Podcasts about gynecology

Surgeon and author Jeffrey A. Singer discusses his article "The FDA's outdated prescription rules are failing women and opioid users." He argues that the U.S. Food and Drug Administration's requirement for prescriptions for certain safe medications, specifically hormonal contraceptives and the opioid antidote naloxone, creates significant barriers to access and reflects outdated paternalism. Jeffrey highlights that obtaining prescriptions for birth control pills adds cost and inconvenience, disproportionately affecting women who report difficulty accessing appointments, despite decades of recommendations from major medical groups like the American College of Obstetrics and Gynecology and the American Medical Association for over-the-counter access, a standard in over 100 countries. He critiques the FDA's slow and partial move to allow only one type of progestin-only "mini-pill" over-the-counter, contrasting it with the easier access to emergency contraception. Similarly, Jeffrey discusses the years-long delay in making naloxone available over-the-counter, despite its proven safety, effectiveness by laypeople, availability in other countries, and requests from experts and even the FDA itself, noting how manufacturer financial incentives and state-level workarounds preceded the eventual, partial FDA approval for the nasal spray form. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

In this episode, we review the high-yield topic ⁠⁠⁠⁠⁠⁠⁠Menopause⁠ ⁠⁠⁠⁠⁠⁠⁠⁠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 episode 93 of The Road to Wisdom Podcast Chloe and Keshia speak with Stuart James Fischbein, MD was Board Certified in 1989 by the American Board of Obstetrics and Gynecology and became a Fellow of the American College of Obstetrics & Gynecology. In this episode, we open up a raw and deeply layered conversation about abortion—one that goes beyond headlines and politics, and into the personal, emotional, and medical realities that so many women face. We explore what actually happens during abortion procedures, the resilience of the female body (especially the uterus), and how hormonal shifts post-abortion can affect women both physically and emotionally. This is a space where we unpack the many myths and misunderstandings that surround abortion, from questions about fertility and medical necessity to the often-overlooked emotional aftermath. We talk about the importance of truly informed consent, the variability in procedure quality depending on the provider, and why so many women walk away from these experiences feeling blindsided. The conversation also touches on contraception—what works, what doesn't, and why education around it still has such a long way to go. We dive into the ethical grey zones, especially in life-threatening scenarios, and even explore the unique dilemmas that come up in cases involving surrogacy. There's no denying that abortion is a deeply personal and often polarizing topic. But here, we try to approach it with honesty and compassion, creating space for complexity rather than soundbites. We also consider the role of healthcare providers, the pressures they face under certain laws, and the broader societal responsibilities when it comes to preventing unwanted pregnancies. Whether you're looking to better understand reproductive health or just want to hear a thoughtful, nuanced take on a topic that touches so many lives, this conversation is an open-hearted place to begin. Stu can be found via http://www.birthinginstincts.com/drstu  Loved what you heard in this episode? Your support means the world. Make sure to hit that subscribe button, spread the word with your pals, and drop us a review. By doing so, you're not just tuning in – you're fueling our community's growth and paving the way for more incredible guests to grace our show. As the week rolls by, we're already cooking up more tantalizing content for your hungry ears. Keen to stay in the loop with the latest episode releases? Follow our journey on Instagram at @theroadtowisdom.podcast and catch behind-the-scenes action on our YouTube channel @theroadtowisdompodcast. Don't miss out on a thing – also, snag the freshest updates straight to your inbox by subscribing to our newsletter over at ⁠⁠https://www.theroadtowisdompodcast.com/⁠⁠. It's your VIP ticket to all things The Road To Wisdom

In episode 93 of The Road to Wisdom Podcast Chloe and Keshia speak with Stuart James Fischbein, MD. Board Certified in 1989 by the American Board of Obstetrics and Gynecology and became a Fellow of the American College of Obstetrics & Gynecology. In this episode, we open up a raw and deeply layered conversation about abortion—one that goes beyond headlines and politics, and into the personal, emotional, and medical realities that so many women face. We explore what actually happens during abortion procedures, the resilience of the female body (especially the uterus), and how hormonal shifts post-abortion can affect women both physically and emotionally. This is a space where we unpack the many myths and misunderstandings that surround abortion, from questions about fertility and medical necessity to the often-overlooked emotional aftermath. We talk about the importance of truly informed consent, the variability in procedure quality depending on the provider, and why so many women walk away from these experiences feeling blindsided. The conversation also touches on contraception—what works, what doesn't, and why education around it still has such a long way to go. We dive into the ethical grey zones, especially in life-threatening scenarios, and even explore the unique dilemmas that come up in cases involving surrogacy. There's no denying that abortion is a deeply personal and often polarizing topic. But here, we try to approach it with honesty and compassion, creating space for complexity rather than soundbites. We also consider the role of healthcare providers, the pressures they face under certain laws, and the broader societal responsibilities when it comes to preventing unwanted pregnancies. Whether you're looking to better understand reproductive health or just want to hear a thoughtful, nuanced take on a topic that touches so many lives, this conversation is an open-hearted place to begin. Stu can be found via http://www.birthinginstincts.com/drstu  Loved what you heard in this episode? Your support means the world. Make sure to hit that subscribe button, spread the word with your pals, and drop us a review. By doing so, you're not just tuning in – you're fueling our community's growth and paving the way for more incredible guests to grace our show. As the week rolls by, we're already cooking up more tantalizing content for your hungry ears. Keen to stay in the loop with the latest episode releases? Follow our journey on Instagram at @theroadtowisdom.podcast and catch behind-the-scenes action on our YouTube channel @theroadtowisdompodcast. Don't miss out on a thing – also, snag the freshest updates straight to your inbox by subscribing to our newsletter over at ⁠⁠https://www.theroadtowisdompodcast.com/⁠⁠. It's your VIP ticket to all things The Road To Wisdom

In this episode, we review the high-yield topic ⁠⁠⁠⁠⁠⁠⁠Female Infertility⁠ ⁠⁠⁠⁠⁠⁠⁠⁠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 ⁠⁠⁠⁠⁠⁠⁠Reproductive Physiology⁠ ⁠⁠⁠⁠⁠⁠⁠⁠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

Episode 188: RSV Management and PreventionDr. Sandhu and future Dr. Mohamed summarize the management of RSV and describe how to prevent it with chemoprophylaxis and vaccines. Dr Arreaza adds some comments about RSV vaccines.Written by Abdolhakim Mohamed, MSIV, Ross University School of Medicine. Comments by Ranbir Sandhu, MD, and Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is RSV? -The Respiratory syncytial Virus (RSV) is an enveloped, negative-sense, single-stranded RNA virus of the Orthopneumovirus genus within the Pneumoviridae family. -RSV is a major cause of acute respiratory tract infections, particularly bronchiolitis and pneumonia, in infants and young children, and it also significantly affects older adults and immunocompromised individuals. -RSV infections cause an estimated 58,000–80,000 hospitalizations among children younger than 5 years and 60,000–160,000 hospitalizations among adults older than 65 years each year.-RSV is highly contagious and spreads through respiratory droplets and direct contact with contaminated surfaces. The virus typically causes seasonal epidemics, peaking in the winter months in temperate climates and during the rainy season in tropical regions. -Virtually all children are infected with RSV by the age of two, and reinfections can occur throughout life, often with milder symptoms.-Per the 2014 Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis, from the American Academy of Pediatrics, the most common etiology of bronchiolitis is RSV. -About 97% of children are infected with RSV in the first 2 years of life, about 40% will experience lower respiratory tract infection during the initial infection. Other viruses that cause bronchiolitis include human rhinovirus, human metapneumovirus, influenza, adenovirus, coronavirus, and parainfluenza viruses.When is RSV season?-Classically, the highest incidence of infection occurs between December and March in North America. Per CDC, there were typical prepandemic RSV season patterns, but the COVID-19 pandemic disrupted RSV seasonality during 2020–2022. -Before we dive into the seasonality patterns, for context, in order to describe RSV seasonality in the US, data was gathered and analyzed from polymerase chain reaction (PCR) test results reported to the National Respiratory and Enteric Virus Surveillance System (NREVSS) during July 2017–February 2023. -Seasonal RSV epidemics were defined as the weeks during which the percentage of PCR test results that were positive for RSV was ≥3%. Per 2017–2020 data, RSV epidemics in the United States typically follow seasonal patterns, that began in October, peaked in December or January, and ended in April. -However, during 2020–21, the typical winter RSV epidemic did not occur. The 2021–22 season began in May, peaked in July, and ended in January. -The 2022–23 season started (June) and peaked (November) later than the 2021–22 season, but earlier than prepandemic seasons. CDC notes that the timing of the 2022–23 season suggests that seasonal patterns are returning toward those observed in prepandemic years, however, warn that clinicians should be aware that off-season RSV circulation might continue.Treatment of RSVSome key points of the 2014 pediatric guidelines from the American Academy of Pediatrics.-AAP strongly do not recommend beta agonists or steroids for viral associated bronchiolitis because of no significant improved outcomes. “Clinicians should not administer albuterol (or salbutamol) to infants and children with a diagnosis of bronchiolitis (Evidence Quality: B; Recommendation Strength: Strong Recommendation).”-Epinephrine is not recommended for infants and children with a diagnosis of bronchiolitis (Evidence Quality: B; Recommendation Strength: Strong Recommendation).-Nebulized hypertonic saline should not be administered to infants with a diagnosis of bronchiolitis in the emergency department (Evidence Quality: B; Recommendation Strength: Moderate Recommendation), but hypertonic saline may be administered when they are hospitalized (Evidence Quality: B; Recommendation Strength: Weak Recommendation [based on randomized controlled trials with inconsistent findings]).-Chest physiotherapy should not be used in infants and children with a diagnosis of bronchiolitis (Evidence Quality: B; Recommendation Strength: Moderate Recommendation).-Antibiotics should not be administered in bronchiolitis unless there is a concomitant bacterial infection, or a strong suspicion of one (Evidence Quality: B; Recommendation Strength: Strong Recommendation).-Oxygen therapy may not be administered if the oxyhemoglobin saturation exceeds 90% in infants and children with a diagnosis of bronchiolitis (Evidence Quality: D; Recommendation Strength: Weak Recommendation [based on low level evidence and reasoning from first principles]).-Clinicians should administer nasogastric or intravenous fluids for infants with a diagnosis of bronchiolitis who cannot maintain hydration orally (Evidence Quality: X; Recommendation Strength: Strong Recommendation).How do we prevent RSV?Infant Immuno-prophylaxis:A clinical trial in 2022 demonstrated that a single injection of nirsevimab (Beyfortus®), administered before the RSV season, protected healthy late-preterm and term infants from RSV-associated lower respiratory tract that required medical treatment. Nirsevimab is a monoclonal antibody to the RSV fusion protein that has an extended half-life.Additionally, on August 3, 2023, the Advisory Committee on Immunization Practices (ACIP) recommended nirsevimab for all infants younger than 8 months who are born during or entering their first RSV season and for infants and children between 8-19 months who are at increased risk for severe RSV disease and are entering their second RSV season. On the basis of pre-COVID-19 pandemic patterns, nirsevimab could be administered in most of the continental United States from October through the end of March.Maternal Vaccination: The CDC recommends the administration of the RSVPreF vaccine to pregnant women between 32 0/7 and 36 6/7 weeks of gestation. This vaccination aims to reduce the risk of RSV-associated lower respiratory tract infection in infants during the first 6 months of life.At this time, if a pregnant woman has already received a maternal RSV vaccine during any previous pregnancy, CDC does not recommend another dose of RSV vaccine during subsequent pregnancies.Older individuals: -Each year in the U.S., it is estimated that between 60,000 and 160,000 older adults are hospitalized and between 6,000 and 10,000 die due to RSV infection-ABRYSVO's approval will help offer older adults protection in the RSV season.-On June 26, 2024, ACIP voted to give these recommendations: all adults older than 75 years and adults between 60–74 years who are at increased risk for severe RSV disease should receive a single dose of RSV vaccine (Abrysvo®).Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Hamid S, Winn A, Parikh R, et al. Seasonality of Respiratory Syncytial Virus — United States, 2017–2023. MMWR Morb Mortal Wkly Rep 2023;72:355–361. DOI: http://dx.doi.org/10.15585/mmwr.mm7214a1Hammitt LL, Dagan R, Yuan Y, Baca Cots M, Bosheva M, Madhi SA, Muller WJ, Zar HJ, Brooks D, Grenham A, Wählby Hamrén U, Mankad VS, Ren P, Takas T, Abram ME, Leach A, Griffin MP, Villafana T; MELODY Study Group. Nirsevimab for Prevention of RSV in Healthy Late-Preterm and Term Infants. N Engl J Med. 2022 Mar 3;386(9):837-846. doi: 10.1056/NEJMoa2110275. PMID: 35235726.Ralston SL, Lieberthal AS, Meissner HC, Alverson BK, Baley JE, Gadomski AM, Johnson DW, Light MJ, Maraqa NF, Mendonca EA, Phelan KJ, Zorc JJ, Stanko-Lopp D, Brown MA, Nathanson I, Rosenblum E, Sayles S 3rd, Hernandez-Cancio S; American Academy of Pediatrics. Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis. Pediatrics. 2014 Nov;134(5):e1474-502. doi: 10.1542/peds.2014-2742. Erratum in: Pediatrics. 2015 Oct;136(4):782. doi: 10.1542/peds.2015-2862. PMID: 25349312.CDC, per their published article Seasonality of Respiratory Syncytial Virus — United States for 2017–2023, in the United StatesWhat U.S. Obstetricians Need to Know About Respiratory Syncytial Virus.Debessai H, Jones JM, Meaney-Delman D, Rasmussen SA. Obstetrics and Gynecology. 2024;143(3):e54-e62. doi:10.1097/AOG.0000000000005492.Maternal Respiratory Syncytial Virus Vaccination and Receipt of Respiratory Syncytial Virus Antibody (Nirsevimab) by Infants Aged

Today we release our final interview from TedX Dalt Vila on the Reset Rebel for Episode 210! Feels like a huge milestone this year and might just whet your appetite for the weekend in more ways than one,  for what's is still to come!! Dr. Marta Recio Rodriguez is a specialist in sexology and regenerative gynecology, with a clinical and academic focus on women's sexual health, anatomy, and wellness.  Her work explores the intersection between medical science, psychology, and the cultural narratives that have historically shaped — and often silenced — the conversation around female pleasure. Throughout her career, Marta has listened to countless women share their deepest fears, insecurities, and questions — many of which are still wrapped in stigma or shame.  She says women's sexual pleasure has long been pushed to the margins of both medicine and society. So today, we're flipping the script as Marta invites us to re-examine the science, the silence, and the societal blind spots… as she did in her talk,  “The Clitoris: The Story of the Button No One Can Find." - Coming soon to Ted X Youtube, but first we hope you learn something in todays episode. Please follow us on Instagram: @THERESETREBEL Join our Substack for more Ibiza news and stories FREE or as a paid supporter here: https://theresetrebel.substack.com/

In this episode, we review the high-yield topic ⁠⁠⁠⁠⁠⁠⁠Adenomyosis⁠ ⁠⁠⁠⁠⁠⁠⁠⁠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

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 definitely 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.“Smashing the Taboo of Painful Sex During Perimenopause”There are a lot of challenges that can pop up during perimenopause, and some of these have to do with sexual function and the physical body; sometimes it can be uncomfortable to talk about sexual discomfort. But, that should not stop women from seeking out the experts that know how to help. From libido, arousal, and vulvar vaginal disorders, to hormones, pelvic muscles and UTI's, Dr. Jill Krapf and Dr. Sameena Rahman cover a lot of ground in this episode when it comes to pain during sex while in perimenopause, so don't miss out!Discover What's New at Perry!Whether you're navigating perimenopause or empowering others as a women's health professional, Perry has something for you. Explore our latest features:

In this episode, we review the high-yield topic ⁠⁠⁠⁠⁠⁠⁠Mastitis⁠ ⁠⁠⁠⁠⁠⁠⁠⁠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 ⁠⁠⁠⁠⁠⁠Primary Dysmenorrhea ⁠⁠⁠⁠⁠⁠⁠⁠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

Take a sneak peek at this month's Fertility & Sterility! Articles discussed this month are:   01:47 Puberty progression in girls with Turner syndrome after ovarian tissue cryopreservation 14:55 Optimal Restoration of Spermatogenesis following Testosterone Therapy using hCG and FSH 27:58 Human embryos with segmental aneuploidies display delayed early development: a multi-centre morphokinetic analysis 39:56 Neurodevelopmental or behavioural disorders in children conceived after assisted reproductive technologies: A nationwide cohort study 45:23 Efficacy and safety of estetrol (E4) 15 mg/drospirenone (DRSP) 3 mg combination in a cyclic regimen for the treatment of primary and secondary dysmenorrhea: A multicenter, placebo-controlled, double-blind, randomized study 51:13 Ovulation trigger versus spontaneous LH surge on live birth rate following frozen embryo transfer in a natural cycle: a randomized controlled trial 60:29 A Cost Analysis of Clomiphene Citrate, Letrozole and Gonadotropin with Intrauterine Insemination using Outcome Data from the AMIGOS Trial   View Fertility and Sterility at https://www.fertstert.org/

In this episode, we review the high-yield topic ⁠⁠⁠⁠⁠⁠⁠Bartholin Gland Cysts/Abscesses ⁠⁠⁠⁠⁠⁠⁠⁠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

This is the podcast's 100th episode! (Give or take an ICYMI episode.) We are coming full circle with today's guest—John Pan, MD '70, RESD '74, the Father of Integrative Medicine at the GW School of Medicine & Health Sciences (SMHS), the Office's founding medical director, and the founder of the GW Center for Integrative Medicine. Sitting in are co-hosts Dr. Leigh Frame, Dr. Misha Kogan, and Janette Rodrigues. Historically, GW was on the leading edge of the Integrative Medicine movement. Early on, the SMHS recognized the value of combining conventional and complementary medical therapies into health care. In 1998, Dr. Pan, then a clinical professor in the Department of Obstetrics and Gynecology, founded the GW Center for Integrative Medicine, one of the first of its kind to be established at an academic medical institution. Dr. Frame is now the Chief Wellness Officer of GW Medicine, Executive Director of the Office of Integrative Medicine & Health, Director/Research Director of the GW Resiliency & Well-being Center, Associate Professor in the Departments of Clinical Research & Leadership and Physician Assistant Studies and co-director of the Frame-Corr Lab here at GW. Dr. Kogan is the Chief Medical Office of the GW Center for Integrative Medicine, Associate Professor of Medicine here at GW, Founder of the nonprofit Access to Integrative Medicine Health Institute, and author of "Medical Marijuana: Dr. Kogan's Evidence-Based Guide to the Health Benefits of Cannabis and CBD." ◘ Transcript bit.ly/3JoA2mz ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Send us a textThis episode was taped live at the ViVE 2025 conference in Nashville, Tennessee. About This EpisodeDr. Stephanie Lahr's bold journey from practicing physician to healthcare technology executive provides fascinating insights into how innovation and AI are transforming organizations and how we lead. Stephanie shares the pivotal moments that shaped her career path – from switching residency programs to leading technology implementation as a practicing hospitalist, and ultimately joining Artisight, an AI-focused health tech platform. Her transitions weren't always easy, but they were guided by a powerful mission: bringing joy back to medicine. Stephanie emphasizes that the most successful organizations partnering with innovation are those that value bold leadership and create a culture that encourages trying new approaches at every level. Tune in to hear Stephanie's journey and her recommendations for those considering their own bold career pivots.About Stephanie LahrDr. Stephanie Lahr is Chief Experience Officer of Artisight Inc., an innovative sensor network platform solution with the goal of bringing the joy back to medicine and reducing friction using automation and AI. Prior to Artisight, Dr. Lahr served for 6.5 years as the CIO and CMIO of Monument Health. She is an experienced informaticist and leader in the healthcare industry and has served on several boards and committees including CHIME, the Epic Community Connect Steering Board, in which she was the previous Chair, the South Dakota state HIE board, AMDIS, and the United Way of the Black Hills. Dr. Lahr was a HIMSS 2021 Changemaker in Healthcare Award recipient. Dr. Lahr was named a Becker's Women in Health IT to Know in 2024 and was selected as one of the “50 under 50” by Slice of Healthcare. She holds a Medical Degree from the University of Texas Medical Branch, completed an internship in Obstetrics and Gynecology and Internal Medicine residency, is Board Certified in Internal Medicine and Clinical Informatics, and has completed the CHIME CIO Bootcamp and is a certified CHCIO. Additional ResourcesLinkedIn: @StephanieLahrSupport the show-------- Stay Connected www.leighburgess.com Watch the episodes on YouTube Follow Leigh on Instagram: @theleighaburgess Follow Leigh on LinkedIn: @LeighBurgess Sign up for Leigh's bold newsletter

In this Healthy, Wealthy, and Smart Podcast episode, host Dr. Karen Litzy welcomes Dr. Nicole Fleischman, a board-certified urogynecologist based in New York. Dr. Fleischman specializes in treating women with pelvic floor conditions, including urinary incontinence and organ prolapse, utilizing both medical and surgical approaches. During the conversation, they explore a paradigm shift in understanding pelvic health—moving away from the traditional view of pelvic weakness and the need for strengthening to a more nuanced perspective. Dr. Fleischman also discusses her book, "The Second Mouth," which delves into these concepts. Tune in to gain insights into women's urinary health and the importance of specialized care in this field. Time Stamps:  [00:01:26] Urogynecology and pelvic health. [00:04:32] Pelvic floor muscle understanding. [00:08:12] Pelvic floor awareness through breathing. [00:12:19] Stomach sucking and breathing issues. [00:14:14] Breathing and pelvic floor health. [00:18:45] Pelvic floor awareness and coordination. [00:21:51] Surgery necessity in urogynecology. [00:26:21] Empowering women through education. [00:29:10] Biopsychosocial lens in medicine. [00:32:19] Importance of proper toilet training. [00:34:55] Incontinence awareness and prevention. [00:38:26] Breathing techniques for health. [00:42:07] Knowledge sharing in healthcare.  More About Dr. Nicole Fleischman: Dr. Fleischmann is board certified in urology and Female Pelvic Medicine and Reconstructive Surgery.  She received her medical degree from the State University of New York Downstate Health Sciences University in Brooklyn, NY, where she graduated summa cum laude. Dr. Fleischmann completed her surgery and urology residency at Albert Einstein College of Medicine in Bronx, NY and continued her training in a fellowship at NYU School of Medicine.  She is passionate about practicing an integrative approach to urogynecology, correcting the pervasive, unconscious and paradoxical behaviors which can turn into the structural problems and bothersome symptoms that prompt women to seek care. She is the author of the new book “The Second Mouth”, which addresses the powerful mind-body connection in functional urology.  Dr. Fleischmann serves as Director of FPMRS at White Plains Hospital Center where she has been in clinical practice for the last 25 years. She holds an active appointment as Assistant Clinical Professor in Obstetrics and Assistant Clinical Professor of Gynecology and Urology at Albert Einstein College of Medicine. Additionally, she is a member of the American Urologic Association and Society for Urodynamics and Female Urology (SUFU). Dr. Fleischmann is the author of several research publications and presentations. She lives and practices in New York.Resources from this Episode: The Second Mouth Book Dr. Fleischman on TikTok Dr. Fleischmann on Instagram   Jane Sponsorship Information: Book a one-on-one demo here Front Desk @ Jane Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

Many women struggle to discuss their sexual health and pleasure with their providers, friends, and family members. And for good reason. They're sensitive topics to bring up. Women are navigating various physiological changes during the menopause transition (weight gain, hair loss, insomnia), and to further complicate things, changes are happening in their vagina and vulva - not exactly coffee talk topics. Or are they? Midlife women need to normalize our sexual health and pleasure so that we can improve our sex lives for the next 30-40 years. After all, we will be postmenopausal women until the day we die. A healthy sex life is part of our longevity equation.In this episode, we delve into the impact of hormones, particularly testosterone, on libido during midlife and beyond. Additionally, we'll explore somewhat controversial topics, such as vaginal rejuvenation therapies, and cosmetic gynocologic procedures, their benefits, and how they enhance comfort, confidence, and intimacy. Plus, we'll discuss tools like vibrators and other strategies to reignite passion and connection.My guest today is Dr. Sameena Rahman, a board-certified OB/GYN, sex-med gynecologist, and menopause specialist with an academic affiliation at Northwestern University Feinberg School of Medicine. She is the founder of the Center for Gynecology and Cosmetics, a successful practice that emphasizes evidence-based 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 and is working on a book exploring sexual function from the lens of different cultures, norms, and religions. Medical Disclaimer:By listening to this podcast, you agree not to use this podcast as medical advice or to make any lifestyle changes to treat any medical condition in yourself or others. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any of the guests on my podcast.Learn more about Dr. Sameena:Website: https://www.cgcchicago.com/Podcast: https://www.cgcchicago.com/podcast/IG: @gynogirlStay connected to JFW:Watch on my YouTube channel: https://www.youtube.com/@jillfooswellness/videosFollow me on Instagram: https://www.instagram.com/jillfooswellness/Follow me on Facebook: https://www.facebook.com/jillfooswellnessGrab discounts on my favorite biohacking products: https://www.jillfooswellness.com/health-productsEnjoy 20% savings and free shipping at Fullscript for your favorite supplements by leading brands:https://us.fullscript.com/welcome/jillfooswellnessEnjoy a free upgrade on a Joylux redlight therapy vaginal device: https://joylux.com/pages/vfit-gold-plus-upgraded-device?UTM_CAMPAIGN=X4mzJZVODxyKT6mSnGTaFx5iUksxMnx7STixRU0&UTM_MEDIUM=Online%20Tracking%20Link&UTM_SOURCE=referral&irgwc=1Subscribe to the JFW newsletter at www.jillfooswellness.com and receive your FREE Guide on How To Increase Your Protein in 5 Easy Steps and your free Protein Powder Recipe Ebook. Schedule your complimentary 30-minute Zoom consultation here:https://calendly.com/jillfooswellness/30-minute-zoom-consultations

Postmenopausal Problems - Geriatric Gynecology in the ED by Christina Shenvi

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. Matthew Nudy and Dr. Peter F. Schnatz, authors of “Long-Term Changes to Cardiovascular Biomarkers After Hormone Therapy in the Women's Health Initiative Hormone Therapy Clinical Trials.”

About this episode: For some people with a high risk of ovarian cancer, a standard approach has been full removal of the reproductive organs. But new research points to a far less invasive procedure called a salpingectomy, or removal of the fallopian tubes, as a potential “game changer” in ovarian cancer. In this episode: understanding high grade serous carcinoma—the most common type of ovarian cancer—the lack of screening tools, and why fallopian tube removal isn't yet available to more people. Guest: Dr. Rebecca Stone is an OBGYN, a professor in the Johns Hopkins Medicine Department of Gynecology and Obstetrics, and the director of The Kelly Gynecologic Oncology Service. Host: Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs, the largest center at the Johns Hopkins Bloomberg School of Public Health. Show links and related content: A Game-Changer for Ovarian Cancer—Johns Hopkins Medicine Salpingectomy for ectopic pregnancy reduces ovarian cancer risk—JNCI Cancer Spectrum Salpingectomy for the Primary Prevention of Ovarian Cancer: A Systematic Review—NIH Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌JohnsHopkinsSPH on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed

Reproductive health is historically understudied and underfunded in the United States. Scientists across Connecticut and beyond have been working to change that. Scientific initiatives like EndoRISE, a Connecticut-based program focused on advancing endometriosis research, are making strides toward better understanding reproductive health. This hour, we explore how President Trump’s recent funding cuts could impact their progress. GUESTS: Michayla Savitt: State Government Reporter, CT Public Dr. Danielle Luciano: Associate Professor of Obstetrics and Gynecology and co-director of EndoRISE Dr. Lubna Pal: Professor of Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine Julie Rovner: Chief Washington Correspondent, KFF Support the show: http://wnpr.org/donateSee omnystudio.com/listener for privacy information.

Take a sneak peek at this month's Fertility & Sterility! Articles discussed this month are:   01:46 It is time to rethink coordination of fresh oocyte retrievals with microscopic testicular sperm extraction 02:55 Rescue intracytoplasmic sperm injection improved cumulative live birth rate for cycles with second polar body extrusion rate

Alvin and German conduct a great conversation with Obstetrician and Gynecologist at Salinas Valley Health Medical Center, Dr. Kenneth A. Jones, '82. He is dedicated to helping women understand their best options and make informed decisions. Throughout all stages of life, from birth onwards, he provides prevention education, diagnosis, and treatment to improve and sustain women's quality of life. Upon graduation, he earned his medical degree from the University of Rochester School of Medicine and Dentistry in 1989 and completed his residency at the University of Rochester Medical Center. He is board certified by the American Board of Obstetrics and Gynecology. In addition to his medical expertise, Dr. Jones is a wine connoisseur who enjoys reading, traveling, and spending time with friends. He is also known for his great sense of humor and love for a good joke. HE graduated from Colgate with a Bachelor's degree in Biology,

If you're on the fence if (and how) you should test yourself during peri and post menopause, this is the episode for you. Ob/Gyn Dr. Anna Cabeca sets the records straight and gives us her opinion on the top questions most asked during this phase of life.   We cover: Hormone testing and even more important markers to test When is the best time to test sex hormones? Problems with interpreting blood tests Which urine tests are best for testing hormone metabolites? Hormones as energetic messengers How her patients screen for breast cancer Do mammograms increase the risk of breast cancer? How to offset radiation from testing and flying How to regulate insulin and blood sugar Is vaginal progesterone better than creams and oral? What is vaginal dysbiosis? What to combine progesterone with for better results Is vaginal estrogen really not systemic? The best place to rub your hormone creams Can you use estrogen creams on your face? What FSH levels should be to protect bones Why DIM is better than indole 3 carbinol for estrogen detoxification   Dr. Anna Cabeca has a private practice in Dallas Texas and has helped over 10,000 women — and millions more through her books, online videos and articles -- for 20+ years. She likes to combine modern medicine and time-tested natural remedies that give proven realistic solutions to women dealing with menopausal health challenges so that they can lead the life they want, need, and deserve. She is not only double, but triple board certified and a Fellow of Gynecology and Obstetrics, Integrative Medicine, Anti-aging and Regenerative Medicine. Certified in Functional medicine, sexual health, and bioidentical hormone replacement therapy, Dr. Cabeca wrote the bestseller The Hormone Fix, Keto-Green 16, MenuPause and has been featured in Forbes, People magazine, Mind Body Green, ABC, NBC, CBS. Use discount code ZORA - 10% off first order Magic Menopause Program: https://order.magicmenopause.com/ Mighty Maca: https://drannacabeca.com/collections/maca Julva (DHEA) vaginal cream: https://drannacabeca.com/products/julva Balance (progesterone) cream: https://drannacabeca.com/products/pura-balance-ppr-cream   PAST EPISODE https://hackmyage.com/improve-sexual-function-libido-utis-dryness-anna-cabeca/   Contact Dr. Anna Cabeca https://drannacabeca.comhttps://www.facebook.com/DrAnnaCabeca https://www.instagram.com/thegirlfrienddoctor Give thanks to our sponsors: Qualia senolytics and brain supplements. 15% off with code ZORA here.  Try BEAM minerals at 20% off with code ZORA here. Get Primeadine spermidine by Oxford Healthspan. 15% discount with code ZORA ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Get Mitopure Urolithin A by Timeline. 10% discount with code ZORA at https://timeline.com/zora Try OneSkin skincare for with code ZORA at https://shareasale.com/r.cfm?b=2685556&u=4476154&m=102446&urllink=&afftrack= Join ⁠⁠⁠Biohacking Menopause⁠⁠⁠ before April 1, 2025 to win Theranordic Daily Healthy Fibre and Optimized Enzymes. First 5 new members win! 10% off with code ZORA at theranordic.com. https://biohacking-menopause.mn.co   Join the Hack My Age community on: Facebook Page : ⁠⁠⁠⁠⁠@⁠Hack My Age⁠ Facebook Group: ⁠⁠⁠⁠⁠⁠@⁠Biohacking Menopause⁠⁠⁠⁠⁠⁠ ⁠   Instagram: ⁠⁠⁠⁠⁠@⁠HackMyAge⁠   Website: ⁠⁠⁠⁠⁠⁠HackMyAge.com⁠    ⁠Membership group: Biohacking Menopause⁠  Email: zora@hackmyage.com This podcast is edited by ⁠⁠⁠⁠⁠jonathanjk@gmail.com

Originally aired in June 2019 as our 73rd episode, we still often think back to this amazing first conversation we had with Dr. Stuart Fischbein and Midwife Blyss Young!Now, almost 6 years later, the information is just as relevant and impactful as it was then. This episode was a Q&A from our Facebook followers and touches on topics like statistics surrounding VBAC, uterine rupture, uterine abnormalities, insurance companies, breech vaginal delivery, high-risk pregnancies, and a powerful analogy about VBACs and weddings!Birthing Instincts PatreonBirthing BlyssNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hey, guys. This is one of our re-broadcasted episodes. This is an episode that, in my opinion, is a little gem in the podcast world of The VBAC Link. I really have loved this podcast ever since the date we recorded it. I am a huge fan of Dr. Stu Fischbein and Midwife Blyss and have been since the moment I knew that they existed. I absolutely love listening to their podcast and just all of the amazing things that they have and that they offer. So I wanted to rebroadcast this episode because it was quite down there. It was like our 73rd episode or something like that. And yeah, I love it so much. This week is OB week, and so I thought it'd be fun to kick-off the week with one of my favorite OB doctor's, Stuart Fischbein. So, a little recap of what this episode covers. We go over a lot. We asked for our community to ask questions for these guys, and we went through them. We didn't get to everything, so that was a bummer, but we did get to quite a bit. We talked about things like the chances of VBAC. We talked about the chances of uterine rupture and the signs of uterine rupture. We talked about inducing VBAC. We talked about uterine abnormalities, the desire of where you want to birth and figuring that out. And also, Blyss had a really great analogy to talk about what to do and how we're letting the medical world and insurance and things like that really contemplate where we or dictate where we are birthing. I love that analogy. You guys, seriously, so many questions. It's an episode that you'll probably want to put on repeat because it really is so great to listen to them, and they just speak so directly. I can't get enough of it. So I'm really excited for you guys to dive in today on this. However, I wanted to bring to your attention a couple of the new things that they've had since we recorded this way back when. I also wanted to point out that we will have updated notes in the show notes or updated links in the show notes so you can go check, them out. But one of the first things I wanted to mention was their Patreon. They have a Patreon these days, and I think that it just sounds dreamy. I think you should definitely go find in their Patreon their community through their Patreon. You can check it out at patreon.com, birthinginsinctspodcast.com and of course, you can find them on social media. You can find Dr. Stu at Birthing Instincts or his website at birthinginsincts.com. You can find Blyss and that is B-L-Y-S-S if you are looking for her at birthingblyss on Instagram or birthinblyss.com, and then of course, you can email them. They do take emails with questions and sometimes they even talk about it on their podcast. Their podcast is birthinginsinctspodcast.com, and then you can email them at birthinginsinctspodcast@gmail.com, so definitely check them out. Also, Dr. Stu offers some classes and workshops and things like that throughout the years on the topic of breech. You guys, I love them and really can't wait for you to listen to today's episode.Ladies, I cannot tell you how giddy and excited I have been for the last couple weeks since we knew that these guys were going to record with us. But we have some amazing, special guests today. We have Dr. Stuart Fischbein and Midwife Blyss Young, and we want to share a little bit about them before we get into the questions that all of you guys have asked on our social media platforms.Julie: Absolutely. And when Meagan says we're excited, we are really excited.Meagan: My face is hot right now because I'm so excited.Julie: I'm so excited. Meagan was texting me last night at 11:00 in all caps totally fan-girling out over here. So Dr. Stu and midwife Blyss are pretty amazing and we know that you are going to love them just as much as we do. But before we get into it, and like Meagan said, I'm just going to read their bios so you can know just how legit they really are. First, up. Dr. Stuart Fischbein, MD is a fellow of the American College of Obstetrics and Gynecology, and how much we love ACOG over here at The VBAC Link He's a published author of the book Fearless Pregnancy: Wisdom and Reassurance from a Doctor, a Midwife, and a Mom. He has peer-reviewed papers Home Birth with an Obstetrician, A Series of 135 Out-of-Hospital Births and Breech Births at Home, Outcomes of 60 Breech and 109 Cephalic Planned Home and Birth Center Births. Dr. Stu is a lecturer and advocate who now works directly with home birthing midwives. His website is www.birthinginsincts.com, and his podcast is Dr. Stu's Podcast. Seriously guys, you need to subscribe.Meagan: Go subscribe right now to their podcast.Yeah. The website for his podcast is drstuspodcast.com. He has an international following. He offers hope for women who cannot find supportive practitioners for VBAC and twin and breech deliveries. Guys, this is the home birth OB. He is located in California. So if you are in California hoping for VBAC, especially if you have any special circumstance like after multiple Cesareans, twins or breech presentation, run to him. Run. Go find him. He will help you. Go to that website. Blyss, Midwife Blyss. We really love them. If you haven't had a chance to hear their podcast guys, really go and give them a listen because this duo is on point. They are on fire, and they talk about all of the real topics in birth. So his partner on the podcast is Blyss Young, and she is an LM and CPM. She has been involved in the natural birth world since the birth of her first son in 1992, first as an advocate, and then as an educator. She is a mother of three children, and all of her pregnancies were supported by midwives, two of which were triumphant, empowering home births. In 2006, Blyss co-founded the Sanctuary Birth and Family Wellness Center. This was the culmination of all of her previous experience as a natural birth advocate, educator and environmentalist. The Sanctuary was the first of its kind, a full-spectrum center where midwives, doctors, and other holistic practitioners collaborated to provide thousands of Los Angeles families care during their prenatal and postpartum periods. Blyss closed the Sanctuary in 2015 to pursue her long-held dream of becoming a midwife and care for her clients in an intimate home birth practice similar to the way she was cared for during her pregnancies. I think that's , why Meagan and I both became doulas. Meagan: That's exactly why I'm a doula. Julie: We needed to provide that care just like we had been cared for. Anyway, going on. Currently, Blyss, AKA Birthing Blyss, supports families on their journey as a birth center educator, placenta encapsulator and a natural birth and family consultant and home birth midwife. She is also co-founder of Just Placentas, a company servicing all of Southern California and placenta encapsulation and other postpartum services. And as ,, she's a co-host on Dr. Stu's Podcast. Meagan: And she has a class. Don't you have a class that you're doing? Don't you have a class? Midwife Blyss: Yeah. Meagan: Yeah. She has a class that she's doing. I want to just fly out because I know you're not doing it online and everything. I just want to fly there just to take your class.Midwife Blyss: Yeah, it's coming online.Meagan: It is? Yay! Great. Well, I'll be one of those first registering. Oh, did you put it in there?Julie: No, there's a little bit more.Meagan: Oh, well, I'm just getting ahead.Julie: I just want to read more of Blyss over here because I love this and I think it's so important. At the heart of all Blyss's work is a deep-rooted belief in the brilliant design of our bodies, the symbiotic relationship between baby and mother, the power of the human spirit and the richness that honoring birth as the rite of passage and resurrecting lost traditions can bring to our high-tech, low-touch lives. And isn't that true love? I love that language. It is so beautiful. If I'm not mistaken, Midwife Blyss's website is birthingblyss.com.Is that right? And Blyss is spelled with a Y. So B-L-Y-S-S, birthingblyss.com, and that's where you can find her.Midwife Blyss: Just to make it more complicated, I had to put a Y in there.Julie: Hey. I love it.Meagan: That's okay.Julie: We're in Utah so we have all sorts of weird names over here.Meagan: Yep. I love it. You're unique. Awesome. Well, we will get started.Midwife Blyss: I did read through these questions, and one of the things that I wanted to say that I thought we could let people know is that of course there's a little bit more that we need to take into consideration when we have a uterus that's already had a scar.There's a small percentage of a uterine rupture that we need to be aware of, and we need to know what are the signs and symptoms that we would need to take a different course of action. But besides that, I believe that, and Dr. Stu can speak for himself because we don't always practice together. I believe that we treat VBAC just like any other mom who's laboring. So a lot of these questions could go into a category that you could ask about a woman who is having her first baby. I don't really think that we need to differentiate between those.Meagan: I love it. Midwife Blyss: But I do think that in terms of preparation, there are some special considerations for moms who have had a previous Cesarean, and probably the biggest one that I would point to is the trauma.Julie: Yes.Midwife Blyss: And giving space to and processing the trauma and really helping these moms have a provider that really believes in them, I think is one of the biggest factors to them having success. Meagan: Absolutely. Midwife Blyss: So that's one I wanted to say before you started down the question.Meagan: Absolutely. We have an online class that we provide for VBAC prep, and that's the very first section. It's mentally preparing and physically preparing because there's so much that goes into that. So I love that you started out with that.Julie: Yeah. A lot of these women who come searching for VBAC and realize that there's another way besides a repeat Cesarean are processing a lot of trauma, and a lot of them realized that their Cesarean might have been prevented had they known better, had a different provider, prepared differently, and things like that. Processing that and realizing that is heavy, and it's really important to do before getting into anything else, preparation-wise.Meagan: Yeah.Midwife Blyss: One of the best things I ever had that was a distinction that one of my VBAC moms made for me, and I passed it on as I've cared for other VBAC mom is for her, the justification, or I can't find the right word for it, but she basically said that that statement that we hear so often of, "Yeah, you have trauma from this, or you're not happy about how your birth went, but thank God your baby is healthy." And she said it felt so invalidating for her because, yes, she also was happy, of course, that her baby was safe, but at the same time, she had this experience and this trauma that wasn't being acknowledged, and she felt like it was just really being brushed away.Julie: Ah, yeah.Midwife Blyss: I think really giving women that space to be able to say, "Yes, that's valid. It's valid how you feel." And it is a really important part of the process and having a successful vaginal delivery this go around.Dr. Stu: I tend to be a lightning rod for stories. It's almost like I have my own personal ICAN meeting pretty much almost every day, one-on-one. I get contacted or just today driving. I'm in San Diego today and just driving down here, I talked to two people on the phone, both of whom Blyss really just touched on it is that they both are wanting to have VBACs with their second birth. They were seeing practitioners who are encouraging them to be induced for this reason or that reason. And they both have been told the same thing that Blyss just mentioned that if you end up with a repeat Cesarean, at least you're going to have a healthy baby. Obviously, it's very important. But the thing is, I know it's a cliche, but it's not just about the destination. It's about the journey as well. And one of the things that we're not taught in medical school and residency program is the value of the process. I mean, we're very much mechanical in the OB world, and our job is to get the baby out and head it to the pediatric department, and then we're done with it. If we can get somebody induced early, if we can decide to do a C-section sooner than we should, there's a lot of incentives to do that and to not think about the process and think about the person. There's another cliche which we talk about all the time. Blyss, and I've said it many times. It's that the baby is the candy and the mother's the wrapper. I don't know if you've heard that one, but when the baby comes out, the mother just gets basically tossed aside and her experience is really not important to the medical professionals that are taking care of her in the hospital setting, especially in today's world where you have a shift mentality and a lot of people are being taken care of by people they didn't know.You guys mentioned earlier the importance of feeling safe and feeling secure in whatever setting you're in whether that's at home or in the hospital. Because as Blyss knows, I get off on the mammalian track and you talk about mammals. They just don't labor well when they're anxious.Julie: Yep.Dr. Stu: When the doctor or the health professional is anxious and they're projecting their anxiety onto the mom and the family, then that stuff is brewing for weeks, if not months and who knows what it's actually doing inside, but it's certainly not going to lead to the likelihood of or it's going to diminish the likelihood of a successful labor.Julie: Yeah, absolutely. We talk about that. We go over that a lot. Like, birth is very instinctual and very primal, and it operates a very fundamental core level. And whenever mom feels threatened or anxious or, or anything like that, it literally can st or stop labor from progressing or even starting.Meagan: Yeah, exactly. When I was trying to VBAC with my first baby, my doctor came in and told my husband to tell me that I needed to wake up and smell the coffee because it wasn't happening for me. And that was the last, the last contraction I remember feeling was right before then and my body just shut off. I just stopped because I just didn't feel safe anymore or protected or supported. Yeah, it's very powerful which is something that we love so much about you guys, because I don't even know you. I've just listened to a million of your podcasts, and I feel so safe with you right now. I'm like, you could fly here right now and deliver my baby because so much about you guys, you provide so much comfort and support already, so I'm sure all of your clients can feel that from you.Julie: Absolutely.Dr. Stu: Yeah. I just would like to say that, know, I mean, the introduction was great. Which one of you is Julie? Which one's Meagan?Julie: I'm Julie.Meagan: And I'm Meagan.Dr. Stu: Okay, great. All right, so Julie was reading the introduction that she was talking about how if you have a breech, you have twins, if you have a VBAC, you have all these other things just come down to Southern California and care of it. But I'm not a cowboy. All right? Even though I do more things than most of my colleagues in the profession do, I also say no to people sometimes. I look at things differently. Just because someone has, say chronic hypertension, why can't they have a home birth? The labor is just the labor. I mean, if her blood pressure gets out of control, yeah, then she has to go to the hospital. But why do you need to be laboring in the hospital or induced early if everything is fine? But this isn't for everybody.We want to make that very clear. You need to find a supportive team or supportive practitioner who's willing to be able to say yes and no and give you it with what we call a true informed consent, so that you have the right to choose which way to go and to do what's reasonable. Our ethical obligation is to give you reasonable choices and then support your informed decision making. And sometimes there are things that aren't reasonable. Like for instance, an example that I use all the time is if a woman has a breech baby, but she has a placenta previa, a vaginal delivery is not an option for you. Now she could say, well, I want one and I'm not going to have a C-section.Julie: And then you have the right to refuse that.Dr. Stu: Yeah, yeah, but I mean, that's never going to happen because we have a good communication with our patients. Our communication is such that we develop a trust over the period of time. Sometimes I don't meet people until I'm actually called to their house by a midwife to come assist with a vacuum or something like that. But even then, the midwives and stuff, because I'm sort of known that people have understanding. And then when I'm sitting there, as long as the baby isn't trouble, I will explain to them, here's what's going to happen. Here's how we're going to do it. Here's what's going on. The baby's head to look like this. It not going be a problem. It'll be better in 12 hours. But I go through all this stuff and I say, I'm going to touch you now. Is that okay? I ask permission, and I do all the things that the midwives have taught me, but I never really learned in residency program. They don't teach this stuff.Julie: Yeah, yeah, yeah, absolutely. One of the things that we go over a lot to in our classes is finding a provider who has a natural tendency to treat his patients the way that you want to be treated. That way, you'll have a lot better time when you birth because you're not having to ask them to do anything that they're not comfortable with or that they're not prepared for or that they don't know how to do. And so interviewing providers and interview as many as you need to with these women. And find the provider whose natural ways of treating his clients are the ways that you want to be treated.Dr. Stu: And sometimes in a community, there's nobody.Julie: Yeah, yeah, that's true.Meagan: That's what's so hard.Dr. Stu: And if it's important to you, if it's important to you, then you have to drive on. Julie: Or stand up for yourself and fight really hard.Meagan: I have a client from Russia. She's flying here in two weeks. She's coming all the way to Salt Lake City, Utah to have her baby. We had another client from Russia.Julie: You have another Russian client?Meagan: Yeah. Julie: That's awesome. Meagan: So, yeah. It's crazy. Sometimes you have to go far, far distances, and sometimes you've got them right there. You just have to search. You just have to find them.So it's tricky.Midwife Blyss: Maybe your insurance company is not gonna pay for it.Meagan: Did you say my company's not gonna pay for it?Midwife Blyss: And maybe your insurance company.Meagan: Oh, sure. Yeah, exactly.Midwife Blyss: You can't rely on them to be the ones who support some of these decisions that are outside of the standards of care. You might have to really figure out how to get creative around that area.Meagan: Absolutely.Yeah. So in the beginning, Blyss, you talked about noticing the signs, and I know that's one of the questions that we got on our Instagram, I believe. Birthing at home for both of you guys, what signs for a VBAC mom are signs enough where you talk about different care?.Dr. Stu: I didn't really understand that. Say that again what you were saying.Meagan: Yep. Sorry. So one of the questions on our Instagram was what are the signs of uterine rupture when you're at home that you look for and would transfer care or talk about a different plan of action?Dr. Stu: Okay. Quite simply, some uterine ruptures don't have any warning that they're coming.There's nothing you can do about those. But before we get into what you can feel, just let's review the numbers real briefly so that people have a realistic viewpoint. Because I'm sure if a doctor doesn't want to do a VBAC, you'll find a reason not to do a VBAC. You'll use the scar thickness or the pregnancy interval or whatever. They'll use something to try to talk you out of it or your baby's too big or this kind of thing. We can get into that in a little bit. But when there are signs, the most common sign you would feel is that there'd be increasing pain super-cubically that doesn't go away between contractions. It's a different quality of pain or sensation. It's pain. It's really's becoming uncomfortable. You might start to have variables when you didn't have them before. So the baby's heart rate, you might see heart rate decelerations. Rarely, you might find excessive bleeding, but that's usually not a sign of I mean that's a sign of true rupture.Midwife Blyss: Loss of station.Dr. Stu: Those are things you look for, but again, if you're not augmenting someone, if someone doesn't have an epidural where they don't have sensation, if they're not on Pitocin, these things are very unlikely to happen. I was going to get to the numbers. The numbers are such that the quoted risk of uterine rupture, which is again that crappy word. It sounds like a tire blowing out of the freeway. It is about 1 in 200. But only about 5 to 16%. And even one study said 3%. But let's just even take 16% of those ruptures will result in an outcome that the baby is damaged or dead. Okay, that's about 1 in 6. So the actual risk is about 1 in 6 times 1 in 200 or 1 in 1200 up to about 1 in 4000.Julie: Yep.Dr. Stu: So those are, those are the risks. They're not the 1 in 200 or the 2%. I actually had someone tell some woman that she had a 30% chance of rupture.Julie: We've had somebody say 50%.Meagan: We have?Julie: Yeah. Jess, our 50 copy editor-- her doctor told her that if she tries to VBAC, she has a 50% chance of rupture and she will die. Yeah.Meagan: Wow.Julie: Pretty scary. Dr. Stu: And by the way, a maternal mortality from uterine rupture is extremely rare.Julie: Yeah, we were just talking about that.Dr. Stu: That doctor is wrong on so many accounts. I don't even know where to begin on that.Julie: I know.Dr. Stu: Yeah. See that's the thing where even if someone has a classical Cesarean scar, the risk of rupture isn't 50%.Julie: Yep.Dr. Stu: So I don't know where they come up with those sorts of numbers.Julie: Yeah, I think it's just their comfort level and what they're familiar with and what they know and what they understand. I think a lot of these doctors, because she had a premature Cesarean, and so that's why he was a little, well, a lot more fear-based. Her Cesarean happened, I think, around 32 weeks. We still know that you can still attempt to VBAC and still have a really good chance of having a successful one. But a lot of these providers just don't do it.Dr. Stu: Yeah. And another problem is you can't really find out what somebody's C-section rate is. I mean, you can find out your hospital C-section rate. They can vary dramatically between different physicians, so you really don't know. You'd like to think that physicians are honest. You'd like to think that they're going to tell you the truth. But if they have a high C-section rate and it's a competitive world, they're not going to. And if you're with them, you don't really have a choice anyway.Julie: So there's not transparency on the physician level.Dr. Stu: So Blyss was talking briefly about the fact that your insurance may not pay for it. Blyss, why don't you elaborate on that because you do that point so well.Midwife Blyss: Are you talking about the wedding?Dr. Stu: I love your analogy. It's a great analogy.Midwife Blyss: I'm so saddened sometimes when people talk to me about that they really want this option and especially VBACs. I just have a very special tender place in my heart for VBAC because I overcame something from my first to second birth that wasn't a Cesarean. But it felt like I had been led to mistrust my body, and then I had a triumphant second delivery. So I really understand how that feels when a woman is able to reclaim her body and have a vaginal delivery. But just in general, in terms of limiting your options based on what your insurance will pay for, we think about the delivery of our baby and or something like a wedding where it's this really special day. I see that women or families will spend thousands and thousands of dollars and put it on a credit card and figure out whatever they need to do to have this beautiful wedding. But somehow when it comes to the birth of their baby, they turn over all their power to this insurance company.And so we used to do this talk at the sanctuary and I used to say, "What if we had wedding insurance and you paid every year into this insurance for your wedding, and then when the wedding came, they selected where you went and you didn't like it and they put you in a dress that made you look terrible and the food was horrible and the music was horrible and they invited all these people you didn't want to be there?"Julie: But it's a network.Midwife Blyss: Would you really let that insurance company, because it was paid for, dictate how your wedding day was? Julie: That's a good analogy.Midwife Blyss: You just let it all go.Meagan: Yeah. That's amazing. I love that. And it's so true. It is so true.Julie: And we get that too a lot about hiring a doula. Oh, I can't hire a doula. It's too expensive. We get that a lot because people don't expect to pay out-of-pocket for their births. When you're right, it's just perceived completely differently when it should be one of the biggest days of your life. I had three VBACs at home. My first was a necessary, unnecessary Cesarean.I'm still really uncertain about that, to be honest with you. But you better believe my VBACs at home, we paid out of pocket for a midwife. Our first two times, it was put on a credit card. I had a doula, I had a birth photographer, I had a videographer. My first VBAC, I had two photographers there because it was going to be documented because it was so important to me. And we sold things on eBay. We sold our couches, and I did some babysitting just to bring in the money.Obviously, I hired doulas because it was so important to me to not only have the experience that I wanted and that I deserved, but I wanted it documented and I wanted it to be able to remember it well and look back on it fondly. We see that especially in Utah. I think we have this culture where women just don't-- I feel like it's just a national thing, but I think in Utah, we tend to be on the cheap side just culturally and women don't see the value in that. It's hard because it's hard to shift that mindset to see you are important. You are worth it. What if you could have everything you wanted and what if you knew you could be treated differently? Would you think about how to find the way to make that work financially? And I think if there's just that mindset shift, a lot of people would.Meagan: Oh, I love that.Dr. Stu: If you realize if you have to pay $10,000 out of pocket or $5,000 or whatever to at least have the opportunity, and you always have the hospital as a backup. But 2 or 3 years from now, that $5,000 isn't going to mean anything.Julie: Yeah, nothing.Meagan: But that experience is with you forever.Dr. Stu: So yeah, women may have to remember the names of their children when they're 80 years old, but they'll remember their birth.Julie: Well, with my Cesarean baby, we had some complications and out-of-pocket, I paid almost $10,000 for him and none of my home births, midwives, doula, photography and videography included cost over $7,000.Meagan: My Cesarean births in-hospital were also more expensive than my birth center births.Julie: So should get to questions.Dr. Stu: Let's get to some of the questions because you guys some really good questions.Meagan: Yes.Dr. Stu: Pick one and let's do it.Meagan: So let's do Lauren. She was on Facebook. She was our very first question, and she said that she has some uterine abnormalities like a bicornuate uterus or a separate uterus or all of those. They want to know how that impacts VBAC. She's had two previous Cesareans due to a breech presentation because of her uterine abnormality.Julie: Is that the heart-shaped uterus? Yeah.Dr. Stu: Yeah. You can have a septate uterus. You can have a unicornuate uterus. You can have a double uterus.Julie: Yeah. Two separate uteruses.Dr. Stu: Right. The biggest problem with a person with an abnormal uterine shape or an anomaly is a couple of things. One is malpresentation as this woman experienced because her two babies were breech. And two, is sometimes a retained placenta is more common than women that have a septum, that sort of thing. Also, it can cause preterm labor and growth restriction depending on the type of anomaly of the uterus. Now, say you get to term and your baby is head down, or if it's breech in my vicinity. But if it's head down, then the chance of VBAC for that person is really high. I mean, it might be a slightly greater risk of Cesarean section, but not a statistically significant risk. And then the success rate for home birth VBACs, if you look at the MANA stats or even my own stats which are not enough to make statistical significance in a couple of papers that I put out, but the MANA stats show that it's about a 93% success rate for VBACS in the midwifery model, whereas in the hospital model, it can be as low as 17% up to the 50s or 60%, but it's not very high. And that's partly because of the model by which you're cared for. So the numbers that I'm quoting and the success rates I'm quoting are again, assuming that you have a supportive practitioner in a supportive environment, every VBAC is going to have diminished chance of success in a restrictive or tense environment. But unicornuate uterus or septate uterus is not a contraindication to VBAC, and it's not an indication of breech delivery if somebody knows how to do a breech VBAC too.Julie: Right.Dr. Stu: So Lauren, that would be my answer to to your question is that no, it's not a contraindication and that if you have the right practitioner you can certainly try to labor and your risk of rupture is really not more significant than a woman who has a normal-shaped uterus.Julie: Good answer.Meagan: So I want to spin off that really quick. It's not a question, but I've had a client myself that had two C-sections, and her baby was breech at 37 weeks, and the doctor said he absolutely could not turn the baby externally because her risk of rupture was so increasingly high. So would you agree with that or would you disagree with that?D No, no, no. Even an ACOG statement on external version and breech says that a previous uterine scar is not a contraindication to attempting an external version.Meagan: Yeah.Dr. Stu: Now actually, if we obviously had more breech choices, then there'd be no reason to do an external version.The main reason that people try an external version which can sometimes be very uncomfortable, and depending on the woman and her parody and certain other factors, their success rate cannot be very good is the only reason they do it because the alternative is a Cesarean in 95% of locations in the country.Meagan: Okay, well that's good to know.Dr. Stu: But again, one of the things I would tell people to do is when they're hearing something from their position that just sort of rocks the common sense vote and doesn't sort of make sense, look into it. ACOG has a lot. I think you can just go Google some of the ACOG clinical guidelines or practice guidelines or clinical opinions or whatever they call them. You can find and you can read through, and they summarize them at the end on level A, B, and C evidence, level A being great evidence level C being what's called consensus opinion. The problem with consensus, with ACOG's guidelines is that about 2/3 of them are consensus opinion because they don't really have any data on them. When you get bunch of academics together who don't like VBAC or don't like home birth or don't like breech, of course a consensus opinion is going to be, "Well, we're not going to think those are a good idea." But much to their credit lately, they're starting to change their tune. Their most recent VBAC guideline paper said that if your hospital can do labor and delivery, your hospital can do VBAC.Julie: Yes.Dr. Stu: That's huge. There was immediately a whole fiasco that went on. So any hospital that's doing labor and delivery should be able to do a VBAC. When they say they can't or they say our insurance company won't let them, it's just a cowardly excuse because maybe it's true, but they need to fight for your right because most surgical emergencies in labor delivery have nothing to do with a previous uterine scar.Julie: Absolutely.Dr. Stu: They have to do with people distress or placental abruption or cord prolapse. And if they can handle those, they can certainly handle the one in 1200. I mean, say a hospital does 20 VBACs a year or 50 VBACs a year. You'll take them. Do the math. It'll take them 25 years to have a rupture.Meagan: Yeah. It's pretty powerful stuff.Midwife Blyss: I love when he does that.Julie: Me too. I'm a huge statistics junkie and data junkie. I love the numbers.Meagan: Yeah. She loves numbers.Julie: Yep.Meagan: I love that.Julie: Hey, and 50 VBACs a year at 2000, that would be 40 years actually, right?Dr. Stu: Oh, look at what happened. So say that again. What were the numbers you said?Julie: So 1 in 2000 ruptures are catastrophic and they do 50 VBACs a year, wouldn't that be 40 years?Dr. Stu: But I was using the 1200 number.Julie: Oh, right, right, right, right.Dr. Stu: So that would be 24 years.Julie: Yeah. Right. Anyways, me and you should sit down and just talk. One day. I would love to have lunch with you.Dr. Stu: Let's talk astrology and astronomy.Yes.Dr. Stu: Who's next?Midwife Blyss: Can I make a suggestion?There was another woman. Let's see where it is. What's the likelihood that a baby would flip? And is it reasonable to even give it a shot for a VBA2C. How do you guys say that?Meagan: VBAC after two Cesareans.Midwife Blyss: I need to know the lingo. So, I would say it's very unlikely for a baby to flip head down from a breech position in labor. It doesn't mean it's impossible.Dr. Stu: With a uterine septum, it's almost never going to happen. Bless is right on. Even trying an external version on a woman with the uterine septum when the baby's head is up in one horn and the placenta in the other horn and they're in a frank breech position, that's almost futile to do that, especially if a woman is what I call a functional primary, or even a woman who's never labored before.Julie: Right. That's true.Meagan: And then Napoleon said, what did she say? Oh, she was just talking about this. She's planning on a home birth after two Cesareans supported by a midwife and a doula. Research suggests home birth is a reasonable and safe option for low-risk women. And she wants to know in reality, what identifies low risk?Midwife Blyss: Well, I thought her question was hilarious because she says it seems like everybody's high-risk too. Old, overweight.Julie: Yeah, it does. It does, though.Dr. Stu: Well, immediately, when you label someone high-risk, you make them high-risk.Julie: Yep.Dr. Stu: Because now you've planted seeds of doubt inside their head. So I would say, how do you define high-risk? I mean, is 1 in 1200 high risk?Julie: Nope.Dr. Stu: It doesn't seem high-risk to me. But again, I mean, we do a lot of things in our life that are more dangerous than that and don't consider them high-risk. So I think the term high-risk is handed about way too much.And it's on some false or just some random numbers that they come up with. Blyss has heard this before. I mean, she knows everything I say that comes out of my mouth. The numbers like 24, 35, 42. I mean, 24 hours of ruptured membranes. Where did that come from? Yeah, or some people are saying 18 hours. I mean, there's no science on that. I mean, bacteria don't suddenly look at each other and go, "Hey Ralph, it's time to start multiplying."Julie: Ralph.Meagan: I love it.Julie: I'm gonna name my bacteria Ralph.Meagan: It's true. And I was told after 18 hours, that was my number.Dr. Stu: Yeah, again, so these numbers, there are papers that come out, but they're not repetitive. I mean, any midwife worth her salt has had women with ruptured membranes for sometimes two, three, or four days.Julie: Yep.Midwife Blyss: And as long as you're not sticking your fingers in there, and as long as their GBS might be negative or that's another issue.Meagan: I think that that's another question. That's another question. Yep.Dr. Stu: Yeah, I'll get to that right now. I mean, if some someone has a ruptured membrane with GBS, and they don't go into labor within a certain period of time, it's not unreasonable to give them the pros and cons of antibiotics and then let them make that decision. All right? We don't force people to have antibiotics. We would watch for fetal tachycardia or fever at that point, then you're already behind the eight ball. So ideally, you'd like to see someone go into labor sooner. But again, if they're still leaking, if there are no vaginal exams, the likelihood of them getting group B strep sepsis or something on the baby is still not very high. And the thing about antibiotics that I like to say is that if I was gonna give antibiotics to a woman, I think it's much better to give a woman an antibiotics at home than in the hospital. And the reason being is because at home, the baby's still going to be born into their own environment and mom's and dad's bacteria and the dog's bacteria and the siblings' bacteria where in the hospital, they're going to go to the nursery for observation like they generally do, and they're gonna be exposed to different bacteria unless they do these vaginal seeding, which isn't really catching on universally yet where you take a swab of mom's vaginal bacteria before the C-section.Midwife Blyss: It's called seeding.Dr. Stu: Right. I don't consider ruptured membrane something that again would cause me to immediately say something where you have to change your plan. You individualize your care in the midwifery model.Julie: Yep.Dr. Stu: You look at every patient. You look at their history. You look at their desires. You look at their backup situation, their transport situation, and that sort of thing. You take it all into account. Now, there are some women in pregnancy who don't want to do a GBS culture.Ignorance is bliss. The other spelling of bliss.Julie: Hi, Blyss.Dr. Stu: But the reason that at least I still encourage people to do it is because for any reason, if that baby gets transferred to the hospital during labor or after and you don't have a GBS culture on the chart, they're going to give antibiotics. They're going to treat it as GBS positive and they're also going to think you're irresponsible.And they're going to have that mentality that of oh, here's another one of those home birth crazy people, blah, blah, blah.Julie: That just happened to me in January. I had a client like that. I mean, anyways, never mind. It's not the time. Midwife Blyss: Can I say something about low-risk?Julie: Yes. Midwife Blyss: I think there are a lot of different factors that go into that question. One being what are the state laws? Because there are things that I would consider low-risk and that I feel very comfortable with, but that are against the law. And I'm not going to go to jail.Meagan: Right. We want you to still be Birthing Bless.Midwife Blyss: As, much as I believe in a woman's right to choose, I have to draw the line at what the law is. And then the second is finding a provider that-- obviously, Dr. Stu feels very comfortable with things that other providers may not necessarily feel comfortable with.Julie: Right.Midwife Blyss: And so I think it's really important, as you said in the beginning of the show, to find a provider who takes the risk that you have and feels like they can walk that path with you and be supportive. I definitely agree with what Dr. Stu was saying about informed consent. I had a client who was GBS positive, declined antibiotics and had a very long rupture. We continued to walk that journey together. I kept giving informed consent and kept giving informed consent. She had such trust and faith that it actually stretched my comfort level. We had to continually talk about where we were in this dance. But to me, that feels like what our job is, is to give them information about the pros and cons and let them decide for themselves.And I think that if you take a statistic, I'm picking an arbitrary number, and there's a 94% chance of success and a 4% chance that something could go really wrong, one family might look at that and say, "Wow, 94%, this is neat. That sounds like a pretty good statistic," and the other person says, "4% makes me really uncomfortable. I need to minimize." I think that's where you have to have the ability, given who you surround yourself with and who your provider is, to be able to say, "This is my choice," and it's being supported. So it is arbitrary in a lot of ways except for when it comes to what the law is.Julie: Yeah, that makes sense.Meagan: I love that. Yeah. Julie: Every state has their own law. Like in the south, it's illegal like in lots of places in the South, I think in Washington too, that midwives can't support home birth if you're VBAC. I mean there are lots of different legislative rules. Why am I saying legislative? Look at me, I'm trying to use fancy words to impress you guys. There are lots of different laws in different states and, and some of them are very evidence-based and some laws are broad and they leave a lot of room for practices, variation and gray areas. Some are so specific that they really limit a woman's option in that state.Dr. Stu: We can have a whole podcast on the legal decision-making process and a woman's right to autonomy of her body and the choices and who gets to decide that would be. Right now, the vaccine issue is a big issue, but also pregnancy and restricting women's choices of these things. If you want to do another one down the road, I would love to talk on that subject with you guys.Julie: Perfect.Meagan: We would love that.Julie: Yeah. I think it's your most recent episode. I mean as of the time of this recording. Mandates Kill Medicine. What is that the name?Dr. Stu: Mandates Destroy Medicine.Julie: Yeah. Mandates Destroy Medicine. Dr. Stu: It's wonderful.Julie: Yeah, I love it. I was just listening to it today again.Dr. Stu: well it does because it makes the physicians agents of the state.Julie: Yeah, it really does.Meagan: Yeah. Well. And if you give us another opportunity to do this with you, heck yeah.Julie: Yeah. You can just be a guest every month.Meagan: Yeah.Dr. Stu: So I don't think I would mind that at all, actually.Meagan: We would love it.Julie: Yeah, we would seriously love it. We'll keep in touch.Meagan: So, couple other questions I'm trying to see because we jumped through a few that were the same. I know one asks about an overactive pelvic floor, meaning too strong, not too weak. She's wondering if that is going to affect her chances of having a successful VBAC.Julie: And do you see that a lot with athletes, like people that are overtrained or that maybe are not overtrained, but who train a lot and weightlifters and things like that, where their pelvic floor is too strong? I've heard of that before.Midwife Blyss: Yep, absolutely. there's a chiropractor here in LA, Dr. Elliot Berlin, who also has his own podcast and he talks–Meagan: Isn't Elliott Berlin Heads Up?Dr. Stu: Yeah. He's the producer of Heads Up.Meagan: Yeah, I listened to your guys' special episode on that too. But yeah, he's wonderful.Midwife Blyss: Yeah. So, again, I think this is a question that just has more to do with vaginal delivery than it does necessarily about the fact that they've had a previous Cesarean. So I do believe that the athletic pelvis has really affected women's deliveries. I think that during pregnancy we can work with a pelvic floor specialist who can help us be able to realize where the tension is and how to do some exercises that might help alleviate some of that. We have a specialist here in L.A. I don't know if you guys do there that I would recommend people to. And then also, maybe backing off on some of the athletic activities that that woman is participating in during her pregnancy and doing things more like walking, swimming, yoga, stretching, belly dancing, which was originally designed for women in labor, not to seduce men. So these are all really good things to keep things fluid and soft because you want things to open and release rather than being tense.Meagan: I love that.Dr. Stu: I agree. I think sometimes it leads more to not generally so much of dilation. Again, a friend of mine, David Hayes, he's a home birth guy in South Carolina, doesn't like the idea of using stages of labor. He wants to get rid of that. I think that's an interesting thought. We have a meeting this November in Wisconsin. We're gonna have a bunch of thought-provoking things going on over there.Dr. Stu: Is it all men talking about this? Midwife Blyss: Oh, hell no.Julie: Let's get more women. Dr. Stu: No, no, no, no, no.Being organized By Cynthia Calai. Do you guys know who Cynthia is? She's been a midwife for 50 years. She's in Wisconsin. She's done hundreds of breeches. Anyway, the point being is that I think that I find that a lot of those people end up getting instrumented like vacuums, more commonly. Yeah. So Blyss is right. I mean, if there are people who are very, very tight down there. The leviators and the muscles inside are very tight which is great for life and sex and all that other stuff, but yeah, you need to learn how to be able to relax them too.Julie: Yeah.Meagan: So I know we're running short on time, but this question that came through today, I loved it. It said, "Could you guys both replicate your model of care nationwide somehow?" She said, "How do I advocate effectively for home birth access and VBAC access in a state that actively prosecutes home birth and has restrictions on midwifery practice?" She specifically said she's in Nebraska, but we hear this all over the place. VBAC is not allowed. You cannot birth at home, and people are having unassisted births.Julie: Because they can't find the support.Meagan: They can't find the support and they are too scared to go to the hospital or birth centers. And so, yeah, the question is--Julie: What can women do in their local communities to advocate for positive change and more options in birth where they are more restricted?Dr. Stu: Blyss. Midwife Blyss: I wish I had a really great answer for this. I think that the biggest thing is to continue to talk out loud. And I'm really proud of you ladies for creating this podcast and doing the work that you do. Julie: Thanks.Midwife Blyss: I always believed when we had the Sanctuary that it really is about the woman advocating for herself. And the more that hospitals and doctors are being pushed by women to say, "We need this as an option because we're not getting the work," I think is really important. I support free birth, and I think that most of the women and men who decide to do that are very well educated.Julie: Yeah, for sure.Midwife Blyss: It is actually really very surprising for midwives to see that sometimes they even have better statistics than we do. But it saddens me that there's no choice. And, a woman who doesn't totally feel comfortable with doing that is feeling forced into that decision. So I think as women, we need to support each other, encourage each other, continue to talk out loud about what it is that we want and need and make this be a very important decision that a woman makes, and it's a way of reclaiming the power. I'm not highly political. I try and stay out of those arenas. And really, one of my favorite quotes from a reverend that I have been around said, "Be for something and against nothing." I really believe that the more. Julie: I like that.Midwife Blyss: Yeah, the more that we speak positively and talk about positive change and empowering ourselves and each other, it may come slowly, but that change will continue to come.Julie: Yeah, yeah.Dr. Stu: I would only add to that that I think unfortunately, in any country, whether it's a socialist country or a capitalist country, it's economics that drives everything. If you look at countries like England or the Netherlands, you find that they have, a really integrated system with midwives and doctors collaborating, and the low-risk patients are taken care of by the midwives, and then they consult with doctors and midwives can transfer from home to hospital and continue their care in that system, the national health system. I'm not saying that's the greatest system for somebody who's growing old and has arthritis or need spinal surgery or something like that, but for obstetrics, that sort of system where you've taken out liability and you've taken out economic incentive. All right, so how do you do that in our system? It's not very easy to do because everything is economically driven. One of the things that I've always advocated for is if you want to lower the C-section rate, increase the VBAC rate. It would be really simple for insurance companies, until we have Bernie Sanders with universal health care. But while we have insurance companies, if they would just pay twice as much for a vaginal birth and half as much for a Cesarean birth, then finally, VBACS and breech deliveries would be something. Oh, maybe we should start. We should be more supportive of those things because it's all about the money. But as long as the hospital gets paid more, doctors don't really get paid more. It's expediency for the doctor. He gets it done and goes home. But the hospital, they get paid a lot more, almost twice as much for a C-section than you do for vaginal birth. What's the incentive for the chief financial officer of any hospital to say to the OB department, "We need to lower our C-section rate?" One of the things that's happening are programs that insurance, and I forgot what it's called, but where they're trying, in California, they're trying to lower the primary C-section rate. There's a term for it where it's an acronym with four initials. Blyss, do you know what I'm talking about?Midwife Blyss: No. Dr. Stu: It's an acronym about a first-time mom. We're trying to avoid those C-sections.Julie: Yeah, the primary Cesarean.Dr. Stu: It's an acronym anyway, nonetheless. So they're in the right direction. Most hospitals are in the 30% range. They'd like to lower to 27%. That's a start.One of the ways to really do that is to support VBAC, and treat VBAC as Blyss said at the very beginning of the podcast is that a VBAC is just a normal labor. When people lump VBAC in with breech in twins, it's like, why are you doing that? Breech in twins requires special skill. VBAC requires a special skill also, which is a skill of doing nothing.Julie: Yeah, it's hard.Dr. Stu: It's hard for obstetricians and labor and delivery nurses and stuff like that to do nothing. But ultimately, VBAC is just a vaginal birth and doesn't require any special skill. When a doctor says, "We don't do VBAC, what he's basically saying, or she, is that I don't do vaginal deliveries," which is stupid because VBAC is just a vaginal delivery.Julie: Yeah, that's true.Meagan: Such a powerful point right there.Julie: Guys. We loved chatting with you so much. We wish we could talk with you all day long.Meagan: I would. All day long. I just want to be a fly on your walls if I could.Julie: If you're ever in Salt Lake City again--Meagan: He just was. Did you know about this?Julie: Say hi to Adrienne, but also connect with us because we would love to meet you. All right, well guys, everyone, all of our listeners, Women of Strength, we are going to drop all the information that you need to find Midwife Blyss and Dr. Stu-- their website, their podcast, and all of that in our show notes. So yeah, now you can find our podcast. You can even listen to our podcast on our website at thevbaclink.com/podcast. You can play episodes right from there. So if you don't know-- well, if you're listening to this podcast, then you probably have a podcast player already. But you know what? My mom still doesn't know what a podcast is, so I'm just gonna have to start sending her links right to our page.Meagan: Yep, just listen to us wherever and leave us a review and head over to Dr. Stu's Podcast and leave them a review.Julie: Subscribe because you're gonna love him, but don't stop listening to him us because you love us too. Remember that.Dr. Stu: I want to thank everybody who wrote in, and I'm sorry we didn't get to answer every question. We tend to blabber on a little bit asking these important questions, and hopefully you guys will have us back on again.Meagan: We would love to have you.Julie: Absolutely.Meagan: Yep, we will.Julie: Absolutely.Meagan: YeahClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Alex Keuroghlian is an associate professor of psychiatry at Harvard Medical School and the director of the Division of Public and Community Psychiatry at Massachusetts General Hospital. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. D.R.A. Coelho, A.L. Chen, and A.S. Keuroghlian. Advancing Transgender Health amid Rising Policy Threats. N Engl J Med 2025;392:1041-1044.

Healthcare and customer experience have more in common than you might think. Brian Carlson, VP of Patient Experience at Vanderbilt University Medical Center, joins Jeannie Walters for a CX Pulse Check to explore these fascinating parallels that are reshaping how we think about caring for patients.In this episode, they discuss:A patient satisfaction scoring storyline that provoked strong reactions on HBO's new medical drama "The Pit"Lush's bold decision to abandon social media platforms, discovering surprising connections to how healthcare has traditionally built communitiesModern healthcare designs that must consider patients, families, staff, and operational functionality simultaneouslyDespite the challenges facing healthcare, Brian's powerful reminder resonates throughout our conversation: "We do far more right than we do wrong." Healthcare professionals perform life-saving, transformative work every day, often in difficult circumstances. The evolution of patient experience isn't about criticizing what's wrong but enhancing the incredible care already happening.Ready to bridge customer and patient experience in your organization? Connect with Brian on LinkedIn to follow his insights, and explore our resources at experienceinvestigators.com to support your experience journey.About Brian Carlson:Brian Carlson has over 20 years of experience in large academic health systems and private group practices. He is currently the Vice President of Patient Experience at Vanderbilt University Medical Center (VUMC) (http://www.vanderbilthealth.org), where he has significantly improved patient experience and operational efficiency since 2007.Brian has a proven track record of driving financial and operational success. At VUMC, he enhanced the patient experience percentile rank and developed programs to boost workforce culture and patient engagement. Previously, he served as CEO/COO of Olean Medical Group and Practice Manager for Obstetrics & Gynecology at Northwestern Medical Faculty Foundation.He holds dual master's degrees in Health Services Administration and Business Administration from Xavier University and a Bachelor of Arts in Psychology from Wittenberg University.Follow Brian on...LinkedIn: https://www.linkedin.com/in/brianrcarlson-nashvilleArticles Mentioned:Press Ganey CMO on 'The Pitt': Doctor Report Cards Are Really About Systems (Newsweek) -- https://www.newsweek.com/press-ganey-cmo-pitt-doctor-report-cards-are-really-about-systems-2029009What Lush learned from three years of being mostly offline (Marketing Brew) -- https://www.marketingbrew.com/stories/2025/02/24/lush-anti-social-media-strategyAI-driven research uncovers how physician media choice shapes online patient experience (Nevada Today) -- https://www.unr.edu/nevada-today/news/2025/ai-physician-communicationResources Mentioned:Take the CXI Compass™ assessment -- http://cxicompass.comExperience Investigators Website -- https://experienceinvestigators.comWant to ask a question? Visit askjeannie.vip to leave Jeannie a voicemail! (And don't forget to follow Jeannie on LinkedIn! www.linkedin.com/in/jeanniewalters/)

It's Monday, March 10th, A.D. 2025. This is The Worldview in 5 Minutes heard on 125 radio stations and at www.TheWorldview.com.  I'm Adam McManus. (Adam@TheWorldview.com) By Adam McManus Police arrest Christians in India for evangelism On February 23rd, police arrested nine Christians in two locations in the northern state of Uttar Pradesh, India for holding Sunday prayer meetings, which Hindu groups alleged were intended to convert Hindus, reports ChurchinChains. Five Christians, including a pastor, were arrested in Sitapur district, where a case was registered following a complaint by Anuj Bhadauria, the district coordinator of a Hindu nationalist organization named Bajrang Dal.  Plus, four others, including a pastor, were arrested in Raebareli district. In each case, the Christians had gathered for regular Sunday prayers in a home when a Hindu mob barged in and alleged that they were defaming the Hindu religion, and its deities, and offering inducements to convert people. Police seized Bibles and other religious materials as evidence of conversion activities. Over one hundred Christians are reportedly being held in different jails across Uttar Pradesh state, with 35 jailed so far in 2025. Christians make up less than one percent of the 200 million people who live in the state there in India. The Uttar Pradesh Prohibition of Unlawful Conversion of Religion Act 2021, a strict anti-conversion law, was amended last year to include harsher punishments including life imprisonment for religious conversion activities. Many Indian Christians find solace in Joshua 1:9 which says, "Be strong and courageous. Do not be afraid; do not be discouraged, for the Lord your God will be with you wherever you go." Trump's pro-America speech wins accolades Last Tuesday night, President Donald Trump addressed a joint session of Congress.  (Read the transcript here) TRUMP: “America is back! (applause) Six weeks ago, I stood beneath the dome of this Capitol and proclaimed the dawn of the golden age of America.” CBS News polled Americans and discovered that 91% said the 47th president actually discussed issues that were important to them, and 74% said the address was entertaining.  Overall, a total of 71% said the speech was inspiring. Trump used humor to address the border and wasteful spending No doubt, Trump's description of his policies was indeed entertaining.  Listen to what he had to say about the border. TRUMP: “The media, and our friends in the Democrat Party, kept saying we needed new legislation. We must have legislation to secure the border, but it turned out that all we really needed -- was a new president.” (cheers) He was equally entertaining as he described the waste that the Department of Government Efficiency has identified under the leadership of Elon Musk. TRUMP: “Just listen to some of the appalling waste we have already identified. “$22 billion from HHS to provide free housing and cars for illegal aliens. $45 million for Diversity, Equity, and Inclusion scholarships in Burma. $40 million to improve the social and economic inclusion of sedentary migrants. Nobody knows what that is. (laughter) $8 million to promote LGBTQI+ in the African nation of Lesotho, which nobody has ever heard of. (laughter) $8 million for making mice transgender. (laughter) This is real. … “Under the Trump administration, all of these scams have been found out and exposed and swiftly terminated by a group of very intelligent, mostly young people, headed up by Elon [Musk]. And we appreciate it. We found hundreds of billions of dollars of fraud.” (applause) Post-abortive women have higher suicide rate In a new topic-blind study, 2,829 American women, between ages 41 and 45, were surveyed about their reproductive health and suicide attempts, reports LifeNews.com. Authored by Elliot Institute Director David Reardon and published in The Journal of Psychosomatic Obstetrics & Gynecology, the study found that women who had abortions or natural pregnancy loss were twice as likely to attempt to end their lives. The research sought to discern whether post-abortive suicide attempts are “entirely incidental and most likely fully explained by pre-existing mental illness,” as some have claimed, or directly related to the loss of life in the womb. To garner unbiased results, the respondents were completely in the dark as to what the purpose of the research was. Among women with a history of abortion, 35% of them had attempted suicide. Even women who did not have abortions, but lost their babies due to miscarriages or problematic pregnancies, had suicide attempt rates of roughly 30%. Notably, the research found that women who were coerced into having abortions had the highest rates of suicide at 46% of whom tried to end their own lives. Only 13% of women who had successful deliveries with no abortions, no miscarriages, no problems within the pregnancies were found to have made suicide attempts — the lowest rates among all surveyed women. Trump DOJ ends Biden lawsuit to force Idaho to allow ‘emergency' abortions The Trump administration has ended a Biden-era attempt to force Idaho pro-life doctors to participate in so-called “emergency” abortions, but a federal judge is still attempting to delay the law's enforcement, reports LifeSiteNews.com. Idaho's Defense of Life Act bans all abortions except those deemed “necessary to prevent the death of the pregnant woman.”  On Wednesday, Susan B. Anthony Pro-Life America reported that the new Justice Department under President Donald Trump has moved to drop the case, ending the federal government's efforts to invalidate the Idaho Defense of Life Act.  Actor Chris Pratt: “I care enough about Jesus to take a stand!” And finally, Chris Pratt has built a career on playing heroes — from the lovable goofball Andy Dwyer on "Parks and Recreation" to Marvel's Star-Lord, he's won over audiences with his humor and charm. But his greatest mission, said the “Guardians of the Galaxy” star, is far bigger than Hollywood, reports The Christian Post. After having listened to the entire Bible, Leah Klett asked Pratt which Scripture has had the most profound impact on his life. PRATT: “Matthew 5:14. Being a light in this world, a city on a hill cannot be hidden. I'm being called to be that city on the hill at this moment in my life. I feel like you take a risk. I think being in the entertainment world, being vocal about anything that's divisive, religion is divisive. I do care enough about Jesus to take a stand, even if it cost me. If it costs me everything, I don't care. It's worth it to me, because this is what I'm called to do, is where my heart is. “I'm a father of four. I want to raise my children up with an understanding that their dad was unashamed of his faith in Jesus, and with a profound understanding of the power of prayer and the grace and the love and the joy that can come from a relationship with Jesus. That's something that's really important to me. You don't hear that a lot from people in entertainment, but it's who I am. A city on a hill cannot be hidden. So, get back to Matthew 5:14.” Now there's a Hollywood star whose knee bends to his Savior Jesus Christ. Close And that's The Worldview on this Monday, March 10th, in the year of our Lord 2025. Subscribe by Amazon Music or by iTunes or email to our unique Christian newscast at www.TheWorldview.com. Or get the Generations app through Google Play or The App Store. I'm Adam McManus (Adam@TheWorldview.com). Seize the day for Jesus Christ.

Kallie Fell started her professional career as a scientist in the Department of Obstetrics and Gynecology at Vanderbilt University Medical Center utilizing a Master of Science degree in Animal Sciences with an emphasis on Reproductive Physiology and Molecular Biology from Purdue University. While assisting in the investigation of endometriosis and pre-term birth, Kallie simultaneously pursued a degree in nursing with hopes of working with women as a perinatal nurse. After meeting Jennifer Lahl at a conference, Kallie became interested in the work of the Center for Bioethics and Culture (CBC) and started volunteering with the organization. Kallie is deeply passionate about women's health. She continues to work, as she has for the past six years, as a perinatal nurse and has worked with the CBC since 2018, first as a volunteer writer, then as our staff Research Associate, and now as the Executive Director. In 2021, Kallie co-directed the CBC's first documentary on “transgender medicine” titled Trans Mission: What's the Rush to Reassign Gender? In 2022 Kallie co-wrote and co-produced the CBC's latest film, The Detransition Diaries: Saving Our Sisters. Kallie also hosts the popular podcast Venus Rising and is the Program Director for the Paul Ramsey Institute. Her latest film, The Lost Boys: Searching for Manhood is set for release in January 2024 as is her new book, co-authored with Jennifer Lahl, The Detransition Diaries.

In the second episode of A Deep Dive into HRD Testing in Ovarian Cancer, a three-part podcast series sponsored by AstraZeneca, we're speaking with Dr. Erin Crane who will highlight how HRD testing provides helpful information to ovarian cancer patients.   Erin K. Crane, MD, MPH, is a gynecologic oncologist with Atrium Health Levine Cancer in Charlotte, North Carolina. A graduate of the SUNY Upstate Medical University in Syracuse, NY, Dr. Crane completed her residency at the University of Virginia and a fellowship at The University of Texas MD Anderson Cancer Center in Gynecologic Oncology. She is board certified by the American Board of Obstetrics and Gynecology in Gynecologic Oncology and Obstetrics and Gynecology. Dr. Crane is a Clinical Associate Professor of Obstetrics and Gynecology at the Wake Forest University School of Medicine.   For more information, visit https://www.azprecisionmed.com/tumor-type/ovarian-cancer/hrd-testing.html For patient resources, please visit TestForHRD.com.   This podcast does not necessarily reflect the opinions of AstraZeneca and are the spokesperson's opinions and experience.

In the third episode of A Deep Dive Into HRD Testing in Ovarian Cancer, a three-part podcast series sponsored by AstraZeneca, we're speaking with Dr. David O'Malley, and Bobbie R, an ovarian cancer patient. Dr. O'Malley will highlight how HRD testing empowers ovarian cancer patients to make more informed decisions with their doctors to help guide their treatment journey, and Bobbie will provide insight into her experience with HRD testing.   Dr. David O'Malley is a professor in the department of Obstetrics and Gynecology at The Ohio State University College of Medicine and the director of the Division of Gynecologic Oncology at the OSUCCC – James.   Bobbie is a stage 3C ovarian cancer patient who lives in Rochester, New York. Bobbie is an animal rights activist, vegetarian, and exerciser who recently retired from the healthcare field, having worked as a registered nurse and owner of a healthcare staffing firm. Following her diagnosis in July of 2021, Bobbie participated in biomarker testing which indicated that she was breast cancer gene (BRCA) negative and homologous recombination deficiency (HRD) positive. After undergoing surgery and chemotherapy as first-line treatment, Bobbie's oncologist explained that she was eligible for a poly-ADP ribose polymerase (PARP) inhibitor due to her HRD status and on March 7, 2022, Bobbie started on a PARP inhibitor for maintenance treatment. As she continues treatment in 2024, Bobbie celebrates over 45 years of marriage with her husband and looks forward to traveling the United States, reading good books, and spending time with her dogs.   For more information, visit https://www.azprecisionmed.com/tumor-type/ovarian-cancer/hrd-testing.html   For patient resources, please visit TestForHRD.com.   This podcast does not necessarily reflect the opinions of AstraZeneca and are the spokespeople's opinions and experiences.

Persistent genital arousal disorder (PGAD) is one of the most distressing sexual dysfunctions. PGAD involves having near-constant feelings of unwanted arousal that make it difficult to concentrate, work, and sleep. In today's show, we're going to dive into what we know about PGAD and speak with a physician who frequently treats patients with this condition. I am joined once again by Dr. Sameena Rahman, a board-certified OB/GYN, sex-med gynecologist, and menopause specialist with an academic affiliation at Northwestern University’s Feinberg School of Medicine. She is the founder of the Center for Gynecology and Cosmetics, and host of the podcast Gyno Girl Presents: Sex, Drugs & Hormones. Some of the specific topics we explore include: What is persistent gentian arousal disorder? How is it clinically defined? What is it like to live with PGAD? How many people have PGAD, and who’s most likely to be affected? What’s the connection between obsessive-compulsive disorder and PGAD? What are the most effective treatments for this disorder? You can follow Sameena on Instagram to stay updated on her work. Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors!  While most dating apps are all about pursuing someone else, Feeld has carved out a space for you to find yourself. Explore your desires and go on a journey of self-discovery today with Feeld. Download Feeld on the App Store or Google Play. The Kinsey Institute at Indiana University has been a trusted source for scientific knowledge and research on critical issues in sexuality, gender, and reproduction for over 75 years. Learn about more research and upcoming events at kinseyinstitute.org or look for them on social media @kinseyinstitute. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram. Listen and stream all episodes on Apple, Spotify, Google, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast!

Host: Darryl S. Chutka, M.D. Guest: Carrie L. Langstraat, M.D. It's estimated that up to 10% of women in the U.S. will develop an adnexal mass at some point in their life. Whereas most adnexal masses are gynecologic in origin, they may also represent disease of the urinary or GI system. Although adnexal masses may produce symptoms, when present, they tend to be subtle and non-specific. What questions should we be asking our patients with an adnexal mass to help determine its cause? What components of the physical exam may be useful in the evaluation and what tests should we order to further characterize adnexal masses? These are questions I'll be asking our guest for this podcast as we discuss “The Evaluation and Management of Adnexal Masses”. My guest is Carrie L. Langstraat, M.D., from the Department of Obstetrics and Gynecology at the Mayo Clinic. Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

How does gynecology care in the United States compare to Canada? In this episode of the BackTable OBGYN podcast, Dr. Jonathon Solnik, head of gynecology and minimally invasive surgery at Mount Sinai in Toronto, speaks with hosts Dr. Mark Hoffman and Dr. Amy Park about the significant differences between the healthcare systems in the US and Canada. --- SYNPOSIS The doctors cover financial incentives and constraints faced by hospitals in the US vs. Canada, the role of insurance companies, and how resource limitations impact clinical practice. Dr. Solnik shares insights from his career journey, emphasizing the challenges and opportunities he has encountered in Canada, including longer wait times for elective surgeries and the intricacies of the Canadian global budget system. The conversation also covers the impact of robotics in surgery, standardization of care, and the differences in the handling of high-acuity medical cases. The episode provides an insightful discussion on how different healthcare models affect patient care, physician practices, and hospital administration. --- TIMESTAMPS 00:00 - Introduction 01:39 - Dr. Solnik's Career Journey 03:30 - Healthcare System Differences: US vs Canada 09:57 - Balancing Quality and Volume in Healthcare 12:18 - Private Practice in Canada 25:03 - Wait Times and Capacity Issues 34:44 - Oncology and Semi-Salaried Positions 39:03 - Negotiating CPT Codes and RVUs 42:14 - Access to Care in Remote Areas 44:42 - Robotics in Surgery 55:09 - Incentives and Productivity in Healthcare Systems 01:01:33 - Concluding Thoughts

Dr. Jeanine Cook-Garard learns about the role genetics plays in determining your risk for developing and being diagnosed with cancer.  She speaks with Dr. Kevin Holcomb, the newly appointed chair of the Department of Obstetrics and Gynecology at North Shore University Hospital in Manhasset, Long Island Jewish Medical Center in New Hyde Park, and The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell in Uniondale. Dr. Holcomb is also a gynecologic cancer panelist for the Global Cancer Institute and reviewer for several medical journals.

Sex changes as we age. While these changes are often small and gradual, once you hit your 40s and 50s, it's not uncommon to start noticing bigger changes. In this episode, we’re going to talk all about sex at midlife and some of the most common sexual issues that come up during this time for women, as well as tips for dealing with them. My guest today is Dr. Sameena Rahman, a board-certified OB/GYN, sex-med gynecologist, and menopause specialist with an academic affiliation at Northwestern University Feinberg School of Medicine. She is the founder of the Center for Gynecology and Cosmetics, and host of the podcast Gyno Girl Presents: Sex, Drugs & Hormones. Some of the specific topics we explore include: What are some of the most common sexual challenges faced by midlife women? Why is it so taboo to talk about midlife sexual distress? What do women need to know about how peri-menopause can affect your sex life? What are the most helpful strategies for improving sex at midlife? How can self-pleasure help in relieving peri-menopause symptoms? You can follow Sameena on Instagram to stay updated on her work. Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors!  Passionate about building a career in sexuality? Check out the Sexual Health Alliance. With SHA, you’ll connect with world-class experts and join an engaged community of sexuality professionals from around the world. Visit SexualHealthAlliance.com and start building the sexuality career of your dreams today. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram. Listen and stream all episodes on Apple, Spotify, Google, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast!

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. Jill Brown, author of “Addressing the Menopause Health Needs of Military Service Members: A Call to Action.”

Take a sneak peek at this month's Fertility & Sterility! Articles discussed this month are:   01:03 (Not) My body, my choice? - Should physicians be facilitating gestational carrier arrangements in the absence of medical indication? 05:22 Morphological changes of endometriomas during pregnancy and after delivery detected using ultrasound 12:17 Hormone-free vs. follicle-stimulating hormone–primed infertility treatment of women with polycystic ovary syndrome using biphasic in vitro maturation: a randomized controlled trial 24:37 Association of in vitro fertilization with severe maternal morbidity in low-risk patients without comorbidities 33:59 The association between primary ovarian insufficiency and increased multimorbidity in a large prospective cohort (Canadian Longitudinal Study on Aging) 41:28 Target trial emulation of preconception serum vitamin D status on fertility outcomes: a couples-based approach 52:59 Predicting a successful match among applicants to reproductive endocrinology and infertility fellowship View Fertility and Sterility February 2025, Volume 123, Issue 2:https://www.fertstert.org/issue/S0015-0282(24)X0015-1 View Fertility and Sterility at https://www.fertstert.org/

*Content warning: infant loss, birth trauma, medical trauma and neglect, death, pregnancy loss, mature content. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Gestational diabeteshttps://www.mayoclinic.org/diseases-conditions/gestational-diabetes/symptoms-causes/syc-20355339 Insights into the U.S. Maternal Mortality Crisis: An International Comparisonhttps://www.commonwealthfund.org/publications/issue-briefs/2024/jun/insights-us-maternal-mortality-crisis-international-comparison March of Dimeshttps://www.marchofdimes.org/peristats/about-us Maternal Mortality, A National Institutes of Health Pathways to Prevention Panel Reporthttps://pmc.ncbi.nlm.nih.gov/articles/PMC10863655/ Maternal Mortality Rates in the United States, 2022https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2022/maternal-mortality-rates-2022.pdf Midwifery Education Accreditation Council (MEAC)https://www.meacschools.org/ National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery Neonatal mortality is more than tripled at planned out-of-hospital births attended by direct-entry midwives. Grunebaum, Amos et al. American Journal of Obstetrics & Gynecology, Volume 222, Issue 1, S45. https://www.ajog.org/article/S0002-9378(19)31440-1/fulltext North American Registry of Midwives (NARM)https://narm.org/ Placental abruptionhttps://www.mayoclinic.org/diseases-conditions/placental-abruption/symptoms-causes/syc-20376458 Preeclampsiahttps://www.mayoclinic.org/diseases-conditions/preeclampsia/symptoms-causes/syc-20355745 Severe Maternal Morbidity and Mortality Among Indigenous Women in the United Stateshttps://pmc.ncbi.nlm.nih.gov/articles/PMC7012336/ State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ *SWW S22 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookieboo See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Take a sneak peek at this month's Fertility and Sterility! Articles discussed this month are:   02:59 Preimplantation genetic testing for aneuploidy is associated with reduced live birth rates in fresh but not frozen donor oocyte in vitro fertilization cycles: an analysis of 18,562 donor cycles reported to Society for Assisted Reproductive Technology Clinic Outcome Reporting System 19:37 Sperm concentration remains stable among fertile American men: a systematic review and meta-analysis 26:02 Preovulation body mass index and pregnancy after first frozen embryo transfer in patients with polycystic ovary syndrome and insulin resistance 36:54 A retrospective comparison of the impact of industry payments on assisted reproductive technology practice and outcomes 44:55 Preimplantation genetic testing for aneuploidy in unexplained recurrent pregnancy loss: a systematic review and meta-analysis 61:03 Initiation and outcomes of women pursuing planned fertility preservation 65:49 First successful ovarian cortex allotransplant to a Turner syndrome patient requiring immunosuppression: broad implications   View Fertility and Sterility October 2025, Volume 123, Issue 1: https://www.fertstert.org/issue/S0015-0282(24)X0014-X View Fertility and Sterility at https://www.fertstert.org/

Juno is arguably the most well-known depiction of adoption in pop culture... but what messages does it really send about relinquishment, teen pregnancy, and reproductive justice? Is adoption truly the “perfect alternative” to abortion as Juno would have us believe, or does this charmingly complicated 2007 film gloss over the realities of birth mothers and family separation? This week, we're joined by Dr. Gretchen Sisson, sociologist and author of Relinquished: The Politics of Adoption and the Privilege of American Motherhood, to break down Juno's thorny politics on choice, motherhood, and adoption. GUEST DETAILS Gretchen Sisson, Ph.D., is a qualitative sociologist studying abortion and adoption at Advancing New Standards in Reproductive Health (ANSIRH) in the Department of Obstetrics, Gynecology, and Reproductive Sciences at University of California, San Francisco. Her research was cited in the Supreme Court's dissent in Dobbs v. Jackson Women's Health Organization. She is the author of Relinquished: The Politics of Adoption and the Privilege of American Motherhood. CONNECT WITH US Instagram: @sexedwithdbpodcastTikTok: @sexedwithdbTwitter: @sexedwithdb Threads: @sexedwithdbpodcast YouTube: Sex Ed with DB ROM-COM VOM SEASON 11 SPONSORS: Lion's Den, Uberlube, Magic Wand, + Arya. Get discounts on all of DB's favorite things here! GET IN TOUCH Email: sexedwithdb@gmail.comSubscribe to our newsletter for behind-the-scenes content and answers to your sexual health questions! FOR SEXUAL HEALTH PROFESSIONALS Check out DB's workshop: "Building A Profitable Online Sexual Health Brand" ABOUT THE SHOW Sex Ed with DB is your go-to podcast for smart, science-backed sex education—delivering trusted insights from top experts on sex, sexuality, and pleasure. Empowering, inclusive, and grounded in real science, it's the sex ed you've always wanted. SEASON 11 TEAM Creator, Host & Executive Producer: Danielle Bezalel (DB) Producer: Sadie Lidji Communications Lead: Cathren Cohen Marketing Coordinator: Alex Bateman Logo Design: Evie Plumb (@cliterallythebest)

On Tuesday the Senate Finance Committee voted to move forward with Robert F Kennedy Jr.’s nomination for Secretary of Health and Human Services. His nomination now heads to the Senate floor, where he’s expected to be confirmed. As the secretary of the HHS, Kennedy would have oversight over 11 agencies including the FDA, the CDC and the National Institutes of Health. Kennedy has come under fire from both Democrats and Republicans for some of his controversial beliefs – the most contentious being his extensive history of anti-vaccine work and rhetoric. Kennedy has in particular focused on Gardasil, the HPV vaccine. A lawyer by trade, he has helped facilitate hundreds of potential lawsuits aimed at pharmaceutical company Merck, which manufactures the drug. The vaccine is nearly 100% effective against cancers caused by the human papillomavirus – most notably cervical cancer. Kennedy has criticized the vaccine, calling it ‘dangerous and defective’ and claiming it can ‘increase the risk of cervical cancer.’ Guest: Dr. Linda Eckert, a professor in the University of Washington School of Medicine, Women's Health Division of the Department of Obstetrics and Gynecology. A leading expert in cervical cancer prevention, she's written a new book titled ENOUGH: Because We Can Stop Cervical Cancer. Relevant Links: NYT: Committee Sends R.F.K. Jr.’s Health Secretary Nomination to Full Senate Associated Press: RFK Jr. kept asking to see the science that vaccines were safe. After he saw it, he dismissed it BBC: Fact-checking RFK Jr's views on health policy Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network. See omnystudio.com/listener for privacy information.

Today, I am honored to connect with Dr. Corinne Menn, a board-certified OB-GYN and Menopause Society-certified practitioner. Dr. Menn is a 23-year breast cancer and premature menopause survivor and a BRCA carrier who draws on her personal experiences to assist other women in navigating their health challenges. In our discussion, we explore the ways the Women's Health Initiative has impacted Baby Boomers and how fear-based decision-making, particularly around breast cancer risks, has shaped women's health. We discuss the timing hypothesis for hormone replacement therapy, breast cancer risks, and misleading stats and look into empowerment and the differences and biases that shape the experiences of women in perimenopause and beyond. We examine why osteoporosis is a silent disease and how hormone replacement therapy can reduce fracture risk by 30–50%, and tackle the effects of poor metabolic health, the challenges of receiving a diabetes diagnosis, and how statin therapy can influence the course of menopause and beyond. Dr. Menn also shares her personal story of resilience and empowerment.  This conversation with Dr. Corinne Menn is invaluable for all women- especially those with a history of breast cancer. IN THIS EPISODE YOU WILL LEARN: How the Women's Health Initiative has caused fear-based decision-making among menopausal women Why SSRI medications are inadequate in managing menopausal symptoms How the fear of litigation has impacted clinical decision-making in modern medicine The cardio-protective benefits of HRT   How HRT can help avoid the risk of breast cancer  Why starting HRT early is essential for cardiovascular health How racial differences impact women in menopause How early bone density screening can help prevent rapid bone loss during menopause The metabolic changes that occur during menopause How the lack of menopause education led Dr. Menn to experience premature menopause due to her breast cancer treatments Bio: Corinne Menn, DO, FACOG, MSCP Dr. Corinne Menn is a board-certified OBGYN and Menopause Society Certified Practitioner. Dr.Menn is also a 23-year survivor of breast cancer and premature menopause, a BRCA carrier,and uses her experience to help women navigate their health challenges. She has dedicated her medical practice to menopause management, the unique healthcare needs of female cancer survivors, and those at high risk for breast cancer. Now practicing exclusively through telehealth, Dr. Menn provides women's health consultations and patient education. She is also a medical advisor and a prescribing doctor on Alloy, a menopause telehealth platform. Dr. Menn is an active member of the Menopause Society and a fellow of The American College of Obstetrics & Gynecology. She is a dedicated advocate and volunteer for the Young Survival Coalition, serving on their Council of Advisors, leading the Provider-Survivor support group, and serving on the Breast Cancer Alliance Research Grant Committee. She is a frequent speaker and podcast guest and has an active social media platform where she shares her mission of educating fellow clinicians and women on menopause and women's health. Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Corinne Menn On her website  Instagram The Middle List Menopause and Cancer

I'm so excited that Dr. Kevin Osteen is joining me this week for the Egg Whisperer Show. He is a Professor of Obstetrics and Gynecology, Pathology, Microbiology and Immunology at Vanderbilt University School of Medicine and Adjunct Professor of Obstetrics and Gynecology at Meharry Medical College.   Since the 1990s, Dr. Osteen's research program has focused on environmental endocrine disruptors and how they impact endometriosis. His laboratory developed “organ-on-a-chip” technology, which is a tiny plastic “chip” about the size of a USB thumb drive that mimics the workings of the microenvironment of a human organ. Dr. Osteen's team created the first endometrium and endometriosis chip models. These “organ-on-a-chip” models provide a way to test and observe what happens in “normal” endometrium, and in those that have endometriosis. This technology changes the way doctors study this disease.   Dr. Osteen and I are talking about the organ-on-a-chip technology, endometriosis, and endocrine disruptors, and reproductive health. I'm excited to have him on the show, and hope you'll join us for this exciting and very timely conversation. Read the full show notes on Dr. Aimee's website Learn more about Dr. Osteen here. Do you have questions about Egg Freezing?Click here to join Dr. Aimee for The Egg Freezing Class.  The next live class call is on Monday, February10th, 2025 at 4pm PST, where Dr. Aimee will explain Egg Freezing and there will be time to ask her your questions live on Zoom.   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. Other ways to connect with Dr. Aimee and The Egg Whisperer Show: Subscribe to my YouTube channel for more fertility tips!Subscribe to the newsletter to get updates

Send us a textFibroids are common, but when do they actually impact fertility? In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols dives into everything you need to know about fibroids—their types, how they're diagnosed, their effect on fertility, and the latest treatment options. Whether you're trying to conceive or just curious about how fibroids can affect your health, this episode has you covered. Plus, don't miss the shoutout to Dr. Piere Johnson, the ‘Fibroid Slayer,' who will be sharing his expertise on Sperm Meets Egg Live! Grab a taco and join us for this informative discussion!Instagram: doctorp23, NewDirectionFertility, AmolsMD, tacoboutfertilitytuesdayThanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform. Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com. Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com. Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

Board-Certified Nurse Midwife Kristin Mallon joins Lesley Logan to illuminate how to bridge the gap between “normal” lab results and genuine wellness by harnessing hormone insights, gut health strategies, longevity medicine, and integrative care. From understanding the nuanced roles of midwives and doulas to exploring advanced testing for a deeper picture of health, Kristin reveals how following your intuition and seeking daily excitement can fuel a truly fulfilling life at any age.If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe.In this episode you will learn about:The difference between midwives, doulas, and OB GYNs.Turning to personal intuition when seeking healthcare solutions.Why standard labs often miss suboptimal hormone levels.How deeper gut testing supports lasting energy and vitality.Using advanced integrative approaches for longevity medicine.Episode References/Links:FemGevity - https://beitpod.com/femgevityFemGevity on Facebook - https://www.facebook.com/FemGevity/FemGevity on Instagram - https://www.instagram.com/femgevity/FemGevity on Tiktok - https://www.tiktok.com/@femgevityFemGevity on X - https://x.com/FemGevityFemGevity on LinkedIn - https://www.linkedin.com/company/femgevityhealth/FemGevity on YouTube - https://www.youtube.com/@femgevityGuest Bio:Kristin Mallon is a health tech entrepreneur with over 15 years of experience in the industry. As the co-founder and CEO of FemGevity, she is passionate about improving women's health through innovative solutions. Under her leadership, FemGevity has grown into a successful company that provides essential support to women who need it most.Prior to founding FemGevity, Kristin launched Vibrant Beginning, a high-end supplement line of prenatal vitamins. She is committed to making a significant impact in the healthcare industry and enhancing the lives of women around the world. Kristin advocates for transforming the healthcare narrative from solely providing "sickcare" to developing and offering platforms that support optimal health planning. If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. DEALS! DEALS! DEALS! DEALS!Check out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox Be in the know with all the workshops at OPCBe It Till You See It Podcast SurveyBe a part of Lesley's Pilates MentorshipFREE Ditching Busy Webinar Resources:Watch the Be It Till You See It podcast on YouTube!Lesley Logan websiteBe It Till You See It PodcastOnline Pilates Classes by Lesley LoganOnline Pilates Classes by Lesley Logan on YouTubeProfitable Pilates Follow Us on Social Media:InstagramThe Be It Till You See It Podcast YouTube channelFacebookLinkedInThe OPC YouTube Channel Episode Transcript:Kristin Mallon 0:00  There's this huge gap between optimal health and chronic care and crisis care and sick care that needs to be filled. You know, which is like what we're doing, and there's so much to be done. There's so much and then obviously it gets into the whole prevention of chronic care and crisis care in the long term. Lesley Logan 0:19  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started.Lesley Logan 1:03  All right, Be It babe, I have a great human for you to hear from today. So I have been on a mission to help educate women on how to be it till they see it and part of that is you feeling like you have the health and the body and the strength and the stamina and the hormones that take you to where you want to go. And so today's guest is Kristin Mallon. She is part of the FemGevity team. You definitely have to listen to Michele Wispelwey's episode from last year, if you haven't, because the two combined are just absolutely wonderful. I have never had so much hope about women's health since I met them, and now I just feel educated, informed, supported. And so the first part of this episode is gonna feel medical-heavy, ladies, you gotta listen. Those of you, no matter where you are, what's going on, it's really good information. You can share it with a friend. And then, we have a really great, she blew my mind. I'm not kidding. What I expected her to answer and what she answered, wouldn't have guessed it in a multiple choice. And now that I know her, I would always, her tips and some of these things that she does for her life, have me wanting to reevaluate what I want to do in my year and what I want to call in more of. So this is just a chock-full episode. Thank you, Kristin Mallon from FemGevity for being here. And y'all make sure you let us know how this episode helped you. Share this with a friend. Here's the thing, we all have to educate each other and ourselves and support each other and to the few good men listening. Thank you so much. You should know this about women's health. Send it to your friend, your sister or your cousin, because this is how we all get stronger together. Lesley Logan 2:36  All right, Be It babe, this is going to be just so much fun. I have been sharing the reels that this woman has been putting out on Instagram multiple times. I'm like, I'm gonna share this one. I'm gonna share this one. We have Kristin Mallon in the house. She's a co-founder of FemGevity, and I love her. Love Michele. If you listened to the podcast I had with Michele Wispelwey, you know what they are. If you follow me at all, you know I'm obsessed with them and all that they're doing. So Kristin, can you tell everyone who you tell everyone who you are and what you rock at? Kristin Mallon 3:04  Yeah, I'm Kristin Mallon. I'm a certified nurse midwife, and I've been doing women's health for over 20 years, and really focusing on, obviously, being a midwife, the blend of medicine, but also ancient wisdom. Lesley Logan 3:17  Okay, I have a couple of things I wanna just chat with. Is like, first of all, I think midwives feel like, to me, they're becoming more and more popular and more and more accessible. Is that true? And then for the people who don't know what a midwife is, can you kind of break that down? Kristin Mallon 3:30  So, yes and no. I think there's pockets of the country where they're becoming popular and pockets of the country where they're becoming unpopular. There's a big, I think, problem in general, with the, you know, or challenge, I don't always like to say problem with, a big challenge with reimbursements across the board for all people that practice any type of Obstetrics and Gynecology, and so we're not really educating and training enough midwives. I think the desire is there and the demand is there, but then the burnout is high, and there's the business aspect, because most midwives are really altruistic, and they really kind of go into this type of work, because it's their passion. So that needs a little bit more support and needs a little bit more, you know, kind of hand-holding. Midwives are confusing, because people think midwives are doulas, people think midwives are doctors, and then kind of everything in between. So I am a board certified nurse midwife. So that's kind of like the highest level of midwifery training and education that you can get. I have a nursing degree. I have a master's degree in nursing and then I took a board certification that I maintain. You know, every year, there's a certain level of requirement that I have to attain. I deliver all of my births in a hospital, and I do assist on surgeries, and I do minor gynecological surgeries, and I really do everything that an obstetrician does, not really a gynecologist. So someone who's delivering babies working with babies, that's what I do. There's other types of midwives, so there's certified midwives who are midwives that are not nurses. There's lay midwives, which are midwives that are trained in a variety of different ways, usually kind of more culturally-trained. And then there's professional midwives, and their certification is a little bit different. And then all states have different governing boards about how they allow them to practice and not practice. But pretty much, if you're going to have a home birth, you're having a midwife. I know like one OB GYN in my whole career, and I know thousands of people in the birth space that he is a physician that does home births, but 96-ish, 95% of midwives are doing their births in a hospital setting so it's kind of confusing. They really are a nurse and an OB GYN had a baby and that's a midwife.Lesley Logan 5:41  Okay, I love that. Thank you for explaining it, because I think I definitely was one of the oh, it's like a doula. And I have a friend who's a doula, so I know clearly my friend is now finding out I didn't know what she did. Okay.Kristin Mallon 5:53  Well, and doulas are really, I always like to make this distinction and like the opportunity to educate people, because doulas have no medical training, no medical background, no medical certification, no licensing, they have to maintain and they can't perform any medical procedures. Whereas a midwife can do pretty much everything an obstetrician can do, except they can't be a primary surgeon on a surgical case.Lesley Logan 6:13  Yeah, yeah, that makes sense. Okay, so then you have been, so my other thing with what you've been rocking at is that you've been in, like, women's health medical field for 20 years, and I wonder, what have you seen change for the better, and what still needs changing that we can, you know, make sure we're aware of. I'm 42. This is coming out when I'm 42. I love that people are like, wow, you don't look 42. That's great. I would love to stay looking young as long as possible. That's wonderful. But I don't want to feel, I would like to feel young, too. So I'm just really excited about what you do and what you know about women's health.Kristin Mallon 6:49  Yeah, so we've come so far. So in the last 20 years, I think we've made remarkable strides in miscarriage care, in contraception and fertility care, in reproductive care, in breast health, just kind of an awareness, a lot of mental health awareness, a lot of cancer awareness, cardiovascular awareness. I think the areas where we need to improve on is definitely access. Not all women have access to the types of care they want. There's just not enough OB GYNs. And, unfortunately, there's not enough OB GYNs, there's not enough midwives. We're not graduating enough to replace the ones that are leaving the workforce on a year-to-year basis. It's kind of a big problem. And then, of course, which is what FemGevity is all about, is I know everybody can relate so well to this. You go to the doctor, you don't feel right, and they tell you, your labs are normal, but something's still wrong. And that's really where FemGevity was born, or birthed, so to speak, is from that sensation, because I dealt with that for 20 years. I was like, something's still, like, labs are normal, something's still wrong. Okay, let me look, let me dig, let me keep going. Let me pull from functional medicine. Let me pull from integrative medicine. Let me pull from longevity medicine. And let's figure that out. And a lot of that has to do with how women change decade to decade. So men kind of have this big change at puberty, and then they kind of peak, and then they kind of slowly evolve and change really gradually. And women are so different decade to decade. And once I kind of really started to unravel that and pull that back, it was easy to apply that to all the different things, including menopause care and endometriosis care, PCOS care, fertility care, reproductive care, women's health in general, from head to toe. And you know, a big thing that we do at FemGevity is a lot of gut health, like the gut is such a big overlooked thing. People think oh, I'm tired. I need to check for anemia, I need to check my thyroid. But we're like, no, you need to check your gut. We need to check micronutrient levels. We need to look deeper. So that's where I think we still have a long way to go and a long way to come, and that's what we're doing at FemGevity.Lesley Logan 8:50  Yeah, I think every woman listening is nodding their head when you're like, I went to the doctor and like, everything is normal. I actually had a female doctor in the, I forget what department it was, but it was like in these extreme diseases. And the woman, I got sent to her and she's like, do you feel supported by your doctor? And I'm, no, why am I here? This is the scariest place I could be. I am now very scared. Do I have AIDS? What is going on? And she's like, okay, I think we need to find, it was like a gut doctor who sent me there and because he couldn't figure what's going on, because I kept insisting, I'm not right, something's not right, and so I just got passed off. And, you know, a lot of people have, like, experienced a lot of family or in the holidays or birthdays, and you hear someone going, oh, it's what I ate yesterday. It's what I ate yesterday. I'm like, is it though, or is it something from a week ago? Or is it something? Because the gut is such a complicated, to me, it's complicated, place like it's not necessarily what you ate in the last meal. It could be from another meal that you don't remember.Kristin Mallon 8:51  Yeah, absolutely. And I think what you're talking about is it's really not doctors' faults, because the way that the healthcare system is set up, at least in the United States, is it's really crisis care, sick care, catastrophic care, cancer care, you know, the big C's of care. And if you don't have a chronic condition, you're really going to your doctor and you're saying do I have a chronic condition? And your doctor is telling you truthfully, no, you don't have something like diabetes or high blood pressure or cardiac disease, liver disease, kidney disease, etc. And so there's this huge gap between optimal health and chronic care and crisis care and sick care that needs to be filled, which is like what we're doing, and there's so much to be done. There's so much and then obviously it gets into the whole prevention of chronic care and crisis care in the long term. That's where my passion lies. That's what I'm really just I want for myself, I want for my family, I want for my friends. And I'm just like, so excited to let other women know, and men too, that there's an option. There's someone that can help you. There is a medically trained, licensed professional that can help navigate you through that. Well, everything's fine here, but you still don't feel right.Lesley Logan 10:58  Yeah, thank you for explaining that, because it is true that if you're not one of those big C's, you kind of feel like you're in this abyss. And it is amazing that FemGevity's kind of hope is like trying to fill that gap, which is really great. But I think I wonder, I obviously worry, if you don't get someone like you, eventually you end up in a few C's. The thing that's been bothering you that they haven't figured out, because it's not glaringly obvious, it's going to lead you that way. So let's just say most of the women here are over 40. What are some of the things that they need to make sure that they're checking as they're planning their annuals for this year and things like that, I guess, preventative wise, and then also just so that they're aware and they could be watching things as their body changes.Kristin Mallon 11:34  Well, one of the things that I really noticed working with women for so long is that women are really intuitive, and they tend, you know, some women are born and blessed with this great sense of intuition at the age of six, but most women grow and evolve into their intuition. And so there's so many different things women can focus on in their 40s. And I think a lot of times they know, they know, like, should I be focusing on hormone health? Should I be focusing on gut health? Should I be focusing on exercise, diet, nutrition, sleep? You know, the list goes on. And so what I like to do is, I like to, whenever I meet with a woman, is I kind of like to tease that out of her and try to get a sense from what she's already thinking herself, and really encourage her to go along that path and that trajectory like, you know, well, I've been thinking I should work on my sleep. And I've been thinking I should get a sleep tracker. And I'm like, yes, let's do that. What are your symptoms? Okay, I encourage her and say, I can see how that could be related to sleep, or I can see how that could be related to gut, or that could be related to diet. So I think in your 40s, it's really like you already know, and it's just kind of giving yourself the confidence to be like, okay, I know I need to find someone that's an expert in X that can help me unravel what could this possibly be, and then heading down that path. Lesley Logan 12:49  That's really beautiful. How nice Kristin, we could just listen to the intuition instead of like, sometimes people are trying to get you not to listen to it. It's like, focus on this over here. Focus on this over here. I think that's really wonderful and supportive. Kristin Mallon 13:03  Yeah, I mean, I think if you don't know where to start, sometimes, I think women can also have periods of less intuition, which I think is sometimes, like a leveling up, sometimes a stock will go down before it shoots up. And so maybe if you're caught in that place where you're like, you know, I don't know where to start, my mom says this. My sister says this. My friend said this. Usually it's hormones and gut just start with hormones. Get those checked by someone like myself, who's a hormone expert, who can read between the lines of what a normal lab, because a normal lab is saying, okay, you don't have Addison's disease, you don't have Cushing's disease, you don't have diabetes, you don't have hypothyroidism, but yeah, do you have subclinical fatigue related, a low T3? Do you have not enough conversion of the hormone T3 to T4 which any normal endocrinologist is going to be like, that doesn't matter. You don't have Hashimoto's, you don't have autoimmune disease, but you do have something that's affecting you. So hormones is a really good place to start. And then gut health. I mean, we do so many gut tests every day, and we rarely find someone that has like, a perfectly optimal, normal functioning gut. You know, I would say like, 99% of the time there's room for improvement in the gut.Lesley Logan 14:06  That is so funny. As we are recording this, I'm awaiting like, an update on a gut test, because y'all found a parasite the first time. And I was like, oh, well, that.Kristin Mallon 14:15  Oh, fun. Lesley Logan 14:16  I know. I was like, well, that's, you know, and people are like, oh, which country do you think you got it? I'm like you can get it from sushi, guys. It's not like I have to leave the country for this. Who knows? So I'm excited to see if it's gone. And also I had some dysbiosis, and I am excited, because I can tell when my gut health is strong. I have so much more energy. I feel like a more confident person. I feel more unstoppable. My sleep is absolutely amazing. It's not a surprise to me that, like, I had a little gut situation while I was traveling, and my sleep is off. I'm like, something's maybe something's going on there. So I really love that. If they're not working with you at FemGevity, what are they asking for? Because I know when I try to ask my female general practitioner for a hormone test, she specifically said, oh, you can't test those. They change all the time. And I was just like, I'm paying for this. I don't really know what you're worried about. So what should they be asking for or looking at when it comes to getting those things tested?Kristin Mallon 15:10  Yeah, so hormone health. So really, you kind of just want to get all your sex steroid hormones, which include sex hormone binding globulin, estradiol. If you really want to go deeper, you can get your estrone level done and your estriol level done, which you know maybe might not necessarily be necessary, progesterone, testosterone, free and total thyroid, insulin, cortisol. We do a lot of also functional medicine testing within that so usually, like hemoglobin A1C, homocysteine, CBC, looking at lipid panels, chemistry, liver function, kidney function. That's the general census of like, where you kind of want to go down. Prolactin levels are there too. I can even give you a list, because I'm rattling these off the top of my head, if you want to include it in your show notes, of the hormones I recommend getting. Lesley Logan 15:58  Yeah, we love that. Also, we'll transcribe this guys, so you can just go to the show notes and just take a screenshot. Kristin says.Kristin Mallon 16:05  Yeah, and I want to make sure I didn't forget any there too. Lesley Logan 16:07  Yeah, yeah, we'll love that. Kristin Mallon 16:08  For gut health, so there's really two companies that do, I think, so, you know, my business partner, Michele Wispelwey, her whole background was in the diagnostic lab space, so she is like a lab guru and knows everything. And also myself, like working with women and working with labs gone through so many renditions of labs over time, and labs that closed, and labs that were new and startup labs and labs that merged. And so I think there's a pretty standard gut test called a GI-MAP test, and there's another standard gut test called GI Effects. So GI-MAP is by Diagnostic Solutions, and GI Effects is by Genova Diagnostics. And so you can ask for a GI-MAP that's pretty, most really with it, longevity, functional medicine, integrative medicine, doctors are going to know what a GI-MAP test is, and that's kind of your standard gut test. I always caution women about, this is, like, a really classic thing that I saw with the advent so we do a lot of genomics, and we do a lot of genetic testing too. And so 23andMe came on the scene, and everybody was getting this direct to consumer test, and they were giving it to me, and I'm like, oh my gosh, this is so basic compared to what you can get from a licensed physician. And the same thing is true with like, over the counter gut tests. You can get an over the counter gut test that's probably going to cost you a similar amount of money when you go to a licensed medical provider, and it's just not going to tell you anywhere near as much like GI-MAP does, like 88 different pathogens and microbes. You're looking at yeast, parasites, you're looking for H. pylori, you're looking for dysbiosis, commensal bacteria. So good gut bacteria, bad gut bacteria, so many different things. You're getting virulence levels. So you're getting the actual amount. They're what are called PCR tests, which is like the kind of highest standard of care. So this was, like a big thing in COVID, was your COVID test, RNA, or DNA or PCR testing, and the PCR tests were the best tests. So you're just getting so much more when you go with those two companies. Lesley Logan 18:01  Yeah. So how often should we be doing this? We're getting our hormone test every year. Should we be doing a gut test annually? Is this something you have to do more often? How much is too much?Kristin Mallon 18:12  So I think once a year is probably the minimum, because you will be able to track yourself over time and be able to have data on yourself to look back at and say, okay, when I was 36 or when I was 46 or 56 my hormone levels were this and I felt this way. Some people check them every day. There's a, I just said don't do over the counter. But there is an over the counter test called Miracare, which is kind of like a fertility tracking device, where you can pee on a stick, and it will tell you what your daily progesterone and estrogen levels are. It tells you LH and FSH too, but that's not as important to the overall daily hormone picture. So you can do kind of anything but, once a year. The other thing about hormone testing is that it's important to know, like women get so much confusing information, do I need hormone testing? Do I not need hormone testing? Someone's giving me birth control without hormones or giving HRT without having my hormones tested. Like, why do I need it? Or why do I not need it? And so the gold standard hasn't been set yet. We haven't really come to a consensus as a medical community about how often should this be done. You know, we know in diabetes testing that someone should get a hemoglobin A1C like, every three to six months. We know in when someone's being put on a thyroid medication for the first time, we should check their thyroid every four to six weeks until it's managed and at a normal level. So this hasn't been set, which is why you have so many different clinicians with so many different conflicting views, including you don't need it or you do need it. The way we really use labs at FemGevity is once you've been looking at labs like I have for 20 years, you start to notice patterns. And even though these patterns aren't written down in a protocol by the American College of Obstetrician and Gynecologists, I'm just observationally matching it up with women have been telling me x and here's what the lab data is showing me. And so I'm using my clinical judgment. To kind of make those decisions. Also, it is true that your hormones can change so much, so when we look at an estrogen level, let's say you could be 33 in one blood draw and then in another blood draw with just a couple months apart, you could be like 133 but the main thing is is you're not zero, or you're not almost close to zero, and you're not 400 so you're kind of looking at it like a range versus an exact number. We do a lot of hormone balancing, and we do prescribe HRT and hormone replacement therapy. And so women will start on a hormone and their levels will actually go down. And so they're really confused. Well, I'm taking this extra hormone, but my levels are going down. And so it could just be exactly to what you said, like where we caught them in their cycle when we tested the first time, and then where we're catching them in their cycle and we test the second time. And if they don't have a menstrual cycle and are having a period anymore, they're still having ebbs and flows. Hormones are pulsatile. They pulse even like any hormone, like thyroid or insulin, insulin is a hormone, too. You can think about it, it just pulses into the bloodstream. And so are you catching it up on a trop or on a bow? And that's why we need to know. You know, let's say we give someone testosterone, for example, are you coming back with a male level in your bloodstream? Okay, that's too high. We need to cut down. So we're not waiting for symptoms to come up, symptoms of too much testosterone. We're checking the labs to make sure that we're in a ballpark. It's not so specific, and I think that can help women to interpret their labs and also to understand the big discrepancy. Well, this practitioner says this, and this practitioner says this, and neither of them are probably wrong.Lesley Logan 21:34  Yeah, first of all, I love that you have so much experience. As a Pilates instructor, right, when I was a new teacher, I'm like, okay, I don't know what that is. And then, as I've been teaching for almost 20 years, it's okay most people, when I see that, they have a hard time with this. So let's do this exercise over here, because you start to understand the patterns that are happening, and it makes an art to the science, I think. And also I appreciate you explaining that there isn't a gold standard yet, and that's unfortunate, because they just haven't been testing enough. There just hasn't been we lost a lot of time back when they thought HRT was the worst thing that could happen. I feel like we've we're trying to catch up with I feel like they're in the maybe it's just because now I'm 42 and that's what my algorithm shows. But I do feel like there's a lot more people researching this and coming up and testing things out, so we can have more people explore, and then we can learn more things. So that makes me happy. Okay, you and Michele started this amazing company together. Obviously, you're an incredible doctor. You know so much. What has been the funnest thing about starting a business, and what is the hardest thing that you're that you're like you are trying to because here's why I'm coming at this. I feel like I'm looking at, oh, my God, she is a doctor. She probably has her sleep under control, her hormones under control, all these things. Has it been easy to keep a balance in your own life doing this business and what's been the funnest part about what you guys do?Kristin Mallon 23:00  Yeah, so I would say that the funnest part is really getting to work together. Like, we really like each other, and we really get along, and we really have a lot of fun together. And so when we get to work together, it's like you get to work with your best friend. Like every day. It's really a really fun thing. I think, from the challenge perspective, I personally am a really big believer in like vibration attracts like vibration. And so as long as I'm kind of keeping my vibration in check and keeping my self clean, and I'm looking to reflect that reality outside of me, then everything kind of usually everything works out for me, and everything kind of falls into place. It's just kind of been my experience in life. So the challenge is, is that when things get off track, I usually have to remember to look in the mirror and be like, okay, what is it about me that is like, what thoughts or what influences am I allowing to come into my sphere and my energetic field that aren't in alignment with me, because that's being reflected in my outside world. So that's probably the big challenge, I would say. Lesley Logan 24:08  I so understand that, I really do, because it's not at the plate, and ladies, it's not, oh, everything is our fault. It's the, hold on, what did I bring to this energy that is causing this? Because, you know, there are people who just have force of natures, but I find that if I'm feeling a little nervous, if I'm feeling a little frenetic, if I'm feeling like I don't have control over things, and then I go into the business, the way that I ask for something comes from frenetic, non-controlled, not necessarily a specific place, and then it's a domino effect of the communication is off, and it's hold on, you know? So we do have to kind of take a step back and ask ourselves that, and that's the hardest thing to do in the moment. It's so hard in the moment to go. Hold on. Let me take a pause. How's my vibration? What am I bringing to this? Kristin Mallon 24:52  Yeah, it's hard if you say it's hard (inaudible). I always use a quote that I drilled into my mind, which is, like circumstances don't matter. Only state of being matters. And it's the state of being that makes your circumstances. It's not what happens, it's what I do with what happens. And I can usually, almost always have anything that happens be to my benefit and be to my good. It's kind of like going with the flow and being in the river versus trying to, like, paddle in a specific pattern. You don't know where all the rocks are, and you don't know where all the bumps are, and so if you kind of let the river take you, you usually can, you know, it doesn't look straight, and it always you're like, Hmm, I don't know if I would like go all the way over to the right, but then you realize that, oh, there was dead current in the middle of the river, and you needed to get to the side to get to the fast current. So I kind of try to think of that as much as possible. You know, it's not, I don't always win, but I'm winning most of the time, I hope. Lesley Logan 25:48  Kristin, that is so cool. That is amazing. We're clipping that and I'm gonna put that on my wall, because it is, I, especially, most of the women listening to this, they are caring for young children. They have older parents or family members in their life. They have. Kristin Mallon 26:08  Yeah, they're the in betweens. Lesley Logan 26:09  Yes, they have and they have jobs that they have to do. And then it can feel like the circumstances around you are just hard. And so what you just gave us, is such an amazing gift. Is like the state of being, like, how can I focus on that? So do you have tools? Or is it like a mantra that you say, is it that just that the mantra helps or like?Kristin Mallon 26:30  Oh my favorite mantra, I can give you my favorite mantra that works so well. Two words. So what? So what? Whatever it is like, so what? I mean, it works for 99.9% of things. If you're like this, that I'm going to be late, I didn't put the sandwich in the lunch bag, and I didn't do the permission slip, and I forgot to put these slides in a presentation. So what, you know? And I think that's something that's always really helped me to kind of see the forest through the trees. Lesley Logan 27:03  Yeah, I can see that because I am someone who's like, we're going to be late. And unless it's the plane, probably going to be most things are fine, (inaudible) catches the flight (inaudible).Kristin Mallon 27:16  Even if it is the plane being late might have your benefit, might be to your highest good, because maybe you met someone that now you're sitting on a different flight, or you ended up being able to not miss a phone call that was coming through. So, as long as I allow that type of vibration into my field, I usually end up having those results. The other thing that I think is super helpful, that I also kind of like encourage people to do, is, if you just do it a little bit, it kind of becomes second nature, which is to watch your definitions, watch how you define things. Because even like saying, oh, it's hard to do X, yeah, if you say, I'm working on doing X, or I'm getting better at doing X, or I'm improving my X, it's a much different definition than it's hard. And it's so fun for me. Like, when I first started doing this practice a couple years ago, it was so fun to change the definitions of things and just be like, oh, this happened. Well, that happened because it was so funny. My bra was showing or, I don't know, something happened where I didn't get the job I wanted to get, or I didn't get the client I wanted to get. And instead of it being like a failure, it was a learning experience, or instead of it being a mess up, it was an opportunity for growth or development or internal reflection, or for me to get this thing that I'm talking to you about right now, which is that I can choose how I define things. Lesley Logan 28:38  I really like that, because I do think it's fun. I'm going to keep working on catching myself. But one of the ones that sticks with me, because I was raised in a household that doesn't have a lot of money, and so they'd always say we don't have any money. There's no money for that. No you can't have it. There's no money for that. Kristin Mallon 28:50  I was, too.Lesley Logan 28:51  And I was, so was my husband, and we have been really conscious. I can always tell when one of us is in a bad state, because the words we'll say we can't afford that, which is like a not, like a non-sentence in this house, because the better phrase is, we are choosing not to invest in that right now. Oh, you know what? That's great. I'm not investing in that right now. Or that's actually not something we're spending money on today. So it's not that you don't have the money, it's not that you can't afford it. It's just not a priority in this moment. Kristin Mallon 29:20  That's a perfect example of the definitions. That sentiment. So, do you know the book by Napoleon Hill, Think and Grow Rich?Lesley Logan 29:27  Yes, I love it. I listened to the old tape or whatever. I maybe I should do that again as the year starts.Kristin Mallon 29:33  Yeah. Well, that's the epitome of what you just said. That's one of the big lessons that he talks about in that book. And that book influenced The Secret. So that's (inaudible).Lesley Logan 29:42  And everyone you can go to the original source, it's still out there. Do you remember the part? Because you're, I don't know if you maybe it didn't stick with you, but he mentioned the woman who would always put her hand on her left breast and go oh, I'm gonna get cancer. I just know I'm gonna die from cancer. And she'd always say that, and then she died of breast cancer. She like, literally, she kept putting her hand on herself saying she's gonna get it. It's like not saying that anyone who gets cancer did that to themselves. That's not it at all. But it's just like we, our words, have so much power, and we really do. I love that redefining. You guys, how are you going, like, I wonder you guys have to send in to the Be It Pod and to FemGevity which words you're redefining. I think that'd be really fun for us all to see as an experiment. Kristin, what are you most excited about right now? This is out in 2025. What are you excited that's coming up, that you guys are doing? What's going on? Kristin Mallon 30:30  I'm really excited that this concept of, so I think over the years, we've kind of defined it as functional medicine, and then we defined it as integrative medicine, and now we're defining it as longevity medicine, and I'm just so excited to be a part of that ecosystem and the effects that it has. I mean, I work with women primarily, so the effects that it has on women and the aha moments they have, and that feeling that, I think, that liberation that they've been looking for for so long that they're not just like, going down, down, down, down, down, but that they're actually going up, up, up and getting better is like, so rewarding and so fun that I'm just like, so passionate and excited about sharing that with women as much as possible. Anybody who wants to hear me talk about it, I'm like, do you want to hear me talk about optimization of health? Like, I'm totally down.Lesley Logan 31:20  I also like that it's changed to longevity medicine because the other ones were a bit vague and hard for I feel like this is what people want. It's not when you're like, oh yeah, I want a functional medicine. I guess that makes sense, but it doesn't sound sexy. I want a long life where I have longevity. I don't want to just be old. I want to have be strong and energized when I'm older, you know, I want all those things. So I think that's really cool. Since you love to talk about optimal health, is there anything else about optimizing our health that we didn't talk about that we should know about, that we should check on? Kristin Mallon 31:51  I always say don't give up on yourself, because I think women, so many times have been told no, or they go to the wrong doctor, or they hit dead ends and they think there's no hope. And if you don't give up on yourself, and you hear a podcast like this, and you're like, okay, I need to find a longevity medicine doctor. I need to find a hormone balancing expert. Or they can come over to FemGevity if they're in the United States, we can usually work with them in some way. There is a path to not just feeling better, but feeling like fantastic and great and energized. And I know there's people listening that are like, yeah, this girl's crazy. There's no way I'm so chronically fatigued. My kids are little, my parents are dying or sick. There is, there really, really, really, is just keep going on yourself and don't give up until you find the right person and the right practitioner to help you. It's worth it. So worth it.Lesley Logan 32:41  Oh, I love that. Thank you for that gift. That's a good one. We're gonna take a brief break, and then we're gonna find out where people can find you, follow you, work with you and your Be It Action Items. Lesley Logan 32:51  All right, Kristin, where can people find you? I'm gonna give you the link right now. You can go to beitpod.com/femgevity, because you guys can go and get a call and see how they can help you. But where else on the internet are y'all at?Kristin Mallon 33:04  So our website, femgevityhealth.com and all social media channels @femgevity. So we're on TikTok, Instagram, YouTube, Facebook, LinkedIn.Lesley Logan 33:15  It's probably really fun to be doctors and researchers that have to then learn social media and all the hacks. And I also love that I've got my captions to actually spell FemGevity out correctly. They can't spell my name, they can't spell my dog's name, but they can spell FemGevity. So that's the way to go, ladies. Yeah, okay, you've given us a lot of great stuff already, but for our action takers who are listening, bold, executable, intrinsic or targeted, steps people can take to be it till they see it. What do you have for us?Kristin Mallon 33:48  So my best advice is, whenever in doubt, follow your highest excitement in any given situation. It's a breadcrumb trail that kind of leads you to your biggest and best self. So follow your highest excitement to the best of your ability with no insistence or assumption on the outcome, and it always leads you to the best location, place, time for you.Lesley Logan 34:09  Oh my gosh, you're so cool. Kristin Mallon 34:14  Yeah, you too.Lesley Logan 34:15  Well, thank you, but, yeah, like, what a great tip. That's so fun, because most people say, like, follow your gut. And I've got these people going my gut's off something's wrong. But highest excitement, oh. Kristin Mallon 34:28  It's easy to do, because even if you think about it, you're like, and as soon as we get off this call, right, there's going to be a whole bunch of things you could do. You could check your email, you could take your dog for a walk, you could stretch, you could do Pilates. But if you just tune into like, which one is most exciting, more than any of the others. It'll lead you down a really thrilling and rewarding path.Lesley Logan 34:47  Oh yes, yes, it will, oh yeah, the doctor has ordered that I have to follow my highest excitement. I'm going to do that as soon as I hang up. Y'all please, if you, if this at all has you intrigued, contact FemGevity. It's really nice to have doctors who actually want to look at things and look at patterns, and, you know, don't want to just tell you, it's all good, yep, that problem. I don't know. It's really nice if someone listened to you, and I will just shout out, I was traveling for almost a month, and I got an email from your team going okay, you have to do your call. And I'm like, oh, my God, a doctor that wants me to come for my appointment. They not that other doctors don't. I'm sure I have doctors listening, but you can wait in the waiting room for 45 minutes. You guys make sure. Made sure I made my call, and I'm so glad I did, because I needed that call, and it's just really nice to have someone to look out for my optimal health. So thank you so much for all you do at FemGevity. Lesley Logan 35:40  You guys, how are you going to use these tips in your life? Make sure you tag FemGevity. Tag the Be It Pod. And share this with a girlfriend who, like is frustrated with their health and they're feeling stuck and feeling going in circles. You know, it's kind of nice to be reminded to not give up on yourself. So thank you, Kristin, for that. And until next time everyone, Be It Till You See It. Lesley Logan 35:59  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 36:41  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 36:46  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 36:51  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 36:58  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 37:01  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

#drmauinforma #doctormauinforma Suscríbete a este podcast en tu plataforma favorita.  Suscríbete a mi boletín informativo en: www.drmauriciogonzalez.com/ Redes sociales: ⁣ YouTube: /@doctormauinforma Instagram: www.instagram.com/dr.mauriciogonzalez TikTok: www.tiktok.com/@drmauriciogonzalez Twitter: www.twitter.com/DrMauricioGon CONTACTO ► booking@drmauriciogonzalez.com ¡Nos escuchamos pronto!⁣ Fuentes:  Sandell, J., & Davies, M. (2023). Benefits of omega-3 on maternal and fetal health. World Journal of Advanced Research and Reviews, 17(1), 057-062. Gini, J., & Wright, R. (2022). Omega-3 fatty acids and their role in pregnancy health: A comprehensive review. International Journal of Obstetrics and Gynecology, 37(5), 122-134. Raitakari, O. T., et al. (2018). Omega-3 fatty acid supplementation during pregnancy and the risk of preeclampsia: A randomize controlled trial. University of Helsinki. Cetin I, Carlson SE, Burden C (2024); Omega-3 fatty acid supply in pregnancy for risk reduction of preterm and early preterm birth. Am J Obstet Gynecol MFM. 2024 Feb;6(2):101251. doi: 10.1016/j.ajogmf.2023.101251. Epub 2023 Dec 7. PMID: 38070679. Learn more about your ad choices. Visit megaphone.fm/adchoices

Hey friends! On this episode of #TheIntegrativeHealthPodcast, I had the absolute pleasure of chatting with the amazing Dr. Felice Gersh about a topic that's so important but often overlooked—the powerful connection between estrogen and thyroid health.We dug into how low estrogen can throw your thyroid completely off track, leading to chronic inflammation, autoimmune conditions like Hashimoto's, and even gut health struggles. But here's the good news: Dr. Gersh shared incredible insights and practical tips on lifestyle changes, hormone replacement therapies, and simple steps to get your body back in balance.If you've been dealing with thyroid issues or just want to understand your hormones better, this episode is packed with information that could change your health for the better. You don't want to miss it!Dr. Felice Gersh, MD an esteemed expert in integrative medicine, received her medical degree from the University of California, Irvine, before specializing in Obstetrics and Gynecology. With a vision to provide a more holistic approach to women's health, she founded the Integrative Medical Group of Irvine, where she combines conventional medicine with alternative therapies to address the root causes of chronic illnesses, particularly those affecting hormonal balance. Dr. Gersh's comprehensive approach emphasizes the connection between the mind, body, and environment, ensuring her patients receive personalized care that encompasses both physical and emotional well-being.Dr. Gersh has become a recognized thought leader, particularly in the areas of women's health, hormone health, and autoimmune disease management. She has contributed to numerous articles and books, educating both patients and healthcare providers about the importance of addressing hormonal imbalances through integrative practices. As an advocate for functional medicine, Dr. Gersh is passionate about educating women on the impact of lifestyle choices, environmental factors, and nutrition on their health. Her work has garnered respect across the medical community, and she continues to lead workshops and seminars to empower women to take control of their health through informed, holistic care.Website: www.drfelicegershmd.comFacebook: Dr. Felice Gersh, MDInstagram: @drfelicegershPODCAST Thank you for listening please subscribe and share! - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Shop supplements: https://healthybydrjen.shop/ CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites WATCH THIS:https://www.youtube.com/watch?v=2lSyAFy5U4U&list=PLaDiqj0yz1eeCOATXPoUDt8HEJxz1_lfW - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FOLLOW ME: Instagram :: https://www.instagram.com/integrativedrmom/ Facebook :: https://www.facebook.com/pflegmed Tik Tok :: https://www.tiktok.com/@integrativedrjen YouTube :: https://www.youtube.com/@integrativedrmom - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not spons...

Behind the Knife ABSITE 2025 – Up-to-date and high yield learning to help you DOMINATE the exam. Don't forget to check out our ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet Be sure to check out our brand new free study aid, which includes all 32 review episodes, brief written summaries, high yield images, and flash cards. Simply create an account on our iOS or Android app or on our website and you will find the entire course in your Library. Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Google Play App Store: https://play.google.com/store/apps/details?id=com.btk.app Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2025 ABSITE podcast series.  Medtronic has a rich history of supporting surgical education, and we couldn't be happier that they chose to partner with Behind the Knife.  Learn more at https://www.medtronic.com/en-us/index.html If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts. Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.