Podcasts about ob gyn dr

“It takes more than hormones to fix our hormones.” - Dr. Anna CabecaWhen it comes to vaginal health, pelvic floor health, and incontinence issues, hormones play a critial role. From the type of hormones to oral formulations, injections, and topicals, there are a lot of options for hormone therapy, from the delivery vehicle to the forms of hormones used.At the same time, you can't optimize hormone health through hormone replacement only. We have to take a holistic picture, starting with the gut, lifestyle, and stress management. This approach enables the body to resuscitate, repair, and rejuvenate itself, allowing it to function at its peak. At this point, hormone therapy can offer a complementary supporting role, increasing the opportunity for optimal health and wellness.Today's guest, triple board-certified OB-GYN Dr. Anna Cabeca, has been working with women in midlife for decades, and she's an advocate for a holistic approach to hormone support, which she calls hormone replenishment.In this episode, Dr. Anna and I discuss when to start thinking about supporting your hormones, the connection between gut health and hormone balance, the need for personalized treatment appraoches, detoxification pathways, and the use of topical hormones, Dr. Cabeca's products for women in midlife, how her patients have improved their vaginal health and reversed incontinence in post-menopause, and more.Enjoy the episode, and let's innovate and integrate together!---Learn more or watch the video version of this conversation at https://integrativewomenshealthinstitute.com/getting-nerdy-about-hormones-topical-transdermal-oral-oh-my-with-dr-anna-cabeca-do/.Connect with me and access our entire platform at IntegrativeWomensHealthInstitute.com (https://integrativewomenshealthinstitute.com/). Find and follow us @integrativewomenshealth on YouTube (https://www.youtube.com/@integrativewomenshealth) and Instagram (https://www.instagram.com/integrativewomenshealth/).

Send us a textWhat happens when your doctor becomes your fiercest advocate — and ultimately, your friend?In this episode, I sit down with my own OB/GYN, Dr. Kimberly Shepherd — a true BADASS woman who has single handily helped so many women like me along their infertility and pregnancy journeys.I open up publicly about choosing egg donation — a topic that still feels taboo for so many. Dr. Shepherd and I get real about what it means to build a family outside the “traditional” mold, and why love — not biology — is what defines parenthood.We cover everything from: 

What if your hormones weren't the problem, but the result of a deeper imbalance?In this episode, we chat with hormone expert and triple board-certified OB-GYN Dr. Anna Cabeca, author of The Hormone Fix. Together, we explore how burnout, grief, and everyday stressors silently impact our hormones and why oxytocin, connection, and joy may be the missing piece.Dr. Anna shares her personal journey through infertility, early menopause, and deep personal loss—and how she rebuilt her health from the inside out. This conversation is a powerful reminder that healing isn't just about lab tests and supplements. It's about play, presence, and honoring your body's natural rhythms.You'll learn:Why stress and cortisol are at the root of so many hormone symptomsThe connection between oxytocin, joy, and hormonal balanceHow trauma, loss, and grief can change your physiology—and how to healWhy your urine pH might be the easiest health tool you're not usingSimple daily shifts that create more energy, ease, and hormonal harmonyRESOURCES:Grab my favorite red light - The Glow Light by Sauna Space: https://sauna.space/inspired Use code INSPIRED for 10% off!Take the Free Hormone Quiz: https://drannacabeca.com/pages/hormone-toxicity-questionnaire Join the Girlfriend Doctor Community: https://drannacabeca.com/products/the-girlfriend-doctor-club-membership-monthly Try Dr. Anna's Ketone + pH Test Strips: https://drannacabeca.com/products/dr-anna-cabeca-keto-alkaline-weight-loss-solution-urinalysis-test-strips?uid=11&oid=1&affid=8101936&creative_id=3 Read The Hormone Fix: https://amzn.to/4kqwH7m Connect with Dr. Anna: Website: https://drannacabeca.com/ Instagram: https://instagram.com/thegirlfrienddoctor****************If you're not getting my emails, make sure you head over here and sign up! I'll share goodies you can't get anywhere else, so you're missing out if you're not on the list! If you enjoyed this episode, would you please leave a review on whatever platform you use for podcasts? It really helps spread the word and inspire other moms. If you have a moment to spare, those reviews mean the world to me. Thank you!Follow Dr. Melissa:▶︎ YouTube▶︎ Facebook▶︎ Instagram▶︎ TikTok▶︎ WebsiteEpisode webpage: https://beinspiredmama.com/76

With the Wind with Dr. Paul – Show 172: Pediatric Perspectives – Nutrition for Moms: Preconception and Early Pregnancy with Scott Hankinson, M.D. Presenters: Dr. Paul Thomas, Scott Hankinson, M.D. Length: Approximately 34 minutes Web Resources Discussed: VAX FACTS Book (Paperback): https://indiepubs.com/products/vax-facts/ VAX FACTS Book (Signed Author's Copy): https://www.kidsfirst4ever.com/store/p10/Personalized_and_Signed_Author%E2%80%99s_Copy_of_VAXFACTS%E2%80%93_What_to_consider_before_vaccinating_at_all_ages_and_all_stages_of_life.html Happy Bugs by Erin Hankinson and Dr. Scott Hankinson: https://www.amazon.com/Happy-Bugs-Erin-Hankinson/dp/B0BQXW571C Whole Foods Health – YouTube Pregnancy Series: https://www.youtube.com/@Wholefoodshealth Doctors and Science: https://www.doctorsandscience.com/ Kids First 4Ever: https://www.kidsfirst4ever.com/#/ Key Points (with time stamps): 00:00:40 – Dr. Paul's Intro: Dr. Paul introduces the VAX FACTS book and how to get your signed copy. 00:01:35 – Show Introduction: Dr. Paul previews a vital conversation on preconception and early pregnancy nutrition with OB-GYN Dr. Scott Hankinson. 00:03:03 – Nutrition and the Microbiome: Dr. Hankinson describes the profound impact of a diverse, high-fiber diet on both mom and baby's long-term health. 00:06:00 – Epigenetic Effects: Nutrition choices today can positively or negatively influence generations to come. The research shows it, and Dr. Hankinson breaks it down. 00:07:57 – The Vitamin D Connection: Discover how keeping vitamin D levels above 50 ng/mL can help prevent pregnancy complications like preeclampsia and miscarriage. 00:10:25 – Teaching Kids Gut Health: Dr. Hankinson shares his new children's book, Happy Bugs, which helps kids understand gut flora and the importance of a healthy microbiome. 00:12:18 – Caution Around Pregnancy Vaccines: Dr. Hankinson joins Dr. Paul in calling for true informed consent, raising concerns about the safety and necessity of Tdap, flu, RSV, and COVID shots during pregnancy. 00:15:22 – What Every Parent Should Ask: Before consenting to any intervention, Dr. Hankinson urges families to ask: “Where is the safety data?” Summary: In this empowering Pediatric Perspectives episode, Dr. Paul welcomes OB-GYN and educator Dr. Scott Hankinson for a critical discussion about the foundational role of nutrition during preconception and early pregnancy. They unpack the latest data on epigenetics, gut health, and vitamin D, while sounding the

Ep 141 Description:  “You are the expert on you. So trust your own expertise when you bring that to the conversation. Don't let anybody talk you out of your own expertise.” —Dr. Nicole Rankins   Your voice matters in the birth room!  Too often, women's preferences and concerns are overlooked or dismissed during hospital births. But we can reclaim our power by understanding the foundation for a positive, empowered birth experience.  Dr. Nicole Rankins is a Board Certified OB GYN, maternal health advocate, and creator of one of the top 0.5% global podcasts on pregnancy and birth, with over 2.6 million downloads. Her expertise and accessible approach have empowered thousands of women to approach birth with confidence. Tune in as Debra and Dr. Nicole discuss the must-knows of childbirth education, preparing for birth without overwhelm, creating birth plans that actually work, and expert advice for an empowered hospital birth experience.   Connect with Debra! Website: https://www.orgasmicbirth.com  Instagram: https://www.instagram.com/orgasmicbirth X: https://twitter.com/OrgasmicBirth  YouTube https://www.youtube.com/c/OrgasmicBirth1  Tik Tok https://www.tiktok.com/@orgasmicbirth  Linkedin: https://www.linkedin.com/in/debra-pascali-bonaro-1093471    Episode Highlights: 03:32 First Birth: A Traumatic C-Section 07:59 The Importance of Childbirth Education  10:17 Green Flags, Red Flags 16:22 Birth Plans and Preferences    21:40 Informed Decision-Making in Labor 24:47 Creating a Joyful Birth Experience     Resources: 

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

Ladies, we need to talk—about hormones, periods, and the stuff no one tells you. This week, we're joined by top OBGYN Dr. Nada Alibrahim to break down PCOS and endometriosis, two conditions that impact way more women than you think. Painful cycles? Random weight gain? Mood swings from hell? It might not be just your hormones. We're debunking fertility myths, tackling cultural taboos, and even giving you the ultimate guide to fasting during Ramadan with PCOS. All this and more in this week's episode!

IVF is WRONG! w/ OBGYN Dr. CudihySupport the show

Pediatrician Dr. Rachel Schultz and Ob/Gyn Dr. Renda Knapp explore the common challenge of pediatric ear infections. Learn why infants and young children are more susceptible, prevention strategies, home comfort measures, and clear guidelines for seeking medical care. Topics Covered: Why children get ear infections more frequently than adults Prevention strategies Symptoms and warning signs Home care and comfort measures When to contact your pediatrician Treatment options Featured Experts: Rachel Schultz, DO - Pediatrician Renda Knapp, MD - Obstetrician/Gynecologist

Few policy debates received more attention in last November's election than reproductive freedom. Strangely, however, despite widespread evidence that significant majorities favor abortion rights and the right to contraception — see for example the results of numerous ballot initiatives — Republicans opposed to reproductive freedom managed to win the presidency and control of the new […]

Menopause can pose severe challenges to women: hot flashes, cognitive impairment, sleep problems, and sexual difficulties, often compounded by weight gain. ObGyn Dr. Anna Cabeca is schooled in mainstream medicine but has added a natural medicine repertoire to her practice. She recounts how she learned to overcome her own devastating symptoms of early menopause. She believes that diets need to be individualized for menopausal women. Find her quiz to determine your menopause type at www.DrAnna.com/mpquiz. We discuss the role of supplements and bio-identical hormone replacement to augment tailored diets. Her book, "MenuPause: Five Unique Eating Plans to Break Through Your Weight Loss Plateau and Improve Mood, Sleep, and Hot Flashes," highlights the role variations on the keto diet and intermittent fasting can play in alleviating menopause symptoms and reversing mid-life weight gain. 

Dr. Hoffman continues his conversation with ObGyn Dr. Anna Cabeca, author of "MenuPause: Five Unique Eating Plans to Break Through Your Weight Loss Plateau and Improve Mood, Sleep, and Hot Flashes." 

In the second hour, we welcome back to the show, good friend and OBGYN Dr. Kristin Lyerly to talk about the president-elect's picks to run public health in American. Then we want to know; what are you watching to escape it all? And it's because it's a day of the week, we wrap up the show with This Shouldn't Be A Thing - Missing Shoe Edition As always, thank you for listening, texting and calling, we couldn't do this without you! Don't forget to download the free Civic Media app and take us wherever you are in the world! Matenaer On Air is a part of the Civic Media radio network and airs Monday through Friday from 10 am - noon across the state. Subscribe to the podcast to be sure not to miss out on a single episode! You can also rate us on your podcast distribution center of choice, they go a long way! To learn more about the show and all of the programming across the Civic Media network, head over to https://civicmedia.us/shows to see the entire broadcast line up. Follow the show on Facebook, X and YouTube to keep up with Jane and the show! Guest: Kristin Lyerly

In this episode of Dear Yoetzet, Yoetzet Halacha Lisa Septimus interviews OBGYN Dr. Elana Kastner to discuss some of the common causes of bleeding during early pregnancy and what the halachic and medical implications are of different diagnoses.

Dr. Linda Duska and Dr. Domenica Lorusso discuss the practice-changing results of the phase 3 ENGOT-cx11/GOG-3047/KEYNOTE-A18 study, which evaluated pembrolizumab plus chemoradiotherapy as treatment for previously untreated, high-risk, locally advanced cervical cancer. TRANSCRIPT  Dr. Linda Duska: Hello, I'm Linda Duska, your guest host of the ASCO Daily News Podcast today. I'm a professor of obstetrics and gynecology and serve as the associate dean for clinical research at the University of Virginia School of Medicine. On today's episode, we'll be discussing a new standard of care for previously untreated, high- risk locally advanced cervical cancer. This follows the ENGOT-cx11/GOG-3047/KEYNOTE-A18 study, which I will be referring to as KEYNOTE-A18 for the rest of this podcast, which demonstrated that pembrolizumab plus chemoradiotherapy improved both progression-free and overall survival compared to chemoradiotherapy alone. I was a co-author of this study, and I'm delighted to be joined today by the study's lead investigator, Dr. Domenica Lorusso, for today's discussion. She is also a professor of obstetrics and gynecology. She's at Humanitas University Rosano and the director of the Gynecologic Oncology Unit at the Humanitas Hospital San Pio in Milan, Italy. Our full disclosures are available in the transcript of this episode. Dr. Lorusso, it's great to be speaking with you today. Dr. Domenica Lorusso: Thank you, Linda. It's a great pleasure to be here. Thank you. Dr. Linda Duska: So I was hoping you could start us out with some context on the challenges associated with treating patients with high-risk, locally advanced cervical cancer. Dr. Domenica Lorusso: Yes. I have to make a disclosure because in my experience as a gynecologist, cervical cancer patients are the most difficult patients to treat. This is a tumor that involves young patients [who often have] small kids. This is a very symptomatic tumor. More than 50% of patients report pain. Sometimes the pain is difficult to control because there is an infiltration of the pelvic nerves and also a kind of vaginal discharge, so it's very difficult to treat the tumor. Since more than 25 years, we have the publication of 5 randomized trials that demonstrate that when we combine platinum chemotherapy to radiation treatment, we increase overall survival by 6%. This is the new standard of care – concurrent chemoradiation plus brachytherapy. This is a good standard of care because particularly modern, image-guided radiotherapy has reported to increase local control. And local control in cervical cancer translates to better overall survival. So modern radiotherapy actually is able to cure about 75% of patients. This is what we expect with chemoradiation right now. Dr. Linda Duska: So what are the key takeaways of A18? This is a really exciting trial, and you've presented it a couple of times. Tell us what are the key takeaways that you want our listeners to know. Dr. Domenica Lorusso: Linda, this is our trial. This is a trial that we did together. And you gave me the inspiration because you were running a randomized phase 2 trial exploring if the combination of pembrolizumab to concurrent chemoradiation was able to give signals of efficacy, but also was feasible in terms of toxicity. There were several clinical data suggesting that when we combine immunotherapy to radiotherapy, we can potentially increase the benefit of radiotherapy because there is a kind of synergistic effect between the two strategies. Radiotherapy works as a primer and immunotherapy works better. And you demonstrated that it was feasible to combine immunotherapy to concurrent chemoradiation. And KEYNOTE-A18 was based on this preliminary data. We randomized about 1,060 patients to receive concurrent chemoradiation and brachytherapy or concurrent chemoradiation and brachytherapy in combination with pembrolizumab followed by pembrolizumab for about two years. Why two years? Because in more than 80% of cases, recurrence in this patient population occurred during the first two years. So the duration of treatment was based on the idea to provide protection to the patient during the maximum time of risk. And the trial had the two primary endpoints, progression free and overall survival, and met both the endpoints, a significant 30% reduction in the risk of progression that was confirmed. At the 3-year follow up, the observation was even better, 0.68. So 32% reduction in the risk of progression. And more importantly, because this is a curative setting, 33% reduction in the risk of death was reported in the experimental arm when pembro was combined with chemoradiation. Dr. Linda Duska: That's amazing. I wanted to ask you, a prior similar study called CALLA was negative. Why do you think A18 was positive? Dr. Domenica Lorusso: Linda, there are several discussions about that. I had the possibility to discuss several times with the PI of CALLA, Brad Monk. The idea of Brad is that CALLA was negative because of using durvalumab instead of PD-1 inhibitor, which is pembrolizumab. I do not have exactly the same impression. My idea is that it's the kind of patient population enrolled. The patient population enrolled in KEYNOTE-A18 was really a high-risk population; 85% of that patient were node positive, where the definition of node positivity was at least 2 lymph nodes in the pelvis with a short diameter of 1.5. So, we are very confident this patient was node-positive, 55% at the grade 3 and 4 diseases. So this is really a high-risk population. I remember at the first presentation of CALLA, I was honored to discuss the CALLA trial when it was first presented at IGCS a few years ago. And when I received the forest plot of Calla, it was evident to me that in patients with stage III and node positive there was a signal of efficacy. And we have a huge number of patients with node positive. So in my opinion this is the reason why KEYNOTE-A18 is positive. Dr. Linda Duska: Yeah, I agree with you. I've thought about it a lot and I think you're right about that. The INTERLACE trial results were recently published. How should we interpret these results in the context of A18? Dr. Domenica Lorusso: So it's very difficult to compare the 2 trials. First of all, in terms of population. The population enrolled in INTERLACE is a low-risk, locally advanced but low risk population; 76% were stage II, 10% were stage I, 60% were node-negative patients. So, first of all, the population is completely different. Second is the type of radiotherapy that was provided. INTERLACE is a 10-year long trial, but in 10 years the quality and the technique of radiotherapy completely changed. Only 30% of patients in INTERLACE received what we call the modern image-guided brachytherapy, which is important because it provides local control and local control increases overall survival. And third, we read the paper. I'm not a methodologist, but there are some methodological biases in the paper. All the statistical design of the trial was based on PFS, but PFS was evaluated at physician description. And honestly, I never saw a trial that had no pre-specified timeline for radiological evaluation. It's very difficult to evaluate progression in cervical cancer because the fibrosis related to radiotherapy changes the anatomy in the pelvis. And I think that the radiological evaluation is important to address if the patient is progressing or not. Particularly, because the conclusion of CALLA is that the PFS was mainly in favor of distant metastasis. So really, it's difficult for me to understand how distant metastasis may be evaluated with the vagina visit. So really, it's very difficult to compare the two trials, but I have some concerns. And also because of toxicity in the study, unfortunately 30% of patients did not complete concurrent chemoradiation because of residual toxicity due to induction chemotherapy. So I wanted to be sure in the context of modern radiotherapy, if really induction chemo adds something to modern radiotherapy. Dr. Linda Duska: Well, I have two more questions for you. As we move immunotherapy into the front line, at least for these high risk locally advanced cervical cancer patients that were eligible for A18, what does that mean then for hopefully those few that develop recurrence in terms of second line therapy? Dr. Domenica Lorusso: Well, Linda, this is a very important question. We do not have data about immuno after immuno, but I would not completely exclude this hypothesis because in KEYNOTE-A18, the patient received treatment for a well-defined time period. And for those patients not progressing during immunotherapy, I really guess if there is a space for the reintroduction of immunotherapy at the time of recurrence. In this moment we have 30% of patients in KEYNOTE-A18 in the control arm that receive immunotherapy after progression, but still we have 11% of patients that receive immunotherapy in combination with concurrent chemoradiation and then receive, again, immunotherapy in later line of therapy. I think we need to collect these data to capture some signals and for sure we have the new drug. We have antibody drug conjugate. The trials are ongoing exploring the role of antibody drug conjugate, particularly in immune pretreated patients. So I think this is a very interesting strategy. Dr. Linda Duska: I was going to ask you, “What are the next steps,” but I think you already answered that question. You talked about the second line. If you were going to redesign a study in the frontline, what would it look like? Dr. Domenica Lorusso: Probably one question that I would like to answer – there are two questions in my opinion in KEYNOTE-A18 – one is induction immunotherapy. Linda, correct me if I'm wrong, you reported very interesting data about the immune landscape change when you use induction immunotherapy. And I think this is something that we need to explore in the future. And the second question is the duration of maintenance. Because, again, we decided for two years based only on the epidemiology of recurrence, but I guess if one year may be enough. Dr. Linda Duska: I think this sequencing question is really important, that the induction immunotherapy was actually GY017. I can't take credit for that, but I think you're right. I think the sequencing question is really important. Whether you need the concurrent IO or not is an important question. And then to your point about the 2 years, the length of the need for maintenance therapy is a question that we don't know the answer to. So there are lots of really important questions we can continue to ask. I want to thank you so much for sharing your valuable insights with us on the podcast today. You're always so thoughtful about this particular study and cervix cancer in general and also for your great work to advance the care for patients with GYN cancers. Dr. Domenica Lorusso: Thank you, Linda. It's our work - we progress together. Dr. Linda Duska: Yes. And we thank the patients as well. The over 1,000 patients that went on this trial during a pandemic. Right? Dr. Domenica Lorusso: Absolutely. Without their generosity and their trust, we would not be able to do this trial. Dr. Linda Duska: So we're very grateful to them and we thank our listeners for your time today. If you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review and subscribe wherever you get your podcasts. Thank you all.   Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity or therapy should not be construed as an ASCO endorsement.   Follow today's speakers:  Dr. Linda Duska @Lduska Dr. Domenica Lorusso   Follow ASCO on social media:   @ASCO on Twitter   ASCO on Facebook   ASCO on LinkedIn     Disclosures:   Dr. Linda Duska: Consulting or Advisory Role: Regeneron, Inovio Pharmaceuticals, Merck, Ellipses Pharma Research Funding (Inst.): GlaxoSmithKline, Millenium, Bristol-Myers Squibb, Aeterna Zentaris, Novartis, Abbvie, Tesaro, Cerulean Pharma, Aduro Biotech, Advaxis, Ludwig Institute for Cancer Research, Leap Therapeutics Patents, Royalties, Other Intellectual Property: UptToDate, Editor, British Journal of Ob/Gyn Dr. Domenica Lorusso: Consulting or Advisory Role: PharmaMar, AstraZeneca, Clovis Oncology, GSK, MSD, Genmab, Seagen, Immunogen, Oncoinvest, Corcept, Sutro Biopharma, Novartis, Novocure, Daiichi Sankyo/Lilly Speakers' Bureau: AstraZeneca, Clovis, GSK, MSD, ImmunoGen, Seagen Research Funding (Inst.): PharmMar, Clovis, GSK, MSD, AstraZeneca, Clovis Oncology, Genmab, Seagen, Immunogen, Incyte, Roche, Pharma&, Corcept Therapeutics, Alkermes Travel, Accommodations, Expenses: AstraZeneca, Clovis, GSK, Menarini  

Menopause shouldn't be a mystery, but even doctors say they have a lot to learn. Best-selling author Dr. Mary Claire Haver shares the insights from her latest book and joins expert physicians to unpack the challenges, triumphs, and critical health advice every woman needs.

This week, Tay returns for another girl-talk episode with the dynamic duo behind the SHE MD Podcast! World-renowned OBGYN Dr. Thaïs Aliabadi and women's health advocate Mary Alice Haney share the story of how they met and what inspired their passion for creating a podcast focused on women's health. We dive deep into polycystic ovary syndrome (PCOS), discussing what it is, how it's diagnosed, and its root causes. The conversation also covers PCOS diets, their new business Ovii and its innovative PCOS supplement, along with their thoughts on birth control's impact on the body. We also tackle the buzz around Ozempic and its relevance for PCOS management, plus they offer empowering advice for women to advocate for themselves!Be sure to follow Dr. Thaïs Aliabadi https://instagram.com/drthaisaliabadi/, Mary Alice Haney https://instagram.com/haneyofficial/, SHE MD Podcast https://instagram.com/shemdpodcast/, and Ovii https://instagram.com/oviihealth/!Check out the SHE MD podcast here: https://www.shemdpodcast.com/Check out Ovii and their PCOS supplement here: https://ovii.com/To email us your questions or share your story, you can reach out to lautner.thesqueezepodcast@gmail.comBe sure to rate, review, and follow the podcast so you don't miss an episode! Plus, follow us on Instagram:The Squeeze: https://instagram.com/thesqueeze/Tay Lautner: https://instagram.com/taylautner/Taylor Lautner: https://instagram.com/taylorlautner/& TikTok: https://tiktok.com/@thesqueezepodcastTo learn more from The Lemons Foundation, follow https://instagram.com/lemonsbytay/ and visit lemonsbytay.comEpisode Sponsors:Take the online quiz and introduce Ollie to your pet. Visit Ollie.com today for 60% off your first box of mealsPut your water to work with Gatorade Hydration Booster.Produced by Dear MediaSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Do women die from chemical abortion?  Lead researcher OB/GYN Dr. Kathi Aultman explains (1:29) Why vote pro-life? Are you convinced?  How do you convince a friend or family member to vote pro-life? (18:23) Our Lady of Le Leche and miracles after infertility. (33:49) Gov. Whitmer mocks the Eucharist. (40:07) How much outdoor activity do we actually need? (46:52) Resources mentioned :  Dr. Aultman's story from being an abortionist to pro-woman pro-life advocate https://relevantradio.com/2024/09/abortionist-to-pro-woman-pro-life-advocate/   Dr. Kathi Aultman https://lozierinstitute.org/team-member/kathi-aultman-m-d/    Medical research on abortion complications from chemical abortion  https://lozierinstitute.org/deaths-and-severe-adverse-events-after-the-use-of-mifepristone-as-an-abortifacient-from-september-2000-to-february-2019/    Support After Abortion https://supportafterabortion.com/   Florida – vote NO on amendment 4 Do No Harm Florida organization  www.donoharmfl.org   Florida Physicians Against Amendment 4  fpaa4.com   New York - vote no on Prop 1 Protect Kids NY https://www.protectkidsny.com/   Colorado - vote no on Amendment 79 Right to Know Colorado https://www.righttoknowco.com/   Arizona - vote no Prop 139 It Goes too Far https://www.itgoestoofar.com   Nevada - vote no Question 6 Respect Life Commission  https://www.highdesertcatholic.org/respect-life-commission/   South Dakota - vote no Amendment G Catholic Diocese of Sioux Falls https://www.sfcatholic.org/respectlife/   Missouri - vote no Amendment 3 Missouri Right to Life https://missourilife.org/about-us/   Maryland - vote no Question 1 Maryland Catholic Conference  https://www.mdcatholic.org/parish-resources/voteno/   Maryland Right to Life https://www.mdrtl.org/   Montana - vote no on CI -128 (Ballot Issue 14) Pro-Life Montana  https://prolifemontana.com/ci-128/   Gallatin Valley Right to Life https://www.gallatinvalleyrighttolife.com/

There are many options for birth control after childbirth—from short-term contraception to long-term or permanent options. Determining the right choice is hard—we have to weigh out factors like whether we want more children, whether or not we're breastfeeding, and how our body responds to hormones.  This week on The Momwell Podcast, I'm joined by OB-GYN Dr. Fran Haydanek, founder of Paging Dr. Fran, to discuss how moms can make informed decisions about birth control after childbirth. Show Notes: https://bit.ly/3TZQqPx  Book a free 15 minute consultation with a mom therapist: momwell.com  Follow Momwell on Instagram: instagram.com/momwell  Sign up for our weekly VIP Newsletter: momwell.com/newsletter  Browse our popular guides and courses: momwell.com/shop Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textThis podcast originally ran on October 21, 2023.This week we get down to basics, and basics are exactly what we need in this confusing world right now. This is THE podcast to listen to if you are confused about all things to do with taking hormone therapy.Dr Vikram Sinai Talaulikar is a specialist in reproductive medicine at University College London Hospital's NHS Foundation Trust and an associate professor in Women's Health at the University College London. He graduated in medicine in India in 2003 and completed a postgraduate degree in obstetrics and gynecology in 2007. He is a certified menopause specialist by the British Menopause Society, a menopause trainer and he is constantly educating others on this transition as well, via online webinars, events and through social media. He is also part of the trio who established the Menopause Research Education Fund, alongside medical journalist Fiona Clarke and groundbreaking menopause campaigner Diane Danzebrink.Highlights of our discussion: Hormone therapy (HT) 101WHI: good, bad and what we can learn from it 20 years onEstrogen in the pill vs estrogen in HT All the kinds of estrogen and what they are used for strogen too ethinyl estradiolEstrone, Estriol, Estradiol, and Estetrol.17 beta estradiolGetting to the bottom of body simila, body identical and bioidentical – and why that varies from country to country Pharmaceutical company produced HT vs compounding pharmacy versionsthe big “Catch-22” with compounding pharmacies that keeps their bioidentical hormones out of official recommendationsthe pill, HRT and breast cancer riskwhy problems with the pill don't get flagged and HRT does Evidence over estrogen and breast cancer risk (and randomized trials versus observational data)What's what: progesterone, progestin and progestogens (how they work and which one carries a slight risk for breast cancer)how long you really need to take HRT to see if it's workingwhy HT works for some people and not othersDr Talaulikar's favourite non-hormonal treatmentsWhere to find Dr Talaulikar:X: @VikramSinai Web: Menopause Clinic LondonMenopause Research and Education FundJoin the Hotflash Inc perimenoposse: Web: hotflashinc.comTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc See hotflashinc.com/privacy-policy for privacy information

    OB/GYN Dr. Kathi Aultman went from performing abortions to having a change of heart and becoming pro-life. (1:00)  Why you should vote against the abortion amendment in your state. (29:30)  Why abortion is never a solution to rape. (34:10) What is Michaelmas? AKA St. Michael's feast day and how to celebrate it. (51:08) Resources mentioned :  Dr. Kathi Aultman https://lozierinstitute.org/team-member/kathi-aultman-m-d/    Medical research on abortion complications from chemical abortion  https://lozierinstitute.org/deaths-and-severe-adverse-events-after-the-use-of-mifepristone-as-an-abortifacient-from-september-2000-to-february-2019/    Florida – vote NO on amendment 4 Do No Harm Florida organization  www.donoharmfl.org   Florida Physicians Against Amendment 4  fpaa4.com   New York - vote no on Prop 1 Protect Kids NY https://www.protectkidsny.com/   Colorado - vote no on Amendment 79 Right to Know Colorado https://www.righttoknowco.com/   Arizona - vote no Prop 139 It Goes too Far https://www.itgoestoofar.com   Nevada - vote no Question 6 Respect Life Commission  https://www.highdesertcatholic.org/respect-life-commission/   South Dakota - vote no Amendment G Catholic Diocese of Sioux Falls https://www.sfcatholic.org/respectlife/   Missouri - vote no Amendment 3 Missouri Right to Life https://missourilife.org/about-us/   Maryland - vote no Question 1 Maryland Catholic Conference  https://www.mdcatholic.org/parish-resources/voteno/ Maryland Right to Life https://www.mdrtl.org/   Montana - vote no on CI -128 (Ballot Issue 14) Pro-Life Montana  https://prolifemontana.com/ci-128/ Gallatin Valley Right to Life https://www.gallatinvalleyrighttolife.com/   Heal from abortion  https://supportafterabortion.com/ 

OB/GYN Dr. Liz Lyster joins Stacy to educate us about the role of hormones in aging and menopause, why we all may be experiencing "bursts" of aging in our mid-40s and early 60s, and why women must continue to advocate for themselves during these changes. Find Dr. Liz Lyster: DrLizMD.com Facebook.com/drlizlyster Instagram.com/drlizlyster Linkedin.com/in/drlizmd Youtube.com/c/DrLizLyster Don't forget to subscribe to this channel and visit realeverything.com! If you haven't yet unlocked ad-free content, checkout patreon.com/thewholeview. Your subscription goes to support this show and gets you direct access to submit your questions! We also want to give a big thank you to this week's sponsor! Paleovalley.com/wholeview | Get 15% off your first order! Learn more about your ad choices. Visit megaphone.fm/adchoices

In this powerful episode of the SHE MD podcast, hosted by world-renowned OBGYN Dr. Thaïs Aliabadi and women's advocate and influencer Mary Alice Haney, special guests Taylor Odlozil and Dr. Kristin Taylor share a deeply emotional journey through love, loss, and hope. Taylor opens up about meeting his wife Haley, her shocking stage 3C ovarian cancer diagnosis, and the devastating lows and precious highs that followed. Dr. Kristin Taylor provides medical insights, discussing Haley's treatment and the importance of early detection. Dr. A. explains why an annual pelvic ultrasound should be part of every woman's healthcare routine. From navigating chemotherapy to facing end-of-life decisions, this episode offers heartfelt lessons in resilience, the role of surrogacy, the power of advocacy in healthcare, and ovarian cancer awareness.Sponsors: Medika8: Visit http://medik8.us/ for 20% off your first order with code SHEMD at checkout.Osea: Get 10% off your first order sitewide with code SHEMD at http://oseamalibu.com/Ovii is coming soon! Learn more at https://ovii.com/IN THIS EPISODE:[1:24] Taylor Odlozil reflects on how he met Haley and walks through how Haley discovered she had stage 3C ovarian cancer, both high and low-grade[11:35] Dr. Kristin Taylor comments that Haley's symptoms are typical for stage 3C cancer and says most patients are 63 years old, much older than Haley in her 20's[14:19] Haley begins chemo; Dr. Kristin Taylor discusses the type of chemo Haley took for nine weeks; they proceed with the wedding and get devastating news Monday after the wedding[29:07] Taylor discusses surrogacy and the birth of his little boy[39:02] Dr. Kristin Taylor shares how a physician relates to their patient, and Taylor reveals how they were facing their last Christmas and how the TikTok story evolved[1:00:09] Taylor explains why he lives in gratitude, and Dr. A reflects on her cancer diagnosis and her recent scare[1:05:53] Dr. A believes that she has not lost a patient to cancer in 23 years due to her abilities as a sonographer and how she feels the standard of care should be taking a pelvic ultrasound every year[1:16:11] Dr. Kristin Taylor encourages listeners to see a physician if they sense any abnormality. September is Ovarian Cancer Awareness month. KEY TAKEAWAYS: If you have a family history of ovarian cancer, get genetic testing. A very low threshold exists for seeing a genetic counselor and getting genetic testing. You know your body. If you suspect something is wrong, see a doctor and get ultrasound imaging. Be relentless and find a doctor who will perform the test. An annual pelvic ultrasound should be a standard part of your healthcare routine. You should address any unusual sensations or changes in the pelvic area and address them promptly. Trust yourself and advocate for your health.September is Ovarian Cancer Awareness month, it's a time for women to learn about this type of cancer and screening. Taylor Odlozil reminds us to live in the moment and know that today is a gift.RESOURCES:Dr. Kristin Taylor, MD - Cedars-SinaiTwitter: @DrKTayTaylor Odlozil - InstagramGenetic tests: https://myriad.com/CONNECT WITH SHE MD: Mary Alice Haney - InstagramSheMD Podcast - InstagramSHEMD - YouTubeSHEMD - PodcastSHEMD - WebsiteQUOTES:“I used to always stress out about the future. I don't look past today now. I just learned that today is a gift and we're not going to get stressed out about tomorrow because it's today, so that was a lesson I learned early. It was the only way you can live normally when you're dealing with cancer because if you're not present in the moment, you can't experience joy.” - Taylor Odlozil“When I'm meeting a new cancer patient, and it's like what you said, Taylor, when you walk in, you see people who don't have hair, and it hits you. Oh my goodness, I'm in a cancer center. I say I'm Dr. Taylor. Nice to meet you. I'm sorry you have to meet the oncologist today, no one ever wants to, and I just pause because I think just recognizing that they don't want to be here, but you know you have to be, and I recognize that, and we're in this together as much as I possibly can be.” - Dr. Kristin Taylor See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send us a textOB/GYN Dr. Marcela Pineda joins us to talk about perimenopause and the impact this transition can have on so many aspects of a woman's life. Some of the highlights include:Defining perimenopauseWide range of symptomsHormone Replacement TherapyChanging nutritional needsPerimenopause's effect on weight gainImpact on women's sexual healthand more!

In this episode, host Dr. Natasha Mehta, a physical medicine & rehabilitation physician delves into the intricacies of maintaining a fitness program during pregnancy. Expert OB/GYN Dr. Linbee Sayat covers key topics such as cardiovascular changes, hormonal impacts, and exercise modifications for expecting mothers. The discussion provides actionable tips for safe fitness practices and highlights the benefits of staying active during pregnancy, aiming to empower expectant mothers with knowledge and practical advice. Tune in to learn about the best ways to balance fitness with the physical demands of pregnancy.00:00 Introduction to the Brain and Body Things Podcast00:39 Navigating Pregnancy: Mental and Physical Health 01:36 Meet Dr. Linbee Sayat: Expert Insights on Pregnancy06:22 Fitness and Pregnancy: Cardiovascular Changes13:06 Hormonal Changes and Physical Activity20:13 Exercise Guidelines for Pregnant Women26:29 Precautions and Special Considerations30:43 Dr. Sayat's Personal Fitness Routine31:56 Conclusion and Podcast Wrap-UpThe podcast episodes drop weekly on Monday's in seasonal chunks. Subscribe to stay up to date, and tune in when you can! Be sure to rate, review, and follow on your favorite podcast app and let me know what other brain & body things you'd like to hear about. For more information about me, check out my website.Follow me on Instagram or Tik Tok @drnatashamehta.This episode is not sponsored.

OBGYN Dr. Chris Stroud talks to nurse practitioners and hormone optimization experts Sarah Rothgeb and Ellise Koenn about thyroid hormones, vitamin D, testosterone replacement, and many other important topics related to hormone optimization.Fertility and Midwifery Care CenterHoly Family Birth Center

Disclaimer: None of the contents of this episode are to be taken as medical advice. For medical advice, please visit your GP. Since SO MANY listeners wanted to ask OB/GYN Dr. Jen Gunter questions, we decided to dedicate what is usually a nightmare fuel slot to a listener question. LINKS See Dr Jen Gunter Live as part of The Festival of Dangerous Ideas https://bit.ly/4cv3AdN Follow Dr Jen on TikTok https://bit.ly/3ArpqRX Buy Dr Jen's books https://bit.ly/4dtfwOz Buy tickets to Abbie's national Trauma Dump tour https://bit.ly/3ytG2Id Review the podcast on Apple Podcasts https://bit.ly/ial-review  Follow LiSTNR Entertainment on IG @listnrentertainment Follow LiSTNR Entertainment on TikTok @listnrentertainment Get instructions on how to access transcripts on Apple podcasts https://bit.ly/3VQbKXY  CREDITS  Host: Abbie Chatfield @abbiechatfield Guest: Dr Jen Gunter @drjengunterExecutive Producer: Lem Zakharia @lemzakhariaDigital Producer: Oscar Gordon @oscargordon Social and Video Producer: Amy Code @amycode It's A Lot Social Media Manager: Julia ToomeyManaging Producer: Sam Cavanagh  Find more great podcasts like this at www.listnr.com/See omnystudio.com/listener for privacy information.

We are honored to be joined on the podcast today by Emily, Maliyah's Mom, to talk about her TFMR (termination for medical reasons) last year. In our previous interviews about TFMR, the parents have had to make the decision to terminate due to their baby's own serious condition(s). In this case, Emily had to choose a termination to save her own life and lost her daughter in the process. This is a crystal clear example of how abortion is healthcare. Emily's pregnancy was killing her, and there was no way to save both her baby and herself. This conversation feels more important than ever with the continued attacks on reproductive healthcare in many states here in the US. Thank you for listening with an open heart to Emily's story, and thank you Emily for your vulnerability. Note: This episode contains the majority of the medical details of Emily's TFMR, and if you find pregnancy complications triggering, we recommend you skip straight to the next episode in which we speak with Emily more broadly. ::: Things we talk about in this episode: - HELLP syndrome - Hemolysis, Elevated Liver enzymes, and Low Platelets syndrome - ALAIL | TFMR is Baby Loss, an interview with Hadley's Mom Jill - ALAIL | When "Choice" Doesn't Feel Like a Choice, an interview about TFMR with Adelyn's Mom Alyssa - ALAIL | The Stillbirth Specialist, an interview with OBGYN Dr. Heather Florescue (Part 1) - ALAIL | From the Other Side of the Stirrups, another interview with OBGYN Dr. Heather Florescue (Part 2) ::: Support As Long As I'm Living podcast at ⁠buymeacoffee.com/alailpodcast⁠ OR buy buying our MERCH at ⁠bonfire.com/store/alailpodcast⁠! ::: Follow As Long As I'm Living on Instagram at ⁠⁠⁠⁠⁠⁠⁠⁠⁠@aslongasimlivingpodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠, send us an email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠aslongasimlivingpodcast@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠, or visit us at ⁠⁠⁠⁠⁠⁠⁠⁠⁠anchor.fm/aslongasimliving⁠⁠⁠⁠⁠⁠⁠⁠⁠! We would love to hear from you! ::: As Long As I'm Living is a podcast about life, love, and laughter after infant loss. Judith and Alina are rebuilding Happier Ever After one day at a time despite excruciating grief and trauma and offering support to grievers of all flavors, but especially those who have lost a baby to SIDS, infant death, birth accidents, stillbirth, TFMR, ectopic pregnancy, or miscarriage. --- Support this podcast: https://podcasters.spotify.com/pod/show/aslongasimliving/support

We are honored to be joined on the podcast today by Emily, Maliyah's Mom, to talk about her TFMR (termination for medical reasons) last year. In our previous interviews about TFMR, the parents have had to make the decision to terminate due to their baby's own serious condition(s). In this case, Emily had to choose a termination to save her own life and lost her daughter in the process. This is a crystal clear example of how abortion is healthcare. Emily's pregnancy was killing her, and there was no way to save both her baby and herself. This conversation feels more important than ever with the continued attacks on reproductive healthcare in many states here in the US. Thank you for listening with an open heart to Emily's story, and thank you Emily for your vulnerability. Note: We separated out the majority of the medical details of Maliyah's birth into a separate episode for those of you who find pregnancy complications triggering. To listen to that episode for all of the context, go back one in your podcast feed! ::: Things we talk about in this episode: - ⁠HELLP syndrome⁠ - Hemolysis, Elevated Liver enzymes, and Low Platelets syndrome - ALAIL | ⁠TFMR is Baby Loss, an interview with Hadley's Mom Jill⁠ - ALAIL | ⁠When "Choice" Doesn't Feel Like a Choice, an interview about TFMR with Adelyn's Mom Alyssa⁠ - ALAIL | ⁠The Stillbirth Specialist, an interview with OBGYN Dr. Heather Florescue (Part 1)⁠ - ALAIL | ⁠From the Other Side of the Stirrups, another interview with OBGYN Dr. Heather Florescue (Part 2)⁠ ::: Support As Long As I'm Living podcast at buymeacoffee.com/alailpodcast OR buy buying our MERCH at bonfire.com/store/alailpodcast! ::: Follow As Long As I'm Living on Instagram at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@aslongasimlivingpodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, send us an email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠aslongasimlivingpodcast@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, or visit us at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠anchor.fm/aslongasimliving⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠! We would love to hear from you! ::: As Long As I'm Living is a podcast about life, love, and laughter after infant loss. Judith and Alina are rebuilding Happier Ever After one day at a time despite excruciating grief and trauma and offering support to grievers of all flavors, but especially those who have lost a baby to SIDS, infant death, birth accidents, stillbirth, TFMR, ectopic pregnancy, or miscarriage. --- Support this podcast: https://podcasters.spotify.com/pod/show/aslongasimliving/support

Welcome back CTL Squad! Today, we answer your questions on women's health with the incredible OBGYN, Dr. Trina Chakravarty M.D.! Learn all about her profession and life as an OBGYN, as well as, things you can do to live an elevated & healthy lifestyle. A multifaceted, dedicated woman, Dr. Trina Chakravarty, shares her knowledge with us today and answer questions that came in through social media. Thank you all for listening to Catwalk Through Life! I hope you enjoy this episode! ***  Elevate your life with gratitude and my Gratitude Journal. Available on Amazon! https://a.co/d/2ufcKL8 Download my FREE Morning Routine Checklist! >> ⁠https://catwalkthroughlife.com/2023/06/20/free-30-min-morning-routine-checklist⁠ ***** Need a getaway or looking for an upscale Southwestern experience? Book your next stay at Westward Look Wyndham Grand Resort & Spa in Tucson, AZ! You won't be disappointed! Check out Catalina Riding Club while you're there for a one-of-a-kind horseback riding experience! https://www.westwardlook.com | https://catalinariding.net Helpful Links: Dr. Trina Chakravarty Instagram Page: https://www.instagram.com/trinachakra Gratitude Journal: https://a.co/d/2ufcKL8 Catwalk Through Life Blog: ⁠https://www.catwalkthroughlife.com⁠  Catwalk Through Life Instagram Page: ⁠https://www.instagram.com/catwalkthroughlife⁠  Catwalk Through Life Facebook Group: ⁠https://www.facebook.com/groups/726602181696067⁠ Rashi Stephens-Charlton Instagram Page: ⁠https://www.instagram.com/rashistephens⁠  Free Morning Routine Checklist for a good morning! Click here: ⁠https://catwalkthroughlife.com/2023/06/20/free-30-min-morning-routine-checklist⁠ ***** Disclaimer: Please know that any advice given is just a suggestion and what is known to be true in my guest's profession. This is not medical advice for any one person in particular. This is general information. Please consult your doctor for medical questions and use your best judgement on what's best for you. The intent behind this episode is to merely share information and try to help anyone we can! :)

Have you ever been curious about birth and the entire process about it? Has it ever crossed your mind that birth is becoming way to much of a medical issue then a natural process?This week I am beyond honored to be joined by Dr. Nathan Riley, OBGYN, to chat about all things surrounding birth.  He comes from an extremely medical background and yet has transitioned into a more supportive, holistic approach to birth.He is the host of the Holistic OBGYN podcast, one of my personal favorites. It was such a pleasure to be able to sit down and chat with Dr. Riley.Be sure to tune in to hear our great conversation and also check out Dr. Nathan on his social media platforms and his podcasts!About  Dr. Nathan RileyNathan is a home birth doctor and holistic gynecologist living in Louisville, KY. He received his MD from Temple University. Completed his OBGYN residency at Kaiser in Los Angeles. And completed his fellowship in Hospice & Palliative at UC San Diego. He is dual-board-certified in allopathic medicine, and brings in tools from other modalities like functional medicine and nutrition, exercise science, anthroposophic medicine, lifestyle coaching, and midwifery to optimize the care of his clients.He advocates for and supports out-of-hospital birth along with upholding the midwifery model of care, which he believes could and should be the default birthing option for 85% or more of women in the United States. Nathan is married to his high school sweetheart, and they have two beautiful little girls, the second of whom was born at home. Connect with Dr. RileyWebsite: https://www.belovedholistics.comInstagram: https://www.instagram.com/nathanrileyobgyn/Podcast - The Holistic OBGYN and the OBGYNO WINOSponsors:Toxic Free CleaningUse code BROOKE30 at checkout to save 30%https://click.trulyfreehome.com/aff_c?offer_id=238&aff_id=4145&url_id=59Grass-Fed Beef Protein Powderhttps://www.equipfoods.comUse Code BROOKE20 to save 20%WeNatal Prenatal -Get a FREE Omega DHA+ with a purchase of a WeNatal supplementhttps://wenatal.com/pages/partner?sscid=11k8_l9yzt&Lumebox - Red Light / Infrared Therapy DeviceUse link below get it about half off ($280 value)https://thelumebox.com/pages/lb68/?_ef_transaction_id=&oid=3&affid=1008&discount=brookebacciOrganic Herbal RemediesUse Code BROOKE10 to save 10%https://earthley.com/ref/brookebacci/

Dr. Fiona Lovely is a health and wellness expert with specialties in menopause medicine,  functional neurology and functional medicine.  Speaking to the topics of women's health around peri-menopause and menopause.  Today, Dr. Lovely speaks with the Hello Alpha's Medical Affairs Officer, Dr. mary Jacobson.  Dr. J (as she likes to be called) is an OB/GYN who has been practicing medicine since before the WHI changed how we managed the hormonal needs of women at menopause.  She has plenty to say about the brilliance of and deficiences in the current system.  She speaks candidly about the gaps in care in the United States.  This conversation is eye-opening and Dr. J's honesty, refreshing.  Please listen, learn and share.   Find out more about Hello Alpha here: @helloalphamd and helloalpha.com.  Hello Alpha is a telemedicine healthcare platform in the US aimed at making great care accessable for people.  They have an eye to equality, especially for women.  ✨Want to know more about The Apollo wearable tech?  "Apollo is a great tool to not only increase your HRV, but improve emotional regulation and achieve deeper sleep. I would recommend it to anyone looking for more balance in their nervous system, or for women specifically dealing with symptoms related to menopause." apolloneuro.com/lovely for 10% off your first order for our listeners! ✨

In this episode of the Fallible Man Podcast, host Brent shares valuable advice and insights for men preparing to become fathers. From managing fears and emotions to strengthening marriage and building good habits, this episode is packed with practical tips to help new dads feel confident and prepared. Brent addresses common concerns like feeling inadequate, supporting a pregnant wife, and the impact of fatherhood on personal relationships. With specific actionable advice and a focus on proactive preparation, this episode aims to empower fathers-to-be on their journey to becoming great dads. Follow Up Episodes for Expecting Dads Expecting Fathers: YOUR IMPORTANT Role during Pregnancy and after with OBGYN Dr. Nathan Riley https://www.thefalliblemanpodcast.com/expecting-fathers-your-important-role-during-pregnancy-and-after-with-obgyn-dr-nathan-riley Unleashing Fatherhood Potential: Dr Kaleb Valdez on Supporting Birth and Early Parenting https://www.thefalliblemanpodcast.com/unleashing-fatherhood-potential-dr-kaleb-valdez-on-supporting-birth-and-early-parenting The Power of Intentional Financial Planning by Parents: Insights by Jasper Smith https://www.thefalliblemanpodcast.com/the-power-of-intentional-financial-planning-by-parents-insights-by-jasper-smith -- Time Stamps -- 00:00 Exciting News: You're Going to Be a Dad! 00:31 Introduction to the Fallible Man Podcast 02:58 Common Fears of Expectant Fathers 06:43 Addressing Relationship Concerns 12:20 Preparing for Parenthood: Practical Tips 17:25 Strengthening Your Marriage and Family Vision 18:17 Building Good Habits for a Healthy Family 19:43 Getting Ahead for Your Children's Future 21:56 Useful Tips for New Fathers 32:10 Dealing with Parenting Challenges 34:17 Embracing the Journey of Fatherhood Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Lucy talks to OBGYN Dr. Kathleen Bertuna about riding while pregnant and postpartum recovery. They discuss the risk vs. reward of riding while pregnant, how a rider can minimize the risk during different stages of their pregnancy, and the importance of being in tune with your body and knowing when to not push the limits. They also discuss the difference between recovering from a c-section and a vaginal birth and how each woman's timeline for getting back into the saddle varies.

We are big fans of NaProTechnology at Woven Well, because this unique approach investigates the root causes of reproductive health concerns like PCOS, PMS, Luteal Phase defect, and endometriosis. For many women, this restorative approach is all they need to finally get some answers and individualized care. But there are some who still have a "missing piece." This was how Dr. Melissa Weidert felt as she served a NaProTechnology OBGYN and surgeon. She loved NaPro, but knew she needed a complementary education to provide to some of her patients who still struggled. Now, she's opened her integrative health clinic and provides holistic reproductive care and fertility treatments to men and women. Utilizing hormonal panels, HTMA, bio resonance testing, mold and parasite investigation, and more, she seeks the root causes of reproductive health concerns and addresses them at their core. She joins us today to talk about this approach and how it serves men and women with reproductive health issues. NOTE: This episode is appropriate for all audiences. GUEST BIO: Dr. Melissa Weidert officially launched her virtual medical practice, Fiat Fertility & Wellness, in the Fall of 2023 after many years in restorative reproductive medicine. She has a strong passion for NaProTECHNOLOGY and trained as a NaPro surgeon. Combining this knowledge with functional medicine and holistic health practices allows her to walk alongside women, men, and couples on their unique health journeys. She lives with her husband and son and is a proud Wisconsinite who enjoys the outdoors, strong coffee, and quality conversations. You can find her soaking in the sun rays, working the soil into a new garden, and taking time to be present with those she loves.      If you enjoyed this episode, be sure to give us a 5 star review! It takes just a minute, but makes a huge difference for those seeking podcast resources! SHOW NOTES: Fiat Fertility & Wellness virtually serves patients in TX and PA. @drmelweidertInterested in learning about the Creighton Model System? You're in the right place! Register for Creighton Introductory Session: Register here for our next Introductory SessionLooking for ways to implement fertility awareness into your life and faith? Check out out most helpful resources: Substack Newsletter (free)Website Resources (free)Have a question or want to give us feedback? Send us a Text Message.Support the Show.This podcast is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. Neither Woven nor its staff, nor any contributor to this podcast, makes any representations, express or implied, with respect to the information provided herein or to its use.

The Christian Outlook - June 29, 2024 Georgene Rice talks with Katie Daniel of Susan B. Anthony Pro-Life America to explain a Supreme Court 9-0 decision, which preserves access to mifepristone, an unsafe abortion pill. Craig Roberts talks with OB-GYN Dr. Ingrid Skop, who knows well the impact of mifepristone, including the death and destruction resulting from the drug's mail delivery. Scott Furrow invites Robyn Chambers, Vice President of Advocacy for Children at Focus on the Family, to discuss the church's role and the need for continued engagement in the pro-life movement. Greg Seltz talks with John Stonestreet of The Colson Center about the prominence of abortion in the Democratic platform, noting its strategic importance despite its ethical implications.  Albert Mohler offers encouragement and perspective on the ongoing pro-life battle.See omnystudio.com/listener for privacy information.

Conventional Western medicine is highly effective at treating disease, but is relatively limited when it comes to preventative care and root-cause approaches. Some practitioners have since adopted complementary, integrative interventions to enable a more personalized, holistic approach to care. Among them is Dr. Gary Goldman M.D, a Cornell trained physician practicing Integrative Gynecology and Functional Medicine in New York City. He joins podcast host Chloe Harrouche to clarify how integrative medicine unlocks the potential for women's health, highlighting the importance of thinking outside the box and finding individualized solutions. In this episode, they explore the root causes of chronic UTIs and the role of dysbiosis, addressing the microbiome as a crucial aspect of treatment. They also address the rise in infertility due to various factors, including age, stress, body fat, the use of birth control and its impact on hormone balance. This episode is great for anyone interested in exploring an integrative approach to their health and its ability to change their outcomes.  Resources & Links:  How To Treat and Prevent a Urinary Tract Infection How to Manage PCOS and Fertility 9 Ways Couples Can Enhance Fertility Together⁠ Chapters 00:00 Introduction to Integrative OBGYN 01:00 Background on Integrative Medicine 13:14 Functional Medicine and Root Cause Medicine 24:14 Challenges with Fertility and the Impact of Birth Control 25:00 Contraception and Hormone-Free IUDs 29:00 Body Fat and Ovulation Subscribe to Get Well, Better. Leave a review and follow along ⁠⁠⁠⁠⁠@the.lanby⁠⁠⁠⁠⁠. Visit ⁠⁠⁠⁠⁠The Lanby⁠⁠⁠⁠⁠ today and book a consultation. Watch the Show ⁠⁠⁠⁠HERE⁠⁠⁠⁠ Produced by ⁠⁠⁠⁠Haynow Media

Dr. Christina Pinnock is a Maternal Fetal Medicine Specialist/Perinatologist based in California and creator of the ZerotoFour Podcast. She is here to help us tackle topics like what constitutes a high-risk pregnancy, lupus, preeclampsia, HELLP syndrome, gestational diabetes, fibroids, and bicornuate uteruses and how they relate to VBAC. The overarching theme of this episode is that all pregnancies are individual experiences. If you are hoping to achieve a VBAC and you have pregnancy complications, find a provider whose goals align with yours. By ensuring that your comfort levels are a good match, you are on your way to a safe and empowering birth experience!Dr. Pinnock's Website and PodcastNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details 00:58 Review of the Week03:13 Dr. Christina Pinnock03:56 Importance of a VBAC-supportive provider06:36 High-risk pregnancies11:02 Lupus and TOLAC14:31 Preeclampsia 17:19 Varying ranges of preeclampsia20:46 HELLP Syndrome 26:36 Other High-risk situations 27:54 Gestational Diabetes35:00 Inductions with gestational diabetes42:25 Fibroids 46:33 Do fibroids tend to grow during pregnancy? 51:20 Bicornuate UterusMeagan: Have you ever been told that you were high risk, so you'll be unable to TOLAC? Or maybe you can totally TOLAC assuming nothing high-risk comes into play? What does high risk mean? We often get questions in our inbox asking if having your previous cesarean makes them high risk. Or questions about topics like preeclampsiaclampsia, gestational diabetes, bicornuate uterus, fibroids, and more. I am so excited to have board-certified OB/GYN Dr. Christina Pinnock on the show today. She is a high-risk pregnancy doctor passionate about educating women along their pregnancy journeys so they can be more informed and comfortable during their pregnancy. She is located in California and has a podcast of her own called “ZerotoFour” where she talks about topics that will help first-time moms prepare for, thrive, and recover from pregnancy as well as shares evidence-based information and answers everyday questions like we are going to discuss today. 00:58 Review of the WeekMeagan: We do have a Review of the Week, so I'm going to jump into that and then we can dive in to get into these fantastic questions from Dr. Christina Pinnock. Today's reviewer's name is Obsessed!!!! It says, “The best VBAC and birth podcast. I am grateful to have discovered Meagan and this podcast. I definitely believe listening to stories of these amazing women and their parent's course helped me achieve my two VBACs. Thank you for all you do The VBAC Link.”Oh, thank you so much Obsessed!!!!!  And as always if you wouldn't mind, drop us a review leave us a comment and you never know, it may be read on the next podcast. 03:13 Dr. Christina PinnockMeagan: Okay, Women of Strength. I am seriously so, so excited to have our guest here with us today! Dr. Christina, is it Pinnock? How do you say it? Dr. Pinnock: Yes that's perfect.Meagan: Ok, just wanted to make sure I was saying it correctly. Welcome to the show! You guys, she is amazing and has been so gracious to accept our invitation here to today to talk about high-risk pregnancy and what it means. Hopefully, we'll talk a little bit about gestational diabetes because that's a big one when it comes to VBAC. And if we have time, so much more. So welcome to the show and thank you again for being here.Dr. Pinnock: Thank you so much for having me, I'm excited to be here and chat with you and your audience about these great topics, so thank you.03:56 Importance of a VBAC-supportive providerMeagan: Yes! Okay well, this isn't a question we had talked about, but I'm curious. Being in California, do you find it hard to find support for VBAC or do you find it easy? I mean, California is so big and you're in Mountain View. So I don't know exactly where that is. You said the Bay Area, right? So how is it in your area? How is VBAC viewed in the provider world in your area?Dr. Pinnock: Yeah, that's a good question. I actually did most of my training on the East Coast, so it's been a good experience seeing the differences in coastal practices. I think where I did my training we were pretty open to VBACs and supported them. In California, I've had a similar experience and I think it really depends on where you are.  I'm in the San Francisco Bay Area and I work at an institution where we support TOLACs and want our moms to VBAC as long as it's safe and it's what they desire. But I really think the opportunity to TOLAC depends on your individual OB provider that you have and their comfort in offering that. And importantly, the hospital resources that you have available in your area. California's huge and depending on where you live it can be a very, very different infrastructure both geographically and specifically within the hospital. And so I really think that differences in that offering is based around those resources rather than maybe patient desire or even sometimes provider desire. So it really just depends on those things. Meagan: That's so good to know. I mean, we tell our community all the time that provider is a really, really big key when it comes to being supported. But also I love that you were talking about the actual hospital because for me with my second– I had a VBAC after 2 C-sections and with my second, my provider was 100% gung-ho and super supportive. But in the end, I ended up switching because the hospital was going to end up restricting my provider in supporting me in the way he wanted to support me, right? So it's also really important to vet your location and your hospital.Dr. Pinnock: Yes, absolutely. Sometimes, someone may live in a location where they don't have that choice, unfortunately. If you do have that choice and you can choose hospitals and providers that can support it, by all means if you have that ability. 06:36 High-risk pregnanciesMeagan: Absolutely. Ok well, let's dive in more to high-risk. So a lot of the time, I'd love to see what you think about this. A lot of the time, providers will tell moms because they've had a previous Cesarean, not even a special scar or anything like that, that they are automatically grouped into the high-risk category. So I don't know what your thoughts are on that in general, but let's talk more about high-risk pregnancy. What does it mean? What does it look like for TOLAC? How is it usually treated? And are there often restrictions given for those moms? Dr. Pinnock: Yeah, no. That's a really good question. One thing about pregnancy, there's some level of risk in all pregnancies. No matter if you're completely healthy, no medical problems, or you're trying to TOLAC, or you have other medical conditions that exist before pregnancy, all pregnancies carry some level of risk but not all the risks are equal. There are some conditions that the mother can have before pregnancy that can put her pregnancy at a higher risk of developing some complications. There are some conditions that can actually develop during pregnancy that can cause the pregnancy to be at a higher risk of developing complications. Lastly, there are some conditions specific to the placenta, the baby, how the baby developed, or even the genetic makeup of the baby that can contribute to a high risk of having complications. All of these three categories can impact the status of your pregnancy being considered high-risk. So typically, if you have a condition that falls in one of those three boats, then your pregnancy could be considered a higher risk. Usually having a previous C-section or even two previous C-sections by itself is not really something that I would use to classify someone as having a high-risk pregnancy. I do think that definitely talking with your provider about your desire for delivery earlier on can help both people to be on the same page, but if you otherwise have nothing else going on in the pregnancy and you have one previous C-section or even two previous C-sections, I think the pregnancy itself, I wouldn't consider it a high-risk pregnancy. Meagan: That's good to know. Dr. Pinnock: Yeah no, absolutely. And when you think about the delivery, I think about it a little bit differently than the pregnancy. I think for the delivery if you are interested in having a TOLAC and you have a previous C-Section or two, then the management of your delivery and the risk of your delivery isn't the same as someone who hasn't had a C-section. I think about them as like two different boats. But overall, conditions that are related to maternal health can be high blood pressure, diabetes, and autoimmune conditions like lupus. Those things can cause your pregnancy to be considered high-risk. A good example of a few things that can develop in pregnancy that can make your pregnancy high-risk include things like preeclampsia which is high blood pressures of pregnancy. Having twins or having triplets can make your pregnancy a higher risk. In some instances, even gestational diabetes depending on what's going on and where you are can be considered a pregnancy with some high-risk features. And then genetic conditions for baby whether that's a difference in how one of your babies' organs developed, or a genetic condition that's discovered from testing; any of those things can really impact that high-risk status and how your pregnancy will be monitored and managed after that. Meagan: Ah these are all such great topics and actually things that we get in our inbox. Like, “Hey, I have lupus,” or we'll have one of our VBAC doulas say, “Hey, I have a client who has lupus. She really wants to TOLAC and have a VBAC. What does that mean for her?” Obviously, all of these conditions are going to be treated differently throughout the pregnancy and probably even during the labor and delivery portion. 11:02 Lupus and TOLAC Meagan: I don't know if we can touch on a couple of those like lupus. What does that look like for someone? If I have lupus coming in, I'm doing okay right now. I have it. What does that look like for someone wanting to TOLAC and to have a VBAC?Dr Pinnock: Yeah. I think it's similar to your first question about whether a C-section would make your pregnancy considered high-risk. So the lupus diagnosis would increase the risk of certain medical conditions happening in pregnancy relating to both mom and baby. Your doctor may get some extra blood work to monitor how your lupus is progressing in pregnancy. Your doctor may get some extra ultrasounds to make sure that baby isn't too small and add some extra monitoring to make sure that baby is staying safe and that if there is a risk for baby to be in distress that that is picked up. And so the actual monitoring and management of the pregnancy is usually done with the help of a high-risk pregnancy doctor like myself with an OB provider. That is really specific to what is going on with that person. If everything goes smoothly and lupus stays under control and we get to the moment where we're thinking about how we're going to deliver baby, that's sort of a separate boat. In an ideal world, everything goes well in terms of the lupus and pregnancy and if you're interested in having a TOLAC, having a diagnosis of lupus should not restrict you from that option. You can still have that as an option but it really just depends on the specifics of how your pregnancy has unfolded. Have you developed any other conditions like high blood pressures in pregnancy or preeclampsiaclampsia where your doctor is maybe thinking you may need to deliver earlier? Are there things going on with your baby where we think baby is under more stress where we would really need to be very intentional about how we deliver baby? It's a really nuanced thing and it's based on the specifics on that person's condition. I think an overarching theme is whatever is going on with the pregnancy that impacts the delivery if things are not going as smoothly. But if things are going smoothly and you want to try for a TOLAC, that's not necessarily a reason to say, “No, you absolutely can't do this,” unless there are specific conditions that came up in your pregnancy that make it less safe for either you or baby as the mom. Meagan: Yeah. Something that I'm just hearing you say so much that's standing out is that really is individual, depending on that individual and depending on that individual's case. I think that's something important for listeners to hear because someone who may have lupus that's going really, really fine, TOLACs going to be a really great option for them. But someone who may have active symptoms and it's going and it's really hard, that may be a different suggestion in the end. But I like that you're like, We're in this boat and then we travel over to this boat into this time, and then it's a matter of how we float that boat and how we get to our destination.Dr. Pinnock: Exactly.14:31 Preeclampsia Meagan: Would you say that the same thing goes for preeclampsia? Preeclampsia can develop at any stage of pregnancy. I mean, we've had clients in weeks 18-20 develop it and then have to be really closely watched and all of these things. Is that someone also where you would say the same thing? Where it's like, We're in this boat doing these things and these tests and monitoring, and then again we get into this next boat and we have to decide what the best route is?Dr. Pinnock: Yeah, no. That's a good question. I think it's similar but a little different with preeclampsia. It depends on the type of preeclampsia that's going on. Preeclampsia is a spectrum and with the part of the spectrum that's more on the severe side, we still try for a vaginal birth. It really depends on, as you've mentioned, how far along you are in the pregnancy.Maybe you are 28 weeks and you have such a severe form of preeclampsia that your doctor is like, “I don't think we can get any more time with the pregnancy,” that's a very different situation than someone who has a very non-severe form of preeclampsia at 39 weeks who wants to TOLAC and have all of those options available. It really does depend but the overall theme with preeclampsia if you do want to try for a vaginal birth and your health and baby's health are stable in the moment, then usually we do try as much as possible to have a vaginal birth. But things like very early gestational age and really severe complications of preeclampsia make the possibility of having a vaginal birth less likely. It makes the possibility of someone who wants to TOLAC in that setting less likely. It really depends on the severity of that spectrum of preeclampsia, but we always try for a vaginal birth if we can. Meagan: Yeah. This may be too hard of a question to answer, but can we talk about that range and the severity? What does a low to moderate to severe case of preeclampsia look like in a person? What would be considered that severe, “Hey, we might need to reconsider our birth desire here,” to “Hey, you have it. It's really low right now,” or to “We're in choppy waters right now.”17:19 Varying ranges of preeclampsiaDr. Pinnock: That's a good question. Pre-e is defined as elevated blood pressure in pregnancy after 20 weeks. So once you hit 20 weeks, if your blood pressures are elevated, 140/90 times multiple times and we see any evidence of preeclampsia's impact in some organs in your body.One of the most common things that we used to use to diagnose is the presence of protein in the urine. Once we see that, we're like, “Oh, man. I think you may have preeclampsia,” then we do an evaluation of the rest of the body to understand how severe it is. Preeclampsia is a disease that's thought to develop from the placenta when it implanted. It can cause dysfunction or impact on the organs. It can cause severe headaches. It can cause changes in your vision and problems with your blood cells, your liver, your lungs, and your kidneys. We go from head to toe and take a look at how those organs are being impacted by preeclampsia and then we ask you how you're doing. If you're having a headache, if you're having changes in your vision, pain in the belly, and all of that, it helps us to understand the severity. So depending on your symptoms, your blood work, and your blood pressures, those things together help us say, “Is this a severe form of preeclampsia?” and if it is, then we usually have some specific things that we have to do. Generally, you likely are monitored in the hospital. We keep a close eye on your blood pressure and your organs. That pregnancy is considered to be very high risk. Very high risk for a harm for mom, so risk of seizures, impact on the organs that can sometimes be lifelong and risk to baby. The highest risk to baby is that risk of being born early, so pre-term delivery. And usually if you have severe preeclampsia, we usually recommend delivery no later than 34 weeks. So once we do develop that severe form, we keep a close eye on things. If you have the non-severe form, so if your organs look oay and your blood pressures are stable but you have some protein in your urine and we do think you have preeclampsia but it's not severe, then we give you some more time. We still monitor you and baby very closely, but we can maybe try to get the pregnancy up until 37 weeks and after that, the risk of continuing the pregnancy and harm to maybe the mom and baby are a bit higher than some of the risks of being born at 37 weeks. So at that time is when we would say, “Let's have a birthday.” It really depends on those things. Meagan: Okay, that's so good to know. I think sometimes that also can vary like, I've got high blood pressure, but I don't have protein. Or I've got a trace of protein but I'm doing okay, I don't have any symptoms. But we also know with preeclampsia it is important to watch really closely no matter whether severe or not because it can turn quickly. Where you have zero signs and the next morning and you wake up with a headache and crazy swelling and you have that blurred vision with really high numbers. So it's just really important to watch.Dr. Pinnock: Exactly.20:46 HELLP SyndromeMeagan: I really do like to ask that question because a lot of people ask, do I have to have a C-section? Do I have to be induced? What does that mean? Am I severe or not severe? And we also note, we weren't even talking about this, but HELLP syndrome. So we can develop more, right? Preeclampsia affects more the mom, but then alsothe  baby timewise. HELLP syndrome is another really high-risk complication. What would you suggest for that when it comes to TOLAC because we have platelets being affected there? That one is a tricky, tricky one. Dr. Pinnock: I think HELLP syndrome is on that same spectrum of hypertensive disorders in pregnancy. But HELLP syndrome can be pretty life-threatening and dangerous for mom and by extension baby. So HELLP syndrome is when we find that your body's sort of hemolyzing so there are some things in your blood that's causing your blood vessels to sort of open red blood cells. We find also that you have elevated liver enzymes so your liver's being impacted pretty severely and then the platelets or the blood cells that help with clotting get really, really low. And so the combination of that with or without elevated blood pressures make us very concerned about HELLP. So the worry is if we don't deliver the baby pretty expeditiously and deliver the placenta which is thought to be really the source of the diagnosis, mom can get really ill and we really try to deliver as soon as possible. The exact way we deliver is really dependent on the specifics of what is going on. So maybe if your liver enzymes are very, very elevated and there's a high concern for mom's health and safety, your doctor may say, “I don't think we have time to try for a TOLAC, especially if you're not in labor. I think it would be too unsafe. I think I would recommend a C-section at this time because of that,” then that would be that recommendation. Sometimes we do try for a vaginal birth with HELLP, but it would be a case where we would want to limit how long we try but overall we try to deliver as fast as possible either vaginally or with a C-section. And if you do want to try for a TOLAC in that setting, I think my recommendation is to really, really be open to whatever is best for your health and your babys health. That's my advice for all women who are in labor. It's such an unpredictable experience and you can come in with your desires and your doctor can come in with their desires for you, and your baby or your health just dictates something else. And so with HELLP, that's an even more significant moment where if your body's telling us one thing, we have to listen. You may not be eligible for a TOLAC at that point. I think in more cases than not, many providers may not have that bandwidth or think it's safe to try for TOLAC in that setting. Meagan: Yeah. I've had very few clients as a doula who have had HELLP, but one of the clients– they actually both ended up having a Cesarean, but one of the clients' providers was even uncomfortable with even having an epidural and actually suggested general anesthesia. Is that a common thing if HELLP is super severe that could possibly be what's suggested or best?Dr. Pinnock: Yeah, no as I mentioned with that kind of diagnosis, you can have pretty low platelets. And so when we think about a procedure like an epidural or even a spinal, so any sort of neuraxial anesthesia where we're not putting mom to sleep, we're just numbing mom from the waist down, that requires insertion of a needle or a catheter in the back. That's near a lot of important structures so once you have that puncture, you're going to have some bleeding. And if those platelets aren't enough to sort of prevent that bleeding from extending, then our anesthesia team may not be comfortable doing that procedure safely because it's not safe. They may offer to give some platelets etc but often with HELLP, it may not be as fast acting and sometimes you may just hemolyze again. Those platelets may go back to being very low and if we are thinking about having a delivery urgently, delaying for that reason may not be safe for mom and baby. Oftentimes, if the platelets are too low, then our anesthesia colleagues, who are a very important part of the team, may recommend against trying for an epidural or even a spinal and recommend general anestheia.In my experience, I don't do C-sections under general anesthesia often, but when I do, it's usually recommended for a very, very significant reason and it's always with the safety of mom and baby in mind. It's never something that we want to do. It's only something that we do if we have to do for mom's safety or for baby's safety. Meagan: Yeah. So good to know. And they actually ended up doing a platelet transfusion as well specifically for the Cesarean. Obviously, we know blood loss is a thing that's a big surgery so they were trying to help her there. 26:36 Other High-risk situationsMeagan: Okay, well are there any other high-risk scenarios where you feel like truly impact the ability to have a TOLAC offered?Dr. Pinnock: Yeah. I think the highest risk conditions that could prevent mom from having a TOLAC are probably conditions related to the heart or lungs where the physiology or the changes that happen in labor can make it so that a vaginal birth is not safe or recommended for mom or baby. A TOLAC in those high-risk settings is often not recommended. There are a lot of cardiac and lung conditions that we take care of. There are not that many that we would say you can't have a vaginal birth, but sometimes there are blood vessels in the heart that can be dilated or blood vessels near the heart that can be dilated that we may say, “No, you definitely need a C-section,” so if you wanted to TOLAC we wouldn't recommend that. Those are probably the highest-risk conditions that I take care of and where a TOLAC is not recommended or even offered because it's just not considered to be safe. 27:54 Gestational DiabetesMeagan: Okay that's so good to know. Okay, let's jump in a little bit to gestational diabetes. We can have both managed and not managed. Do you have any advice for listeners who may have gestational diabetes or maybe had gestational diabetes last time and they're preparing to become pregnant or wanting to learn more about how to avoid it if possible or anything like that? Do you have any suggestions to the listeners?Dr. Pinnock: Yeah, that is one of my favorite things. I really believe that just paying close attention to your health and taking steps before pregnancy can make a world of a difference in your risk of developing certain conditions. Gestational diabetes is one of those conditions that can be definitely most susceptible to things that we can do before pregnancy. And so I know that this is going to maybe sound like a broken record to those who had gestational diabetes before, but just look at your lifestyle factors. I think that the most undervalued or underestimated intervention is really exercise. It doesn't have to be your training for an Iron Man or a marathon. It could just be like a 20-minute walk every day or a ten-minute job every day and work your way up. We definitely found that aerobic exercise more days of the week than not, and resistance training, it could be with resistant bands, if you have any sort of light weights or even body weight. Any resistance training to help build up that muscle mass can help to reduce your risk of getting gestational diabetes. If you couple that with adjusting your diet, and diet is such a big topic but essentially no matter what your background is, focusing on the whole foods of your cultural background is best. So low processed foods, more homecooked meals with whole grains, fruits, vegetables, fish, and limitations of red meat and processed foods. All of those things can go a long way with preventing gestational diabetes and also reducing the recurrence of gestational diabetes. I'm really passionate about that. Meagan: Yeah, us too. I didn't have gestational diabetes, I had kidney stones weirdly enough because my body metabolizes nutrients differently during pregnancy and anyway, it's totally not gestational diabetes but I had to look at my pregnancies and before as something like that. Really dialing in on nutrition. Really dialing in on my exercise. And I couldn't agree more with you that it doesn't have to be this big overwhelming Iron Man training or running a marathon. It really can be a casual 20, 30-minute stroll around the neighborhood walking the dog or whatever and dialing in on those whole foods. We love the book Real Food for Gestational Diabetes by Lily Nichols. If you haven't ever heard of that, it's amazing. It's a really great one. You might love it. And I definitely suggest that to all of my clients. She even has one for Real Food During Pregnancy. Just eating good food and then we love Needed because we know that getting our protein and getting the nutrients that wer eally need can really help like you said recurring and current and just avoiding hopefully. So we really love that topic, too. But gestational diabetes doesn't just nix the opportunity to TOLAC, correct?Dr. Pinnock: No, it doesn't. Gestational diabetes can be a really tough diagnosis for a lot of women to get in pregnancy. It can be really disappointing especially if you may be a relatively healthy, active person and you don't have a lot of risk factors for developing gestational diabetes. It can kind of feel like a gut punch almost. Meagan: Yeah! And it's very overwhelming because you're like, What? No! Dr. Pinnock: It is! And it happens fast. You're diagnosed and then you have a flurry of things that you have to now do and change and think about. It can be very stressful. But I always tell my patients that there are things that put some people at risk of developing gestational diabetes more than others, but all women because of those placenta hormones can have insulin resistance or your body's just not responding as well to the insulin that you're making. Depending on those risk factors, some women develop it. Some women don't. And once you do develop gestational diabetes, it's something that we really pay attention to because it can increase the risk of things for moms so particularly it can increase the risk of mom developing preeclampsia and it can increase the risk of things for baby. Babies can be on the bigger side or have macrosomia if the blood sugars are too high. They can actually have a higher risk of having a birth injury if we're having a vaginal birth or mom may actually have a higher risk of needing a C-section if you're trying to TOLAC and baby's on the bigger side. Rarely, and this is sort of the thing we worry about the most, is that if those blood sugars are too high for too long, baby can be in distress on the inside and it can increase the risk of having a stillbirth or having baby pass away. So because of those things, once we diagnose it, we do pay attention to it and we try our best to sort of make those changes hopefully with diet and exercise to sort of manage the blood sugars. If we're having perfect blood sugars with those changes, then wonderful. If we're not, and it happens and you need some additional support then your doctor provider may recommend some other management options like medications to help to bring the blood sugars down. But I think, when we think about TOLAC, we want to think about separately managing the pregnancy, keeping mom and baby safe, and then thinking about the safety of delivery. So as long as the baby's size isn't too big, as long as mom and baby are healthy and safe, you can definitely try for TOLAC with gestational diabetes. But those two things are big “buts”. You really want to try your best to manage your blood sugars so baby's size doesn't work against your efforts of trying to have a TOLAC.35:00 Inductions with gestational diabetesMeagan: Yeah, we know that the size can definitely impact providers' suggestions or comfortablity to offer TOLAC. And we know big babies come out all of the time, but we know sometimes there's some more risk like you were saying. So can we talk to the point of inductions?So a lot of providers will, and you kind of touched on it. There can be an increased risk of stillbirth. But a lot of providers seem to be suggesting that induction happens at 39 weeks. Some of the evidence shows that in a controlled situation, meaning all of the sugars are controlled, but what do you see and what do you suggest when someone is wanting a TOLAC, has gestational diabetes, may have a baby measuring larger or may have a provider who is uncomfortable with induction which we see all the time? Any suggestion there and what do you guys do over in your place of work?Dr. Pinnock: Yeah, that's a great question and it's something that I individualize to every patient. So let's think about it in two different buckets or three different buckets. Say you have gestational diabetes that's pretty well controlled with just diet. So with diet and exercise, your numbers are pristine. Baby is a good size, we're not over that 4500-gram mark where we start to say, “Is it really safe to try for a vaginal birth?” and that's okay. If we are in that boat, then I think it's reasonable to allow for mom to go into labor and try for TOLAC if that's their desire. The exact gestational age at which someone goes into labor varies. We don't have a crystal ball. We don't know. Meagan: Nope.Dr. Pinnock: We do have to balance waiting for that labor process with the inherent risk of babies being less happy and distressed and the risk for a stillbirth as the pregnancy progresses. Now, if you have gestational diabetes that's well controlled with diet, we think from the studies that we have that our risk of stillbirth is similar to someone who does not have gestational diabetes which is good. And so for those pregnancies, depending on your specific location and provider, we may do some monitoring with non-stress tests or something like that later in the pregnancy until you deliver. Usually, we start at around 36 weeks or so if you're well-controlled with just the diet and allow you time for your body to go into labor and have a vaginal birth. Now, if we get to your due date and nothing, baby is still comfortable inside. They're like, Oh no. I'm just hanging out, we start to think, How long are we going to allow this to go on? At that length of time, we start thinking about, Okay. We're at 40 weeks. What are the risks to mom and baby? And so at 40 weeks, we're about a week past 39, and we know that the risk of– if things are perfect for anyone, the risk of having babies be in distress, maybe the placenta's just been working for a long time and isn't just working as well and the risk of stillbirth goes up, we don't want to go to 42 weeks. So I think at that moment, it's a good time to think of an exit strategy. If your baby is just so comfy on the inside, think about, when I would say is an upper limit of reasonablility to wait for labor? That varies depending on the person and provider. But I think reasonably, up until 41 weeks. I wouldn't go past that. If we're allowing our body to go into labor up until 41 weeks, then we have to think about, How does that impact my risk of having a successful TOLAC? After 40 weeks, some of our studies suggest that you may be at a higher risk of having a failed TOLAC or needing a C-section and that's regardless of whether you're induced or whether you go into labor. TOLAC-ing does carry that inherent risk so it's really just dependent on your doctor, you,  your provider, and balancing all of those things. I think going until 41 weeks is probably the maximum limit for a well-controlled gestational diabetes with perfect sugars, no medications, and we're still doing monitoring to make sure that baby is doing well.Now, if you're in the camp where you're either gestational diabetes, or even controlled with diet, or if your gestational diabetes is controlled with medication or if you're diet-controlled, but those sugars aren't great, any scenario where the sugars aren't perfect and we need either medications or your sugars aren't perfect, I don't generally go past 39 weeks.The reason being at 39 weeks, baby is fully developed and after that, the risk of having a  pregnancy loss goes up because of that uncontrolled or not optimally controlled gestational diabetes. I think at that gestational age you would want to think about maybe an induction or maybe a repeat C-section depending on how you're feeling if your body isn't going into labor. And that's a personal decision. Now, if you have gestational diabetes managed with medication and your baby is big and maybe let's say over 4500 grams which is sort of that range where we worry about the safety of a vaginal birth. And you're now going into labor, then that becomes a little bit more of a shared decision-making where you want to think of, My baby's big. I would need to be induced. Is this going to be something I want to commit to or is it something I don't want to commit to? That's a personal choice but I think at that gestational age I would say I wouldn't want anymore. ACOG though does recommend or does allow for moms who do have gestational diabetes well controlled with medication, like if your blood sugars are perfect with the medication to go until 39 weeks and 6 days. So technically you can use those extra few days, according to our governing board or the American College of OBGYN. But it's going to really come down to you and the relationship you have with your doctor and what you both are comfortable with. Maybe you have a provider that is open to that recommendation or a provider whose more open or comfortable to a 39-week delivery regardless of how well your blood sugars are controlled once you're on medication. But ACOG does give us that wiggle room to say we can go further. 42:25 FibroidsMeagan: So good to know. Okay, let's see. Is there anything else we would like to talk about high-risk-wise? I know I had mentioned one time about fibroids and heart-shaped uterus. Do you have anything to share on those two topics, because those are also common questions? Can I TOLAC with fibroids? Can I TOLAC if I have a heart-shaped uterus? Where does that land as VBAC-hopeful moms?Dr. Pinnock: Yeah, no. I think those are some great things to consider. So I think we can open with the fibroids. I think if you've have had fibroids and you've had that fibroid removed, so you've had a myomectomy, there are a handful of things where we usually say, “No, we don't want you to TOLAC.” One of them is if you've had a previous uterine rupture or that previous Cesarean scar opened in a previous delivery, that's an absolute no. The risk is too high. We don't think it's safe. The other is if you've had a previous surgery where that surgery included the fundus or the top of the uterus where those contractile muscles are. Usually, with a myomectomy or fibroid removal, that involves that area. If you've had a fibroid removed in that area or you've had a myomectomy, a TOLAC is not recommended. So those are sort of one of the few things or few times where we say, “Absolutely, no.” If you have a fibroid and maybe you just discovered you had it during pregnancy, most of the time fibroids don't cause any problems. They're benign growths of the muscle of the uterus that can vary in size. So generally if they're small to medium size and depending on their location they may not cause any problems. If they do cause a problem, the most common thing women experience is pain. But usually if they're not too big and they're not in a location where we're concerned about, it should not really your ability to TOLAC. Now if the fibroid is like 10 centimeters and located near the lower uterine segment or the part of the uterus where the baby transports through to come out through the vagina, then we're going to take a pause and say, “Is this going to be a successful TOLAC?” Is the fibroid going to compete too much with the baby's head for baby to come down safely and should we just think about doing a C-section? And a C-section in that event is also not straightforward or a walk in the park because either way, the fibroid is present near where we would use to deliver the baby. So short answer is that yes, you can TOLAC with a fibroid. But the long answer is that it really depends on how big the fibroid is, where it's located and whether we think it's going to obstruct that area where baby's going to come from. If it's not, then it's reasonable to try and many women have TOLAC'd with fibroids all the time. So it's definitely not a reason to say, “No, you definitely can't.” If you've had the fibroid removed though, then it's a no. That's just one thing to talk about if you're considering that procedure and you have an opportunity to talk with the provider who is offering that procedure, just knowing that after that for most surgeries that remove the fibroids you won't be able to try for a vaginal birth. 46:33 Do fibroids tend to grow during pregnancy? Meagan: Good to know. Good to know. And is it common for fibroids to grow during pregnancy? Does pregnancy stem them to grow? Or does that impede them because you've got a baby growing in there and the focus is on growing a human and not growing a fibroid?Dr. Pinnock: No, that's a good question. Interestingly enough, we see about a split group so about a third of them stay the same. They don't change in size. A third of them shrink and a third of them grow. Meagan: Oh wow.Dr. Pinnock: We don't know which third it will be. Two-thirds of them either get smaller or stay the same size. But there are women who experience growth of the fibroid and it's actually due to those hormones estrogen, progesterone, and all of those hormones being released by the placenta. It stimulates the fibroid to grow and that's actually when some women experience pain. The fibroid grows. It outgrows its blood supply and then it degenerates or dies off a little bit and it causes this pretty significant pain for some women, but interestingly it's not 100%. A lot of people don't have many symptoms and don't have any pain. When I monitor fibroids, a lot of them don't change in size. Some of them get smaller and sometimes I'm not able to see them later on because they're so small. But there is that percentage who experience the growth of their fibroid and that's usually when pain is experienced from them. Meagan: Okay. And you mentioned that they could. I mean, 10 centimeters is a pretty large fibroid but it can happen, right?Dr. Pinnock: I've seen it. Meagan: Yeah, so it can happen. You said it can compete with baby coming down. Can fibroids also inhibit dilation at all? Can it impact dilation at all?Dr. Pinnock: Absolutely. Some of the things that we see or that we worry about if there's a large fibroid present is other than impacting the area where baby can come through, it can cause dysfunctional labors. So those muscles that are contracting in a uniform way aren't going to be able to contract as uniformly as they would have if the fibroid wasn't there. So sometimes the labor can stall. The cervix isn't dilated as much. Even sometimes we see that fibroid causing babies to actually present head down and so that's also something that we can see with very large fibroids. It can actually increase the risk of baby being breech or transverse or malpresenting in general. Meagan: interesting. And you said that sometimes there aren't even any symptoms at all, so how would one find out if they do? Is that just usually found at 20-week ultrasound? Or is it possible that at 20 weeks you had it but it's so minute and it's so small, that you can't even see it? And then in labor we have some of these symptoms or whatever and it's there but we don't know?Dr. Pinnock: Not usually. Most women, if they didn't know they had a fibroid before pregnancy, get diagnosed in pregnancy at an ultrasound. Either a first trimester or 20-week ultrasound, we look at the uterus in detail and we can pick up fibroids. We are hopefully not going to have a 10-centimeter fibroid present at 10 weeks that's missed that's just going to magically present at 39 weeks and be a surprise. Usually the fibroid, if it's there, is picked up on an ultrasound. That's the most common way it's picked up. Depending on the size, it may be a reason why your doctor or provider recommends for you to have ultrasounds in the pregnancy. Sometimes we monitor the fibroids. We monitor their locations, the size of them, and we make sure that they're not too big to be causing a problem. Rarely if they grow, they don't usually grow from like 3 centimeters to 10 centimeters. They may grow a centimeter or two. It's very unusual to have that big change. And so for the most part, it's picked up on ultrasound. We know the size of it. If it grows, it grows a small amount. It's not going to grow from 5 to 10, and we're going to know the location of it from that first time we evaluate it. It's not going to be a surprise moment at delivery where we're like, Oh my goodness, this wasn't picked up.51:20 Bicornuate UterusMeagan: Okay, good to know. Good to know. Okay and last but not least, I know we're running short on time and I want to make sure we respect that. Any information you have on a heart-shaped uterus? Is TOLAC possible with heart shaped uterus? Have you seen it? Have you done it?Dr. Pinnock: I have not seen it or done it to be honest. I do think a heart-shaped uterus just so we're using the same language that's considered a bicornuate uterus, is that–?Meagan: Yes, a bicornuate uterus.Dr. Pinnock: So for a bicornuate uterus or any kind of situations where the uterus developed differently, interestingly the uterus develops from two different stuctures. It develops from something called the Mullerian Duct and early in development when you are a tiny, tiny baby, those two structures fuse and when they fuse, they come side by side first, and then they fuse. When they fuse there, is a little wall in the middle that gets removed and so when all of that is done you have uterus that is shaped as we know it and we have that cavity on the inside where the baby would come in and grow. Now with a heart-shaped uterus, or a bicornuate uterus, there is an error when those structures come together side-by-side. So sometimes they just stay side-by-side and they don't fuse as well or sometimes they fuse but only fuse partially. So you have the uterus that as we know it, but sometimes you can have two separate structures. So two separate cavities where the prgenancy can grow, or you can have one cavity where there is still some tissue right in the middle there. It can vary depending on the suffix of how that fusion happened. Essentially, if there's less space in the cavity either from that tissue or having two separate but smaller cavities, there's presumably less space there for baby to grow. There's less contractile strength on that one side and so it can theoretically increase the risk of certain things happening in labor. I think the things that we see most commonly with bicornuate uteruses, it can have a higher risk of having a pregnancy loss, so a miscarriage. High risk of baby being born early because that area is just smaller so it's not as strong in holding the pregnancy. And similarly, baby can also be malpresented more commonly because the are is much smaller than a full uterine cavity.Meagan: That's what we see a lot is breech. Dr. Pinnock: Exactly. I haven't seen too many cases. It's a rare thing to see. I haven't seen too many cases where baby's head-down and we're at full-term and wanting a TOLAC. A lot of cases I've had, baby is breech or malpresenting so we end up doing a C-section. The shape of the uterus is not going to change for the next pregnancy so chances are the baby's usually malpresenting. I don't think we have any big databases or big data to say is it safe? Is it not safe to TOLAC? I think the main thing you'd be concerned about it that spontaneous uterine rupture if there is labor going on even if you haven't had a C-section and also if you've had a C-section before. So I think a TOLAC would be a little bit of an unknown for this situation. I would think on it pretty heavily and talk with your doctor about the specifics of your situation. If your previous C-section because baby was breech, chances are baby's not going to be presenting head down because of the shape of the uterus. It tends to have things that recur as to reasons for having a C-section. So we don't have any large databases where we have women who have TOLAC'd with this condition, so hard to say. So maybe give it a try, but maybe thing long on this one. Meagan: Case by case, it all comes down to case by case.Dr. Pinnock: Yes. That's pretty much what I do. Anything in pregnancy that's a little bit more nuanced and any high-risk condition, it's very individualized. And we have to really have that approach with high-risk pregnancies or anything that comes up that makes your pregnancy higher risk of having anything happen to mom and baby for sure. Meagan: Right. Oh my goodness. Well, I love this episode so much and cannot wait to hear what people think about it. I'm sure they're going to love it just like I do. I know I mentioned at the beginning of your podcast and things like that, but can you tell us more? Tell us more about the ZerotoFour podcast and where people can find you. I know you have YouTube and all the things, so tell us where listeners can follow you.Dr. Pinnock: Yeah. You can find me on Instagram @drchristinapinnock, the ZerotoFour Podcast so the zerotofourpodcast.com where I share the episodes with new moms about pregnancy. I really started the podcast with the goal of helping moms to be more informed and comfortable about everything along their pregnancy journey. I share topics from the whole spectrum of that journey to help you feel more prepared and informed and empowered about your pregnancy experience. You can find episodes there, on Apple Podcasts, Spotify, or anywhere that you listen to podcasts.Meagan: Awesome. So important. This is a VBAC-specific topic, but I mean those first-time moms, we have to learn. We have to learn all the things because there is really so much. We just talked about a little nugget of a couple of high-risk situations and there's just so much out there that can happen. It's so good to know as much as you can. Get informed. Learn all the things. Follow your podcast. I definitely suggest it. We'll have all the links in the show notes and thank you for joining us today. Dr. Pinnock: Thank you so much for having me. It's been a pleasure. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Our Sponsors:* Check out Dr. Mom Butt Balm: drmombuttbalm.comSupport this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

My guest today is a prolific educator, who has boots on the ground doing the work and has been for her entire career. She is a woman that is on your side in terms of helping to educate you so you can feel more empowered and ready to not only go into your sessions with your PCP, but also be able to advocate for yourself when something starts to feel like it is no longer what it used to be. She helps you understand what that next step or that next option could be. She is the amazing Dr. Cathleen Brown.   Let's dive in! Thank you for joining us today. If you could rate, review & subscribe, it would mean the world to me! While you're at it, take a screenshot and tag me @jennpike to share on Instagram – I'll re-share that baby out to the community & once a month I'll be doing a draw from those re-shares and send the winner something special! Click here to listen: Apple Podcasts – CLICK HERESpotify – CLICK HERE Connect with Guest - Instagram: @bywinona Website: https://bywinona.com/   This episode is sponsored by: St. Francis Herb Farm | Go to stfrancisherbfarm.com and save 15% off every order with code JENNPIKE15 Skin Essence Organics | Go to skinessence.ca and save 15% off your first order with code JENNPIKE15 /// Save 10% off every order with code JENNPIKE10 Eversio Wellness | Go to eversiowellness.com/discount/jennpike15 and save 15% off every order with code JENNPIKE15 /// not available for “subscribe & save” option   Resources: Free Perimenopause Masterclass | jennpike.com/empower  The Audacious Woman Mentorship | jennpike.com/theaudaciouswoman The Hormone Project Academy | jennpike.com/thehormoneproject Synced Program & Membership | jennpike.com/synced The Simplicity Women's Wellness Clinic | jennpike.com/wellnessclinic The Simplicity Sessions Podcast | jennpike.com/podcast Facebook Community | The Simplicity Sessions Community   Connect with Jenn: Instagram | @jennpike Facebook | @thesimplicityproject YouTube | Simplicity TV Website | The Simplicity Project Inc. Have a question? Send it over to hello@jennpike.com and I'll do my best to share helpful insights, thoughts and advice.

A key theme on the podcast this year is justice for the pre-born. We are exploring the issue from a variety of different angles. The overturning of Roe hasn't automatically increased safety for the pre-born. Chemical abortions are on the rise. We've asked our friend, OB-GYN Dr. Chris Cirucci to come back on the show and explain the dangers of chemical abortion, as well as the science behind birth control. How do various birth control methods actually work and which ones are compatible with the Christian worldview? Join us for this live discussion.

A key theme on the podcast this year is justice for the pre-born. We are exploring the issue from a variety of different angles. The overturning of Roe hasn't automatically increased safety for the pre-born. Chemical abortions are on the rise. We've asked our friend, OB-GYN Dr. Chris Cirucci to come back on the show and explain the dangers of chemical abortion, as well as the science behind birth control. How do various birth control methods actually work and which ones are compatible with the Christian worldview? Join us for this live discussion.

OB/GYN Dr. Ingrid Skop joins Trending with Timmerie. Are pregnant women receiving the emergency medical care they need? Amanda Zurawski's story. An expert OB speaks. (3:01)  The pro-abortion argument you need to be able to answer. Do doctors need to be able to perform abortions to save a woman's life?  The supreme court case that could require doctors to kill babies – Idaho/Moyle v. United States regarding Biden's Emergency Medical Treatment and Labor Act ( (EMTALA). (22:53) Fruits of the Holy Spirit: patience and goodness (42:27)   Resources mentioned:  More episodes with Dr. Ingrid Skop https://relevantradio.com/?cat=23210&s=skop   “I've never needed to perform an abortion to save a woman's life”  https://townhall.com/columnists/ingridskop/2024/04/30/idahomoyle-v-united-states-n2638422   Induced Abortion and the Increased Risk of Maternal Mortality - Dr. Skop Published by the National Library of Medicine https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7350112/    Dr. Ingrid Skop's research at the Lozier Institute https://lozierinstitute.org/team-member/ingrid-skop-m-d-facog/     Support After Abortion  https://supportafterabortion.com/   7 in 10 abortions are coerced or unwanted  https://lozierinstitute.org/hidden-epidemic-nearly-70-of-abortions-are-coerced-unwanted-or-inconsistent-with-womens-preferences/

Glenn tells the story of the godfather of artificial intelligence and discusses the dangers of AI advancing far beyond society's expectations. BlazeTV host of "Fearless" Jason Whitlock joins to discuss the chances of a Trump conviction and President Biden's latest race-baiting speech. OB-GYN Dr. John Bruchalski joins to discuss the evils of abortion, particularly within marginalized communities, and shares personal stories on the graphic nature of abortion. Learn more about your ad choices. Visit megaphone.fm/adchoices

Glenn tells the story of the godfather of artificial intelligence and talks about the dangers of AI advancing far beyond society's expectations. Did ChatGPT steal the voice of actress Scarlett Johansson after she turned the service down? Glenn and Stu discuss what this type of technological advancement will lead to. BlazeTV host of "Fearless" Jason Whitlock joins to discuss the downfall of rapper Diddy and how he embodies the nihilistic culture he normalized through his music. Glenn and Jason also dissect the chances of a Trump conviction and the latest race-baiting speech made by President Biden. OB-GYN Dr. John Bruchalski joins to discuss where the pro-life movement currently stands and what needs to be done. Dr. Bruchalski also speaks about the evils of abortion, particularly within marginalized communities, and shares personal stories on the graphic nature of abortion. Learn more about your ad choices. Visit megaphone.fm/adchoices

The International Criminal Court's prosecutor is seeking arrest warrants for Israeli Prime Minister Benjamin Netanyahu and Hamas leader Yahya Sinwar, among others. The Washington Post's Louisa Loveluck joins us. As 17 American doctors evacuated Gaza late last week, three stayed behind. We talk with one of them, Dr. Jomana Al-Hinti, about her decision to stay.And, a new HPV test where patients can self-collect samples is designed to make screenings for cervical cancer more accessible and prevent it early. OB/GYN Dr. Jessica Shepherd joins us.Then, in her new book "American Diva: Extraordinary, Unruly, Fabulous," author Deborah Paredez tells stories of great divas, including Tina Turner and Venus and Serena Williams. Paredez joins us.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Board-certified OB/GYN Dr. Shieva Ghofrany is here to talk about all the ways hormones affect a woman's appearance throughout her life, from acne and hair growth to dry skin and vulva changes. We discuss pregnancy-safe skincare and what cosmetic treatments are safe for pregnant women; why you may look different during different times in your cycle; how perimenopausal changes to your health and appearance can start in your 30s; and what happens to your skin, hair, and body as your hormonal balance shifts after your reproductive years. Plus, she shares the beauty and health products that have made a difference for her.Products mentioned in this episode: shopmy.us/collections/522876Episode recap with links: fatmascara.com/blog/dr-shieva-ghofranySponsor links & discount codes: fatmascara.com/sponsorsPrivate Facebook Group: Fat Mascara Raising a WandTikTok & Instagram: @fatmascara, @jenn_edit, @jessicamatlinSubmit a "Raise A Wand" product recommendation and be featured on the show: email info@fatmascara.com or leave a voicemail at 646-481-8182 Become a member at https://plus.acast.com/s/fatmascara. Hosted on Acast. See acast.com/privacy for more information.

Have you had a C-section and wanted to learn more about having a VBAC?With so many opinions and data flying about, it can be difficult to understand the facts and to figure out what the best option is for you.Maybe you're wondering things like... What's the risk of a VBAC vs. a repeat C-section? Am I a good candidate for a VBAC? Why are a lot of doctors resistant to attempting a VBAC? What does the research actually say?In this episode, OBGYN Dr. Christopher Stroud answers all those questions and more!Tune in to this episode to learn:What a VBAC isWhy many doctors seem to be hesitant to do VBACSThe risks of a VBAC vs. the risks of a repeat C-sectionWho is considered an ideal candidate for a VBACHow VBAC risks change if the patient has had multiple C-sectionsWhat the VBAC calculator is and how accurate is itQuestions a patient can ask themselves to help decide if a VBAC is right for themTips for finding a VBAC-supportive hospital or doctorWant to dig deeper into this topic? Check out these resources mentioned in the episode:fertilityandmidwifery.comDr. Stroud's podcastvbacfacts.comCrunchi (Use THIS LINK for $10 off your first Crunchi order)

This week in the Mama's Den is OBGYN Dr. Kendra, answering questions about fibroids, when to take your daughters to see an OB and finding the right birth control.

This week Dr. K is on this episode answering all of Liz's questions about what makes women high risk. Dr. K is a high-risk OBGYN in Maternal Fetal Medicine and is passionate about spreading awareness on education of risks and the treatment of pregnant women.  Connect with Dr. K https://www.instagram.com/drk_pregnancyspecialist/?hl=en https://www.apcares.ca/drk Connect with Liz https://www.instagram.com/esandoz/?hl=en https://www.Elizabethjoy.co Get the First Trimester Survival Guide https://elizabethjoy.co/freebie Join the Waitlist https://elizabethjoy.co/join-waitlist Try my favorite Prenatal! 20% off Needed Prenatals and Electrolyte mix with code esandoz20 https://thisisneeded.com/?irgwc=1&irclickid=xEu30k37UxyPUIKRAjXfYUPvUkFTHKzdR3-aXk0 Try LMNT hydration: http://elementallabs.refr.cc/elizabethsandoz  

Dr. Brannon practiced as an OB/GYN for 30 years prior to founding his hormone replacement practice, Optimal Bio. He brings a candor and fresh perspective to how and WHY we are approaching symptoms so many women (and men!) are faced with at all ages, and so frequently dismissed by their providers. Optimal Bio bridges the gap for those seeking relief with highly qualified medical providers who are able to assess the patient holistically and meet their needs. Looking for a location? Try their website. NC, SC, TX and VA - with Florida soon to come. This episode was sponsored by Optimal Bio. www.optimalbio.com