Podcasts about nexplanon

Dr. Mindy answers questions about "the Dr. Mindy Experiment", Cancer Awareness, measles boosters and testing for immunity, Back Rock makes it's debut, adult bed-wetting, lower back pain, migraines and Graves disease, parasitic infection, Anemia and iron supplements, motion sickness after having a baby, mole on the scalp, measle quarantine time, knots and knee pain, what to do after throwing your back out, MS symptoms, forehead injury causing autism, Nexplanon implant, random hairs, magnesium soaks for runners and swimmer's ear. https://www.youtube.com/@TheDrMindyExperimentSee omnystudio.com/listener for privacy information.

Dave's last day off from vacation and (potentially) Vont's last MN Goodbye until Dave is gone again. Vont gets up close and personal with Jenny's Nexplanon, we talk about car bias and what's in our own cars, and cringe over urinals.

Despite so many different options for birth control being available, it often feels like the pill is the only option. But knowing what your options are us key to making the choice that is best for you and your body. In this episode, I deep dive into each method of birth control, how effective it is, why it works, and the pros and cons to each. I cover: The traditional pill, which is roughly 91% effective and comes in two types. IUDs, which are 99% effective and come in 5 types in the United States. Nexplanon, which is also 99% effective and implanted in the arm. The depo shot, which is 94% effective and needs to be re-administered once every 3 months. NuvaRing, which is 99% effective and needs to be replaced every month. Spermacides, which are 79% effective and should be used in addition to other forms of birth control. Phexxi, which 93% effective when used correctly, 86% when used with error, and is a relatively newer option for spermacide. Condoms, which are 85% effective. Fertility Awareness Methods (FAMs), which are the most natural form of birth control, and requires using your bio-markers to track your fertility and ovulation. I also cover when in your cycle you're at the highest risk for pregnancy. Reach out on Instagram with any further questions! Fullscript Supplement Dispensary

Hello loves, I hope you enjoy this week's episode. I explained the process of getting my Nexplanon. It is different for each person but this is what worked for me. I chatted a little about vasectomy, but please be sure to go to your doctor about what would be best for you. I want to emphasize that I want people to be safe, but obviously, you guys know that I am very transparent with what I do with my life sexually. This is just a snapshot, and then I speak a little bit about my experience at my orientation for school. Let me know what you guys think about this episode! Thank you loves for listening! Here is my social media if you would ever want to reach out, speak about your experiences, or have any suggestions or want to be friends. I am here, thank you for your support. Instagram: https://www.instagram.com/filipinavlogz/?hl=en Facebook: https://www.facebook.com/profile.php?id=100091254532184 Twitter: https://twitter.com/filipinavlogz

Today, Nick and Fei discuss some of the clinical challenges of LARC. What do you do if you can't find IUD strings? How do you deal with a deeply implanted Nexplanon? Listen to the episode today to find out!  Check out committee opinion 672 for further reading.  Check out the website for the Rosh Review question of the week.  Twitter: @creogsovercoff1 Instagram: @creogsovercoffee Facebook: www.facebook.com/creogsovercoffee Website: www.creogsovercoffee.com Patreon: www.patreon.com/creogsovercoffee You can find the OBG Project at: www.obgproject.com

Episode 132: Harm Reduction and Reproductive HealthMeghana explains how to implement harm reduction strategies in at-risk populations such as unhoused patients and injected drug users. Dr. Arreaza adds comments about PrEP for HIV and Expedited Partner Therapy (EPT)  Written by Meghana Munnangi, MPH, third-year osteopathic medical student, College of Osteopathic Medicine of the Pacific Western University of Health Sciences. Comments by 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.Arreaza: It can be frustrating for physicians trying to change “risky” behaviors in their patients and turn those behaviors into “healthy” behaviors. Doctors deal with this issue every day, but after reading more about the principle of harm reduction, I'm feeling more prepared to help our patients reduce their risks.What is harm reduction?Meghana: Harm reduction is a set of evidence-based interventions that arose within the public health community to reduce the harms associated with risky health behaviors. Most commonly, harm reduction refers to the policies and programs that aim to minimize the negative impacts associated with substance use disorder. The goal is to “meet people where they are” and to provide compassionate, judgment-free interventions and resources to at-risk populations.Examples of people who are part of the “at-risk population.”Some examples are injection-drug users and sex workers. With America experiencing the largest substance use and overdose epidemic we have ever faced, it is exceedingly important we provide services such as clean needle exchange, overdose reversal training, safer sex kits, and more to prevent unnecessary injury, disease, and death. Arreaza: In some countries where prostitution is legal, women are required to have regular check-ups to continue work. I see that as a harm-reduction strategy. I disagree with having sexual workers, but if we are unable to eliminate them, then harm reduction may be the way to go. Why is harm reduction important in medicine?Meghana: Healthcare providers have a unique opportunity to improve the quality of life and limit the negative outcomes associated with risky health behaviors by incorporating harm reduction strategies into their practice. Harm reduction interventions not only decrease health risks in an individual but also in the community. Examples of harm reduction strategies. Meghana: Studies have shown that areas that have introduced clean needle exchange interventions have lower HIV seroprevalence compared to areas that do not have similar interventions [1]. It is critical  as health care providers to respect our patient's choices and provide supportive care that will not deter patients from accessing care in the future. Patients who engage in risky activities often face stigma and are treated poorly by the medical system making behavioral changes even more difficult [2]. Understanding that many patients may not be willing to change their behaviors and using a practical approach to medical counseling can strengthen physician-patient relationships. Arreaza: I can think of another example. Pre-exposure prophylaxis for HIV in patients who have multiple sex partners. You wish those patients would have more insight into the risks associated with having multiple sexual partners, but if you cannot change them, you can still reduce the risk.What is harm reduction in the context of the reproductive health field?Meghana: Within Harm Reduction programs, there are many important strategies targeted toward improving sexual and reproductive health. Individuals who inject drugs and sex workers have limited access to family planning services and HIV testing. Studies have shown that individuals with substance use disorder have higher rates of unintended pregnancies, pregnancy-related mortality and morbidity, and lower rates of contraceptive use compared to the general population [3,4]. Harm reduction within the reproductive health field must include expanding access to condoms, contraceptive methods, STI and HIV testing, and prenatal care. Reproductive health harm reduction strategies can reduce rates of STIs, HIV, and unintended pregnancies. In addition to expanding access to condoms, STI screening, treatment, and partner therapy must be offered and encouraged to all patients. Arreaza: As a reminder to our listeners, Expedited Partner Therapy (EPT) consists in treating the partner(s) of a patient with chlamydia or gonorrhea. You, as a physician, treat a patient with STI, but you also give a prescription or medication to that patient, and he/she takes the prescription or medication to his/her partner(s) without me (the doctor) seeing the partner in the clinic or hospital. This is a harm-reduction strategy. It is permissible in 46 states in the US and potentially allowable in Alabama, Kansas, Oklahoma, and South Dakota. It is prohibited in 0 states. Meghana: Regarding birth control, a recent study by Dr. Frank and Dr. Morrison from the University of Michigan suggests that long-acting reversible contraceptives (LARCs) such as the Intrauterine Device (IUD) or the “Implant” should be offered and easily accessible to women with substance use disorder [5].  In America, around 45% of all pregnancies are unintended, and among women with substance use disorders, this number is doubled [6,7]. More so, women with substance use disorders are 25% less likely to use any form of contraception and are more likely to use less effective methods [5]. Patient autonomy is important.Meghana: Autonomy is one of the fundamental principles of ethics in medicine, so it is important that all contraceptive decisions are made without any form of coercion. Also, all discussions must take into consideration previous trauma, such as intimate partner violence. Contraceptive counseling should be comprehensive, and patients should be educated on all methods, including emergency contraception and barrier methods.  Patients should not be coerced into choosing a LARC simply because they engage in risky health behaviors and should be offered the same methods as the general population [8]. Arreaza: Let's remember to offer Nexplanon to unhoused patients. On the topic of emergency contraception, you can listen to episode 129. Now, please give us a conclusion.“If you can't fly then run, if you can't run then walk, if you can't walk then crawl, but whatever you do you have to keep moving forward.”― Martin Luther King Jr.Meghana: Overall, family physicians are in a unique position to incorporate harm reduction strategies into their practice to improve the quality of life of their patients and to improve health outcomes in their community. Reproductive health harm reduction strategies should be considered and offered to all patients who engage in risky health behaviors. Individuals with substance use disorder and sex workers should be routinely tested for STIs, including HIV and Hepatitis C, as well as offered pregnancy testing and prenatal care if needed. Comprehensive contraceptive counseling, including condom use and emergency contraception, should be discussed with all patients, and conversations should be stigma-free and collaborative. Incorporating reproductive health interventions into already existing harm reduction programs is key to improving the overall health and well-being of our most vulnerable communities. _____________________Conclusion: Now we conclude episode number 132, “Harm Reduction and Reproductive Health.” Meghana gave us an excellent introduction to the principles of harm reduction in medicine. Applied to reproductive health, we can reduce risk by improving access to condoms, HIV and STI tests, and birth control methods, especially IUD and subdermal implants. Dr. Arreaza also reminded us of strategies such as pre-exposure prophylaxis for HIV (PrEP) and Expedited Partner Therapy for STIs. This week we thank Hector Arreaza and Meghana Munnangi. Audio editing by Adrianne Silva.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:Amundsen EJ. Measuring effectiveness of needle and syringe exchange programmes for prevention of HIV among injecting drug users. Addiction. 2006;101:911–2. Available at: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1360-0443.2006.01519.x?sid=nlm%3ApubmedNyblade L, Stockton MA, Giger K, et al.; Stigma in health facilities: why it matters and how we can change it. BMC Med. 2019;17(1):25. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376713/.Woodhams E. Partners in contraceptive choice and knowledge. November 18, 2021. Available at https://picck.org/enduring-sud/.Patel P. Forced sterilization of women as discrimination. Public Health Rev. 2017;38:15. Available at https://publichealthreviews.biomedcentral.com/articles/10.1186/s40985-017-0060-9Frank CJ, Morrison L. Harm reduction for patients with substance use disorders. Am Fam Physician. 2022;105(1):90-92. Preview available at https://www.aafp.org/pubs/afp/issues/2022/0100/p90.html.Heil SH, Jones HE, Arria A, et al.; Unintended pregnancy in opioid-abusing women. J Subst Abuse Treat. 2011;40(2):199-202. Preview available at https://pubmed.ncbi.nlm.nih.gov/21036512/.Terplan M, Hand DJ, Hutchinson M, et al.; Contraceptive use and method choice among women with opioid and other substance use disorders: a systematic review. Prev Med. 2015;80:23-31. Preview available at https://www.sciencedirect.com/science/article/abs/pii/S0091743515001140?via%3DihubBaca-Atlas MH, Nimalendran R, Baca-Atlas SN. Applying Harm Reduction Principles to Reproductive Health. Am Fam Physician. 2023 Jan;107(1):Online. PMID: 36689956. Available at https://www.aafp.org/pubs/afp/issues/2023/0100/letter-reproductive-health.html.Royalty-free music used for this episode: “Gushito - Burn Flow." Downloaded on October 13, 2022, from https://www.videvo.net/

On today's episode of Wellness Wednesday we discuss the pros and cons of a very common form of birth control: Nexplanon. Tune in to this episode with Helen and our co-medical director Christi as they discuss all you need to know about Nexplanon, such as:   What it is, how it works, and how it is different from other forms of birth control It's benefits in comparison to other birth control What the side effects are Things to consider before using Nexplanon Resources from Christi: All About Nexplanon - Healthline Do Hormonal Contraceptives Cause Weight Gain? Contraception - CDC Detailed Document on Nexplanon Insertion, Precautions and Side Effects   Disclaimer: The information shared in this podcast is the opinion of the speaker, or speakers. Medical information is not intended as individual medical consultation, but for general education only. Always consult your own health professional for personalized advice regarding medical decisions.

PSA to the male species: beware. This episode is loaded with girly content - mainly talk of, you guessed it - periods! So, before you proceed, you've been warned. Ladies, join our lovelies as they dive into helpful content related to foods to eat to prevent bloating and constipation during that special time, hygiene products, tracking apps and more! Plus, as usual, there will be unrelated additional content to make it a nice, well-rounded gripe session! Wouldn't expect anything less with these two so jump right in and enjoy! 

In this episode of Real Talk, KJK Student Defense Attorneys Susan Stone and Kristina Supler are joined by Dr. Lauren Streicher, a Clinical Professor of Obstetrics and Gynecology at Northwestern University's medical school, and the founder and medical director of the Northwestern Medicine Center for Menopause and the Northwestern Medicine Center for  Sexual Health.  They discuss sexual and reproductive health in college kids. The conversation includes prevention, infection and maintenance of Sexually Transmitted Infections (STI's), the myths behind contraceptives and how they actually benefit women, and how to empower women with education about sex, reproductive and gynecological health, and sexual pleasure. Links: Dr Lauren Streicher's Website (Click here) Inside Information: the Menopause Podcast (Click here) Show Notes: (00:38) How we crossed paths with Dr. Streicher and her amazing accomplishments to date (02:01) The irony between hot flashes and college (02:46) The surge of sexually transmitted diseases and infections…a.k.a. College (03:31) What measure should every mom and their child take to prevent contraction of STI's known to cause certain types of cancer? (06:11) A scary new trend of how college students have fallen victim to STI's (07:19) How this makeshift form of protection that is often ridiculed can allow women to safely enjoy oral sex…well for 15 seconds (08:10) Unraveling the mysteries of a female condom– yes, you read that correctly. (09:10) Saran wrap belongs in the kitchen, not on your lady parts  (09:52) The real solution to safe oral sex for women (that's FDA-approved) (11:50) How $6 can save you from a potentially life-long sexually transmitted infection  (12:34) Why not all sexually transmitted infections can be treated with just creams or at all (13:28) The best safety measure you can take to prevent a permanent battle with HPV (13:40) Unfortunately, there is no catch-all screening test for sexually transmitted diseases (15:37) Common misconceptions about emergency contraception (17:31) The scientific explanation of pregnancy and fertilization (18:40) A non-pill form of emergency contraception (19:10) The ancient alternative to Plan B pills (19:50) An over-the-counter, essential component of your child's college first-aid kit (21:14) News flash: You can still get pregnant after taking Plan B (21:42) Alternative forms of contraception with higher efficacies (22:36) The dwindling existence of access to safe abortions for unplanned pregnancies; 50% from failed contraception (23:52) A lesser known benefit of IUDs (24:20) Busting the myth that contraceptives like birth control pills  lead to infertility in women; they actually protect it (25:44) The effect of marijuana on reproductive health in both men and women  (26:52) Why in the end, money matters more than health; the explanation behind the lack of scientific studies on the effects of marijuana to a female's reproductive health (27:53) What is the most prevalent gynecological health issue facing women in their early twenties today? (28:20) An online resource young women can utilize for sex education and pleasure; basically everything our mothers didn't talk to us about (29:08) Female sexual pleasure and why it should not be overlooked (31:30)  Sex should never hurt period. (34:56) The sex talk that every mother should have with their daughter before sending them off to college Kristina Supler: Today we are so pleased to be joined by Dr. Lauren Streicher. Who's a clinical professor of obstetrics and gynecology at Northwestern University's Medical School. Dr. Streicher's also the medical director of the Northwestern Medicine Center for Menopause and the Northwestern Medicine Center for Sexual Medicine. Susan Stone: I just have to say, we are really excited. We worked with Dr. Streicher on a case where she gave us some gynecological expertise. There was an issue and we got to know her and it's an amazing colleague to have. She just released a book. Her recent books are Slip, Sliding Away, Turning Back the Clock on Your Vagina and Hot Flash Hell, a Gynecological Guide to Turning Down the Heat. Susan Stone: And as a woman in her fifties, I can tell you that's important. But she's also an expert on issues that would pertain to women in college, which is why we actually met her.  Kristina Supler: Yeah. It's been such a pleasure to Work with Dr. Streicher and review all of her books and her social media content. I should mention she's also the host of a podcast called Dr. Streicher's Inside Information, the Menopause Podcast. So for all of our listeners out there, parents who are listening to learn about what to talk to their college kids about. Check out Dr. Streicher's podcast as well.  Susan Stone: we get a double bang for our buck because typically our podcast is for our listeners of kids in college. Susan Stone: So if you think about it, Dr. Streicher, we're here to talk about health of college kids, but our listeners are their mothers who should turn onto your podcast. So welcome a board to Real Talk.  Dr. Lauren Streicher: Well, thank you. And, and of course your listeners are my listeners because isn't it just kind of strange how, when women have their first hot flash is also the time they're waving goodbye to their kid and redecorating their bedroom. Dr. Lauren Streicher: So true. because women, as you know, tend to put off having kids, and it is not unusual for a woman to have a family starting in her mid, late thirties, which means hot flashes in college. It's all goes together. That is  Susan Stone: the great tie in. Why don't we lead off with our first question that would really impact women going off to college. Susan Stone: What's new in the world of preventing diseases, anything new in that area?  Dr. Lauren Streicher: It's funny, you should ask, sexually transmitted infections is of course a big topic, which that issue starts long before someone goes off to college, you know, certainly in high school we addressing those issues, but there's no question that the numbers of sexually transmitted infections do go up in the twenties during the college years, because that's the time when young men and young women are exploring sexuality. Dr. Lauren Streicher: Very often having multiple partners and quite frankly, very often having too much to drink too often, which can sometimes lead to sexual activities that even people who have the best of intentions find that maybe they don't use the condom. They don't use the protection, they don't need. Do what they need to do. Dr. Lauren Streicher: So it is a time that stories going a day out well,  Susan Stone: and that's why we have a business. Right?  Dr. Lauren Streicher: So let me start why it talks about what's new in terms of sexually transmitted infection prevention. This isn't exactly new, but it bears repeating for parents that before you pack your kid off for college, make sure they have their HPV vaccine. Dr. Lauren Streicher: And we are talking both boys and girls, you know, a lot of people, they put it. For a variety of reasons when their kids are 11 or 12, it's kind of on the back burner. Maybe the pediatrician doesn't bring it up. Maybe they don't see a pediatrician anymore. And this is critically important because what we know is that if a woman gets the HPV vaccine, that she's going to be protected against 90% of strains of human papillomavirus. Dr. Lauren Streicher: Which of course are not only responsible for cervical cancer, but also vaginal cancers V our cancers, some head and neck cancers and the thing is, and also, yeah, and, and we have data coming out now because it's been around long enough that we're starting to see the fruit of that vaccine because it used to just be okay. Dr. Lauren Streicher: We have less girls with abnormal. Pap tests, but now we are seeing people, we're now 15 years later seeing less cervical cancers, less other cancers. And this is just as important for the boys as the girls. You know, a lot of times I'll get a parent who says, well, you know, that encourages sexual activity. Dr. Lauren Streicher: We know that it does not encourage sexual activity. And for the parents who say, my kid is not gonna be sexually active, you can think that, and, and maybe your kid won't be, but as you know, better than anybody, the rates of non-consensual sex are very high in, at college. And just like you wouldn't set your kid off to drive without putting on their seatbelt. Dr. Lauren Streicher: You shouldn't send them off without their HPV vaccine. So. For starters, even if you don't wanna have the conversation with your kid about it they need that HPV vaccine. It is critically important and it is FDA approved, of course, for both boys and girls, up to the age of 45, by the way, moms, for those of you who are single out there, and as you send your kid off, you're saying, okay, now it's my time. Dr. Lauren Streicher: Keep in mind that as you get out there, you wanna protect yourself as well. While it is not FDA approved for women over the age of 45. I give an HPV vaccine to any woman who asks I don't care how old she is because older guys have HPV too thought. I would just throw that in, even though it's a little bit, Hey, off  Susan Stone: topic, protect those moms out there. Susan Stone: Protect single mom.  Dr. Lauren Streicher: Well, truly when we think about this being a time of sexuality for your young adult, for a lot of people, especially single moms, this is the time that you say, okay, my turn, or even the people who are married or in long-term relationships, suddenly you're not worrying about the, the teenager lurking outside the door and sure. Dr. Lauren Streicher: They actually have a little bit more activity. But the thing that's new, that's really interesting. While anyone, any college student you talk to is certainly aware that condoms, um, will protect against sexually transmitted infections during intercourse. We know that there are a lot of sexual activities that have nothing to do with the penis going and the vagina. Dr. Lauren Streicher: And in fact, there are a lot of people that will avoid. Penile vaginal penetration specifically because they are worried about pregnancy or they are worried about an STI. So they'll do other things. And a lot of times what other things might involve is oral sex. So the problem of course, has always been, if you have a woman who is on the receiving end, Of getting oral sex from a male or female partner. Dr. Lauren Streicher: There's always the concern about the trans the genital oral transmission of sexually transmitted infections. And we're talking things like human papilloma, virus, herpes Even gonorrhea, even syphilis, you can transmit a lot through genital oral contact and you don't want to end up with an infection like that. Dr. Lauren Streicher: So what options does a young woman have to protect herself and to protect her partner? In the past, a woman was always told to use a dental dam. Now, now you have you ever. Seen a dental dam outside of your dental office. I  Kristina Supler: never one had to try and mention it.  Dr. Lauren Streicher: No, it's like, no, of course not. They're not gonna buy it. Dr. Lauren Streicher: They're not going use it. They, everyone hears about it and jokes about it's not gonna happen. So what's the alternative to the dental dam. Well, for the Martha Stewarts out there what you can do is you can take an UN lubricated condom. You can cut off the tip, you can cut open the condom, and now you've got a square of latex, which is gonna be impermeable. Dr. Lauren Streicher: So theoretically. For the highly motivated, you can then teach which work and spread it over the vulva. And it's never gonna happen. That's gonna last for about maybe 15 seconds before it falls off or gets pushed aside or whatever. So that's really not a solution. And then we have the female condom, which a lot of people haven't heard of. Dr. Lauren Streicher: And the female condom is basically an over the counter product, just like a male condom. Only this one goes inside the woman's vagina. And then there's a sheath, basically a tube with the ring at the end that goes outside on the VVA. And I know you're making a face. People can't see that, but I will tell everybody you're making a face and that's exactly. Susan Stone: I am you making a face going, does that cause up an infection?  Dr. Lauren Streicher: Well, I affection, but the face you're making is the same face young women make when I tell them about it, because they say, are you kidding? First of all, I'm not gonna, you know, find buy one of these things. I'm not gonna put it inside me. I'm not gonna hang it out, have it hanging out on my vagina, just to have the guys say, what's that. Dr. Lauren Streicher: So that's not gonna happen. And before we get onto what the real solution is, I also wanna mention that saran wrap is also not. An option. A lot of people, I know this is what's good. I mean, this is what's going on out. There is people are saying, okay, I don't wear nowhere to get a dental dam. They don't know about the condom thing and they saran wrap. Dr. Lauren Streicher: I've got it in my kitchen. It's easy. I'll grab it. So they take saran wrap, they spread it over their Volvo, but here's the problem. Wrap is made to go in microwaves. And what that means is it's porous. Hello? Hey, there's a little ports of entry for all those bugs. You're trying to keep out. So aside from the fact that it's very amusing, when you go to the store and you see a woman buying jumbo cran wrap, and you think, gee, I wonder what that's for. Dr. Lauren Streicher: It is not to prevent sexually transmitted infections. I have good news. What's the solution. The solution is there is a new product, actually, not a new product, but what's new is that the FDA has just sanctioned. It is actually protecting against sexually transmitted infections. And this product is a panty. Dr. Lauren Streicher: It is called Loral L O R a L. I do not work for these people. And basically what Loral is, is it was invented for the purpose of preventing sexually transmitted infections when a woman is receiving oral sex so that she doesn't give it to the giver who you're always grateful to the giver. You don't wanna give them something, right. Dr. Lauren Streicher: And you're not gonna get anything from the giver. So the way that this works is that these panties are made out of the same material as condoms. It's a latex panty, and they're kind of cute. They come in, very stretchy bikini style. It's, you know, you won't feel stupid wearing it cuz they actually are cute panties. Dr. Lauren Streicher: And the idea is that the. where is this panty? And it's very, very thin so that if someone is giving her oral sex, she still gets all the sensation. She can feel everything he or she who's giving can feel everything. But if there's anything lurking on her genitals or on the giver's tongue, it's not gonna get transmitted. Dr. Lauren Streicher: The panties are not looking. Not that  Susan Stone: we're Googling it everybody. And we see that it's, we're not getting paid either. I just learned about this.  Kristina Supler: Wow. Oh, look at this. We think it's about damn time undies were designed for pleasure of the, the pleasure of their wearer  Susan Stone: and it's $25 and vanilla scented and it's seamless. Susan Stone: So it's not gonna super stretch.  Dr. Lauren Streicher: So I, when I was talking to the company and, you know, I always get on my high horse about, you're not supposed to cover up normal genital odors because women are not supposed to smell like English gardens. And this whole idea is offensive to say that you have to put something on that has a different taster or smell, but in this case it's actually valid because they're what they're the purpose of the vanilla scent is to get rid of the latex taste and smell mm-hmm , you know, mm-hmm so it's not to cover. Dr. Lauren Streicher: The woman it's to cover up whatever, might be going on with the latex. So the, people block at the price, it's $6, a panty, but truth be told. There is you can't put a dollar value on not getting a sexually transmitted infection like HPV that you will be dealing with potentially for the rest of your life. Dr. Lauren Streicher: And when you think about the cost of what you might spend on the lipstick to go out on the date, Or the drink you have on the date spring for the $6 panties. I'm just  Susan Stone: saying, yeah, I'd like to add, it says $25, but you get four, four individually packed undies. Yeah.  Dr. Lauren Streicher: So $6 did.  Kristina Supler: So let me ask you this STS are most, I think there's a, a perception. Kristina Supler: Most STIs are treatable with an antibiotic and then the person's fine, true or not true.  Dr. Lauren Streicher: Well, it depends on the STI Uhhuh . So if you look at something like gonorrhea or syphilis, that would be true. If you look at herpes, herpes is, you know, obviously very, very common. And while we can control herpes using various antiviral. Dr. Lauren Streicher: Medications you don't get rid of it. We hope that the herpes virus is just going to quietly live somewhere and not rear its ugly head too often, but it doesn't ever go away. So it is something that while it is certainly not a, yeah, I mean, I don't wanna. Make it sound like if you get herpes, it's horrible. Dr. Lauren Streicher: It's not a lot of people get herpes and they deal with it and they're still good people and they're clean people and people love them and they have sex and all of that, but it is something you do need to manage for the rest of your life. And the same is true of HPV human papilloma virus, which is the most common, sexually transmitted infection right now. Dr. Lauren Streicher: We do not have anything to eradicate it the best, but of course is to make sure that you're vaccinated. But if you are vaccinated, that is not going, that's 90% basically, which is pretty good, but it's not a hundred percent. And that is also something that you may be dealing with going forward. Dr. Lauren Streicher: And when we talk about sexually transmitted infections and, and one of the things that you hear so often, which is so not true is when a woman says, well, my partner was tested for everything. There is no everything. There are something like 30 to 40 sexually transmitted infections. And when a woman comes to my office and says, I would like to be tested for everything. Dr. Lauren Streicher: My response to her is I can't test you for everything, but let me tell you what I would recommend as a general screening as a general battery, what I would include, but then most important I say, but are you concerned about any specific exposures or have you had any specific symptoms that may then lead me to say, oh, I also wanna test for X, Y, Z. Dr. Lauren Streicher: So there is. Everything. There's just good to know. Yeah.  Susan Stone: That's really good. Know we're gonna switch gears onto the next topic. We think impacts college women, and that is pregnancy prevention. Yeah. And Christina, wouldn't you say that every case that's coming in the door what's with the plan B everyone's talking plan B. Kristina Supler: Well, it's really interesting, particularly in cases where we're seeing our clients. Who had a hookup whatever the circumstances are. And basically what I'm getting at is the sexual partners don't know each other that well. Yeah. And if there's a pregnancy issue, talk of plan B, it just really it adds a lot of stress and creates a really difficult dynamic that very few students are really. Kristina Supler: Emotionally equipped to navigate. And so I can't tell you how many of our title IX matters across the country at schools of all different calibers and tiers. There's a title I case with a plan B issue at the heart of it. In terms of, issues of consent and coercion and so on and so forth. Susan Stone: Well, we wanna go back to basics for our listeners. Yeah. Can you just explain what is plan B, how it works? What are the side effects? Just educate our parents about it because I didn't grow up with it.  Dr. Lauren Streicher: Well, no, we did not. And so plan B, we, we refer to it as emergency contraception. We do not refer to it as the morning after pill. Dr. Lauren Streicher: And the reason why is because you don't have to do it the morning after. I mean, when I would, you know, I used to get these phone calls, emergency phone calls at 2:00 AM, where I could still hear the heavy breathing. Saying, you know, I need the morning after. The condom broke. I need the morning after pill right now, you have more time than you think. Dr. Lauren Streicher: And in fact with taking plan B, these are pills and I'll get into the specifics, but you have up until five days now, the sooner, the better, you know, we would like you to take plan B or another form of emergency contraception within. Ideally 24 hours, 48 hours, 72 hours. Because when you look at failure rates, the failure rates are much, much lower early on, but the most important thing to know about plan B is first of all, it is not an abort patient. Dr. Lauren Streicher: And I cannot say that enough. It is not. We've had many  Kristina Supler: students come to us, really confused about that.  Dr. Lauren Streicher: Very issue. And the reason why it's so confusing. Um, and we won't get into politics here and, and MIS, you know, messaging and all that. But they actually came out about the same time when you look at R 46, which is an AOR patient. Dr. Lauren Streicher: And then you look at plan B, which is not, which is emergency contraception, meaning it prevents. Conception from occurring as opposed to disrupting an established pregnancy. So just to be clear, emergency contraception prevents a pregnancy and abort patient disrupts or aborts and already established pregnancy. Dr. Lauren Streicher: So  Susan Stone: someone said to us though, and I just wanna have you clarify that there. EC does one, it prevents pregnancy one of two ways. One, it prevents the actual fertilization of the egg. Yeah. And two, it prevents implantation and some people argue that. It should be considered abort of if there's a fertilization, I don't wanna get into politics, but can you explain how it prevents pregnancy? Dr. Lauren Streicher: So, so this is the thing when we look in terms of timing we know that the best time to take emergency contraception is, as I said, early on. When you look at, when does fertilization actually occur after a sex act, it's not immediately, it occurs in the fallopian tube when the sperm makes that journey up the cervix up the uterus out through the tube where it potentially will. Dr. Lauren Streicher: Meet up with an egg. Well, this journey is not instantaneous. This journey can take 4, 5, 6 days. So what that means is that if you take emergency contraception within those first 24, 48 hours, conception has not occurred yet. When you're looking at emergency contraception, that's taken as an outlier. Dr. Lauren Streicher: At five, six days when you, you really don't want to. Cause first of all, it's not gonna work as well, but is there the potential that the egg has already been fertilized, but just hasn't traveled down yet to the uterus? Yeah. And strictly speaking, if you think of that as being. An early termination of a pregnancy, but I don't look to me. Dr. Lauren Streicher: A pregnancy is when you have a fertilized egg, which is implanted in the uterus, that's, you know, we have ectopic pregnancies, we have all kinds of things that happen in the tube that are not actually what I consider to be viable pregnancies. You can say the same thing for IUDs intrauterine device, which actually. Dr. Lauren Streicher: A copper, I U D can be used as a form of emergency contraception. A lot of people don't know that they think it's just the pills, but you can also use a copper I U D, which is very similar in terms of it setting up an environment in the uterus where fertilized egg is just simply not gonna implant. Dr. Lauren Streicher: But when you look at plan B, so it's actually, when you go back historically, when plan B first came out, Long before they came out with the actual plan B manufactured as such what we used to do as kind of our own concoction. If you will, is if a woman came in and said that she had unprotected sex, we would give her four birth control pills two in the morning, two at night, it was basically it's a high dose pill and that would work very well. Dr. Lauren Streicher: I'm sorry, what would those women get sick and really nauseous from that?  Dr. Lauren Streicher: They would get sick. Yes, but they would get sicker if they got pregnant. So it seemed like a good, there you go. There you go. But, so that's what we used to do. And then of course, manufacturers came out with plan B, which is not the only emergency contraception. Dr. Lauren Streicher: There's some others also, but the, the beauty of this is not in every state, but in most states you do not need a prescription. This is something that you can get directly from the pharmacist. It is state by state. But quite frankly, I think when we talk about, as a parent sending your kid off to school and there, you know, you pick the first you, you put your first aid kit together and I, and I know you had Dr. Grimes on as a guest and talked about her book. And in her book, she talks about all the things you wanna have in that health kit to send off. I don't think she has plan B, but that's what I would add. Oh no. Oh, I would add, I gotta talk to her about that cuz she's my friend. I would add the panties and plan B to that little kit that you send with your daughter. Dr. Lauren Streicher: Or son off to school because we want the guys to be responsible and be able to share that. And if a guy's condom breaks, it's nice. If he's be able to give to the woman who's involved, here's plan B, you don't need to go and spend the money and go to the pharmacy and all that. This stuff doesn't expire. Dr. Lauren Streicher: You it'll hang out for the year. So every year you can give them a new prescription, but instead of the prescription, just give them the actual pills because you're not giving your daughter permission to have sex. Trust me, they're gonna, if they're do it, they're gonna do it. You just wanna keep 'em safe. Kristina Supler: You talked about like ideally taking it 24 to 48 hours up to five days and the longer you wait, I think it, it impacts efficacy, but let's say you take it early on. Can a woman still get pregnant after taking a plan B.  Dr. Lauren Streicher: Yes. It's not a hundred percent. And, and I think that that's important to know that if you, if you take it and and then you end up missing your period you still need to do the pregnancy test. Dr. Lauren Streicher: You still need to deal with potential consequences, but the numbers are much lower. Ideally you don't wanna just rely on a condom because condoms do break condoms do get left off the absolute best form of contraception. For a young woman, hands down is what we call non-user dependent. Dr. Lauren Streicher: Meaning you don't have to take the pill. I mean, pills are good, but better you get busy. You know, you've got a crazy schedule. You're not gonna take that pill at the same time every day. And that's why we love IUDs. We love the implant Nexplanon because it's said it and forget it. And we know. That the efficacy rates are up there in the 98,99%. Dr. Lauren Streicher: And it doesn't get any better than that. So my feeling is, is before you go off to school or the second you get there, get an I U D get your next plan. It'll hold you for the whole four years. So it's a one time thing for most people. And then yes, you still need to protect against sexually transmitted infections, but at least if something happens, you're not worried about both. Dr. Lauren Streicher: You don't have to worry about pregnancy and again, not to get too political, which is hard for me. We have states now and more soon to come and it may be across our country that the. The whole notion of having access to a safe and reliable abortion is simply not going to exist. Dr. Lauren Streicher: And we need to deal with the reality of that. And we know that right now in this country, 50% of unplanned pregnancies are not no contraception, it's failed contraception. And that's a very important fact for people to know, because fascinating statistics. Yeah. You can get all these facts on the group mocker site but the thing that's so critically important is there are people out there that say, well, if someone gets pregnant, it's their own damn fault, cuz they weren't being careful or they weren't being responsible. Dr. Lauren Streicher: And aside from the fact that we have non-consensual sex on campus, even responsible. Couples very often will have contraception that fails, whether it's the pill that's taken too late. I mean, this is an absolute fact that 50% of unplanned pregnancies occur in a cycle in contraception was used, but it failed. Dr. Lauren Streicher: So quick  Susan Stone: question, just a transition just as a mother with, daughters. Is there any concern that the plan B or the implant would impact future fertility?  Dr. Lauren Streicher: Quite the opposite. We know that an I U D does actually, we don't advertise this, but can actually decrease the transmission of sexually transmitted infections. Dr. Lauren Streicher: And the reason why is that one of the effects of the I U D that prevents pregnancies, it makes the cervical mucus very, very thick, very, very tenacious. So it keeps those creepy crawlers from going up into the uterus and the tubes. So it's actually protective, but again, we don't advertise that cause we want people to do STI protection anyway. Dr. Lauren Streicher: And certainly birth control pills in no way are going to impact. Someone's ability to get pregnant down the road. And what's so interesting is when we think in just in terms of hormonal contraception in general, we know it actually protects fertility because when you look at the reasons why people can't get fertil, can't get pregnant. Dr. Lauren Streicher: The number one reason is that they're too old. And so when someone's been on the pill for 20 years and they go off the pill and can't get pregnant, it's not cuz they run the pill for 20 years. It's cuz now they're 40. But if you look at young, Who go off the pill. What that means is if that young woman had a problem such as endometriosis, that has been controlled during that entire time and actually protects her fertility. Dr. Lauren Streicher: So  Kristina Supler: while we're on this topic of fertility and just thinking long term, let me ask you, this is I'm sure you're likely aware most college students these days, and of course I'm generalizing, but they don't view marijuana as a drug whatsoever. It's like taking a cough drop. So right. Looking down the road, does smoking marijuana regularly, or maybe infrequently have any impact on reproductive  Susan Stone: health? Susan Stone: And I just wanna say Christina. We take turns, working on the questions we have. And I said to Christina, Where are you getting that question? I mean, who would ever even think, like does marijuana or any drug use impact fertility? I'm like, I, I naturally assumed it wouldn't but then I thought  Dr. Lauren Streicher: that's a brilliant question. Dr. Lauren Streicher: It is a brilliant question because the kids aren't thinking about it, but the potential grandmas to be are and thinking, you know, if my kid goes off to school and does four years of pot, am I a ever gonna have a grandchild? Or if I do is my grandchild gonna have two heads? And so it, it's a totally, totally appropriate question. Susan Stone: So that's why I'm in business with you. There you go. There you go days. So this  Dr. Lauren Streicher: This is what we know. We, and we don't know a lot because of course it has not been studied nearly enough. We know that in men. That smoking pot can cause fertility problems and can alter sperm, but men make sperm as they go, if you will. Dr. Lauren Streicher: So this pat, a guy smokes in college, as best as we know is not going to affect his sperm. 20 years later, women are born with all of their eggs and those eggs are just like sitting there ready to be released and we don't have any data. That says that that cannabis will alter fertility down the road, but we also don't have any data that says it does not. Dr. Lauren Streicher: We don't, that's a big, we don't know  Susan Stone: why I just have to ask why aren't we studying that?  Dr. Lauren Streicher: Who's gonna do that study and who's gonna pay for it. Okay. Wow. Which is true of any pretty much all studies with cannabis. This is the thing that people forget when they say how come there aren't. the reason why pharmaceuticals will spend millions and millions and billions of dollars on a product is cuz that's the only way they can bring it to market. Dr. Lauren Streicher: If they don't do every single test to see, does this make your nose turn green? Is it gonna make your hair fall out? Is it gonna cause problems? The FDA will never approve it, but cannabis is in a different category because cannabis. Available and doesn't need those tests to come to market. So what cannabis company in their right mind is gonna spend millions of dollars to prove that cannabis does something bad, not gonna happen. Dr. Lauren Streicher: Right. That  Kristina Supler: makes sense. That's very practical. Yeah. So tell us this, based on your experience and that of your colleagues, what is the most prevalent gynecological health issue facing women in their early twenties today? Or  Dr. Lauren Streicher: where's there a knowledge gap? Yeah, the big knowledge back. Well, it, it depends it really depends. Dr. Lauren Streicher: I mean, some young women are incredibly savvy, cuz if they have moms like you, they give them a ton of information and send them off, armed with information. They know quite a bit. And then there, of course there are the young women that come from families and schools where they don't get appropriate sex education, their mothers aren't telling them. Dr. Lauren Streicher: And some of them figure it out on their own and, and some of them don't. And there's a couple of good websites. Sex education for young women. One of them, I think it's called Scarla. Teen is quite good, which is directed for young people to give you accurate information. But the thing that's so interesting to me is we can talk about non-sexual issues, you know, that young women need to know about, but when it comes to sexual issues, it's not difficult to, for someone who's motivated and wants to know about it, to learn about safe sex and and contraception. Dr. Lauren Streicher: But when no one talks about his sexual pleasure and it's a thing, nobody,  Susan Stone: my mother did not talk to me about that.  Dr. Lauren Streicher: No. And even moms that, that are responsible moms that talk to their daughters about, you know, okay, ha you're going off to college and I want you to be. Safe emotionally and physically and STIs and all that stuff. Dr. Lauren Streicher: But have you ever say, and I want you to have great orgasms, no women generally don't have that conversation. And that's where these young women are. Mm-hmm because societally, cause then they start asking about your orgasms. That's why, but the, but the problem is societally boys have an expectation that they are entitled to sexual. Dr. Lauren Streicher: They just do, it's everywhere women. Have this idea that they are put on earth to give men's sexual pleasure, as opposed to that they should be enjoying sex on their own. And even if you look at enlightened sexual education, it's very, very rare that anyone talks about pleasure. So what's so interesting is my daughter's a sex therapist and we give a lot of talks together. Dr. Lauren Streicher: She's quite amazing. She's I'm not a therapist. She's amazing when it comes to this stuff. We give a lecture together. We give a lot of, we give a lecture every year to graduate students at Kellogg, which is the school of business here at Northwestern. And we give one talk to the men and one talk to the women and it's their idea to do it separately. Dr. Lauren Streicher: Not ours. I  Kristina Supler: am I gonna like fifth grade sex ed was because it  Dr. Lauren Streicher: allows them to more freely ask questions. And we've been doing this probably for about four or five years now, and it is a hundred percent predictable. What questions they are asking. And for the women, it comes down to pleasure. How come I don't have an orgasm? Dr. Lauren Streicher: Is sex supposed to hurt? Those are the questions.  Susan Stone: Oh, well you are segueing into a question that we have. Yeah. Who actually have a lot of cases where females complain on about painful intercourse. And they're saying that the male caused it. Yeah, by being too  Kristina Supler: rough or, or perhaps because consent wasn't  Dr. Lauren Streicher: if they  Kristina Supler: weren't around and right. Kristina Supler: Or, or they felt pressured to consent or something like that, there's a direct cause and effect to the painful incourse and seems like sometimes that may be true, but then sometimes there's yeah, very real medical reasons. What can you tell us about that? Susan Stone: If we go into that, because that's how we met. Is there was the claim that a woman said, you can only don't go too deep. And there was complete confusion between the students about what is going too deep. And was that related?  Dr. Lauren Streicher: Yeah. Well, the first message and, it's so important for all young people to know this and quite frankly, adults too. Dr. Lauren Streicher: Um, which is how I spend my day in the menopause center in the sexual medicine clinic is sex should never hurt period. Sex should never hurt. It is never okay to have pain during sexual activity. And a lot of people don't know that especially young women who maybe have never had a pain free or a pleasurable, we've gone from, okay, you should have pleasure to you shouldn't have pain. Dr. Lauren Streicher: These are obviously two different things, but it's shocking how many women think that it is normal to have pain. It is not normal to have pain. So then that brings us more to your question. Why would someone. Pain. And of course the list is very long of reasons why a young woman might have pain. Um, sometimes it's a condition such as endometriosis. Dr. Lauren Streicher: Sometimes women will have actually vaginal dryness because of a birth control, which is little. Understood, but it's a definite problem. Sometimes they might have other issues such as something called Vestia that all of those things have nothing to do with the partner. Okay. These are conditions that they may not know about until they have partnered sex, but. Dr. Lauren Streicher: Those are not caused by the partner. If you look at conditions that are specifically caused by a partner that otherwise wouldn't be there with, let's say a different partner or something, then what you're looking at is a woman aroused. We know that sometimes, certainly when you look at nonconsensual sex obviously women are not aroused during non-consensual sex. Dr. Lauren Streicher: They are expressly saying they do not want it and they will not stay  Susan Stone: out, stay out of my vagina. That's what they're saying.  Dr. Lauren Streicher: The vagina says stay out too. And the way the vagina says stay out is by not lubricating by the muscles tightening. And basically the vagina goes into keep out mode, which is in pain mode if someone attempts. Dr. Lauren Streicher: So, no question that. Certainly that would be a partner related situation. And, and certainly in my practice, we have seen women that have had nothing but painful sex. And then with something as simple, as a different partner who they love and who is patient and they are aroused with things are okay. Dr. Lauren Streicher: But I will say that for the most part. Women that have pain with sex it's because there is something going on with them that we can fix, you know, you're not broken. It just means that it's  Kristina Supler: an important message for women to understand what of all ages that right. You don't have to live with this forever  Susan Stone: and that it could be sign of something else that needs to be treated. Dr. Lauren Streicher: Right. And that's why I've said, I think 10 times right now, pain is never, okay. Pain is never normal. But then the follow up to that is, and it is always treatable. It is always treatable. We have solutions for pain. It's funny cuz with these clinics that I run and obviously we see women that have a lot of different problems, whether it's libido issues or orgasm issues and the ones that we actually kind of like the best, if you will, are the women who come with pain because that we can fix. Dr. Lauren Streicher: Yeah, we can always find out why is someone having pain and how do we eliminate the cause of the pain. But it is very common that women too common that women have pain and people, when they hear we have a sexual medicine clinic, a lot of times they assume that this is for women older, you know, over the age of 45, 50, 55. Dr. Lauren Streicher: No, they don't come to our sexual medicine clinic. They go to our menopause clinic cuz we do. Sex and pain in the menopause clinic, but that's the menopause clinic. The sexual medicine clinic is only women in their twenties and thirties and forties. She's never, that's a wonderful resource.  Dr. Lauren Streicher: Yeah. So do you think the message should be for those moms who have daughters going to college? Dr. Lauren Streicher: Because I don't think mothers gonna really, most mothers are gonna really wanna have a conversation about orgasm, but would it be more appropriate to say, look, I just want you to know. Sex should not hurt. And if you find yourself in pain, you need to call me and we'll figure it out or call the doctor.  Dr. Lauren Streicher: Oh doctor. Dr. Lauren Streicher: So this is the other thing too. And this is, I know Dr. Grims has made this point and I dunno if she made it with you is as you send your young adult off, part of sending off your young adult is to send them off armed with the phone numbers of doctors, their insurance card because you can't expect a young woman to call her mom and say, I had sex with a guy last night and his penis was enormous and I'm now I'm in pain. Dr. Lauren Streicher: What should I do? She's not gonna call her mother and say that, but very few girls are gonna do that. So, so to your point, the message is when you have the sex talk, the going off to college sex talk, the talk is I want you to be. Both physically and emotionally. And I want to make sure that if you choose to become sexual, that you prevent sexually transmitted infections and pregnancy, but I also wanna make sure that you know, that sex is not to please men. Dr. Lauren Streicher: It is to please yourself and you should never have pain. And that's it. Oh my gosh. That's it. Yeah, that's alone. That's the message. Kristina Supler: That was really profound and in, in some ways obvious, but yet I think it's so important that women of all ages hear that and really think about that. And  Susan Stone: if they do, I think that Kristina will see a lot of, a lot less sexual assault cases because women will know how to advocate for themselves and really communicate to the males. Stop. I, you need to get away from me. I don't like this. Hopefully,  Dr. Lauren Streicher: hopefully, well that it's not all about you. It's about me, you know? Yes. It's really where comes down to, because, from the beginning of time there's been this idea that if I don't have sex with him, he won't like me. Dr. Lauren Streicher: And then that will end the relationship. And I will tell you that. I'm not saying that it might not cause be problematic in a, particularly a longer term relationship if you're not have sex, but it's, you know, this is actually one of the problems that my, my daughter, the sex therapist deals with a lot because she does support groups for young women who, who, who have painful sex. Dr. Lauren Streicher: And a lot of what they're navigating is okay, I'm in this relationship. I really like this guy. I want to be able to have sex with him, but I can't because it hurts. How do I deal with that from a relationship point of view? And I can't answer those questions cause I'm not a therapist but I can tell you that there are plenty of guys out there who you know, you can have great sex without having intercourse starting with that, but they are. Dr. Lauren Streicher: If, if they really care about you, they care about the fact that sex hurts and there will be workarounds. Wow. While you get it while you get it treated until you.  Susan Stone: Until we grow. And by the way, I think this applies to couples of all types, right?  Dr. Lauren Streicher: Yeah, absolutely. Well, that's why I've been careful not to say, you know, necessarily a man. Dr. Lauren Streicher: I use the word partner for that reason. Um, that's right. Because I treat people with vaginas cuz I'm a gynecologist, but beyond that, I don't really it, it doesn't impact on me. How they identify whether they identify as male or non-binary or female. And I don't care for what someone has sex with. I just want it to be consensual and pleasurable and safe, that's it. Dr. Lauren Streicher: And consensual.  Susan Stone: Yep.  Kristina Supler: Great words to end on Dr. Streicher. Thank you so much for joining us today. It's been a pleasure and again, to our listeners, check out Dr. Streicher's books that are available for sale basically everywhere, go to Amazon or anywhere else. And then Dr. Streicher's podcast, Dr. Streicher's Inside Information, the Menopause Podcast,  Susan Stone: we really enjoyed having you and could talk to you for hours more. Susan Stone: So we're gonna have to have you back.  Dr. Lauren Streicher: I would love that. It's been my pleasure.

• Ann Rohmer is with Dr.Susy Hota, Medical Director of Infection Prevention and Control, UHN. Topics discussed are: How we keep our school kids safe after the masking mandate was dropped; Children under 5. They still aren't eligible for Covid vaccinations. What happens to them now that mask wearing has ended? The BA.2 variant? • Kevin Frankish is with the Canadian Mental Health Association (CMHA) York Region South-Simcoe looking at ways to manage the anxiety many feel as restrictions are lifted. • Alfons Weersink - Professor, Dept of Food, Agricultural and Resource Economics at the University of Guelph, joins Craig Robertson to talk about how the invasion of Ukraine has affected food prices, not only globally but in Canada. • Tina Cortese speaks with a nurse practitioner from the Community Care Team at Health for All Family Health Team, an inter-professional primary care clinic located in Markham. The Community Care Team is unique because they aim to reach the community's most marginalized residents, including individuals without OHIP.  To support Women's Health in the community, the team will be running two clinics, one for cervical cancer screenings (i.e., Pap tests) and the other for family planning/Nexplanon insertions (i.e., a long-acting reversible contraceptive). • Ann Rohmer introduces us to WILLOW.CA – Willow is first-of-a-kind, “PropSharing” (property sharing) company that allows ANYONE to buy into commercial real estate in prime markets like the Greater Toronto Area, Vancouver, Ottawa, Calgary, Halifax. • Ann Rohmer closes the show with a check-in with City of Vaughan Mayor Maurizio Bevilacqua.

Condoms. Pills. IUDS. Oh my! There are tons of different methods of birth control on the market these days, but do you know how yours works? Today, I'm breaking down the various methods of birth control and how they might be affecting your health!I talk more on…What exactly is birth control (the truth might just surprise you!)Why the diaphragm is one of my favorite methods Health issues that can be caused by long-term useHow long you should actually be using birth controlDifferent types of IUDs The best birth control options based on your needsWhat you need to know if you get the Depo shot!Why permanent sterilization might not be the answer you're looking for (and a much better option!)And more!Don't forget to sign up for my free resource!The Functional Gynecologist's Guide to Balancing your Hormones:https://lcvjtpc8.pages.infusionsoft.net/Connect with me:Dr. Tabatha's Website: https://www.drtabatha.com/Dr. Tabatha's Facebook: https://www.facebook.com/DrTabathaDr. Tabatha's IG: https://www.instagram.com/thegutsygynecologist/Dr. Tabatha's YouTube: https://www.youtube.com/c/TheGutsyGynecologist@Dr_Tabatha was hacked on Instagram! Please report and UNFOLLOW that account. Please follow the real Dr. Tabatha @thegutsygynecologistWe can't let evil win!!@Dr_Tabatha was hacked on Instagram! Please report and UNFOLLOW that account. Please follow the real Dr. Tabatha @thegutsygynecologistWe can't let evil win!!

Today's Mold Talks guest is Victoria Fisher, a mold survivor, awareness advocate, and soon-to-be mother. Victoria unknowingly lived with mold for five years. Thankfully, she continued listening to intuition and discovered that the culprit for her chronic problems existed right within her own home. Even after seeing doctor after doctor, no one could pinpoint what the problem was, and instead only gave her band-aids for the problem. The experience taught Victoria how important it is to continue advocating for her own health and listening to intuition. Refusing to accept her condition as the new normal, she discovered the answers on her own and fought to get her body back into balance and healthy once more. Even while fighting with apartment complex management and medical professionals that were woefully unfamiliar with mold. Still, she considers this event a learning and strengthening experience and is using her story to help others who may be suffering from similar situations.Today's Talk:In this episode of Mold Talks, Michael Rubino chats with Victoria Fisher about her five-year experience with mold exposure and just how difficult it can be to find answers. Not only that, but also the lack of experience with acceptance and understanding when it comes to this indoor contaminant, especially from apartment management. Listening to intuition and refusing to accept her situation as the new normal is the main driver that got her through the experience. At first, when Victoria's mental and physical health started to take a downward turn, she thought it might be her birth control causing all of the issues. When the symptoms persisted even after the removal of her Nexplanon, she then turned to genetic conditions. Her mother suffered from thyroid cancer, so Victoria began seeing medical professionals to determine if this could be the cause of her problems. As it typically goes with mold toxicity, every single test they ran came back normal.As the symptoms progressed over time, she saw an increasing number of doctors and specialists, but no one could give her an answer to her issues. Victoria refused to give up, though. As she said, "I just knew that this didn't have to be my story, and I didn't want it to be my story," so she continued pushing for answers and listening to intuition. It took years of research and perseverance before she finally found her answer: indoor mold growth. After finding specific indicators in the test results, she immediately contacted Texas Mold Inspectors to come in and assess her and her husband's apartment. They, of course, found the mold.What followed was a long and drawn-out battle with the apartment complex management. Luckily, Victoria had the foresight to begin and maintain a paper trail, which she would eventually use to break her lease. From there, she focused on healing her body while staying with her in-laws and finding a new home that didn't already have a mold problem. Looking back, Victoria said that while it's been a wild ride, she still wouldn't give up the experience. It brought her so much awareness and passion for creating a healthy home that she's grateful for. https://www.themoldmedic.com/https://www.allamericanrestoration.com/You can chat more with Victoria at:@v.c.fisher

Dr. Martin answers questions sent in by our listeners. Some of today's topics include: IGF1 growth hormone Why thyroid is a puppet Sodium deficiency Overactive immune systems Shingles Blood clot in the lung Liposomal vitamins Glutathione Mirena IUD or the new Nexplanon  

RICH CELENZA talks about how too many people put too much trust in birth control. Especially when it comes to trusting what others say who we really don't know. Too many men and women get fooled and put too much trust in who they are with when it comes to having sex. Men and women need to learn that the only one that is going to protect them when it comes to having safe sex is themselves. Too many people play stupid which can end up leading them to an unwanted pregnancy or a sexually transmitted disease.

Dr. Irwin Goldstein, the founder of field of sexual medicine, joins me in the conversation about female sexual pain. He drives the talk with tons of fascinating information about sexual pain, including what are the different categories, common causes, and treatment options. The prevalence of female sexual pain Within the last month, 1/3rd of women reported experiencing sexual pain or some form of discomfort during sex, while only 2% to 7% of men reported sexual dysfunction or secondary pain. He urges women to ensure they find the correct medical professional and find answers to their questions as he has found many women go untreated due to misdiagnosis. Dr. Goldstein best categorizes various kinds of sexual pain by the area it originates. The pain in the vulva is diagnosed as vulvodynia. However the vestibule is often overlooked as the source of pain, and more than 90% of the time is misdiagnosed as vulvodynia. Hormonally Mediated Vestibulodynia Dr. Goldstein warns against birth control pills as they have harmful side effects that can eventually affect your sex life. He urges women to consider other birth control methods like Long-acting reversible contraceptives (LARC) – IUDs, Nexplanon and Implanon contraceptive implants, and progesterone. He further informs that The American College of Obstetricians and Gynecologists and The American Academy of Pediatrics no longer consider birth control pills as the leading method of contraception. Causes in Older Women and Treatment Options For older women over 40, the hormonal challenges of menopause are a leading cause of pain. He mentions that women go through two stages of menopause, where the first one causes low testosterone levels and the latter causes low estrogen levels. He shares available treatment options for this. Other Common Causes and Treatment Options Among other causes, Dr. Goldstein talks about Neuroproliferative vestibulodynia, a condition where women suffer from life-long pain. Monistat is the number one medicine women use that causes neuroproliferative vestibulodynia. The only treatment option available is surgically removing the vestibule, which has an 80% cure rate and is completely non-disfiguring. Tune in for valuable advice that can make a huge difference in your life. Background Dr. Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 350 publications as well as multiple book chapters and edited 6 textbooks in the field. His interests include penile microvascular bypass surgery, surgery for dyspareunia, sexual health management post-cancer treatment, genital dysesthesia/persistent genital arousal disorder, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women. Dr. Goldstein is Director of Sexual Medicine at Alvarado Hospital, Clinical Professor of Surgery at the University of California, San Diego, and practices medicine at San Diego Sexual Medicine. He is also Editor-in-Chief of Sexual Medicine Reviews and past Editor of The Journal of Sexual Medicine. He is a Past President of the International Society for the Study of Women's Sexual Health and of the Sexual Medicine Society of North America. He holds a degree in engineering from Brown University and received his medical degree from McGill University. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, 2012 he received the International Society for the Study of Women's Sexual Health Award for Distinguished Service in Women's Sexual Health, in 2013 he received the Lifetime Achievement Award from the Sexual Medicine Society of North America, and in 2014 he received the ISSM Lifetime Achievement Award from the International Society for Sexual Medicine. He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. Resources and Links: National Vulvodynia Association: https://www.nva.org/ International society for the study of women's sexual health: https://www.isswsh.org/ Book: When Sex Hurts: A Woman's Guide to Banishing Sexual Pain Schedule a Courtesy Call with San Diego Sexual Medicine : http://sandiegosexualmedicine.com/courtesy-call More info: Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want more sex without it feeling like a chore: https://www.intimacywithease.com/masterclass Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/181-when-sex-hurts-dr-irwin-goldsteinMore info and resources: How Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to make sex easy and fun for both of you: https://intimacywithease.com/masterclass Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcast Secret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcast

Dr. Irwin Goldstein, the founder of field of sexual medicine, joins me in the conversation about female sexual pain. He drives the talk with tons of fascinating information about sexual pain, including what are the different categories, common causes, and treatment options. The prevalence of female sexual pain Within the last month, 1/3rd of women reported experiencing sexual pain or some form of discomfort during sex, while only 2% to 7% of men reported sexual dysfunction or secondary pain. He urges women to ensure they find the correct medical professional and find answers to their questions as he has found many women go untreated due to misdiagnosis. Dr. Goldstein best categorizes various kinds of sexual pain by the area it originates. The pain in the vulva is diagnosed as vulvodynia. However the vestibule is often overlooked as the source of pain, and more than 90% of the time is misdiagnosed as vulvodynia. Hormonally Mediated Vestibulodynia Dr. Goldstein warns against birth control pills as they have harmful side effects that can eventually affect your sex life. He urges women to consider other birth control methods like Long-acting reversible contraceptives (LARC) – IUDs, Nexplanon and Implanon contraceptive implants, and progesterone. He further informs that The American College of Obstetricians and Gynecologists and The American Academy of Pediatrics no longer consider birth control pills as the leading method of contraception. Causes in Older Women and Treatment Options For older women over 40, the hormonal challenges of menopause are a leading cause of pain. He mentions that women go through two stages of menopause, where the first one causes low testosterone levels and the latter causes low estrogen levels. He shares available treatment options for this. Other Common Causes and Treatment Options Among other causes, Dr. Goldstein talks about Neuroproliferative vestibulodynia, a condition where women suffer from life-long pain. Monistat is the number one medicine women use that causes neuroproliferative vestibulodynia. The only treatment option available is surgically removing the vestibule, which has an 80% cure rate and is completely non-disfiguring. Tune in for valuable advice that can make a huge difference in your life. Background Dr. Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 350 publications as well as multiple book chapters and edited 6 textbooks in the field. His interests include penile microvascular bypass surgery, surgery for dyspareunia, sexual health management post-cancer treatment, genital dysesthesia/persistent genital arousal disorder, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women. Dr. Goldstein is Director of Sexual Medicine at Alvarado Hospital, Clinical Professor of Surgery at the University of California, San Diego, and practices medicine at San Diego Sexual Medicine. He is also Editor-in-Chief of Sexual Medicine Reviews and past Editor of The Journal of Sexual Medicine. He is a Past President of the International Society for the Study of Women's Sexual Health and of the Sexual Medicine Society of North America. He holds a degree in engineering from Brown University and received his medical degree from McGill University. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, 2012 he received the International Society for the Study of Women's Sexual Health Award for Distinguished Service in Women's Sexual Health, in 2013 he received the Lifetime Achievement Award from the Sexual Medicine Society of North America, and in 2014 he received the ISSM Lifetime Achievement Award from the International Society for Sexual Medicine. He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. Resources and Links: National Vulvodynia Association: https://www.nva.org/ International society for the study of women's sexual health: https://www.isswsh.org/ Book: When Sex Hurts: A Woman's Guide to Banishing Sexual Pain Schedule a Courtesy Call with San Diego Sexual Medicine : http://sandiegosexualmedicine.com/courtesy-call More info: Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want more sex without it feeling like a chore: https://www.intimacywithease.com/masterclass Better Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/181-when-sex-hurts-dr-irwin-goldstein

Dr. Irwin Goldstein, the founder of field of sexual medicine, joins me in the conversation about female sexual pain. He drives the talk with tons of fascinating information about sexual pain, including what are the different categories, common causes, and treatment options. The prevalence of female sexual pain Within the last month, 1/3rd of women reported experiencing sexual pain or some form of discomfort during sex, while only 2% to 7% of men reported sexual dysfunction or secondary pain. He urges women to ensure they find the correct medical professional and find answers to their questions as he has found many women go untreated due to misdiagnosis. Dr. Goldstein best categorizes various kinds of sexual pain by the area it originates. The pain in the vulva is diagnosed as vulvodynia. However the vestibule is often overlooked as the source of pain, and more than 90% of the time is misdiagnosed as vulvodynia. Hormonally Mediated Vestibulodynia Dr. Goldstein warns against birth control pills as they have harmful side effects that can eventually affect your sex life. He urges women to consider other birth control methods like Long-acting reversible contraceptives (LARC) – IUDs, Nexplanon and Implanon contraceptive implants, and progesterone. He further informs that The American College of Obstetricians and Gynecologists and The American Academy of Pediatrics no longer consider birth control pills as the leading method of contraception. Causes in Older Women and Treatment Options For older women over 40, the hormonal challenges of menopause are a leading cause of pain. He mentions that women go through two stages of menopause, where the first one causes low testosterone levels and the latter causes low estrogen levels. He shares available treatment options for this. Other Common Causes and Treatment Options Among other causes, Dr. Goldstein talks about Neuroproliferative vestibulodynia, a condition where women suffer from life-long pain. Monistat is the number one medicine women use that causes neuroproliferative vestibulodynia. The only treatment option available is surgically removing the vestibule, which has an 80% cure rate and is completely non-disfiguring. Tune in for valuable advice that can make a huge difference in your life. Background Dr. Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 350 publications as well as multiple book chapters and edited 6 textbooks in the field. His interests include penile microvascular bypass surgery, surgery for dyspareunia, sexual health management post-cancer treatment, genital dysesthesia/persistent genital arousal disorder, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women. Dr. Goldstein is Director of Sexual Medicine at Alvarado Hospital, Clinical Professor of Surgery at the University of California, San Diego, and practices medicine at San Diego Sexual Medicine. He is also Editor-in-Chief of Sexual Medicine Reviews and past Editor of The Journal of Sexual Medicine. He is a Past President of the International Society for the Study of Women's Sexual Health and of the Sexual Medicine Society of North America. He holds a degree in engineering from Brown University and received his medical degree from McGill University. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, 2012 he received the International Society for the Study of Women's Sexual Health Award for Distinguished Service in Women's Sexual Health, in 2013 he received the Lifetime Achievement Award from the Sexual Medicine Society of North America, and in 2014 he received the ISSM Lifetime Achievement Award from the International Society for Sexual Medicine. He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. Resources and Links: National Vulvodynia Association: https://www.nva.org/ International society for the study of women's sexual health: https://www.isswsh.org/ Book: When Sex Hurts: A Woman's Guide to Banishing Sexual Pain Schedule a Courtesy Call with San Diego Sexual Medicine : http://sandiegosexualmedicine.com/courtesy-call More info: Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want more sex without it feeling like a chore: https://www.intimacywithease.com/masterclass Better Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/181-when-sex-hurts-dr-irwin-goldstein

We sit down with Dr. Nathalie Duroseau, 3rd year adolescent medicine fellow in NYC and PedsAdmit birth control correspondent, to discuss everything from Nexplanon placement to effective counseling about Depo-Provera. Catch her on Instagram @Dr_Nat_HD for more advocacy and birth control tips.

Puberty, Nexplanon counseling strategies, ARFID, Wellness

Dr. Julie Amaon, M.D., 43, is the medical director of Just the Pill, a mobile reproductive health clinic out of Minneapolis, Minnesota, which began mailing medication for abortion, birth control, and STI treatment this month. She graduated from her residency in family medicine during the COVID-19 pandemic and realized that, with clinics limiting their services and patients afraid to see a doctor over exposure concerns, no-touch, no-test medication abortion was critical health care that she could safely provide. Amaon tells Bustle about how she became an abortion provider, and what reproductive health care would look like in a perfect world. I started in the abortion care world not as a physician, but working in my local Planned Parenthood in Austin, Texas. This was right around the time when our state government took away most of our family planning money and gave it to crisis pregnancy centers. Over the next four years that I managed the clinic, things just kept getting worse for abortion access. I decided to go to medical school in 2012 to become a physician, so we could have more abortion providers in Texas. My family medicine residency program at the University of Minnesota Medical Center trained everyone studying family medicine in abortion, and if someone wasn’t comfortable with that, they could opt out. It shouldn’t be something super unique, but there are only 38 Reproductive Health Education in Family Medicine (RHEDI)-funded opt-out programs in family medicine nationwide. [Even in OB-GYN residencies, many programs are either opt-in or don’t offer abortion training at all.] In a perfect world, you could see a family medicine doctor for a sinus infection, for birth control, and for a medication abortion. That doctor could call the medicine in to your pharmacy or have it mailed to your home — whatever is best for you. That’s not what’s happening now. Because of the FDA’s Risk Evaluation & Management Strategy (REMS) program, in order to provide medication abortion, you have to be registered as a provider, which means being on a publicly available list maintained by the drug manufacturer. This creates a lot of stigma among those who would want to offer medication abortion in a small town, as a family medicine doctor. In Minnesota, specifically, 97% of counties don’t have an abortion provider. The struggle here is very real. Most people will have to travel a long way to get an abortion. That’s how the idea was born to have a mobile clinic. What if we could drive through the state with our clinic and then people could access medication abortion because we’ve come to them? We’ve been up and running for a week, and the response from our community has already been amazing. The reproductive health advocacy organizations we partner with are so excited that people in rural areas can now have access to abortion, regardless of whether or not they have a car or live in a county with a provider. I just sent our first medication abortion pill order from our mail-in pharmacy partner. In July, an injunction lifted some REMS restrictions in light of the pandemic, so you can now mail mifepristone, the medication abortion pill, where before that was largely illegal. That means we can advertise in rural communities more than 100 miles away from our brick-and-mortar medical office, where we house medication abortion pills in case our ability to use mail-in pharmacies is revoked so that we can mail it out ourselves. It also means people can take their pills at home, which is wonderful. Our plan is to target rural communities in the state because right now, people have to drive for hours to get their health care. I was in Minnesota when abortion clinics shut down in Texas because of COVID — people drove 18 hours, from Texas to Minnesota, to get abortion care. Even after the pandemic ends, we hope to have a mobile clinic so we can insert IUDs or the birth control implant Nexplanon and provide other forms of primary care. As a family medicine physician, I love being able to take care of patients cradle to grave. If someone has an unwanted pregnancy, my hope for the future is that they can come to me, their trusted family medicine provider, and I can offer her all the options in my clinic or over video. I shouldn’t have to say, ‘Well I don’t stock mifepristone here, so I have to send you somewhere else and to a doctor you don’t already know and trust.’ I envision healthcare differently than that. This interview has been edited and condensed.

On this episode, we hear from birth control expert, Emily Aytes. She uncovers some of the most common questions she receives. Interestingly, Emily shares that both young and older people ask her about birth control as it isn't widely discussed from her experience. Her personal opinion is that having a birth control conversation with your partner early on allows you to enjoy sex and delve into other parts of your relationship. Long acting reversible contraception If you have ever wondered what a LARC is, Emily explains the acronym to us : LONG ACTING REVERSIBLE CONTRACEPTIVE. This includes IUDs which can last between 3-12 years. Emily shares the side effects of the IUD and unpacks NEXPLANON, the copper and plastic iud. Benefits of this include not having to remember anything as these methods provide protection without any further human intervention once they are implanted. If you change your mind and decide to remove the device, rest assured that it's relatively easy to continue where you left off. The shot is another commonly taken contraceptive in this category and contains Progesterone. Again, Emily discusses the side effects and notes that this method too is pretty effective. Other Birth Control Methods The pill has proven to be a highly effective method from Emily's findings, however she notes the side effects and the fact that human intervention is required everyday, opening up a window for error and loss of effectiveness. Touching on condom use, Emily explains how human error can result in a lack of effectiveness while doubling up on methods eg IUD plus a condom, can increase effectiveness. On the positive side, condoms are accessible without prescription and offer a wide range to suit your personal preference. Planned Parenthood website is recommended if you are interested in a more natural method that does not require any external intervention. Common Questions One of the most common questions Emily gets asked is around how pregnancy occurs. For this reason, she explains the biological process for us in an easy to understand way. We learn more about emergency contraceptive including the morning after pill : Plan B ( no script required) and Ella ( which requires a script) and the Copper T which is extremely effective. Another common question Emily gets is whether you can get pregnant during your period. While it is possible, she explains it is not likely. For a more behavioural method of contraceptive, Emily discusses withdrawal which is only 78% effective. Background Emily Aytes (she/they pronouns) is a community outreach educator with Planned Parenthood in Indiana state. As an educator, her role includes offering comprehensive, inclusive, and medically accurate sexual health information to her local community and beyond. The majority of her work in the community is with young people in middle and high school classrooms teaching about relationships, consent, birth control methods, STIs, gender, and communication skills. Emily is passionate about all folks having access to sexual health information so that they can make their own informed decisions. She also enjoys teaching about racial and social justice, LGBTQ+ identities, and sexual pleasure Resources and Links https://www.plannedparenthood.org/learn/birth-control https://www.bedsider.org/methods More info: Book and New Course – https://sexwithoutstress.com Podcast Website – https://www.intimacywithease.com/ Sex Health Quiz – http://sexhealthquiz.com/ Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/142-birth-control-emily-aytesMore info and resources: How Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to make sex easy and fun for both of you: https://intimacywithease.com/masterclass Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcast Secret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcast

On this episode, we hear from birth control expert, Emily Aytes. She uncovers some of the most common questions she receives. Interestingly, Emily shares that both young and older people ask her about birth control as it isn’t widely discussed from her experience. Her personal opinion is that having a birth control conversation with your partner early on allows you to enjoy sex and delve into other parts of your relationship.Long acting reversible contraceptionIf you have ever wondered what a LARC is, Emily explains the acronym to us : LONG ACTING REVERSIBLE CONTRACEPTIVE. This includes IUDs which can last between 3-12 years. Emily shares the side effects of the IUD and unpacks NEXPLANON, the copper and plastic iud. Benefits of this include not having to remember anything as these methods provide protection without any further human intervention once they are implanted. If you change your mind and decide to remove the device, rest assured that it’s relatively easy to continue where you left off.The shot is another commonly taken contraceptive in this category and contains Progesterone. Again, Emily discusses the side effects and notes that this method too is pretty effective.Other Birth Control MethodsThe pill has proven to be a highly effective method from Emily’s findings, however she notes the side effects and the fact that human intervention is required everyday, opening up a window for error and loss of effectiveness.Touching on condom use, Emily explains how human error can result in a lack of effectiveness while doubling up on methods eg IUD plus a condom, can increase effectiveness. On the positive side, condoms are accessible without prescription and offer a wide range to suit your personal preference.Planned Parenthood website is recommended if you are interested in a more natural method that does not require any external intervention.Common QuestionsOne of the most common questions Emily gets asked is around how pregnancy occurs. For this reason, she explains the biological process for us in an easy to understand way.We learn more about emergency contraceptive including the morning after pill : Plan B ( no script required) and Ella ( which requires a script) and the Copper T which is extremely effective.Another common question Emily gets is whether you can get pregnant during your period. While it is possible, she explains it is not likely. For a more behavioural method of contraceptive, Emily discusses withdrawal which is only 78% effective.BackgroundEmily Aytes (she/they pronouns) is a community outreach educator with Planned Parenthood in Indiana state. As an educator, her role includes offering comprehensive, inclusive, and medically accurate sexual health information to her local community and beyond.The majority of her work in the community is with young people in middle and high school classrooms teaching about relationships, consent, birth control methods, STIs, gender, and communication skills.Emily is passionate about all folks having access to sexual health information so that they can make their own informed decisions. She also enjoys teaching about racial and social justice, LGBTQ+ identities, and sexual pleasureResources and Linkshttps://www.plannedparenthood.org/learn/birth-controlhttps://www.bedsider.org/methodsMore info:Book and New Course – https://sexwithoutstress.comPodcast Website – https://www.intimacywithease.com/Sex Health Quiz – http://sexhealthquiz.com/Better Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/142-birth-control-emily-aytes

On this episode, we hear from birth control expert, Emily Aytes. She uncovers some of the most common questions she receives. Interestingly, Emily shares that both young and older people ask her about birth control as it isn’t widely discussed from her experience. Her personal opinion is that having a birth control conversation with your partner early on allows you to enjoy sex and delve into other parts of your relationship.Long acting reversible contraceptionIf you have ever wondered what a LARC is, Emily explains the acronym to us : LONG ACTING REVERSIBLE CONTRACEPTIVE. This includes IUDs which can last between 3-12 years. Emily shares the side effects of the IUD and unpacks NEXPLANON, the copper and plastic iud. Benefits of this include not having to remember anything as these methods provide protection without any further human intervention once they are implanted. If you change your mind and decide to remove the device, rest assured that it’s relatively easy to continue where you left off.The shot is another commonly taken contraceptive in this category and contains Progesterone. Again, Emily discusses the side effects and notes that this method too is pretty effective.Other Birth Control MethodsThe pill has proven to be a highly effective method from Emily’s findings, however she notes the side effects and the fact that human intervention is required everyday, opening up a window for error and loss of effectiveness.Touching on condom use, Emily explains how human error can result in a lack of effectiveness while doubling up on methods eg IUD plus a condom, can increase effectiveness. On the positive side, condoms are accessible without prescription and offer a wide range to suit your personal preference.Planned Parenthood website is recommended if you are interested in a more natural method that does not require any external intervention.Common QuestionsOne of the most common questions Emily gets asked is around how pregnancy occurs. For this reason, she explains the biological process for us in an easy to understand way.We learn more about emergency contraceptive including the morning after pill : Plan B ( no script required) and Ella ( which requires a script) and the Copper T which is extremely effective.Another common question Emily gets is whether you can get pregnant during your period. While it is possible, she explains it is not likely. For a more behavioural method of contraceptive, Emily discusses withdrawal which is only 78% effective.BackgroundEmily Aytes (she/they pronouns) is a community outreach educator with Planned Parenthood in Indiana state. As an educator, her role includes offering comprehensive, inclusive, and medically accurate sexual health information to her local community and beyond.The majority of her work in the community is with young people in middle and high school classrooms teaching about relationships, consent, birth control methods, STIs, gender, and communication skills.Emily is passionate about all folks having access to sexual health information so that they can make their own informed decisions. She also enjoys teaching about racial and social justice, LGBTQ+ identities, and sexual pleasureResources and Linkshttps://www.plannedparenthood.org/learn/birth-controlhttps://www.bedsider.org/methodsMore info:Book and New Course – https://sexwithoutstress.comPodcast Website – https://www.intimacywithease.com/Sex Health Quiz – http://sexhealthquiz.com/Better Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/142-birth-control-emily-aytes

On this episode, we hear from birth control expert, Emily Aytes. She uncovers some of the most common questions she receives. Interestingly, Emily shares that both young and older people ask her about birth control as it isn’t widely discussed from her experience. Her personal opinion is that having a birth control conversation with your partner early on allows you to enjoy sex and delve into other parts of your relationship.Long acting reversible contraceptionIf you have ever wondered what a LARC is, Emily explains the acronym to us : LONG ACTING REVERSIBLE CONTRACEPTIVE. This includes IUDs which can last between 3-12 years. Emily shares the side effects of the IUD and unpacks NEXPLANON, the copper and plastic iud. Benefits of this include not having to remember anything as these methods provide protection without any further human intervention once they are implanted. If you change your mind and decide to remove the device, rest assured that it’s relatively easy to continue where you left off.The shot is another commonly taken contraceptive in this category and contains Progesterone. Again, Emily discusses the side effects and notes that this method too is pretty effective.Other Birth Control MethodsThe pill has proven to be a highly effective method from Emily’s findings, however she notes the side effects and the fact that human intervention is required everyday, opening up a window for error and loss of effectiveness.Touching on condom use, Emily explains how human error can result in a lack of effectiveness while doubling up on methods eg IUD plus a condom, can increase effectiveness. On the positive side, condoms are accessible without prescription and offer a wide range to suit your personal preference.Planned Parenthood website is recommended if you are interested in a more natural method that does not require any external intervention.Common QuestionsOne of the most common questions Emily gets asked is around how pregnancy occurs. For this reason, she explains the biological process for us in an easy to understand way.We learn more about emergency contraceptive including the morning after pill : Plan B ( no script required) and Ella ( which requires a script) and the Copper T which is extremely effective.Another common question Emily gets is whether you can get pregnant during your period. While it is possible, she explains it is not likely. For a more behavioural method of contraceptive, Emily discusses withdrawal which is only 78% effective.BackgroundEmily Aytes (she/they pronouns) is a community outreach educator with Planned Parenthood in Indiana state. As an educator, her role includes offering comprehensive, inclusive, and medically accurate sexual health information to her local community and beyond.The majority of her work in the community is with young people in middle and high school classrooms teaching about relationships, consent, birth control methods, STIs, gender, and communication skills.Emily is passionate about all folks having access to sexual health information so that they can make their own informed decisions. She also enjoys teaching about racial and social justice, LGBTQ+ identities, and sexual pleasureResources and Linkshttps://www.plannedparenthood.org/learn/birth-controlhttps://www.bedsider.org/methodsMore info:Book and New Course – https://sexwithoutstress.comPodcast Website – https://www.intimacywithease.com/Sex Health Quiz – http://sexhealthquiz.com/Better Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/142-birth-control-emily-aytes

On this episode, we hear from birth control expert, Emily Aytes. She uncovers some of the most common questions she receives. Interestingly, Emily shares that both young and older people ask her about birth control as it isn’t widely discussed from her experience. Her personal opinion is that having a birth control conversation with your partner early on allows you to enjoy sex and delve into other parts of your relationship.Long acting reversible contraceptionIf you have ever wondered what a LARC is, Emily explains the acronym to us : LONG ACTING REVERSIBLE CONTRACEPTIVE. This includes IUDs which can last between 3-12 years. Emily shares the side effects of the IUD and unpacks NEXPLANON, the copper and plastic iud. Benefits of this include not having to remember anything as these methods provide protection without any further human intervention once they are implanted. If you change your mind and decide to remove the device, rest assured that it’s relatively easy to continue where you left off.The shot is another commonly taken contraceptive in this category and contains Progesterone. Again, Emily discusses the side effects and notes that this method too is pretty effective.Other Birth Control MethodsThe pill has proven to be a highly effective method from Emily’s findings, however she notes the side effects and the fact that human intervention is required everyday, opening up a window for error and loss of effectiveness.Touching on condom use, Emily explains how human error can result in a lack of effectiveness while doubling up on methods eg IUD plus a condom, can increase effectiveness. On the positive side, condoms are accessible without prescription and offer a wide range to suit your personal preference.Planned Parenthood website is recommended if you are interested in a more natural method that does not require any external intervention.Common QuestionsOne of the most common questions Emily gets asked is around how pregnancy occurs. For this reason, she explains the biological process for us in an easy to understand way.We learn more about emergency contraceptive including the morning after pill : Plan B ( no script required) and Ella ( which requires a script) and the Copper T which is extremely effective.Another common question Emily gets is whether you can get pregnant during your period. While it is possible, she explains it is not likely. For a more behavioural method of contraceptive, Emily discusses withdrawal which is only 78% effective.BackgroundEmily Aytes (she/they pronouns) is a community outreach educator with Planned Parenthood in Indiana state. As an educator, her role includes offering comprehensive, inclusive, and medically accurate sexual health information to her local community and beyond.The majority of her work in the community is with young people in middle and high school classrooms teaching about relationships, consent, birth control methods, STIs, gender, and communication skills.Emily is passionate about all folks having access to sexual health information so that they can make their own informed decisions. She also enjoys teaching about racial and social justice, LGBTQ+ identities, and sexual pleasureResources and Linkshttps://www.plannedparenthood.org/learn/birth-controlhttps://www.bedsider.org/methodsMore info:Book and New Course – https://sexwithoutstress.comPodcast Website – https://www.intimacywithease.com/Sex Health Quiz – http://sexhealthquiz.com/Better Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/142-birth-control-emily-aytes

LARCS are endorsed by the ACOG due to the high efficacy. However, unpredictable bleeding can affect continuation rates. A new RCT has evaluated the use of tamoxifen to control and prevent future abnormal bleeding with etonogestrel implant use. Does this work? What is the MOA? In this session, we will summarize this new publication (published ahead of print) in Obstetrics and Gynecology.

As a busy college student working for a major grocery delivery service, Amina, 22, got the Nexplanon implant in October 2018 to avoid spending any more time thinking about birth control. It worked well for about a year, but then she started getting heavy cramps and having breakthrough bleeds. She was starting to investigate whether she should switch methods or add in birth control pills to help control the side effects in March. Then, Pennsylvania, where she goes to school, shut down as a result of the COVID-19 pandemic. As a student, Amina’s health insurance only covers visits to her primary care provider, not an on-campus doctor, and the pandemic made it logistically impossible for her to go there in person. Amina’s local Planned Parenthood affiliate told her to use the Planned Parenthood Direct app to get a prescription for oral contraceptives to take along with her implant, to reduce the side effects she was having. An hour later, she got a notification that her prescription was ready at her local pharmacy. Amina is just one of many people switching to telehealth for their birth control during the pandemic. Mail-order birth control company Nurx has seen a 50% increase in requests from new patients since early March, a spokesperson for the company tells Bustle. The company has hired 13 new providers to help serve contraception-seeking patients since shelter-in-place orders started sweeping the country in March. At Planned Parenthood, virtual appointments are available for everything from birth control to STI testing and treatment to hormone therapy and PrEP. Its app has been expanded to all but 11 states in the past few months and provided five times more care in April 2020 than in April 2019, according to a spokesperson for Planned Parenthood. Dr. Amy Roskin, M.D., J.D., head of clinical operations and medical for Pill Club, shares that the tele-contraception service has seen a 30% uptick in use since lockdown requests began in the United States. In California, the Pill Club shipped around 20% more emergency contraception pills to first-time Pill Club users in March compared with February, and saw a 50% increase in orders of one-year supplies of contraception after shelter-in-place orders were issued in Texas, Florida, New York, and California. Telehealth can step in where physical doctors’ offices — shut down for non-essential care or shut down for good — are unavailable. And given that an estimated 9 million Americans and counting have lost health insurance during the pandemic, it can also help people get services like birth control affordably. Losing contraception coverage in particular can be catastrophic: A 2017 study found that for every 1 million women who lose their health coverage, there would be 33,000 more unintended pregnancies and 13,000 more abortions each year. (This is especially relevant with the Supreme Court having just heard arguments on a case that would let any employer object to covering birth control.) With the unemployment rate expected to hit 20% by June, a monthly pack of birth control — up to $50 a month without insurance, per Planned Parenthood, not including any costs associated with actually seeing a doctor — might be low priority on many household budgets. Historically, some providers — and patients — were nervous about telehealth services. One concern was that if you could get your birth control by talking (or texting) with your doc, then you won’t, say, actually make it in for your annual Pap smear, even though research has shown this isn’t the case. Many practices even have a policy that they will only renew your birth control prescription after an in-person annual exam. Government regulations reflected this reticence: Pre-pandemic, some states required people to physically go to an “originating site” or a designated facility to receive telecare and banned providers from using their personal devices for counseling services. FaceTime and Skype were no-goes, as these common communication tools aren’t technically HIPAA compliant (meaning they don’t meet government regulations protecting patient privacy). Since the passage of the CARES Act, regulations have been loosened: Patients don’t have to leave their houses, providers can use their own devices, and talking to your doc on FaceTime is OK if that’s what you both want to do. Regulations on new patients receiving telehealth services without a prior in-person visit have also been dropped, and more types of providers are allowed to provide counsel and care virtually. Certain states still don’t allow medication to be prescribed across state lines, and others require patients to video chat — and not just text — with a provider before a prescription can be issued. Jessica Horwitz, M.S.N, F.N.P.-C, vice president of clinical services at Nurx, describes it as “15 years of telemedicine regulations” changing overnight. But more importantly, she says, public understanding of telehealth has evolved exponentially. Horwitz thinks the COVID-19 pandemic has highlighted the problems surrounding birth control access that have long existed in the United States. While more than 19 million American women don’t have access to a publicly funded contraception-providing clinic, even more people who are insured can’t take time off work to get to a clinic, are concerned about privacy, or otherwise are stymied in trying to get birth control. “The issues we see in rural Texas are now on display on a grand scale everywhere,” she says. Clinicians say if anything, telehealth makes seeing your doctor easier by giving people who might be reluctant to make the appointment an easy experience. Research already shows that these virtual visits don’t replace in-person care but enhance it by better fostering communication between patients and providers. While many aspects of life will eventually return to normal post-lockdown, more people will seek out care through telehealth than before, predicts Dr. Nathaniel DeNicola, M.D., M.S.H.P., F.A.C.O.G., the American College of Obstetrics and Gynecology’s chair of telehealth. That won’t just help contraception access; other parts of your annual OB-GYN checkup might be doable from your phone. Nurx began offering STI testing in 2019, as well as herpes treatment and PrEP prescriptions. DeNicola says he wouldn’t be surprised if many brick-and-mortar OB-GYN practices create a “virtualist” position on staff following the pandemic, with a focus on services like contraception counseling. “People do still want a face-to-face visit. People want at some point an annual physical exam, whether with an OB-GYN or otherwise,” he says. Amina is one such person: After the pandemic ends, she says, she’s looking forward to seeing her regular provider in person. For now, however, she’s glad she had a virtual option. “There are a lot of things you need to go in and see a provider for, that you can’t do online. But with birth control, it’s just not necessary.” “Patients who currently don’t have an established doctor and haven’t had a counseling visit face a lot of barriers to that first prescription or point of care. And these barriers create additional barriers,” says DeNicola. “If you hear there’s a three-month wait for an appointment, maybe you just won’t schedule it. Telehealth will make this much more accessible.”

Hey guys I want to apologize for not uploading this on Friday I had my nexplanon removed and a new on out in and I talked about this in the episode I will be posting another podcast on Friday I apologize --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/keepingitrealw/kels/support

Hey Mommas. On this episode I go through all the options you have for contraception/birth control during this global pandemic. I know alot of you all are suck in the house with nothing to do so I'm trying to make sure that the one thing you find to do, doesn't result in a whole baby in 9-10 months.  If you want a quick run down of all of your options. Hit PLAY now.  Where you can find the tribe:  www.facebook.com/drsanobgyn www.instagram.com/drsanobgyn The Mature Momma Life Facebook Group

I share a personal experience in my life about how nexplanon birth control implant in my arm almost cost me my life and walking through the experience from start to finish. Explaining how doctors cant be trusted with human life form when they care more about a paycheck. How woman should be taken seriously when having bad side effects from medications as well as the mental and physical pain that myself and others are left scarred with. This episode is filled with serious emotions that will make you cry and be angry at the same time. Very deep and I am hoping this can help millions of other woman who are fighting for their life as well. #nexplanon #birthcontrol needs to be taken off the market to re-evaluate its side effects. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/destinymarieboston/message Support this podcast: https://anchor.fm/destinymarieboston/support

Episode 32: Did you know there are over 20 methods for preventing pregnancy? It’s no wonder this remains a complicated and misinformed topic among most women! Join us while we discuss the huge range of women’s birth control options available for sexually active ladies in their reproductive years. We dive into it all- from natural to hormonal and surgical to temporary. You’ll hear what each option is, how it works and how well it works. We add in the real talk you showed up for with some anecdotal and personal candor for your listening pleasure. You’re sure to learn something new on this episode!Previous episodes referenced: #10 Understanding Your Cycle, #27 Understanding Your HormonesSubscribe to the podcast to catch every episode. Follow us on Instagram at #wineandgyn and @wine_and_gyn, and join our discussion forum on Facebook called Wine & Gyn Community.

In this one, we sat down with Pres to discuss the long and depressing history of Reproductive Rights, Patriarchy, Eugenics and how they all tie together. SPOILER ALERT: deathtoamerica CORRECTION: The Proles were lied to; Dep (Depo Prevera) is an injection that is re-administered every three months, whereas the arm implant referred to in the episode is Nexplanon (formerly Implanon) which lasts three years. IUDs can last three to ten years depending on the type. @marxymarx2 to contact Pres. If you haven't already, go to www.prolespod.com or you can help the show improve over at www.patreon.com/prolespod and in return can get access to our spicy discord, exclusive episodes, guest appearances, etc.! All kinds of great stuff. Please subscribe on your favorite podcast apps and rate or review to help extend our reach. Like and rate our facebook page at facebook.com/prolespod and follow us on Twitter @prolespod. If you have any questions or comments, DM us on either of those platforms or email us at prolespod@gmail.com All episodes prior to episode 4 can be found on YouTube, so go check that out as well! Suggested Reading:  Stamped From the Beginning: The Definitive History of Racist Ideas in America, Ibram X. Kendi The Counter-Revolution of 1776, Gerald Horne When The Welfare People Come: Race and Class in the US Child Protection Service, Don Lash Killing the Black Body: Race, Reproduction, and the Meaning of Liberty, Dorothy Roberts Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present, Harriet Washington   Body and Soul: The Black Panther Party and the Fight Against Medical Discrimination, Alondra Nelson   The Social Transformation of American Medicine:  The Rise of a Sovereign Profession and the Making of a Vast Industry, Paul Starr (More liberal standard academic text) Labor's Love Lost: The Rise and Fall of the Working-Class Family in America, Andrew Cherlin (more liberal  standard academic text)    The Zero Trimester: Pre-Pregnancy Care and the Politics of Reproductive Risk, Miranda Waggoner   Women, Race, and Class, Angela Davis     On how men's reproductive health is under represented: sci-hub.tw/10.1177/1557988314556670  On China's One Child Policy (Warning! This paper is super orientalist/racist and very liberal--read at your own peril. Only snippets of what comes out of this paper are actually interesting and what Pres used in the episode): sci-hub.tw/10.2307/3115224   On Puerto Rico's sterilization program: sci-hub.tw/10.1177/0094582X7700400405   Sterilization as part of plea deal for man: https://insider.foxnews.com/2014/06/24/va-man-required-get-vasectomy-part-plea-deal  Intro music:  "Proles Pod Theme" by Ransom Notes Outro music: "A Single Spark" by Xiangyu (you can order the album here)

Jess is having fun on Bumble, Jackie finally gets the Nexplanon out of her arm, and Jess ends the night with an edible...

In this episode, your host Dr. Celestine, discusses the recent push to allow birth control to be prescribed and/or administered directly from the pharmacy without a visit to your doctor. We touch on the rules and regulations for this in many states across the country and compare it to the most recent changes in the state of West Virginia. Also, has this not been in many countries way before America got on board?? Listen to the episode to find out how and where you can get your birth control!

It’s not secret that I’ve been speaking out against big PHARMA, pharmaceutical drugs, and their inhumane side effects on the public. In this episode I share the side effects of Nexplanon the birth control pharmaceutical drug

Jessica plans out romantic murders, Nexplanon is ruining Jackie's life, and Jessica finally stops wearing bike shorts.

Acute cervicitis, contraception in post-menopausal women, over-active bladder, urinary incontinence in women, and updates in prenatal care are discussed by Dr. Erin Chinnock, from Lakeview Clinic.  Dr. Chinnock also discusses the various treatment options to these specific health conditions. Objectives:    Upon completion of this podcast, participants will be able to: Identify acute cervicitis, and when the patient requires further primary care workup versus referral to OB/GYN. Explain what Nexplanon is, and when to consider removing the contraception device. Describe treatment and management options for over-active bladder and urinary incontinence. Describe new information regarding the perinatal care prior to 28-30 weeks. CME credit is only offered to Ridgeview Providers for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within 2 weeks.  You may contact the accredited provider with questions regarding this program at rmccredentialing@ridgeviewmedical.org. Click on the following link for your CME credit: CME Evaluation: Common OB/GYN Complaints & Management Seen in Primary Care (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition.”   FACULTY DISCLOSURE ANNOUNCEMENT  It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event.

Effectiveness, Side Effects, and Benefits

The etonogestrel contraceptive implant is a type of LARC with proven high efficacy. Yet, similar to all progestin only contraception, abnormal bleeding can become bothersome to the patient- especially in the first 3 to 6 months of use. Ulipristal, a progesterone receptor modulator, has shown promise as a new medical agent to help relieve bothersome bleeding in these patients. In this podcast, we will review the latest data from a randomized controlled trial (Oct 2018) on ulipristal for bleeding control in Nexplanon users.

A followup to the Controlling My Birth Control episode and also discussing some things that effect the black community.

This is a podcast documenting my experience with the 3 year birth control implant Nexplanon. SUBSCRIBE AND LIKE! IG: @gabrielleacooke Twitter: @gabrielleacooke Snapchat: perfectangel96 Facebook: Gabrielle Cooke

In the first part we discussed the pills, patch and ring. This episode will talk about those you don't have to remember to take daily or change weekly - Depo, IUD, and the Implant.We even delve into PERMANENT pregnancy prevention.

The arm implant, known as Nexplanon, is a birth control option that's slightly more effective than the IUD, and less painful to insert. Why aren't we all using it? Why Oh Why's Lindsey Kratochwill investigates. Wanna Be Set Up on a Blind Skype Date? We're matching up singles all across the world on painless, blind Skype dates. Just fill out this Google form to be considered or visit whyohwhy.date. Live in Chicago Nov 2nd! Join us for a live taping at Chicago Theater Works on Thursday, November 2nd for an old-fashioned dating game with Chicago’s most eligible bachelors and bachelorettes. Our live show will be part of The Fest, curated by Third Coast International Audio Festival, a spectacular two-week lineup of live podcasts in Chicago this November, in venues across the city. Tickets here or at thefestchicago.org. Our sponsors for this episode are ThirdLove, HelloFresh (code: WHY30), and Trackr. Go to thirdlove.com/WHY, hellofresh.com and use the promo code, and thetrackr.com/WHY for special offers. Learn more about your ad choices. Visit megaphone.fm/adchoices

Are we seeing the final throes of the drug war in America? What's in the News with stories on an update to Charlie Gard, mandatory vaccines, life imitating satire, the Nevada Governor must be high, Big Brother is garbage, eugenics, and civil asset forfeiture is expanding. A New Hampshire, It's Like This Too segment on the many wins we've had so far, and a Herding Cats segment on the Freecoast Festival. This episode is brought to you by Swarm City, a decentralized commerce meta-platform that allows people to participate in commerce without interference from a third party. WHAT'S RUSTLING MY JIMMIES Incredibly, we are now faced with a US state that could potentially be ending the war on drugs as we know it.  The Oregon Legislature passed a bill Thursday decriminalizing small amounts of six hard drugs, including cocaine, heroin, methamphetamine, and ecstasy. The bill, HB 2355, will now go to Governor Kate Brown's desk. She said she is looking forward to signing this bill into law. It decriminalizes possession of the drugs so long as the offender has neither a felony nor more than two prior drug convictions on record. WHAT'S IN THE NEWS First of all, I want to apologize for this episode being late. I have been exceptionally busy the last few weeks, but I'm back on track now and should be able to get this podcast back to its regularly scheduled time on the next episode. And, keep an ear out for news about a brand new podcast coming up on the Pax Libertas Productions network very soon! In universal health care update, 11 month-old terminal ill Charlie Gard in the United Kingdom is still struggling to survive despite the British courts condemning him to death, and now, a new development makes things even more complex. In government force news, France took a bold step and made vaccinations mandatory starting in 2018 to combat anti-vaxxers.  In life imitating satire news, it appears that Frederic Bastiat's brilliant satirical essay, "Candlestick Makers' Petition," is coming true. "Candlestick Maker's Petition" In the Nevada governor is high news, Gov. Brian Sandoval declared a state of emergency after stores that sell recreational marijuana reported that their supply is running out just less than two weeks after the drug went on sale legally. In Big Brother news, garbage men are now being trained to spy on their customers.   In eugenics news, a county in Tennessee is offering free vasectomies to male inmates in exchange for a whole 30 days removed from their sentence. Not to be left out, women can also receive time off if they receive a Nexplanon implant in their arm which will prevent pregnancies for up to four years. In civil asset forfeiture news, Attorney General Jeff Sessions plans to increase one of the least democratic powers of law enforcement - civil asset forfeiture. NEW HAMPSHIRE, IT'S LIKE THIS TOO What a year New Hampshire has had already. Not only have we had three state legislators switch their party affiliation to Libertarian, making New Hampshire the state with more Libertarian legislators than all the other 49 states combined and giving us the only Libertaricaucussus in a state house in the country, but we have had so many other wins this year that it's damn near impossible to keep up. Let's talk about those wins HERDING CATS And, speaking of New Hampshire, you don't want to miss the upcoming Freecoast Festival from Friday, September 8th - Sunday September 10th. My wife and I are again working on this event as volunteer coordinators, and we are super excited for you to come! The Freecoast Festival is an opportunity for our local liberty community to come together and for prospective movers to see what life is really like on New Hampshire's Seacoast. The theme this year is "Living a Voluntary Life Today!" So, what are you waiting for? See you on the Freecoast! 

What do med school and drama school have in common? Dr. Ellen and Janie Stolar welcome Standardized Patient Trainer Sam Wilkes onto the podcast to give a behind the scenes look at the use of performance and role playing in medical school curriculum. Sam discusses the challenges of training actors to act like real patients and training doctors to act like real people, leading to a compelling conversation about empathy in the medical profession, and leading Dr. Ellen to discuss her own experiences with standardized patients, including a former Rock of Love contestant. The Stolar Sisters debunk the myth of menstruation and shark attacks, address hysteria about pre-workout rituals, and answer listener questions about Lyme disease, Nexplanon, and butt bleeding.CONNECT W/ RELATIVELY HEALTHY ON TWITTERhttps://twitter.com/844stolarx AND PLEASE SUBSCRIBE/RATE US on Apple Podcasts, Google Play, Stitcher, or wherever you get your podcasts.RELATIVELY HEALTHY IS A FOREVER DOG PODCASThttp://foreverdogproductions.com/fdpn/podcasts/relatively-healthy DISCLAIMER: Relatively Healthy is for entertainment purposes only and is not a substitute for actual medical advice.

Feature Sounds: Podington Bear's "Dimmy" http://freemusicarchive.org/music/Podington_Bear/Driving/Dimmy Podington Bear's "Steppin Intro" http://freemusicarchive.org/music/Podington_Bear/Background/SteppinIntro Podington Bear's "Happytime" http://freemusicarchive.org/music/Podington_Bear/Inspiring/Happytime