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Darshali Vyas is a pulmonary and critical care fellow at Massachusetts General Hospital. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. D.A. Vyas, L.G. Eisenstein, and D.S. Jones. The Race-Correction Debates — Progress, Tensions, and Future Directions. N Engl J Med 2025;393:1029-1036.
In this episode Hecate discusses why menstruation can be triggering for survivors, especially for those who have been assaulted during their periods. Hecate provides statistics from medical studies indicating that a significant percentage of SA survivors were menstruating at the time of their assault. The combined social stigmas against speaking about SA and menstruation mean this is an experience that is not being talked about enough, leading to even greater feelings of isolation and shame. The episode also addresses some of the challenges of managing periods post-trauma, and different menstrual products through a survivor's lens. With personal anecdotes and research-backed insights, this episode aims to provide a voice to the often unspoken and overlooked intersection of menstruation and SA trauma. Hecate hopes this episode will help other survivors who have had this experience feel less alone.Tw/Cw: SA (and some details of assaults), R*pe, PTSD, menstruation, substances, and strong language.Links and References:Cardenas, K., Wiersma, G., Dykema, J., Rossman, L., Fedewa, J., & Jones, J. S. (2011). 279 impact of the victim's menstrual cycle phase on genital injuries following sexual assault. Annals of Emergency Medicine, 58(4). https://doi.org/10.1016/j.annemergmed.2011.06.309 Gollapudi, M., Thomas, A., Yogarajah, A., Ospina, D., Daher, J. C., Rahman, A., Santistevan, L., Patel, R. V., Abraham, J., Oommen, S. G., & Siddiqui, H. F. (2024). Understanding the interplay between premenstrual dysphoric disorder (PMDD) and female sexual dysfunction (FSD). Cureus, 16(6). https://doi.org/10.7759/cureus.62788 Noll, J. G., Trickett, P. K., Long, J. D., Negriff, S., Susman, E. J., Shalev, I., Li, J. C., & Putnam, F. W. (2017). Childhood sexual abuse and early timing of puberty. Journal of Adolescent Health, 60(1), 65–71. https://doi.org/10.1016/j.jadohealth.2016.09.008 Vu, A., Moaddel, V., Emmerich, B., Rossman, L., Bach, J., Seamon, J., Barnes, M., Ouellette, L., & Jones, J. (2023). Association between the victim's menstrual cycle phase and genital injuries following sexual assault. Clinical Journal of Obstetrics and Gynecology, 6(2), 038–042. https://doi.org/10.29328/journal.cjog.1001127 *Thank you again to my sister Chie for their invaluable help with research and citations!*Articles about the heavy metals found in tampons: https://factor.niehs.nih.gov/2024/8/feature/3-feature-metals-in-tamponshttps://publichealth.berkeley.edu/articles/spotlight/research/first-study-to-measure-toxic-metals-in-tampons-shows-arsenic-and-leadhttps://www.sciencedirect.com/science/article/pii/S0160412024004355#:~:text=Across%20those%20studies%2C%20a%20range,et%20al.%2C%202022).Lucky Iron Fish: https://luckyironlife.com/?srsltid=AfmBOorbSgfTM6sE3c6r-IRy3MNC0u-i8v-S4-s5lkZPo89aSCXJvEfjFinding OK: https://www.finding-ok.com/Hecate's Links: https://linktr.ee/FindingOK Support the Podcast and become a Patreon member!https://www.patreon.com/c/HecateFindingOKFinding OK is funded entirely by generosity of listeners like you!https://www.finding-ok.com/support/Music is "Your Heart is a Muscle the Size of Your Fist" used with the personal permission of Ramshackle Glory. Go check out their music!https://open.spotify.com/artist/0qdbl...Timestamps:00:00 Introduction and Trigger Warnings01:17 Menstruation and Trauma07:47 Challenges with Sanitary Products12:14 Personal Experiences of Assault During Menstruation15:58 Statistics and Research on Assault During Menstruation21:01 Triggers and Coping Mechanisms32:08 Conclusion and Support3Support the show
Gerianne DiPiano (FemmePharma founder & CEO) and her guest Dr Hardas discuss Cosmetic Gynecology. Listen to learn what is covered in cosmetic gynecology and who these procedures can help. What techniques are used, who are the professionals performing the procedures, and how to find the right doctor if you think this can help your sexual health. Dr. Mona Hardas is a board-certified OB-GYN offering gynecological care and aesthetic treatments in Flint, Bloomfield Hills and NYC.
On Sept 10, 2023, er released an episode titled, “CS Ut Closure: Decidua or No Decidua?”. We highlighted the importance of AVOIDING the decidua at hysterotomy closure at CS. Now, in Sept 2025, in Obstetrics and Gynecology (the Green Journal), there is a new systematic review and meta-analysis on this very topic. Does this new study CONFIRM or REFUTE what we explained 2 years ago? Listen in for details. 1. Sept 10, 2023 Chapa Clinical Pearls Podcast: CS Ut Closure: Decidua or No Decidua?2. Lino GM, Galvão PVM, da Silva MLF, Conrado GAM. Not Closing Compared With Closing the Endometrial Layer During Cesarean Delivery: A Systematic Review and Meta-analysis. Obstet Gynecol. 2025 Jun 12;146(3):e55-e63. doi: 10.1097/AOG.0000000000005974. PMID: 40505112.
We have a wonderful podacst community! Within 24 hours of our immediate past episode release, one close friend- and fellow OBGYN, Dr. Eric Colton (OB Hospitalist Group) reached out and shared valuable words of wisdom regarding a potentially deadly complication of the CS-scar defect...the CS scar ectopic pregnancy. Listen in for Dr. Colton's cameo and details. 1. Ban, Yanli MD, PhD; Shen, Jia MD; Wang, Xia MD; Zhang, Teng MD, PhD; Lu, Xuxu MD; Qu, Wenjie MD; Hao, Yiping MD; Mao, Zhonghao MD; Li, Shizhen MD; Tao, Guowei MD, PhD; Wang, Fang MD, PhD; Zhao, Ying MD, PhD; Zhang, Xiaolei MD, PhD; Zhang, Yuan MD, PhD; Zhang, Guiyu MD, PhD; Cui, Baoxia MD, PhD. Cesarean Scar Ectopic Pregnancy Clinical Classification System With Recommended Surgical Strategy. Obstetrics & Gynecology 141(5):p 927-936, May 2023. | DOI: 10.1097/AOG.0000000000005113
ACOG PCAI website U.S. Postpartum Contraceptive Access InitiativeAJOG article from the TIPQC project Statewide quality improvement initiative to implement immediate postpartum long-acting reversible contraceptionTIPQC Website for IPPLARC ProjectTIPQC Website for IPPLARC Initiative including resourcesLacy, Megan MPH; Monaco, Alexandra MD; Zite, Nikki B. MD, MPH. Initiating and Monitoring a Postpartum Contraceptive Program [8N]. Obstetrics & Gynecology 133():p 152S, May 2019.Lacy Young M, Mastronardi A, Shelton Z, Maples JM, Zite NB. Tennessee Medicaid patient immediate postpartum long-acting reversible contraception utilization. Contraception. 2025 Feb;142:110721. Mastronardi A, Lacy Young M, Shelton Z, Maples JM, Zite NB. Short-interval births among patients choosing immediate postpartum long-acting reversible contraception (ipp larc) after tennessee medicaid policy change. Contraception. 2022 Dec; 116:89-90Kaak, Katherine MD; Zite, Nikki MD; Mastronardi, Alicia MPH; Maples, Jill M. PhD; Young, Megan Lacy MPH. Evaluating Contraception Counseling and Desire for Immediate Postpartum Long-Acting Contraception in Publicly Insured Adolescents. Obstetrics & Gynecology 143(5S):p 10S, May 2024.No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.
What if the very foundation of America was built on a system that was never meant to serve us all? And what if reclaiming something as simple and as profound as our intuition could be the key to creating a more just and loving future? In this episode of HEAL with Kelly Podcast, I sit down with scholar, advocate, and bestselling author Anna Malaika Tubbs to explore the roots of American patriarchy. Drawing from her recent book Erased: What American Patriarchy Has Hidden from Us and her celebrated debut The Three Mothers, Anna reveals how patriarchy was intentionally written into law, how it continues to shape institutions like healthcare and education, and why reclaiming women's intuition is one of the most radical steps we can take toward change. We explore the intentional design of patriarchy in America's laws, and why recognizing that history is often written by those in power is essential to collective healing. Anna highlights the stories of courageous women who have been erased, yet whose contributions have powerfully shaped our nation's evolution. Anna also shares insights on partnership, motherhood, and the ways our relationships and communities can model new ways of sharing power…the path to true democracy. This conversation is both eye-opening and empowering, offering a reminder that because these systems were built, we have the power to build something different. Key Moments You'll Love:
According to the J Am Acad Orthop Surg Glob Res Rev. (2024), the incidence of pelvic ring injuries is 34.3 per 100,000 with trauma being the most obvious causation. Women account for approximately 69.7% of these injuries, 23% of which occur in women of childbearing age. In this specific patient population, concern is raised about one's future reproductive capability and method of delivery. The normal bony pelvic movements that occur during vaginal delivery are crucial for accommodating the passage of the fetus through the birth canal; this allows for the normal cardinal phases of labor to occur. These movements involve the widening and shifting of various pelvic joints and bones, primarily influenced by hormonal changes and the mechanical forces exerted by the baby. So, it is reasonable to ask if a patient with pelvic fractures and fixation can safely allow a trial of labor. Is a history of pelvic fractures with surgical fixation an indication for primary cesarean section? If it's not, in what scenario would a primary c-section be best after a pelvic fracture? Listen in for details. 1.Pelvic Fractures in Women of Childbearing Age.Cannada LK, Barr J. Clinical Orthopaedics and Related Research. 2010;468(7):1781-9. doi:10.1007/s11999-010-1289-5.2.Birth Outcomes Following Pelvic Ring Injury: A Retrospective Study. Hsu CC, Lai CY, Chueh HY, et al. BJOG : An International Journal of Obstetrics and Gynaecology. 2023;130(11):1395-1402. doi:10.1111/1471-0528.17487.3.Pregnancy and Delivery After Pelvic Fracture in Fertile-Aged Women: A Nationwide Population-Based Cohort Study in Finland. Vaajala M, Kuitunen I, Nyrhi L, et al. European Journal of Obstetrics, Gynecology, and Reproductive Biology. 2022;270:126-132. doi:10.1016/j.ejogrb.2022.01.008.4.Pregnancy Outcomes After Pelvic Ring Injury.Vallier HA, Cureton BA, Schubeck D. Journal of Orthopaedic Trauma. 2012;26(5):302-7. doi:10.1097/BOT.0b013e31822428c5.5.Caesarean Section Rates Following Pelvic Fracture: A Systematic Review. Riehl JT. Injury. 2014;45(10):1516-21. doi:10.1016/j.injury.2014.03.018.6.Unstable Pelvic Fractures in Women: Implications on Obstetric Outcome. Davidson A, Giannoudis VP, Kotsarinis G, et al. International Orthopaedics. 2024;48(1):235-241. doi:10.1007/s00264-023-05979-4.7.Management of Pelvic Injuries in Pregnancy.Amorosa LF, Amorosa JH, Wellman DS, Lorich DG, Helfet DL. The Orthopedic Clinics of North America. 2013;44(3):301-15, viii. doi:10.1016/j.ocl.2013.03.0058.Effect of Trauma and Pelvic Fracture on Female Genitourinary, Sexual, and Reproductive Function.Copeland CE, Bosse MJ, McCarthy ML, et al. Journal of Orthopaedic Trauma. 1997 Feb-Mar;11(2):73-81. doi:10.1097/00005131-199702000-00001.9. The Rate of Elective Cesarean Section After Pelvic or Hip Fracture Remains High Even After the Long-Term Follow-Up: A Nationwide Register-Based Study in Finland. Vaajala M, Kuitunen I, Liukkonen R, et al.European Journal of Obstetrics, Gynecology, and Reproductive Biology. 2022;277:77-83. doi:10.1016/j.ejogrb.2022.08.10. Bajerová M, Hruban L. Movements of the pelvic bones of expectant mothers during vaginal delivery. Ceska Gynekol. 2024;89(4):335-342. English. doi: 10.48095/cccg2024335. PMID: 39242210. 11. Lewis AJ, Barker EP, Griswold BG, Blair JA, Davis JM. Pelvic Ring Fracture Management and Subsequent Pregnancy: A Summary of Current Literature. J Am Acad Orthop Surg Glob Res Rev. 2024 Feb 6;8(2):e23.00203. doi: 10.5435/JAAOSGlobal-D-23-00203. PMID: 38323930; PMCID: PMC10849384.12. Childbirth after Pelvic Fractures: Debunking the Myths: https://ota.org/sites/files/legacy_abstracts/ota09/otapa/OTA090132.htm13. Davidson A, Giannoudis VP, Kotsarinis G, Santolini E, Tingerides C, Koneru A, Kanakaris NK, Giannoudis PV. Unstable pelvic fractures in women: implications on obstetric outcome. Int Orthop. 2024 Jan;48(1):235-241. doi: 10.1007/s00264-023-05979-4. Epub 2023 Sep 15. PMID: 37710070
Amitabh Chandra is a professor of public policy at the Harvard Kennedy School of Government and a professor of business administration at Harvard Business School. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A. Chandra and M. Shepard. The Corporatization Deal — Health Care, Investors, and the Profit Priority. N Engl J Med 2025;393:833-835.
This episode of Perimenopause: Head to Toe features Dr. Sameena Rahman, an OB-GYN and specialist in sexual medicine and menopause. She is also the founder of the GYN and Sexual Medicine CollectiveDr. Rahman highlights that women in their mid-40s often experience confusing bodily changes. Symptoms include: Menstrual Changes: Unpredictable periods, with some becoming heavier or stopping for months. Physical & Emotional Symptoms: Intimate dryness, reduced libido, sleep issues, hot flashes, brain fog, and irritability.Systemic Issues in Women's HealthcareThe conversation addresses challenges within the medical system. A Patriarchal System: The doctors agree that the healthcare system is historically patriarchal, resulting in a lack of research and understanding of women's health. Medical Training Gap: The doctors note that medical school training often overlooks the significant emotional and cognitive effects of perimenopause, focusing instead on hot flashes and irregular periods. The "Double Whammy": They point out that because the OB-GYN field is largely female, there's an unspoken expectation to manage all aspects of women's health with limited resources, leading to provider burnout and inadequate patient care.Cultural Differences and BiasDr. Rahman, who is South Asian, discusses unique challenges for women of color. Earlier Onset: Women of color, including Black and South Asian women, often experience perimenopause and menopause earlier. This is linked to allostatic load, the cumulative "wear and tear" from chronic stress. Stigma: Cultural factors like stoicism and taboos around sex lead to a reluctance to seek medical help. Health Disparities: The episode notes higher rates of heart disease and diabetes in the South Asian population.About Dr. Rahman's Practice and BookDr. Sameena Rahman is a board-certified OB/GYN, sex-med gynecologist, menopause specialist and a clinical assistant professor of OB/GYN at the Northwestern Feinberg School of Medicine. She is the founder of the Gyn & Sexual Medicine Collective, a successful concierge practice that emphasizes evidence-based medicine and an affiliate of Ms. Medicine. Dr. Rahman is dedicated to evaluating and treating each patient with compassion, trauma-informed care, and an awareness of personal bias. Additionally, she hosts the podcast Gyno Girl Presents: Sex, Drugs & Hormones.Her upcoming book, "Brown Girls Disease? A Guide to Sexual Health and Empowerment Through a South Asian Lens," explores sexual health issues from a unique cultural and religious perspective.
Traditionally, we have learned that any imbalance in the estrogen: progesterone relationship can trigger irregular uterine bleeding. That makes sense, right? During anovulation, prolonged unopposed estrogen can result in HMB. In such a case, we give progesterone as both a therapeutic as well as diagnostic intervention. On the contrary, with progestin only contraception, we consider estrogen predominant products when progesterone breakthrough bleeding (BTB) occurs to restore endometrial stabilization. But a new RCT (AJOG) adds credence to adding MORE progesterone in cases of progesterone associated BTB. Listen in for details.1. Zigler RE, Madden T, Ashby C, Wan L, McNicholas C. Ulipristal Acetate for Unscheduled Bleeding in Etonogestrel Implant Users: A Randomized Controlled Trial. Obstet Gynecol. 2018 Oct;132(4):888-894. doi: 10.1097/AOG.0000000000002810. PMID: 30130351; PMCID: PMC6153077.2.ANDRADE MCR, et al. Norethisterone for Prolonged Uterine Bleeding Associated with Etonogestrel Implant (IMPLANET): A Randomized Controlled Trial, American Journal of Obstetrics and Gynecology (2025), doi: https://doi.org/10.1016/j.ajog.2025.08.029.
In this episode, we review the high-yield topic Vaginismus from the Gynecology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode, we review the high-yield topic Aromatase Inhibitors from the Gynecology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
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
In this episode, we review the high-yield topic Estrogens from the Gynecology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode, Katie Hafner joins Alexis Pedrick and Mariel Carr to bring you The Mothers of Gynecology, part of Innate: How Science Invented the Myth of Race, a podcast and magazine project produced by the Science History Institute that explores the historical roots and persistent legacies of racism in American science and medicine.Of all wealthy countries, the United States is the most dangerous place to have a baby. The maternal mortality rate is abysmal, and it's getting worse. And there are huge racial disparities: Black women are three times more likely to die in childbirth than white women. Despite some claims to the contrary, the problem isn't race, it's racism.This episode, which first aired in April, 2023, explores the racial disparities in maternal health in the US rooted in 19th century medical exploitation of enslaved women. Learn about your ad choices: dovetail.prx.org/ad-choices
In this episode, we review the high-yield topic Genitourinary Trauma from the Gynecology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode, we review the high-yield topic Ovarian Cysts from the Gynecology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode, we review the high-yield topic Premenstrual Syndrome (PMS) from the Gynecology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode of the Optimal Body Podcast, Doc Jen and Doctor Dom welcome pelvic floor Doctor of Physical Therapy Dr. Sarah Reardon to discuss her new book, "Flawed: A Women's Guide to Pelvic Floor Health at Every Age and Stage." They explore the importance of pelvic health education, debunk common myths, address certain pelvic floor pain and conditions, and address the stigma surrounding women's pelvic health. Dr. Reardon shares practical tips and exercise for daily habits, highlights the need for early education, and emphasizes that pelvic health is a lifelong journey. The conversation empowers listeners to make informed, compassionate choices about their bodies. Dr. Sarah Reardon is truly a pioneer in women's health advocacy.Needed Discount:Jen trusted Needed Supplements for fertility, pregnancy, and beyond! Support men and women's health with vitamins, Omega-3, and more. Used by 6,000+ pros. Use code OPTIMAL for 20% off at checkout!Pelvic Floor Foundations:Want a stronger pelvic floor but don't know where to start? Our Pelvic Floor Foundations Course guides you step-by-step. Podcast listeners get a discount with code OPTIMAL10. Learn more and sign up today!Dr Sarah's Resources:Dr Sarah's Book: "Floored"Dr Sarah's InstagramThe V-Hive MembershipWe think you'll love:Pelvic Floor Founations CourseJen's InstagramDom's InstagramYouTube ChannelWhat You'll Learn from Sarah:03:33 Making Pelvic Health Approachable07:55 Gaps in Pelvic Health Awareness & Treatment09:54 Pelvic Health Across Life Stages12:49 Hormones, Menstruation, and Pelvic Floor Symptoms15:34 Early Education & Product Choices18:46 Pelvic Health Products: What Works & What Doesn't21:20 Marketing, Quick Fixes, and Long-Term...For full show notes and resources visit https://jen.health/podcast/423
In this episode, we review the high-yield topic Fibroadenoma from the Gynecology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
YEP…Its another episode of You Asked, We Answered! In this episode, we will look at the data to answer 2 questions that came into the show within the last 24 hrs: 1. Is oral or topical therapy best for first treatment of uncomplicated vulvovaginal candidiasis? (We have new data- AJOG, Sept 2025, to answer that), and 2. Is urine PCR testing for UTI diagnosis a “routine practice”? (We will look at 4 sources of information to answer that one). Listen in for details. 1. Gardella, Barbara et al. Treatment of uncomplicated vulvovaginal candidiasis: topical or oral drugs? Single-day or multiple-day therapy? A network meta-analysis of randomized trials. American Journal of Obstetrics & Gynecology, Volume 233, Issue 3, 152 - 1612. Invited Commentary: JAMA Netw Open: Published Online: November 26, 20242024;7;(11):e2446711. doi:10.1001/jamanetworkopen.2024.467113. March 2025 (AAFP): Are the Advantages of Urine PCR Testing Worth the Higher Costs? https://www.aafp.org/pubs/afp/afp-community-blog/entry/are-the-advantages-of-urine-pcr-testing-worth-the-higher-costs.html4. July 2025: PALTmed: https://paltmed.org/news-media/paltmed-calls-providers-stop-using-routine-pcr-urine-tests-utis5. https://pathnostics.com/limitations-of-pcr-only/
In the last 2 episodes we covered new updates in menopausal hormone therapy. However, we did not address TESTOSTERONE use. This episode idea comes from one our podcast family members and good friend, Eric. Eric is 100% correct: Testosterone replacement, when done correctly, has come along way. When is this indicated? Is this endorsed by professional medical/endocrine groups? What's the dose? We have fun stuff to review, so listen in!1. Davis SR, Baber R, Panay N, Bitzer J, Perez SC, Islam RM, Kaunitz AM, Kingsberg SA, Lambrinoudaki I, Liu J, Parish SJ, Pinkerton J, Rymer J, Simon JA, Vignozzi L, Wierman ME. Global Consensus Position Statement on the Use of Testosterone Therapy for Women. J Clin Endocrinol Metab. 2019 Oct 1;104(10):4660-4666. doi: 10.1210/jc.2019-01603. PMID: 31498871; PMCID: PMC6821450.2. Sharon J. Parish, James A. Simon, Susan R. Davis, Annamaria Giraldi, Irwin Goldstein, Sue W. Goldstein, Noel N. Kim, Sheryl A. Kingsberg, Abraham Morgentaler, Rossella E. Nappi, Kwangsung Park, Cynthia A. Stuenkel, Abdulmaged M. Traish, Linda Vignozzi, International Society for the Study of Women's Sexual Health Clinical Practice Guideline for the Use of Systemic Testosterone for Hypoactive Sexual Desire Disorder in Women, The Journal of Sexual Medicine, Volume 18, Issue 5, May 2021, Pages 849–867, https://doi.org/10.1016/j.jsxm.2020.10.0093. Levy, Barbara MD, MSCP; Simon, James A. MD, MSCP. A Contemporary View of Menopausal Hormone Therapy. Obstetrics & Gynecology 144(1):p 12-23, July 2024. | DOI: 10.1097/AOG.00000000000055534. NAMS The 2022 hormone therapy position statement of The North American Menopause Society: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://menopause.org/wp-content/uploads/professional/nams-2022-hormone-therapy-position-statement.pdf
THURSDAY HR 5 The K.O.D. - Amy Warley from Alliance Obstetrics & Gynecology. Darryl Payne from Pawfection. Cancer testing. Russ leans on Deisi's expertise on party planning for Ryan's upcoming Bday party. Monsters Messages & Hot Takes
A New Podcast from Obstetrics & Gynecology, featuring members from the Editorial Team and contributing authors, each month as they highlight the latest research and practice updates in the field. This episode features an interview with Drs. Catherine T. Witkop and Amy G. Cantor, authors of “Recommendations From the Women's Preventive Services Initiative on Breast Cancer Screening for Women at Average Risk and Patient Navigation Services for Breast and Cervical Cancer Screening.”
In episode #389 of The Hormone Puzzle Podcast, our guest Dr. Roxanne Pero, talks about Toxins and Infertility. More about Dr. Roxanne: Dr. Roxanne Pero is a triple-board certified OB/Gyn with expertise in Obstetrics, Gynecology, Infertility, Functional Medicine, and Lifestyle Medicine. She earned her M.D. from Louisiana State University Health Sciences Center and completed her residency at UT Southwestern/Parkland Hospital in Dallas. After 12 years in private practice, guiding women through complex and high-risk pregnancies, she transitioned into holistic care. For the past three years, she has focused on root-cause healing and is board certified through the Institute for Functional Medicine and a Fellow of the American College of Lifestyle Medicine. Dr. Pero now practices at Alive & Well Dallas, where she helps patients address chronic conditions through integrative, lifestyle-driven protocols, combining conventional and functional approaches for whole-person healing. Thank you for listening! This episode is made possible by Puzzle Brew's Fertility Tea: https://hormonepuzzlesociety.com/fertility-tea Follow Dr. Roxanne on Instagram: @drroxannepero Follow Dr. Kela on Instagram: @kela_healthcoach Get your FREE Fertility Meal Plan: https://hormonepuzzlesociety.com/ FTC Affiliate Disclaimer: The disclosure that follows is intended to fully comply with the Federal Trade Commission's policy of the United States that requires to be transparent about any and all affiliate relations the Company may have on this show. You should assume that some of the product mentions and discount codes given are "affiliate links", a link with a special tracking code This means that if you use one of these codes and purchase the item, the Company may receive an affiliate commission. This is a legitimate way to monetize and pay for the operation of the Website, podcast, and operations and the Company gladly reveals its affiliate relationships to you. The price of the item is the same whether it is an affiliate link or not. Regardless, the Company only recommends products or services the Company believes will add value to its users. The Hormone Puzzle Society and Dr. Kela will receive up to 30% affiliate commission depending on the product that is sponsored on the show. For sponsorship opportunities, email HPS Media at media@hormonepuzzlesociety.com
Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Jacqueline Wong, MD, MSCR, FACOG For patients with endometriosis, treatment delays can profoundly impact both quality of life and clinical outcomes. Proactive strategies that address logistical barriers—such as prior authorizations—combined with education and multidisciplinary support are essential in improving care. Join Dr. Charles Turck and Dr. Jacqueline Wong as they explore practical approaches for managing this complex condition and navigating potential hurdles. Dr. Wong is a minimally invasive gynecologic surgeon and an Assistant Professor of Obstetrics and Gynecology in the School of Medicine at Oregon Health and Science University in Portland.
Tom Frieden is the president and chief executive officer of Resolve to Save Lives and former director of the Centers for Disease Control and Prevention. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. T.R. Frieden. Dismantling Public Health Infrastructure, Endangering American Lives. N Engl J Med 2025;393:625-627.
Thank goodness for William Morton and Horace Wells- pioneers in anesthesia. Anesthesia has come a long way since them and there is even a professional medical society for OB anesthesia called SOAP. Today, August 07, 2025, there is a new Clinical Expert Series which was just released in the Green Journal. That publication (which is ahead of print) is titled, Key Management Considerations in Obstetric Anesthesiology, is our episode focus. Can you safely have an epidural placed if the patient has platelets under 100K? Can labor epidurals cause pyrexia alone? Do labor epidurals slow labor? Listen in for details. 1. Clinical Expert Series, Key Management Considerations in Obstetric Anesthesiology. Obstet Gynecol; ePub 08/07/2025. 2. ACOG PB 2017; 20193. Adams AK. Tarnished Idol: William Thomas Green Morton and the Introduction of Surgical Anesthesia. J R Soc Med. 2002 May;95(5):266–7. PMCID: PMC1279690.4. Hegvik, Tor-Arne et al. Labor epidural analgesia and subsequent risk of offspring autism spectrum disorder and attention-deficit/hyperactivity disorder: a cross-national cohort study of 4.5 million individuals and their siblings.American Journal of Obstetrics & Gynecology, Volume 228(2): 233.e1 - 233.e125. https://med.stanford.edu/news/all-news/2021/04/Epidural-use-at-birth-not-linked-to-autism-risk-study-finds.html
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, “Pain with Sex During Perimenopause & Reclaiming Pleasure” is brought to you by Replens™ - the #1 Doctor-recommended vaginal moisturizer brand. Visit Replens™ to learn more about the products mentioned in this episode such as Replens™ Long-Lasting Vaginal Moisturizer, clinically tested to help alleviate vaginal dryness, replenishingn vaginal moisture for up to 3 days.Dr. Laurie Mintz and Dr. Suzette Johnson get real about pain with sex during perimenopause and how to reconnect with pleasure. In this episode they chat about why sex can hurt, the importance of lube, finding the right specialist, and the different ways couples can stay close. Best of all, they answer honest, questions from the Perry community!
Guest: Brian Slomovitz, MD Our treatment approach for patients with endometrial cancer is evolving, with antibody-drug conjugates (ADCs) and biomarker-driven therapies showing promise. Dr. Brian Slomovitz highlights future directions that could redefine treatment pathways for patients with advanced or recurrent disease. Dr. Slomovitz is the Director of Gynecologic Oncology and Co-Chair of the Cancer Research Committee at Mount Sinai Medical Center as well as a Professor of Obstetrics and Gynecology at Florida International University in Miami.
Guest: Brian Slomovitz, MD Our treatment approach for patients with endometrial cancer is evolving, with antibody-drug conjugates (ADCs) and biomarker-driven therapies showing promise. Dr. Brian Slomovitz highlights future directions that could redefine treatment pathways for patients with advanced or recurrent disease. Dr. Slomovitz is the Director of Gynecologic Oncology and Co-Chair of the Cancer Research Committee at Mount Sinai Medical Center as well as a Professor of Obstetrics and Gynecology at Florida International University in Miami.
EMDR (Eye Movement Desensitization and Reprocessing) therapy is a recognized and effective treatment for postpartum PTSD, particularly when related to a traumatic birth experience. EMDR helps individuals process traumatic memories and reduce the associated distress, allowing for a more adaptive way of remembering the event. On Aug 4, 2025, a new publication was released in AJOG pertaining to this therapy. What's this latest randomized controlled trial data saying? Listen in for details. 1. Hendrix YMGA, van Dongen KSM, de Jongh A, vanPampus MG. Postpartum Early EMDR therapy Intervention (PERCEIVE) study forwomen after a traumatic birth experience: study protocol for a randomizedcontrolled trial. Trials. 2021 Sep 6;22(1):599. doi: 10.1186/s13063-021-05545-6.PMID: 344888472. Sajedi, S.S., Navvabi-Rigi, SD. & Navidian,A. Midwifery-led brief counseling on the severity of posttraumatic stresssymptoms of postpartum hemorrhage: quasi-experimental study. BMC PregnancyChildbirth 24, 729 (2024).3. 8/4/25: Treatment of Traumatic Birth Experiencewith Postpartum Early Eye Movement Desensitization and Reprocessing Therapy:Hendrix, Yvette M.G. A. et al.4. A Randomized Clinical Trial. American Journal ofObstetrics & Gynecology, Volume 0, Issue 0
Did you know that environmental factors, rather than hereditary factors, are taking the lead in driving illness and early mortality? That shift is primarily due to the harm caused by corporations and their products, says Dr. Tracey Woodruff, PhD, MPH, a professor in the Department of Obstetrics, Gynecology, and Reproductive Services at the University of California, San Francisco, and Director of the Program on Reproductive Health and the Environment and the new Center to End Corporate Harm. A world-recognized expert and scientist who studies how exposures to environmental chemicals affect children's development and health and translates scientific findings to improve clinical care. Dr. Woodruff previously served as a scientist and policy advisor in the US EPA Office of Policy. During our discussion, we discussed how the current administration's policy will make people sicker. She noted the potential benefit of the MAHA Commission Report, which brings attention to the health harms from chemicals. Still, at the same time, the administration is eliminating funding and rules that protect people from exposure to harmful chemicals in air, food, and water. Unlike RFK Jr., she is solidly pro-vaccine. Dr. Woodruff stated that a third of deaths globally were associated with five commercial products, according to data from WHO and other sources listed in the resources below: 1) Tobacco; 2) Alcohol; 3) Sugar and ultra-processed food; 4) Toxic Chemicals; 5) Fossil Fuels/ Air Pollution. Citizens and Private Foundations must step up since the Trump administration is intent on helping irresponsible corporations. We MUST look to healthcare experts like Dr. Woodruff who rely on sound science and solid research. This is a vitally important interview! Learn more about your ad choices. Visit megaphone.fm/adchoices
Nearly one out of every ten women around the globe have a chronic disease called endometriosis. This gynecological condition can be incredibly painful, at times debilitating. Advocates say the medical industry hasn't given this condition the attention it deserves, and many patients say they don't feel heard when they try to explain their symptoms. Lawmakers on Beacon Hill are now considering a bill that would create a special task force focused on improving research and treatment. Dr. Pietro Bortoletto, co-founder of Terra Fertility in Dedham, and his patient, Madeleine Rodriguez, join Nichole to talk about the condition and the efforts to bring more awareness to its impacts.
On this episode, Dr. Sadaf welcomes Dr. Mary Ojo-Carons for a discussion on everything you need to know about gynecology, agency, and sexual health. Dr. Ojo-Carons is a Cosmetic Gynecological Surgeon and during this conversation, she and Dr. Sadaf share their expertise on various sexual health issues regarding physical and mental well-being. Tune in as they dive into topics such as then history of stigmas and shame surrounding women's sexual health, the importance of sexual health agency, how we've "normalized" pain, and so much more!Disclaimer: Anything discussed on the show should not be taken as official medical advice. If you have any concerns about your health, please speak to your medical provider. If you have any questions about your religion, please ask your friendly neighborhood religious leader. It's the Muslim Sex Podcast because I just happen to be a Muslim woman who talks about sex.To learn more about Dr. Sadaf's practice and to become a patient visit DrSadaf.comLike and subscribe to our YouTube channel where you can watch all episodes of the podcast!Feel free to leave a review on Apple Podcasts and share the show!Follow us on Social Media...Instagram: DrSadafobgynTikTok: DrSadafobgyn
Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Whitney Trotter Ross, MD, MSCI Despite advances in endometriosis treatment, bias and stigma continue to delay diagnosis and disrupt care for many patients. Informed, empathetic care is key for supporting diverse patient populations. Dr. Charles Turck sits down with Dr. Whitney Ross to unpack how historical misconceptions still influence prescribing habits and discuss actionable strategies for counseling, selecting a treatment plan, and building trust. Dr. Ross is an Assistant Professor of Obstetrics and Gynecology in the Division of Minimally Invasive Gynecologic Surgery at Washington University in St. Louis.
Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Whitney Trotter Ross, MD, MSCI Despite advances in endometriosis treatment, bias and stigma continue to delay diagnosis and disrupt care for many patients. Informed, empathetic care is key for supporting diverse patient populations. Dr. Charles Turck sits down with Dr. Whitney Ross to unpack how historical misconceptions still influence prescribing habits and discuss actionable strategies for counseling, selecting a treatment plan, and building trust. Dr. Ross is an Assistant Professor of Obstetrics and Gynecology in the Division of Minimally Invasive Gynecologic Surgery at Washington University in St. Louis.
Katie Watson is a professor of medical education, medical social sciences, and obstetrics and gynecology at the Northwestern University Feinberg School of Medicine. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. K. Watson. Brain Death in Pregnancy — Abortion, Advance-Directive, or End-of-Life Law? N Engl J Med 2025;393:313-315.
A New Podcast from Obstetrics & Gynecology, featuring members from the Editorial Team and contributing authors, each month as they highlight the latest research and practice updates in the field. This episode features an interview with Dr. Jen Gunter, author of “Addressing the Challenges of Online Misinformation and Unregulated Products in the Clinical Management of Menopause.”
Take a sneak peak at this month's Fertility & Sterility! Articles discussed this month are: 04:20 A Pilot Study to Investigate the Clinically Predictive Values of Copy Number Variations Detected by Next-Generation Sequencing of Cell-Free Deoxyribonucleic Acid in Spent Culture Media 17:16 The Impact of Microfluidics Sperm Processing on Blastocyst Euploidy Rates Compared with Density Gradient Centrifugation: A Sibling Oocyte Double-Blinded Prospective Randomized Trial 24:12 Prediction of Pregnancy-Related Complications in Women Undergoing Assisted Reproduction, Using Machine Learning Models 38:51 The Effect of Laser-Assisted Hatching on Vitrified/Warmed Blastocysts: The ALADDIN Randomized Controlled Trial 48:47 Assessment of Clinical Pregnancies in Up to Eight Ovarian Stimulation with Intrauterine Insemination Treatment Cycles in Those Unable to Proceed with In Vitro Fertilization 01:00:43 Intravaginal Exposure to Seminal Plasma After Ovum Pick-Up Does Not Increase Live Birth Rates after In Vitro Fertilization or Intracytoplasmic Sperm Injection Treatment: A Double-Blind, Placebo-Controlled Randomized Trial 01:07:21 Predictive Models of Miscarriage on the Basis of Data from the Preconception Cohort Study View this issue at https://www.fertstert.org/issue/S0015-0282(24)X0006-0 View Fertility and Sterility at https://www.fertstert.org/
Going to the gynecologist can be a vulnerable experience, and can really hinge on the gynecologist. We talk about some gendered differences and preferences when it comes to going to the gynecologist in this classic episode.See omnystudio.com/listener for privacy information.
Another Best Of Episode with Dr. Mary Claire Haver as this episode is TOO GOOD not to share again!If you've been gaslit by healthcare providers who dismiss your symptoms as “just getting older,” this episode will validate EVERYTHING you're experiencing and give you the tools to reclaim your power.Brain fog? Unexplained weight gain? Feeling invisible in a healthcare system that doesn't get it? You are not alone, and you are NOT imagining it.Dr. Mary Claire Haver is board-certified in Obstetrics and Gynecology and is a Certified Culinary Medicine Specialist from Tulane University. She is also a Certified Menopause Specialist through The Menopause Society. In 2021, she opened Mary Claire Wellness, a clinic dedicated to caring for menopausal patients. Her educational background and her own experience led Dr. Haver to develop the national bestselling book and online program, The Galveston Diet, a three-pronged lifestyle plan that encourages fuel refocusing, intermittent fasting, and anti-inflammatory nutrition to manage hormonal symptoms, stabilize weight, and revitalize the body as it ages to provide benefits that will last a lifetime. Dr. Haver's second book, The New Menopause, released in April 2024. What You'll Learn:Nutrition & Supplements That Work:Exact nutrients your menopausal body needs and how muchWhy your old diet stopped workingVitamin D, Turmeric, Probiotics, and Creatine - what's worth itThe truth about sugar, alcohol, and inflammationExercise & HRT:Muscle-building strategies to prevent osteoporosisHormone replacement therapy without the fear-mongeringExercise that works WITH your changing bodyThe 70 Symptoms No One Talks About:From frozen shoulder to burning tongue to sexual dysfunctionWhy your vertigo, tinnitus, and dry skin might all be connectedReal solutions for symptoms you didn't know were menopause-related This isn't about surviving menopause - it's about using this transition as your launching pad for the most empowered, healthy, and vibrant chapter of your life! Dr. Mary Claire Haver Says: You're Not Too F***ing Old! To do anything!Learn more about Jen Marples at https://www.jenmarples.comWant to work with Jen? Book a complimentary 20-minute call HERE. Follow Jen @jenmarples on Instagram, LinkedIn, TikTok and YouTubeSubscribe to Jen's NewsletterUnedited AI Transcript HereCONNECT WITH DR MARY CLAIRE HAVER:The Galveston DietThe Pause LifeMary Claire WellnessInstagramTikTok
Unveiling Hormone Secrets: Balancing Health with Dr. Edward Eckert Hormonify.com About the Guest(s): Dr. Edward Eckert is a renowned expert with over 30 years of experience in women's health and bioidentical hormone replacement therapy. A board-certified OB-GYN by the American Board of Obstetrics and Gynecology, Dr. Eckert received his training at Emory University, the University of Florida, and New York University's affiliated hospital. He graduated from the Medical College of Wisconsin and founded the Menopause Institute in 1994 to delve into menopause research. Dr. Eckert later created HormoneModify.com to focus on personalized bioidentical hormone treatments. Episode Summary: In this engaging episode of the Chris Voss Show, Dr. Edward Eckert shares his wealth of knowledge on bioidentical hormone replacement therapy and the intricacies of balancing hormones for both men and women. The discussion delves deep into the flawed perceptions and misinformation surrounding menopausal symptoms and hormone imbalances that prevail even in today's medical practices. Dr. Eckert candidly demystifies concepts like perimenopause and underscores the critical nature of hormone balance at all ages. Dr. Eckert provides a comprehensive look at the realities of hormone imbalances and the impact on both physical and mental health. He explains how he dedicated years to develop scientifically-backed, individualized hormone treatments. This fascinating dialogue explores how imbalanced hormones can manifest as anxiety, depression, weight issues, and more. Dr. Eckert also shares insights into the influences of external factors like diet and environment on hormone levels, calling attention to modern issues of early menstruation and diminished hormone production due to environmental estrogens. Key Takeaways: Dr. Eckert highlights the inadequacies in traditional hormone treatment methods and emphasizes the need for personalized, well-researched approaches. Hormone imbalances can contribute to a wide range of symptoms, including fatigue, mood disorders, osteoporosis, and more, impacting overall health dramatically. The podcast underscores the importance of monitoring hormone levels for both men and women as early as their late 20s if symptoms arise, despite common misconceptions about age-related norms. Environmental influences significantly affect hormone levels, with newer studies indicating the impact of multiple COVID-19 vaccinations on premature hormone deficiencies. Dr. Eckert offers a fresh perspective on menopause and urges individuals to seek expert evaluations to properly address their hormone health concerns. Notable Quotes: "In reality, I see problems that occur could be from adolescent years that progress onto the young reproductive years… there's a trend, and the trend is the ratios of hormones that exist." "What we really do differently is that I spent about 10 years researching the whole aspect of what it takes to balance a woman's hormones." "We have literally tens of thousands of patients all over the world." "We eliminate stage two, three, and four breast cancer. We have zero in 30 years." "One of the most common reasons women come in to see us is that their husbands or boyfriends tell 'em they can't have sex with them."
In this episode of the Longevity Optimization Podcast, Dr. Aimee Eyvazzadeh shares her journey into OB-GYN and her passion for helping people conceive. The conversation delves into innovative treatments for fertility, including ovarian PRP, hyperbaric oxygen therapy, and the potential of stem cells. Dr. Dr. Aimee Eyvazzadeh discusses the importance of supplements, lifestyle changes, and comprehensive fertility workups, including the TUSHY method. The episode also highlights the significance of addressing PCOS and the future of fertility medicine, emphasizing education and access to treatments.About Dr. Aimee Eyvazzadeh Dr. Aimee Eyvazzadeh—affectionately known as “The Egg Whisperer”—is a San Francisco Bay Area–based reproductive endocrinologist and fertility expert. She's the founder of her own practice where she specializes in IVF and helping women, especially those over 35, realize their dreams of becoming mothers.Her Credentials: M.D. from UCLA School of MedicineResidency in Obstetrics and Gynecology at Harvard Medical SchoolFellowship in Reproductive Endocrinology and InfertilityMaster's in Public Health (MPH) in Management and Policy from the University of MichiganBoard Certified in Obstetrics and GynecologyFellow of the American College of Obstetrics and Gynecology (FACOG)Follow her on IG Visit Her WebsiteChapters00:00 Introduction to Fertility and OB-GYN01:00 The Journey into Fertility Medicine01:48 Innovative Treatments: Ovarian PRP06:35 Understanding Ovarian PRP and Its Mechanism07:37 Hyperbaric Oxygen Therapy in Fertility09:38 The Role of Genetic Screening in Embryo Health11:32 Emerging Therapies: Stem Cells and HGH13:33 Rapamycin: A Breakthrough in Fertility Medicine19:13 The TUSHY Method: Comprehensive Fertility Testing24:10 Lifestyle Factors Affecting Fertility28:42 Supplements for Egg Health33:27 Environmental Toxins and Fertility38:25 Future of Fertility Treatments and Technologies* 10 billion platelets in PRP is what we want for clarity!
218: In this episode, I'm covering one of the most requested and controversial topics in women's health—whether breast cancer survivors can safely use hormone replacement therapy (HRT). To help answer this complex question, I'm joined by Dr. Corinne Menn, a board-certified OB-GYN, Menopause Society certified practitioner, and Fellow of the American College of Obstetrics and Gynecology. Dr. Menn brings a powerful blend of clinical expertise and lived experience. She's a 23-year breast cancer survivor, BRCA gene carrier, and went through premature menopause herself. We cover what the research really says about HRT after breast cancer, risks versus benefits, the reality of estrogen deprivation, and why “it depends” is the only honest answer. Topics Discussed: → Can breast cancer survivors safely use HRT? → Is hormone therapy after breast cancer risky? → What are the benefits of estrogen for cancer survivors? → Does HRT increase breast cancer recurrence? → Are there safe hormone options for BRCA carriers? Sponsored By: → Timeline | Head to timeline.com/DRTYNA and get 20% off with code DRTYNA → Nutrisense | Head over to nutrisense.io/drtyna to get 30% off your Nutrisense plan. Code TYNA at checkout → LVLUP | Head over to LVLUPHealth.com and use code DRTYNA at checkout to get 20% off your order sitewide. → Manukora | Head to manukora.com/DRTYNA to save up to 31% & $25 worth of free gifts in Starter Kit, which comes with an MGO 850+ Manuka Honey jar. → BIOptimizers | Go to bioptimizers.com/tyna and use promo code TYNA10 to order Masszymes now and get 10% off any order → Dr Tyna's Brain spark | Go to store.drtyna.com/products/brainspark and use code BRAINSPARK10 for 10% On This Episode We Cover: → 00:00:00 - Introduction → 00:04:51 - Dr. Menn's cancer story → 00:07:09 - Estrogen loss effects → 00:11:45 - Surgical menopause → 00:15:05 - Estrogen and cancer risk → 00:25:32 - Pregnancy after cancer → 00:31:40 - Estrogen in midlife → 00:34:45 - HRT after breast cancer → 00:37:56 - Recurrence risk → 00:44:06 - Dangers of low estrogen → 00:50:34 - New HRT options → 00:58:05 - Sexual health & dryness → 01:04:02 - You don't need to suffer → 01:08:16 - Estrogen and surgery → 01:13:04 - Estrogen for tissue health Show Links: → Estrogen Matters (book) Further Listening: → EP. 199 | Hot Flashes Are a Warning Sign: The Truth About Metabolic Dysfunction | Quick + Dirty → Hormones Playlist Check Out Dr. Menn: → Instagram → Website → More Dr. Menn Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.
Beth Giambrone, Senior Analyst at ASTHO, discusses her role on the State Health Policy team in this installment of the “Get to Know ASTHO” segment; Dr. Rose Molina, Associate Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School, shares public health strategies that can help reduce the rate of pregnancy-related deaths; and ASTHO will host a desk-side media briefing at 10:30 a.m. ET on the Impact of Nutrition on Chronic Disease. ASTHO Web Page: State Health Policy JAMA Network Web Page: Pregnancy-Related Deaths in the US, 2018-2022 ASTHO Web Page: Subscribe to Public Health Weekly
Second and/or Third trimester vaginal bleeding is a common reason for L&D Triage patient assessment. The evaluation starts with determining the status of maternal hemodynamic stability. This together with IV access are key first steps. This is followed by an assessment of fetal-placental status. Typically this includes bedside ultrasound for fetal position, visual confirmation of FHTs, amniotic fluid determination, and placental location. At the same time, lab data is obtained to guide care: CBC, fibrinogen, type and RH, and possibly type and cross. Do you order a KB test as part of the STANDRAD evaluation for suspected placental abruption? In this episode, we will review a new study released ahead of print on June 8, 2025 in the European J of Obstetrics, Gynecology, and Repro Biology. Listen in for details.
It's been nearly three years since the Dobbs decision, which the Supreme Court used to strip women of the right to control our own bodies. In that decision—and frequently presented across the ideological spectrum as an alternative to abortion—adoption has been at the forefront of the discussion. But is adoption as benevolent and empowering as it is presented to be?Our guest today argues that it is not—and she's got compelling evidence to back that up. Dr. Gretchen Sisson is a researcher at Advancing New Standards in Reproductive Health in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the University of California, San Francisco. Her book Relinquished: The Politics of Adoption and the Privilege of American Motherhood received a starred review from Publisher's Weekly and much more acclaim.
If you've been feeling like your energy has vanished overnight, you're not alone! But what if I told you it isn't due to stress or aging, or even hormones—it's all happening deep inside your cells? In this episode, I'm joined by the brilliant Dr. Felice Gersh to explore the powerful connection between hormone shifts and your mitochondria—the tiny engines that fuel every cell in your body. We'll uncover why fatigue, brain fog, and stubborn weight gain aren't “just signs of aging”, but signals your body is craving cellular support. Dr. Gersh breaks down how perimenopause and menopause can disrupt your mitochondrial function—and most importantly, what you can do right now to turn things around. From lifestyle tweaks to science-backed strategies, this episode is full of insights to help you restore your vitality from the inside out. Tune in here and uncover Dr. Gersh's tips to rebuild your energy, balance your hormones, and step into a new season of life with power and confidence! Felice Gersh, M.D. Dr. Felice Gersh is a multi-award-winning OB-GYN with dual board certifications in Obstetrics & Gynecology and Integrative Medicine. She's the founder and director of the Integrative Medical Group of Irvine, and is the brilliant mind behind the bestselling PCOS SOS series and her newest book, Menopause: 50 Things You Need to Know. She speaks globally on women's health, and she's regularly published in peer-reviewed medical journals. IN THIS EPISODE What it means to have good cellular health in menopause Addressing the knowledge gap in women's health care What's happening at a cellular level with hormonal changes Optimizing mitochondrial function for longevity Lifestyle factors that impact cellular aging in women The latest research on NAD and how it supports energy The future of cellular health science and how it can empower women to live longer, fuller lives QUOTES “Healthy longevity means lowering systemic inflammation, and our vital life hormones– estradiol and progesterone– are really critical for that.” “When you have unhealthy mitochondria, or dying, damaged mitochondria, the effects are not just that you make less energy, which is huge, but you also don't control the cell cycle.” “If you wanna live that beautiful, high-vitality, high-energized life in your 70s, 80s, and beyond…you talked about not even having issues until you're in your mid-90s– then we absolutely have to be proactive.” RESOURCES MENTIONED Menopause SOS: Your FREE mini menopause survival guide! Get my personal discount on Qualia Senolytic cell rejuvination regimen with code ENERGIZED >>> Integrative Medical Group of Irvine Dr. Gersh on YouTube Dr. Gersh's Socials: Instagram Facebook LinkedIn RELATED EPISODES 640: Unveiling The Essential Role of Minerals For Cellular Energy And Detoxification with Caroline Alan #623: Red Light Therapy for Upgrading Your Mitochondria, Cellular Energy, Skin and Brain Health with Jonathan Otto #551: How to Know if You Have a Sluggish Metabolism and How It Impacts Your Weight, Hormones, and Cellular Energy #330: Why Mitochondria Are the Key to Unlocking Your Best Energy Yet with Shawn Wells