Podcasts about ob gyn

This week we're presenting the first episode of “The Network,” a new series that Latino USA co-produced with NPR's Embedded podcast. In the mid-1980s, an OBGYN in Brazil noticed that far fewer pregnant women at his hospital were dying from abortion complications. It wasn't a coincidence. Brazilian women had made a discovery that allowed them to safely have abortions at home, despite the country's abortion restrictions. That discovery eventually spread across the globe. Embedded+ supporters get first access and sponsor-free listening for every Embedded series. Sign up at plus.npr.org/embeddedWant to support our independent journalism? Join Futuro+ for exclusive episodes, sneak peaks and behind-the-scenes chisme on Latino USA and all our podcasts. www.futuromediagroup.org/joinplus.Latino USA is the longest-running news and culture radio program in the U.S., centering Latino stories and hosted by Pulitzer Prize-winning journalist Maria Hinojosa. Follow the show to get every episode. Follow us on TikTok and YouTube. Subscribe to our newsletter.  Want to support our independent journalism? Join Futuro+ for exclusive episodes, sneak peaks and behind-the-scenes chisme on Latino USA and all our podcasts. www.futuromediagroup.org/joinplus.

If you've been feeling like your energy has vanished overnight, you're not alone! But what if I told you it isn't due to stress or aging, or even hormones—it's all happening deep inside your cells? In this episode,  I'm joined by the brilliant Dr. Felice Gersh to explore the powerful connection between hormone shifts and your mitochondria—the tiny engines that fuel every cell in your body. We'll uncover why fatigue, brain fog, and stubborn weight gain aren't “just signs of aging”, but signals your body is craving cellular support.  Dr. Gersh breaks down how perimenopause and menopause can disrupt your mitochondrial function—and most importantly, what you can do right now to turn things around.  From lifestyle tweaks to science-backed strategies, this episode is full of insights to help you restore your vitality from the inside out. Tune in here and uncover Dr. Gersh's tips to rebuild your energy, balance your hormones, and step into a new season of life with power and confidence!  Felice Gersh, M.D. Dr. Felice Gersh is a multi-award-winning OB-GYN with dual board certifications in Obstetrics & Gynecology and Integrative Medicine. She's the founder and director of the Integrative Medical Group of Irvine, and is the brilliant mind behind the bestselling PCOS SOS series and her newest book, Menopause: 50 Things You Need to Know. She speaks globally on women's health, and she's regularly published in peer-reviewed medical journals.  IN THIS EPISODE What it means to have good cellular health in menopause  Addressing the knowledge gap in women's health care  What's happening at a cellular level with hormonal changes  Optimizing mitochondrial function for longevity   Lifestyle factors that impact cellular aging in women  The latest research on NAD and how it supports energy  The future of cellular health science and how it can empower women to live longer, fuller lives  QUOTES “Healthy longevity means lowering systemic inflammation, and our vital life hormones– estradiol and progesterone– are really critical for that.”  “When you have unhealthy mitochondria, or dying, damaged mitochondria, the effects are not just that you make less energy, which is huge, but you also don't control the cell cycle.”  “If you wanna live that beautiful, high-vitality, high-energized life in your 70s, 80s, and beyond…you talked about not even having issues until you're in your mid-90s– then we absolutely have to be proactive.” RESOURCES MENTIONED Menopause SOS: Your FREE mini menopause survival guide!  Get my personal discount on Qualia Senolytic cell rejuvination regimen with code ENERGIZED >>> Integrative Medical Group of Irvine  Dr. Gersh on YouTube Dr. Gersh's Socials:  Instagram Facebook LinkedIn RELATED EPISODES  640: Unveiling The Essential Role of Minerals For Cellular Energy And Detoxification with Caroline Alan #623: Red Light Therapy for Upgrading Your Mitochondria, Cellular Energy, Skin and Brain Health with Jonathan Otto #551: How to Know if You Have a Sluggish Metabolism and How It Impacts Your Weight, Hormones, and Cellular Energy #330: Why Mitochondria Are the Key to Unlocking Your Best Energy Yet with Shawn Wells

In this episode, hosts Brad and Michael are joined by Dr. Kimberly Evans, board-certified OB-GYN and founder of Sugarland Med Spa. After transitioning from a traditional clinical practice to opening a med spa, Dr. Evans faced the unintended consequence of trying to do it all while also managing patient expectations. She shares how challenging moments led her to restructure her practice, set clearer boundaries, and implement protocols that support long-term growth. Tune in for insights on shifting from traditional medicine to aesthetics or wellness, including operational and legal complexities of combining insurance and cash-pay services, and why letting go can be a strategic move for long-term success.Watch full episodes of our podcast on our YouTube channel: https://www.youtube.com/@byrdadattoStay connected for the latest business and health care legal updates:WebsiteFacebookInstagramLinkedIn

In this episode of Health Matters, we discuss what causes dizziness with Dr. Louise Klebanoff, a neurologist with NewYork-Presbyterian and Weill Cornell Medicine. Dr. Klebanoff explains the different types of dizziness, such as lightheadedness, vertigo, and gait instability. We also cover how to differentiate between these types, the potential causes, and  when to seek medical attention.___Dr. Louise Klebanoff, MD has been named the Chief of General Neurology and the Vice Chair of Operations for the Department of Neurology at Weill Cornell Medical College. She is also an Assistant Attending Neurologist at NewYork-Presbyterian Hospital/Weill Cornell Medical Center.  Dr. Klebanoff received her medical degree from Georgetown University Medical Center, graduating first in her class, and went on to complete a residency in Neurology and a fellowship in Critical Care Neurology at NewYork-Presbyterian Hospital/Columbia University Medical Center.Prior to joining the Weill Cornell faculty, Dr. Klebanoff served as Attending Neurologist at Beth Israel Medical Center, where she also held leadership roles on various committees and served as the first female president of the Medical Board.Dr. Klebanoff is board certified in Psychiatry and Neurology. She is a member of the Alpha Omega Alpha honor society, the American Medical Association and the American Academy of Neurology.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

Dr. Lowell Ku, MD, RE is a Reproductive Endocrinologist who is board-certified in Reproductive Endocrinology and OBGYN. He is the senior physician at Dallas IVF, and recognized by numerous organizations and publications as a top Dallas physician. In this episode, Dr. Ku provides essential information that all those trying to conceive will want to know. Hear about: What happens when a man goes to a fertility clinic. What potential testing can find. Suggestions to improve sperm quality. And more!

In this episode of SHE MD, host Mary Alice Haney sits down with Emmy-nominated actress Rhea Seehorn to discuss their journey as a blended family. Mary Alice and Rhea share their experiences forming a blended family, offering insights into the complexities of divorce, remarriage, and stepparenting. They discuss the importance of communication, mutual respect, and flexibility in navigating these relationships. The episode also touches on Rhea's career as an actress, her decision not to have biological children, and the balance between work and family life. Throughout the conversation, both women emphasize the value of female friendships and supporting other women.Access more information about the podcast and additional expert health tips by visiting SHE MD Podcast and Ovii. Sponsors: Medtronic: For more information and to take the pledge to talk to your mother or a woman in your life about heart health, visit Alettertomymother.comCymbiotika: Go to Cymbiotikia.com/SHEMD for 20% off your order + free shipping today.Midi Health:You deserve to feel great. Book your virtual visit today at JoinMidi.comStrivektin: Discover the Science Behind Great SkinOpill: Opill is birth control in your control, and you can use code SHEMD for twenty five percent off your first month of Opill at Opill.comMyriad: Knowing your family's history of cancer is the first step to understanding your own cancer risk and may qualify you for the MyRisk Hereditary Cancer Test with RiskScore hereditary cancer test. It's easy, accurate and covered by most insurers. Learn more at GetMyRisk.com Rhea Seehorn's Key Takeaways:1. How to co-parent without chaos: Whether biological or step-parent, your love and presence matter.2. Making a blended family work: boundaries, respect, and lots of grace. Accept that blended families require flexibility and compromise.3.Women need to stop apologizing for ambition: Working moms can be great role models by pursuing their passions.4. Speak up at the doctor's office: Push for proper medical care, especially when facing dismissive responses.5. Open communication: Express needs and boundaries to strengthen relationships.In This Episode: (00:00) Introduction to blended families(03:47) How Rhea Met Mary Alice's Ex-Husband(07:35) Perceptions on Dating a Divorcee(10:00) Challenges in a Blended Family and Balancing Career(11:00) Navigating a Biological Child-Free Life In a Blended Family(15:35) What Does Co-Parenting in a Blended Family Look Like?(19:40) How to Make a Blended Family Work?(26:30) What's it like being a Bonus Mom?(30:02) Looking Back and Early Career Experiences(40:15) Five pieces of advice for women RESOURCES:Rhea's Instagram: https://www.instagram.com/rheaseehorn/Rhea's IMDb Profile: https://www.imdb.com/name/nm0781533/GUEST BIOGRAPHY:Rhea SeehornRhea Seehorn is an Actress and Director. In May 2014, Seehorn was cast in the Breaking Bad spin-off prequel series Better Call Saul (2015–2022). Seehorn is widely known as Kim Wexler, a lawyer and the eventual love interest of the titular Jimmy McGill (Bob Odenkirk). The series premiered on February 8, 2015. For her role as Kim, Seehorn has received widespread critical acclaim, won two Satellite Awards for Best Supporting Actress – Series, Miniseries or Television Film, one Saturn Award for Best Supporting Actress on Television out of two nominations, and received a nomination for the Primetime Emmy Award for Outstanding Supporting Actress in a Drama Series, two nominations for the Critics' Choice Television Award for Best Supporting Actress in a Drama Series and two for the Television Critics Association Award for Individual Achievement in Drama.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

As ​we ​face ​a ​government ​that ​is ​active ​in ​its ​efforts ​to ​remove ​people's ​ability ​to ​make ​decisions ​about ​what ​happens ​in ​their ​own ​bodies, ​Dr. Shelley Sella ​challenges ​even ​the ​framework ​that ​imposing ​any ​limits ​on ​abortion ​access ​means ​that ​we ​are ​not ​truly ​providing ​the ​room ​to ​choose. ​​Sella ​is ​a ​board ​certified ​OB ​GYN ​and ​the ​first ​woman ​to ​openly ​practice ​third ​trimester ​abortion ​care ​in ​the ​U.S. ​She ​recently ​retired ​from ​that ​work ​and ​compiled ​some ​of ​her ​deeply ​humanizing ​experiences, ​stories, ​reflections ​and ​hopes ​into ​a ​brand ​new ​book ​called ​Beyond ​Limits ​Stories ​of ​Third ​Trimester ​Abortion ​Care. — Subscribe to this podcast: https://plinkhq.com/i/1637968343?to=page Get in touch: lawanddisorder@kpfa.org Follow us on socials @LawAndDis: https://twitter.com/LawAndDis; https://www.instagram.com/lawanddis/ The post Beyond Limits: Understanding Third Trimester Abortion Care w/ Dr. Shelley Sella appeared first on KPFA.

From Disease to Divine Healing: A Doctor's Radical Faith and Health Transformation In this powerful episode, Dr. Tabatha shares how years of battling burnout, back injuries, thyroid disease, IBS, and depression—while practicing as a conventional OB/GYN—led her to a breaking point. But that breaking point became her breakthrough.She opens up about the moment she turned to God, fasted unexpectedly, and discovered that true healing starts with renewing the mind and honoring the body as a temple. You'll hear how she left surgery behind, embraced functional medicine, and developed the Faith IT Method—a spirit-led approach to healing that's changing lives. If you're tired of managing symptoms and ready to reclaim your health through faith and fasting, this episode is for you.If you liked this episode, watch it on YouTube!

In this episode, we explore the transformative power of medical missions through the experiences of Dr. Benjamin DeLisa and Dr. Scott Ellis, both board-certified OB/GYNs and OB hospitalists. Having participated in multiple international medical mission trips, Dr. DeLisa and Dr. Ellis share how these experiences reignited their passion for medicine, deepened their sense of purpose, and alleviated the feeling of burnout.

Welcome back to the MamaDoc BabyDoc podcast! Today's episode is a special one — Rachel (your favorite BabyDoc and board-certified pediatrician) is sharing some big personal news: she's expecting baby number two! With two under two on the horizon, Rachel gets real about the joy, the fear, and all the messy, beautiful emotions that come with growing a family. From gender disappointment to pregnancy body changes, from worries about dividing love and attention to preparing for a second delivery — this episode is a heartfelt, honest look at motherhood in all its complexity. Join Rachel and Renda (her OB/GYN mom and co-host) for an open, tender, and relatable conversation you won't want to miss.

In this eye-opening episode, Darin sits down with Dr. Sara Reardon — pelvic floor physical therapist, educator, and the internet's beloved “Vagina Whisperer” — to uncover the truth about women's bodies that too many doctors are still ignoring. From pelvic pain and leaking to postpartum trauma and sexual dysfunction, Sara breaks down what every woman deserves to know about her anatomy, healing, and power. Together, Darin and Sara dismantle the shame, silence, and outdated science that's left generations of women in pain and confusion — and offer a path forward rooted in education, self-advocacy, and respect for the female body.    

Your favorite Buzzkills are BACK with a pod that is gonna knock your dang socks off. Lizz and Moji break down healthcare carpetbagger Dr. Oz's latest EMTALA bullshit. The Grifter-In-Chief's administration made it clear this week that they're coming full force for a 2022 guidance that mandated hospitals provide EMERGENCY abortions. It's giving “Make America Flatline Again.” PLUS: we dive into fresh, steaming hot pile of Texas trash as cops in the Drone Star State scoured over 80,000 license plates to track down ONE abortion patient. Spoiler alert: the story is fishmarket funky. OH, and shoutout to Illinois for delivering some GOOD abobo news this week! Ahh... an abortion win, we've missed you, old friend. GUEST ROLL CALL! The incredible Dr. Shelley Sella, OB-GYN and the first woman to openly provide abortions later in pregnancy, joins us to gab about her new book, Beyond Limits: Stories of Third-Trimester Abortion Care, and show some big love with us as we celebrate the legacy, humanity and contributions of her friend and colleague, Dr. George Tiller. Who's delivering the much-needed serotonin boost this week? Chanel Ali—comedian, actor, and writer, and former AAF staff writer is in the house! Chanel kikis with us about how she uses humor to make lemonade… even when life has handed you some particularly fucked up lemons. Plus, she may or may not be spilling the frijoles about her upcoming SOLO SHOW! Scared? Got Questions about the continued assault on your reproductive rights? THE FBK LINES ARE OPEN! Just call or text (201) 574-7402, leave your questions or concerns, and Lizz and Moji will pick a few to address on the pod! Times are heavy, but knowledge is power, y'all. We gotchu.  OPERATION SAVE ABORTION: Sign up for virtual 2025 OSA workshop on August 9th! You can still join the 10,000+ womb warriors fighting the patriarchy by listening to our past Operation Save Abortion pod series and Mifepristone Panel by clicking HERE for episodes, your toolkit, marching orders, and more. HOSTS:Lizz Winstead IG: @LizzWinstead Bluesky: @LizzWinstead.bsky.socialMoji Alawode-El IG: @Mojilocks Bluesky: @Mojilocks.bsky.social SPECIAL GUESTS:Dr. Shelley Sella IG: @doctorshelleysella Bluesky: @doctorshelleysella.bsky.socialChanel Ali IG/TikTok: @ChanelAli GUEST LINKS:Dr. Shelley Sella's WebsiteDr. Shelley Sella's “Beyond Limits” Book: Upcoming EventsWATCH: “After Tiller”Chanel Ali's WebsiteSee Chanel Live NEWS DUMP:Democrats Set Out to Study Young Men. Here Are Their Findings.Far-Right Texas Lawyer Faces Detailed Sex Misconduct Allegations in New LawsuitKansans Challenge Constitutionality of State Law Nullifying End-Of-Life Choices of Pregnant WomenBill Ensuring Medication Abortion Access Amid Uncertainty With Trump's FDA Heads to PritzkerTrump Just Checked off Another Project 2025 Goal: Letting Pregnant People Die in ERsA Dystopian Surveillance Fear Has Become Reality in Texas EPISODE LINKS:What to Know About George Tiller, a Kansas Abortion Provider Assassinated by Anti-abortion ExtremistADOPT-A-CLINIC: Hope Clinic's Wishlist6 DEGREES: Adrien Brody Feels for the RatsSIGN UP 8/9: (VIRTUAL) Operation Save Abortion at Netroots 2025 BUY AAF MERCH!Operation Save AbortionSIGN: Repeal the Comstock ActEMAIL your abobo questions to The Feminist BuzzkillsAAF's Abortion-Themed Rage Playlist SHOULD I BE SCARED? Text or call us with the abortion news that is scaring you: (201) 574-7402 FOLLOW US:Listen to us ~ FBK Podcast Instagram ~ @AbortionFrontBluesky ~ @AbortionFrontTikTok ~ @AbortionFrontFacebook ~ @AbortionFrontYouTube ~ @AbortionAccessFrontTALK TO THE CHARLEY BOT FOR ABOBO OPTIONS & RESOURCES HERE!PATREON HERE! Support our work, get exclusive merch and more! DONATE TO AAF HERE!ACTIVIST CALENDAR HERE!VOLUNTEER WITH US HERE!ADOPT-A-CLINIC HERE!EXPOSE FAKE CLINICS HERE!GET ABOBO PILLS FROM PLAN C PILLS HERE!When BS is poppin', we pop off!

What if the key to unlocking real intimacy lies in understanding the female pleasure system, and most men are missing it?In this powerful episode, Dr. Carolyn DeLucia, a world-renowned OBGYN and leading voice in women's sexual health, reveals the hidden truths about female anatomy. She discusses everything about arousal and pleasure that every Modern Man needs to hear. This isn't just a biology lesson, it's a masterclass in connection, trust, and satisfaction.Don't miss your chance to learn what could transform your relationships forever. Tune in now!--------------About Dr. Carolyn DeLuciaDr. Carolyn DeLucia is a board-certified OBGYN, international speaker, and pioneer in the field of female sexual wellness. With nearly 30 years of clinical experience, she's become a leading voice in noninvasive intimate health and rejuvenation treatments. Dr. DeLucia has traveled the globe educating clinicians on regenerative medicine. She is the author of the best-selling books Ultimate Intimacy and Ultimate Connection. Her approach is rooted in deep medical knowledge and an even deeper compassion for helping patients live longer, more fulfilled lives.Want to connect with Dr. DeLucia? You can follow her on Instagram @CarolynDeLuciaMD or visit her website at DrCarolynDeLucia.com. To speak with her office directly, call 908-431-5849.Get Her BOOK Here! https://ebook.ultimateintimacy.net/ultimate-intimacy-by-carolyn-delucia--------------You can find all the recommended products mentioned in this episode through my Amazon store.--------------If you liked this episode, please SUBSCRIBE, like, leave a comment, and share so we can keep bringing you valuable content that gets results!--------------Curious about how you can boost your bedroom game and build lasting confidence? Check out the course at getwoodnow.com and start your journey to feeling like yourself again!--------------If you enjoyed this episode and want to learn more and get more tips, subscribe to The Modern Man newsletter for exclusive content delivered straight to your inbox! https://dranne.co/themodernman--------------Follow Me On:InstagramTwitterFacebookTikTokYouTube--------------For all links and resources mentioned on the show and where to subscribe to the podcast, please visit:

In the mid-1980s, an OBGYN in Brazil noticed that far fewer pregnant women at his hospital were dying from abortion complications. It wasn't a coincidence. Brazilian women had made a discovery that allowed them to safely have abortions at home, despite the country's abortion restrictions. That discovery eventually spread across the globe. Embedded+ supporters get first access and sponsor-free listening for every Embedded series. Sign up at plus.npr.org/embedded.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Summary:Your value as a human does not change over time. No bad outcome can siphon off your amazing-ness. Your worthiness can not be lost with a surgical complication. Let's talk about how to ensure you don't hold complications against yourself and how to handle tough cases in the future. Links: https://coach-miles.com/happy/Keywords: self-worth, outcomes, burnout, OBGYN, medical practice, unexpected outcomes, mental health, resilience, coaching, personal stories

In this episode of Wellness Junkies, we dive deep into the often-taboo topics surrounding women's health with our special guest, Dr. C, also known as The Vag Doc. With over 16 years of experience as a board-certified OB-GYN, Dr. C has made a name for herself on social media by breaking down complex issues related to gynecology (from periods to menopause) with clarity, compassion, and a touch of humor. The conversation kicks off with Dr. C sharing her journey into social media, highlighting the lack of open discussions about gynecology and midlife women's health. She emphasizes the importance of empowering women to ask questions about their bodies, especially during the often confusing transitions of perimenopause and menopause. Dr. C treats us to a wealth of information as she answers common questions about IUDs, hormone replacement therapy (HRT), and the changes women experience during menopause. She explains the benefits of keeping an IUD during midlife, the importance of estrogen for vaginal health, and how to navigate hormone levels effectively. The episode also touches on the significance of pelvic floor therapy, and encourages women to seek help and not to feel embarrassed about their health concerns, reinforcing that there is no shame in asking questions. As the episode wraps up, Amy and Melissa engage in a fun myth or fact segment, tackling common misconceptions about women's health, including the impact of wearing leggings on yeast infections. Join us for this enlightening and entertaining episode as we break down barriers and foster a community where women's health is discussed openly and honestly. Whether you're navigating menopause, considering an IUD, or simply seeking to understand your body better, this episode is packed with valuable information and insights from a trusted expert in the field. Brands/Mentions + Shop this episode ⁠⁠⁠⁠here⁠⁠ For more on this episode, read the full show notes ⁠⁠here⁠⁠ Follow us ⁠⁠@wellnessjunkiesofficial ⁠⁠on Instagram Find us at ⁠⁠⁠www.wellnessjunkiesofficial.com⁠⁠⁠ NEW: Follow us @wellnessjunkies on ⁠⁠TikTok⁠⁠ and ⁠⁠YouTube⁠⁠ ⁠⁠ShopMyShop⁠⁠ ⁠⁠Shop our Amazon Store⁠⁠ Say hi at ⁠⁠hello@nirvanasisters.com⁠⁠ Please subscribe, rate, review and share

Welcome back to Rural Health Today! In this episode of our Rural Health & Maternity Care series, we're talking to Harold Miller, the President and CEO of the Center for Healthcare Quality and Payment Reform. High-quality maternal and infant healthcare is vital for rural communities, but according to a recent report from CHQPR, 100 rural hospitals have stopped delivering babies in the past 5 years. Harold is here to share more about this report and his perspective and insight as a thought leader of rural maternity care. We'll talk about why obstetric units are closings, the risks communities encounter when they do, and of course, what it all has to do with rural health.  Learn more about our show at ruralhealthtoday.com.  Maternity Care Report: https://ruralhospitals.chqpr.org/downloads/Rural_Maternity_Care_Crisis.pdf  CHQPR on Rural Hospitals: The Crisis in Rural Health Care – Saving Rural Hospitals  Follow Rural Health Today on social media! https://x.com/RuralHealthPod https://www.youtube.com/@ruralhealthtoday7665  Follow Hillsdale Hospital on social media! https://www.facebook.com/hillsdalehospital/ https://www.twitter.com/hillsdalehosp/ https://www.linkedin.com/company/hillsdale-community-health-center/ https://www.instagram.com/hillsdalehospital/   Follow our guest on social media! https://x.com/PaymentReform https://www.linkedin.com/in/harold-miller-60a83a6/ 

I'm back and with a mini "rebrand"...At a Total Loss is now Living the Loss Life because well, that's what I'm doing every single day and I'm here to share it with you.When I first hit record, I was drowning. I had just lost Brody only 4 months prior. I was raw, wrecked, and trying to survive the total devastation of stillbirth. That title—At a Total Loss—fit where I was. But grief doesn't stay in one place...and neither do we.In losing him, I've also gained so much:Perspective. Purpose. A community. A deeper love. A different version of myself.So it's time, for the podcast to evolve, too.In this episode I fill you in on what's been happening since I took a mini break (whoops) and what's happening next. I had a wild experience in Albania and I finally tell Wolfy's birth story since he turns TWO YEARS OLD on June 6th! holy moly. All of this is to let you know you're not alone no matter what stage you're in. Thank you for staying on this path with me. We're still grieving. We're still healing. But now we're living even though we've lost.

Joe Alton, MD is an actively-licensed physician, medical preparedness advocate, and retired Fellow of the American College of Surgeons and Life fellow of the American College of OB/GYN. Amy Alton, ARNP, CNM is an actively-licensed advanced practice nurse practitioner and certified nurse midwife. Together, they are the NY Times/Amazon bestselling authors of various books, including the Book Excellence Award winners: The Survival Medicine Handbook: The Essential Guide For When Help Is NOT On The Way, Alton's Antibiotics and Infectious Disease, and other books. They have also been contributors to magazines in the survival, homesteading, and preparedness genre. Their website at … Continue reading →

Treating PCOS naturally – metabolic disease based on blood sugar dysregulation. Triple board certified OBGYN & Functional medicine Dr. Tabatha Barber joins Trending with Timmerie. (2:32) Dr. Barber answers a question: how to prepare best for having another baby after pituitary gland complications with the last baby, and now a miscarriage? (26:55) How gut health affects pelvic health — endometriosis, fibroids, and fertility. Getting to the root cause. (34:02) Resources mentioned : https://drtabatha.com/ Book: Fast to Faith https://amzn.to/41Fj3G4 Intermittent Fasting Guide: https://fasttofaith.com/intermittent-fasting-guide/# Previous episode with Dr. Tabitha Barber https://omny.fm/shows/trending-with-timmerie-catholic-principles-applied/fasting-health-benefits-faith

This week on Health Matters we reflect on the top health tips and  takeaways from our May series dedicated to Women's Health Month. Courtney is joined by Angelique Serrano to talk more about how to care for our skin, bone, and brain health, as well as ways to recognize and manage perimenopause symptoms. In their conversations with Health Matters, neurologist Dr. Sonja Blum and dermatologist Dr. Shari Lipner shared small daily habits that can make big contributions to long term health. Dr. Mary Rosser, an OB-GYN, shares a process for tackling sleep issues during perimenopause. Physiatrist Dr. Erica Eldon explains the importance of bone strength and how to prevent ailments like a broken hip. Courtney and Angelique share how the advice from NewYork-Presbyterian doctors opens space for women to discuss health care decisions in ways that are often overlooked and how they are inspired to prioritize their own health.___Health Matters shares stories of science, care, and wellness from NewYork-Presbyterian, one of the nation's most comprehensive healthcare systems.NewYork-Presbyterian's Health Matters features the latest news and insights from our world-class physicians, nurses, and experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our academic partners Columbia and Weill Cornell Medicine.To learn more visit: https://healthmatters.nyp.org/ 

On this episode, The Op gets his hands deep inside the story of a well-respected OBGYN and the brutal murder of his wife. And the Happy Ending, you'll be cheering for the shrimp. Hugs. ❤️Get episodes early and ad-free on Patreon: https://patreon.com/1159media

In Episode 101 of Trail Society, OB/GYN, ultrarunner, and mom of two Dr. Lauren Puretz joins Corrine, Keely, and Hillary for a candid and insightful conversation about puberty, birth control, and fertility in female athletes. Drawing from both her medical practice and personal experience as an elite endurance athlete, Dr. Puretz breaks down complex topics like energy availability, menstrual health, and hormonal birth control, offering practical advice for athletes navigating these issues. The discussion highlights how puberty and menstruation are affected by training load, the importance of not masking menstrual irregularities with birth control, and how coaches and caregivers can support young athletes during this pivotal time. The conversation also explores fertility concerns in current and retired athletes, including whether period loss during early athletic years may impact long-term reproductive health. Dr. Puretz discusses proactive steps athletes can take, such as hormone testing and fertility planning, and the growing trend of egg freezing among those delaying parenthood. Her honest and empowering perspective sheds light on the lifelong health journey female athletes face, from adolescence to adulthood, and sets the stage for a deeper dive into pregnancy and postpartum care in the next episode.     SPONSORSHIP:  We are so excited to be partnering with rabbit as our primary apparel sponsor this year! Send us some DMS about your favorite apparel and what you would like to see built for the trail running space!    USE CODE JUNEBUNNY for 10% OFF in JUNE!   Keep sliding into our DMs with your messages, they mean so much to us!  FOLLOW US on Instagram: @trail.society And go follow our NEW youtube channel @trailsociety_podcast   This episode is brought to you by Freetrail @runfreetrail  

PCOS affects millions of women, yet so many walk through life undiagnosed, unheard, and unsupported. In this empowering episode of SHE MD, Dr. Thaïs Aliabadi and Mary Alice Haney break down the silent epidemic of polycystic ovarian syndrome (PCOS) with passion, precision, and empathy. With Dr. Thaïs Aliabadi's expert advice and real-life stories from guests like Mayan Lopez and Phebe Renfrew, they bring light to a condition that's often misunderstood. This is the episode that every woman, and every doctor, needs to hear. If you're looking for clarity, support, and a powerful dose of self-advocacy, start here. It's more than just a conversation; it's a movement.Access more information about the podcast and additional expert health tips by visiting SHE MD Podcast and Ovii.Sponsors:Osea: Get 10% off your first order sitewide with code SHEMD at OSEAMalibu.comTimeline: Timeline is offering 10% off your order of Mitopure. Go to timeline.com/SHEMD Cymbiotika: Go to Cymbiotikia.com/SHEMD for 20% off your order + free shipping today.Purely Elizabeth: Visit purelyelizabeth.com and use code SHEMD at checkout for 20% off. Purely Elizabeth. Taste the ObsessionStrivektin: StriVectin – Discover the Science Behind Great SkinCure Hydration: Stay hydrated and feel your best by visiting curehydration.com/SHEMD and using promo code SHEMD at checkout.In This Episode:00:00 Understanding PCOS and its global impact05:29 Diagnosing PCOS: What doctors look for11:36 The role of insulin resistance in PCOS18:33 Holistic treatment approaches: Lifestyle, meds, and supplements29:40 Mayan Lopez story: Living years without a diagnosis32:03 Why validating women's experiences matters40:56 PCOS through perimenopause and menopause49:42 How PCOS and disordered eating are connected55:06 Tools for self-advocacy and better outcomes58:24 Closing thoughts: Empowering women with knowledgeDr. Thaïs Aliabadi and Mary Alice Haney's 5 Key Takeaways:Raise Awareness and Seek Early Diagnosis: Educate yourself and others about PCOS symptoms to encourage early detection and intervention.Understand Diagnostic Criteria: Familiarize yourself with the diagnostic criteria for PCOS, such as irregular menstrual cycles, ultrasound findings, and clinical signs of high androgens.Develop a Holistic Treatment Strategy: Work with your doctor to create a personalized treatment plan that includes diet, exercise, and supplements.Explore Medical Management Options: Discuss medication options like metformin or GLP-1 receptor agonists with your doctor.Become Your Own Health Advocate: Actively participate in your healthcare decisions, keep detailed records, and seek support to ensure optimal care. Resource Links:Ovii PCOS Quiz: https://ovii.com/pages/ovii-pcos-quizPCOS Support Group: https://www.facebook.com/groups/568933959113643Follow SheMD: https://www.instagram.com/SHEMDPodcast/Follow Dr. Thaïs Aliabadi: https://www.instagram.com/drthaisaliabadi/Follow Mary Alice Haney: https://www.instagram.com/haneyofficial/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Real innovation? It's not just the tools and techniques you use, it's how you think. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Amy Park welcome Dr. Kevin Stepp, a MIGS surgeon and urogynecologist in Charlotte, North Carolina, and an OBGYN professor at Wake Forest University School of Medicine. Dr. Stepp shares his journey into the field, including his serendipitous start in single-port laparoscopy and the many surgical innovations that he has pioneered. --- SYNPOSIS The conversation highlights the importance of anatomical knowledge, thinking beyond conventional surgical approaches, and the significance of teamwork and efficiency in the operating room. A central focus is placed on the development and application of single-port techniques, highlighting the associated learning curves and the evolving role of robotic surgery. The discussion also explores how surgical team dynamics, effective communication, and ongoing innovation collectively contribute to better patient outcomes and advancement in the medical field. --- TIMESTAMPS 00:00 - Introduction03:50 - Pioneering Single Port Laparoscopy10:10 - Challenges and Advantages of Single Port Surgery13:52 - Cosmetic Considerations and Incision Techniques27:27 - Innovative Approaches and Future Directions30:40 - Understanding 3D Anatomy in GYN Surgery32:10 - Sustaining Innovation in Urogynecology33:53 - Efficiency in Surgical Procedures39:20 - Advancement of Surgical Educational Materials 42:47 - Single Port and Robotic Procedures50:50 - Building a Team through Positive Surgical Culture01:02:13 - Continuous Improvement and Humility in Surgery

Think weight is the only factor standing between you and pregnancy? There's more to the story—and it starts with your stress and mindset.In this powerful episode, Dr. Katie Wood sits down with Dr. Priyanka Venugopal, an OB-GYN turned weight-loss and mindset coach, to unpack the real impact of stress, cortisol, and inner dialogue on fertility. Whether you're navigating PCOS, obesity, or burnout from high-achieving motherhood, this conversation will open your eyes to a more compassionate and effective path forward.In this episode you'll discover...-How mindset and stress affect ovulation and hormone balance-The truth about weight, fertility, and medications like Ozempic-Three actionable tools to lower cortisol, lose weight naturally & support your fertilityTune in now to learn how changing your mindset could be the key to weight loss, hormone balance, and finally getting pregnant—without burnout or shame.

Welcome to the #ShareYourHotness Podcast episode 162! Sky Tate was born and raised in Miami, Florida. She was actively involved in the performing arts, particularly dance. Initially, Sky envisioned a career as a dancer and pursued it as one of two majors in college. However, balancing dance and architecture proved overwhelming due to the rigorous studio hours required for both disciplines. After several hospital visits due to exhaustion and stress, Sky focused solely on architecture. After completing her education, Sky moved to Los Angeles, California, where she gained diverse work experience. She worked independently as a residential designer, contributed to a design-build firm, and held a position at an interior design firm. Eventually, Sky discovered a unique opportunity to run a maker-space program at a private K-12 school. During this time, she also volunteered with various organizations ranging from arts and engineering to homeless outreach. She enjoyed weekly contact improvisation meetups with fellow dancers. Life was fulfilling in Los Angeles, but then she met her future husband, who was living in Utah at the time. They married in L.A. and subsequently moved to South Jordan, Utah. While on their honeymoon, Sky became pregnant with their first child. The pregnancy was challenging due to an overproduction of relaxin, leading to Symphysis Pubis Dysfunction (SPD), which severely impacted mobility. By the third month, simple tasks like walking became difficult, and there were instances where she was unable to get off the floor without assistance. She always hoped this would be the least of her concerns about her pregnancy. The assumption is that if a mother is very active before pregnancy, she'll have an easy pregnancy -- that was not her experience. The delivery went as anticipated, but complications arose when the baby required care in the NICU. The hospital experience was fraught with inadequate support and a lack of professionalism in both Sky's and the baby's care. She was discharged without being seen by their attending physician, and concerns were dismissed until a follow-up with her ObGyn revealed that she had developed postpartum preeclampsia. This condition reappeared after the birth of her second child and necessitated medication for over a year. This ordeal has motivated Sky to use every opportunity to educate other women about postpartum preeclampsia and the importance of self-advocacy in medical settings. Although doctors are bound by the Hippocratic Oath, biases can still impact patient care. Pregnancy and childbirth are the most vulnerable and challenging events that most women will face in their lifetime, but it's also one where we naturally hand all of the decisions to our doctors. She used the same ObGyn for both of her children, but the experience at the two hospitals was night and day. And the way she sees it, it's about advocating for oneself. Six months after the birth of her second child, Sky and her family relocated to Southwest Florida, where they faced the loss of their home due to multiple evacuations over two and a half years. While simultaneously working toward homesteading goals and homeschooling her children, the family decided to leave Florida and embark on a new chapter --- embracing a life filled with renewed interest and beauty. Support The #ShareYourHotness Podcast by contributing to their tip jar: https://tips.pinecast.com/jar/the-syh-podcast Find out more at https://the-syh-podcast.pinecast.co

In this episode, Dr. Vonda Wright sits down with Dr. Corinne Menn, a board-certified OBGYN, Menopause Society Certified Practitioner, and 23-year breast cancer survivor who brings both clinical expertise and lived experience to the menopause conversation. A BRCA carrier and surgical menopause patient, Dr. Menn is a fierce advocate for women navigating cancer risk, premature menopause, and hormone health.   Together, they unpack the major gaps in menopause care—from the underuse of hormone therapy (only 4–5% of women use it) to the widespread misinformation among healthcare providers. Dr. Menn sheds light on how women with conditions like endometriosis, PCOS, or hereditary cancer risk are often excluded from mainstream menopause discussions and left without support. She explains why many cancer survivors can safely use hormone therapy under updated guidelines and why progesterone is still needed even after hysterectomy if endometriosis was present.   This powerful conversation is a must-listen for anyone impacted by surgical or early menopause, and those advocating for more compassionate, informed, and personalized care. ••• Connect with Dr. Corinne Menn: Instagram: @drmennobgyn TikTok: @drmennobgyn Website: www.drmenn.com Alloy Website: www.myalloy.com ••• Make sure to follow Dr. Vonda Wright: Instagram: @drvondawright Youtube: https://www.youtube.com/@vondawright Tiktok: https://www.tiktok.com/@drvondawright LinkedIn: https://www.linkedin.com/in/vonda-wright-md-ms-2803374 Website: http://www.DrVondaWright.com ••• If you enjoyed this episode, Subscribe to “HOT For Your Health” for more inspiring episodes. Apple Podcast: https://podcasts.apple.com/us/podcast/hot-for-your-health/id1055206993 Spotify: https://open.spotify.com/show/1Q2Al27D79jCLAyzp4hKBv?si=b62b374994884eed We'd love to hear your thoughts on this episode! Share your comments or join the discussion on social media using #HotForYourHealthPodcast.

When you're pregnant after IVF, you're likely beaming with joy while at the same time trying to keep negative, worrisome thoughts in check.  If you're like so many of the fertility patients I see, then you may be hyper-aware of your body, emotions and sensitive to the what-ifs of pregnancy after fertility treatment.  Now you're pregnant, and yes, you may have dreamed of this moment for quite some time. But it's okay not to love every second of being pregnant. You are not alone!  And you do not have to manage these feelings by yourself or with the help of Google (In fact, please make a pact with me right now that you'll do your best to avoid Google). Save yourself the heartache and talk to me, your OBGYN or tune into today's podcast episode where I'm sharing all about what to expect, and how to navigate the first few months of being pregnant after IVF. Read the full show notes on Dr. Aimee's website Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, June 16, 2025 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org. Other ways to connect with Dr. Aimee and The Egg Whisperer Show: Subscribe to my YouTube channel for more fertility tips!Subscribe to the newsletter to get updates

This week we're checking out the gayest show we've ever seen and that's saying something! Conor and Nico have a show with manic and small dick energy. And by small dick I mean big clit energy. You'll see. You'll see. Jim Florentine is live in the studio to discuss Nico's appointment at the OBGYN. Myster Magenta and Cardiff collab'd on a new song parody. Mike David from Redbar wants to give me money because he's a fan of my work on This Little Piggy… or is he? Jim Florentine is perplexed by the recent jokes Tom Myers wrote for his monologue. Opie is unleashed in NYC and Jim's instinct is to defend him for some reason. Jim doesn't always have the right instincts. We wrap up with another round of “2 Minutes with Tom,” Lucy with the internet news, and your voicemails. Jim Florentine's YouTube: https://www.YouTube.com/JimFlorentineComedy https://jimflorentine.com/  Tickets on sale now for Boston on June 21st – ⁠http://watplive.com/⁠ Support us, get bonus episodes, and watch live every Saturday and Wednesday: ⁠http://bit.ly/watp-patreon⁠ ⁠https://watp.supercast.tech/ Get 60% off the Magic Mind offer with our link and code: https://www.magicmind.com/watp60 & WATP60 Learn more about your ad choices. Visit megaphone.fm/adchoices

What if 25–35% of patients in the U.S., Canada, or Europe left for equal-quality IVF at a quarter of the cost?In this episode we take you back to Mexico City, round zero for what may be the next global IVF surge.Juan Moctezuma, Co-Founder and Co-CEO of Reina Madre, and Daniel Madero, CEO of Fertilidad Integral, join the show to discuss:The hub-and-spoke model fueling their growthHow they plan to scale egg freezing and IVF nationwideWhy they're betting big on automated IVF labs from ConceivableHow tech, capital, and Ob/Gyn funnels could transform IVF care across Latin AmericaWhy this may be one of the biggest untapped investment opportunities in global fertility care.

Today on The Natural Birth Podcast we have Jesse.Jesse is a mama of 3 boys under 3 and she lives outside of Idaho, USA.She is a stay at home mama and have known she wanted to be a mother ever since she was a little girl.In today's episode she shares her journey of wanting a natural pregnancy and birth from the getgo, being an avid listener to this podcast from her first pregnancy, but how she was convinced by medical professionals it couldn't happen for her.She went through two births in hospital that left her feeling incapable and sad. The first with an OBGYN and the second with a hospital midwife. She was told she could contract normally and wouldn't be able to birth without medical assistance.For her third baby however she went with a private birth center midwife who embraced Jesse and her fears and helped her deal with them head on.And finally, surrounded by a birth team that believed in her and supported her in the way she needed she had her perfect, magical, blissful birth as she explains it. She even had a partial shoulder dystocia or sticki shoulders that the midwife swiftly resolved.Jesse feels with each day that passes that she loves her birth more and more and that she feels so happy and healed.Curious about Jesse? Find her on instagram as @jesslawrence2020Find Anna's Website, about her Mentorship & How to Work with Her, as well as all Links & Resources she mentions in the episode here:www.sacredbirthinternational.com/links-podcast

Keeping Kids Safe: Preventing Injury and Protecting Young Lives In this essential episode of MamaDoc BabyDoc, we're shining a spotlight on child safety—because the most heartbreaking tragedies are often the most preventable. Join Dr. Renda Knapp, OB/GYN and mom, and Dr. Rachel Schultz, pediatrician and fellow parent, as we break down the leading causes of injury and death in children, from infancy through adolescence. We cover everything from: Car seat safety Drowning prevention The hidden dangers in and around the home Gun Safety Risky Behaviors in Teens And practical, evidence-based tips every parent and caregiver should know Whether you're a new parent, seasoned caregiver, or healthcare professional, this episode is packed with life-saving insights and real-world strategies to help you protect the kids you love. Because when it comes to our children, safety isn't optional—it's everything.

This week we speak with Professor Robert Hamilton of the University of Toronto about a recent case-control study in which his team identified a novel auto-antibody targeting a fetal cardiac protein that proved to have excellent sensitivity and specificity for the identification of fetuses that would develop heart block in fetal life in the offspring of women with maternal connective tissue disorders. How did the team in Toronto choose these particular target proteins? How well did this test perform in predicting heart block in pregnancies where there had been a prior pregnancy affected by block? Does this test possibly mean that fewer fetuses of mothers with connective tissue will need surveillance? Dr. Hamilton shares the details of this fascinating study this week. https://doi.org/10.1016/s2665-9913(25)00092-xWe also speak with Drs. David Ezon and Kenan Stern about the upcoming 16th Annual Mount Sinai Imaging Symposium - Conversations in Care: Cardiac Conundrums & 3D Echo Workshop which will be taking place at Mount Sinai on 5/31/25. Details are available at the following website:https://mssm.cloud-cme.com/course/courseoverview?P=5&EID=46043

Today's episode is your ultimate guide to fixing your hormones at any age—and it's a MUST listen for every woman in your life.  If you're tired, bloated, gaining weight in places you never used to, struggling with thinning hair, acne, brain fog, low sex drive, mood swings, PMS, painful periods — this is not how it has to be. Mel sits down with top OB-GYN and hormone expert Dr. Jessica Shepherd, MD to unpack the science of women's hormones in a way you've never heard before. Whether you're in your 20s and dealing with irregular cycles and PMS, or in your 40s and 50s navigating perimenopause and menopause, Dr. Shepherd breaks down exactly what's going on in your body—and how to get it back in balance. You'll learn: -The signs of hormone imbalance and how to fix it -The surprising ways hormone shifts mess up your skin, cause weight gain, disrupt your sleep, and more -The best foods to support your hormones (and the ones to cut back on) -How to stop hair thinning and hormonal acne -Why your skin starts to sag and what you can do to restore collagen -What happens when you stop birth control—and how long it takes your body to reset -Everything you need to know about PCOS, endometriosis, thyroid disease, and more This is your science-backed step by step guide to balancing your hormones for health, happiness, and longevity. Whether you're 25 or 65, you'll finally learn how to work with your body, instead of against it, to feel your absolute best. For more resources, click here for the podcast episode page. If you liked this episode, you'll love listening to this one next: The #1 Menopause Doctor: How to Lose Belly Fat, Sleep Better, & Stop Suffering NowConnect with Mel:  Get Mel's #1 bestselling book, The Let Them TheoryWatch the episodes on YouTubeFollow Mel on Instagram The Mel Robbins Podcast InstagramMel's TikTok Sign up for Mel's personal letter Subscribe to SiriusXM Podcasts+ to listen to new episodes ad-freeDisclaimer

On today's episode of Have Kids They Said, hosts Rich and Nicole serve up a whirlwind of parenting chaos, personal confessions, and hilarious hot takes. From deep dives into the mental health of both moms and dads, to Nicole dropping a juicy secret, the duo covers everything from animal appendages to elite continental breakfasts at Holiday Inn Express. Rich vents about the bureaucratic madness of 5U All Stars while Nicole shares the mental overload that comes with raising kids in the heart of NYC. And yes, there's even a battle over Parker's clothes brewing between Nicole and Matt.The conversation spirals delightfully through gullible childhood moments, why teens today don't care about driver's licenses, Gen X grievances, and how getting a specialist doctor appointment feels harder than winning the lottery. Plus, Emmy gets one of Rich's classic pep talks, Nicole revisits her OBGYN adventures, and they both remind us why a follow-up message can make or break your hang. Tune in, laugh with (and at) them, and don't forget to subscribe for more real talk, relatable chaos, and parenting truths. Follow Have Kids They Said now for your weekly dose of laughs, rants, and real-life parenting drama. #ParentingPodcast #MentalHealthMatters #NYCParentLife #GenXParenting #MomLife #DadLife #FunnyPodcast #ParentingUnfiltered Have Kids, They Said... is a SiriusXM Network Podcast made by Nicole Ryan and Rich Davis.If you'd like to send us a message or ask a question email us at HKTSpod@gmail.comFollow on social media:Instagram @havekidstheysaidpodNicole @mashupnicoleRich @richdavisand @siriusxm

On this week's episode, OB/GYN (and close friend!) Dr. Sharon Malone joins the podcast to talk about the urgent issues plaguing women's healthcare in the U.S. and how women can safely navigate a medical system that is not built for them. Plus, the group answers a listener question from a woman looking to freeze her eggs. Have a question you want answered? Write to us at imopod.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

On this episode of The Made Fitz Show, Melissa and Lauren sit down with Dr. Priyanka Venugopal—former OBGYN turned stress and weight loss coach. for busy working moms. Dr. Priyanka shares her deeply personal and transformative journey from being an overwhelmed, overweight physician to becoming a mindset-driven health coach who helps women “burn stress and lose weight” sustainably. Together, they unpack the real reasons smart, capable women struggle with lasting weight loss, the power of conviction over mere motivation, and how mindset—not meal plans—is often the missing piece. With honest anecdotes (like pumping while driving) and empowering takeaways, this episode dives into what it really takes to prioritize yourself, break free from burnout, and build a future you actually feel good in. Perfect for: Women juggling careers and families, anyone struggling with yo-yo dieting, and listeners craving real talk on lasting wellness.

On this episode of The Wholesome Fertility Podcast, I am joined by Dr. Nirali Jain (eggspert_md), a board-certified OB/GYN and reproductive endocrinologist at Reproductive Medical Associates (RMA). Dr. Jain shares her expert insights on fertility preservation for individuals undergoing cancer treatment, a crucial yet often overlooked aspect of reproductive care. We explore what options are available for fertility preservation, including egg and sperm freezing, and why it's so important to initiate these discussions before starting chemotherapy or radiation. Dr. Jain also explains the difference between Letrozole and Clomid, the impact of estrogen-sensitive cancers on IVF treatments, and innovative approaches like random-start cycles and DuoStim protocols. Whether you're facing a cancer diagnosis or simply thinking proactively about your reproductive future, this conversation is filled with knowledge and reassurance. Key Takeaways: Why it's essential to discuss fertility before starting cancer treatment. The role of Letrozole in estrogen-sensitive cancers and fertility preservation. Differences between Letrozole and Clomid, and why Letrozole is often preferred. How new protocols like DuoStim and random-start cycles are improving outcomes. Why fertility preservation is important even for those without a cancer diagnosis. Guest Bio: Dr. Nirali Jain (@eggspert_md) is a board-certified OB/GYN and fertility specialist at Reproductive Medicine Associates (RMA) in Basking Ridge, New Jersey. She earned both her undergraduate degree in neurobiology (with a minor in dance!) and her medical degree from Northwestern University, before completing her residency at Weill Cornell/NYP, where she served as co-Chief Resident, and her fellowship in reproductive endocrinology and infertility at NYU Langone. Deeply passionate about women's health and fertility preservation, Dr. Jain blends the latest research and cutting-edge treatments with compassionate, patient-centered care. Her interests include third-party reproduction and oncofertility, and she is especially passionate about supporting patients navigating fertility preservation through a cancer diagnosis. Outside of the clinic, Dr. Jain is a trained dancer, a dedicated global traveler, and an adventurer working toward hiking all seven continents with her husband. Her diverse experiences, from international medical rotations to personal connections with friends and family navigating infertility, have shaped her into a warm, resourceful, and determined advocate for her patients. Links and Resources: Visit RMA websiteFollow Dr. Nirali Jain on Instagram For more information about Michelle, visit www.michelleoravitz.com To learn more about ancient wisdom and fertility, you can get Michelle's book at: https://www.michelleoravitz.com/thewayoffertility The Wholesome Fertility facebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/ Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. --  Transcript:   # TWF-Jain-Nirali (Video) ​[00:00:00]  **Michelle Oravitz:** Welcome to the podcast Jain.  **Dr. Nirali Jain:** Thanks so much for having me **Michelle Oravitz:** Yeah, so. **Michelle Oravitz:** I'm very excited to talk about this topic, which, um, actually you don't really hear a lot of people talking about, which is how to preserve your fertility if you're going through a cancer diagnosis and if you have to go through treatments. 'cause obviously that can impact a lot on fertility. **Michelle Oravitz:** I have, um, seen actually like a colleague of mine go through. And she also preserved her fertility and, and now she has a baby boy. so it's really nice. **Michelle Oravitz:** to **riverside_nirali_jain_raw-video-cfr_michelle_oravitz's _0181:** so nice. **Michelle Oravitz:** So I'd love for you first to introduce yourself and kind Of give us a background on how you got into this work. **Dr. Nirali Jain:** Of course. Um, so I am Dr. Narly Jane. I am, um, an OB GYN by training, and then I did an additional, after completing four years of residency in OB GYN and getting board certified in that, I did an additional training in reproductive endocrinology and [00:01:00] infertility or otherwise known as REI. So now I'm a fertility specialist. **Dr. Nirali Jain:** Um, I trained at Northwestern in Chicago, so I went to undergrad and medical school there. And then, um, home has always been New Jersey for me, so I moved back out east to New Jersey. Um, I did all my training actually in New York City at Cornell for residency and NYU for fellowship. Um, and then moved to the suburbs. **Dr. Nirali Jain:** Um, and now I'm a fertility specialist in, in Basking Ridge at Reproductive Medical Associates.  **Michelle Oravitz:** Very impressive background. That's awesome.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** I'd love to hear just really. About what your process is. If a person has been diagnosed with cancer, like what is the process? What are some of the things that you address if they are trying to preserve fertility, and what are some of the concerns going  **Dr. Nirali Jain:** yeah, yeah. All great questions. So, you know, there's a lot of us, uh, the Reis. Are a very small, [00:02:00] there's a very small number of us. So in terms of specializing in fertility preservation, technically we all are certified to treat patients with cancer and kind of move them through fertility preservation before starting chemotherapy. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, luckily we've been working closely with oncologists in the past several years just to establish some type of streamlined system because having a diagnosis of cancer and hearing all that information. Especially when you're young is so hard. So I think that's, that's where my interest started in terms of being able to speak to and counsel cancer patients. **Dr. Nirali Jain:** I think it is a very specific niche that you really have to be comfortable with in our field. Um, I. So I'll kind of walk you through, you know, what it, what does it look like, right? Um, you go into your oncologist's office suspecting that you have this, this lump. I'll take breast cancer, for example. It could really be any kind of cancer. **Dr. Nirali Jain:** Um, but breast cancer in a reproductive age patient or someone that's in those years where you're starting [00:03:00] to think about building a family, planning a family, um, or if you have kids at home, that's usually the type of patient that we see come in with a breast cancer diagnosis. So. Kinda just taking that, for example, um, the minute that you're diagnosed, it's really your oncologist's responsibility to counsel you on what treatment options are going to be offered to you. **Dr. Nirali Jain:** And then based off of the treatment options, it's important to know how that affects your reproduction. So how does it affect your ovaries in the short term, in the long term, um, in any way possible. So. Once a patient is initially referred from their oncologist to myself or any other fertility specialist, they come into my office and we just have a 30 minute conversation really talking about family planning goals. **Dr. Nirali Jain:** Any kids that they've had in the past either naturally conceived or through um, IVF, and then we talk about where they're at in their relationship. Are they married, are they not? Are they with a partner, [00:04:00] a male partner, a female partner, whatever it might be. It's important to know the social standpoint, um, especially in this sensitive phase of life. **Dr. Nirali Jain:** So patient patients usually spend anywhere from 30 minutes to an hour. Um, just kind of talking through where they're at, how they're feeling, what their ultimate childbearing goals are. And then from there we do an ultrasound and that's when I'm really able to see, you know, the, the reproductive status. **Dr. Nirali Jain:** So what do the ovaries look like? What does the uterus look like? Is there something that I need to be concerned about from a baseline GYN standpoint? Um, and all of those conversations are happening in real time. So. I think one of the things is patients come in and they're like, I'm already so overwhelmed with all this information from my oncologist, and now my fertility specialist is throwing all this information at me. **Dr. Nirali Jain:** Luckily, the way I like to frame it is you come in and you just let go. Like you let us do the work because in the background we're the ones talking to your oncologist. We're the [00:05:00] ones giving that feedback and creating a timeline with your oncologist. Um, and really I think just getting in the door is the hardest part. **Dr. Nirali Jain:** So once patients are here to see us, we go through the whole workup. We do anything that we would do for a normal patient that came in for fertility preservation. And then based off of where they're at in their journey, we talk about what makes sense for them, whether that means freezing embryos, freezing eggs, they're very similar in terms of the, the few weeks leading up to the egg retrievals. **Dr. Nirali Jain:** So I have that whole conversation just at the initial visit. And then from there we talk about the timeline behind the scenes and make sure that it works with their lives before moving forward. **Michelle Oravitz:** So for people listening to this, why, and this might be an obvious question, but to some it might not be,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** why would somebody want to preserve. eggs or sperm. 'cause I've had actually some couples  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** come to me where the husband preserved the sperm and they had to go through IVF just because he was going [00:06:00] through cancer treatments. So he had to preserve the sperm ahead of time.  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** people need to consider doing that before doing cancer treatments?  **Dr. Nirali Jain:** So there are certain cancer treatments that do affect the ovaries and the sperm health, and you know, for men and women, it affects your reproductive organs. In a similar way, um, depending on the type of chemotherapeutic agent, there are some that are more dangerous in terms of, um, being toxic to your ovaries or toxic to your sperm. **Dr. Nirali Jain:** And those are the instances where we are really thinking about what's the long-term impact because there's medications that oncologists do give patients, and our oncologists are amazing, the ones that we work with, Memorial Sloan Kettering from Reproductive Medical Associates through RMA, um, and. **Dr. Nirali Jain:** They're just so good at what they do and are so well-trained, so they know in the back of their mind, is this going to impact your ovaries or your sperm health or not? Um, and I [00:07:00] think that any chemotherapy, you know, your ovaries are these, these small organs that are constantly turning over follicles every month. **Dr. Nirali Jain:** So every month we're losing those eggs, and if they don't become. If an egg isn't ovulated, it doesn't become a baby, it's just gonna die off. So I counsel even patients that don't have cancer, I counsel them on fertility preservation as young as possible. You know, between the ages of 28 and 35, that's like the best time to preserve your fertility. **Dr. Nirali Jain:** So in cancer patients, there's an extra level added to that where even if they are a little bit younger, a little bit older. Your eggs are not gonna be the same quality. There's gonna be higher level of chromosomal errors, more DNA breakage, um, and, and bigger issues that lead to issues with conceiving naturally afterwards. **Dr. Nirali Jain:** So I think that it's important to consider how that chemotherapy is going to affect them or how surgery would affect them if it was, for example, a GYN cancer where [00:08:00] we're removing a whole ovary, you know, what, what do we have to do to preserve your fertility in that case? And those are important conversations to have. **Michelle Oravitz:** Yeah. for sure. I know that a lot of people are also concerned, you know, with going through the IVF process, you're taking in a lot of estrogen, a lot of hormones, and many cancers are actually estrogen sensitive. So I wanted to talk to you about that. 'cause I know that the data shows that it's. It's been fine, which some people might find surprising, but I wanted you to address that and just kind of **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** from your perspective.  **Dr. Nirali Jain:** That's so interesting that you asked that question because I actually, my whole I I graduated fellowship last year and my entire, like passion project in fellowship was looking at one of the drugs that we use to suppress the estrogen levels specifically in cancer patients. Um, and I had presented this at a few of our reproductive meetings. **Dr. Nirali Jain:** Um, A SRM is one of our annual meetings where all of the reiss get together. A lot of male fertility [00:09:00] specialists come and we kinda just talk about. Specific things and fertility preservation for cancer patients is, has been an ongoing topic of interest for all of us. Um, and it's important to know that there are different medications that we can offer. **Dr. Nirali Jain:** Letrozole is the one that I, um, have a particular love for and I, uh, you know, I use all the time for my patients, um, for different reasons, but it suppresses the exposure that your body has to estrogen. And there's mixed data, um, out there in terms of, you know, does Letrozole suppression actually impact, you know, does it help or. **Dr. Nirali Jain:** Or does it have no impact on your future risk of cancer after treatment? Um, and that honestly is still up for debate. But what we do know is that there's no increased risk of cancer recurrence in patients that have undergone fertility preservation with or without Letrozole. Um, Letrozole is one of those things that we can give, and the way it works is basically. **Dr. Nirali Jain:** It masks that [00:10:00] conversion. It, it doesn't allow for conversion from those androgens in the male hormones over to estrogen. Um, and so your body doesn't really see that estrogen exposure. It stays nice and low throughout your cycle, and it does help with actually ovarian maturation and getting mature eggs harvested and, um, helps a little bit with, with quality too. **Dr. Nirali Jain:** So I think that it's really nice in terms of having that available to us, but know that. It's not, it's not essential that you have it, really, the data showing plus minus. Um, but there are certain things that we can do to protect the ovaries, protect your exposure to estrogen. Um, and so that shouldn't be top of mind of concern when we're going through fertility preservation, even with an estrogen sensitive cancer. **Michelle Oravitz:** Actually, so, uh, on a different topic, kind of going back to that, so Letrozole versus Clomid, I, it's like a, the questions I personally feel just based on what I've heard and like my own research that Letrozole would be kind of like the more. [00:11:00] Um, the, it's, it's a little better, but I know that it really depends on the person as well.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** they might do better with Clom, but I'd love to hear your perspective and kind of pick your brain on this.  **Dr. Nirali Jain:** totally. You're choosing all the, all the right questions because these are all of my, my specific interests and niches. So  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** Letrozole is basically, you know, we use Letrozole and Clomid in. Patients that don't have cancer and patients that come in for an intrauterine insemination, that's kind of the most common scenario where we're thinking about, you know, which medication is better? **Dr. Nirali Jain:** Letrozole or Clomid and Clomid used to be the, the most common medication that we use, we dose patients, you know, have 50 milligrams of Clomid, give them five days of the medication. It's an oral pill. Feels really easy and. The way it works is really, it recruits more than one follicle, so it really helps with the release of, um, more than one follicle growing more than one follicle in the ovary. **Dr. Nirali Jain:** Um, but it has a little bit [00:12:00] higher of a risk of twins because that's exactly what it's good at. Um, Clomid, not so much in the cancer. In the cancer front, it's not really used there because it's considered, from a scientific perspective, it's considered like a selective estrogen receptor modulator. So it doesn't necessarily suppress your estrogen levels in the same way that Letrozole does versus. **Dr. Nirali Jain:** Letrozole is an aromatase inhibitor, so it really blocks the chemical conversion of one drug or one hormone to the other hormone. Um, the reason we love Letrozole so much, and I don't mean to like gush over Letrozole, but um, it's a mono follicular agent, so it works really well at recruiting one follicle  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** you know, every OB-GYN's nightmare in a way is having multiples when you didn't intend on having multiples at all. **Michelle Oravitz:** so  **Dr. Nirali Jain:** Um. **Michelle Oravitz:** were saying that, um, there's more of a chance of twins, it's Clomid, not letrozole.  **Dr. Nirali Jain:** Yes, there's a higher chance with Clomid versus Letrozole. And I mean, don't get me wrong, there's a chance of twins with [00:13:00] any type of assisted reproductive technology. Even when we're doing single embryo transfers, there's a chance that it's gonna split. So, um, the chance is always there just like it is in the natural world. **Dr. Nirali Jain:** But we know for a fact that. CLO is really good at recruiting many follicles. It's good for certain patients that don't respond well to Letrozole. Um, but Letrozole is kind of our, our go-to drug these days just because of all the benefits that we've seen.  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** These are all fun things to ask because I, I love talking to our eis 'cause there's so much information that I'm always  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** learn a lot from my patients in my own research, but it's really cool. Picking your guys' brains. So another question I have, and I have actually talked to Dr. Andrea Elli, he's been on,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** and he does a lot of endometriosis and, and immune related work as well,  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** so. I'd love to know just from your perspective. One thing that I do know from, based on what I've heard is that the, [00:14:00] guess like you were just saying, that breast cancer or estrogen sensitive breast cancer doesn't seem to be affected by IVF cycles, however, and endometriosis lesions do get affected.  **Dr. Nirali Jain:** Yeah. **Dr. Nirali Jain:** that's a great question. So, you know, every, there are so many complex G mind diagnoses that the, that our patients come in with. Um, and endometriosis is a big one because there is clear data that endometriosis is linked to infertility. So we think about, you know, when a patient comes in with endometriosis, we really do think about the different treatment options and what are the short-term and long-term impacts of the hormones that we're giving 'em. **Dr. Nirali Jain:** Um, these days, again, kind of going back to Letrozole, we, letrozole is something that I give all of my endometriosis patients because it helps suppress their estrogen because we know.  **Michelle Oravitz:** interesting.  **Dr. Nirali Jain:** is very responsive to estrogen and leads to this dysfunctional regulation of all the endometrial tissue that can really flare in a, [00:15:00] in a cycle, or shortly after a cycle. **Dr. Nirali Jain:** I. So we really, for endometriosis patients, the, the best treatment is being on birth control because we don't see that hormonal fluctuation. The up and down of the estrogen and the progesterone, that's what leads to those flares. Um, so I really, I watch patients closely after their cycles too, because you definitely can have an endometriosis flare and we say the best treatment for endometriosis is pregnancy, right? **Dr. Nirali Jain:** That's when you're suppressed, that's when you're at your lowest. Um, and patients, my endo patients feel so good in pregnancy because they have. Hormones that are nice in that baseline, they're not getting periods of course. Um, and that's truly, truly the best treatment.  **Michelle Oravitz:** That's interesting.  **Dr. Nirali Jain:** But it is important to consider when you're going through infertility treatments. **Dr. Nirali Jain:** How does my endometriosis affect the short and long-term effects of the fertility medications? And really not to, not to say that they're bad in any way. I think a lot of endometriosis patients go through IVF and have success and do really, really well, and that's kind of the push that they need. [00:16:00] Um, but it's important to be mindful of the bigger picture here. **Dr. Nirali Jain:** It's not just, you're not just a number of. A patient with endo coming in, getting the same protocol. It's really individualized to the extent of your lesions, what symptoms you're having, what grade of endometriosis, where your lesions are. So we're the RAs are thinking about everything before we actually start your protocol. **Michelle Oravitz:** It's crazy how in depth it is, and it's, it, there's just so, it's so multifaceted,  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** when it's females  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** are a little, I mean, they can, you know, there, there's definitely a number of things, but it's not as complicated and interconnected  **Dr. Nirali Jain:** Exactly. Exactly. That's so true. **Michelle Oravitz:** And so one question I actually have, this is kind of really off topic, but something that I was curious about. **Michelle Oravitz:** 'cause I heard about a while  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** a, a type of cancer treatment that was used. I'm not sure exactly what it was, but for some reason it actually caused follicles to grow, [00:17:00] or to multiply. And they were **Dr. Nirali Jain:** Interesting. **Michelle Oravitz:** this definitely. Puts, um, the whole idea of like a woman being born with all the follicles she'll ever have on its head, I thought that was really Interesting. **Michelle Oravitz:** Now I learned a little bit about it. I don't think it really went further than that,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** one of those things that they're like, Hmm, this is interesting. I don't know, it was kind of a random side effect of this chemo drug. I dunno if it was a chemo drug or a cancer drug.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** ever heard of that. **Michelle Oravitz:** So I was just **Dr. Nirali Jain:** I haven't, I mean, that's interesting. I feel like I'd have to look into that because that would be definitely a point of interest for a lot of Reis. But it kind of does go back to the point of, you know, women are really born with all the eggs we're ever gonna have. So it's about a million, and then it just goes down from there. **Dr. Nirali Jain:** And the, by the time you start having periods, I like to kind of show my patients a chart, but you have a couple hundred thousand eggs and you ovulate one egg a month. That's, you know. Able to [00:18:00] progress into a fertilized egg and then into a, an embryo into a baby, um, if that's your goal. But otherwise, patients that are having periods and not trying to actually get pregnant, we're losing hundreds of eggs a month. **Dr. Nirali Jain:** So.  **Michelle Oravitz:** Mm.  **Dr. Nirali Jain:** It's important to kind of think about that decline, and it's important to know that that rate can be faster in patients with cancer, patients with low ovarian reserve. And sometimes when you have the two compounded, that's when a fertility specialist is definitely, you know, in the queue to, to have a discussion with you in terms of what that means and how you can reach your family building goals despite being faced with that, with that challenge. **Michelle Oravitz:** Yeah. **Michelle Oravitz:** I mean, 'cause we know oxidative stress is one of the things that can cause, uh,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** quality eggs, but it's also can cause cancer. **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** um, similar, you know, like things that really deplete the body could definitely impact. Um, and then what are your thoughts? I know I'm asking you all kinds of random questions, **Dr. Nirali Jain:** I love it. **Michelle Oravitz:** are your thoughts about doing low simulation in certain [00:19:00] circumstances versus high stem? **Michelle Oravitz:** Sometimes people don't respond as well to higher stems.  **Dr. Nirali Jain:** Yeah, that's a great point. I think that it kind of all goes back to creating an individualized protocol. If. A patient's going to a practice and basically just getting a protocol saying, this is our standard. We start with our standard of, you know, I, I think about the standard, which is 300 of the FSH or that pen that you dial up, and then 150 units of that powder vial. **Dr. Nirali Jain:** And we have patients mixing powders all the time, and that's kind of our blanket protocol that we give patients. But that's not really what's happening behind the scenes. And if you're given a protocol that's, and being told, you know, this is kind of what we give to everyone, it's probably not the right fit for you. **Michelle Oravitz:** Yeah, I  **Dr. Nirali Jain:** Um, there are certain patients that respond to a much lower dose and do really, really well, and then some patients that need a much higher dose. Um, and I think it's, that's kind of like the fun part of being an REI of being able to individualize the [00:20:00] protocol to the patient. Um, and I know for a fact there are so many, luckily, you know, we have so many leaders in REI that have been. **Dr. Nirali Jain:** Have dedicated their entire careers to researching these different protocols and how they can help different patients. Um, patients with lower a MH, you know, might benefit from a duo stim protocol, for example. That's kind of the first one that comes to mind, but a protocol where we're using those follicles from the second half of a cycle. **Dr. Nirali Jain:** I would've never thought that those were the follicles that  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** would be better than the first half of the cycle,  **Michelle Oravitz:** Wait,  **Dr. Nirali Jain:** but, **Michelle Oravitz:** that. Explain that. Um, because I think that that's kind of a unique  **Dr. Nirali Jain:** mm-hmm.  **Michelle Oravitz:** that I haven't heard of.  **Dr. Nirali Jain:** Yeah, so there's this new day. It's still kind of developing, but um, kind of going back to, you know, what's an individualized protocol? Duo STEM is one of the newer protocols that we've started using. I, I've used it once or twice in patients. Um, but it goes back to the research that shows that you might actually have two different periods of time in a menstrual cycle where you could potentially recruit [00:21:00] follicles. **Dr. Nirali Jain:** You could have a follicular phase where there's a certain cohort of follicles recruited, and then you have a follicle that forms creates a corpus glut.  **Michelle Oravitz:** um, protocols  **Dr. Nirali Jain:** Yep. And then you basically go through the follicular protocol and then a few days after a retrieval, instead of waiting for a new follicular cohort or follicular recruitment from the first half of your menstrual cycle, you actually use the luteal phase and you recruit those follicles that would've actually died off or have been prematurely recruited in a prior cycle. **Dr. Nirali Jain:** So **Michelle Oravitz:** that's So  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** you just do a similar, I guess, um, medicine,  **Dr. Nirali Jain:** go right back into it.  **Michelle Oravitz:** do the same exact thing, but right after ovulation.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** Fascinating. That's really interesting.  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** has been your experience with that?  **Dr. Nirali Jain:** I think it's, honestly, it's mixed. Um, so far, you know, our data from fertility and sterility and A SRM, it, it shows support for these DUO STEM [00:22:00] protocols, saying that if patients don't have that great quality of eggs or if they have a very low number, maybe they'd benefit from starting the meds earlier and recruiting follicles. **Dr. Nirali Jain:** A little bit earlier. Um, so we've seen positive results so far. A lot of work to be done in terms of really understanding it. Um, and of course, as a new attending, I have a lot more experience to kind of build on. Um, but I, I have seen success from it. **Michelle Oravitz:** That's fascinating. Are there any other new technologies, like new add-ons, um, that you've seen, that you've found to be really cool or interesting?  **Dr. Nirali Jain:** I think the biggest thing, actually, kind of going back to our whole topic for today is fertility preservation cancer patients. One of the biggest things that I've learned recently is that we used to start fertility, um, patients. You know, only in the beginning of the cycle days, two or three is technically like when most. **Dr. Nirali Jain:** Most clinics, um, start patients, but for our cancer patients, sometimes you don't have that time. You don't wanna wait a full month to [00:23:00] restart, um, your, you know, your menstrual cycle and then do the fertility preservation and then delay chemotherapy a full month. So we started doing what we call random starts. **Dr. Nirali Jain:** So you basically start a patient whenever they come in. You know, it could be the day after your consultation, the day of your consultation. I've kind of seen all of the above. Um, and we've seen really good success with random starts, per se. Um, and we've been doing a lot more of that, where it's not as dependent on where you're at in your cycle. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, obviously there's a difference in outcomes. You might not be a great candidate for it, so definitely it's worth talking to your doctor about it. But it kind of gives relief to our cancer patients where if you have a new cancer diagnosis and you're like, oh, I just finished my period, like, I can't even start a cycle until next month. **Dr. Nirali Jain:** That's not always true. Um, so it's always worth it to go into see a fertility specialist and just get, you know, get the data that you need right away, and then you can make a decision later on. **Michelle Oravitz:** For sure. Um, Yeah. **Michelle Oravitz:** and I wanted to kind of cover a lot of different topics 'cause I know that [00:24:00] some people are gonna wanna hear what you have to say that don't necessarily, or, uh, have cancer. But it is important. I, I think that, you know, if you get to thirties and you haven't gotten married or you don't have a partner, I think it's really important to preserve your fertility in general.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** important thing. And then if you were going through a cancer diagnosis and you decided to preserve your fertility, um, guess more for women because they're eventually going to be thinking about transfers after they go through treatment. So what are some of the things that they would need to consider as far as that goes? **Michelle Oravitz:** Like after the  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** then they go through the cancer treatments. Um, and then what, how long should they  **Dr. Nirali Jain:** yeah. Like what does it look like? So I've had patients that come back, you know, in my fellowship training I did a, a couple research projects on patients that came back to pursue an embryo transfer, um, after chemotherapy agent. And basically compared them to how they did, um, [00:25:00] compared to patients that didn't have cancer and just froze their embryos or froze their eggs and then came back to pursue a transfer and. **Dr. Nirali Jain:** I think the, the most reassuring thing from the preliminary data that we have is saying that there's no difference in pregnancy rates and no difference in life birth,  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** of whether they had chemotherapy or not. After freezing those eggs and going through fertility preservation.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Um, in terms of where your body needs to be, I think the oncologist, we, we wait for their green light. **Dr. Nirali Jain:** We wait for their signal to say, you know, she's safe to carry a pregnancy.  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** And then once we do that, we basically treat you like any other patient. So if you're coming in for a cycle, if you're having periods, then it's reasonable to try a natural cycle protocol, wait for your body to naturally ovulate an egg. **Dr. Nirali Jain:** And instead of obviously hoping that egg will fertilize, we, um, use a corpus luteum. We use the progesterone from the corpus luteum to really support this embryo being implanted into the uterus. Um. Yeah. [00:26:00] And then there's also another side. I mean, some patients don't get their periods back and they always ask like, what if I never get my period back? **Dr. Nirali Jain:** What if I'm just like in menopause because of the chemotherapy agents? And for that, we can start you on a synthetic protocol or basically an estrogen dependent protocol where you take an estrogen pill for a certain number of days. We monitor your lining, then we start progesterone, um, to support your hormones from that perspective instead of relying on your ovaries to release the progesterone that they need, um, and then doing the embryo transfer a few, few days after progesterone starts. **Dr. Nirali Jain:** So there's definitely different protocols depending on where your menstrual health is at after the chemotherapy or after the cancer treatment. Um, but it's important to kind of just know that. That there's options. It doesn't mean that it's the end of the road if you all of a sudden stop getting your period. **Michelle Oravitz:** Yeah, for sure. I mean, 'cause you, technically speaking, you can really control a lot of that. More so for transfers  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** Retrievals really is kind of like what [00:27:00] eggs you have, what the quality is. But people can be in complete menopause and you guys can still control their cycles for transfer, which is kind of. A huge difference  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** in the  **Dr. Nirali Jain:** exactly. That's exactly right. Yeah. **Michelle Oravitz:** interesting. Any other, um, new, new things that you're, you guys are excited about? I always like to hear about like the new and upcoming things  **Dr. Nirali Jain:** Of course.  **Michelle Oravitz:** actually before, which I thought was fascinating. Yeah.  **Dr. Nirali Jain:** I feel like there's always like updates and, and new data and things like that coming out, but just know, I think it's important for patients to know, like we're constantly, we're, the reason I chose to even pursue this field was because it's new. Right. There's something that we are discovering every day, every year, and that's what makes our, our conferences so important to attend, um, to really just stay up to date. **Dr. Nirali Jain:** Um, but we are, uh, constantly updating our embryology standards, the way we thaw our eggs, and the success rate associated with a thaw and [00:28:00] how we treat our embryos and the media that we use, right? Like, so we're really thinking about the basic science perspective every single day, and that's what makes this field so unique. **Michelle Oravitz:** It is really awesome. And so do you guys specialize specifically on, um. Egg freezing and, and I mean specific fertility preservation in patients that do that have cancer that are going through treatments, do you guys specialize specifically in that? I mean, I know you do range  **Dr. Nirali Jain:** Yeah. Yeah, because it's such a small community, we all have our own niches and we all kind of have our own interests and  **Michelle Oravitz:** Yeah.  **Dr. Nirali Jain:** no like specific training. There are a couple courses that you take that I took in in training as well, just to kind of understand what it sounds like to, I. Council of fertility preservation, patient with and without cancer. **Dr. Nirali Jain:** Um, and then, you know, you kind of just learn by experience and you form a niche for something that you're passionate about. 'cause that's what makes you, you know, really thorough in, in your treatment. [00:29:00] So that's one of my interests. Um, and, but I would say,  **Michelle Oravitz:** training for that. It's just like  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** just know how to treat that in  **Dr. Nirali Jain:** exactly.  **Michelle Oravitz:** especially if you're interested in doing that.  **Dr. Nirali Jain:** Exactly. That's exactly right. It's kind of, it just comes with the experience comes with your mentors and who you're surrounded by, and everyone kind of helps each other get to that point. But there are several specialists in our practice at RMA that specialize specifically in fertility preservation in cancer patients. **Dr. Nirali Jain:** So we have a close communication with our oncologist and they know who to refer to within the practice because everyone has their own little interests.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** Um, definitely. I, like I said, I really enjoy picking your brain because it's a lot of fun for me. I, I do  **Dr. Nirali Jain:** Totally.  **Michelle Oravitz:** acupuncture, so  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** and I, I think that it's just so crazy that our fields don't work together. I mean, we kind of do, but I think, I just feel like it would be so great  **Dr. Nirali Jain:** exactly.[00:30:00]  **Michelle Oravitz:** the expertise because you guys have immense. Benefits like in, in, uh, technology and incredible innovations and, and then the natural aspect of really understanding the, the body. And I, I just think that it would work so amazing together if it was more of like a thing. 'cause it, I know in China they actually combine the two  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** eastern.  **Dr. Nirali Jain:** Yeah, I mean I think that that's so important and there is data that shows, you know, there's actually a recent study that came out just a few weeks ago on the benefits of acupuncture for fertility patients. And we know that, I mean, I recommend it to all of my patients, specifically the day of the embryo transfer. **Dr. Nirali Jain:** We, luckily, we offer it on site at RMA and we have acupuncturists that come in and, and do a session before and after the embryo transfer, and I think. A lot of that is targeted towards stress relief. But I also think that holistically it's important to feel at your best when we're doing something that's so crucial to your, to your health. **Dr. Nirali Jain:** So to really focus on the diet, focus on stress relief, [00:31:00] focus on meditation, yoga, whatever it takes to get to your best wellbeing when you're going through fertility treatments, um, is so important. So I appreciate  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** like you that really specialize in the other side of. Of this, because I do consider it still part of the holistic medicine that we need to really maximize success for our patients. **Michelle Oravitz:** Awesome. Well,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** Jane, this is such a pleasure Of talking to you. You've given us some, so much great information and we've definitely dived into a, do a topic that I don't typically, I haven't yet spoken about. But, um, that being said, it's such an important topic to talk about. And thank you so much for coming on today. **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** course. **Michelle Oravitz:** I get off, how can people find you?  **Dr. Nirali Jain:** That's a great question. So I have, um, a social media page. I, it's called Expert nc. So like EGG,  **Michelle Oravitz:** I  **Dr. Nirali Jain:** um, expert nc. Try, tried to make it a little bit humorous. Um, but I'm all over social [00:32:00] media and would love to hear from anyone that is listening. I, you know, every, every day I get different, um, dms and I'm happy to respond. **Dr. Nirali Jain:** I love hearing about everyone else's. Stories and things like that. Um, so that is kind of my main, main social media platform. Um, and then through like RMA and Reproductive Medical Associates, we also have a YouTube channel. We have an Instagram page, um, of our office available, um, as well that is public. **Dr. Nirali Jain:** So you can find us pretty easily if you just kind of hit Google. But um, yeah, I'm kind of developing my social media platform as the expert and I hope it grows.  **Michelle Oravitz:** Love it. Great.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** was such a pleasure talking to you. Thank you. so much **Dr. Nirali Jain:** Thank you. **Michelle Oravitz:** today.  **Dr. Nirali Jain:** Of course. Thank you so much for having me.  [00:33:00]   

What happens when a seasoned OBGYN reclaims her time, her health, and her joy, without giving up her purpose? In this raw and energizing conversation, I have my dear friend and powerhouse physician, Dr. Shieva Ghofrany, to talk about the courage it takes to pivot professionally, the nuance behind boundaries, and the real, messy truth about loving your body in a world full of noise. Dr. Ghofrany brings deep honesty, hilarious realness, and a refreshing take on self-worth, success, and navigating a medical career while putting herself last for too long. This episode is a must-listen for every professional woman who's ever felt like she has to do it all, and do it perfectly.   Resources:  Get full show notes and more information here: https://www.burnstressloseweight.com/164 Connect with Dr. Shieva Ghofrany: https://www.instagram.com/drshievag/  Learn more: https://www.burnstressloseweight.com/group  Get the Hormones Training: https://www.burnstressloseweight.com/hormones

There are many reasons why someone may require a third-trimester abortion, including both fetal implications and maternal implications (such as health diagnoses and difficult life circumstances). Dr. Shelley Sella, retired OB-GYN, first woman to openly provide third-trimester abortion care in the U.S., and author of Beyond Limits: Stories of Third-Trimester Abortion Care, sits down to share her expertise, discuss the multitude of reasons why someone seeks a third-trimester abortion, and touch on the personal stories shared in the book.Dr. Sella became involved in the women's health movement in college, which eventually sent her to medical school to begin her journey studying to be an OB-GYN. Dr. Sella was mentored by Dr. George Tiller, who provided late term abortions and who was assassinated in Kansas in 2009. Beyond Limits follows Dr. Sella during a week at the abortion clinic, sharing stories of patients requiring third-trimester abortions for a myriad of reasons. Support the showFollow Us on Social: Twitter: @rePROsFightBack Instagram: @reprosfbFacebook: rePROs Fight Back Bluesky: @reprosfightback.bsky.social Email us: jennie@reprosfightback.comRate and Review on Apple PodcastThanks for listening & keep fighting back!

In this episode of SHE MD, Dr. Thaïs Aliabadi and Mary Alice Haney welcome melanoma specialist Dr. Omid Hamid. They explore the rising incidence of melanoma in young people, debunk common misconceptions, and discuss groundbreaking treatments. Dr. Hamid explains the different stages of melanoma and the revolutionary immunotherapy treatments that are changing patient outcomes. The hosts and guest discuss real-life cases, including those of celebrities Khloe Kardashian and Teddy Mellencamp, to illustrate the importance of awareness and regular skin checks. The conversation also touches on melanoma during pregnancy and genetic predisposition to the disease - learn why genetic testing is crucial, even without family history.Access more information about the podcast and additional expert health tips by visiting SHE MD Podcast and Ovii. Sponsors: Myriad: Knowing your family's history of cancer is the first step to understanding your own cancer risk and may qualify you for the MyRisk Hereditary Cancer Test with RiskScore hereditary cancer test. It's easy, accurate and covered by most insurers. Learn more at GetMyRisk.comCymbiotika: Go to Cymbiotikia.com/SHEMD for 20% off your order + free shipping today.Purely Elizabeth: Visit purelyelizabeth.com and use code SHEMD at checkout for 20% off. Purely Elizabeth. Taste the ObsessionEquip: To learn more about Equip treatment, visit equip.health/sobermomlife.Strivektin: Discover the Science Behind Great SkinDavid's Protein: David is giving my listeners an exclusive offer – buy four cartons and get the fifth free at davidprotein.com/shemdCure Hydration: Cure is offering 20% off your first order! Stay hydrated and feel your best by visiting curehydration.com/SHEMD and using promo code SHEMD at checkout. Dr. Omid Hamid's Key Takeaways:1. Reduce Sun Exposure: Limit time spent in direct sunlight, especially during peak hours. Use protective clothing, hats, and sunglasses to shield your skin from harmful UV rays.2. Schedule Regular Skin Checks: Schedule routine visits with a dermatologist for comprehensive skin examinations. Self-examine your skin monthly for any new or changing moles or lesions.3. Use Effective Sunscreen: Apply broad-spectrum sunscreen with at least SPF 30 daily, even on cloudy days. Reapply every two hours when outdoors, and after swimming or sweating.4. Get Genetic Testing Done: If you have a family history of melanoma or other cancers, consider genetic testing to assess your risk. Tests like the MYRIS can identify melanoma-related gene mutations.5. Avoid Tanning Beds: Steer clear of tanning beds, as they significantly increase the risk of developing melanoma and other skin cancers.6. Be Your Own Health Advocate: Stay informed about your health, ask questions, and seek second opinions if necessary. Advocate for yourself and your loved ones by being proactive about potential health concerns.In This Episode: (00:00) Intro: Melanoma Awareness Month(02:40) Dr. Omid Hamid: Melanoma specialist introduction(6:58) Surgery for melanoma explained(10:49) Immunotherapy revolutionizes melanoma treatment(14:57) Genetic testing for melanoma risk(23:25) Importance of advocating for yourself(32:22) Teddy Mellencamp's stage 4 melanoma journey(50:51) Hormonal changes and melanoma risk(57:00) Two key melanoma prevention tipsRESOURCES:Melanoma Research Alliance: https://www.curemelanoma.org/blog/omid-hamid-mdMelanoma Research Foundation https://melanoma.org/Myriad Genetics: https://myriad.com/ GUEST BIOGRAPHY:Omid Hamid, MD, is the Chief of the Translational Research and Immuno-Oncology Department at The Angeles Clinic and Research Institute and serves as the Co-Director of the Melanoma and Phase I Programs. Academic Title as Professor, Department of Medicine at Cedars-Sinai Medical Center. His areas of expertise include immunotherapy and Phase I drug development.Dr. Hamid has published extensively and has been at the forefront of the development of paradigm-shifting breakthroughs including BRAF/MEK targeted agents, AntiCTL4A, antiPD1, and PDL1 therapies. His current interests include new immunotherapeutic options for patients including bi-specific antibodies, Adoptive T-cell Therapy, and oncolytic therapies with a focus on combinatorial approaches resulting in potentially great patient benefit.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this thought-provoking and heartfelt episode of Metabolic Matters, host Dr. Nasha Winters welcomes Dr. Nathan Goodyear, a leading voice in integrative oncology and a passionate advocate for patient-centered cancer care. Dr. Goodyear shares his extraordinary journey from conventional OB/GYN pelvic floor surgery to becoming a pioneer in metabolic and integrative cancer therapies. Through personal experience, clinical insights, and a steadfast commitment to innovation, he explores how the landscape of oncology is transforming toward precision, empowerment, and healing.Key Topics:From Surgeon to Integrative Oncologist: Dr. Goodyear recounts his early career in pelvic floor surgery and the pivotal moments—including his own health crisis—that catalyzed his shift into integrative medicine.Redefining Healing: A deeply personal conversation on what it means to “heal into dying,” featuring reflections on end-of-life care, patient autonomy, and the emotional realities of oncology.The Future of Cancer Therapies:Microbiome & Fecal Transplants: Why the tumor microbiome might be a game-changing biomarker—and therapeutic target—for cancer.Cannabinoid Medicine: Exploring the anti-cancer potential of CBD, the stigma around cannabis, and its immunological implications.Immune Modulation & Vitamin C: Highlighting high-dose IV vitamin C, LDN, and strategies to enhance immune surveillance.Repurposed Medications: Dr. Goodyear discusses the growing momentum behind off-label drug use in cancer care, including ivermectin and propranolol, and the critical need for bridging conversations between conventional and integrative oncologists.Bridging Paradigms: A passionate call for collaboration across disciplines to dismantle silos and build patient-centered, innovation-driven cancer care.

In this eye-opening episode, Sarah and Dr. Kevin Shrestha have an honest conversation about preeclampsia—one of the silent but serious dangers of pregnancy. They share the signs every woman should watch for, why your instincts matter, and how speaking up when something doesn't feel right can truly save your life. Whether you're expecting, recovering, or supporting someone who is—this episode is a must-listen.Dr. Kevin Shrestha MD, MPH, is board certified OBGYN and currently a Maternal Fetal Medicine fellow.Home - Preeclampsia Foundation

Welcome to Day 1 of the Hormone Real Talk Bootcamp. This episode is an overview of how hormones work throughout your menstrual cycle - TBH you should have learned this a LONG time ago, in middle school or at least at your first OBGYN appointment.I'm going deep into common symptoms seen at different cycle phases, like increased libido and cervical fluid around ovulation, or how symptoms like PMS, cramps, and mood changes can indicate hormone imbalance – and how we can handle that naturally, aka without birth control. If you're not a newbie to this you could still learn something so stick around for a crash course refresher.Tomorrow's episode will be about how stress affects sex hormones and ways to reduce stress for long-term hormone balance - even if you don't FEEL stressed you're not going to want to miss that one because it's KEY when balancing hormones!Not in our bootcamp community group yet? Sign up here to get each episode delivered to you bright and early + action steps and personalized accountability with Leisha for the next 4 days + access to a live Zoom coaching call on Friday to get all your juicy hormone questions answered.  In this episode: How hormones work throughout a woman's cycle Hormonal changes that occur during the menstrual cycle – and how they relate to fertilityPMS symptoms you might experience in the second half of the menstrual cycle and WHY Why birth control won't fix your hormone issues – and why you should look for a holistic long-term solution insteadSend us a text with episode feedback or ideas! (We can't respond to texts unless you include contact info but always read them)Don't forget to subscribe, share this episode, and leave a review. Your support helps us reach more women looking for answers.Disclaimer: Nothing in this podcast is to be taken as medical advice, please take informed accountability and speak to your provider before making changes to your health routine.This podcast is for women and moms to learn how to balance hormones naturally in motherhood, to have pain-free periods, increased fertility, to decrease PMS mood swings, and to increase energy without restrictive diet plans. You'll learn how to balance blood sugar, increase progesterone naturally, understand the root cause of estrogen dominance, irregular periods, PCOS, insulin resistance, hormonal acne, post birth-control syndrome, and conceive naturally. We use a pro-metabolic, whole food, root cause approach to functional women's health and focus on truly holistic health and mind-body connection.If you listen to any of the following shows, we're sure you'll like ours too! Pursuit of Wellness with Mari Llewellyn, Culture Apothecary with Alex Clark, Found My Fitness with Rhonda Patrick, Just Ingredients Podcast, Wellness Mama, The Dr Josh Axe Show, Are You Menstrual Podcast, The Model Health Show, Grounded Wellness By Primally Pure, Be Well By Kelly Leveque, The Freely Rooted Podcast with Kori Meloy, Simple Farmhouse Life with Lisa Bass

In honor of Maternal Mental Health Awareness Month, we're revisiting one of our most popular episodes exploring the emotional and mental shifts that come with new motherhood. In this encore conversation, Allison Egidi is joined by Ellen Jones and Holly Kennedy, maternal wellness coaches and co-founders of Mother Tree Wellness, to talk candidly about their own experiences with postpartum depression and anxiety—and how they turned those struggles into a mission to support other moms. Inside this episode, you'll learn: How postpartum anxiety and depression can show up—even when you're “doing all the right things” The personality traits that may increase vulnerability to postpartum mental health challenges The real meaning of “losing yourself” in motherhood—and how to start finding your way back How partners can be better prepared to offer support The difference between therapy and maternal wellness coaching What to say (and not say) to new moms who might be struggling ✨ Whether you're a new mom, an expecting parent, or someone supporting a loved one through this transition, this episode is packed with validation, wisdom, and hope.

Read the full show notes: https://www.draimee.org/how-to-make-sure-your-fertility-journey-is-your-doctors-priority-with-dr-rahi-victory Today on The Egg Whisperer Show, I'm joined by Dr. Rahi Victory. Dr. Victory is an OBGYN in Canada, where he has two clinics. I'm excited to have him on the show today to talk about how to become an advocate for yourself, and how to make sure that your care is your doctor's priority.⁠ ⁠ Dr. Victory and I are both very like-minded in the way that we approach patient care: we want you to be an active part of your care and we want you to be a part of our decision making when it comes to deciding on a treatment plan. It's a joy to talk to Dr. Victory about transparency and honesty and how patients can become their own advocates and make sure they get the kind of care they deserve on their journey.⁠ Read the full show notes on Dr. Aimee's website Visit Dr. Rahi Victory's website.   Do you have questions about IVF? Join Dr. Aimee for The IVF Class at The Egg Whisperer School. The next live class call is on Monday, June 16th, 2025 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School  Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Drs. Amy Crockett (@amyhcrockett), Ben Ereshefsky (@brainofbpharm), and Pamela Bailey (@pamipenem) join Dr. Julie Ann Justo (@julie_justo) to discuss new treatment strategies for management of intraamniotic infections, also known as chorioamnionitis. They discuss whether it is time to move away from the combination of ampicillin, gentamicin, and/or clindamycin, alternative antibiotic regimens to consider, and stewardship strategies to approach this practice change at a local level. References: Basic stats/epi on chorioamnionitis: Romero R, et al. Clinical chorioamnionitis at term I: microbiology of the amniotic cavity using cultivation and molecular techniques. J Perinat Med. 2015 Jan;43(1):19-36. doi: 10.1515/jpm-2014-0249. PMID: 25720095. ACOG 2017 Guideline for IAI: Committee Opinion No. 712: Intrapartum Management of Intraamniotic Infection. Obstet Gynecol. 2017 Aug;130(2):e95-e101. doi: 10.1097/AOG.0000000000002236. PMID: 28742677. ACOG 2024 Update on clinical criteria for IAI: ACOG Clinical Practice Update: Update on Criteria for Suspected Diagnosis of Intraamniotic Infection. Obstetrics & Gynecology 144(1):p e17-e19, July 2024. doi: 10.1097/AOG.0000000000005593 Helpful review with more recent microorganisms : Jung E, et al. Clinical chorioamnionitis at term: definition, pathogenesis, microbiology, diagnosis, and treatment. Am J Obstet Gynecol. 2024 Mar;230(3S):S807-S840. doi: 10.1016/j.ajog.2023.02.002. PMID: 38233317. Cochrane Review: Chapman E, et al. Antibiotic regimens for management of intra-amniotic infection. Cochrane Database Syst Rev. 2014 Dec 19;2014(12):CD010976. doi: 10.1002/14651858.CD010976.pub2. PMID: 25526426. Helpful recent review on intrapartum infections: Bailey, P, et al_._ Out with the Old, In with the New: A Review of the Treatment of Intrapartum Infections. Curr Infect Dis Rep. 2024;26:107–113 doi: 10.1007/s11908-024-00838-8. Role of genital mycoplasmas in IAI: Romero R, et al. Evidence that intra-amniotic infections are often the result of an ascending invasion - a molecular microbiological study. J Perinat Med. 2019 Nov 26;47(9):915-931. doi: 10.1515/jpm-2019-0297. PMID: 31693497. Regimens without enterococcal coverage with similar clinical outcomes: Blanco JD, et al. Randomized comparison of ceftazidime versus clindamycin-tobramycin in the treatment of obstetrical and gynecological infections. Antimicrob Agents Chemother. 1983 Oct;24(4):500-4. doi: 10.1128/AAC.24.4.500. PMID: 6360038. Bookstaver PB, et al. A review of antibiotic use in pregnancy. Pharmacotherapy. 2015 Nov;35(11):1052-62. doi: 10.1002/phar.1649. PMID: 26598097. Updated review in pregnancy, includes data on frequency of antibiotic use in pregnancy: Nguyen J, et al. A review of antibiotic safety in pregnancy-2025 update. Pharmacotherapy. 2025 Apr;45(4):227-237. doi: 10.1002/phar.70010. Epub 2025 Mar 19. PMID: 40105039. Locksmith GJ, et al. High compared with standard gentamicin dosing for chorioamnionitis: a comparison of maternal and fetal serum drug levels. Obstet Gynecol. 2005 Mar;105(3):473-9. doi: 10.1097/01.AOG.0000151106.87930.1a. PMID: 15738010. Clindamycin CDI Risk: Miller AC, et al. Comparison of Different Antibiotics and the Risk for Community-Associated Clostridioides difficile Infection: A Case-Control Study. Open Forum Infect Dis. 2023 Aug 5;10(8):ofad413. doi: 10.1093/ofid/ofad413. PMID: 37622034. Impact of penicillin allergy on clindamycin use & cites 47% clindamycin resistance per CDC among GBS: Snider JB, et al. Antibiotic choice for Group B Streptococcus prophylaxis in mothers with reported penicillin allergy and associated newborn outcomes. BMC Pregnancy Childbirth. 2023 May 30;23(1):400. doi: 10.1186/s12884-023-05697-0. PMID: 37254067. Clindamycin anaerobic coverage data: Hastey CJ, et al. Changes in the antibiotic susceptibility of anaerobic bacteria from 2007-2009 to 2010-2012 based on the CLSI methodology. Anaerobe. 2016 Dec;42:27-30. doi: 10.1016/j.anaerobe.2016.07.003. PMID: 27427465. Older PK study of ampicillin & gentamicin for chorioamnionitis: Gilstrap LC 3rd, Bawdon RE, Burris J. Antibiotic concentration in maternal blood, cord blood, and placental membranes in chorioamnionitis. Obstet Gynecol. 1988 Jul;72(1):124-5. PMID: 3380500. Paper putting out the call for modernization of OB/Gyn antibiotic regimens: Pek Z, Heil E, Wilson E. Getting With the Times: A Review of Peripartum Infections and Proposed Modernized Treatment Regimens. Open Forum Infect Dis. 2022 Sep 5;9(9):ofac460. doi: 10.1093/ofid/ofac460. PMID: 36168554. Vanderbilt University Medical Center experience with modernizing OB/Gyn infection regimens: Smiley C, et al. Implementing Updated Intraamniotic Infection Guidelines at a Large Academic Medical Center. Open Forum Infect Dis. 2024 Sep 5;11(9):ofae475. doi: 10.1093/ofid/ofae475. PMID: 39252868. Prisma Health/University of South Carolina experience with modernizing OB/Gyn infection regimens: Bailey P, et al. Cefoxitin for Intra-amniotic Infections and Endometritis: A Retrospective Comparison to Traditional Antimicrobial Therapy Regimens Within a Healthcare System. Clin Infect Dis. 2024 Jul 19;79(1):247-254. doi: 10.1093/cid/ciae042. PMID: 38297884.

“HRT is probably the best thing that you can do to improve long term health and longevity,” explains Amy Killen, M.D. In this episode, we're covering everything you need to know about hormone replacement therapy, including the incredible benefits of HRT and when you should consider starting HRT.  You'll hear from: Maddy Dychtwald, author, longevity expert, and co-founder of Age Wave, on the study that changed the way HRT was viewed and why it's time to rethink that narrative  Marty Makay, M.D., the US Commissioner of Food and Drugs, a Johns Hopkins surgeon, public health expert, on why hormone replacement therapy may be one of the most powerful tools for women  Amy Killen, M.D., a longevity and regenerative medicine physician, on when to consider HRT and how it supports long-term health Jessica Shepherd, M.D., OB/GYN and menopause expert, on the different types of hormone therapy and how to find a provider who supports your goals We'll cover: - The flawed study that changed HRT perception (~1:05) - The incredible benefits of HRT (~4:15) - What about TRT for men? (~7:20) - Hormone health is longevity (~8:45) - When to consider HRT (~9:48) - The different types of HRT (~11:10) - You are the CEO of your health (~13:48) Listen to the full episodes here:  - Why women live longer, but not better | Longevity expert Maddy Dychtwald - The most common health myths, debunked | Marty Makary, M.D. - Stem cells, HRT, & nitric oxide for women | Amy Killen, M.D. - What women need to know about hormone replacement therapy (HRT) | Jessica Shepherd, M.D. Learn more about your ad choices. Visit megaphone.fm/adchoices

"Doctors are humans, and we are patients, too. I decided to start sharing what I was doing in my own life, and it has transformed the way I practice medicine, the way I parent, and literally every aspect of my life." - Dr. Jamie Seeman I had to track down Dr. Jamie Seeman (a.k.a. Dr. Fit and Fabulous) because her content is absolutely amazing! As a board-certified OBGYN with specialized training in nutrition, menopause, and exercise science, Jamie brings a unique perspective to women's health that's both scientifically sound and personally tested. After struggling with prediabetes, hypothyroidism, and feeling unfulfilled, she transformed her health by returning to basics—proper nutrition and strength training. We dive deep into the critical importance of muscle for women over 40, why resistance training should be prioritized over cardio, and how to optimize hormones during perimenopause and beyond. Jamie debunks popular myths about exercise's impact on cortisol and shares her practical approach to nutrition that emphasizes protein and minimizes processed foods. Her journey from collegiate athlete to overworked physician to vibrant health advocate offers inspiration and actionable strategies for any woman wanting to reclaim her vitality.   What you'll learn: How losing muscle mass accelerates metabolic decline during perimenopause and menopause Why protein intake becomes increasingly crucial as we age (and how much you really need) The truth about resistance training versus cardio for women's health How to incorporate effective sprint training without spending hours in the gym The powerful connection between circadian rhythm and hormone optimization When to consider hormone replacement therapy and what to pair with it for best results Why basic lifestyle fundamentals outperform supplements and quick fixes for menopause Love the Podcast? Here's what to do: Make My Day & Share Your Thoughts! Subscribe to the podcast & leave me a review Text a screenshot to 813-565-2627 Expect a personal reply because your voice is so important to me. Join 55,000+ followers who make this podcast thrive. Want to listen to the show completely ad-free?  Go to subscribetojj.com Enjoy the VIP experience for just $4.99/month or $49.99/year (save 17%!) Click “TRY FREE” and start your ad-free journey today! Full show notes (including all links mentioned): https://jjvirgin.com/seeman Learn more about your ad choices. Visit megaphone.fm/adchoices