will stop sexual pleasure completely. Most of my patients don't complain about having a visible clitoris, and they say “I can see my clitoris again and my husband can find it now! It makes sex great again.” Question 8: “My internist asked me why I wanted to have sex now that I am old! I'm 45! I am changing doctors, but what was she thinking? Again, the training of normal sexuality in residency programs is minimal. She might also be sexually unaware or inhibited, as she revealed when she told you that it is not normal to have sex as we age (over 40); clearly, she does not view it as an important part of her life, so it shouldn't be an important part of yours! Question 9: “Now that I am having sex again, I am shooting fluid out when I climax! What is that and where does it come from? By the way, my husband loves it!” This phenomenon is called “female ejaculation,” and it is a normal, yet uncommon, part of great orgasms. Women can produce fluid through transudation via the vaginal wall (which is incorrectly dubbed “vaginal sweating”). There are no sweat glands in the vagina; the fluid comes from the abdomen and is known as peritoneal fluid. When a woman orgasms, her vagina contracts, and this fluid squirts out of the vagina with force. The second source of fluid is the Skene's glands, which are small glands located on either side of the urethra (the opening that leads to the bladder). They don't produce a large amount in most women, but it is possible for them to “squirt” fluid with force. Most men find this gratifying, as an unspoken sign that they did a great job. Women may find it upsetting and ask me to decrease their testosterone levels to lessen the likelihood of “making a mess” when she has sex; however, this also decreases the orgasmic experience. I will keep collecting questions that my patients ask me in my office to offer a continued version of “Embarrassing Questions” in future blogs. I hope this helped you answer some of your unanswered questions!
In this episode of Postpartum Unpacked, Trish unpacks the inadequacies of traditional postpartum care. Drawing on her experience as a labor and delivery nurse and a mom of seven, Trish discusses the outdated six-week postpartum visit and highlights the American College of Obstetricians and Gynecologists' new guidelines advocating for multiple checkups within the first 12 weeks post-birth. She provides essential tips on advocating for better care, recognizing postpartum health issues, and stresses the importance of comprehensive, ongoing support for new mothers. Tune in to learn what you truly deserve for a healthier, happier postpartum journey.More from this episode:Grab the Postpartum Recovery RoadmapJoin the Calm Mama Membership: labornursemama.com/cmsLeave a review and include your Instagram username for a chance to win our monthly raffle!Helpful Timestamps:00:00 Welcome to Postpartum Unpacked00:53 The Reality of Postpartum Checkups02:20 Updated ACOG Guidelines for Postpartum Care03:53 Common Issues and Missed Diagnoses04:51 What Should Happen in Postpartum Checkups10:36 How to Advocate for Your Postpartum Care13:48 Resources and Support for New Moms14:46 Final Thoughts and EncouragementJoin the #1 Birth Course for Confident Birth!Over 15,000 women have used our classes to prepare for birth with the knowledge and tools provided by a Labor Nurse.
In this episode, Ali speaks with Dr. James A. Simon, a leading OB-GYN and "Menopause Whisperer," about his pioneering work in sexual medicine and menopause care. Dr. Simon discusses the challenges and importance of addressing sexual health in gynecology, the evolution of hormone therapy, and the cultural barriers that often prevent open conversations about menopause and women's sexuality.The episode highlights the need for more holistic, individualized care for women, the impact of hormones on health and wellbeing, and the progress still needed in medical education and societal attitudes. Listeners will come away with a deeper understanding of menopause, hormone therapy, and the value of compassionate, open dialogue about women's health and aging.Topics also include how aging has changed over generations, why people got scared of Hormone Replacement Therapy, the prevalence and benefits of testosterone in women, the politics of hysterectomies, how Viagra was happened upon, and how GLP-1s work. FOR MORE ALI MEZEY:ALI - WebsiteALI - LinkTreeFOR MORE JAMES:IntimMedicine Website: https://intimmedicine.com/YouTube: https://www.youtube.com/@intimmedicinespecialists5815/videosFacebook: https://www.facebook.com/IntimMedicineRestore Yourself: A Woman's Guide to Reviving Her Sexual Desire and Passion for LifeBook by Dr. James A. Simon.JAMES BIO:James A. Simon, MD, CCD, MSCP, IF, FACOGDr. James A. Simon is a board-certified Ob/Gyn, and reproductive endocrinologist. He is Clinical Professor of Obstetrics and Gynecology at The George Washington University School of Medicine in Washington, DC. Dr. Simon also holds certifications as an AASECT-Certified Sexuality Counsellor, an ISCD-Certified Clinical Bone Densitometrist, and a Menopause Society-Certified menopause specialist. He has an active private practice, IntimMedicine Specialists® in Washington, DC focused on complicated gynecology, sexual medicine for both men and women, and menopause. Dr. Simon has received numerous awards including: “Top Washington Physicians,” “America's Top Obstetricians and Gynecologists,” “Super Doctors of Washington DC-Baltimore-Northern Virginia,” and “The Best Doctors in America.” He is the only physician to serve as President of both The Menopause Society and the International Society for the Study of Women's Sexual Health. Nicknamed “The Menopause Whisperer,” by Washingtonian Magazine, Dr. Simon is an established researcher and author--completing more than 450 research trials, and more than 800 published articles, abstracts, chapters, and the paperback book: Restore Yourself: A Woman's Guide to Reviving Her Sexual Desire and Passion for Life. Dr. Simon loves riding the best rollercoasters in the world, collecting fountain pens and wristwatches, and freshwater fishing. He is a five-time Master Angler of Canada.hiker, dog trainer, and lover of nature.OTHER RESOURCES, LINKS AND INSPIRATIONS: ASECT (American Association of Sexuality Educators, Counselors and Therapists)A professional organization for sexuality educators, counselors, and therapists.ISCD (International Society for Clinical Densitometry)Organization focused on bone density and skeletal health.Menopause SocietyFormerly known as the North American Menopause Society (NAMS), dedicated to promoting the health and quality of life of women through an understanding of menopause.International Society for the Study of Women's Sexual Health (ISSWSH)Multidisciplinary, academic, and scientific organization dedicated to women's sexual health.Washingtonian Magazine ArticleRegional magazine that dubbed Dr. Simon "The Menopause Whisperer."Sexual Health AllianceOrganization and conference for sexual health professionals.Women's Health Initiative Hormone StudiesLandmark studies on hormone therapy in women.Menopause MeetingsAnnual conferences for menopause specialists.PremarinEstrogen medication derived from pregnant mares' urine, historically used in hormone therapy.Viagra (Sildenafil)Medication for erectile dysfunction, originally developed for high blood pressure.GLP-1 Receptor AgonistsClass of injectable medications for diabetes and weight loss (e.g., Ozempic, Wegovy).Dr. Dympna RenshawSouth African psychiatrist and pioneer in sexual medicine, especially in the context of trauma and dysfunction.Halle Berry, Kate WinsletCelebrities mentioned for their advocacy and openness about menopause.Contraception Marches (late 1960s)Historical reference to activism for access to contraception.[From time to time, a word or phrase goes wonky. Please forgive my wandering wifi.]
In this special bonus episode, we explore a topic the show hasn't covered before: menopause. We delve into what would need to change with healthcare and the workforce to better support women through menopause, as well as the economic factors that could enable those policies. Host Reena Ninan speaks with Dr. Jessica Shepherd, gynecologist and author of the new book Generation M, Dr. Claus Runge, Bayer's chief health equity officer, and Kathryn Schubert, President and CEO of the Society for Women's Health Research (SWHR). This live panel discussion was recorded at Foreign Policy's Her Power Summit, which took place on the sidelines of the UN General Assembly. The Hidden Economics of Remarkable Women is a production of Foreign Policy, with support for this episode from Bayer. (Photo credit: Jonathan Heisler) Guests and organizations: Dr. Jessica Shepherd, Gynecologist and Author of Generation M Dr. Claus Runge, Bayer Chief Health Equity Officer Kathryn Schubert, President and CEO of the Society for Women's Health Research (SWHR) Suggested reading: Foreign Policy Analytics' Report: The Health and Economic Impacts of Menopause Learn more about your ad choices. Visit megaphone.fm/adchoices
R-Soul: Reclaiming the Soul of Reproductive Health, Rights, and Justice
In this episode, Kelley Fox and Rev. Terry Williams talk about Mifepristone, Tylenol, the politicization of healthcare, and how you can get reliable information direct from providers who are most familiar with the care they provide. Addressing Christian anti-intellectualism and the continued love affair between the anti-abortion lobby and misinformation, Kelley and Rev. Terry help listeners understand the importance of accessing reliable health information in order to exercise full reproductive freedom. (BOTTOM LINE: Abortion medications like Mifepristone are safe and effective; no matter what the government has to say!) Links to discussed content: “Self-Managed Abortion in Good Faith” Training: www.faithchoiceohio.org/self-managed-abortion-in-good-faith-training Tylenol is safe to use during pregnancy: www.acog.org/news/news-releases/2025/09/acog-affirms-safety-benefits-acetaminophen-pregnancy FDA Approves New Generic Version of the Abortion Pill Mifepristone: www.msn.com/en-us/health/other/fda-approves-new-generic-version-of-abortion-pill/ar-AA1NLaaJ?ocid=BingNewsVerp Mifiprex (the brand name for Mifepristone): www.earlyoptionpill.com ICE raids on local communities tracked: www.immigrantdefenseproject.org/raids Current litigation surrounding anti-LGBTQ policies of the federal government: www.lgbtqbar.org/programs/trump-executive-order-tracker Christian anti-intellectualism and its connection to conspiracy thinking: www.newyorker.com/news/daily-comment/the-wasting-of-the-evangelical-mind The American College of Obstetricians and Gynecologists: www.acog.org Music by Korbin Jones
On July 21st 2025, the FDA convened a hearing on maternal use of antidepressants during pregnancy and the impact this use has on fetal development. Around 400,000 children in the United States are born each year whose mothers took antidepressants while pregnant, and so it's easy to see the societal importance of this topic. What are the risks to the fetus, the newborn, and the long-term development of that child? Adam Urato and Joanna Moncrieff were members of that FDA panel, and so too were several others well-known to MIA readers, including David Healy and Joseph Witt-Doerring. The purpose of the panel was to assess whether the FDA needed to put a warning on antidepressants related to their use in pregnancy, and most on the panel spoke of research that told of the need to do so. However, after the panel concluded, the American Psychiatric Association and other medical associations, most notably the American College of Obstetricians and Gynecologists, responded with what can only be described as howls of outrage, issuing press releases and telling the public that the panel was biased and that the real risk during pregnancy was untreated mental illness. These medical organizations asserted that the increased risk of adverse outcomes for children born to depressed mothers is due to the illness and not the drug, and that there was plenty of evidence that antidepressants were a helpful and even life-saving treatment for maternal depression. Here is where we are today. That FDA hearing put two narratives on public display, and most media reports embraced the narrative put forth by the medical organizations. What we will do today is review the evidence that exists on this topic and the response by the medical guilds to a public airing of that evidence. Dr. Adam Urato is Chief of Maternal and Fetal Medicine at the Metro West Medical Center in Framingham, Massachusetts, and he has been speaking and writing about the risk of medications used during pregnancy for years. Dr. Joanna Moncrieff is a UK psychiatrist and researcher who was a co-founder of the Critical Psychiatry Network and is well known for her research on the safety and efficacy of psychiatric drugs. *** Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/ To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850 © Mad in America 2025. Produced by James Moore https://www.jmaudio.org
ACOG, the American College of Obstetricians and Gynecologists, recently published EMS guidelines for treatment of hypertension in pregnancy/pre-eclampsia, eclampsia, and postpartum hemorrhage. Drs. Jenna White and Christopher Zahn join Dr Jarvis to discuss the science behind these recommendations as well as how to implement them into our practice. Citations:1. https://www.acog.org/programs/obstetric-emergencies-in-nonobstetric-settings2. Vuncannon, D. M.; Platner, M. H.; Boulet, S. L. Timely Treatment of Severe Hypertension and Risk of Severe Maternal Morbidity at an Urban Hospital. American Journal of Obstetrics & Gynecology MFM 2023, 5 (2), 100809. https://doi.org/10.1016/j.ajogmf.2022.100809.3. Gupta, M.; Greene, N.; Kilpatrick, S. J. Timely Treatment of Severe Maternal Hypertension and Reduction in Severe Maternal Morbidity. Pregnancy Hypertension 2018, 14, 55–58. https://doi.org/10.1016/j.preghy.2018.07.010.
Alors, voici un rapide aperçu des déclarations, disons non scientifiques, de Donald Trump sur le paracétamol, l'autisme et les vaccins.So, here's a quick overview of Donald Trump's, let's say, non-scientific statements about paracetamol, autism, and vaccines.Tout ça vient de déclarations où Trump affirmait vouloir révéler les causes de l'autisme.This all comes from statements where Trump claimed he wanted to reveal the causes of autism.Un sujet aussi brassé par Robert F. Kennedy Junior qui lui parle carrément d'épidémie d'autisme.A subject also stirred up by Robert F. Kennedy Jr. who, for his part, outright speaks of an autism epidemic.Pendant ce temps, la science, elle explique la hausse des diagnostics par un meilleur dépistage, tout simplement.Meanwhile, science explains the rise in diagnoses simply by better screening.Voyons les points clés de cette affaire.Let's look at the key points of this matter.D'abord, Trump a fait un lien sans aucune preuve d'ailleurs entre prendre du paracétamol pendant la grossesse et l'autisme.First, Trump made a link, without any proof by the way, between taking paracetamol during pregnancy and autism.Il a carrément conseillé aux femmes enceintes de l'éviter autant que possible.He outright advised pregnant women to avoid it as much as possible.Alors que bon, c'est justement le médicament qu'on recommande pendant la grossesse.Whereas, well, it's precisely the medication that is recommended during pregnancy.Il a même poussé pour que la FDA, l'agence américaine du médicament, ajoute un avertissement sur les boîtes.He even pushed for the FDA, the American drug agency, to add a warning to the boxes.Ensuite, et bien, le monde médical a réagi, et assez vivement.Then, the medical world reacted, and quite strongly.Le Collège américain des obstétriciens et gynécologues a trouvé ça, je cite, irresponsable et dangereux.The American College of Obstetricians and Gynecologists found it, and I quote, irresponsible and dangerous.Même le fabricant du Tylenol a défendu son produit, en soulignant les dangers d'une fièvre qu'on ne traiterait pas chez une femme enceinte.Even the manufacturer of Tylenol defended its product, by highlighting the dangers of a fever that would not be treated in a pregnant woman.Et enfin, Trump a remis sur le tapis de vieilles théories du complot, celles qui lient vaccins et autisme.And finally, Trump brought up old conspiracy theories again, those that link vaccines and autism.Il a prétendu, là encore sans fondement, que certains groupes non vaccinés, ou même des pays comme Cuba, n'avaient pas d'autisme.He claimed, again without basis, that certain unvaccinated groups, or even countries like Cuba, did not have autism.Il a aussi critiqué le calendrier des vaccins, suggérant de retarder celui contre l'hépatite B, en se fiant, dit-il, à son "bon sens" plutôt qu'aux médecins.He also criticized the vaccination schedule, suggesting delaying the one for hepatitis B, by relying, he said, on his "common sense" rather than on doctors. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
On Monday, President Donald Trump warned pregnant women not to take Tylenol, claiming without evidence that it was a cause of autism. Veronica Gillispie-Bell, MD, board-certified obstetrician and gynecologist and vice chair of American College of Obstetricians and Gynecologists' Clinical Practice Guidelines Committee of Obstetrics, breaks down what the science says about painkiller use during pregnancy and listeners call in to share how they've been navigating new Trump administration guidelines for pregnant women.
The Trump administration has advised doctors to prescribe Tylenol to pregnant women only in cases where high fever could pose a risk to the baby. The President has suggested a potential link between use of the active ingredient in Tylenol, acetaminophen, and autism in children, even though no study has yet found a causal connection. This has brought up a lot of confusion and questions about using Tylenol when pregnant and the greater risk that having a fever could have on an unborn baby. Dr. Carrie Gordon, Obstetrician, Gynecologist with Ogden Clinic, joins the show to discuss the risks a fever can pose on an unborn baby and what expecting mothers need to know about the use of acetaminophen.
Menopause is finally in the spotlight — but most women still don't understand what's happening to their bodies in their late 30s, 40s, and beyond. Even worse, many doctors misdiagnose or dismiss symptoms like brain fog, night sweats, weight gain, and mood swings as “just stress.” About Dr. Alicia Robbins: Dr. Alicia Robbins is a board-certified Gynecologist and Lifestyle Medicine physician, founder of The Elm, and creator of The Robbins Method. She is recognized as a leading voice in perimenopause and midlife health, dedicated to providing compassionate, proactive care and rewriting the narrative on women's midlife. *** Subscribe to The Neuro Experience for more conversations at the intersection of brain science and performance. I'm committed to bringing you evidence-based insights that you can apply to your own health journey. *** A huge thank you to my sponsors for supporting this episode. Check them out and enjoy exclusive discounts: Function Health Visit https://www.functionhealth.com/louisanicola and use code NEURO100 or use gift code NEURO100 at sign-up to own your health. The first 1000 get a $100 credit toward their membership. FIGSYou can get 15% off your first order at https://www.wearfigs.com with the code FIGSRX. Honeylove Save 20% Off Honeylove by going to https://www.honeylove.com/neuro. Cowboy Colostrum Get 25% Off with code NEURO at https://www.cowboycolostrum.com. AquaTru Go to https://www.AquaTru.com now for 20% off (your purifier) using promo code NEURO. AquaTru even comes with a 30-day best-tasting water guarantee. Brickhouse Nutrition Get 20% off when you enter NEURO at https://www.takelean.com. *** I'm Louisa Nicola — clinical neuroscientist — Alzheimer's prevention specialist — founder of Neuro Athletics. My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention. If you're committed to optimizing your brain — reducing Alzheimer's risk — and staying mentally sharp for life, you're in the right place. Stay sharp. Stay informed. Join thousands who subscribe to the Neuro Athletics Newsletter → https://bit.ly/3ewI5P0 Instagram: https://www.instagram.com/louisanicola_/ Twitter : https://twitter.com/louisanicola_ Follow Dr. Alicia Robbins The Elm: https://theelmgreenwich.com/ Instagram: @aliciarobbinsmd Topics discussed: 00:00:00 — Intro 00:01:32:10 — Menopause is “in the spotlight”; what's actually happening with women's hormones ~35+ 00:02:43:11 — Ovaries as the primary source of estrogen/progesterone/testosterone 00:11:32:08 — Estrogen's role in the brain 00:13:15:05 — With estrogen loss, chronic low-grade brain inflammation 00:15:12:17 — What replaced HRT: rise in sleep aids, antidepressants, and benzodiazepines. 00:32:55:20 — Women's testosterone: low “total T” numbers, variable symptoms/benefit; brain fog and fatigue are multifactorial. 00:33:38:00 — Practical regimen notes: layering hormones; balance affected by stress/cortisol 00:44:14 — Longevity hype vs reality: trendy biohacks vs basics like walking, resistance training, and consistent diet 00:44:34 — Cultural/societal neglect of women's midlife health; undervaluing cognitive preservation in women 00:45:10 — Lack of specialty in menopause medicine; OB/GYN training gaps; bias toward fertility/pregnancy funding 00:47:20 — Emerging shift: younger physicians and social media spreading awareness 00:48:15 — Longevity basics reaffirmed: lifestyle interventions are more impactful than costly interventions 00:49:00 — Empowering women to advocate for care 00:50:12 — Future outlook: preventative care, lifestyle foundations, and individualized hormone therapy for healthy aging 00:54:53: Increase in divorce rate because of hormones? 00:55:53: HRT and risk of breast cancer 00:58:11: What doctor should a woman in her late 30s/early 40s go see? Learn more about your ad choices. Visit megaphone.fm/adchoices
David Waldman catches us up on the multiple disasters since Friday. Greg Dworkin catches us up on the multiple disasters since Thursday. Boooo! Trump was booooooooed at the US Open. If they don't want to hear boos, they shouldn't invite Trump. Or Winsome Earle-Sears. Tiny hands, deep throat, Donald K. Trump was an FBI Snitch according to Mike Johnson, the last guy anyone would trust to keep a secret. The Miami Herald and New York Times seek to unseal records on Jeffrey Epstein's estate, while we all know that Jeffrey Epstein and everyone on the Epstein list has been brought to you by capitalism. Zohran Mamdanimentum continues as Americans are beginning to see capitalism about as badly as they do Trump. LG Energy specialists squeezed into 90+ day rotations to set up a Hyundai battery plant in Georgia were caught in violation of that “+” part, were belly-chained and hauled out of the country. The plant they were setting up won't be hiring Americans any time soon, thanks to Karen-Republican Mar-a-Lago wannabe Tori Branum. Don't expect to hear more from Branum but do expect a lot more plants to be shut down. The Department of War begins its Midway Blitz, which is not a war, it is simply a police action. Why do so many Republicans think Trump is more liberal than he is? If people die in Florida because of lack of vaccines, it will be a surprise to Florida Surgeon General Ladapo. RFK Jr. will have seen it all coming, as he always does a year or so later. The American College of Obstetricians and Gynecologists will save lives in the future by ignoring the CDC today. Ironically, the owner of one of the most punchable faces in politics, Scott Bessent, keeps wanting to punch others in their faces. This time it was the quite punchable Bill Pulte and for the same reason as Scott picked ever punchable Elon Musk. Scott heard both were bad mouthing him to Donald. Scott almost took Bill out, back there on the cement slab they have over the White House septic tank. E. Jean Carroll won her judgement against Trump again.
Most of us got the puberty talk—but almost no one got the menopause talk. It's time to change that. And Dr. Lauren Streicher is here this week to do just that! Together we explore: Why menopause is a whole-body experience, not just “hot flashes and periods stopping.” What perimenopause actually is, when it starts, and why the definition of menopause itself is outdated. How mood changes, anxiety, and sleep issues are often hormone-driven—and why SSRIs aren't always the right first step. Why shame and secrecy around menopause and sexuality have left so many women in the dark. How to talk to our daughters (and sons!) about the full reproductive life cycle from puberty through menopause, without stigma or shame. The difference between misinformation online and evidence-based solutions—and red flags to watch for when seeking care. What questions to ask your doctor to know if they're truly menopause-informed. Why preparing before symptoms begin can empower women to feel confident, validated, and supported in midlife and beyond. Menopause is so much more than the stereotypes we've been taught and this episode will leave you with clarity, tools, and a sense of empowerment to navigate this transition with confidence. LEARN MORE ABOUT MY GUEST:
In his weekly clinical update, Dr. Griffin with Vincent Racaniello are dismayed about the recent attack on public health the firing of the director of the CDC as well as resignation of 3 others members of the agency's leadership, the continued Legionnaire's outbreak in Harlem, suspension of Ixchiq the Chikungunya virus attenuated infectious vaccine, the first US case of New World screwworm before Dr. Griffin deep dives into recent statistics on the measles epidemic, RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, association Guillian-Barré syndrome with RSV vaccination, guidelines for using RSV vaccines, whether or not the NB.1.8.1 should be included in the fall 2025 vaccines, the American College Obstetricians and Gynecologists recommendations for the COVID, RSV and influenza vaccines, FDA approval letters for Pfizer, moderna and Novagax COVID vaccines including label changes for use in those between 5 through 64 years, where to find PEMGARDA, long COVID treatment center, where to go for answers to your long COVID questions, and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode White House Says New C.D.C. Director Is Fired, but She Refuses to Leave (NY Times) CDC director refuses to leave after White House order (BBC) Legionnaires' Disease: In Harlem(NYC Health) New York City Health Department Provides Update on Community Cluster of Legionnaires' Disease in Central Harlem(NYC Health: Promoting and protecting the City's health) FDA Update on the Safety of Ixchiq (Chikungunya Vaccine, Live) (FDA) Vimkunya (Bavarian Nordiac) U.S. and Panama for the control of the Screwworm pest (COPEG) Rare human case of flesh-eating parasite New World screwworm identified in US(CNN) USDA Announces Sweeping Plans to Protect the United States from New World Screwworm (USDA) HHS details New World screwworm response after human case(CIDRAP) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Tracking Measles Cases in the U.S. (Johns Hopkins) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Get the FACTS about measles (NY State Department of Health) Measles (CDC Measles (Rubeola)) Measles vaccine (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Measles (CDC Measles (Rubeola)) Measles vaccine recommendations from NYP (jpg) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts(ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) Relative effectiveness of high-dose versus standard-dose influenza vaccine against hospitalizations and mortality according to frailty score (JID) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) ENFLONSIA: novel drug approvals 2025 (FDA) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Evaluation of Guillain-Barré Syndrome (GBS) following Respiratory Syncytial Virus (RSV) Vaccination Among Adults 65 Years and Older (FDA) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Evidence to Recommendations Framework (EtR): RSV Vaccination in Adults Aged 50–59 years (CDC: National Center for Immunization and Respiratory Diseases) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (bioRxiV) Veering from CDC, ACOG recommends maternal vaccination against COVID-19 (CIDRAP) ACOG Releases Updated Maternal Immunization Guidance for COVID-19, Influenza, and RSV (American College of Obstericians and Gynecologists) COVID-19 Vaccination Considerations for Obstetric–Gynecologic Care (American College of Obstericians and Gynecologists) Pfizer and BioNTech's COMIRNATY® Receives U.S. FDA Approval for Adults 65 and Older and Individuals Ages 5 through 64 at Increased Risk for Severe COVID-19 (Pfizer) COMIRNATY approval letter (FDA) Moderna Receives U.S. FDA Approval for Updated COVID-19 Vaccines Targeting LP.8.1 Variant of SARS-CoV-2 (FEEDS) SPIKEVAX approval letter (FDA) Novavax's Nuvaxovid 2025-2026 Formula COVID-19 Vaccine Approved in the U.S (Novavax) NUVAXOVID approval letter (FDA) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Paxlovid (Pfizer) Infectious Disease Society guidelines for treatment and management (ID Society) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) Managing healthcare staffing shortages (CDC) Steroids,dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Reaching out to US house representative Letters read on TWiV 1248 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.
Routine vaginal examinations (VEs) are a standard component of intrapartum care, traditionally performed at regular intervals to monitor cervical dilation, effacement, and fetal station, which are indicators of labor progression. Yet, the American College of Obstetricians and Gynecologists states that there is insufficient evidence to recommend a specific frequency for cervical examinations during labor, and examinations should be performed as clinically indicated. Now, a recently published RCT form AJOG MFM is adding additional credence to that. Can we space out clinical exams in otherwise “low-risk” laboring women to 8 hours? Listen in for details. 1. AJOG MFM: (08/18/25) Routine Vaginal Examination Scheduled At 8 vs 4 Hours In Multiparous Women In Early Spontaneous Labour: A Randomised Controlled Trial https://www.sciencedirect.com/science/article/abs/pii/S25899333250016122. Nashreen CM, Hamdan M, Hong J, et al.Routine Vaginal Examination to Assess Labor Progress at 8 Compared to 4 h After Early Amniotomy Following Foley Balloon Ripening in the Labor Induction of Nulliparas: A Randomized Trial. Acta Obstetricia Et Gynecologica Scandinavica. 2024;103(12):2475-2484. doi:10.1111/aogs.14975.3. First and Second Stage Labor Management: ACOG Clinical Practice Guideline No. 8. Obstetrics and Gynecology. 2024;143(1):144-162. doi:10.1097/AOG.0000000000005447.4. Moncrieff G, Gyte GM, Dahlen HG, et al. Routine Vaginal Examinations Compared to Other Methods for Assessing Progress of Labour to Improve Outcomes for Women and Babies at Term. The Cochrane Database of Systematic Reviews. 2022;3:CD010088. doi:10.1002/14651858.CD010088.pub3.5. Gluck, O., et al. (2020). The correlation between the number of vaginal examinations during active labor and febrile morbidity, a retrospective cohort study. [BMC Pregnancy and Childbirth]6. Pan, WL., Chen, LL. & Gau, ML. Accuracy of non-invasive methods for assessing the progress of labor in the first stage: a systematic review and meta-analysis. BMC Pregnancy Childbirth 22, 608 (2022). https://doi.org/10.1186/s12884-022-04938-y
As women enter perimenopause and menopause, hormonal shifts—declining estrogen, progesterone, and testosterone—can ripple through nearly every system in the body, impacting bone density, cardiovascular health, metabolism, brain function, and sexual wellbeing. Misinterpretation of past research left millions fearful of hormone therapy, yet newer evidence shows that bioidentical hormones, started within a specific “window of opportunity,” can protect the heart, brain, bones, and quality of life. Supporting this transition in a woman's life also means addressing nutrition, gut health, stress, sleep, and strength training—powerful tools that work alongside hormones to restore vitality. With the right knowledge and care, this phase of life can be transformational, leading to renewal, resilience, and long-term health protection. In this episode, I explore, along with Dr. Mary Claire Haver and Dr. Cindy Geyer, how we can shift our thinking of peri-menopause and menopause to one of renewed health and vitality. Mary Claire Haver, MD, FACOG, CMP, is a board-certified Obstetrician and Gynecologist, Certified Culinary Medicine Specialist, and Menopause Society Certified Menopause Practitioner. A graduate of Louisiana State University Medical Center with residency at the University of Texas Medical Branch, she is the founder of Mary Claire Wellness, a clinic dedicated to comprehensive menopause care. In 2023, she launched ThePauseLife.com, a global resource for menopausal women, and became a #1 New York Times bestselling author with The New Menopause. Her first book, The Galveston Diet (2023), reflects her passion for evidence-based lifestyle strategies to support women's health. With over 4 million social media followers, Dr. Haver is a leading voice in “demystifying menopause,” empowering women to self-advocate and thrive through every stage of midlife. Dr. Cindy Geyer received her bachelor of science and her doctor of medicine degrees, with honors, from the Ohio State University. She completed residency in internal medicine at Strong Memorial Hospital in Rochester, N.Y. and is triple board certified in internal medicine, integrative medicine and lifestyle medicine. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN to save 15%. Full-length episodes can be found here: Your Guide to Menopause: What to Expect and How to Thrive Menopause Relief: Hormone Tips Every Woman Needs To Know Is Hormone Replacement Therapy in Menopause Helpful or Harmful
Recently, the American College of Obstetricians and Gynecologists rejected federal funding in response to the current US administration's polices. We talk about what this means.See omnystudio.com/listener for privacy information.
A show segment got Amy really injured and she's still trying to heal. She shares updates on her boyfriend, her podcast relaunch, and perimenopause. Morgan has a realization about having a male gynecologist and shares the thing she's really nervous about right now. See omnystudio.com/listener for privacy information.