Podcasts about Sexual medicine

Welcome to the latest Midlife Minute. Today, I'm taking a closer look at oral contraceptive use in perimenopause and menopause, exploring how oral contraceptives work, how they suppress or blunt perimenopausal and menopausal symptoms, alter hormone signaling and testing, what women may experience when they stop taking them, and why the gut microbiome is an essential part of the conversation. IN THIS EPISODE, YOU WILL LEARN: How oral contraceptives suppress certain key signaling hormones, making it difficult to assess women's menopausal status accurately What women may experience when transitioning off oral contraceptives How long-term oral contraceptive use can alter gut microbial function and inflammatory pathways The association between long-term oral contraceptive use and nutrient depletion Why the standard reproductive hormone markers used to assess menopause (especially FSH/LH) are unreliable while on the pill How the microbiome changes that occur as women age may compound the effects of previous oral contraceptive use Helpful dietary, microbiome, and lifestyle strategies to support women navigating the post-pill transition Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Resources:  Sitruk-Ware R, Nath A. Characteristics and metabolic effects of estrogen and progestins contained in oral contraceptive pills. Best Practice and Research: Clinical Endocrinology and Metabolism. 2013;27(1):13–24. doi:10.1016/j.beem.2012.09.004 Schaffir J, Worly BL, Gur TL. Combined hormonal contraception and its effects on mood: a critical review. European Journal of Contraception and Reproductive Health Care. 2016;21(5):347–355. doi:10.1080/13625187.2016.1217327 Panzer C, Wise S, Fantini G, Kang D, Munarriz R, Guay A, Goldstein I. Impact of oral contraceptives on sex hormone-binding globulin and androgen levels: a retrospective study in women with sexual dysfunction. Journal of Sexual Medicine. 2006;3(1):104–113. doi:10.1111/j.1743-6109.2005.00198.x Palmery M, Saraceno A, Vaiarelli A, Carlomagno G. Oral contraceptives and changes in nutritional requirements. European Review for Medical and Pharmacological Sciences. 2013;17(13):1804–1813. PMID:23852908 Khalili H, Higuchi LM, Ananthakrishnan AN, Richter JM, Feskanich D, Fuchs CS, Chan AT. Oral contraceptives, reproductive factors and risk of inflammatory bowel disease. Gut. 2013;62(8):1153–1159. doi:10.1136/gutjnl-2012-302362 Flores R, Shi J, Fuhrman B, Xu X, Veenstra TD, Gail MH, Gajer P, Ravel J, Goedert JJ. Fecal microbial determinants of fecal and systemic estrogens and estrogen metabolites: a cross-sectional study. Journal of Translational Medicine. 2012;10:253. doi:10.1186/1479-5876-10-253 Baker JM, Al-Nakkash L, Herbst-Kralovetz MM. Estrogen-gut microbiome axis: physiological and clinical implications. Maturitas. 2017;103:45–53. doi:10.1016/j.maturitas.2017.06.025 Hua X, Cao Y, Morgan DM, Miller K, Chin SM, Bellavance D, Khalili H. Longitudinal analysis of the impact of oral contraceptive use on the gut microbiome. Journal of Medical Microbiology. 2022;71(4):001512. doi:10.1099/jmm.0.001512 Mihajlovic J, Leutner M, Hausmann B, Kohl G, Schwarz J, et al. Combined hormonal contraceptives are associated with minor changes in composition and diversity in gut microbiota of healthy women. Environmental Microbiology. 2021;23(6):3037–3047. doi:10.1111/1462-2920.15461 Seelig MS. Increased magnesium need with use of combined oestrogen and calcium supplementation. Magnesium Research. 1990;3(3):197–215. PMID:2133742 Donders GGG, Bellen G, Mendling W. Management of recurrent vulvo-vaginal candidosis as a chronic illness. Gynecologic and Obstetric Investigation. 2010;70(4):306–321. doi:10.1159/000314022 Krog MC, Hugerth LW, Fransson E, et al. The healthy female microbiome across body sites: effect of hormonal contraceptives and the menstrual cycle. Human Reproduction. 2022;37(7):1525–1543. doi:10.1093/humrep/deac094

If Part 1 was about the field of sexual medicine, Part 2 is about the marriage at the center of it. Dr. Jenni Skyler and Daniel Lebowitz return to their conversation with Dr. Irwin and Sue Goldstein, and this time, the questions get more personal. How do you stay married for fifty years? What does great sex actually look like across the decades? And what happens when a woman who has spent her career in sexual medicine starts experiencing low desire herself? Sue Goldstein opens up about her own journey through peri-menopause and the slow erosion of her libido- what she calls "duty sex", and the medications that brought not just her sex drive back, but a playfulness in her marriage she hadn't realized had gone missing. She walks listeners through her menopause toolbox of five treatments, explains why she's "76 and feels like she's in her 50s", and dismantles the lingering fears from the Women's Health Initiative that have kept generations of women in what she calls hormone prison. Dr. Irwin shares his own daily protocols for sexual health, why he believes most older men are leaving capacity on the table, and the surprising data from their own clinic- that more than half the Vyleesi prescriptions they write are off-label for men. They explore why dopamine is dopamine, regardless of gender. The reality of persistent genital arousal disorder. And a remarkable story of a teenage horseback rider whose chronic arousal turned out to be a herniated disc. This episode is full of practical wisdom, clinical innovation, and one of the most real conversations about long-term love you'll hear all year. The Goldsteins' secret to fifty years of marriage? Best friends, good sex, and the willingness to keep trying new things — including a chocolate sauce on the day before you change the sheets. Irwin Goldstein, MD, IF (he/him/his). Director, San Diego Sexual Medicine 5555 Reservoir Drive, Suite 300, San Diego, CA 92120, Director, Sexual Medicine, UC San Diego Health East Campus, San Diego, CA. Clinical Professor of Urology, University of California at San Diego. Voluntary Clinical Professor of Obstetrics, Gynecology and Reproductive Services Past President, International Society for the Study of Women’s Sexual Health. Past President, Sexual Medicine Society of North America. Editor Emeritus, Sexual Medicine Reviews, The Journal of Sexual Medicine, International Journal of Impotence Research. Phone: 619 265-8865 - Mobile: 619 987-7432. Email: dr.irwingoldstein@gmail.com. http://www.sandiegosexualmedicine.com. Like us on Facebook: https://www.facebook.com/SDSexMed. X: http://twitter.com/SDSexualMedSee omnystudio.com/listener for privacy information.

Popular fantasy might suggest that we need to have hours of sex in order to be satisfied, but is that actually true? A study published in the Journal of Sexual Medicine in 2005 looked into intravaginal ejaculation latency time among 500 heterosexual couples from five different countries. Now intravaginal ejaculation latency time might sound like a complicated term, but basically it just means how long penetration lasts, so foreplay doesn't count as sex under that definition. Having gathered survey answers from all the couples involved, the researchers noted that sex duration varied significantly, lasting as little as 33 seconds in some cases or as long as 44 minutes. But they were able to work out that the average duration was 5.4 minutes. A lot less than some people might think! Is 5.4 minutes really long enough to have satisfying sex though? How long does foreplay last then? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here: ⁠⁠Can you train your brain like a muscle?⁠⁠ ⁠⁠How often should you wash your jeans?⁠⁠ ⁠⁠Should I walk 10000 steps a day?⁠⁠ A podcast written and realised by Joseph Chance. First Broadcast: 3/6/2024 Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Irwin Goldstein didn't set out to become a pioneer of sexual medicine. He was a biomedical engineer turned urology resident who, as he tells it, asked one stupid question during a 1976 surgery: "Could you explain the physiology of erection to me?" The surgeon shrugged. Irwin spent the next decade figuring it out. Along the way, he co-discovered that nitric oxide, the elephant of our air, is what makes erections possible. He published the first paper on it in 1991. Seven years later, he became the first author on the New England Journal of Medicine paper that introduced Viagra to the world. But that's only half the story. The other half is Sue Goldstein, Irwin's college sweetheart turned partner in life, parenting, and eventually the practice itself. Sue spent decades raising their family while quietly absorbing the science her husband brought home. She is now an AASECT-certified educator, a published researcher, and one of the most outspoken patient advocates in the field. Together, they run San Diego Sexual Medicine, a clinic where every patient gets a three-hour visit, full education, and an entire team practicing what they call true bio-psycho social care. In this first half of our two-part conversation, Dr. Jenni Skyler and Daniel Lebowitz sit with the Goldsteins and explore how a field gets built, and how it still leaves so many patients behind. They cover prostate cancer and the silent erectile crisis that follows it. The buccal grafting innovation that's helping women with severe vestibular pain finally get answers. Why women, on average, see ten or twelve doctors before they get a real diagnosis. And Sue's pet peeve, medical gaslighting and what to do when a doctor says "there's nothing that can be done." This is a conversation for anyone who has ever felt unheard by a clinician, dismissed by their own body, or convinced they were the problem. The Goldsteins want you to know — you're not. You just haven't been to the right office yet. Irwin Goldstein, MD, IF (he/him/his)Director, San Diego Sexual Medicine5555 Reservoir Drive, Suite 300, San Diego, CA 92120Director, Sexual Medicine, UC San Diego Health East Campus, San Diego, CAClinical Professor of Urology, University of California at San DiegoVoluntary Clinical Professor of Obstetrics, Gynecology and Reproductive ServicesPast President, International Society for the Study of Women’s Sexual HealthPast President, Sexual Medicine Society of North AmericaEditor Emeritus, Sexual Medicine Reviews, The Journal of Sexual Medicine, International Journal of Impotence Researchphone: 619 265-8865fax: 619 265-7696mobile: 619 987-7432dr.irwingoldstein@gmail.comhttp://www.sandiegosexualmedicine.comLike us on Facebook: https://www.facebook.com/SDSexMedtwitter.com/SDSexualMedSee omnystudio.com/listener for privacy information.

Why does sex sometimes feel like a chore or worse, a pain? And does your GP really care what your "down there" looks like during a pap smear? In this episode, Claire Murphy and Dr. Mariam dive deep into the complexities of sexual health and pelvic wellness. They are joined by sexual medicine consultant Dr. Karen Freilich to break down the science of dyspareunia (painful intercourse). From the "Car Alarm" theory of pain to the "Accelerator and Brake" model of desire, we explore why your body might be tensing up and how to hit the reset button. Plus, in Med School, we tackle a viral TikTok myth: Is women's saliva more acidic than men's, and does that mean we're doomed to more cavities? We look at the research (or lack thereof) and why "pink" toothpaste isn't a thing. And, in the Quick Consult, Dr. Mariam answers Kayla’s burning question: When you're in the stirrups for a cervical screening, can the doctor see your butthole? (Hint: They’re more worried about their laundry than your anatomy). GET IN TOUCH Sign up to the Well Newsletter to receive your weekly dose of trusted health expertise without the medical jargon. Ask a question of our experts or share your story, feedback, or dilemma - you can send it anonymously here, email here or leave us a voice note here. Ask The Doc: Ask us a question in The Waiting Room. Follow us on Instagram and Tiktok. Support independent women’s media by becoming a Mamamia subscriber New Mamamia subscribers get $40 off — $20 off an annual membership and $20 off your TWOOBS order. Click here to subscribe.Already a subscriber? Click here for your $20 TWOOBS discount code.T&C's apply. CREDITS Hosts: Claire Murphy and Dr Mariam Guest: Dr. Karen Freilich Senior Producers: Claire Murphy and Sally Best Executive Producer: Grace Rouvray Group Executive Producer: Ilaria Brophy Audio Producer: Scott Stronach Video Producer: Julian Rosario Social Producer: Elly Moore Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.Information discussed in Well. is for education purposes only and is not intended to provide professional medical advice. Listeners should seek their own medical advice, specific to their circumstances, from their treating doctor or health care professional.Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.

Our guests this week are two accomplished sexuality professionals – Ms. Sue Goldstein and Dr. Irwin Goldstein. Ms. Sue Goldstein, a graduate of Brown University, is Sexuality Educator and Clinical Research Manager at San Diego Sexual Medicine (SDSM), responsible for sexual medicine educational programming and clinical research. She works with the SDSM team to develop clinical research projects, write protocols and oversee clinical trials. Ms. Goldstein co-authored When Sex Isn't Good to provide education and empowerment to women with sexual dysfunction. She is an associate editor of Textbook of Female Sexual Function and Dysfunction, and Female Sexual Pain Disorders, and author of multiple peer reviewed papers. Ms. Goldstein is past president of the International Society for the Study of Women's Sexual Health (ISSWSH). She served on committees in the International Society for Sexual Medicine (ISSM) and Sexual Medicine Society of North America (SMSNA). She is also a member of the American Association of Sex Educators, Counselors and Therapists (AASECT), the Association of Clinical Research Professionals (ACRP) and the International Society for Medical Shockwave Therapy. Ms. Goldstein, an ISSWSH Fellow, received the Distinguished Service Award from ISSWSH in 2017 as well as from SMSNA in 2017, and along with her husband, the Transformatory Team Award from ISSM in 2024. Dr. Irwin Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 380 publications as well as multiple book chapters and edited 7 textbooks in the field. His interests include surgery for dyspareunia, sexual health management post cancer treatment, persistent genital arousal disorder/genital dysesthesia, physiologic investigation of sexual function, and diagnosis and treatment of sexual dysfunction in all genders. Dr. Goldstein is Director of Sexual Medicine at University of California San Diego East Campus, and sees patients in his private practice, San Diego Sexual Medicine. He is a Clinical Professor of Urology and Voluntary Clinical Professor of Obstetrics, Gynecology, & Reproductive Sciences at University of California San Diego. He is past Editor-in-Chief of the International Journal of Impotence Research, The Journal of Sexual Medicine, and Sexual Medicine Reviews. He is Past President of the International Society for the Study of Women's Sexual Health (ISSWSH) and the Sexual Medicine Society of North America (SMSNA). He holds a degree in engineering from Brown University and received his medical degree from McGill University. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, in 2012 he received the ISSWSH Award for Distinguished Service in Women's Sexual Health, in 2013 he received the Lifetime Achievement Award from the SMSNA, and in 2014 he received the Lifetime Achievement Award from the International Society for Sexual Medicine (ISSM). He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. Sue and Irwin Goldstein have been titans in the field of sexology for some time now; they were there on May 14, 1998 when the first article on sildenafil (Viagra) was published with Irwin Goldstein as the first author. Listeners, if you would like to reach out to Ms. Sue Goldstein and/or Dr. Irwin Goldstein, check out the San Diego Sexual Medicine website! If you want to catch up on other shows, just visit our website and please subscribe! We love our listeners and welcome your feedback, so if you love Our Better Half, please give us a 5-star rating and follow us on Facebook and Instagram. It really helps support our show! As always, thanks for listening!  

Dr. Justin Houman is a nationally recognized urologist and Assistant Professor of Urology at Cedars-Sinai Medical Center, specializing in Men's Health, Male Fertility, and Sexual Medicine. As a fellowship-trained expert, he is committed to optimizing men's well-being through state-of-the-art, evidence-based treatments for erectile dysfunction, testosterone optimization, Peyronie's disease, and reproductive health. His patient-first approach integrates cutting-edge medical advancements with holistic lifestyle strategies, ensuring personalized, comprehensive care tailored to each individual. Dr. Houman completed his medical training at Cedars-Sinai Medical Center in Los Angeles before advancing his expertise at UCLA, home to one of the nation's top programs in Male Reproductive Medicine and Surgery. There, he mastered microsurgical and minimally invasive techniques for male infertility, hormone management, and complex urologic conditions. A recognized leader in men's health research, he frequently lectures and publishes on andrology, sexual medicine, and male reproductive health. We discuss topics including: What leads men to see a urologist? How Dr. Houman is proactive with medicine and men's health 40% of men after the age of 40 will have some time of erectile dysfunction Malnutrition and erectile dysfunction Pornography induced erectile dysfunction Dopamine hits and rush from porn   SHOW NOTES: www.justinhoumanmd.com www.towerurology.com instagram.com/justin.houman.md ___________________________________ If you have any questions regarding the topics discussed on this podcast, please reach out to Robyn directly via email: rlgrd@askaboutfood.com You can also connect with Robyn on social media by following her on Facebook, Instagram, Twitter, and LinkedIn. If you enjoyed this podcast, please leave a review on iTunes and subscribe. Visit Robyn's private practice website where you can subscribe to her free monthly insight newsletter, and receive your FREE GUIDE "Maximizing Your Time with Those Struggling with an Eating Disorder". Your Recovery Resource, Robyn's new online course for navigating your loved one's eating disorder, is available now! For more information on Robyn's book "The Eating Disorder Trap", please visit the Official "The Eating Disorder Trap" Website. "The Eating Disorder Trap" is also available for purchase on Amazon.

During my hiatus, please join me on Substack for written content and Substack Lives (also available on replay)  Go to substack.com and download the APP FREE subscribers get access to most content and Subtack LIVEs PAID subscribers get access to all content, and can attend the monthly ASK ME ANYTHING Webinars.  For a FREE subscription, go to https://drstreicher.substack.com/subscribe. If you choose to become a PAID subscriber, use this link to subscribe, and you will get 30% off (Discount can be applied for the next week)   DrStreicher.Substack.com/podcast200This is my 200th episode! So  I decided to replay a fan favorite. Dr. Steven Goldstein's perimenopause episode was among the top 5 most downloaded, with good reason.  The only thing predictable about perimenopause is that it is …unpredictable. My guest today is Dr. Steven Goldstein, a tenured professor at NYU's Grossman School of Medicine, the past President of the International Menopause Society, Past President of The Menopause Society, and one of the WORLD'S  top experts on the science of perimenopause.   The problem with the standard definition of menopause.  Why bleeding and having a period is not the same thing Why perimenopausal women bleed erratically Why anxiety and other symptoms occur during  How to interrupt FSH and estradiol blood levels The best treatment for perimenopause Why birth control pills work so well during perimenopause Myths about birth control pills  The concept of “suppression and substitution” How long perimenopause lasts What triggers perimenopause Why fibroids often grow during perimenopause How to know if symptoms are perimenopause hormonal fluctuations or something else How long someone can stay on a birth control pill When the 12-month rule doesn't hold When perimenopause and menopause hit before the age of 40.  When perimenopause hits before 40 why it needs to be treated Options if someone can't take birth control pills  When you can ignore irregular bleeding and when it needs to be evaluated What Black women need to know about perimenopause bleeding The likelihood of cancer if there is a uterine polyp and you are not bleeding Link to Steven Goldstein MD https://www.goldsteinmd.com/services/gynecologist-perimenopause-specialist/ Link to John Rock's Error ArticleLauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society.   Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  

AUA2026: Sexual Medicine Society of North America Meeting Host: Mark L. Gonzalgo, MD, PhD, MBA Guest: Landon Trost, MD, To register for AUA2026, please visit auanet.org/AUA2026/register!

In this episode, I continue my conversation with pelvic floor physical therapist Dr. Rachel Gelman. We cover what actually brings people — of all genders — to see a pelvic floor PT, from pain and constipation to erectile dysfunction and urinary urgency. Rachel breaks down what a prostatectomy really does to sexual function, whether men can get sensation back after prostate removal, and why erectile dysfunction is almost always multifactorial. We also get into how the pelvic floor behaves during orgasm, why some people experience cramping or pain afterward, the fascinating jaw-pelvis connection, and the nerve link between your feet and your pelvic floor (yes, really). And Rachel shares her top tips for maintaining a healthy pelvic floor — including why she prescribes masturbation and vibrators far more often than Kegels.In this episode:00:00 - Podcast Intro & Show Hook00:30 - Welcome Back & Part 1 Recap01:10 - Why Vulva & Penis Owners Visit a Pelvic Floor PT02:40 - Pain, Constipation & Gender-Neutral Symptoms03:50 - Erectile Dysfunction, Urinary Urgency & More05:00 - Diastasis Recti — Not Just a Women's Issue05:40 - What Is a Prostatectomy & How It Affects Sexual Function07:30 - Can You Get Sexual Function Back After Prostate Removal?09:00 - Erectile Dysfunction: Is It Ever Just a Pelvic Floor Issue?10:30 - How the Pelvic Floor Functions During Orgasm12:00 - Why You Might Feel Cramping After Orgasm12:50 - The Jaw-Pelvis Connection You Never Knew About14:30 - Feet, Nerve Roots & Toe-Curling Orgasms — Explained15:40 - Tips for a Healthy Pelvic Floor — Starting with Bowel Health17:00 - Why Rachel Prescribes Masturbation & Vibrators Over Kegels18:15 - Vibrator Recommendations for People with a Penis19:20 - When & How to Find a Pelvic Floor Specialist20:00 - Where to Find Dr. Rachel Gelman, Outro & Wrap-UpWant a deeper look? Watch the full episode on YouTube for a more visual experience of today's discussion. This episode is best enjoyed on video—don't miss out!Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.Looking for some fresh perspective on sex in midlife? You can find me here:Email: karen@taboototruth.comWebsite: https://www.taboototruth.com/Instagram: https://www.instagram.com/taboototruthYouTube: https://www.youtube.com/@taboototruthpodcastAbout the guest: Dr. Rachel Gelman PT, DPT, CSC (she/her/hers) is a clinician, writer and educator. She received her Doctorate in Physical Therapy from Samuel Merritt University where she completed her clinical internship in pelvic floor rehabilitation. She has a special interest in sexual health and has received a certificate in sexuality counseling from the University of Michigan and is an AASECT certified sexuality counselor. She is a member of several sexual medicine associations including the International Society of Sexual Medicine and the International Society for the Study of Women's Sexual Health. She is the owner and founder of Pelvic Wellness & Physical Therapy in San Francisco. She is also an adjunct instructor at Samuel Merritt University where she teaches the pelvic health curriculum in the Doctor of Physical Therapy program.Connect with Dr. Rachel Gelman:Website: https://www.pelvicwellpt.com/Instagram: https://www.instagram.com/pelvichealthsfAbout the host: Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.Looking for some fresh perspective on sex in midlife? You can find me here:Email: karen@taboototruth.comWebsite: https://www.taboototruth.com/Instagram: https://www.instagram.com/taboototruthYouTube: https://www.youtube.com/@taboototruthpodcastSubstack: https://karenbigman.substack.comTake control of your pleasure with my Pleasure Playbook, filled with tips to help you connect with your body and enhance intimacy. Download it now at www.taboototruth.com/pleasureplaybook.LINKS, EXCLUSIVE VIP DISCOUNTS, COURSES & FREEBIES

As a gynecologist, I help women with the physical, hormonal, and medical aspects of sexual response: eliminate sexual pain, and help women who can't orgasm due to an SSRI, diabetes or vascular disease. I am not a therapist. I do not treat the psychosocial aspects of sexual difficulties or address the mind-body connection. And that is why the work I do depends on experts like  my guest today, Dr. Lori BrottoDr. Lori Brotto is a registered psychologist, researcher, and global leader in women's sexual health. A Professor at the University of British Columbia and Distinguished University Scholar, she has spent more than two decades developing and validating evidence-based treatments for women's sexual concerns and is widely recognized for pioneering the use of mindfulness in sexual health. She co-developed eSense to translate this body of research into accessible, evidence-based care beyond traditional clinical settings.  Dr. Brotto has authored more than 280 scientific publications and is also the author of Better Sex Through Mindfulness and its companion workbook.  In this episode: Why a sex therapist and medical clinician need to collaborate How mindfulness helps arousal and libido once there is no pain with sexual activity How well mindfulness works to increase libido The difference between mindfulness and cognitive behavioral therapy Why women avoid sex (besides pain)  The circular sexual response cycle If most sex therapists are aware of the impact of menopause symptoms The role of systemic testosterone and libido The eSense Health tool for individualized digital access to CBT and mindfulness Why Dr. Brotto developed eSense Health What eSense is How eSense works and how well it works Who eSense is for How this tool helps women  Living with a cancer diagnosis PTSD History of trauma History of sexual abuse With different cultural and religious backgrounds What to expect during an eSense session The cost of eSense Linked In https://www.linkedin.com/in/lori-brotto-9974a236/ Instagram @drloribrotto Information about eSense HEALTHeSense Health is a digital health company focused on closing the care gap in women's sexual health. The e-Sense program is based on proven therapeutic approaches, including CBT and mindfulness, and turns them into a structured self-guided experience that women can access privately. It offers support that's similar to what you might receive in therapy, but in a more accessible and affordable format. To learn more and sign up for updates, visit: https://esensehealth.com/contact/ IG: https://www.instagram.com/esensehealth/   YouTube: Episode 195 Vulvar Relief with Dr. Andrew GoldsteinCOME AGAIN is a 30-part audio series to address the biological, hormonal, and medical issues that can sabotage your sex life. This solution-driven, science-based guide will help get your libido to kick in and your clitoral nerve endings to wake up.For more information, go to DrStreicher.com/COMEAGAINDr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar Lauren Streicher MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.   LINKS Subscribe To Dr. Streicher's Substack Information About COME AGAIN Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD   Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. 

In this episode, I sit down with pelvic floor physical therapist Dr. Rachel Gelman to uncover the one part of the male body that almost no one talks about — the pelvic floor. From erection strength to ejaculation control and orgasm intensity, Rachel breaks down exactly how these muscles work in men and women alike, why most people are walking around with a pelvic floor that's too tense (not too weak), and why Kegels may be the most over-prescribed exercise in sexual health. We also get into male incontinence, what a pelvic floor internal exam actually looks like, how consent is handled in the clinical setting, and why trauma plays a bigger role in pelvic floor treatment than most people realize. This is Part 1 — and trust me, you don't want to miss Part 2.In this episode:00:00 - Podcast Intro & Show Hook00:30 - Welcome & Karen's Introduction01:15 - Meet Dr. Rachel Gelman – Pelvic Floor PT02:40 - Women Are Learning About Pelvic Floor PT — But What About Men?03:45 - Half of Rachel's Patients Are Men04:30 - The Pelvic Floor Is Gender Neutral05:15 - Pregnancy & the Pelvic Floor — The Common Misconception06:10 - How the Pelvic Floor Works: The Muscular Hammock Explained07:50 - Sexual Function & the Pelvic Floor (For All Genders)09:30 - Karen's Tight Pelvic Floor — And Why Kegels Were Wrong for Her10:40 - Why Most People Have a Tense, Not Weak, Pelvic Floor12:00 - The Kegel Myth & Over-Prescription12:45 - Pelvic Floor Machines: Do They Help or Hurt?13:30 - Male Incontinence — How It Works & What Causes It15:10 - Prostate Surgery & Its Impact on the Pelvic Floor15:50 - The Internal Exam — Consent, Comfort & What to Expect16:55 - Trauma, Body Language & Knowing When NOT to Proceed17:25 - Wrap-Up, Part 2 Teaser & Outro Want a deeper look? Watch the full episode on YouTube for a more visual experience of today's discussion. This episode is best enjoyed on video—don't miss out!Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.Looking for some fresh perspective on sex in midlife? You can find me here:Email: karen@taboototruth.comWebsite: https://www.taboototruth.com/Instagram: https://www.instagram.com/taboototruthYouTube: https://www.youtube.com/@taboototruthpodcastAbout the guest: Dr. Rachel Gelman PT, DPT, CSC (she/her/hers) is a clinician, writer and educator. She received her Doctorate in Physical Therapy from Samuel Merritt University where she completed her clinical internship in pelvic floor rehabilitation. She has a special interest in sexual health and has received a certificate in sexuality counseling from the University of Michigan and is an AASECT certified sexuality counselor. She is a member of several sexual medicine associations including the International Society of Sexual Medicine and the International Society for the Study of Women's Sexual Health. She is the owner and founder of Pelvic Wellness & Physical Therapy in San Francisco. She is also an adjunct instructor at Samuel Merritt University where she teaches the pelvic health curriculum in the Doctor of Physical Therapy program.Connect with Dr. Rachel Gelman:Website: https://www.pelvicwellpt.com/Instagram: https://www.instagram.com/pelvichealthsfAbout the host: Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.Looking for some fresh perspective on sex in midlife? You can find me here:Email: karen@taboototruth.comWebsite: https://www.taboototruth.com/Instagram: https://www.instagram.com/taboototruthYouTube: https://www.youtube.com/@taboototruthpodcastSubstack: https://karenbigman.substack.comTake control of your pleasure with my Pleasure Playbook, filled with tips to help you connect with your body and enhance intimacy. Download it now at www.taboototruth.com/pleasureplaybook.LINKS, EXCLUSIVE VIP DISCOUNTS, COURSES & FREEBIES

When it comes to consent violations in BDSM, D/S, and kink, it can almost feel reflexive for those with experience to point their fingers at those who are new or less experienced. Not only that, but this ‘blame game' often papers over the lifestyle's much deeper and dangerous problem; hint, it is not just BDSM gone wrong like spanking too hard. However, Negative Nellie did not take over the podcast because the lifestyle does some amazing things right with consent, too. Discover what you must know about one of BDSM's biggest challenges as well as what it is getting right, all backed by theresearch. Oh, and that research, it is all listed here if you want to take a deep dive. Content warning: Heavy topic, SA, discussed.Sources:Bowling, J., Wright, S., Stambaugh, R.J., Gioia, D., &Cramer, R. (2020). Consent Survey 2020 Report. National Coalition for SexualFreedom. https://ncsfreedom.org/wp-content/uploads/2021/01/Consent-Survey-2020-report.pdfFanghanel, A. (2020). Consent violations and community normsin BDSM spaces. Sexualities. https://doi.org/10.1177/1363460719828933Dunkley, C. R., & Brotto, L. A. (2020). The role of consent in the context of BDSM. Sexual Abuse: A Journal of Research andTreatment, 32(6), 657–678. https://doi.org/10.1177/1079063219842847Harris, E. A., Morgenroth, T., Crone, D. L., Morgenroth, L.,Gee, I., & Pan, H. (2023). Sexual consent norms in a sexually diverse sample. Archives of Sexual Behavior, 53, 577–592. https://doi.org/10.1007/s10508-023-02741-0Tarleton, H. L., Mackenzie, T., & Sagarin, B. J. (2024).Consent norms in the BDSM community: Strong but not inflexible. Archives of Sexual Behavior. https://doi.org/10.1007/s10508-024-03038-6Klement, K. R., Sagarin, B. J., & Lee, E. M. (2017).Participating in a culture of consent may be associated with lower rape-supportive beliefs. Journal of Sex Research, 54(1), 130–134. https://doi.org/10.1080/00224499.2016.1168353Wismeijer, A. A. J., & van Assen, M. A. L. M. (2013).Psychological characteristics of BDSM practitioners. The Journal of Sexual Medicine, 10(8), 1943–1952. https://pubmed.ncbi.nlm.nih.gov/23679066/

Preventing Dementia: Estrogen? Testosterone? Prevogen™?On November 10, 2025, the Secretary of Health and Human Services, Dr. Marty Markary, along with the head of the FDA, RFK Jr, announced that hormone therapy would “reduce Alzheimer's by 35%." Where does that statistic come from? And should all women take hormone therapy to stave off dementia later in life? In this episode, I take a deep dive into the science of hormone therapy and  Prevogen™...and what you can do to decrease the risk of Alzheimer's disease by almost 50%.  The impact of hormone therapy on cognition in different phases of life Current scientific studies to determine if it is beneficial to  take hormone therapy to prevent Alzheimers How best to measure the risk of Alzheimer's The “Science” behind  Prevogen How OTC neutraceuticals get past the FDA Action steps to decrease the risk of Alzheimers COME AGAIN is a 30-part audio series to address the biological, hormonal, and medical issues that can sabotage your sex life. This solution-driven, science-based guide will help get your libido to kick in and your clitoral nerve endings to wake up.For more information, go to DrStreicher.com/COMEAGAINDr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.   LINKS Subscribe To Dr. Streicher's Substack Information About COME AGAIN Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.    

Oh, you're curious about or into BDSM?You have a mental disorderYou must be unhappyYou had a traumatic childhoodYou're dominant? All that means is you cannot take no for an answer. Oh, I'm sorry, you're actually submissive? Well, that is just kink slang for someone who cannot make decisions.There are so many myths and misconceptions when it comes to mental health and BDSM, D/S, and kink. These often hurtful fallacies do more than just sting in the moment; they can causesomeone to not embrace a core part of who they are. Plus, they are so common that it is easy to come to believe there must be truths attached to them.This episode dissects the myths using peer-reviewed research, and I promise it is not a boring psych lecture.Find out what the research actually tells us!Please note: While this covers some of the common misconceptions about mental health and BDSM, this is by no means a complete list. The research reflects patterns across populations, not a universal experience. Individual journeys vary, and that is worth acknowledging.Sources:Wismeijer, A.A. and Van Assen, M.A. "PsychologicalCharacteristics of BDSM Practitioners." Journal of Sexual Medicine (2013) 10:1943Lecuona, O., Martínez-Barajas, O., Gimeno-Martín, A., et al."Not Twisted, Just Kinky: Replication and Structural Invariance of Attachment, Personality, and Well-Being Among BDSM Practitioners." Journal of Sexual Medicine (2025) 72(6):1079-1108Sagarin, B.J., Cutler, B., Cutler, N., et al. "HormonalChanges and Couple Bonding in Consensual Sadomasochistic Activity." Archives of Sexual Behavior (2009) 38:186-200Brown, A., Barker, E.D., Rahman, Q. "A SystematicScoping Review of the Prevalence, Etiological, Psychological, and Interpersonal Factors Associated with BDSM." Journal of Sex Research (2020) 57(6):781-811Holvoet, L., Huys, W., Coppens, V., Seeuws, J., Goethals,K., and Morrens, M. "Fifty Shades of Belgian Gray: The Prevalence of BDSM-Related Fantasies and Activities in the General Population." Journal of Sexual Medicine (2017) 14:1152-1159Pliskin, A.E. "Social and Emotional Intelligence (SEI)in BDSM." Journal of Positive Sexuality (2018) 4(2):48-55Jansen, K.L., Fried, A.L., and Chamberlain, J. "An Examination of Empathy and Interpersonal Dominance in BDSM Practitioners."Journal of Sexual Medicine (2021) 18(3):549-555

In this episode, Dr. Rena Malik, MD sits down with Dr. Irwin Goldstein, a pioneer in sexual medicine, to unravel the complexities of orgasm, erectile dysfunction, and the impact of common medications on sexual health. They explore cutting-edge research on orgasm phases, discuss medication-induced sexual dysfunction, and highlight practical solutions and therapies for both men and women. Listeners will walk away with actionable knowledge about optimizing sexual health, understanding new treatment options, and the importance of seeking expert care for sexual concerns. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00:00 Introduction00:02:48 Phases of orgasm00:10:25 Differences in orgasm disorders00:18:06 Treatments and therapies00:30:54 Medication-induced sexual dysfunction00:42:18 Erectile dysfunction causes00:51:59 Hard flaccid syndrome01:03:48 Shockwave and PRP therapy01:13:34 Female sexual function misconceptions01:21:00 Hormonal birth control effects01:28:34 Long-term use of ED medications Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

In the world of medical influencers, the only thing crazier than the menopause world is the skin world. There are a lot of people who are making millions selling lotions and potions that promise to make your 50-year-old skin look like it did when you were 20.Enter Dr. Ellen Gendler- you know her-the New York dermatologist who is the voice of reason, and wildly entertaining, but most importantly, the voice of science in a sea of skin-fluencers. I asked for your questions, and you delivered! SO strap in for this rapid fire Q and A!Some of the topics we covered: Microneedling Loose skin Crepey skin Peptides Skin brighteners Hydroquinone Brown spots Itchy skin Plumping earlobes  Sunscreen Face injections Thinning hair Ketoconazole shampoo Oral minoxidil Scalp massage Nutrafol Shampoo Droopy eyes vs droopy brows Marionette lines Fillers And so much more...Dr. Ellen Gendler is a Clinical Associate Professor of Dermatology at NYU Langone Medical CenterInsta: @ellengendlermdEpisode 117 Top Tips for Terrific Skin & Hair with Dr. Ellen GendlerCOME AGAIN is a 30-part audio series to address the biological, hormonal, and medical issues that can sabotage your sex life. This solution-driven, science-based guide will help get your libido to kick in and your clitoral nerve endings to wake up.For more information, go to DrStreicher.com/COMEAGAINDr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.   LINKS Subscribe To Dr. Streicher's Substack Information About COME AGAIN Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD   Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                     

Send a textWe explore  findings from three recent scientific studies that show how flexible expectations, strong relationships, and emotional meaning shape a lifetime of sexual satisfaction in marriage. Bouchard KN, Cormier M, Huberman JS, Rosen NO. Sexual script flexibility and sexual well-being in long-term couples. Journal of Sexual Medicine. 2023. Tavares IM, Rosen NO, Heiman JR, Nobre PJ. Longitudinal associations between relational and sexual well-being. Family Process. 2024. Henninger W, Heinz M, Taylor N. Love, Sex & Aging. Social Sciences. 2025.Warning: We cover necessary and important topics about the marriage relationship and sex. We use frank language without being crude or crass. Our approach is biblical and wholesome, but not intended for singles — especially not for children.Additional info:Ladies, make your voice and experience heard, take part in new sex research: The Lived Experience of Marital Sex: Women's Perspectives -- www.surveymonkey.com/r/QRWQPWKJoin us at the Intimate Covenant Annual Marriage Retreat -- details and registration: www.intimatecovenant.com/retreatRiverHills Retreat Marriage Enrichment Weekend -- Hayden, Alabama; April 18th. Register here: intimatecovenant/alabamaPlease support these companies that support Intimate Covenant:Married Dance — https://marrieddance.com/?aff=29 We're a Christian-friendly, marriage-centered sex toy and marital aid store for couples that's nudity-free.  Shop from this link for special savings and part of your purchase will support Intimate Covenant.  Coconu — http://www.coconu.com Coconu is committed to helping people lead healthier, happier lives by offering 100% safe and organic personal care products.  Your purchase helps support Intimate Covenant AND you get 15% OFF. Coupon Code: intimateconvenantDating Divas — https://thedatingdivas.myshopify.com?sca_ref=6278443.H6eWDeXGfx Strengthening marriages one date at a time. Shop from this link and your part of your purchase will help support Intimate Covenant. Check out their Sexy Subscription Boxes!Honoring Intimates — https://www.honoringintimates.com/?ref=INTIMATECOVENANT Modest and classy premium lingerie, model-free. Get 20% off and support Intimate Covenant with your purchase.Ginger & Peach — https://www.gingerandpeachlingerie.com/ Ginger & Peach lingerie is a Christian husband and wife owned brand bringing classy, model-free lingerie to the market. Get 10% off your order and support Intimate Covenant with code: “INTIMATECOVENANT"  To send your comments, questions and suggestions, go to our website: www.intimatecovenant.com/podcast and click on the button: “Contact the Podcast” for an ANONYMOUS submission form. Or, send an email: podcast@intimatecovenant.com   Thanks for sharing, rating, reviewing and subsSupport the show

AFH: Season 2, Episode 5Featuring Chantelle Otten (IG: Chantelle Otten)About the Guest:Chantelle Otten is a world-renowned psycho-sexologist, relationship expert, and Director of the Australian Institute of Sexology and Sexual Medicine (AISSM). Now based in New York City, she blends rigorous science with style and real-world relevance to lead progressive global conversations about desire, connection, and emotional wellbeing.Holding a Master of Science in Medicine (Sexual Health and Psychosexual Therapy) from the University of Sydney, Chantelle is a member of the European Society of Sexual Medicine with peer-reviewed research published in Nature Reviews Urology and The Journal of Sexual Medicine. She is the host of Audible's chart-topping podcast Sex Therapy: Sessions with Chantelle Otten, co-host of Bumble's global dating podcast Give Me a Buzz, and author of the award-winning book The Sex Ed You Never Had. Her collaborations span Spotify, Goop, Bumble, Audible, and Kérastase, with features across ELLE, Marie Claire, Cosmopolitan, and more.Chantelle is leading a new, inclusive era of intimacy education worldwide.Guest Info:Instagram Chantelle OttenSubstackFollow Me:Instagram: @afinehuman Shop Dame: dame.com This podcast was produced by aurielle sayeh, filmed by @thetellychannel, and powered by @dameproducts.

In this episode, join me in my living room for a conversation between me, Christie Hefner, and the author of a just released book, Intimate Animal by Justin Garcia, an evolutionary biologist and international authority on the science of sex and relationships and the Executive Director of the world-renowned Kinsey Institute. The Intimate Animal explores: Why we love who we love? Why do we stay in unfulfilling relationships and stray from rewarding ones? Is it ever a good idea to open a relationship? How has the digital age affected courtship? And why do some longtime couples crash and burn while others stay madly in love?  The difference between intimacy and sex If evolution is driven by sex or intimacy   Dating in a digital world If ending a relationship is the same as a failed relationship The number one thing people are looking for in a partner ..and much moreDr. Justin Garcia is an evolutionary biologist and international authority on the science of sex and relationships. Since 2019, he has served as the Executive Director of the world-renowned Kinsey Institute, where he is also a Senior Scientist. Dr. Garcia holds a Ph.D. in evolutionary biology and M.S. in biomedical anthropology from Binghamton University and an Executive Certificate in Public Leadership from Harvard Kennedy School.Dr. Garcia is currently the Chief Scientific Advisor to Match where he provides expertise for the annual Singles in America study. He has co-authored over 100 academic articles and book chapters and is co-author of Evolution and Human Sexual Behavior.  https://www.amazon.com/Intimate-Animal-Science-Fidelity-Live/dp/0316594032The recent article in People Magazine mentioned during the episode:https://people.com/justin-garcia-the-intimte-animal-essay-exclusive-11894513To hear more about Dr. Garcia's work with Match.com: Episode 50 Dating in a Digital World-The Kinsey Report on with Dr. Justin Garcia  https://www.amazon.com/Intimate-Animal-Science-Fidelity-Live/dp/0316594032COME AGAIN is a 30-part audio series to address the biological, hormonal, and medical issues that can sabotage your sex life. This solution-driven, science-based guide will help get your libido to kick in and your clitoral nerve endings to wake up.For more information, go to DrStreicher.com/COMEAGAIN Dr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.   LINKS Subscribe To Dr. Streicher's Substack Information About COME AGAIN Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.    

Perplexed by patients with normal exams but persistent symptoms like recurrent UTIs or palpitations? It could be menopause. In this insightful episode of Succeed In Medicine podcast, host Dr. Bradley Block interviews Dr. Lauren Streicher. They explore commonly overlooked menopause symptoms beyond hot flashes: recurrent urinary tract infections tied to genitourinary syndrome of menopause (GSM), palpitations as "hot flashes of the heart" (often sinus tachycardia without EKG changes), GI microbiome shifts causing nebulous digestive issues, xerostomia (dry mouth) linked to oral health risks, and skin/hair changes like alopecia. Dr. Streicher emphasizes reassuring patients early, validating symptoms as hormonal, and tailoring treatments, vaginal estrogen, safe even for breast cancer patients, systemic hormones, or new non-hormonal NK3 receptor antagonists like fezolinetant. They discuss the SWAN study's findings on long-term risks from untreated hot flashes (e.g., cardiovascular disease, bone loss), the need to differentiate perimenopausal (temporary) vs. lifelong postmenopausal effects, and avoiding arbitrary hormone therapy stops after 5 years. The conversation also touches on sexual health gaps in medicine, with tips for better history-taking and resources like Dr. Stryker's "Come Again" course. Listeners, clinicians and patients alike, will gain tools to address menopause holistically, improving quality of life and preventing complications. Three Actionable Takeaways: Recognize GSM in Recurrent UTIs: For postmenopausal women with new-onset recurrent UTIs, suspect genitourinary syndrome of menopause, prescribe local vaginal estrogen (cream, suppository, or ring) to restore microbiome and tissue health; it's safe for most, including breast cancer survivors on aromatase inhibitors. Reassure on Palpitations First: When midlife women present with palpitations, lead with "This is common in perimenopause (up to 50% affected) likely autonomic dysfunction like a 'heart hot flash'"; order a Holter monitor, but emphasize it's often benign and tied to vasomotor symptoms, treatable with hormones or NK3 antagonists. Integrate Sexual History Properly: Ditch "Are you sexually active?",  ask "Many women in menopause experience low libido, pain with sex, or orgasm difficulty; are any of these issues for you?"; refer to resources like Dr. Streicher's course for evaluation scripts, screeners, and solutions to address 50% of patients' unspoken concerns. About the Show: Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school! About the Guest: Dr. Lauren Streicher is a clinical professor of OB-GYN at Northwestern University and founding director of its Center for Sexual Medicine and Menopause. A certified menopause practitioner, she serves on the Menopause journal's editorial board, is a Kinsey Institute fellow, and authors bestsellers like "Sex Rx" and "Hot Flash Hell." She hosts "Inside Information" podcast and created "Come Again" audio series on postmenopausal sexuality. Connect with Dr. Lauren Streicher: Website: https://www.drstreicher.com Email: info@drstreicher.com  About the Host: Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physicians Want to be a guest? Email Brad at brad@physiciansguidetodoctoring.com  or visit www.physiciansguidetodoctoring.com to learn more! Socials: @physiciansguidetodoctoring on Facebook @physicianguidetodoctoring on YouTube @physiciansguide on Instagram and Twitter This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

 Of all of the vulvar conditions out there, two of the most frustrating to treat are VULVODYNIA and LICHEN SCLEROSUS.  Even when properly diagnosed, treatment can be challenging. But help is on the way! In this episode, Dr. Andrew Goldstein discusses new cutting-edge research and treatments for both vulvodynia and lichen sclerosus. Dr. Goldstein describes 5 ongoing studies and how you can participate in this groundbreaking research. This is truly one of the most exciting and groundbreaking interviews I have ever done, which will change the lives of millions of women who suffer from vulvar conditions.VULVODYNIA AND VESTIBULODYNIA Definition of vulvodynia and vestibulodynia Symptoms of vulvodynia and vestibulodynia Why these conditions are underdiagnosed How to get an accurate diagnosis The role of tight pelvic floor muscles Why it is important to examine the belly button  Current treatments When surgery is appropriate 3 New Vestibulodynia Research Studies! Ketotifen StudyKetotifen fumarate is a topical medication used to reduce nerve sensitivity and inflammation. It was recently identified by a group of vulvodynia experts as the best option to research for treatment of provoked nerve pain at the vulvar vestibule.The purpose of this study is to evaluate the safety and effectiveness of ketotifen fumarate 0.25% cream for treating vestibular nerve pain. The study willinclude 4 clinic visits over an approximately 15-week period. Resiniferatoxin (RTX) StudyPelvic Floor Study LICHEN SCLEROSUS Definition of Lichen Sclerosus (LS)  Why it is important to treat Who gets it Symptoms (and lack of symptoms) of LS Why an adequate vulvar exam is so important Current treatment of LS 2 Research StudiesJaK-Stac Pathway InhibitorsStrataMGT™To participate in vulvodynia and lichen sclerosus researchE-mail: Research.cvvd@gmail.comOther LINKSDr. Goldsteons webiste: vulvodynia.com How to get a Hands-free vulvar viewSubstack Post :Vulvar Care: The Dos, The Don't and the MythsStrataMGT can be purchased outside of a study protocol. It is NOT to be used instead of your prescribed medication, but as an adjunct.  https://us.stratamgt.com/COME AGAIN is a 30-part audio series to address the biological, hormonal, and medical issues that can sabotage your sex life. This solution-driven, science-based guide will help get your libido to kick in and your clitoral nerve endings to wake up.For more information, go to DrStreicher.com/COMEAGAINDr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.   LINKS Subscribe To Dr. Streicher's Substack Information About COME AGAIN Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.    

Can taking testosterone help with low libido and energy?It's all over social media and is often touted by celebs - both male and female - but is testosterone replacement therapy the answer to listener Clive's low energy levels? Clive got in touch after sending off for a blood test with an online health firm which showed he might have low testosterone and could be a candidate for therapy. But to buy it privately isn't cheap and once started, is a lifelong commitment. So is it worth the money?Presenter Greg Foot is joined by President of the British Society of Sexual Medicine, Mike Kirby, as well as NHS GP and Director of Men's Health at Manual, Dr Jeff Foster.If you've seen an ad, trend or wonder product promising to make you happier, healthier or greener, email us at sliced.bread@bbc.co.uk or send a voice note to our WhatsApp number, 07543 306807.RESEARCHER: PHIL SANSOM PRODUCERS: SIMON HOBAN AND GREG FOOT

One out of ninety women will develop ovarian cancer in her lifetime. It is the second most common gynecologic cancer and the fifth leading cause of death among women from cancer. Roughly 25% percent of ovarian cancer is hereditary. If a woman is a carrier of one of the gene mutations associated with ovarian cancer, her risk is strikingly higher than the risk of the general population.  But most women who carry this genetic mutation…don't know it.  My guest is Dr. Michelle Jacobson, an internationally recognized expert in menopause and cancer survivorship who has dedicated her professional life to educating women about hereditary cancer syndromes- who should be screened, and what to do with that information. She is an assistant professor at the university of Toronto, the chief of OBGYN for Osler Health Systems and the lead author of The Society of Obstetricians and Gynaecologists of Canada Clinical Guidelines on menopause management after breast cancer and is also the host of the Hysterical Women's Podcast.www.covenhealth.comInsta: @covenhealth We discuss how to know if you fall into a high-risk group, and if you do, what to do about it. We also discuss prevention and detection of ovarian cancer if you do not have a genetic predisposition. Link to study on use of hormone therapy with a BRCA mutationhttps://drstreicher.substack.com/p/can-women-at-the-highest-risk-ofFacing Our RiskNational  Comprehensive Care NetworkDr. Michelle Jacobsonwww.covenhealth.comInsta: @covenhealth Facebook: coven women's health  https://www.facebook.com/share/1J4vcK2fie/?mibextid=wwXIfrLinked in: Dr. Michelle Jacobson OBGYN  http://linkedin.com/in/dr-michelle-jacobson-obgyn-763028310  COME AGAIN is a 30-part audio series to address the biological, hormonal, and medical issues that can sabotage your sex life. This solution-driven, science-based guide will help get your libido to kick in and your clitoral nerve endings to wake up.For more information, go to DrStreicher.com/COMEAGAINDr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.   LINKS Subscribe To Dr. Streicher's Substack Information About COME AGAIN Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD   Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                     

Can taking testosterone help with low libido and energy?It's all over social media and is often touted by celebs - both male and female - but is testosterone replacement therapy the answer to listener Clive's low energy levels? Clive got in touch after sending off for a blood test with an online health firm which showed he might have low testosterone and could be a candidate for therapy. But to buy it privately isn't cheap and once started, is a lifelong commitment. So is it worth the money?Presenter Greg Foot is joined by President of the British Society of Sexual Medicine, Mike Kirby, as well as NHS GP and Director of Men's Health at Manual, Dr Jeff Foster.If you've seen an ad, trend or wonder product promising to make you happier, healthier or greener, email us at sliced.bread@bbc.co.uk or send a voice note to our WhatsApp number, 07543 306807.RESEARCHER: PHIL SANSOM PRODUCERS: SIMON HOBAN AND GREG FOOT

Women who are in the throes of menopause are never thrilled about having hot flashes, but they aren't particularly surprised by them.  It's other symptoms that often blindside women, including symptoms that are not often associated with menopause.Esoteric symptoms are different than unusual symptoms. An unusual symptom is something that rarely occurs. An esoteric symptom, on the other hand, is one that occurs commonly, but is rarely discussed and often not well understood. My guest is Makeba Williams, MD, FACOG, MSCP a Professor of OB-GYN and the Director of the Center for Health Awareness and Research on Menopause at the University of IllinoisWe discuss: Tingling Skin Other Skin Changes Ringing in the Ears Hearing Loss Dry, Burning Eyes Dry Mouth  Facial Changes Sleep Apnea Voice Changes Palpitations Reflux, Bloating, Frequency of Bowel Movements Arthritis/Joint Pain Bladder Symptoms For more information on post menopause hearing loss: Estrogen and Your Ears For more information on post menopause dry mouth: Dry Mouth? I'm Doing Some Research For more information on post menopause palpitations: Palpitations in Mid-life Women For more information on post menopause gastrointestinal changes: Menopause and the Gut COME AGAIN is a 30-part audio series to address the biological, hormonal, and medical issues that can sabotage your sex life. This solution-driven, science-based guide will help get your libido to kick in and your clitoral nerve endings to wake up.For more information, go to DrStreicher.com/COMEAGAIN Dr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.   LINKS Subscribe To Dr. Streicher's Substack Information About COME AGAIN Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD   Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                     Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.    o   

Dr. Jen Ashton- you know her as the chief medical correspondent for ABC News and Good Morning America, who appeared in your home every morning, explaining the hot topics in health.  Today, we talk about her pivot into her passion- fitness and wellness- and how to incorporate into the second half of your life..and love your age.  How Dr. Ashton ended up as an anchor on Good Morning America How she has reinvented herself as a wellness and obesity expert We revisit “The Reinvention Convention we participated in years ago The key traits of women who “Love their Age.” Why Dr. Ashton is learning to play Mah Jong How to plan for the second half of life For women who don't love their age, what should they accept and… not accept Dr. Ashton's Wellness Experiment The difference between wellness and longevity What most doctors get wrong about nutrition The concept of “nutritional gynecology”  “Super foods” Menopause nutrition Exercise after age 55- for the avid exerciser and the never excerciser Why BAREFOOT Training is important Dr. Jennifer Ashton is board-certified in OB-GYN and Obesity Medicine with a Master's degree in Nutrition from Columbia University. She is the Founder and President of Ajenda, a multimedia health platform focused on science-driven metabolic and hormonal health for women. For 12 years, Dr. Ashton was seen by millions of people daily on national television as the  Chief Medical Correspondent for ABC News and co-host of  GMA3: What You Need to Know.  She was the first woman and only the third physician to hold that role in network history. https://www.instagram.com/drjashton/?hl=enhttps://www.instagram.com/joinajenda/?hl=enhttps://www.joinajenda.com/experiment COME AGAIN is a 30-part audio series to address the biological, hormonal, and medical issues that can sabotage your sex life. This solution-driven, science-based guide will help get your libido to kick in and your clitoral nerve endings to wake up.For more information, go to DrStreicher.com/COMEAGAINDr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.   LINKS Subscribe To Dr. Streicher's Substack Information About COME AGAIN Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                     Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                     

In case you missed it, last week was quite the week in the menopause world. The FDA made a landmark decision to remove all black box warnings from estrogen products and to update the labels of individual products. I was in the room where it all happened and in this episode, I'm going to break it all down for you. But here's the headline- this label change is overall, a good thing, a very good thing. A transcript of this podcast, along with photos and graphics, can be found on DrStreicher.Substack.com In this episode:  A historical perspective of how the Black Box label came to be on all estrogen products A review of the Women's Health Initiative Study  (WHI) that lead to the specific warnings on the label.  The fall out from the release of the WHI The Problems with the Black Box label on estrogen products Class Labeling The difference between oral, transdermal and local vaginal estrogen.  How the required black box label influenced the likelihood of physicians writing a prescription for estrogen, and the likelihood that women would use hormone therapy.  Why I never stopped prescribing estrogen Last week's announcement from the FDA If it is medically appropriate to remove the black box warning from local vaginal estrogen If it is medically appropriate to remove the black box warning from systemic estrogen The inaccurate messaging during the FDA press conference The POLITICS  of WHY the FDA removed the Black Box warnings Related Podcasts:  Episode 124 All Hormones Are Not Created Equal with Dr. James Simon Episode 164 Is Bioidentical Always Best? Episode 181 The FDA Roundtable on Menopausal Hormone Therapy Related Substack Articles Top 20 Questions about Local Vaginal Estrogen Is Bioidentical Always Best? BLOOD CLOTS and ESTROGEN: The Facts Crises at the FDA Why RFK is a Scary Choice for HHS Dr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly newsletter All COME AGAIN podcast episodes Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar    Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm     Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. S   Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD    Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                        Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                                     

Human Papillomavirus, or HPV, is responsible for 6 different kinds of cancers…Cervical, anal, oral pharyngeal, vaginal,  vulvar,  and penile. So, it was a big deal when the HPV vaccine was approved in 2006 females between the ages of 9 and 26.   In 2018, the age range was expanded to include adults up to the age of 45. But, what about women over 45? Shouldn't they have the option of getting a vaccine that prevents 90% of HPV related cancers?  My guest is Dr. Vivien Brown, an Assistant Professor at the University of Toronto with a special interest in Adult Immunization and Vaccine Preventable Illness.  Dr. Brown presented HPV initiatives in Canada at the UN meetings for the Commission on the Status of Women.  Background on the Human Papilloma Virus (HPV) vaccine and HPV  Cancers associated with HPV Who should get HPV vaccines Why it is best to vaccinate young girls and boys If women with cervical cancer should still get vaccinated If people who got the original vaccine with 4 serotypes, should get the newer vaccine with 9 serotypes How much the vaccine reduces the risk of cancer Side effects of the vaccine Why the vaccine was expanded from age 26 to age 45 Vaccine efficacy is less in older women How HPV is transmitted in older women Time of exposure of HPV to cancer Reasons that women over the age of 45 are at risk of exposure to HPV The case for universal vaccinations and STI screening If MEN are (should) getting vaccinated over age 45 If women should get tested for previous infections before getting vaccinated Why Canadian dentists are now counseling and administering HPV vaccinating  If single women in their 60s should get vaccinated if they are not sexually active and have no plans for sexual activity Other vaccines recommended in older women Tetanus Pneumonia Influenza Shingles RSV Covid If it's OK to get tvaccines all at once or if dosing should be divided The Case for Seeing a Gynecologist No Matter How Old You Are                                      Vivien Brown MDCM,*CCFP, MSCP Dr. Vivien Brown, is a family physician and Assistant Professor, Department of Family & Community Medicine, University of Toronto, is renowned for her expertise in women's health, brain health, immunization, health promotion and healthy aging. *MDCM stands for Medicinae Doctorem et Chirurgiae Magistrum, which translates to "Doctor of Medicine and Master of Surgery" in Latin. It is a medical degree awarded by McGill University in Montreal, Canada.  Dr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly newsletter All COME AGAIN podcast episodes Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar    Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm   Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society.  Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology     Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                                 

Selene Yeager is not a doctor; she is a health reporter with an enormous following of women who count on her to provide evidence-based medical information.   Recently, we sat down to discuss challenges in prescribing hormone therapy for her podcast, "Hit Play, Not Pause." We had such a good conversation that I asked her if I could share her episode with my audience.  

We asked for your big questions on hormone therapy–and an avalanche ensued! This week, after 5+ years of Hit Play Not Pause, we're doing a level set on hormone therapy. This week's guest, nationally-recognized menopause expert Lauren Streicher, MD, digs into hormone therapy research, what it tells us and what it doesn't, why formulations matter, perimenopause versus postmenopause therapy, the cardiovascular implications of hot flashes, why hormone therapy needs to be personalized, and how every woman should approach her own care. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. Dr. Streicher is a Certified Menopause Practitioner of The Menopause Society, serves on the Editorial Board of the journal Menopause, and is a Senior Research Fellow for the Kinsey Institute, Indiana University. She is a Fellow in the American College of Obstetricians and Gynecologists and The International Society for the Study of Women's Sexual Health. She is also a best-selling author and the host of two podcasts. Resources:Dr. Streicher's Substack: Menopause: The Inside InfoLearn more about her and her work at www.drstreicher.comPodcasts:Menopause, Midlife and More Podcast. COME AGAIN Sexuality and OrgasmBooks:The Essential Guide to HysterectomySex Rx: Hormones, Health, and Your Best Sex Ever. Slip Sliding Away: Turning Back the Clock on Your Vagina Hot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More and Register for our Feisty 40+ Strong Retreat: https://feisty.co/events/feisty-40-strong-retreat/ Learn More and Register for our 2026 Tucson Bike Camp: https://feisty.co/events/gravel-camp-x-bike-mechanic-school/ Follow Us on Instagram:Feisty Menopause: @feistymenopause Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Support our Partners:Phosis: Use the code FEISTY15 for 15% off at https://www.phosis.com/ Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Nutrisense: Go to nutrisense.io/hitplay and use code: HITPLAY to get 30% offWahoo KICKR RUN: Use the code FEISTY to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/maTzL This podcast uses the following third-party services for analysis: Spotify Ad Analytics - https://www.spotify.com/us/legal/ad-analytics-privacy-policy/Podcorn - https://podcorn.com/privacyPodscribe -...

"Give Me the Green Life” isn't just a song lyric — it's a movement toward living fully, consciously, and healthily.In this powerful and revealing episode, we dive deep into the male side of fertility — a topic that's been ignored for far too long.Our expert guest joins us to discuss why sperm counts are dropping globally, what lifestyle factors are driving this crisis, and how men can reclaim their reproductive health naturally. From testosterone therapy pitfalls to the truth about saunas, marijuana, and modern stress, this episode uncovers it all.Dr. Justin Houman is a Board-Certified Urologist and fellowship-trained Men's Sexual and Reproductive Health specialist based in Los Angeles. His practice focuses on male fertility, erectile dysfunction, testosterone optimization, sexual performance, Peyronie's Disease, and minimally invasive procedures such as vasectomy reversals and penile implants.As an Assistant Professor of Urology at Cedars-Sinai Medical Center, Dr. Houman is dedicated to mentoring future physicians and advancing men's health through research, innovation, and education. His work has been featured in leading journals, including JAMA and the Journal of Sexual Medicine, and he has presented internationally on topics ranging from male fertility to the impact of wearable technology on health.A second-generation urologist, Dr. Houman completed his medical training at the University of Rochester and Cedars-Sinai, followed by a fellowship in Male Reproductive Medicine and Surgery at UCLA. Fluent in English, Spanish, and Farsi, he is committed to helping men enhance their quality of life through personalized, evidence-based care.

In this episode, Ali speaks with Dr. James A. Simon, a leading OB-GYN and "Menopause Whisperer," about his pioneering work in sexual medicine and menopause care. Dr. Simon discusses the challenges and importance of addressing sexual health in gynecology, the evolution of hormone therapy, and the cultural barriers that often prevent open conversations about menopause and women's sexuality.The episode highlights the need for more holistic, individualized care for women, the impact of hormones on health and wellbeing, and the progress still needed in medical education and societal attitudes. Listeners will come away with a deeper understanding of menopause, hormone therapy, and the value of compassionate, open dialogue about women's health and aging.Topics also include how aging has changed over generations, why people got scared of Hormone Replacement Therapy, the prevalence and benefits of testosterone in women, the politics of hysterectomies, how Viagra was happened upon, and how GLP-1s work. FOR MORE ALI MEZEY:ALI - WebsiteALI - LinkTreeFOR MORE JAMES:IntimMedicine Website: https://intimmedicine.com/YouTube: https://www.youtube.com/@intimmedicinespecialists5815/videosFacebook: https://www.facebook.com/IntimMedicineRestore Yourself: A Woman's Guide to Reviving Her Sexual Desire and Passion for LifeBook by Dr. James A. Simon.JAMES BIO:James A. Simon, MD, CCD, MSCP, IF, FACOGDr. James A. Simon is a board-certified Ob/Gyn, and reproductive endocrinologist. He is Clinical Professor of Obstetrics and Gynecology at The George Washington University School of Medicine in Washington, DC. Dr. Simon also holds certifications as an AASECT-Certified Sexuality Counsellor, an ISCD-Certified Clinical Bone Densitometrist, and a Menopause Society-Certified menopause specialist. He has an active private practice, IntimMedicine Specialists® in Washington, DC focused on complicated gynecology, sexual medicine for both men and women, and menopause. Dr. Simon has received numerous awards including: “Top Washington Physicians,” “America's Top Obstetricians and Gynecologists,” “Super Doctors of Washington DC-Baltimore-Northern Virginia,” and “The Best Doctors in America.” He is the only physician to serve as President of both The Menopause Society and the International Society for the Study of Women's Sexual Health. Nicknamed “The Menopause Whisperer,” by Washingtonian Magazine, Dr. Simon is an established researcher and author--completing more than 450 research trials, and more than 800 published articles, abstracts, chapters, and the paperback book: Restore Yourself: A Woman's Guide to Reviving Her Sexual Desire and Passion for Life. Dr. Simon loves riding the best rollercoasters in the world, collecting fountain pens and wristwatches, and freshwater fishing. He is a five-time Master Angler of Canada.hiker, dog trainer, and lover of nature.OTHER RESOURCES, LINKS AND INSPIRATIONS: ASECT (American Association of Sexuality Educators, Counselors and Therapists)A professional organization for sexuality educators, counselors, and therapists.ISCD (International Society for Clinical Densitometry)Organization focused on bone density and skeletal health.Menopause SocietyFormerly known as the North American Menopause Society (NAMS), dedicated to promoting the health and quality of life of women through an understanding of menopause.International Society for the Study of Women's Sexual Health (ISSWSH)Multidisciplinary, academic, and scientific organization dedicated to women's sexual health.Washingtonian Magazine ArticleRegional magazine that dubbed Dr. Simon "The Menopause Whisperer."Sexual Health AllianceOrganization and conference for sexual health professionals.Women's Health Initiative Hormone StudiesLandmark studies on hormone therapy in women.Menopause MeetingsAnnual conferences for menopause specialists.PremarinEstrogen medication derived from pregnant mares' urine, historically used in hormone therapy.Viagra (Sildenafil)Medication for erectile dysfunction, originally developed for high blood pressure.GLP-1 Receptor AgonistsClass of injectable medications for diabetes and weight loss (e.g., Ozempic, Wegovy).Dr. Dympna RenshawSouth African psychiatrist and pioneer in sexual medicine, especially in the context of trauma and dysfunction.Halle Berry, Kate WinsletCelebrities mentioned for their advocacy and openness about menopause.Contraception Marches (late 1960s)Historical reference to activism for access to contraception.[From time to time, a word or phrase goes wonky. Please forgive my wandering wifi.]

Dr. Rachel Pope explains how her sister's cancer diagnosis and a patient in Malawi asking "can you fix my vagina" opened her eyes to the massive gap in sexual health education within gynecology. As a fistula repair surgeon working in Sub-Saharan Africa for four years, Dr. Pope realized that even after successfully repairing bladder leaks, many patients couldn't have intercourse due to vaginal scar tissue yet providers never asked about sexual function. Meanwhile, her sister battling cancer was asking basic questions about intimacy that Dr. Pope, despite all her training and a fellowship, couldn't answer.These twin revelations led Dr. Pope to pursue sexual medicine education and eventually building Cleveland's first female sexual health division that spans multiple departments. Her unique background in global women's health, fistula repair, and reconstructive gynecology informs her holistic approach to sexual medicine and menopause care.The conversation also explores Dr. Pope's current research focus on perimenopause and cardiovascular health, believing this critical 10-year window before menopause holds the key to prevention rather than just treatment. She shares her proactive approach to her own perimenopause, including checking baseline testosterone levels at peak ovulation to guide future hormone therapy decisions.Highlights:Sexual function should be assessed after every pelvic surgery, not just assumedObstetric fistulas are still happening globally but were eliminated in the US once C-sections became accessible.Building a sexual medicine division works best when spanning multiple departments for true biopsychosocial care.The fellowship program accepts both urology and OBGYN applicants, with only two OBGYN programs in the country.Her work continues in Africa doing shorter trips and training local surgeons.If this episode inspired you to think differently about international women's health and sexual medicine education, help others discover this conversation by subscribing and leaving a review. Your reviews help more clinicians and patients find these discussions about comprehensive sexual health care.Connect with Dr. Pope:WebsiteInstagramXConnect with me:WebsiteInstagramYoutubeSubstack

"The psychological aspects of having obesity are rarely recognized. The psychological burden that people carry outweighs the adipose tissue.”                                                                                              Robin Pashby PhD This episode is a must-listen for anyone struggling with obesity, or who knows someone with obesity, or a healthcare clinician who has patients with obesity.  The complex biology of why some folks have excess weight is just beginning to be fully understood. Having obesity is a complex interplay of biology and psychology, and it is time to stop framing obesity as a personal failure. The solution is not as simple as “Eat less, move more”.  Dr. Robyn Pashby is a health psychologist with expertise in the impact of obesity on mental health and the impact of mental health on obesity. Today, she is joining me for a discussion on why we need to reframe the obesity conversation and how to do it.   The training of a clinical health psychologist with expertise in obesity  The language of obesity as a chronic disease The impact of repeated traumatic experiences and shame Why “dieting” is not obesity treatment  Changing the internal narrative of “food noise” versus “shame noise” Why an underwear upgrade is important Sexual issues related to having obesity Why telehealth obesity drugs can be problematic What a scale represents to someone with obesity Getting weighed in the doctor's office- do you need to? What to say to someone who has lost a lot of weight How to respond to someone who asks about your weight How to get emotional support when being treated for obesity The New Food Fight book Robyn Pashby, Ph.D. www.healthpsychologypartners.com LinkedIn Atlantic Panel Weight, What?  https://www.youtube.com/watch?v=nzGaetHGnSY What We Carry https://www.youtube.com/watch?v=8jP9puLTXNM BOOK: The New Food Fight  https://a.co/d/fpoanrC Obesity Action Coalition (OAC) https://www.obesityaction.org/ Your Weight Matters free regional conventions https://www.yourweightmatters.com/ Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society.      Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.      LINKS   Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD    Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.          

Here’s a topic that’s often overlooked, dismissed, or shrouded in stigma: sexual longevity and desire in midlife and beyond.We are living longer than ever before. The average woman today can expect to live well into her 80s, with decades of life post-menopause. And yet, the messaging we receive about sexuality often suggests that desire dwindles, pleasure fades, and our sensual selves should quietly retire. Spoiler alert: That’s not true.Joining me today is Dr. Kelly Casperson, a board-certified Urologist, sexual medicine expert, author of You Are Not Broken, and host of the podcast of the same name. On a recent trip to Australia to headline the So Hot Right Now event, a juggernaut of a women’s health and menopause movement, held at the Opera House, Dr Kelly brought down the house with her frank approach to sexual health and longevity. She has made it her mission to debunk myths about female pleasure, break down the science of sexual function, and empower women to reclaim their bodies, desire, and confidence at any stage of life. From hormonal changes and genitourinary health to the impact of mindset, medical treatments, and modern sexual wellness products, we’ll cover what women need to know to have a thriving sex life—not just in their 20s, but in their 40s, 50s, 60s, and well beyond. Key Takeaways: Sexual health is a vital part of overall well-being and longevity Desire often shifts due to hormonal changes—especially during menopause Common issues like dryness are widespread, but not “normal” Urologists play a crucial role in supporting female sexual function Better sex education is needed—most women weren’t taught the basics Pornography often misrepresents the reality of sexual connection Vibrators and sexual aids can improve comfort, health, and pleasure The “orgasm gap” speaks to a broader issue in sexual equity Social media distorts views of anatomy and performance Women often internalise criticism about their bodies for decades Testosterone plays a key role in women’s mood and desire Many women experience a sexual renaissance in midlife Communication and connection are fundamental to fulfilment Watch the full episode here: https://youtu.be/XkMuptzJDlkSee omnystudio.com/listener for privacy information.

A lot of people think that sex is just easy for men. But it’s not. A heck of a lot of guys are walking around with sexual anxiety and are worried about their body and/or performance. This can eat away at men's confidence, leading them to avoid sex, or to have sex that's less than pleasurable. In today’s show, we’re going to talk about how to build confidence in the bedroom and bust some common myths about male sexuality. I'm joined once again by Dr. Joshua Gonzalez, a board-certified urologist who is fellowship-trained in Sexual Medicine. He is a Sexual Health Advisor to Astroglide Lubricants, and one of the co-founders of the sexual wellness brand Popstar, which creates science-backed products to support male sexual health and pleasure. Some of the specific topics we explore include: What does it really men to be “sexually confident?” How do popular myths about male sexuality inhibit men’s confidence in the bedroom? Is more testosterone really the key to more confidence? What can men do if they want to increase their sexual stamina? When should you see a professional about sexual performance concerns? You can visit Joshua’s website to learn more about his work. Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors!  Passionate about building a career in sexuality? Check out the Sexual Health Alliance. With SHA, you’ll connect with world-class experts and join an engaged community of sexuality professionals from around the world. Visit SexualHealthAlliance.com and start building the sexuality career of your dreams today. The Kinsey Institute at Indiana University has been a trusted source for scientific knowledge and research on critical issues in sexuality, gender, and reproduction for over 75 years. Be sure to register for the Sex and Aging Symposium, which will take place on October 4, 2025. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram. Listen and stream all episodes on Apple, Spotify, Google, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast! Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.

In this special Sexual Health Awareness Month episode, Dr. Rena Malik and Dr. Justin Dubin break down the top 10 things every urologist should know about sexual health. This episode goes beyond the basics, emphasizing that sexual health is integral to overall health, important questions you should ask when screening patients and the connection between sexual and mental health. Whether or not you specialize in sexual medicine, this conversation offers practical, evidence-based insights for every urologist.

Surveys find that nearly half of men are dissatisfied with their penis size and wish they were larger. So let’s dive into the world of penile augmentation. In this episode, we're going to talk about the various treatments that exist, which ones are supported by the science, the potential risks and side effects, and what you really need to know if you have penis size concerns. I'm joined by Dr. Joshua Gonzalez, a board-certified urologist who is fellowship-trained in Sexual Medicine. He is a Sexual Health Advisor to Astroglide Lubricants, and one of the co-founders of the sexual wellness brand Popstar, which creates science-backed products to support male sexual health and pleasure. Some of the specific topics we explore include: What is the average penis size anyway? Can stretching make your penis bigger? Do penis pumps work to increase size? Are surgeries to enhance penis size worth the risks? Are there any pills or medications that can make your penis larger? You can visit Joshua’s website to learn more about his work. Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors!  Expand your sexual horizons with Beducated! Featuring more than 100 online courses taught by the experts, Beducated brings pleasure-based sex ed directly into your bedroom. Enjoy a free trial today and get 50% off their yearly pass by using LEHMILLER as the coupon code. To redeem this offer, visit: https://beducate.me/lehmiller-sept Passionate about building a career in sexuality? Check out the Sexual Health Alliance. With SHA, you’ll connect with world-class experts and join an engaged community of sexuality professionals from around the world. Visit SexualHealthAlliance.com and start building the sexuality career of your dreams today. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram. Listen and stream all episodes on Apple, Spotify, Google, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast! Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.

Hot flashes, vaginal dryness, and sleep disturbance are the three most common symptoms of menopause. Currently, there are over 20 FDA-approved products to treat hot flashes. There are roughly 10 FDA-approved products to treat vaginal dryness. There are zero FDA-approved products to treat insomnia due to menopause. Zero.  My guest is Dr. James Simon, a clinical professor of Ob-Gyn at George Washington University and an expert on all things menopause.    In this episode: How common it is for women to have new-onset sleep disturbances due to hormonal changes? Are Insomnia and sleep disturbance the same thing What happens in the brain to induce sleep and maintain sleep How Cognitive Behavioral Therapy works The relationship between hot flashes and insomnia The role of estrogen and sleep How FSH is useful to evaluate sleep issues The role of progesterone on sleep The role of melatonin Non-hormonal sleep disruptors The impact of chronic insomnia Treatments Estrogen Progesterone  Anti-depressants Sleeping pill Sex/Orgasm Advil PM  CBT Sleep hygiene Melatonin  Magnesium L-Threonate Vasopressin PDE-5 Inhibitors NK Inhibitors Dr. James Simon https://intimmedicine.com/ Other episodes with Dr. Simon ·      Ep 98 Live from the Menopause Society Meeting  ·      Episode 123 Hormone Therapy After Age 60 with Dr. James Simon ·      Episode 124 All Hormones Are Not Created Equal with Dr. James Simon Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society.    Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                        

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

 If you are a menopausal woman and spend any time on social media, you are familiar with Dr. Corinne Menn. She is a trustworthy voice of science and evidence-based medicine in a sea of influencers who don't always stick to the data.   Dr. Menn is one of the authors of a recent study titled Women's Insights on Sexual Health after a Breast Cancer Diagnosis. This study, published in the Journal of Clinical Oncology, asked 1,463 women with a breast cancer diagnosis about their sexual experience, including how the health care system either helped or, in most cases, failed them by giving misinformation, conflicting information, or no information We discuss study results, including The impact of breast cancer treatment on sexual function in general The most common symptoms The effect of breast cancer on orgasm and pleasure The impact on partners Their interactions with the health care system, including misinformation, conflicting information, and no information Link to Study: (There is a paywall but you can access the abstract)  COME AGAIN, Episode 29 Cancer and Sex,  is all about sexuality, not just after breast cancer, but for women living with any cancer diagnosis. (Release Sept 8, 2025)                                                            Dr. Corinne Menn https://www.drmenn.com/ Insta: @DrMennOBGYN LinkedIn- https://www.linkedin.com/in/drmenn/ Substack- https://drmennobgyn.substack.com/   Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society.  Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy     Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                        

I have written many times about how in the 1800s, vibrators were not sexual items that women bought for themselves, but medical devices used by doctors to treat a medical condition then known as hysteria.  The problem is- that's not true. And be sure to check out my photo gallery of devices discussed in this episode! The popularly accepted history of the vibrator Hysteria, and how it was treated in the early 1900s Dr. Lieberman's research  What medical conditions electric vibrators were used for The story continues..the mid-1900s The re-launch of the vibrator Sneak preview of Dr. Lieberman's upcoming book on GIGOLOS! Link to my Substack article with pictures  of the devices  https://drstreicher.substack.com/p/good-vibrations Link to my Guide to Buying a Vibrator https://drstreicher.substack.com/p/toy-story Link to my podcast episode on the current medical use of vibrators and why they work when nothing else does https://drstreicher.substack.com/p/episode-23-why-vibration-works-so?r=740mq Hallie Lieberman https://www.hallielieberman.com/ BUZZ: The Stimulating History of the Sex Toy https://www.amazon.com/Buzz-Stimulating-History-Sex-Toy/dp/1681775433 Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society.  Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD    Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy     Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                                     

I was invited to participate in the FDA roundtable on menopausal hormone therapy.  I declined.  In this episode, I'm going to tell you why.  A brief history of the FDA Why there is a black box warning on all estrogen products Why the black box warning should be removed from all local vaginal estrogen products Prior efforts to get the label removed How product labels and warnings  traditionally have been modified or removed at the FDA My concerns and why I did not participate in the roundtable My article on increased sepsis when local vaginal estrogen is not used. https://drstreicher.substack.com/p/can-genitourinary-syndrome-of-menopause My Substack article on the FDA https://drstreicher.substack.com/p/crises-at-the-food-and-drug-administration?r=740mq Dr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly newsletter All COME AGAIN podcast episodes Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar    Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm     Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.   Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD    Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.  

   Dr. Dawn Mussallem, a board-certified lifestyle medicine physician, was diagnosed with Stage 4 cancer at age 26, followed by a heart transplant.  She walks the walk when it comes to healthy lifestyle choices.  At the Mayo Clinic Breast Center, Dr. Mussallem is the go-to expert for how healthy choices not just prolong life, but also make life better.. not just for women living with a cancer diagnosis, but all women.   Dr. Mussalem's personal story- and how lifestyle medicine saved her life What Lifestyle Medicine is The six pillars of lifestyle medicine that impact longevity and quality of life: Stress Management Physical Activity-and is there such a thing as overdoing it? Avoidance of Risky Substances Nutrition and the importance of maintaining a specific BMI vs body composition Restorative Sleep Positive Social Connections  American College of Lifestyle Medicine- https://lifestylemedicine.org/ The Ethel Circle Facebook Group https://www.facebook.com/groups/theethelcircle/ Dr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly newsletter All COME AGAIN podcast episodes Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar    Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm     Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.   Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD    Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                        Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                                     

Dr. Pebble Kranz, MD, FECSM, IF, joins Natasha on this episode of the Natasha Helfer Podcast to discuss sexual health and intimacy during cancer care.   Dr. Kranz is a family physician and sexual medicine specialist, graduated from Brown University's Medical School in 2007 and completed residency with the University of Rochester Family Medicine Residency Program in 2011 with a focus on psychosocial aspects of primary care. After serving as residency faculty and a primary care doctor for the University of Rochester, Dr. Kranz pursued additional training in sexual medicine and gender medicine, earning fellowships from the European Committee on Sexual Medicine and the International Society for the Study of Women's Sexual Health. She is founder and medical director for The Rochester Center for Sexual Wellness, providing comprehensive care for sexual, relational, and gender concerns in Western New York. She serves on the board of the Scientific Network on Female Sexual Health and Cancer. Dr. Kranz is committed to educating healthcare professionals at all levels and the community on medical care for sexual concerns.    Some resources she recommends are:   The Scientific Network on Female Sexual Health and Cancer Society of Medicine, North America   To help keep this podcast going, please consider donating at natashahelfer.com and share this episode. To watch the video of this podcast, you can subscribe to Natasha's channel on Youtube and follow her professional Facebook page at natashahelfer LCMFT, CST-S. You can find all her cool resources at natashahelfer.com.  The information shared on this program is informational and should not be considered therapy. This podcast addresses many topics around mental health and sexuality and may not be suitable for minors. Some topics may elicit a trigger or emotional response so please care for yourself accordingly. The views, thoughts and opinions expressed by our guests are their own and do not necessarily reflect the views or feelings of Natasha Helfer or the Natasha Helfer Podcast. We provide a platform for open and diverse discussions, and it is important to recognize that different perspectives may be shared. We encourage our listeners to engage in critical thinking and form their own opinions. The intro and outro music for these episodes is by Otter Creek. Thank you for listening. And remember: Symmetry is now offering Ketamine services. To find out more, go to symcounseling.com/ketamine-services. There are also several upcoming workshops. Visit natashahelfer.com or symcounseling.com to find out more.  

I have a wonderful guest today, who is a well respected physician in my community. I ask every question you ever wanted to ask about perimenopause, menopause, hormones, drive, and issues that impact drive in a woman's 40's and beyond! She taught me so much I didn't know, including all about clitoral adhesions, the impact of birth control on hormones and even a method I never heard of, how to combat medication side effects, and so much more. Dr Christine Vaccaro is a double board certified and fellowship trained urogynecologist, who has been in practice for over 20 years.  She is an associate professor of gynecologic surgery at the Uniformed Services University in Bethesda.  She recently retired from the military, and was in charge of the Urogynecology Fellowship at Walter Reed, which is the largest training program in the nation.  She now practices Urogynecology and Sexual Medicine at a private practice in Bethesda, MD with Dr Rachel Rubin. She is also involved in multiple national medical committees, and has extensively published in medical journals, books and online.  When not at work she enjoys hot yoga and attending her kid's sporting events.Follow Dr. Vaccaro at instagram.com/drchristinevaccaro, email her at drvaccaro@rachelrubinmd.com, check out her practice at rachelrubinmd.com, or call her office to schedule at 202-888-6731.

Any mid-life woman knows that once you hit your 40s, 50s, or 60s, things will not go well if you eat the same way you did when you were 20. But it's confusing to know what to eat, and how much to eat, without downloading multiple APPs and carrying around a calculator  My guest, Alexandra Filingeri, holds a doctorate in Clinical Nutrition with a focus on evidence-based nutrition interventions, particularly in mid-life and menopause.  In this episode, we cover practical nutrition tips- what to eat and how much to eat to maximize health aging. Dr. Filingeri also answered questions that came in from my Substack readers.  By the way, my favorite frozen vegetables that I couldn't remember the name of?  Puravida Fire Roasted Vegetable Melange What changes post menopause Obesity, hot flashes and weight loss The impact of insomnia on weight Individual energy requirements Macronutrients vs micronutrients Protein supplements- yay or nay Glycemic index Sugar and belly fat Grocery store strategies Dr. Alexandra Filingeri is a Registered Dietitian with a Doctorate degree in Clinical Nutrition. During her doctoral studies, Dr. Filingeri focused on metabolic disorders, nutritional biochemistry, and clinical research methodologies, equipping herself to deliver evidence-based nutrition interventions. Her clinical expertise focuses on midlife nutrition and hormone-related health.  Website: Nutrition by Dr. Alexandra – Beauty From The Inside Out Instagram: Dr. Alexandra Filingeri DCN RDN (@nutritionby_dralexandra) • Instagram photos and videos  Linkedln: Alexandra Filingeri, DCN RDN - Registered Dietitian in Private Practice - Nutrition By Dr Alexandra | LinkedIn Dr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly newsletter All COME AGAIN podcast episodes Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar    Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm   Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.   Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.             

Women are generally told that if they have a breast cancer diagnosis, they should steer clear of estrogen. In this episode, I have a conversation with Dr. Swati Kulkarni, the lead investigator of a new study in which women with a newly diagnosed breast ductal carcinoma in situ, DCIS, were given a month's worth of hormone therapy before standard treatment to see the impact it would have on developing cancer cells.  What DCIS is and how it is typically diagnosed. If DCIS is considered to be a pre-cancer or a cancer If DCIS is untreated, how often it will progress to invasive cancer  If treated, how often women with DCIS go on to develop invasive cancer?  Why this particular form of hormone therapy, conjugated estrogens and bazodoxifene (Duovee™) was used in the study The details of the study The results of the study  The Promise Study: A presurgical randomized clinical trial of CE/BZA vs placebo in postmenopausal women with ductal carcinoma in situ. Link to Abstract My summary of the study on Substack https://drstreicher.substack.com/p/can-hormone-therapy-shrink-breast Link to Kagan episode on Duovee with Dr. Kagan Episode 124 All Hormones Are Not Created Equal with Dr. James Simon Dr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly newsletter All COME AGAIN podcast episodes Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar  Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm https://drstreicher.substack.com/p/all-about-come-again Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.   Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology BOOKS by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                       Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                                     

Do cell phones cause brain cancer?  Does using an antiperspirant increase the risk of breast cancer? Does fluoride in the water increase the risk of bone cancer? Is the HPV vaccine lifesaving or dangerous?  In this episode, I am joined by Dr. Shikha Jain, an academic hematologist and oncologist. We start by busting cancer myths and then move on to discuss the impact of the “Make America Healthy Again Movement” (MAHA)on cancer care and cancer research, and why the rationale behind the MAHA movement is FLAWED and DANGEROUS.  Which of the following is associated with getting cancer or spreading cancer Biopsies Specific viruses Consuming sugar  Mammograms Living near a Power line Cell phones  Deodorant and antiperspirants  Microplastics  Microwaving  If surgery to remove a cancerous growth spreads the cancer? Estrogen- birth control pills, local estrogen, systemic estrogen The impact of current political policies on cancer treatment and research Obesity Processed food HPV vaccine Fluoride in the water The financial incentive behind the MAHA movement Why placebo-controlled trials are not always used in research, and would be dangerous Defunding of NIH Cancer Research, including labs and clinical trials The US Brain Drain  Over 9.5 billion dollars, representing over 2000 NIH grants, have been terminated.  In the links below, expand the abstract column to see the details of the research.      List of NIH grants that have been defunded      https://airtable.com/appjhyo9NTvJLocRy/shrNto1NNp9eJlgpA?        Ffj6Q%3Aview=plasNjSudszRmPvEo&Ffj6Q=allRecords      List of NIH Cancer Research that Has Been Defunded     https://airtable.com/appjhyo9NTvJLocRy/shrNto1NNp9eJlgpA?Ffj6Q=sfsqqf7AYxKbZi37s&Ffj6Q%3Aview=plasNjSudszRmPvEo Dr. Shikha Jain, MD, FACP, is a board-certified oncologist, national health media contributor, and founder of Women in Medicine®. She's a tenured associate professor at the University of Illinois and was named Illinois Physician Leader of the Year, one of Modern Healthcare's Top 25 Emerging Leaders, and a Medscape Rising Star in Medicine. Through her clinical work, national advocacy, and powerful storytelling, Dr. Jain is transforming how we think about medicine, leadership, and the future of healthcare. https://www.wimedicine.org/ https://www.wimedicine.org/wim-summit https://shikhajainmd.com/                                How to Know an Expert is an Expert Episode 157: How to Find a Clinician that's Not Clueless Substack Posts A Guide to Finding a Menopause Clinician That's Not Clueless Let's Play…Is Your Doctor Really a Menopause Expert? Dr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly newsletter All COME AGAIN podcast episodes Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm   Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.   Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                      Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.