Podcasts about North American Menopause Society

You're listening to Burnt Toast! Today, my guest is Mara Gordon, MD.Dr. Mara is a family physician on the faculty of Cooper Medical School of Rowan University, as well as a writer, journalist and contributor to NPR. She also writes the newsletter Your Doctor Friend by Mara Gordon about her efforts to make medicine more fat friendly.Dr. Mara is back today with Part 2 of our conversation about weight, health, perimenopause and menopause! As we discussed last time, finding menopause advice that doesn't come with a side of diet culture is really difficult. Dr Mara is here to help, and she will not sell you a supplement sign or make you wear a weighted vest.This episode is free but if you value this conversation, please consider supporting our work with a paid subscription. Burnt Toast is 100% reader- and listener-supported. We literally can't do this without you.PS. You can always listen to this pod right here in your email, where you'll also receive full transcripts (edited and condensed for clarity). But please also follow us in Apple Podcasts, Spotify, Stitcher, and/or Pocket Casts! And if you enjoy today's conversation, please tap the heart on this post — likes are one of the biggest drivers of traffic from Substack's Notes, so that's a super easy, free way to support the show!And don't miss these:Episode 209 TranscriptVirginiaSo today we're going to move away from the weight stuff a little bit, into some of the other the wide constellation of things that can happen in menopause and perimenopause. Before we get into some nitty gritty stuff, I want to do Laurie's question about hormone replacement therapy, since that is still one of those topics that people are like, Is it good? Is it bad? I don't know.So Laurie asked: Is there a reason why a doctor would not want to prescribe hormone replacement therapy? My doctor seems more willing to treat individual symptoms instead of using HRT. Is that maybe because I'm still getting my period?MaraI love this question. Now my professor hat can nerd out about interpretation of scientific research! So first, I'll just briefly say, Laurie, no big deal that you said HRT. But just so everyone's aware, the preferred term is menopausal hormone therapy, MHT, or just hormone therapy, and it's not a huge deal. But I think the North American Menopause Society now uses “menopausal hormone therapy.” The thinking is, hormones don't necessarily need to be replaced. It comes back to that idea of, menopause is a natural part of life, and so the idea that they would need to be replaced is not totally accurate. VirginiaWe're not trying to get you out of menopause, right? The goal isn't to push you back into some pre-menopausal hormonal state. MaraBut again, not a big deal. You'll see HRT still used, and a lot of doctors still use that term. So I graduated from medical school in 2015 and I remember one of the first times that a patient asked me about using menopausal hormone therapy, I was terrified. And I was still in training, so luckily, I had a mentor who guided me through it. But I had absorbed this very clear message from medical school, which is that menopausal hormone therapy will cause heart disease, cause pulmonary emboli, which are blood clots in the lungs, and cause breast cancer.And I was like, “Ahhh! I'm gonna cause harm to my patients. This is scary.” I had also learned that hot flashes–they weren't life threatening. So a patient could just use a fan and she'd be fine, right? She didn't need medicine for it.VirginiaCool.MaraI think the dismissal of symptoms here is just straight up misogyny. That message of, oh, you should just live with this You're tough, you're a woman, you can do it. This is just the next stage of it. Is just misogyny, right?But the fear of using menopausal hormone therapy has a specific historical context. There was a major study called the Women's Health Initiative, and it was a randomized control trial, which is the gold standard in medical research. People were given estrogen and progestin to treat menopausal symptoms or they were given a placebo, and they didn't know which pill they took. But WHI was actually halted early because they found an increased risk of breast cancer. This was on the front page of The New York Times. It was a really, really big deal. That was 2002 or 2003. So even 15 years later, when I was starting out as a doctor, I was still absorbing its message. And I think a lot of doctors who are still in practice have just deeply absorbed this message.But there's a lot to consider here. The first issue is in the way that information about the Women's Health Initiative was communicated. Nerd out with me for a second here: There is a big difference between absolute risk and relative risk. And this is a really subtle issue that's often communicated poorly in the media.So I looked it up in the initial paper that came out of the Women's Health Initiative. There was a relative risk of 26 percent of invasive breast cancer, right? So that meant that the people who got the estrogen and progestin, as opposed to a placebo, had a relative increased risk of 26 percent compared to the placebo arm.VirginiaWhich sounds scary,MaraSounds terrifying, right? But the absolute risk is the risk in comparison to one another. And they found that if you're a patient taking the estrogen/progestin, your absolute risk was 8 people out of 10,000 women a year would get invasive breast cancer. So it's very, very small.And this is an issue I see in medical journalism all the time. We talk about relative risk, like your risk compared to another group, but the absolute risk remains extremely low.And just to round it out: I looked all this up about cardiovascular events too. Things like a heart attack, a stroke. So the absolute risk was 19. So there were 19 cases of a cardiovascular event out of 10,000 women in a year. People just freaked out about this because of the way that it was covered in the media. VirginiaI was fresh out of college, doing women's health journalism at the time. So I fully own having been part of that problem. We definitely reported on the relative risk, not the absolute risk. And I don't understand why. I look back and I'm like, what were we all doing? We ended up taking this medication away from millions of women who could really benefit from it.MaraI found a paper that showed between 2002 and 2009 prescriptions for menopausal hormone therapy declined by more than 60 percent. VirginiaI'm not surprised. MaraAnd then even up until the time I started my training, right in 2015, we're just seeing a huge decline in hormone therapy prescriptions.One other thing that's also super important to acknowledge about the Women's Health Initiative is that they enrolled women over 60, which is not really representative of women who want or need hormone therapy. So the average age of menopause is 51 and the vast majority of women who are experiencing symptoms that would respond well to hormone therapy are much younger. We're talking here mostly about hot flashes. Which we call vasomotor symptoms of menopause, but it's basically hot flashes. Women dealing with this are much younger, right? So they're approaching menopause, late 40s, and right after the menopausal transition, early 50s, and then they don't necessarily need it anymore, after their symptoms have improved.VirginiaAnd it will also be true that with women in their 60s, you're going to see more incidence of cancer and heart disease in that age group than in women in their 40s anyway, right? MaraRightVirginiaSo even the 19 cases, the eight cases—they were looking at a higher risk population in general. MaraYeah. And so there have been all these subsequent analyses, which is why now we're seeing menopausal hormone therapy sort of on the upswing. There's a lot of increased interest in it. The American College of Obstetricians and Gynecologists recommends it, the North American Menopause Society, the British Menopause Society; here's a full run-down. It's not that everybody needs it, and we'll get to that in a second, but it is a totally safe and appropriate treatment for—specifically and most importantly—for vasomotor symptoms of menopause. Like hot flashes. There's been all these further analyses of the Women's Health Initiative data and and then from other studies, too. And basically, it shows that when the hormone therapy is initiated before age 60, or within 10 years of menopause, there's a reduced risk of heart disease and reduced mortality.VirginiaWow! MaraSo the timing matters. Isn't that so interesting? The timing matters.Also, the route of administration matters. So what that means in English is that an estrogen patch seems to have a lower risk of blood clots. So one of those fears of the, you know, initial Women's Health Initiative data was that you might have an increased risk of blood clots. But it's something about the way that the estrogen is metabolized. It's not metabolized through the liver when it's absorbed through the skin, and something about that process seems to decrease the risk of blood clots.So that's why your doctor, if you're interested in menopausal hormone therapy, might recommend an estrogen patch rather than a pill.VirginiaGot it. MaraThere's a lot of ambiguity in all of this data, because, you know, we're talking about just huge numbers of people, and it's hard to sort of isolate variables when you're studying just like massive cohorts of people and trying to understand what you know, what factors affect your risk for which diseases. It's not clear that taking hormones prevents heart disease. And that's one of the big claims I see with menopause influencers, that every single person needs this.The data don't support it at this point in time, and the major menopause organizations do not recommend it as a universal preventative treatment for everybody. But it seems like there might be some sort of association that may become clearer as research continues. That said, now it seems like the pendulum is swinging in the opposite direction. I learned, “be afraid of menopausal hormone treatment.” And now all these menopause influencers are saying everyone should be on hormone therapy.I don't know the answer. And so the way that I try to parse through all of this noise is, you know, go to trusted sources, right? So I stick to society guidelines, like the North American menopause society, the British menopause society, they're run by world experts in menopause.VirginiaOkay, so we don't need to be terrified of hormone therapy, and you can be on it if you're still getting your period right? Just to finish Laurie's question.MaraIf you're still getting a period regularly, you're more in perimenopause than past the menopausal transition. And we will often use contraception to help and that you can have a lot of the same benefits from using contraception in that stage. It's also useful just because unintended pregnancy still can be totally a thing in your 40s. But yes, you can absolutely use traditional regimens of menopausal hormone therapy while you're still getting a period too. Just know it won't prevent pregnancy. VirginiaSince we talked a little bit about hot flashes, I'm gonna jump to Judy's question so we can kind of round that piece out: One of the things I am really struggling with is the way I have lost all ability to regulate temperature. I am boiling hot almost all the time, and the slightest thing makes me break out into a full sweat, which makes me not want to move at all.My doctor has not been super helpful in navigating this. What can I do to mitigate this issue? If anything, it is so very hard for me not to blame the size of my body for this, since the correlation seems so clear, smaller body less sweating, larger body sweating all the dang time.MaraJudy, I empathize first of all. Just one caveat I can't really give medical advice to Judy. There are a lot of things that could be going on, and it's really important that you see a doctor and get a full history and physical exam. But I will say that this is one of the things that menopausal hormone therapy is extremely helpful for, is hot flashes.VirginiaThat was my first thought! MaraThere are a lot of influencers who really overstate the benefits of hormone therapy, right? Hormone therapy is not really going to cause significant weight loss or prevent weight gain. It's not totally clear that it helps with mood symptoms or even sleep is a little more ambiguous. But the one thing it really works for is hot flashes. So that would be my thought: Start there. VirginiaAnd on the feeling like you want to blame your body for it: I don't know if Judy identifies as fat, but as someone who identifies as fat, I often feel like I'm sweatier now than when I was thinner. I run warmer. All my skinny friends will be bundled up in coats, and I still won't be wearing one in October. I do notice that. And I think that this is a situation where that is, even if those two things correlate— you're larger and you're sweatier—is that worth putting yourself through the hell of weight loss? You may decide yes, it is, if hormone therapy doesn't work for you.But that's one of those times where I bring it back to “What would actually make my daily life miserable?” I can drink water, I can be in AC, I'm gonna find a link to this nighttime cooling bed thing that my friend Claire Zulkey really loves. MaraI've heard of those!VirginiaI think there are options to mitigate your suffering with this. Medicine is definitely an option. Before you go to “okay, my body size has to be the thing that changes.”MaraI totally agree. I just deal with this all the time where people tell me in my clinic that they want to lose weight. And when I sort of gently ask, what are you hoping to achieve? What are your goals? They're often things that can be achieved through other means. Like, people say my clothes don't fit, right? And most of my patients are low-income, right? I'm not trying to be flippant about the idea that everyone can just go and purchase a new, you know, multi $1,000 wardrobe at the drop of a hat. But it is possible to get new clothes in affordable ways. Don't torture yourself with clothes that don't fit because you feel like weight gain is a moral failing. And I think that there are things that we can do to help keep us at a comfortable temperature, right wear clothes that feel, you know, that feel good. Air conditioning is an amazing modern invention. And, you know, cool beverages, ice cream. VirginiaPopsicle O'Clock is very important in my summer right now, very important. MaraWait, what's a popsicle clock?VirginiaOh, Popsicle O'Clock. It's just the time of day where you eat popsicles. It could be 9am it could be 4pm just whenever I feel like we need to add popsicles to a situation.MaraI think we all need more popsicles in our life, that is absolutely for sure.So I think what I'm hearing from Judy's question is once again, shame about body size, and also this myopic zooming in on weight loss as the only possible solution. Which I blame doctors for in many ways! Some people do benefit from weight loss, right? I'm not opposed to the idea that anybody would ever want to lose weight. I don't think that that's a betrayal of fat solidarity, necessarily. But that there are other things you can do just to make your life feel better in the meantime, or even if you choose to never pursue weight loss. There are things you can do to feel better, and we shouldn't deprive ourselves of those things.VirginiaAnd you don't know that it is the weight gain. It could be age and hormones, and those coincided with the weight gain for you personally. But there are lots of thin women getting hot flashes all the time too.Okay, this next question is from Michaela: I am super curious about the connection between perimenopause, menopause and mental health symptoms, specifically, an uptick in anxiety and depression. Is this a thing?We also got many questions about whether perimenopause and menopause exacerbate ADHD symptoms. MaraSo this is a question I get a lot from my patients, and I've seen a lot of discourse about online. And the short answer is: There is probably a connection between the hormonal changes of perimenopause and the menopausal transition and mental health. Do we understand it? No. So I mean, with ADHD specifically, I will say: This is really not my area of expertise. It's a very complex mental health condition, and our medical understanding of it is really rapidly evolving. I have many patients who have a diagnosis of ADHD but I'm typically not the one who diagnoses them. That being said: Estrogen affects neurotransmitters. Neurotransmitters are implicated in ADHD. Declining estrogen does seem to affect dopamine, in particular, which is implicated in ADHD. And anecdotally, I've had many of my patients say that they feel like their ability to focus and sustain attention decreases. And they experience brain fog as they enter perimenopause and menopause. So it's there's probably something going on, and a lot of researchers are really actively studying it, but we don't know yet.VirginiaDo we know if this is something that hormone therapy can help with?MaraSo I think the answer is, I don't know.VirginiaWhat about anxiety and depression?MaraI don't think the data are there, right? Hormone therapy is usually not considered a first line treatment for the mental health conditions that are often associated with the menopausal transition. But we have great medicines for those conditions. We have good treatments for ADHD, we have good treatments for anxiety and depression. And sometimes during the menopausal transition, patients might need an increase of those treatments. And that could mean going back into therapy, if you've been out of therapy, increasing your medications or restarting a med that you may have stopped years ago. Those are all totally valid approaches during this phase.And I guess what I'd say, is that it's okay to trust your body. And if you notice changes in your mental health associated with perimenopause or menopause itself, ask about it. Don't be afraid to advocate for yourself. And while hormone therapy doesn't look like it is an effective treatment specifically for those symptoms, there are other treatments, and you should feel empowered to ask about them.VirginiaThe next question goes back to some of the diet and exercise stuff we've touched on. This person writes: Since recently reaching menopause, my cholesterol has become high. I understand there is a proven link between menopause and increased cholesterol, and that weight is part of the picture. I'm trying to lower my cholesterol with focus on nutrition and exercise. But it is f*****g with my head because it feels like a very restrictive diet. I'd love any thoughts on the menopause cholesterol connection and keeping cholesterol low with nutrition and exercise without falling into the abyss of obsessing about how many almonds I've eaten.MaraOh, that is such a good question!VirginiaThe almond of it all. MaraAlmonds are really good in some scenarios, but also just like, kind of a sad snack. I always think about President Obama eating those, like, eight almonds, or whatever.VirginiaIt turns out that was a joke and he wasn't doing that. But just the fact that everybody assumed he would says a lot! MaraThat is hilarious, and I didn't know! And it just shows how with information online, the initial story sticks. Like to this day, 10 years later, I still thought that Barack Obama ate eight almonds as his indulgent midnight snack every single night. I hope the man is eating some ice cream and living his best life. Okay, so there is absolutely a link between menopause and elevated risk of cardiovascular disease. But even within the term cholesterol, there are different types. I wouldn't really say to a patient, “Your cholesterol is high.” One thing you might hear is “your LDL cholesterol is high,” which is known popularly as, the “bad” cholesterol. Which, again, moral language alert. But LDL cholesterol is a proxy for risk of cardiovascular disease. I will say it's not a great one; it's kind of a blunt instrument. We measure and we treat it, because we don't have other great ways of predicting cardiovascular risk. But it is not the full portrait, although it's certainly a risk factor for developing cardiovascular disease. And the transition of menopause seems to impact LDL, cholesterol, other biomarkers of cardiovascular disease, and increases your risk for cardiovascular disease.And what's interesting–I think we talked about this a little bit already, is that this happens, this this risk happens independent of normal aging.So, for example, women who go through menopause early start developing this increased risk earlier than women who go through menopause slightly later. And overall, we see that women develop cardiovascular disease, at rates lower than men, and at later in life than men. And there's a hypothesis that this has to do with menopause, right? That there's a protective effect of estrogen, but then when your estrogen starts to decline in menopause, it puts women at an increased risk compared to where they were pre-menopause.There's also some data to suggest that the severity of menopause symptoms—particularly vasomotor symptoms like hot flashes or sleep disturbances—may indicate risk for developing cardiovascular disease. So this is not to scare everyone, but it's good to have knowledge. If you're having really severe hot flashes, it may indicate that you are at slightly higher risk for developing cardiovascular disease than somebody who is not. The intention of having this knowledge is not to make you feel shame, and not to berate you for your belly fat or whatever. It's to have knowledge so that you can help mitigate risk factors in ways that feel aligned with your values and ways that feel aligned with the way that you want to pursue health in your life.And so I would approach this reader's or this listener's question with smy same approach to all of my patients questions. “I have hypertension, does that mean I need to lose weight?” “I have diabetes, does that mean I need to lose weight?” The answer is that we have many treatments that can help you address these concerns independent of weight loss. But this is not to say that you cannot pursue weight loss too, right? And if using a GLP-1 agonist to reduce your visceral adiposity is aligned with your values, and you can tolerate the side effects, and you feel good about it, and it's covered by your insurance….that's totally a reasonable approach. But it's not the only one. So I think what I'm hearing from this patient is the menopause flavor of what I do every single day in my work as a size inclusive doctor. Which is: How can we disentangle weight stigma and body shame from these questions of how to lead a healthy life? And the idea of giving you more information, I hope, is not to shame you or make you feel guilt for the relationship between body size and risk of cardiovascular disease, but instead, to give you information that might help you take proactive care of your body, right?And proactive care might mean committing to an exercise routine. Proactive care might mean taking a statin. A statin is a very common cholesterol medicine like Lipitor. It might mean getting your blood pressure under control and taking an antihypertensive.VirginiaI also want to say on cholesterol, specifically, I did a piece that I'll link to digging into the connection between nutrition and cholesterol. And the data is not as strong as I think a lot of doctors are telling folks.And I think the benefit of making dietary changes—the amount it could lower cholesterol—was not huge. It was like three points or six points or something in one of the studies we looked at. So if it's making you crazy to count almonds, it's possible that medication might be a more health promoting strategy for you. Because it will be less stressful and it will have a bigger benefit on your cholesterol than just trying to control it through diet and exercise.MaraYeah, I totally agree. I think there's a really strong genetic component that we haven't fully understood and medication is a totally reasonable approach and very safe approach. Honestly, statins are pretty benign medications. They're pretty inexpensive, pretty minimal side effects, which is not to say– nobody's paying me from the statin companies, I swear to God!–but yeah, like they're, they're pretty benign as medications go. And I think it's a totally reasonable way to approach this issue.VirginiaI just think it's one of those times where this is shame coming in, where it's like, “You should be able to fix this with how you eat and exercise, and so you don't get the medication unless you fail at that!” This is a framing that I've encountered from doctors. But what if we gave the medication, what if we also consider diet and exercise, but don't make that a pass/fail situation in order to earn the medication? MaraYeah, that's really interesting.And even the language you're using Virginia is what we use in the medical record, and I've tried to stop it. But the way we're taught to describe patients, is “patient failed XYZ treatment,” right? And I feel like we're both at once, overly invested in pharmaceutical treatments, right and underinvested. They're a very useful tool. And we moralize it, both pro and con? Sometimes, like, we moralize in favor of it. So if your BMI is 26 or above, you need to be on a GLP one agonist, which is just false, right?But on the other hand, I think we often underutilize medications because there's this sense that you're getting at —that you have to exhaust all of your like willpower options first, and it's somehow failing to use a med. And that is really false too. They're really useful tools. Science is really useful, and we shouldn't feel ashamed to use it.VirginiaAll right. And our last question, I like because it just will give us a chance to kind of sum up some key points: As a post menopausal woman, I feel like I'm swimming in information, and I'm overwhelmed by it all. What are Dr Gordon's top three pieces of advice out of all of the WHO meaning, if women at this time only did these three things, it would make the biggest difference, and then they just had it. You know, is, does it need to be different for perimenopause versus post menopause? Or maybe not.So what are your top three? Top three tips for surviving this life stage?MaraOh, my God, if only I knew! I'm flattered that you're asking, and I will do my best to answer, but I don't think there's a right answer at all.So I've thought about a couple things. I will say that, you know, longevity and wellness and health span is extremely complicated, but it's also kind of simple, right?So sometimes the advice that we've just heard over and over again is actually really, really good, right? So, sleep. Are we sleeping enough?Staying engaged with social relationships, that seems to be extremely important for longevity. And it's kind of amazing, actually. When they do these long-term studies on people who are thriving into old age, like they have really strong relationships. And that is so important.Moving our bodies and it does not need to be punishing. Workouts can be gardening. I know Virginia, I love receiving your gardening content online. Gardening is an amazing form of exercise, and can be very life affirming, and does not need to feel like punishment. Just getting up, moving our bodies, sleeping enough, maintaining relationships, cultivating a sense of purpose and meaning in our lives. It's actually been really studied right, that people who have a sense of meaning and have a sense of purpose in their lives tend to live longer and live longer, healthier lives.So all of this is to say that like it's complicated, but sometimes it's not. And there are a million people on the Internet who want to sell you a miracle drug, a miracle supplement, a miracle weighted vest, whatever. But sometimes simple, Simple is good. Easier said than done, right?VirginiaYeah, but start simple. That's wonderful.MaraCan I ask? Virginia, what would your advice be? VirginiaI love the three areas you hit on: Sleep, social relations and exercise or moving your body. None of those are about weight loss or dieting. I think that's really helpful for us to keep in mind that the things that might protect our health the most can also be very joyful as well. The idea that doing things that makes you happy and reduce your stress can be health-promoting is great. And I think that's something especially in midlife. We are all incredibly busy. We're holding a lot of things together. A lot of us are caregivers, maybe sandwich generation caregivers. So prioritizing your own joy in that feels really wonderful.ButterVirginiaAll right, so speaking of joy, let's do some Butter! Dr. Mara, what do you have forus?MaraI have a Philadelphia-specific one, but hopefully it can be extrapolated to our listeners in different locations. So I have recently been really craving soft serve ice cream. And so I googled best soft serve in Philadelphia, and I found this Vietnamese coffee shop called Càphê Roasters, which is in North Philly. In a neighborhood called Kensington. And it has condensed milk soft serve ice cream. So good.And so I recently, I had to give a lecture at a medical school in the north part of the city early in the morning. It was like, 8am and I was like, “Oh, I'm never up in this neighborhood. I gotta get over there.” And I went after I gave my lecture, and I bought myself ice cream at 10:30 in the morning. And I ate it in my car, and it was so good. Condensed milk. So good. But soft serve in general, is my Butter. But for those of you in Philly, go to Càphê Roasters in Kensington and get the condensed milk. It is chef's kiss, delicious.VirginiaAmazing. I'm gonna double your Butter and say ice cream in general is my Butter right now. We have a spare fridge freezer that I have just been loading up with all of the popsicles to get us through summer. But also: Ice cream dates. Something that comes up a lot for me as a co-parent is figuring out how to have one on one time with my kids. Since we have joint custody, they move as a package. So I get kid-free time, which is wonderful, but when they're with me, it's just me. So one thing I've been figuring out is pockets of time when I can take one kid out for ice cream. It's usually when a sibling is at another activity, and so we have an hour to kill, and often we would just like, wait for the activity, or go home and come back, and then you're just driving.And now I'm like, No, that will be our ice cream break!MaraI love that.VirginiaSo one kid's at the library doing her book trivia team stuff, and the other kid and I are getting ice cream while we wait for her. And it's great one on one time with kids. Obviously, the ice cream is delicious. The other thing I've realized, especially if you have younger kids who are still building restaurant skills, ice cream is a great practice run at being a person in a restaurant, which is really hard for kids understandably. It is one food thing that they're excited to go do. And you do have to sit and practice eating it somewhat neatly. There's a high mess potential. My pro-move for that is, always have wipes in your car, bring a pack of wipes in. MaraI love that, and it's so intentional about sort of creating traditions with kids. That feels really special. But I will say I had my ice cream solo, and that was also really good solo ice cream too.The Burnt Toast Podcast is produced and hosted by Virginia Sole-Smith (follow me on Instagram) and Corinne Fay, who runs @SellTradePlus, and Big Undies.The Burnt Toast logo is by Deanna Lowe.Our theme music is by Farideh.Tommy Harron is our audio engineer.Thanks for listening and for supporting anti-diet, body liberation journalism! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit virginiasolesmith.substack.com/subscribe

In the last 2 episodes we covered new updates in menopausal hormone therapy. However, we did not address TESTOSTERONE use. This episode idea comes from one our podcast family members and good friend, Eric. Eric is 100% correct: Testosterone replacement, when done correctly, has come along way. When is this indicated? Is this endorsed by professional medical/endocrine groups? What's the dose? We have fun stuff to review, so listen in!1. Davis SR, Baber R, Panay N, Bitzer J, Perez SC, Islam RM, Kaunitz AM, Kingsberg SA, Lambrinoudaki I, Liu J, Parish SJ, Pinkerton J, Rymer J, Simon JA, Vignozzi L, Wierman ME. Global Consensus Position Statement on the Use of Testosterone Therapy for Women. J Clin Endocrinol Metab. 2019 Oct 1;104(10):4660-4666. doi: 10.1210/jc.2019-01603. PMID: 31498871; PMCID: PMC6821450.2. Sharon J. Parish, James A. Simon, Susan R. Davis, Annamaria Giraldi, Irwin Goldstein, Sue W. Goldstein, Noel N. Kim, Sheryl A. Kingsberg, Abraham Morgentaler, Rossella E. Nappi, Kwangsung Park, Cynthia A. Stuenkel, Abdulmaged M. Traish, Linda Vignozzi, International Society for the Study of Women's Sexual Health Clinical Practice Guideline for the Use of Systemic Testosterone for Hypoactive Sexual Desire Disorder in Women, The Journal of Sexual Medicine, Volume 18, Issue 5, May 2021, Pages 849–867, https://doi.org/10.1016/j.jsxm.2020.10.0093. Levy, Barbara MD, MSCP; Simon, James A. MD, MSCP. A Contemporary View of Menopausal Hormone Therapy. Obstetrics & Gynecology 144(1):p 12-23, July 2024. | DOI: 10.1097/AOG.00000000000055534. NAMS The 2022 hormone therapy position statement of The North American Menopause Society: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://menopause.org/wp-content/uploads/professional/nams-2022-hormone-therapy-position-statement.pdf

The whispers about hormones, perimenopause, and menopause have remained frustratingly quiet for too long. Dr. Kristen Markell, a double-board certified OBGYN and certified menopause practitioner, breaks the silence with game-changing clarity in this essential conversation moderated by VEST Member Alison Anthony.For decades, women experiencing brain fog, anxiety, fatigue, and mood changes during perimenopause have been dismissed or told to "just deal with it." Dr. Markell reveals the biological truth: these symptoms aren't character flaws but natural responses to dramatic hormonal fluctuations that can begin up to a decade before menopause. She expertly explains how progesterone typically declines first, while estrogen levels become erratic with extreme highs and lows—a process many healthcare providers themselves don't fully understand.The consequences of this knowledge gap are serious. Women's highest risk of suicide attempts occurs between ages 45-49, coinciding precisely with perimenopause. Beyond mental health, these hormonal changes affect bone density, heart health, and cognitive function. Yet many women suffer silently, especially in professional settings where they fear being perceived as weak or incompetent if they acknowledge their symptoms.Dr. Markell guides listeners through the confusing landscape of treatment options—from hormone replacement therapy and bioidenticals to supplements and lifestyle modifications. She emphasizes that finding the right provider is crucial, suggesting resources like the North American Menopause Society to locate certified practitioners. Most importantly, she frames perimenopause not as a decline but as "a portal into the second half of life"—an opportunity to refocus energy on what truly matters.Whether you're in your 20s planning for future hormonal health, navigating perimenopause now, or supporting someone who is, this conversation provides the knowledge, validation, and practical guidance to transform how we approach this universal yet uniquely personal journey. Your hormones aren't just about symptoms—they're foundational to how you show up in every area of your life.For our guest full bio and show notes click here.If you enjoyed the episode share it with a friend, leave us a review and don't forget to hit the subscribe button. If you are ready to take your career and business to the next level, apply to join our community of professional women, all eager to help you get there and stay there. Check out our VEST Membership and apply today! www.VESTHer.co

In this episode, Dr. Shawn Tassone examines a paradigm-shifting study from the Journal of the North American Menopause Society that demolishes decades of unfounded hysteria surrounding hormone replacement therapy for women over 65. The research reveals that HRT—specifically estrogen therapy—administered beyond age 65 correlates with significant risk reductions across multiple disease categories: mortality, breast cancer, lung cancer, colorectal cancer, congestive heart failure, venous thromboembolism, atrial fibrillation, myocardial infarction, and dementia. The findings underscore the critical importance of precision medicine approaches utilizing individualized protocols, lower dosing strategies, and non-oral delivery methods for optimal clinical outcomes. Episode Highlights The NAMS study that's rewriting the hormone therapy playbook for women over 65 Quantifiable risk reductions across nine major disease categories, including the holy grail of mortality reduction Why the data on breast cancer, lung cancer, and colorectal cancer risk reduction should make us question everything we thought we knew The cardiovascular benefits that contradict decades of clinical paranoia: reduced congestive heart failure, venous thromboembolism, atrial fibrillation, and heart attacks Dementia risk reduction—because apparently estrogen is neuroprotective, not neurotoxic The vindication of individualized hormone therapy protocols using lower doses and transdermal delivery Estrogen monotherapy combined with progesterone: the life-extending intervention hiding in plain sight How this research obliterates the arbitrary age-based cutoffs that have dominated clinical practice Why your patients over 65 deserve a risk-benefit analysis based on actual science, not medical mythology The clinical implications for practitioners ready to abandon fear-based prescribing in favor of evidence-based care Episode Resources Dr. Shawn Tassone's Practice | https://www.drshawntassone.com Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormone Archetype Quiz Thank you to our sponsor, Purality Health! The question isn't which supplements to take—it's whether your body can absorb them. Most traditional supplements fall victim to stomach acid before delivering benefits. Purality Health's micelle liposomal technology creates a double-layer protective system that shields nutrients from stomach acid destruction while facilitating direct bloodstream absorption—making supplements up to 800% more effective. For perimenopausal and menopausal patients, I recommend their Vitamin D3 with K2 for bone density and mood regulation, and their exceptional magnesium formula for sleep and muscle tension. As a physician, I value their commitment to quality: cGMP-compliant facilities, purity testing, and organic, non-GMO ingredients without unnecessary fillers. Visit puralityhealth.com/drshawn and use code DRSHAWN for exclusive savings. Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.

Welcome to Perimenopause WTF!, brought to you by Perry—the #1 perimenopause app and safe space for connection, support, and new friendships during the menopause transition. You're not crazy, and you're definitely not alone!  Download the free Perry App on Apple or Android and join our live expert talks, receive evidence-based education, connect with other women, and simplify your perimenopause journey.Today's Episode“Get Your Vagina Perimenopause Proof - Top Tips No One Ever Told Us”Nobody warns women about what happens down there during perimenopause —  Your pelvic floor matters. In this episode, pelvic health experts Dr. Sara Reardon and Dr. Kelly Casperson discuss everything vagina-pelvic floor related as women approach midlife…everything from muscle loss, leaks, pain, prolapse, and what HRT can do to help. As always, the Perry community prepared questions that reflect the real life situations women need to face during this challenging season!Discover What's New at Perry!Whether you're navigating perimenopause or empowering others as a women's health professional, Perry has something for you. Explore our latest features:

In 2014, the International Society for the Study of Women's Sexual Health together with the North American Menopause Society introduced the term “Genitourinary syndrome of menopause” to replace the prior term vulvovaginal atrophy. Ten years after that, in 2024, a related term “Genitourinary Syndrome of LACTATION, was introduced to better capture the genitourinary issues lactating women may experience. A new systematic review, soon to be released in the journal obstetrics and gynecology, provides new data on GSL prevalence and characteristics. This is a good reminder for any clinician who evaluates postpartum/lactating women to ask about GSL. How does sexual dysfunction fit into this question? Listen in to the next episode of Dr. Chapa's Clinical Pearls Podcast for more details.

If you are over the age of 35 or within a few years of 35, this episode is for you! Dr. Stephanie Cowie is back on the podcast today for a deep-dive conversation on Bioidentical Hormone Replacement Therapy (BHRT) and its powerful connection to women's mental health, aging, and overall wellness during perimenopause and menopause. In this episode, we unpack the difference between BHRT and synthetic hormone replacement therapy (HRT), and why that distinction really matters. We also discuss the major gap in traditional medical training when it comes to supporting women through perimenopause and menopause, and how that impacts the kind of care many women receive. Hormonal shifts can begin as early as age 35, with symptoms often peaking in the late 30s to early 50s. Dr. Cowie emphasizes the importance of starting BHRT at the right time, and breaks down what to expect from a thorough intake, lab testing, and symptom monitoring process when exploring your options. I hope this conversation empowers you to feel more informed, supported, and hopeful as you move through perimenopause and postmenopause. Click here for more information on the North American Menopause Society https://menopause.org/ Connect with Dr. Stephanie Cowie on Instagram @dr.stephaniecowie As always, I'd love to hear your thoughts! Send me a message on Instagram after you've listened @tay.gendron Sign up for The Sunday Reset Newsletter: https://courses.taygendron.com/newsletter For more information on my 4-month Breaking Up With Anxiety Program: https://www.taygendron.com/work-with-tay Website: www.taygendron.com And don't forget to subscribe so you never miss an episode!

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

____________________________________________________________________________________A Recipe for a Period® Info Session on Feb 21, 2025 at 12:30 AM EST https://us06web.zoom.us/meeting/register/QdPiG_SfS4eB8klEmqjVBQ#/registration____________________________________________________________________________________Welcome back! Today we have Dr. Chrisandra Shufelt rejoining us to celebrate the launch of the REVEAL registry! This tool will help gather date worldwide from women, improve treatment, and spread awareness of Hypothalamic Amenorrhea (HA), a condition characterized by the absence of menstruation due to various factors including stress, exercise, and eating patterns. The discussion also touches on the implications of HA on fertility and brain health, highlighting the need for ongoing research and education in this area of women's health.Dr. Shufelt is Professor and Chair of the Division of General Internal Medicine at Mayo Clinic in Jacksonville, Florida, and Associate Director of Women's Health Research Center at Mayo Clinic Enterprise. She is a women's health internist with fellowship training in vascular biology and women's health and a certified menopause practitioner. She has several National and International leadership roles in the American College of Physicians, the European Menopause and Andropause Society and the North American Menopause Society where she is the immediate past-President of the Society and on the board of trustees. Dr. Shufelt has over 200 publications in the area of women's health and has also co-authored several scientific position statements on menopause and hormone therapy. Her NIH-funded research focuses on young women with hypothalamic amenorrhea evaluating the impact on immune and vascular health.____________________________________________________________________________________REVEAL RegistryParticipate in-personPre-screening questionnaireE-MAIL the mayo clinic with any questionsDLREVEAL@mayo.edu____________________________________________________________________________________Apply for coaching w/Cynthia:  https://0u8h3wddwmr.typeform.com/StrategyCallDiscover the truth about HA:  click the link to download Cynthia's fact sheet that debunks common myths and misinformation! Website: https://www.periodnutritionist.comInstagram: www.instagram.com/period.nutritionistFor the full show notes - please visit my website: periodnutritionist.com

In this episode of the To Birth and Beyond podcast, Jessie welcomes colleague, friend and special guest, Dr. Briana Botsford to the show. Together, they delve into the complexities of perimenopause, discussing the hormonal changes birthing people experience, the importance of strength training, and the mental health challenges that arise during this transitional phase. They emphasize the need for a multidisciplinary approach to health, advocating for self-advocacy and the importance of seeking proper medical guidance. The conversation highlights the significance of understanding one's body and the changes it undergoes, while also addressing the societal pressures and misconceptions surrounding menopause.- - - - - - - - -If you liked this episode of To Birth and Beyond, tell your friends! Find us on iTunes and Spotify to rate/review/subscribe to the show.Want more? Visit www.ToBirthAndBeyond.com, join our Facebook group (To Birth and Beyond Podcast), and follow us on Instagram @tobirthandbeyondpodcast! Thanks for listening and joining the conversation!Resources and References www.thisisneeded.com – save 20% with code: BIRTHANDBEYONDTo Pregnancy and Beyond - apply today!Dr. Briana Botsford's websiteDr. Botsford's Instagramhttps://www.flowyeg.ca/Menopause ChicksThe Menopause SocietyShow Notes 0:55 - Jessie's got some BIG news about To Pregnancy and Beyond!2:42 - Jessie introduces our special guest and what we will be talking about today3:42 - Briana explains how the understanding of perimenopause has changed drastically in the last decade and helps us define it6:54 - Briana details how long the perimenopause period can be / last, and what it entails11:54 - Jessie shares about her journey with perimenopause symptoms and she and Briana discuss progesterone supplementation in the perimenopause journey 17:27 - Briana shares the North American Menopause Society as a resource18:00 - Briana describes what else is happening, hormonally, in perimenopause19:24 - Learn about Needed: Nutrition for fertility, pregnancy, postpartum and women's health (sponsored ad)22:06 - Briana highlights the metabolism side of estrogen - and why challenging strength training is important27:06 - Briana shares what additional symptoms she is seeing in her practice33:00 - Jessie and Brianna discuss the need to advocate for ourselves and take care of ourselves35:55 - Briana shares her recommendation for people who THINK they are going through perimenopause, but aren't sure of their next best move40:52 - Briana shares her final words on-topic, and where you can find her online!POWER QUOTES:"Advocating for yourself is essential.""The body was built to adapt.""You can reset and come to a new normal.""We need to talk about what's happening to us.""There's a lot of misinformation out there."

Welcome to Perimenopause WTF!, brought to you by Perry—the #1 perimenopause app and safe space for connection, support, and new friendships during the menopause transition. You're not crazy, and you're definitely not alone!  Download the free Perry App on Apple or Android and join our live expert talks, receive evidence-based education, connect with other women, and simplify your perimenopause journey. “Holistic Approach To Perimenopause: Cut Through The Noise & Build Your Toolbox” What do you do when your perimenopause symptoms seem unreal and you are questioning whether you were actually having a mood swing or not? How do you get great sleep during perimenopause and what supplements might be helpful? How do you handle all the advice being thrown at you so you can choose what is right for you? Todays guests, Dr. Suzanne Fenske and Carrie Locklyn have some great advice for these questions and so much more! Whether you're navigating perimenopause or empowering others as a women's health professional, Perry has something for you. Explore our latest features:

In this conversation, Dr. Kelly Casperson explores her journey into female sexual health, highlighting the taboo surrounding women's sexual health education and the lack of training for medical professionals. She discusses key topics like hormone balancing, menopause, and the impact of the Women's Health Initiative on hormone replacement therapy. Dr. Casperson emphasizes the benefits of estrogen replacement therapy and encourages women to be proactive about their health as they age. She advocates for better education, awareness, and research to combat misconceptions and improve women's health outcomes. Key Takeaways: - Urology encompasses pelvic health, including female sexual health. - Many medical professionals lack training in sexual health education. - Sexual health is often considered taboo, leading to misinformation. - Hormone balancing is often a marketing term rather than a medical reality. - Menopause is a natural process, but its implications are often misunderstood. - The Women's Health Initiative has had a lasting negative impact on hormone therapy perceptions. - Only a small percentage of women are currently on hormone replacement therapy. - Estrogen has significant health benefits beyond sexual health. - Women should be proactive about their health as they age. - Education and open discussions about sexual health are crucial for women's well-being. Vaginal estrogen can significantly improve quality of life for women. - Breast cancer survivors may benefit from hormone therapy. - Education is crucial for women to make informed health decisions. - Testosterone plays a vital role in women's health and well-being. - Many doctors lack knowledge about the safety of hormone therapy. - Women often have more testosterone than estrogen in their bodies. - Quality of life should be prioritized in hormone therapy discussions. - The stigma around hormone therapy needs to be addressed. - Research on hormone therapy is extensive but often overlooked. - Women should advocate for their health and seek information. Dr. Kelly Casperson is a board-certified urologic surgeon who believes in the transformative power of science and the mind to reshape our understanding of sexuality and hormones. After many years of practice, a pivotal encounter with a patient ignited her deep curiosity about female sexual wellness, leading her to learn everything she could to help others. Compelled to do more, she realized that helping patients one-on-one in her clinic wasn't enough to address the widespread gap in sexual and hormonal education. Recognizing that women aren't broken in the bedroom but simply misinformed, she launched the You Are Not Broken podcast. The show quickly gained popularity, consistently ranking in the top 10 in Apple Podcasts' “Medicine” category in the U.S., and has been nominated for an AASECT award three years in a row. In addition to the podcast, Dr. Casperson has developed online courses, a book, and a membership that empowers women by teaching them the fundamentals of their anatomy, physiology, and sexual function. Her approach helps women dismantle limiting beliefs and live their best love lives. Combining her medical expertise with certifications from The Life Coach School and the North American Menopause Society, Dr. Casperson uses a holistic, evidence-based approach to help women achieve sexual wellness and confidence. Known for her engaging and humorous storytelling, Dr. Casperson is a sought-after speaker who makes people feel at ease discussing often uncomfortable topics. Like a trusted big sister who's also a doctor, she shares practical advice that's changing lives both in and out of the bedroom. Dr. Casperson's book, You Are Not Broken: Stop Should-ing All Over Your Sex Life, is available on Amazon and Audible. In 2025, she will be opening the Casperson Clinic for hormones and sex medicine, expanding her reach even further in women's health. Find Dr. Casperson here: Instagram - https://www.instagram.com/kellycaspersonmd/?hl=en Podcast - https://podcasts.apple.com/in/podcast/you-are-not-broken/id1495710329 Website - www.kellycaspersonmd.com  Facebook - facebook.com/groups/youarenotbroken Youtube - https://www.youtube.com/@kellycaspersonmd Bestselling book — You Are Not Broken: Stop "Should-ing" All Over Your Sex Life Follow Dr. Mina here:-  https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin https://www.linkedin.com/in/drminaskin/ For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Website- https://www.atlantadermsurgery.com/ Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.

This week, Dilyana is joined by Cathy Watson, a registered physiotherapist with a special focus on pelvic health. She is the owner/operator of Cathy Watson Physiotherapy, where she treats women with issues of bladder and bowel incontinence, prolapse, and pelvic pain. Seeing how these issues often arise during a woman's menopause transition, Cathy started doing coursework to educate herself about this topic. She became a member of the North American Menopause Society to deliver the latest, evidence-based information to her clients. Making sure women are aware of all their pharmacological and, most importantly, their non-pharmacological tools became a passion project of Cathy's.  In this episode, Cathy and Dilyana delve into what menopause, perimenopause, and postmenopause are and the various symptoms associated with these stages. Cathy explains the importance of estrogen for pelvic floor health and details both pharmacological and non-pharmacological treatment options. She emphasizes the significance of exercise, diet, stress management, and proper sleep hygiene in maintaining overall health. Cathy also provides resources and advice for women experiencing pelvic floor issues.   Follow Cathy: Website Instagram Facebook YouTube  Free Resources    Follow Dilyana: Website Facebook YouTube Produced by: Social Chameleon

Hva er egentlig hypnose, og hvordan kan det hjelpe oss? I denne episoden dykker vi inn i et fascinerende tema – et kraftfullt verktøy som kan bidra til alt fra smertelindring og stressmestring til vaneendring og dypere selvforståelse

Most women don't even think about their urethras, but an estrogen-starved urinary tract can be the culprit when it comes to recurrent urinary tract infections and that persistent “gotta go” feeling.  In this episode I sit down with Dr. Kelly Casperson, a board-certified urologist, a certified Menopause Practitioner of the North American Menopause Society, and the host of the hit podcast You Are Not Broken to discuss the role of estrogen in urinary health including:  ·      How to get rid of URINARY URGENCY ·      How to use a local vaginal estrogen to alleviate many BLADDER SYMPTOMS ·      Why some women are more prone than others to RECURRENT URINARY TRACT INFECTIONS. ·      Simple ACTION STEPS to decrease recurrent urinary tract infections ·      A NEW VACCINE that is on the horizon for women for women who have recurrent infections            Join Dr. Casperson, Dr. Gendler, and I in Arizona on May 16-19                              Miraval Resort and Spa, Tucson Arizona This is a unique opportunity to get one-on-one access to nationally recognized menopause experts while having an exceptional travel experience.  For more information Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.  Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  DrStreicher.com Instagram @DrStreich Facebook @DrStreicher YouTube @DrStreicherTV LinkedIn @DrStreicher                   Sign up to receive DR. STREICHER'S FREE NEWSLETTER     Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain   Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat   Sex Rx- Hormones, Health, and Your Best Sex Ever   The Essential Guide to Hysterectomy                                        To Find a Menopause Clinician Midi Health   www.Joinmidi.com Midi Health is a telehealth company that provides high-level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi's Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country.    The Menopause Society- Certified Menopause Practitioner List Menopause.org To find a menopause practitioner: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx Put in your zip code and designate NCMP or CMSP to get a certified menopause practitioner. While all people on this list have passed a competency examination, Dr. Streicher does not vouch for every one of these clinicians. Most are excellent.   Major Medical Centers It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who have an interest and expertise in menopause.    If you are in the Chicago area, the center founded by Dr. Streicher:  The Northwestern Medicine Center for Sexual Medicine and Menopause Sexmedmenopause.nm.org      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.

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

Have you ever sat in a doctor's office feeling dismissed when explaining your symptoms? or leave an appointment with more questions and answers? This is a familiar story for so many women, especially in midlife. But what if I told you there's someone who understands the struggle and has dedicated her life to empowering women to take charge of their health?Today, we're talking to Dr. Sharon Malone, who believes that in the ever-changing healthcare landscape, it's every woman for herself. And not in a discouraging way but in a way that can ignite your power to become your own best advocate. This week, episode 35 of Pleasure in the Pause is about taking charge of your midlife health! Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift.Dr. Sharon Malone is a nationally known expert in women's health and the New York Times Bestselling author of Grown Woman Talk. She is the Chief Medical Advisor at Alloy Women's Health, a telehealth company that focuses on women over 40. Before joining Alloy, Dr. Malone was a partner at one of the oldest and most successful OB/GYN medical practices in Washington, D.C. She is board-certified by the American College of Obstetricians and Gynecologists and certified by the North American Menopause Society as a Certified National Menopause Practitioner. Throughout her professional career, she has been active in advocating for reproductive rights, reducing teen pregnancy, and eliminating health care disparities. Dr. Malone has been honored with the Health Award from the Black Women's Agenda, Inc., and was named on the 2024 Forbes 50 over 50 list.Highlights from our discussion include:The importance of knowing your personal and family health history.The need for women to be their own best advocates in the changing healthcare landscape.The impact of chronic stress, especially for marginalized groups like Black women.The role of innovative solutions like telehealth in improving access to quality healthcare.The effectiveness of hormone therapy in managing menopause symptoms and improving long-term health.The value of building a supportive community of women to navigate the challenges of midlife and beyond.The empowering message that suffering is not an inevitable part of womanhood.If you've ever felt dismissed or overwhelmed in the doctor's office, or if you're looking for ways to take control of your health during midlife, this episode is for you.If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.CONNECT WITH DR. SHARON MALONE:WebsiteInstagramUse Code GWT25 at MyAlloyCONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInGet immediate access to practical tools that help you feel more like yourself again during perimenopause and menopause with The Menopause Reset Journal today.

Did you know that many menopause myths could be impacting your health choices? Dr. Heather Hirsch joins us to clear the confusion and empower women with the facts.Menopause is often clouded by myths and misinformation, leaving many women confused about their health options. In this episode, Dr. Sameena Rahman invites Dr. Heather Hirsch, a dedicated expert in women's health, to share her journey into menopause care and the profound insights she's gained over the past decade. From the misconceptions surrounding HRT (Hormone Replacement Therapy) to the nuanced challenges of treating perimenopause, Dr. Hirsch discusses her unique "hormone stacking" approach and how it aids in managing side effects effectively. This conversation goes beyond surface-level explanations, diving into the realities of balancing treatment, understanding progesterone sensitivities, and how personalized care makes a difference in women's experiences. Listen in for a blend of clinical expertise and relatable advice that champions informed choices and women's health advocacy.HighlightsDr. Hirsch's Journey: From OBGYN to menopause specialist—how her path shaped her passion for women's health.Hormone Stacking Insight: Why introducing hormones one at a time can be transformative for treatment.Perimenopause Realities: Breaking down misconceptions and exploring why tailored care is essential.Progesterone Sensitivities: Understanding the third-rule approach to help patients navigate side effects.Brain Health & HRT: The untold story of how hormone therapy impacts cognitive function and mental health.Enjoyed this discussion? Don't forget to subscribe, like, and leave a comment. Your engagement helps us bring you more expert conversations. What other guest would you like to see on the podcast. Send me a DM on Instagram and let me know!Dr. Hirsch's Bio :HEATHER HIRSCH, M.D., MS, NCMP, is the founder of the Menopause & Midlife Clinic at Brigham and Women's Hospital and a former Harvard Medical School faculty member. Board certified in Internal Medicine, she completed advanced fellowship training in Women's Health at the Cleveland Clinic. Her practice specializes in menopausal hormone therapy, perimenopause, breast cancer survivorship, sexual dysfunction, and bone health. Dr. Hirsch is an active member of the North American Menopause Society and the International Society for the Study of Women's Sexual Health and serves on the medical advisory board of Midi Health. She now sees patients via her private telemedicine practice.Get in Touch with Dr. HirschWebsiteInstagramPodcast YoutubeGet in Touch with Dr. Rahman:WebsiteInstagramYoutube

In this episode, Dr. Shawn Tassone discusses a recent study published in the Journal of the North American Menopause Society that challenges the previous negative views on hormone replacement therapy (HRT) for women over the age of 65. The study found that HRT, specifically estrogen therapy, beyond the age of 65 is associated with significant risk reductions in mortality, breast cancer, lung cancer, colorectal cancer, congestive heart failure, venous thromboembolism, atrial fibrillation, heart attacks, and dementia. The study also highlighted the importance of individualized hormone therapy, lower doses, and non-oral routes of administration for optimal health outcomes. Episode Highlights Hormone replacement therapy (HRT) beyond the age of 65 Results of a new study published by NAMS How they're associating HRT with significant risk reductions in mortality, breast cancer, lung cancer, colorectal cancer, congestive heart failure, venous thromboembolism, atrial fibrillation, heart attacks, and dementia Individualized hormone therapy, lower doses, and non-oral routes of administration are recommended for optimal health outcomes. Estrogen-only therapy, specifically transdermal estrogen with progesterone, is beneficial and prolongs life. The study challenges the previous negative views on HRT for women over the age of 65 and provides evidence for the benefits of hormone therapy in improving women's health. Why women should discuss hormone therapy options with their healthcare providers and consider the potential benefits and risks based on their individual needs and health conditions. Resources Dr. Shawn Tassone's Practice | Tassone Advanced Gynecology Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormonal Archtype Quiz Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.

This is episode (5) of our special nine-part series entitled Sex is Complicated. Our hosts Julie Flakstad & Dr. Taz Bhatia, welcome celebrated urologist, author, and podcast host, Dr. Kelly Casperon to unravel why sex + intimacy becomes more nuanced as we age. Kelly's direct and approachable style provides valuable perspective and much needed advice on all things adult sex-ed. In this episode, Kelly breaks down:Why sex + intimacy is nuanced + layered as we transition into midlifeWhat's happening physically + emotionally and how to navigate it both in and out of the bedroomAdvice + perspective on how to take charge of your sexual wellness including the importance of vaginal estrogen, knowing your anatomy, and how to talk more openly with your partner and/or spouseThe importance of rethinking sex + intimacy as ‘PLAY'About Our Guest, Kelly Casperson MD.Dr. Casperson is a board-certified practicing urologist interested in the power of the mind and science to change our views on sexuality. After years in medical practice, she had a life-changing patient who fueled not only her interest in learning everything she could about female sexual wellness but ultimately, her passion for educating women everywhere that they are not broken in the bedroom. They just didn't get a proper education (and neither did their partners).She created a podcast called You Are Not Broken which consistently ranks in the top 10 in the Apple “sexuality” category in multiple countries. It has been nominated for an AASECT award for three years running.She went on to develop online courses teaching women the fundamentals of their anatomy and physiology, discussing their limiting beliefs, and normalizing their normal female sexual function, so that they are empowered to live their best love lives yet. She has a premier, private podcast/group coaching experience, which started in July 2022 to help people create desire and agency in their intimate lives.Certified through the Life Coach School and the North American Menopause Society, she now combines her medical knowledge with mind-work to help women have more understanding and agency over their sexuality.An engaging and humorous storyteller, she is a nationally recognized speaker, known for being approachable (like your big sister who is a doctor), making people feel comfortable with these often-uncomfortable topics, and changing lives in and out of the bedroom with her practical and useful tips.She is opening The Casperson Clinic in October 2024Connect with Our Hosts and Conversation Partner!Kelly CaspersonYou Are Not Broken Podcast BookYou Are Not Broken TED TalkThe Casperson ClinicAdult Sex EDWebsite: https://kellycaspersonmd.com/ Instagram: @kellycaspersonmdJulie Flakstadhttps://julieflakstad.com/ Instagram @julieflakstad  Facebook @thejulieflakstadDr. Taz BhatiaYouTube: @DrTazMDInstagram: @drtazmdWebsite: doctortaz.comOrder The Hormone Shift book HEREPractice - Centre Spring MD: https://centrespringmd.com/ Tune in next Wednesday, 10/23, when we drop our next episode in this special (9) part series, called “Friendship Matters” with podcaster and life coach, Paige Nolan. In this episode, our hosts, Julie Flakstad and Dr. Taz Bhatia, get into the ever changing landscape of adult friendships as we age.. Available on Audio and on YouTube!Thanks so much for tuning in! Before you leave, please make sure to subscribe to the show so you'll receive updates on new episodes. Also, let us know how we're doing by providing a rating and review!This series is presented by WomanessCreated by women for women, Womaness (https://womaness.com/) offers clinically and doctor tested supplements, sexual wellness, and skincare products that help you navigate hot flashes, changing skin, vaginal dryness, sleepless nights, and more—empowering you to live your life fully and age well.Just for you… Womaness is offering all our future podcast listeners 20% off any purchase of $50 or more. Use code: Midlife20 and Shop NowProduction:This show is produced by Rainbow Creative with Evy Bjorn and Matthew Jones as Executive Producers, and Nathan Wheatley as Lead Video and Audio Editor. Learn more about them at https://www.rainbowcreative.co. 

In this conversation, Dr. Shawn Tassone, a holistic gynecologist, discusses various aspects of women's health, particularly focusing on menopause and hormone therapy. He critiques the work of Dr. Jen Gunter, addressing misconceptions about menopause and hormonal treatments. Dr. Tassone emphasizes the importance of evaluating the credibility of health information and the qualifications of those providing it. He also discusses the significance of personalized care in hormone therapy and the need for a broader understanding of women's health beyond just estrogen-based treatments. Episode Highlights: The importance of personal experience in medicine The negative portrayal of physicians by some influencers The need for ethical practices in health advice The value of compounded hormones under certain conditions The blanket dismissal of chiropractors in healthcare The importance of lab work in hormone therapy management The potential benefits of thermography when used correctly The need for a holistic approach to menopause management Why the North American Menopause Society's recommendations need to be criticized Why open discussions about differing medical opinions are necessary Resources Dr. Tassone's Practice | Tassone Advanced Gynecology Dr. Tassone's Book | The Hormone Balance Bible Hormone Archetype Quiz | Hormonal Mapping System Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your healthcare professional for any medical questions

You're getting better with age and so should your love life!  That's why Dr. S and Dr. Shyama, board certified ob-gyn, tell you everything you need to know about lube, hormones, pelvic floor therapy, and prescriptions to make sex better during perimenopause, menopause, and postmenopause!  Press play now to get all your questions answered, including: ·      What lube is best for perimenopause, menopause, and postmenopause? ·      Do you know there are TWO prescription medications for low desire in women? ·      Does testosterone applied down south increase arousal? ·      Why do UTIs increase with menopause and what to do about it? ·      Should you be using vaginal estrogen? ·      Does a daily vaginal moisturizer help with thinning tissue? ·      Is hormone replacement therapy something you should consider? ·      Can pelvic floor therapy treat sexual pain? ·      Is your doctor a member of the North American Menopause Society?   eEnjoy the show? Please show some love by leaving a quick review and following Dr. Sonjia on Instagram, Tik Tok, and Linkedin!     

I am so excited to welcome Emily Sadri to the show to talk all things perimenopause! She's a Board Certified Women's Health Nurse Practitioner, Certified Nurse Midwife, and hormone expert who's helped thousands of women through this journey.  Emily is amazing at breaking down complex topics and making them accessible, and we got into the weeds on weight loss, insomnia, and how and why the loss of estrogen affects us so deeply. If you want more info, join the summit for free! I'll be speaking there:  https://perimenopauserevolution.com/?orid=16 North American Menopause Society: https://www.menopause.org/ (referenced during the interview) Read the show notes for today's episode at terricole.com/653

This week, join Dr. Thais Aliabadi and Mary Alice Haney as they sit down with special guest Dr. Sharon Malone, Chief Medical Advisor at Alloy Women's Health and New York Times bestselling author. In this episode, Dr. Malone shares her insights on the crucial differences between menopause and perimenopause, including why women in their 30s need to start thinking about hormone therapy. The conversation also covers the pros and cons of birth control pills versus menopausal hormone therapy, the role of testosterone in libido, and even using estrogen cream on your face. Dr. Malone also delves into the founding of Alloy Women's Health, a telehealth company revolutionizing how women access healthcare, and discusses her latest book, Grown Women Talk. Whether you're looking to better understand perimenopause, hormone therapy options, or the latest in women's health, this episode is packed with expert advice and actionable takeaways.For more resources, visit our website: SheMDpodcast.comFollow us across social media: @SheMDpodcastSponsors: Knowing your family's history of cancer is the first step to understanding your own cancer risk and may qualify you for the MyRisk Hereditary Cancer Test with RiskScore hereditary cancer test. It's easy, accurate and covered by most insurers. Learn more at https://myriad.ws/getmyriskRedefine learning with play! Get 50% off your first month on ANY crate line at KIWICO.com, promo code SHEMD.Visit https://clearstem.com/she-md and use code SHEMD at checkout for 20% off your first purchase. Get up to 60% off at Babbel.com/SHEMD *Rules and restrictions may applyIf you think that you or a loved one could be struggling with an eating disorder, Equip can help you achieve lasting recovery. Visit https://Equip.health/shemd to learn more. Head to https://moonjuice.com/ and use code SHEMD at checkout for 20% off If you want to take ownership of your health, it starts with AG1. Try AG1 and get a FREE 1-year supply of Vitamin D3K2 AND 5 free AG1 Travel Packs with your first purchase at drinkAG1.com/shemd.IN THIS EPISODE:[00:00] Dr. Sharon Malone shares her background and discusses the difference between menopause and perimenopause[13:12] Discussion of birth control pills versus menopausal hormone therapy[20:35] Discussion of testosterone and libido and using estrogen cream on your face[30:16] Alloy Women's Health, a telehealth company, is conceived and Dr. Malone's book, Grown Women Talk[39:50] Discussion of progesterone taken with estrogen and the Women's Health InitiativeKEY TAKEAWAYS: Is It Menopause or Perimenopause? Many women don't realize that perimenopause can happen anywhere from four to ten years before menopause. Don't think you aren't in perimenopause just because you are still having periods. Women in their 30s need to begin to educate themselves about hormone therapy. Don't Suffer in Silence: There is help for the symptoms of perimenopause and menopause. Various options are available to treat symptoms, and the critical thing to remember is that if one doesn't work, try another one. Don't suffer.There is a Substantial Difference Between Oral Contraceptives and Menopausal Hormone Therapy: The amount of estrogen that is in a birth control pill is anywhere from two to three times more estrogen than that in menopausal hormone therapy. You Need to Know the Difference Between Testosterone Pellets and Testosterone Creams: Some women will have an adverse reaction if there is too much testosterone in the therapy. With a cream, you can control the amount of testosterone you receive. Try Alloy Women's Health from the Convenience of Your Own Home: Gone are the days when you waited months to speak to a doctor. With Alloy, you can book an appointment online and talk to a doctor who is an expert in women's health issues. Alloy provides continuing education and delivers prescriptions to your door. RESOURCES:Alloy Women's Health - WebsiteGrown Women Talk - BookDr. Sharon Malone - WebsiteDr. Sharon Malone - InstagramDr. Sharon Malone - XCONNECT WITH SHE MD: Mary Alice Haney - InstagramDr. Thaïs Aliabadi - InstagramSheMD Podcast - InstagramSHEMD - YouTubeSHEMD - PodcastSHEMD - WebsiteGUEST BIOGRAPHY:Dr. Sharon Malone is a DC-based OB/GYN and Certified Menopause Practitioner dedicated to empowering women to take charge of their health. As a nationally recognized expert in women's health, she is the Chief Medical Advisor at Alloy Women's Health and a New York Times Bestselling author. Dr. Malone is board-certified by the American College of Obstetricians and Gynecologists and certified by the North American Menopause Society. Her personal experiences, including her mother's untimely death from colon cancer, have driven her passion for addressing healthcare disparities and advocating for reproductive rights.QUOTES:“The one thing that I want all people to understand is that we treat you when you're symptomatic. We're not waiting for any particular milestone or marker because I think a lot of women think, Oh, well, I haven't suffered enough, or my symptoms aren't bad enough. That should not be the standard of care we use. We treat it when the symptoms are bothersome for you.” Dr. Sharon Malone“So, the things that we talk about like hot flashes, mood swings, night sweats, vaginal dryness. The list goes on and on. All of those things can happen well in advance of when you think menopause is supposed to start, and It causes a lot of consternation because we're not prepared for it and women don't know what to do.” Dr. Sharon MaloneSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

It's a common scenario. A woman is given a prescription for a local vaginal estrogen, or DHEA and uses it faithfully but continues to have painful intercourse. In most cases, the product is working just fine and there is another reason for the pain.   In this segment Dr. Streicher discusses: The TOP 5 REASONS women have pain despite using estrogen Why a WRONG DIAGNOSIS might be the problem The importance of treating the VESTIBULE (the opening) of the vagina Why a painful, tight PELVIC FLOOR might be the problem The role of PELVIC FLOOR PHYSICAL THERAPY  VAGINAL DILATORS- What they are, how they help, and how to use them.  Soul Source Dilators https://www.soulsource.com/ How to Find a Pelvic Floor Physical Therapist Pelvic Floor Physical therapists trained by Herman & Wallace Pelvic Rehabilitation Institute www.pelvicrehab.com  American Physical Therapy Association (APTA) Section on Women's Health www.aptapelvichealth.org/ptlocator  For further information: Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders Episode 4: Is Your Lubricant Helping or Hurting Your Vagina? Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things  Episode 11: Vaginal Estrogen is Not Poison Episode 63 DHEA-An Estrogen Alternative for Vaginal Dryness  Episode 83 Get the Biggest Benefit from Vaginal Creams, Rings and Other Things Episode 130- Are You Ever Done with Menopause?  The Essential Guide to Hysterectomy Episode 1: Is It Menopause or Some Other Pause? Episode 23: Welcome to Peri-menopause Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Twitter @DrStreicher Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

In a world where women are barraged with information when it comes to how best to manage menopause, it can be overwhelming and confusing. Between having their symptoms dismissed by their regular physician, and then being overwhelmed with information on social media, it's hard to know what's fact and hype.  And what do you do when the doctor you trust, tells you that the social media expert you also trust is wrong? In this episode, I chat with Tamsen Fadal, a menopause advocate who has made it her mission to help perimenopausal and menopausal women navigate through the information and disinformation to get the correct information when it comes to maximizing their health. Tamsen's own experience when she entered menopause Why Tamsen switched careers to become a menopause advocate How do you know an expert is really an expert? The best way to find a menopause expert The impact of telehealth on finding a menopause expert What to do if your own doctor is not a menopause expert Why women put relatability over expertise Hot to figure out if a social media expert is an expert What to do when a social media expert disagrees with your own doctor Do healthcare clinicians need to act professionally in their private lives?  What I think when it comes to being strictly evidence-based                                                   Tamsen Fadal                                  https://www.tamsenfadal.com/                                    Social Media-@tamsenfadal For more information on this topic:  Episode 10: Dating After 50- Make it Awesome Not Awful- With Bela Gandhi Episode 46 Finding a Menopause Clinician Who Will Listen  Episode 124 All Hormones Are Not Created Equal with Dr. James Simon Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

Dr. Sameena Rahman is a board-certified OB/GYN, sex-med gynecologist, menopause specialist, and founder of the Center for Gynecology and Cosmetics. After years of practicing obstetrics and gynecology in a variety of large academic settings and locations, Dr Rahman opened a practice to ensure patients have their best quality of life. Additionally, she hosts the podcast Gyno Girl Presents: Sex, Drugs & Hormones. With the prestigious designation of ISSWSH Fellow (IF) from the International Society for the Study of Women's Sexual Health, Dr. Rahman is at the forefront of innovative approaches to sexual pain and dysfunction. She is an active member of the International Society for Sexual Medicine (ISSM) and holds the Certified Menopause Physician (NCMP) credential from the North American Menopause Society, where she specializes in menopause management for midlife individuals.In this episode, Nada sits down with Dr. Rahman to discuss her Gyno Girl persona and platform. From her early career in obstetrics to her specialty in menopause, Dr. Rahman is passionate about saving lives and sharing knowledge with her patients and online communities. The conversation covers sexual pain, UTIs, pelvic floor issues, and offers a slew of resources to help women navigate the suffering associated with hormones and aging. From books and podcasts to YouTube and Instagram, Gyno Girl wants to connect you to accurate information so you can start living your best middle third. Check out the recommended resources: Estrogen Matters by Avrum Bluming and Carol Tavris, Grown Women Talk by Sharon Malone, The New Menopause by Dr. Mary Claire Haver, Menopause.org, ISSWSH, Dr. Kelly Casperson's podcast, Dr. Lauren Streicher's podcast, and the NYT article. Follow Gyno Girl's podcast, YouTube, and Instagram.Please follow us at @thisislibertyroad on Instagram; we want to share and connect with you and hear your thoughts and comments. Please rate and review this podcast. It helps to know if these conversations inspire and equip you to consider your possibilities and lean into your future with intention. This episode is brought to you by our friends at NativePath. To begin your bone health journey, go to getnativepath.com/LIBERTY for a special 45% off discount for being a Liberty Road listener. Hosted on Acast. See acast.com/privacy for more information.

Val Schonberg is a Registered and Licensed Dietitian with a master's degree in nutrition science from the University of Minnesota. She is Board Certified as a Specialist in Sports Dietetics, a Certified Menopause Practitioner with The Menopause Society (previously known as the North American Menopause Society) and a Fellow of the Academy of Nutrition and Dietetics.  Val owns a private practice in Atlanta, Georgia where she specializes in midlife health and menopause, recreational and professional sports nutrition, all types of eating disorders and helping individuals break free from dieting and disordered eating. Originally from Minnesota, Val's experience and expertise come from years of practice in many settings including women's health, eating disorder treatment, Division 1 college sports medicine, professional dance organizations, and speaking regionally and nationally on numerous nutrition-related topics. In addition to individual nutrition counseling, she is the consulting dietitian for Emory Sports Medicine, Orthopedics, Atlanta Ballet, and the Atlanta Dream Women's NBA team.   We discuss topics including: How compulsive exercise is defined Movement can help with brain chemistry Understanding that our bodies are changing as we age Fitness culture is apart of diet culture Break free from comparitis   SHOW NOTES: https://valschonberg.com/ https://www.instagram.com/v.schonbergrd/ https://www.facebook.com/Enlightenunutrition https://drjengunter.com/  https://www.instagram.com/drjengunter/ https://www.menopause.org/ https://www.imsociety.org/ https://www.endocrine.org/menopausemap/index.html ____________________________________________ If you have any questions regarding the topics discussed on this podcast, please reach out to Robyn directly via email: rlgrd@askaboutfood.com You can also connect with Robyn on social media by following her on Facebook, Instagram, Twitter, and LinkedIn. If you enjoyed this podcast, please leave a review on iTunes and subscribe. Visit Robyn's private practice website where you can subscribe to her free monthly insight newsletter, and receive your FREE GUIDE “Maximizing Your Time with Those Struggling with an Eating Disorder”. Your Recovery Resource, Robyn's new online course for navigating your loved one's eating disorder, is available now! For more information on Robyn's book “The Eating Disorder Trap”, please visit the Official "The Eating Disorder Trap" Website. “The Eating Disorder Trap” is also available for purchase on Amazon.

Send us a Text Message.Menopause and Sex - on the menu today! We couldn't resist putting out this enlightening podcast fan fave again!  This popular episode is from Season 1 - 2022:  How Menopause Can Impact Sexual Health with Dr. Stephanie S. Faubion. On the podcast-we're talking about painful sex and the lack of desire in menopause. Don't let the big M keep you from finding your happy place in the bedroom and getting your groove back.  Dr. Faubiom serves up plenty of great information that will empower you.  She's G-O-O-D! Check it out! And Here's to Healthy Aging and Joyful Luvvies!Dr. Stephanie S. Faubion - BIOStephanie S. Faubion, MD, MBA, FACP, NCMP, IFMedical Director, The North American Menopause SocietyPenny and Bill George Director, Mayo Clinic Center for Women's HealthProfessor and Chair, Department of MedicineMayo Clinic, Jacksonville, Floridafaubion.stephanie@mayo.edu | 904-953-7224 Dr. Faubion completed her undergraduate studies at the University of Texas at Austin and medical school and residency in internal medicine and pediatrics at the University of Texas Health Science Center at Houston. She received her Master of Business Administration at the Carlson School of Management at the University of Minnesota in 2019. She is Professor and Chair of the Department of Medicine at Mayo Clinic in Jacksonville, Florida and the Penny and Bill George Director of the Center for Women's Health. In 2019 she was named Medical Director of The North American Menopause Society. Her clinical research interests include menopause and sexual health in women. She is Principal Investigator for the Data Registry on Experiences of Aging, Menopause and Sexuality (DREAMS). She has served on the board of trustees for the North American Menopause Society and the board of directors for the International Society for the Study of Women's Sexual Health. She also serves as editor of the journal, Menopause, and is on the editorial board of the Journal of Sexual Medicine.SOCIAL MEDIA LINKS: https://www.menopause.org LinkedIn:  https://www.linkedin.com/company/menopause.org/ Twitter:     @StephFaubionMDhttps://twitter.com/StephFaubionMD Twitter:     @MenopauseOrgSupport the Show.www.linkedin.com/in/marqueetacurtishaynes www.agelessglamourgirls.com https://www.youtube.com/@agelessglamourgirls Instagram and Facebook: @agelessglamourgirlsFacebook: https://www.facebook.com/agelessglamourgirlsPrivate (AGG) FB Group: The Ageless Café: https://www.facebook.com/groups/theagelesscafeTikTok: @agelessglamourgirlsPodcast Producers: Purple Tulip Media, LLC and WEG Media Group, LLC

Here at Sex on Call, our personal expert on menopause is Maddie. She has her certification with North American Menopause Society and she is deeply passionate about all things menopause.Today, we are focusing on pain with sex in connection to menopause. As women can spend up to 40% of their life in menopause, many experience side effects from the declining estrogen and androgen specifically in our vaginal tissues. The lack of these hormones can often lead to discomfort and pain with intercourse including dyspareunia.The unfortunate reality is that 50% of women experiencing issues with their sexual function related to menopause never seek treatment or utilize therapy. Some common symptoms include irritation of the vulva, inadequate vaginal lubrication, burning, urinary urgency, decreased sexual sensation/pleasure, and more.In a survey of women, this has led to a negative effect on their lives, adverse effects on sexual intimacy, feeling less sexual, feeling old, negative consequences on marriage/relationships, negative effects on self-esteem, and lower quality of life.During our discussion, we share treatment options, why menopause doesn't have to include sexual discomfort, how often treatments usually take to be effective, and why estrogen is considered a safe and effective options for many patients.We hope this conversation is valuable for you!

In this episode Megan and Lesley talk about how freaking hot they are in the way that only mid-century old women can. Hear reflections on the death of Donald Sutherland, Menopause and the "Take a Fan" suggestion and memorable live-action superhero's from the 70s and 80s.  GenX Women are Sick of This Shit Love us? Hate us? Let us know!  Want to continue the conversation?  Sign up for our newsletter! HERE Join the original Facebook group! GenX Women are Sick of Your Shit Tell us your own 5 MInutes of Fame story! Join us for Meet-Ups and Expert led Discussions Get your hands on our MERCH!!! This episode was recorded on June 22, 2024 and released on July 6th, 2024.  Sources:  International Menopause Society The North American Menopause Society Dr. Jen Gunter The Band Orleans (Image Refrence) Orleans Album Cover Donald Sutherland IMDB Donald Sutherland Wiki Isis IMDB Wonder Woman IMDB Electra Woman and Dyna Girl IMDB Electra Woman Theme (Cyndi Lauper and YOU'RE WELCOME) Electra Woman Theme Original Buffy The Vampire Slayer - TV Buffy The Vampire Slayer - Movie Paul Rubins death scene: Buffy The Vampire Slayer Equal Opportunity Act of 1972 Equal Credit Opportunity Act of 1974:  JStore Daily -  from JSTORE, Nonprofit Library for the Intellectually Curious: A Bank of Her Own "The Equal Credit Opportunity Act of 1974 gave every American woman, married or not, the right to open her own bank or credit account. It outlawed discrimination by both sex and race in banking. It is easy to forget today that this right has existed nationally for fewer than fifty years." National Women's History Alliance The History Channel - Women's History  

Do you ever wish that your conversations about menopause were more open? Well, that is precisely what our latest podcast episode addresses. Welcome Dr. Sharon Malone as we dive deep into the pressing issue of menopause. Dr. Sharon Malone is a DC-based OB/GYN and Certified Menopause Practitioner on a mission to empower women to take charge of their health. She is a nationally known expert in women's health, a New York Times Bestselling author, and the Chief Medical Advisor at Alloy Women's Health.Together, we emphasize the critical need for education and awareness among both the community and healthcare providers to better address the needs of women going through menopause.Dr. Malone and I highlight the importance of seeking specialized care and effectively navigating the healthcare system. They discuss the challenges and limitations posed by the current insurance system, stressing the urgency of innovative solutions, including telehealth, which could democratize access to specialized care and ensure every woman gets the treatment she deserves.The episode delves into significant findings from the SWAN study, which observed menopausal women over 25 years. Notably, it revealed black women tend to experience menopause earlier with more severe symptoms, such as hot flashes, disrupted sleep, and increased cardiovascular risks. Despite these severe symptoms, there is often a lack of adequate hormone therapy due to a combination of misinformation and the normalization of suffering.Additionally, Dr. Malone shares her personal journey through menopause, highlighting that it can be a productive and fulfilling phase of life if women take charge of their health and well-being. She also discusses her transition from private practice to her role at Alloy Health, aiming to provide more comprehensive care for menopausal women.Highlights:The SWAN Study Findings: Learn about the long-term study that observed menopausal women and the insights gained regarding the onset and severity of symptoms. Navigating Healthcare: Tips on finding the right expertise and efficiently managing healthcare interactions.Telehealth and Innovation: Explore how telehealth can improve access to specialized care for women.Dr. Malone's Personal Journey: Discover how menopause can be a creative and fulfilling phase of life when women take proactive steps for their health.Aging Gracefully: Emphasize the importance of taking charge of one's health and leveraging intergenerational conversations for cognitive fitness.About Dr. Sharon Malone:Dr. Sharon Malone is a DC -based OB/GYN and Certified Menopause Practitioner on a mission to empower women to take charge of their health.Dr. Sharon Malone is a nationally known expert in women's health and the New York Times Bestselling author of Grown Woman Talk. She is the Chief Medical Advisor at Alloy Women's Health, a telehealth company that focuses on women over 40. Before joining Alloy, Dr. Malone was a partner at one of the oldest and most successful OB/GYN medical practices in Washington, D.C. She is board-certified by the American College of Obstetricians and Gynecologists and certified by the North American Menopause Society as a Certified National Menopause Practitioner. Throughout her professional career, she has been active in advocating for reproductive rights, reducing teen pregnancy, and eliminating health care disparities.Dr. Malone is the youngest of eight children. During World War II, her parents, both of whom were raised in the rural south,...

There continues to be great confusion regarding the impact of hormone therapy on the breast. And despite the known benefits of hormone therapy, and reassuring data regarding the impact of hormone therapy on breast cancer, most clinicians are still reluctant to prescribe it, and most women are reluctant to take it. Even more so if a woman is high risk for breast cancer or has a breast cancer diagnosis.  In this episode, I am joined by Dr. Corinne Menn, a board-certified Ob GYN and menopause expert who herself had a breast cancer diagnosis when she was in her 20s. We will be reviewing the latest research on the impact of estrogen on the breast in several different scenarios.  PREGNANCY post breast cancer Women who have a BREAST CANCER diagnosis  Women with a FAMILY HISTORY of breast cancer Women with a BRCA MUTATION after prophylactic ovary removal The approach to therapy for women with a NEW BREAST CANCER DIAGNOSIS The use of local vaginal estrogen in women with a breast cancer diagnosis that are taking TAMOXIFEN or using an AROMOTASE INHIBITOR If a LOCAL VAGINAL ESTROGEN needs to  be used at the lowest dose What to do if your DOCTOR NOT WILLING to prescribe local or systemic estrogen (list of articles to share is below)  If a woman with a breast cancer diagnosis can use TESTOSTERONE for libido and other possible benefits Dr. Corrine Menn https://drmenn.com/ @drmennobgyn For more information: Episode 124 All Hormones Are Not Created Equal with Dr. James Simon Episode 65- The Dilemma of Menopause and Breast Cancer Episode 31 The TRUTH About Hormone Therapy: Does it CAUSE or Does it PREVENT Breast Cancer? Episode 28: The BEST approach for BREAST Cancer Screening and Risk Reduction with Dr. Lisa Larkin Dr. Streicher's Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Scientific Articles  Hormone Therapy and Risk of Breast Cancer Bluming AZ, Hodis HN, Langer RD. 'Tis but a scratch: a critical review of the Women's Health Initiative evidence associating menopausal hormone therapy with the risk of breast cancer. Menopause. 2023 Dec 1;30(12):1241-1245.  Bluming AZ. Introduction: Estrogen Reconsidered: Exploring the Evidence for Estrogen's Benefits and Risks. Cancer J. 2022 May-Jun 01;28(3):157-162.  Hodis HN, Sarrel PM. Menopausal hormone therapy and breast cancer: what is the evidence from randomized trials? Climacteric 2018;21:521–8. Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Mar 14.  Chlebowski RT, Aragaki AK, Pan K, Mortimer JE, Johnson KC, Wactawski-Wende J, LeBoff MS, Lavasani S, Lane D, Nelson RA, Manson JE. Randomized trials of estrogen-alone and breast cancer incidence: a meta-analysis. Breast Cancer Res Treat. 2024 Apr 23. doi: 10.1007/s10549-024-07307-9.  Pan K, Lavasani S, Aragaki AK, Chlebowski RT. Estrogen therapy and breast cancer in randomized clinical trials: a narrative review. Menopause. 2022 Sep 1;29(9):1086-1092.  Use of Hormone Therapy in Women with a Breast Cancer Diagnosis Bluming A. Hormone replacement therapy after breast cancer: it is time. Cancer J 2022;28:183–90.  Bluming AZ. Safety of systemic hormone replacement therapy in breast cancer survivors. Breast Cancer Res Treat. 2022 Feb;191(3):685-686. doi: 10.1007/s10549-021-06479-y.  Fahlén M, Fornander T, Johansson H, Johansson U, Rutqvist LE, Wilking N, von Schoultz E. Hormone replacement therapy after breast cancer: 10 year follow up of the Stockholm randomised trial. Eur J Cancer. 2013 Jan;49(1):52-9. Mikkola TS, Savolainen-Peltonen H, Tuomikoski P, Hoti F, Vattulainen P, Gissler M, et al. Reduced risk of breast cancer mortality in women using postmenopausal hormone therapy: a Finnish nationwide comparative study. Menopause 2016;23:1199–203 Hormone Therapy in Women with BRCA Mutation Kotsopoulos J, Gronwald J, Karlan BY, Huzarski T, Tung N, Moller P, Armel S, Lynch HT, Senter L, Eisen A, Singer CF, Foulkes WD, Jacobson MR, Sun P, Lubinski J, Narod SA; Hereditary Breast Cancer Clinical Study Group. Hormone Replacement Therapy After Oophorectomy and Breast Cancer Risk Among BRCA1 Mutation Carriers. JAMA Oncol. 2018 Aug 1;4(8):1059-1065.. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER'S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

This episode is sponsored by HCA Midwest Health. Perimenopause and menopause! Why didn't our mothers warn us! And why is it all so confusing! Today, we're talking with Dr. Kiersten Moreno, a board-certified OB/GYN at Independence Women's Clinic at Centerpoint Medical Center – a part of HCA Midwest Health. She is also a member of the North American Menopause Society and a menopause practitioner. We hope to tackle everything perimenopause and provide you with some answers.   Meet Dr. Kiersten Moreno Dr. Kiersten Moreno is a board-certified OB/GYN at Independence Women's Clinic located in Independence, MO. Dr. Moreno is affiliated with Centerpoint Medical Center and Lafayette Regional Medical Center. Dr. Moreno provides all aspects of obstetrical and gynecological care. She specializes in minimally invasive gynecological surgery, including Da Vinci assisted robotic surgery. Dr. Moreno received a Bachelor of Science in Clinical Laboratory Science at the University of Texas at Austin and specialized in Clinical Microbiology before obtaining her medical degree from Texas Tech University Health Sciences Center in 2012. She completed Obstetrics and Gynecology residency training at the University of Kansas Medical Center in 2016 and is Board Certified with the American Board of Obstetrics and Gynecology. Connect with Megan and Sarah We would love to hear from you! Send us an e-mail or find us on Instagram or Facebook!        

Men have always had the obvious advantage of inspecting their genitalia with essentially no effort on their part. For women, it's a little more challenging. Combine that with the recommendation that there is no need for women to have a gynecologic exam as they get older, most doctors are also not looking. Today I am joined by Dr.Jill Krapf, a gynecologist whose area of expertise is …the vulva. We will be discussing one of the most maddening, frustrating symptoms in all of gynecology- THE ITCHY VULVA , but just as important, why even if your vulva isn't itching, why it still needs some attention.     In this episode  Why it is important to have a VULVAR EXAM Why VULVAR CANCER numbers are increasing HOW to inspect your vulva  What products can IRRITATE the vulva and should be avoided  When URINE is the culprit  The difference between a VULVAR YEAST infection and a vaginal yeast infection  How to get rid of CHRONIC YEAST  Vulvar itching from LOW ESTROGEN  How to know if you have a dermatologic condition such as LICHEN SCLEROSUS  How to get the best results from your lichen sclerosus treatment  If your vulvar itching could be CANCER  Why even if your vulva is not itchy, it still needs to get checked regularly                                                         Jill Krapf MD                                         www.jillkrapfmd.com                                              Dr. Krapf Instagram                              https://www.instagram.com/jillkrapfmd/     Dr. Krapf's Lichen Sclerosus Webinar on YouTube  https://www.youtube.com/watch?v=vltY9mr8E68     To find a vulvar specialist:  Lichen Sclerosus Support Network: https://www.lssupport.net/     The International Society for the Study of Sexual Medicine:   https://www.issm        For More info on this topic:    Episode 93 What's Up Down There  Episode 131Why You Need to Keep Seeing a Gyne with Dr. Shieva Ghofrany Episode 60  Lack of Lubrication Not Always From Lack of Estrogen    Episode 4: Is Your Lubricant Helping or Hurting Your Vagina? Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things  Dr. Streicher's Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.                    Sign up to receive DR. STREICHER'S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

More likely than not, if you are over 65, your internist has declared everything between your belly button and your thighs to be the “NO NEED” zone. “NO NEED”  for a pap, “NO NEED”  need for a speculum, “NO NEED”  to remove your underpants, and definitely “NO NEED”  to see a gynecologist unless you have a specific problem. But in today's episode, I am joined by Dr. Shieva Ghofrany to explain the flaw in this reasoning and why “no complaint” is not the same as “No problem”. We discuss specific issues that are addressed post menopause:  Pap tests and other screening tests The reason for a gynecologic exam in non-Pap years The problem with your internist doing your Pap test Other reasons the annual exam is important  Conditions with no symptoms STI screening Sexual Health Menopause issues Hysterectomy Insurance issues Shieva Ghofrany MD Instagram -@drshievag Website: Tribecalledv.com For more information: Episode 62 Are Current Screening Guidelines Helping Women or Hurting Women? With Dr. Melissa Simon  Episode 102 An Insider approach to Ovarian Cancer with Dr. Shieva Ghofrany Episode 130- Are You Ever Done with Menopause?  Dr. Streicher's Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER'S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

… and how to increase longevity with and without hormone therapy The idea that menopause only lasts for a few years is a common misconception. You may have even been told by a  medical professional that when you no longer have hot flashes, you are done with menopause!   But menopause means you're no longer producing estrogen. There are hormone receptors throughout the body and there are lifelong consequences of being without estrogen even if perimenopausal symptoms are in the rear-view mirror. In this episode:  Why not every woman has long-term health issues post menopause The long-term impact of menopause (not aging) on Bone health Joints and muscles Frailty Cardiovascular System Diabetes Brain Function Vulva and  Vagina Sexual Function Urinary Tract How to increase your longevity without hormones Nine Secrets of the Blue Zones where women live to 100 (without taking estrogen)  If you can take hormone therapy for life For further information on this topic:  The Menopause Brain by Lisa Mosconi Netflix: Live to 100: Secrets of the Blue Zones https://www.netflix.com/title/81214929 Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders  Episode 59 - Boning Up on Bones: Part 1 with Dr. Kristi Tough DeSapri (Risk Factors for osteoporosis, and Screening) Episode 123 Hormone Therapy After Age 60 with Dr. James Simon Episode125 Musculoskeletal Syndrome of Menopause with Dr. Vonda Wright Dr. Streicher's Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER'S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

When I first learned about PCOS during my training, I was told that once a woman with PCOS hit menopause, irregular periods, excess hair growth dealing with fertility problems and other manifestations of PCOS were in the rear-view mirror. And that's true, but we now know that women who had PCOS during the reproductive years, are not entirely off the hook down the road and that PCOS early in life is associated with several health issues later in life.  Today I am having a conversation with reproductive endocrinologist Dr. Alison Rogers, about the impact of PCOS later in life.  The history of PCOS, AKA Stein Levinthal Syndrome What Polycystic Ovarian Syndrome is Health concerns of young women with PCOS If there is a genetic predisposition to PCOS Why women with PCOS are at increased risk for cardiovascular disease What happens to women with PCOS when they go through menopause Post menopause risks in women with a history of PCOS If women with PCOS can safely use hormone therapy Wrap Up!                                                   Allison Rogers MD                             https://www.fcionline.com/doctors/allison-rodgers/                                    Social Media: @dr.allison.rodgers For more information on this topic:  Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 57 Uterine Cancer: Reducing Your Risk Dr. Streicher's Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER'S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

While not everyone is necessarily good about regular physical activity, no one questions that it's good for you. Cardiovascular health, weight management, cognitive function, mood, better sleep and even reducing the risk of many kinds of cancer are all established benefits to moving as opposed to sitting on your butt all day. But, when it comes to the impact of exercise when it comes to reducing hot flashes, the jury is still out.  Dr. Maria Sophocles is the Medical Director of Women's Healthcare of Princeton. She is a certified menopause practitioner and has a particular interest in non-hormonal approaches to help with menopause symptoms.  In this episode, we discussed a study that was recently published in the Journal Menopause titled “The influence of habitual physical activity and sedentary behavior on objective and subjective hot flashes at midlife”  Link to article: Witkowski, Sarah PhD1; White, Quinn BA1; Shreyer, Sofiya MA2; Brown, Daniel E. PhD3; Sievert, Lynnette Leidy PhD2. The influence of habitual physical activity and sedentary behavior on objective and subjective hot flashes at midlife. Menopause Chat about South by Southwest Panel Dr. Sophocles Ted Talk What research shows as far as exercise and hot flashes The Menopause Society's statement on exercise and yoga  How hot flashes are measured in studies Perceived hot flashes versus actual hot flashes Findings of this study  Dr. Sophocles research with EmberWave™                                                   Maria Sophocles MD                                                  mariasophoclesmd.com                                                    @mariasophoclesmd                                  Ted Talk- https://go.ted.com/rpUSM For more information on this topic:  Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 53 Not All Hot Flashes  Mean Menopause  Episode 82 Journal Club with Mary Jane Minkin Episode 87 Will THAT Really Help Your Hot Flashes? Lifestyle and other Interventions Episode 95 Non-hormonal options to treat VMS- Herbs Spices &Wishful Thinking  Laurie Mintz Sheryl Kingsberg Amanda Thebe Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Dr. Streicher's Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER'S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

Have you ever wondered about the history of pubic hair removal, current trends, risks and benefit? In this episode, you will learn more than you ever wanted to know including:   The EVOLUTIONARY reason for pubic hair The BIOLOGIC BENEFIT of pubic hair A brief HISTORY of pubic hair removal trends and techniques Current TRENDS in pubic hair styles WHY women choose to remove their pubic hair My survey on PARTNER preference  HEALTH BENEFITS of pubic hair removal If removing hair has any SEXUAL BENEFITS METHODS of hair removal  MY ADVICE….. Dr. Streicher's Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER'S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

The only thing more miserable than a urinary tract infection (UTI) is when it happens again, and again, and again. But, good news, there are ways to prevent post menopause RECURRENT URINARY TRACT INFECTIONS.  But sometimes urinary urgency, burning and that “gotta go” feeling is NOT FROM an INFECTION, and need a completely different kind of treatment.  You need to know the difference.  In this episode, Dr. Streicher covers: WHY post menopause women have so many UTIs The typical symptoms of a UTI  What BLOOD in the urine means Why symptoms that MIMIC a UTI but are not caused by an infection  Why it is important to get a URINE CULTURE An  HOME TEST to get a rapid urine culture and antibiotic sensitivity Strategies that DO WORK to PREVENT recurrent urinary tract infections How a LOCAL VAGINAL ESTROGEN can reduce or eliminate both recurrent infections and bothersome bladder symptoms that are not from an infection.  Non antibiotic options, such as TK that will reduce recurrence.  Strategies that DO NOT WORK to PREVENT recurrent urinary tract infections The new vaccine that might keep UTIs away for almost a decade For more information on MY UTI- Rapid at home testing delivered to your doorstep Website: www.myuti.com  Facebook: @myutiwebsite Instagram @_myuti_ For more detailed information on the genitourinary syndrome of menopause, treatment options, and the impact on bladder function:  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders  Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things  Episode 11: Vaginal Estrogen is Not Poison Episode 63 DHEA-An Estrogen Alternative for Vaginal Dryness  Episode 74 Ospemifene- A Pill a Day to Keep Dryness Away  Dr. Streicher's Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER'S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

Menopausal women are overloaded with information, but not all of it is accurate or safe. Social media is rife with misinformation, and unfortunately, the diet and fitness industry follows many unethical marketing practices. I'm joined by Amanda Thebe to discuss the realities of coaching menopausal women, how to choose ethical coaches, and why there is finally a spotlight on menopause. Key Takeaways Find an Ethical Trainer by Checking Out: Personal recommendations Reviews and testimonials Trusting your own industry knowledge About Amanda Thebe Amanda Thebe is the co-founder and Chief Wellness and Branding Officer at Nyah Health and the author of the Amazon best-selling book Menopocalypse: How I Learned to Thrive During Menopause and How You Can Too! With nearly 30 years of experience in the fitness industry, her exercise workouts and health and fitness tips have been featured on Oprah, Shape, Prevention, Health Line, CBC Radio, Global News Canada, The Doctors, and many more. She is also an affiliated member of the Canadian and  North American Menopause Society. Misinformation In Social Media Social media can seriously change our perception of menopause… and not always for the best. There is so much misinformation out there from uninformed coaches who recommend pseudoscience and diagnose without the proper qualifications. Only a doctor can diagnose that you are in menopause – a coach can help once you have a diagnosis. There is a huge market for menopause products and services right now because women are finally open about their experiences. Coaches are finally becoming menopause informed. And overall, there is a huge improvement for women experiencing menopause. Finding An Ethical Trainer But, as an industry, we need to do better. So many unethical marketing practices are in use, essentially selling women something that doesn't exist. Menopausal women deserve better, and the diet and fitness industry can give it to them. So, how do women find an ethical fitness plan and ethical trainer? It comes down to personal recommendations, reviews, testimonials, and having basic industry knowledge. If something sounds too good to be true, that's because it probably is. Ladies, do your due diligence! What has your experience been like finding a menopause-informed trainer? Share your thoughts with me in the comments on the episode page. In This Episode How social media can change our perception and understanding of menopause (9:30) How coaches can help after diagnosis (16:00) Why there is a larger market for menopause-related products now (17:30) How more coaches are becoming menopause informed (29:00) Why the diet and fitness industry often uses unethical marketing tactics (42:00) How to help people find ethical fitness plans (46:00) The comparison between a personal trainer and going to the gym on your own (50:00) Quotes “Women with menopause are really seeking answers. They are really frustrated. They do not feel good on a day-to-day basis. They want to feel better.” (18:30) “Listen, I can help you. But there isn't a magic pill. And there isn't anything dynamic we're going to do. I'm going get you to nail the basics,  and I'm going to get you to understand.” (22:51) “We can't always help people fix those things. It is outside our scope. The diet industry of our time has gotten so bad. I feel like it's particularly bad now for menopausal women because we have a pain point that they see.” (36:54) “If you're going to stop this from happening and you want to do better in this industry, then it's on you to do better.” (40:48) “I know that finances can be a barrier to this, but I feel very strongly that if someone is new to lifting weights, they're going to get so much mileage out of working with a trustworthy trainer.” (48:18) Featured on the Show Apply for Strength Nutrition Unlocked Here Listen to With All Due Respect Find Amanda Thebe Online  Follow Amanda on Instagram | Facebook | Twitter | YouTube | LinkedIn Full show notes Follow Steph on Facebook | Twitter | Instagram | YouTube | Pinterest I'd really love it if you would take 1 min and leave us a rating and review on iTunes! Podcast production & marketing support by the team at Counterweight Creative Rate and review on Apple Podcasts Related Episodes FYS 414: How To Leverage Essentialism For Fitness FYS 383: Crossfit & Peri/Post-Menopause FYS 375: Strength Training Changes for Peri-Menopause and Post-Menopause  

When one thinks of a medical specialty that is knowledgeable about menopause, usually an Ob Gyn, Family Practice doctor, Internist or maybe a urologist comes to mind. In this episode , I am talking to Dr. Vonda Wright, an orthopedic surgeon who has made it her mission to raise awareness about the musculoskeletal changes that occur as a result of menopause, and how a lack of estrogen  sabotages  the ability to be active. And that lack of activity not only impacts bone health and cardiovascular health but also cognitive function.  Today, we are talking about solutions to protect your bones, your blood vessels, and your brain.  Dr. Vonda Wright MD, MS Orthopedic Sport Surgeon Associate Professor UCF College of Medicine Orlando, Florida @DrVondaWright How Dr. Wright became an Orthopedic surgeon who was interested in menopause The six symptoms of musculoskeletal syndrome of menopause Hot flashes go away, the consequences of MSM go on forever Consequences of no estrogen: fracture, incontinence, cardiovascular compromise, dementia The relationship between GSM and dementia Why frozen shoulder is the number one complaint If taking estrogen will help frozen shoulder The relationship of menopause to osteoarthritis The impact of mobility on cognitive function The impact of menopause on frailty The impact of testosterone on musculoskeletal syndrome of menopause Exercise and cancer risk reduction How heavy your weights should be to increase muscle power For more information on this topic:  Episode 59 - Boning Up on Bones: Part 1 with Dr. Kristi Tough DeSapri (Risk Factors for osteoporosis, and Screening) Episode 61 Boning Up on Bones: Part 2 with Dr. Kristi Tough DeSapri (Prevention and Treatment)  Episode 67- How Long Can you Safely Take Hormone Therapy? Episode 85 Estrogen and Alzheimer's Disease Episode  111 Bone Up with Hormone Therapy with Dr. DeSapri  Episode 123 Hormone Therapy After Age 60 with Dr. James Simon Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Dr. Streicher's Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER'S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

Dr. Sharon Malone is a nationally known expert in women's health and the author of Grown Woman Talk. She is the Chief Medical Advisor at Alloy Women's Health, a telehealth company that focuses on women over 40. Before joining Alloy, Dr. Malone was a partner at one of the oldest and most successful OB/GYN medical practices in Washington, D.C. She is board-certified by the American College of Obstetricians and Gynecologists and certified by the North American Menopause Society as a Certified National Menopause Practitioner. Throughout her professional career, she has been active in advocating for reproductive rights, reducing teen pregnancy, and eliminating health care disparities.In this episode, Nada sits down with Dr. Sharon Malone (or Dr. Sharon as she prefers) to discuss her book, Grown Women Talk: Your Guide to Getting and Staying Healthy, and her work as CMO with Alloy Women's Health. Dr. Sharon is setting the record straight, from the history of women's health research and the importance of self-advocacy to the impact of our genetics and hormone therapy. She dives head first into the history and lack of meaningful research from the medical community and the damage it's left on women, especially black women in America. Her 30 years as an OB/GYN and her experience as a black woman give her insight into a population that has been grossly underserved. She unpacks the impact and offers solutions. The interview feels like a kitchen table conversation with your big sister, who happens to be a doctor. She does not sugarcoat the facts, but her signature warmth and playful attitude make it easy to consume. Learn more about Dr. Sharon's work at myalloy, and do yourself a favor and grab a copy of Grown Women Talk: Your Guide to Getting and Staying Healthy. Follow on Instagram: @smalonemdPlease follow us at @thisislibertyroad on Instagram; we want to share and connect with you and hear your thoughts and comments. Please rate and review this podcast. It helps to know if these conversations inspire and equip you to consider your possibilities and lean into your future with intention. If you are interested in learning even more from the experts on this podcast, please consider joining us in After School, Liberty Road's new membership community. Hosted on Acast. See acast.com/privacy for more information.

We are so thrilled to welcome six-time Boston Marathoner and Six Star Finisher, Dr. Benita Stephens, who will be running her seventh Boston Marathon in just a few weeks. This year, Dr. Stephens is honored to be running the Boston Marathon with Team Bevans, a team in which members are selected annually to honor the accomplishments and legacy of Marilyn Bevans, the first U.S. born African American woman to run a sub-3-hour marathon and medal at the Boston Marathon. In addition to being an accomplished runner, Dr. Stephens is the founder of Ciao Bella Medical Center and Spa, a gynecology center in Newnan, Georgia, that specializes in women's health care from conception to menopause. Dr. Stephens is a Board-Certified Obstetrician/Gynecologist and a member of the North American Menopause Society. In this episode we talk all things Boston and women's health, along with tips for managing a busy career with training and much more. We learned so much from this conversation and appreciate Dr. Stephens's perspective and wisdom. Dr. Stephens can be found on Instagram @drciaobella. For those who will be in Boston over marathon weekend, please join us on Sunday, April 14th for our shakeout run at 9 and our B.A.A. sponsored panel, which we are honored to co-host with Cherie Turner, at the Expo Live Stage at 2. This year, we will be interviewing professional athletes, Kelly Bruno, Bri Boehmer, and Alisa Harvey. You can find us on Instagram and Facebook @runfartherandfaster. Looking for coaching? Email us at julieandlisa@runfartherandfaster.com to set up a coaching call. Thanks for listening! --- Send in a voice message: https://podcasters.spotify.com/pod/show/runfartherandfaster/message

Marny Requa explains that life transitions such as becoming a parent and menopause are not just short-term changes and then everything returns to "normal." They are major life transitions that deserve to be acknowledged, honored, and planned for. However, as Marny explains, we are not doing these things well on institutional, cultural, nor societal levels. She tells her own story about how she internalized these larger societal notions as a professor transitioning into parenthood, the challenges it presented, and the importance of giving ourselves grace. Marny also shows the huge positive impact available to our society if we shift our thinking and see life transitions for what they are (see the resources she mentions below). Find Marny at mrequa@gmail.com, on Instagram @worklifeshifts , or  linkedin.com/in/marny-requa Marny offers these resources for exploring this topic further: Nancy Schlossberg on life transitions: https://drive.google.com/file/d/1gYXeH2MnzatL3oIeglQGG_kRDBLIx5-l/view  Neuroplasticity & father's brains: Abraham et al academic article linked here: https://www.pnas.org/doi/full/10.1073/pnas.1402569111 Slate article on neuroplasticity that mentions the above research here: https://slate.com/human-interest/2018/06/fatherhood-makes-men-better-at-work-and-at-home-research-shows.html Center for Parental Leave Leadership website for resources on support during parental leave: https://cplleadership.com/ North American Menopause Society: https://www.menopause.org/

Dr. Rachel Moore // #ICEPelvic // www.ptonice.com  In today's episode of the PT on ICE Daily Show, #ICEPelvic faculty member Rachel Moore discusses a story of usual patient care when experiencing menopause in the American healthcare system. Take a listen to learn how to better serve this population of patients & athletes or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter! EPISODE TRANSCRIPTION RACHEL MOOREAlright up and running on Instagram and YouTube. What is up guys? My name is Dr. Rachel Moore I am on faculty with the pelvic division here at ice Pollen has been wild in my area of Houston and I have a sinus infection. So I Sorry about the congestion that you're likely going to hear throughout this episode. This morning we are here to talk about menopausal women and how they deserve better and how they have been kind of set aside and really isolated in the type of pelvic care that we are starting to see normalized. I really want to kick this off this morning with a story that inspired me to even pick this topic. So Last weekend I was teaching in California with Alexis for our pelvic live course and on the plane I ended up sitting next to this older couple. It was a husband and a wife and they were having a hard time like connecting to the Wi-Fi. I didn't really know how to get the United app up and running so I leaned over and I helped him kind of figure that out and I had my iPad with all my slides next to it because I was going to prep for my lectures on the plane. So I always like to work on the plane on the way there. And the lady leaned over and she was like, oh, like, thanks so much for your help. And just kind of started making small talk. Asked what I was traveling to California for. And I told her that I was actually going to work. I was going to go teach other physical therapists because I was a physical therapist. And so this kind of kick started a whole conversation where she was telling me she was flying out to California to run a marathon and she had been rehabbing a hamstring injury for like two years and she had gone to in-network PT and then she had gone to out-of-network PT and all along the way like her hamstring would get better and then it would come back and it would get better and it would come back and so we kind of chit-chatted about that a little bit talked about her running volume and things like that and then I kind of alluded or something I said I don't even remember exactly what it was but told her like I'm actually a pelvic floor PT and that's a big part of what I treat And she was like, oh my goodness, I can't believe this. Like I just had a pelvic floor evaluation and her husband leaned over and he was like, oh boy, you have no idea the can of worms you just opened. And we, she really just dove into her story. And so she had had surgery or not surgery. She'd had a bladder pacemaker put in because she was struggling with urgency and frequency of urination. So she had been at this point to a gynecologist, to a urogynecologist, to an orthopedic doctor for her hamstring, and on the MRI that was done for her hamstring, the report also said that she'd had some issues with her bladder, and she asked her ortho doctor about it, and he was like, I don't know, all I know is about the hamstring, I'm not here to treat your bladder. and she was really feeling hopeless about her pelvic floor and about whether or not she could get help for her pelvic floor. She'd gone to a pelvic floor evaluation and she said it was really helpful and she learned a lot but it was an out-of-network provider and she'd already spent a lot of money on out-of-network care for her hamstring and she didn't want to dive into this area at that point. And so in this conversation we really kind of got into the weeds a little bit. So through this conversation, it's like those conversations on the plane, you never know where they're gonna go. We ended up chatting about cycles and menopause, and she was menopausal at this point. And ever since she had been in menopause, that's when her hamstring symptoms started. That's when she started noticing issues with the pain in her hamstring, and we started talking about fueling especially with her running volume and we started talking about how there's estrogen receptors in other parts of your body aside from in your ovaries and all of the ways that being in menopause can potentially set you up for issues with your musculoskeletal system And in this conversation, she was shocked because nobody had ever really talked to her about what menopause consists of, all of the different ways that menopause can cause issues aside from just you don't have a period anymore, you may have hot flashes, and it was really upsetting to her. And we kind of continued talking over the course of the flight, it was a four, three and a half, four hour flight, and it kind of dawned on me in that in this moment in this conversation because she had a son and we were talking about how when she had her son pelvic floor pt was not done nobody talked about it nobody uh it was just normal that you pee on yourself and i know these days we like to feel like that is still a thing but if we think about perspective shifts like 20 30 years ago It was even less common than it is now, right? Like it was not a thing that was really prescribed at all. So many women were getting surgeries right out the gate after having had their kids. And so this group of women that are now going through menopause were really kind of, I don't want to say shafted, but shafted in their prenatal and postpartum pelvic floor care. And I think that that means that we as pelvic floor PTs need to put it out there that we can help them because they have lived their entire lives up until this point, believing that it's normal to pee when they sneeze, believing that it's normal to leak when they exercise, maybe not exercising at all because this has been something that they've dealt with since they delivered their kids 20 or 30 years ago. And now is the time that their symptoms are potentially flaring back up. We see an increase in pelvic symptoms as we transition into this stage of life. And so if we are not addressing these issues and we're not putting it out there that we can address these issues, women aren't getting the care that they deserve. And not only did they not get the care that they deserve initially, when they first got into this pelvic floor space after having had a baby, they're not getting it now. I think as pelvic floor PTs some of us may really lean into the prenatal and postpartum space and it makes sense because a lot of us are maybe in that time stage of life where either we are having kiddos or people that we know are having kiddos or maybe thinking about it in the future. And so it really feels like this easy transition as we're entering into the pelvic space to lean into the prenatal and postpartum space. And it is needed. I'm not saying we shouldn't do that, but I think as pelvic PTs, we really need to get comfortable with explaining menopause and explaining the changes that happen in menopause. And more importantly, talking to women and talking to providers like, gynecologists like urogynecologists getting together with these people and letting them know like we can help mitigate these symptoms. We can help be an adjunct to care on top of things like HRT or hormone replacement therapy which absolutely should be talked about especially now that we're seeing the shift away from like absolutely don't do HRT because it can increase your breast cancer risk We're seeing that language changing. And so it's exciting to see these women start getting the care that they need in the realm of HRT. But as pelvic PTs, we can step up to the plate and help layer on even more in terms of helping them manage their pelvic floor symptoms, the genitourinary syndromes that they're experiencing. We can really talk to them about building up strength and building up muscular support for their bones as everything changes with their bone mineral density. We can maybe teach them how to exercise for the first time if they're people that have been avoiding exercise for the majority of their life because of symptoms that they have been experiencing since they first had their babies. So really, my whole point of this episode this morning is if you are not in this menopausal space, If you're a pelvic PT and you're not comfortable talking to people about menopause, or you really don't feel like you know enough about menopause to really truly serve this population, I truly feel like it's time for us to step up to the plate and get comfortable with it. We have a lot of resources out there. A few resources, I'm just going to list a couple because otherwise it kind of sounds like a rambly list. The North American Menopause Society actually has like a provider list that you can go in and search for menopause-informed urogynecologists and providers. Letstalkmenopause.org is a website that you can take a peek at, you can also direct your patients to, has resources for patients, really kind of breaks things down into patient-friendly language. The Menopause Manifesto by Dr. Jen Gunter. And then in our live course, we actually dive into menopause in week five. And we talk in more depth about how, sorry, our online course, not live course. We talk in depth about how we can help as PTs serve this group of women. I really feel like it is time for us to do this y'all. I think that this group of women and maybe it's my heart going out because I'm thinking about like moms and grandmothers and all of all of these women in our lives that have just been told that this is something they have to deal with. And now they're being told this again. It's time for us to help change this. It's time for us to bring fitness forward PT to this group of women, especially this group of women. They deserve it. I don't want to say more than anybody else because absolutely we all deserve it, but they deserve to get this quality of care. SUMMARY If you're interested in jumping into our online course to learn about menopause in that week five, our next cohort opens up April 29th. We have two live courses coming up, April 6th and 7th in Windsor, Colorado, April 13th and 14th in Spring, Texas. That's where you can catch us on the road in April. We've got some more courses coming up in May as well, so if you're looking into summer, hop on the website, sign up for a live course, and catch us on the road. Thanks for tuning in this morning. If you guys have any questions about menopause, reach out to all of us on the ice pelvic faculty and we'd be happy to answer. Thanks. Have a great Monday. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

On today's episode, Ashley sits down with Claudia Fabian, a beauty industry veteran with over three decades of experience. Claudia shares her journey from makeup artist and esthetician to becoming a celebrated Instagram beauty influencer, amassing over 190K followers. She discusses her decision to embrace her natural grey hair and use her platform to champion age positivity and glamour at any age. With candid stories from her illustrious career and her mission to shift the beauty industry's narrative around aging, Claudia challenges ageism and encourages a focus on skin health over anti-aging. Listen as Claudia, who has worked in high-profile salons and spas and held executive positions with major skincare brands, offers a fresh perspective on embracing beauty at every stage of life. Follow her transformative beauty insights and join the movement towards a more inclusive and age-positive beauty industry. What to expect & resources: how to foster inclusivity insights on the impact of language in marketing and client communication.strategies for developing strong relationships with clients.insights from working on the vendor side.balancing what clients want with professional advice.the importance of keeping products in stock. Educational Resources:Lift & Sculpt Facial Massage Self-Paced Course by Alex Pentecost: Visit hereRock Your Retail Self-Paced Course by Ageless Ashley: Visit herethe importance of positive energy flow between client and aesthetician.listening to your intuition during client sessions.advice against blindly following industry trends.tips for creating an appealing service menu.highlighting great brand partners exclusive to aestheticians, like DMK & Circadia.recommendations for a smaller, more discerning service menu.staying inspired through community involvement.moving away from the term "medical grade".Social MediaLydia Sarfati's Instagram: @Lydia.sarfatiDiscussion on skincare brands and their ethos.Mention of Ultraceuticals / peel, @thebeautydebut, pro-aging. Resources on Menopause from Claudia:Instagram: @Whatthemenopause, @MenopauseMattersBooks: "The Natural Menopause Method" by Karen Newby, "The Menopause Manifesto" by Dr. Jen Gunter, "The Menopause Guidebook" by The North American Menopause Society, "Breaking the Age Code" by Becca Levy.This episode offers a wealth of knowledge on maintaining professionalism and personal growth in the aesthetics field, focusing on client cGOLDEN EXPERIENCE GUIDE Superpower Your Solo Practice 2024 MastermindCreate Your Signature Products Book Private 1:1 Virtual Mentorship with Ashley Get CryoPeptide & Glewy for Licensed ProfessionalsBook Private 1:1 Virtual Mentorship with Josh

Dr. Jen Gunter is an OBGYN with 30+ years of experience as a vulvar and vaginal diseases expert. She joins us today to debunk menstruation myths! Mary asks Dr. Jen questions like... - is menstruating the body's way of detoxing? - what causes menstrual cramps and period poops? - why/ how is “alternative medicine” harmful? - do chiropractors really work? - what's the purpose and process of menstruating? Remember: don't believe baseless claims you see on the internet! Dr. Jen Gunter is an internationally bestselling author, obstetrician, and gynecologist with more than three decades of experience as a vulvar and vaginal diseases expert. Considered “the world's most famous—and outspoken—gynecologist,” (The Guardian), her New York Times and USA Today bestselling books, The Vagina Bible and The Menopause Manifesto, have been translated into 25 languages. And her new book Blood is all about the science, medicine, and mythology of menstruation which you'll get a taste of in this podcast episode. Dr. Jen is the host of Jensplaining, a CBC/Amazon Prime video series that highlights the impact of medical misinformation on women, and the recipient of the 2020 NAMS Media Award from The North American Menopause Society. Her 2020 TED Talk, “Why Can't We Talk About Periods?” received more than two million views in its first six months, leading to the launch of her popular podcast on the TED Audio Collective, “Body Stuff with Dr. Jen Gunter.” Originally from Winnipeg, Canada, she lives with her sons in San Francisco, CA. Follow Dr. Jen on Instagram: @drjengunter Get Dr. Jen's new book Blood here: https://amzn.to/3RPBDVS And if you enjoyed this episode, screenshot it and share it on social media! Make sure to tag @maryspodcast and @drjengunter Mentioned In This Episode... Dr. Jen's TED talk “Why Can't We Talk About Periods?”: https://www.ted.com/talks/jen_gunter_why_can_t_we_talk_about_periods?language=en

Most women don't expect menopause symptoms to start until age 50. Neither do many of their healthcare providers. That's a problem because, as this week's guest Nina Coslov's research shows, women can actually start experiencing symptoms associated with menopause during their late reproductive years before their periods become noticeably irregular and they're officially in perimenopause. Yet when they seek care, they're often told they're “too young for menopause” because they still have regular cycles. This week, Coslov talks about her research on the late reproductive stage in a woman's life as well as womenlivingbetter.org, the organization she started to help women get the menopausal information they need before they're suffering and not knowing where to turn.Nina Coslov created Women Living Better (womenlivingbetter.org) to provide anticipatory guidance about perimenopause. Intent on better characterizing the path to menopause, she focuses on education and research, and along with her partners, has published six papers in peer-reviewed journals. Nina was the lead author on “Symptom experience during the late reproductive stage and the menopause transition: observations from the Women Living Better survey,” published in the journal Menopause. She authored the chapter “Women's Voices: The Lived Experience of the Path to Menopause” in Each Women's Menopause: An evidenced Based Resource. Nina received the 2021 Media Award from the North American Menopause Society. Prior to Women Living Better, Nina worked in the biotech industry and before that was a management consultant. Nina has an MBA from the Tuck School of Business at Dartmouth and a BA from Williams College. ResourcesMenopause Journal study https://pubmed.ncbi.nlm.nih.gov/34313615/Women Living Better Instagram https://www.instagram.com/womenlivingbetter/Perimenopause care resources: https://womenlivingbetter.org/published-research-health-care-for-perimenopause/https://womenlivingbetter.org/hormonal-changes/ Follow Us on Instagram:Feisty Menopause: @feistymenopause Feisty Media: @feisty_media Selene: @fitchick3 Subscribe to the weekly Feisty Menopause blog: https://www.feistymenopause.com/feistyinbox Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Join Level Up - Our Community for Active Women Navigating the Menopause Transition:Join: https://www.feistymenopause.com/monthly-membership-1 Leave your questions for Selene:https://www.speakpipe.com/hitplay Get the Free Feisty Women's Guide to Lifting Heavy Sh*t:https://www.feistymenopause.com/liftheavy Support our Partners:Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/