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Syphilis cases are rising at alarming rates across the American South, especially congenital syphilis, which can be passed from pregnant mothers to their babies. Thomas Dobbs, dean of the John D. Bower School of Population Health at the University of Mississippi, traces the history of syphilis in the United States, from the dramatic declines made possible by antibiotics and public health interventions to the sharp resurgence seen over the last decade. He explains how gaps in prenatal care, rural healthcare deserts, insurance barriers, medication shortages, and the erosion of public health infrastructure have combined to fuel rising infections. particularly among pregnant women and newborns. Later, Joshua O'Neal, program director, Southeast STI/HIV Prevention Training Center, discusses how prevention training centers across the country are helping state health departments and local providers respond to the crisis. O'Neal describes the hands-on work being done to strengthen syphilis prevention and improve access to testing and treatment, like mobile testing programs, provider education, and statewide collaboration efforts. He also shares insights from the “Syphilis in the South” summit, where clinicians, public health leaders, and outreach workers came together to tackle one of the region's most urgent public health challenges.Sustaining Services and Outbreak Response for HIV, Viral Hepatitis, STIs, and TB | ASTHO
Send us Fan MailThere is so much noise in the supplement industry. In Part One of this two-part series, we're breaking down what supplements actually are, how to choose quality products, what third-party testing means, the nutrients many people are commonly low in, and how to know what supplements may be right for you. Plus, we're chatting creatine, ashwagandha, gummies, supplement myths, and why supplements should support your foundation, not become the foundation. I am a Certified Personal Trainer, Nutrition Coach, and Certified Pre/Postnatal Coach, but I am not a doctor. This podcast is for educational purposes only and should not be considered medical advice. Always consult with your healthcare provider before making changes to your supplements, medications, nutrition, or healthcare plan, and do your own research to determine what is best for you. This episode is sponsored by Natural Cycles! Use my code SophiaNC at checkout to get 15% off an annual subscription, plus a free NC Band. Natural Cycles is 18+ and does not protect against STIs. Always read and follow instructions for use.My fitness app:https://my.playbookapp.io/sophia-panellaAdd your stories you want shared on Simply Yours here: https://docs.google.com/forms/d/e/1FAIpQLSc85qckIf4L2QUttwrQluVWZaMDnyrurrrvcaU6yb1i-Y-bLQ/viewform?usp=header 1:1 Online Fitness, Nutrition, + Hormone Health Coaching: https://docs.google.com/forms/d/e/1FAIpQLScrqyOOH8Uq9tvTjxQv7TQKmzF-FaJvSUG7WROcEk42ajNNBQ/viewform?usp=headerCoaching Course:https://level-up-u.teachable.com/p/online-fitness-coaching-course
Send us Fan MailIn Part 2 of this supplement series, we're diving into fertility supplements for both women and men. We'll cover prenatals, folate, methylfolate vs. folic acid, choline, vitamin D, omega-3s, CoQ10, and other key nutrients that support egg quality, sperm health, hormone production, and healthy pregnancy. We'll also break down common fertility myths, explain sperm analysis markers, and discuss what the research actually says about preparing your body for conception.I am a Certified Personal Trainer, Nutrition Coach, and Certified Pre/Postnatal Coach, but I am not a doctor. This podcast is for educational purposes only and should not be considered medical advice. Always consult with your healthcare provider before making changes to your supplements, medications, nutrition, or healthcare plan, and do your own research to determine what is best for you. This episode is sponsored by Natural Cycles! Use my code SophiaNC at checkout to get 15% off an annual subscription, plus a free NC Band. Natural Cycles is 18+ and does not protect against STIs. Always read and follow instructions for use.My fitness app:https://my.playbookapp.io/sophia-panellaAdd your stories you want shared on Simply Yours here: https://docs.google.com/forms/d/e/1FAIpQLSc85qckIf4L2QUttwrQluVWZaMDnyrurrrvcaU6yb1i-Y-bLQ/viewform?usp=header 1:1 Online Fitness, Nutrition, + Hormone Health Coaching: https://docs.google.com/forms/d/e/1FAIpQLScrqyOOH8Uq9tvTjxQv7TQKmzF-FaJvSUG7WROcEk42ajNNBQ/viewform?usp=headerCoaching Course:https://level-up-u.teachable.com/p/online-fitness-coaching-course
Headlines: Govt. launches $2bn lawsuits against 3M over “forever chemicals” Fourth ‘ISIS bride’ arrested and charged with terrorism offences Trump rape accuser targeted by criminal investigation More US strikes in Iran, alongside peace negotiations Germany’s “most wanted” woman, 67, found guilty of armed robbery Deep Dive: Teenagers are having worse sex and getting more STIs. New research shows that one in five teenagers (aged 14-18) have experienced unwanted sex, and that condom use is falling. What’s happening to Australia’s teenagers? In this episode of The Briefing, Natarsha Belling is joined by Professor Jennifer Power, Deputy Director of the Australian Research Centre in Sex, Health and Society, and the lead researcher of the new study into teenage sexual health. Follow The Briefing: TikTok: @thebriefingpod Instagram: @thebriefingpodcast YouTube: @TheBriefingPodcast See omnystudio.com/listener for privacy information.
The Guatemala Syphilis Study is one of the darkest chapters in medical history: a U.S., funded experiment in the 1940s where doctors deliberately infected prisoners, soldiers, psychiatric patients, and sex workers in Guatemala with syphilis and other STIs without their informed consent. Many were never properly treated, never told what had been done to them, and were used as test subjects simply because they were poor, vulnerable, and out of sight. Decades later, the study stands as a brutal reminder that “public health” and “scientific progress” have, far too often, been built on the bodies and lives of people who were never given a choice.
STIs auf Rekordhoch: Warum schweigen wir uns krank?Syphilis, Gonorrhö (Tripper) und Chlamydien: Die europäische Gesundheitsbehörde ECDC meldet Rekordzahlen bei sexuell übertragbaren Infektionen. Auch in Österreich steigen die Fallzahlen. Gleichzeitig sinkt bei vielen das Risikobewusstsein. Und obwohl Sex überall präsent ist, bleiben Verhütung, Tests und sexuelle Gesundheit für viele schambesetzt – oft sogar im Gespräch mit Ärzt:innen.Welche STIs sind gerade im Umlauf? Was braucht es an Aufklärung und Versorgung, um Infektionsketten zu unterbrechen?Gersin Livia Paya spricht mit Dr. Claudia Heller-Vitouch, Andrea Brunner (Aidshilfe), Aisha Gstöttner und Sophie (Gratis Verhütung Volksbegehren).Sendungshinweis: FM4 Auf Laut am 27.5. ab 19 Uhr
In this episode, I detail all of my pregnancy symptoms, thoughts, and feelings during weeks 16-19! While I've officially entered the honeymoon phase, it has not come without its low points. I share everything from the crash outs I've had while getting dressed, to dealing with complicated feelings around weight gain and body image, and why people's obsession with baby gender is starting to become offensive. I also discuss my quick trip to LA, the pure joy of finally feeling real baby kicks, and why I genuinely think we are all way too chill about women just existing in the world while growing a human.Key Takeaway / Points: Why maternity denim will never be the same as real jeansStarting pelvic floor physical therapy (& trying not to pee myself constantly)How I'm finding body-neutrality with weight gain this pregnancyThe joy of a not finding out the sex of the baby until deliveryBaby kicks and the realness of this pregnancy setting inThrowing up six times on the side of an LA highway and my 48-hour headacheCurrent food obsessions: chicken caesar wraps, Coldstone, & Ruffles chipsThis episode is sponsored by Natural Cycles, the company behind the first FDA-cleared, hormone-free, and non-invasive birth control app that helps prevent or plan pregnancy naturally. Use code CAMERON at https://naturalcycles.app/Cameron for 15% off an annual subscription + a FREE NC° Band. The NC° app is for 18+ and does not protect against STIs. Always read and follow the instructions for use.Purchase the Headache Cap HEREFollow me:Instagram: @cameronoaksrogersSubstack: Fill Your CupWebsite: cameronoaksrogers.comTikTok: @cameronoaksrogersYoutube: Cameron Rogers
TONS of fun games today...and then the STI rumors started.....
Send us Fan MailIn this episode, I'm talking about the slower, simpler lifestyle shifts that unexpectedly changed me in the best way. From moving out of a city and creating a home-centered life to gardening, bird feeders, slower mornings, less overstimulation, and learning how to actually be present. This is a conversation about grounding yourself in a world that constantly tells us to move faster. We're chatting nervous system regulation, romanticizing simple things, finding joy offline, and why peace sometimes feels unfamiliar when you're used to chaos. Just a cozy, honest conversation about the slow life I didn't know I needed.This episode is sponsored by Natural Cycles! Use my code SophiaNC at checkout to get 15% off an annual subscription, plus a free NC Band. Natural Cycles is 18+ and does not protect against STIs. Always read and follow instructions for use.My fitness app:https://my.playbookapp.io/sophia-panellaAdd your stories you want shared on Simply Yours here: https://docs.google.com/forms/d/e/1FAIpQLSc85qckIf4L2QUttwrQluVWZaMDnyrurrrvcaU6yb1i-Y-bLQ/viewform?usp=header 1:1 Online Fitness, Nutrition, + Hormone Health Coaching: https://docs.google.com/forms/d/e/1FAIpQLScrqyOOH8Uq9tvTjxQv7TQKmzF-FaJvSUG7WROcEk42ajNNBQ/viewform?usp=headerCoaching Course:https://level-up-u.teachable.com/p/online-fitness-coaching-course
This episode reviews four recently published studies about the impact of doxycycline post-exposure prophylaxis (doxy PEP) on Neisseria gonorrhoeae isolates with tetracycline resistance, Staphylococcus aureus, Group A streptococcus, and syphilis. View episode transcript and references at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs and STIs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW), Program Director of the UW Infectious Diseases Fellowship Program, and Associate Editor of the National STD Curriculum.
Can an infection from the 1800s really be trebling in Australia right now? Is there actually a cell in the human body large enough to see without a microscope? And how do you protect your gut microbiome? In this episode, Dr Mariam and Claire speak to Dr Melanie Besser, a Sexual Health Physician, to unpack why 'old-school' infections like syphilis and gonorrhoea are surging across the country. They discuss the rise of antibiotic-resistant 'superbugs', the "Great Mimic" rash you shouldn't ignore, and why the 1980s Grim Reaper campaign might have left us more traumatised than protected. We also talk about why Bacterial Vaginosis (BV) is now being viewed through a lens of sexual transmission and how treating a male partner might be the key to stopping the cycle of recurrence. Plus, we look at the new "foxy" pathogens like Mycoplasma genitalium that are being talked about on TikTok and why they're often mistaken for a standard UTI. In Med School, we discover the powerhouse of the human body: the egg. And, in the Quick Consult, we explain how microbiome shifts after major surgery. 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 CREDITS Hosts: Claire Murphy and Dr Mariam Guest: Dr Melanie Besser 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.
Why do women in long-term relationships often lose their 'spark' while men seem to have an on-off switch? Is your hair dryer actually causing your colour to fade? And, can you get a medical 'crystal ball' to tell you exactly how many eggs you have left? In this episode, Dr Mariam and Claire speak to Dr Eva Jackson, a Sexual Health Physician, to unpack the complex world of female desire. They discuss the difference between 'spontaneous' and 'reactive' arousal, why the word 'libido' might be outdated, and the medical reasons - from antidepressants to hormonal shifts - that might be stalling your sex life. Plus, in Med School, Claire and Dr Mariam look at the science of hair health. We reveal the research-backed way to dry your hair to prevent cuticle damage (hint: it involves a ruler and a blast of cold air) and why leaving your hair to air-dry might actually be doing more harm than good. And, in the Quick Consult, Dr Mariam answers Catherine’s question about 'ticking clock' anxiety. We break down what tests like AMH levels can actually tell you about your fertility at 27, why your partner’s health is just as important in the equation, and why a preconception screen is the best first step for peace of mind. 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 CREDITS Hosts: Claire Murphy and Dr Mariam Guest: Doctor Eva Jackson 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. - - - - - - TRANSCRIPT You're listening to a Mamamia podcast. Mariam, what gets you going sexually? 00:10Speaker 2 It is when my husband shows up, just appears. When he does, like, things without me asking, right, So, my goodness, Like he's packed the kids their lunches, he's taken a bit of my mental load. He's done a bit of cleaning. Men do not understand. 00:31Speaker 1 Okay, men do not understand me. Take a little bit of mental load, it is so hot 00:38Speaker 2 So hot, 00:46Speaker 1 Hi there, welcome to Well your Full Body Health Check. I'm Claire Murphy. 00:50Speaker 2 And I'm doctor Mariam. 00:51Speaker 1 And today we're talking about Libido time to get spicy. There is always a lot of comparisons about how women's health issues have been overlooked while men get pills for a rectile dysfunction, But there are actually pills for women's desire too, which we will discuss. But we'll also touch on what it is about us that so many of us do seem to lose spark over time. We'll also have a quick consult for Catherine today. She's got a ticking clock issue and she wants to know how to maybe quieten it down just a little bit. But next mariam are you a blow dry girl, after you wash your hair or do you let it just do its thing and air dry. 01:33Speaker 2 I'm gonna be honest. I actually wash my hair every seven to ten days. I know, I know, you know why. I have so much hair, So I have to blow dry my hair after I've had to wash. But I do it in segments because there's so much and it takes so long. 01:50Speaker 1 Oh, this is me crying you tears of sadness for your I have so much glorious flowing hair that it takes me hours to dry, so much work. 02:00Speaker 2 I actually get like I sweat, it's like almost need to shower again. So I'll do like a light blow dry to start with, and then I'll do like a quarter and proper and then I'll just take a couple of hours off and then revisit. 02:13Speaker 1 Over two days, just take breaks between. 02:16Speaker 2 It hurts my arms so painful. 02:19Speaker 1 Rip your hairdresser. Okay, Well, next in med school, I'm gonna reveal which one to blow dry or not to blow dry is actually better for your hair. Welcome to med school. Is it better for your hair to leave it to dry naturally or use a blow dry? I unlike you with your glorious tresses have very fine hair, not a lot of it, so I almost have to race from the shower to the hair dry before it starts drying by itself. 02:47Speaker 2 What happens if it dries. 02:48Speaker 1 If it dries naturally by itself, it ends up in weird shapes. Okay, so it's naturally straight, so I don't straighten it. But if I don't blow dried, it's almost stuck to my scalp and it's very flat, so it needs some kind of air in there for vol But if you've ever visited a hairdresser, they will have different opinions, which is funny because they'll tell you you need to put stuff on your hair to protect it from any heat, and we use a lot of heat with curlers or straighteners or hair dryers whilst they simultaneously fry your hair as they blow right from the roots right. But here's the thing. Your hair can absorb about thirty percent of its weight when it's wet, so it soaks up the water and swells from the inside. So what that means is it's stretching your hair's outer layer or cuticle, and that puts pressure on the cell membrane complex. That's the glue that holds all those cuticles together and forms the length of your hair. So if you leave it wet, it stays in that vulnerable swollen state for longer, and then cracks can form due to that swelling. That is what then causes damage to the cuticle itself, and sometimes it can also cause your colour to fade because the color is absorbed in them. And then if you leave it wet and out to dry naturally, can crack that and make the colour stuff to go right, So, what is the best option for hair health? According to research. Yes, research has been done on this. Blow drying on medium heat from fifteen centimeters away fifteen fifteen Oh jeez, I know. 04:17Speaker 2 It's it's fair ways away from your head. That's more arm work. 04:21Speaker 1 It is more arm work. You can get bigger by steps, keep the dryer moving so it doesn't heat up one area for too long, and then drying it till it's just about eighty percent and then leaving the rest to dry naturally. Okay, that apparently causes less damage than just doing nothing. So little bit of heat not too much. So apparently then too, you should finish off with a bit of a cool blast of air because it helps seal the cuticle part of it and also stops the residual heat. 04:50Speaker 2 And it holds its shape longer. 04:52Speaker 1 Yeah yeah, yeah, yeah, So just measure fifteen to get a ruler. Jeez, measure fifteen centimeters away from you head. 05:00Speaker 2 Yeah, it's going to be a little bit hard work. Sorry about that. 05:04Speaker 1 On the way, today's check up, where we are off in search of all of our lost libidos, or never found? Where did they go? 05:15Speaker 3 It's time for the checkup? 05:18Speaker 1 Mariam? What gets you going sexually? 05:20Speaker 2 Well, okay, if you ask me, ten years ago been very different, right, what is it today? today? It is when my husband shows up, just appears, when he does like things without me asking, right, So, my goodness, Like he's packed the kids their lunches, he's taken a bit of my mental load, he's done a bit of cleaning. 05:44Speaker 1 Men do not understand. Okay, men do not understand me take a little bit of mental load. Is so hot? 05:54Speaker 2 It is so hot, so hot. 05:56Speaker 1 Yeah. But Mariam, do many women speak to you about not being motivated to have sex anymore? 06:01Speaker 4 Okay? 06:02Speaker 2 So women will often say I just don't feel like having sex anymore, and it's kind of like, oh, this is the status quo. I've accepted it, and it's not something they generally come to me with, so. 06:15Speaker 1 That's always they've already accepted this. 06:16Speaker 2 Yeah, that's where they're at, and it's like the norm and it's acceptable, and sometimes they don't offer that information. I as a GP like to cover a lot of sexual health in my consultations, and a lot of the time that I will get, is something wrong with me? And I want to say, nothing is wrong with you. You're not broken, and you're definitely not the only one feeling this way. Three of us in the room have put our hands up. In fact, Australian research shows that one in three women will experience low sexual desire at some point in their life, so that's a third of us. So if you're nodding along right now, you're in good company. And what's interesting, it's rarely about not wanting sex. Sometimes it's medical, sometimes emotion. On a lot of the time it's both. So let's start with the medical side of things. So a lot of the time there's a hormonal issue at play. You may have just had a baby, you might be going through perimenopause or menopause, and we know a lot of medications to side effect can be loss of libido. Then there's low iron, thyroid issues, chronic pain, endometriosis. They all can play a role as well, So before you start blaming yourself or your relationship, it's worth getting a checkup. Then there's the emotional and relationship side. So when you're juggling work, especially as a female, you've got your family, You've got the mental and emotional load, and that invisible to do list that just never ends. Your brain's just in this survival mode, and a brain that's trying to get through the day isn't exactly thinking, yes, let's get it on tonight, I really want some penis. 07:51Speaker 1 And there's something about like, you know, you might even be in a great frame of mind and thinking, yeah, I am feeling turned on right now, and then your partner will be like, where's my shoes and you're like, oh yeah, oh now, I'm just dealing with another child, and it's like that switches off immediately, right, So it doesn't take much to turn off. And we're not always visual creatures either. Women. We are very much in our heads and we like to be turned on in different ways, not just like and I know I've had conversations with my friends and one of my friends said, have any of your husbands just like pulled it out and said, hey, let's go, And we've all kind of gone yeah, and they're like, did that work for any of you? And one of our friends has got like quite a high libido and she's like, Yep, I'm ready to go anytime of the day or night, and that works for her. But for the rest of us, we were like, no, it does not work for me. But when I asked, have any of you talked to your husbands about that? And they're like, yeah, we tried to say something like that doesn't work, but none of us said what would work? Yeah, so the communication wasn't great with that either. 08:58Speaker 2 I always tell my husband's sex starts before the bedroom, and I know it's hard with kids, liked you kind of have to book in that intimacy. 09:05Speaker 1 Yep, and then there's always that paranoid that they're gonna wake up and walk in or whatever 09:09Speaker 2 But it's just like when it becomes schedule, it's just loses it. It just loses it. But yeah, for me, definitely sex starts before the bedroom. I'm not someone who's just going to be aroused because you've flopped out your penis. That doesn't talk for me, buddy, Yes. 09:24Speaker 1 It doesn't work. I mean for some it does like it just doesn't. 09:27Speaker 2 It's just doing that. It's just like this thing that's just like flopping there. It's just doesn't do it. 09:33Speaker 1 My friend said to me, your husband came up and said, hey, baby, have you seen this lately? And she said, yeah, I see it all the time. What? Come on, you can do better than that. 09:43Speaker 2 Pack it away, buddy,. 09:45Speaker 1 Put a little bit more effort in. But if someone is struggling to have this discussion with a medical professional, like if they feel like they've done what they can on their own and they want a bit of extra help, what do you suggest they do to get the ball rolling. 09:58Speaker 2 I would suggest if you want to speak to your GP about it, finding maybe like a woman's health GP to start with. A lot of unfortunately, gps aren't really comfortable with having this conversation. I've seen a lot of patients say, tried to bring this up in the past and I didn't really get much answers or help, and that kind of shut them down or made them feel embarrassed. So I think having that conversation with someone who has experience in the area is going to make you feel a lot more comfortable and you're going to get the results that you want. So I would start by finding a GP with experience and then just letting them know I'm not feeling myself, I'm not feeling connected, I don't feel like having sex anymore. Is there something medically happening, and then the doctor will just take it from there. They'll ask you all the questions and they will guide the consultation based on what they think is appropriate. A good GP will make you feel comfortable, ask the right questions, and give you the support that you need. 10:58Speaker 1 Yeah. WhenI started researching libido. I actually realized that I don't know what it is. We talk about it like it's a physical thing in our bodies. Yeah that you can like point to, yeah, point of like that's where my libido lives. But yeah, so really I don't know what it is other than it's the urge to have sex. But it is a lot more than that. We are pretty complicated beings us, ladies, and can I also say too that, like, if you don't want to have sex anymore and you're very comfortable with that like, Thats fine! There is no one telling you that you have to have sex to be you know, I don't know, af functioning human, Like, you can live without it if that's your choice, and you're very happy. 11:32Speaker 2 With that too, And a lot of people are and choose to them. 11:36Speaker 1 Yeah, exactly, like and that's totally fine. But like, can I say for my LGBTQI mates, And this is not saying that they are all like this, because we're all different, but they seem to be a lot better at engaging in sex but also just talking about it with each other, like grown ass humans who have once and needs and they're happy to like discuss that and put it out there. 11:58Speaker 2 I don't know whether that's it is a thing I don't definitely see. Like I find with a lot of my heterosexual female friends that sex often feels transactional. It's like, oh, it's just another to do this job to do it's like a job something get over with, all right done? You know, Yeah, that's amazing, jeez, Claire your winning. What we actually crave is that engagement, that emotional foreplay, that communication and touch that isn't really goal driven or like a tick off the list. And you're right, because a lot of the lgbtqi I folk. They seem to have more open conversations about sex, not because they're magically better at it, they probably are. 12:41Speaker 3 But. 12:43Speaker 2 Because their relationships often require more conscious communication from the start, and they've had to define what intimacy means to them rather than just following a script. And that's something I guess everyone can learn from, like having those open, honest conversations saying this is what it looks like for me. 13:02Speaker 1 I guess too when we're talking about libido in women. When we talk about men, for example, and we know that there are, you know, medical interventions for them, like rectile dysfunction pills, but there's this idea that if a man loses his ability to get or maintain an erection, that there is a problem, that there is a medical issue, and so him not being able to get an erection is an issue. But for women, we don't have that equivalent. So, like, I wonder, what are the medical benefits for us to have our libidos fully functioning? Like I know that there was some research recently that suggested that masturbation was good for you when you're in menopause, that it had benefits, But I'm not sure if we have an equivalent of a erectile dysfunction relating to a man being physically healthy as opposed to us not having a libido and not being physically healthy. 13:53Speaker 2 We have that hyperactive sexual desire disorder. So there is a term HSDD, and there is treatment for that for females who have low libido if they meet the criteria. But I don't know whether or not as females there is that added benefit medically from orgasms. I'm sure in the moment there is maybe mental health. Maybe mental health. Yeah, we'll have to look into that. It's interesting, definitely worth a chat. 14:21Speaker 1 Yeah. Next, doctor Eva Jackson's going to tell us more about where a libido actually lives, how to wake it up if it's been snooz’in a while, and what things we know about both medical and non medical approaches to help. Okay, today's expert is doctor Eva Jackson. She is a sexual health physician, and we started our chat by asking her what even is a libido? Now, Eva, I think we want to start off by at first kind of establishing what a libido even is, because, like, if there's something going on with our bodies, often we can point to the spot and go right, that is where the problem is. But when we talk about issues with our libido, we might think it might be in our vagina, but a lot of it's in our head. And so I wanted to just get a definition from you before we go any further. What is our libido? Does it exist as a physical structure, like what is it? 15:19Speaker 3 I guess in medicine, libido is something that we can divide into two parts. So we've got desire, so the one thing to have sex, and then there's the arousal part, and that's the physical part where you know, you get your palpitations, you get the tingling in your vagina, you get the wetness, and they can come together, but they can be separate issues as well too, And libido can be a little bit difficult to, you know, to understand, and often when I've got someone in front of me, I've got to actually ask them, well, what are you missing? I think it's different for everybody when you're talking about libido, and it's really important to really pin down what the problem is because it can mean a lot of things to a lot of people, and in the end, the whole full definition, you know, doesn't really apply to that individual person. 16:10Speaker 1 Well, can we even talk about using the word libido, because that word was coined quite a long time ago by Sigmund Freud, and many people now say that perhaps it's a little oversimplified, It ignores a lot of societal things, cultural factors, it lacks a fair bit of scientific evidence as well, and that it might sort of overemphasize sex itself in all of this rather than the desire part of it. Would you say that maybe it's time to rethink even using the word libido. 16:38Speaker 3 Yeah, before you mentioned it to me earlier, I sort of thought, well, libido is a word that I see, but we tend not to use a lot of. The original Freudian libido was based on sex, was that the motivation to have sex. But I think Freud sort of expanded his definition somewhat for just the motivation for life and general happiness. I think sometimes men, when they come in and they say they've got low libido, they tend to have a lot more problems with motivation for other things as well, not just libido. But when women come in and specifically say I've lost my libido, got low libidio, they really are talking about just lacking the motivation to want to have sex. So libido I don't like pure definitions. It doesn't work for me, especially now being such a multicultural community. You know, you can sit down with somebody and they use the word because they hear it, but they haven't quite understood it, and it's really what that means to you. Like I said, I prefer to use the word desire because that has connotations of want as opposed to a whole lot of other things libido might encompass. People might think it's sex, people might just think it's dysfunction and in some other way. 17:58Speaker 1 What can we talk about finding issues that we would then take to our doctor and say that I've lost my libido or I've got an issue with my libido. When someone comes in and says those things, are there tests that come to mind that can help people understand where they are physiologically or is this more of a something for our therapist to talk through, Like what sort of tests or medical intervention do we look at when someone comes in and says, I've got a problem with my libido? 18:26Speaker 3 So I guess we're really talking here about cis women. A lot of women when they come in saying you know, they've got a lot of libido, is that they actually don't feel like sex with their partner. And then it's understanding what's going on. There's certainly you want to ask a lot about what's happening sexually, what's happening about their relationship, work, you know, things that are going on around them, and then of course those physical issues as well. Is there genital pain, deep pain? Is there, you know, a lack of lubrication, what's actually going on? Depending on what the actual issue is, there may be tests. A lot of women go directly to hormones, especially if they're older. So am I sort of premenopausal? Am my menopausal? Is that going to affect me? And that might be worth some investigations, And of course if there's pain and other physical issues there may also be some investigations for that as well too. And of course if there are some sort of chronic diseases that may affect particularly arousal, so arousal being usually whilst women will define their arousal as really not lubricating very much, it's a bit more difficult to have sex. But often there are a lot of things going on around that don't have anything to do with a physical problem and then maybe it's more sort of talking it through. 19:51Speaker 1 What would you say the most common reasons are for women to either lose interest in that desire or to have issues with desiring sex. 20:02Speaker 3 I think the most common reason is being in a long term relationship. So the longer you're with a partner, the less spontaneous desire that you know, women tend to have. And I think it's that sort of Hollywood kind of sex sort of coming through in that when we first meet someone, that's all very exciting and there's a lot of chemicals going around us that sort of allows spontaneous desire just oh my god, I want it now, you know, and let's do it. It all works. So the thing is the longer you're with somebody that doesn't happen as much. It holds true for men. Men are a bit simpler in that respect, I guess is that there have an on off switch and that arousal is spontaneous. But for women there's a lot of, can be, a lot of other things that have to be right, you know, before they have spontaneous desire or not even spontaneous sort of a desire that's brought on that actually tells you, yeah, sex would be really nice right now. And I think a lot of people still believe that if they love someone, if they in the presence of someone they enjoy, that they should just have that arousal in them and that desire for them, which doesn't necessarily hold true. 21:16Speaker 1 Well, can we talk about that, because you've mentioned spontaneous desire a few times, and that is if you could explain what spontaneous desire is and then how there's this idea that maybe women are more reactive desire based rather than spontaneous. 21:31Speaker 3 So a spontaneous desire is just that you look at your partner or a someone, I want to have sex, and you've got the physical feelings on the inside that say, yes, let's do this now. And I think the longer you are with someone that doesn't necessarily hold true. It's just some spontaneous desire is really just looking and saying, yeah, that would be nice. And I think a lot of women would like to be more like men in that sort of way, Like. 21:58Speaker 1 It sounds easier, does a bit. 22:01Speaker 3 Yeah. The problem is I think in the beginning it's cultural. You know, once upon a time, you know, we weren't meant to have a libido women one hundred years ago. It's like that was women are meant to want to have sex, So now you're normal, but now we're supposed to want to have it, and suddenly you're not normal when you don't want to have it. So yeah, it is very culturally defined what's normal and what's not, and there's not as far as I'm concerned, really there's not an abnormal. It's really what you need right now and how can we make that better for you. 22:35Speaker 1 I wanted to speak to you too about the fact that there seems to be a lot of people in our social media feeds that claim they have the answer to fixing our libidos. That could be anything from acupuncture, pressure points, nasal sprays. We see the Kardashians have, you know, got lines of things that they are promoting as being libido fixes. What should we be aware of when it comes to looking at helping our sexual desires and a lot of the things that are maybe being marketed at us as solutions. 23:06Speaker 3 First thing is safety. You want to know if you're get to take a product, at least it's safe. If it doesn't do anything, you want it to be safe. There's a lot of placeebo. In these things, you buy something, it works initially because you believe it's going to work, and then it doesn't. Belief is really important when it comes to something like libido. I think like a lot of libido really has to do with communication. If you're in a long term monogamous relationship, if that's what we're talking about here, a lot of it is to do with the communication with your partner. Testosterone is usually the thing that women talk to me a lot about, which is a possibility in older women who have hit menopaude, and that's available for women if you know that you have a sort of what we call a hypo desire sort of disorder. It's not really appropriate for younger women, and it really is. Again, it's really communication and understanding what you need to improve your libido. 24:07Speaker 1 Well, can we talk about one thing. I saw a neuroscientist on my social media feed claiming that women getting just one extra hour of sleep a night increases her libido by fourteen percent. Now I do not know on what research he has based this claim on, but would you say that women getting more sleep does in fact help libido? 24:30Speaker 3 So I had a look at that and it comes from it. I think it was twenty fourteen or twenty eighteen paper. Well, extra sleep would help a lot of things. It certainly helps your energy levels and just your ability to do a lot of things during that day. So I certainly agree if you get good sleep, it was going to help. 24:50Speaker 1 There are lots of women online now who seem very concerned that maybe the oral contraceptive pill might be interrupting their libido. Do we have any research that proves that or disproves that? 25:02Speaker 3 Yeah, yeah, so there is there is research. The thing about the oral contraceptive pill is that it increases something called serum hormone binding globulin in your body. And as the name suggests, it binds hormone and so therefore your hormone is not available to you, and in particular, it binds testosterone. Women only have a tiny amount of testosterone. So for example, we say women normal amounts of testosterone is less than two for women, whereas men, you know, you're upwards of ten to ten to thirty, right, So we have tiny amounts. So for some women who have particular receptor types need more testosterone than others to get all of the testosterone functioning. Cells working, So that is true. 25:56Speaker 1 So you've mentioned a few times that a lot of the issues that you encounter with patients is probably a lack of communication, and that does often spring from being in a long term relationship. So would you say that therapy can actually help libido? 26:13Speaker 3 Yes, it can, and I think therapy with the partner is really important. You have a lot of women coming in who want to work on it alone because they believe it's their problem. The thing is, it's a couple's issue. The thing that reduces women's libido or desire the most is actually a long term relationship. So the easiest way to increase your desire is to get a new partner, and that's not really, it might be for some women they may actually need a new partner, but for a lot of women that's not an option. You need your partner to be involved to understand what's going on, because you know, people don't talk about sex very often, and so you go into a relationship it's all good sexually, you have your spontaneous arousal and fireworks go. But you're together for a while and it's not spontaneous anymore, and then it's the understanding of what she has to understand what she needs. That's hard enough as it is, let alone trying to communicate that to a partner, and we fall into these sexual scripts where we tend to do the same thing sort of every time, and it's very hard to get out of that. So, for example, you know, like I said, men often have more spontaneous arousal. They'll get home from work and partner is there and hey, she's pretty, let's do it. Whereas for her, it's not quite like that. In a lot of circumstances, and women may have spontaneous desire, but a lot of women may actually start their their sexual encounter somewhere else. Some women need emotional intimacy, you know, so they need shells of love and encouragement to get into that cycle. Some women just need to be touched, right, and maybe he's learned to touch her and ways that are really counter productive for her. But it's too hard to say otherwise and to sort of redirect the touching to what she prefers. And some women actually will start at orgasm before they have any spontaneous arousal kind of I'm difficult to understand if you're not one of those women. But you know, there's some women who will say, Okay, we'll just get into it, because I know once I get going, I have my orgasms. Then yeah, okay, I'm feeling it now, let's do this again. And of course there's those usual things of time factors, stress, children, needing a quiet space, needing to wind down. 28:40Speaker 1 What would you say to someone who is listening to this right now and thinks, yeah, I'm really struggling with this. What are the first steps that she can take? And when should she look at getting professional medical help with libido? 28:54Speaker 3 I think if she's got chronic disease, diseases on medication, it's worthwhile talking to the doctor. You know, is there a medication I'm on that's not helping. Often the main culprit can be antidepressants, you know, SSRIs that tends to reduce your desire, and if for a lot of women that can really produce an orgasmia of difficulty reaching orgasm, or not reaching orgasm at all, because it blocks a lot of pathways in that respect. Might be something as simple as changing medication perhaps, but if you’re otherwise fit and healthy, I think if you can actually talk to your partner, that's a really good start. And that's a really difficult, difficult conversation to have. And of course we're really talking about relationships that are respectful and loving as well. If you're talking about relationships that are coercive or violent or just have some bad history, I think that's another sort of route of counseling as well. 30:02Speaker 1 So Mariam does seem that communication seems to be the key here if your lack of libido or desire is not influenced by a chronic disease. But why is this so scary to talk about? Do you think? 30:13Speaker 2 I think as we were never taught how so, like most of us grew up with silence around sex and intimacy. Maybe we had some anatomy classes in school, maybe a warning about pregnancy or but there was never any teaching about pleasure connection or emotional intimacy. So when we try to talk about it as adults, it feels like we're vulnerable and we're exposing something deeply personal. Maybe we should be ashamed about it, maybe it will be judged for it And there's that fear of rejection or am I going to hurt this person's feelings because they're not providing for me the way that I want them too. 30:51Speaker 1 What if they like something that I don't like, is that going to be a deal breaker? 30:54Speaker 2 But the irony is as we try to avoid it, the bigger that gap comes. And the couples who thrive aren't the ones to have perfect sex lives. They're the ones who can talk about it without that shame or that fear of judgment. So I would just start small, sit down and say, hey, we need to talk about sex, or you can start with hay, I miss feeling close to Can we try something different, Keep it curious, not critical, because at the end of the day, communication is foreplay. Well it is for me anyway. Yeah, and in my limited experience, it is how desire grows. 31:30Speaker 1 Yeah, okay, yeah, let's start talking friends. You never know what the outcome might be. Might be something might be an orgasm, might be an orgasm, and that would be fabulous. 31:38Speaker 2 That would be fabulous. 31:40Speaker 1 Next, Catherine isn't ready for babies like situationally or financially, but she cannot stop thinking about it. We’ll get some help for her next. Okay, doc, do you think it's quick consult time? The doctor will see you now. Just through here to consult room one. 32:03Speaker 2 Thanks for waiting. How can I help you? 32:05Speaker 1 Remember. If you want to get a question to the good doctor here, you can do it by sending us an email well at Mamamia dot com dot AU. You can do what Catherine did and hit us up on our Instagram DMS, or you can do it by the waiting room. It's an online form that you can find the link to in our show notes. Very easy. I get Catherine's filling that clock a tick in want some advice on what to do to drown it out for a bit. Here we go, she wrote. 32:26Speaker 4 I'm twenty seven and my partner is thirty seven. We're just about to finish building our first home together and are wanting to start a family in the near future. However, the prospect of not being able to get pregnant gives me great anxiety almost daily. I have no family history of trouble getting pregnant or any reason to be concerned, but it hangs over my head most days. I'm almost tempted to start trying straight away, even though we ideally would like to wait a few years to settle ourselves financially, simply just to know one way or the other if I can or can't get pregnant. My partner suggested maybe it's worth speaking to my doctor and getting some tests done to find out if we do have anything to be concerned about. My question is what should I be asking to get tested for to understand my fertility? And is it just me that should be getting tests done or should my partner also be looking into it? 33:12Speaker 2 Okay, First of all, you are not alone in this sphere. I see so many women in their twenties. We're thinking about babies one day, not right now, but the what if I can't get pregnant voices living rent free in their brain, And it makes sense. Fertility is one of those topics that gets whispered about. It's rarely explained properly, and the horror stories always travel further than the normal ones. Here's the deal. You're twenty seven. You've got no red flags from what you've told me, medically, no family history suggesting issues, so on paper, your body's not secretly plotting against you. But anxiety we know it doesn't care about logic. So I always tell people preconception screens. You know, whether it's a year or two or three prior is always a good idea. Baseline tests might help settle your mind and that's completely reasonable. For you,hat generally means a general health a reproductive screen. We'll look at your ovulation patterns, and sometimes we may do an AMH level, which gives a rough idea of your ovarian reserve. Saying that it's rough because it's not a crystal ball. 34:21Speaker 1 No one goes into one, two, three, four, how many eggs are in this. 34:26Speaker 2 It doesn't tell us if you can or can't get pregnant. It just gives context. So you could have really high numbers and still have issues with fertility. You can have really small numbers and have really great egg quality. And fertility is a team sport. I need to say it takes two to tango. If you're exploring this early, it absolutely makes sense for your partner to be included. A simple Semon analysis is cheap, quick and gives a lot of great information, and also a general health check with your partner is also required. Men's age does matter as well. We pretend sperm stays young forever, but as men get older, motility, shape and DNA quality can dip a bit. Your partner is thirty seven, still very much in the fertile age range, but if you're doing checks he definitely needs to be part of the picture too. Most importantly, I would say, don't feel pressured to start trying just because you're ready to silence the What if at twenty seven you're biologically in a really favorable window. If some basic tests give you peace of mind, fantastic, go ahead and do them, but bring your partner into that conversation o future parenthood is a joint project, it's not solo investigation. And remember, worrying about fertility doesn't mean something is wrong. It means you're human. You're planning a life chapter and your brain's trying to get ahead of the story. So chat with your GP. But if you feel like this anxiety's just kind of popping up day to day, I think that's also worth exploring with your doctor. 35:55Speaker 1 Yeah, maybe doing some tests will put your mind at ease, but bear in mind too that sometimes doing those tests might increase your anxiety. 36:04Speaker 2 Yeah, especially if you know we uncover something. 36:06Speaker 1 Yeah, yeah, so you might want to just factor that in yeah too. All right, Catherine, Hopefully that has answered your question today. But remember we love that you spend time with us here on well and we love getting all your advice. But it is general. The info you've heard here today is general, not specific. For you. Make sure you learn from it. Use it for the list of questions you take to your own doctors to sort out what's right for you. Next week, Mariam, some ye oldie worldy STIs are making a very uncomfortable comeback and we apparently do not care enough about it. So we're going to get all down and dirty in the sexually transmitted infections of the past and now sadly our present. But also a quick ask, would you mind rating and reviewing us in your podcast app It helps us out a lot more than you know. Please please, please, thank you very much and we'll catch you for your appointment next week. Bye Bye Well is produced by me Claire Murphy and our senior producer Sally Best, with audio production by Scott Stronach, video production by Julian Rosario, and social production by Elly Moore. Mammamia acknowledges the traditional owners of the land. We've 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.Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.
Send us Fan MailTuesday Talks: Shots, Safety and STI Risks | Episode 107In this week's Tuesday Talks, Dan and Lacy tackle a listener question that a lot of people might be wondering—but aren't always comfortable asking out loud. The topic? Trimix shots and whether they increase the risk of transmitting HIV or other STIs, especially if there's bleeding at the injection site.While they're quick to remind listeners that they're not medical professionals, Dan and Lacy break it down in a real, honest, and easy-to-understand way. They talk through how Trimix works, what potential risks could exist, and why communication, awareness, and personal boundaries are always key in any play scenario.This episode is all about staying informed without fear, asking better questions, and making confident, educated choices in the lifestyle. Tune in now to get the full conversation and hear how Dan and Lacy approach this important (and often overlooked) topic.Get Tickets to Electric Pleasures- The Swing Nation - Main Website Quick Navigation Website: -- (Find all our social media links & more!)- Swinger Society - Our Website to meet, connect & events Swinger Society Discord Our Facebook Group- Swinger Websites -Kasadie 90 day free trialUsername: TheSwingNation SDC 14 day free trial Username: TheSwingNation** Use code 36313 for 14 days free! ** SLSUsername: NorthernGuynSouthernGirl- Merch & More -Order Your Merch Here!- Lacy's Fun Links -VIP OnlyFansPREMIUM OnlyFans-- THANK YOU TO OUR SPONSORS --Wisp : Making sexual healthcare inclusive, cost-effective, and accessible—for everyoneUse Code SWING at checkout for 15% off your oder!Shameless Care: ED Medication and at home STD testingUse Code TSN at checkout for $30 off your order!Promescent® Make Love Longer, It's Time for Great SexUse Code SwingNation for 5% off!Support the show- Thank you for the support! -
Dr. Drew Wilson, ID Pharmacy Resident, discusses the new options for pre-exposure prophylaxis (PrEP) to prevent HIV infection. Options discussed include oral PrEP (Truvada, Descovy), cabotegravir, and a newer option, lenacapravir. A prescribing algorithm is also presented, and the topic of developing resistance is also covered. Lastly, Dr. Wilson touches upon other novel agents for PrEP, as well as DoxyPEP for the prevention of bacterial STIs.
Shame has a way of convincing us to hide. But Jesus doesn't turn away from your shame. He steps toward it. This week, Juli sits down with Dr. Carol Tanksley and Allie Mazur to shed light on the often unspoken reality of living with an STI. Together, they unpack the weight of shame, the fear of rejection, and the questions that can follow a diagnosis like herpes. You'll be reminded that while consequences of sin may linger, they don't have the final word. Jesus meets us right in the middle of our brokenness, offering freedom, healing, and hope. If you've ever felt like your story is "too much" or "too broken," this conversation is for you. Guests: Dr. Carol Tanksley, OBGYN and Allie Mazur Follow-Up Resources: Q&A: Are sexual sin and sexual brokenness the same thing? (video) Q&A: Where do I begin healing? (video) How to Get Past Shame from Sexual Sin by Juli Slattery (blog) Dr. Carol Tanksley's website: drcarolministries.com Follow Dr. Carol at @drcarolt Allie Mazur's website: livebeyondherpes.com Follow Allie Mazur at @allie_beyond Follow Authentic Intimacy at @authenticintimacy
In this episode, I detail my pregnancy symptoms during weeks 12-15, surviving the first trimester, and how I'm waiting patiently for the “honeymoon phase” to kick in! I share my continued struggles with nausea, headaches, and exhaustion, as well as new symptoms like acne, body changes, and really feeling the “pregnancy uglies” during this phase. I open up about some of the heightened anxiety and depression I've been feeling during this pregnancy and how I'm really trying to stick to my self-care routines, prioritize family time, and find joy through the process.Key Takeaway / Points: Physical symptoms: nausea, cold flashes, acne, insomnia, and headachesCoping with heightened anxiety and perinatal depressionWhy men could never handle pregnancyLearning to prioritize joy and self-care during the hard weeksA bump update, experiencing pelvic pain, and first potential baby kicksThe importance of honest conversations around body image and mental health during pregnancyThis episode is sponsored by Natural Cycles, the company behind the first FDA-cleared, hormone-free, and non-invasive birth control app that helps prevent or plan pregnancy naturally. Use code CAMERON at https://naturalcycles.app/Cameron for 15% off an annual subscription + a FREE NC° Band. The NC° app is for 18+ and does not protect against STIs. Always read and follow the instructions for use.Follow me:Instagram: @cameronoaksrogersSubstack: Fill Your CupWebsite: cameronoaksrogers.comTikTok: @cameronoaksrogersYouTube: Cameron Rogers
Emmy Award-winning journalist / author Tamsen Fadal opens up about her perimenopause journey. She breaks down the early warning signs that most women dismiss or never connect to hormones at all: The brain fog, the anxiety, the sleep disruption, the irregular cycles and symptoms that quietly creep in. The gang gets into the frustrating reality of medical gaslighting, the dismissals, the "you're just stressed," the years women lose waiting for a doctor to take them seriously. Tamsen is clear: the system isn't set up to help us, which means we have to help ourselves. We have deals for YOU!!LadyGang is brought to you by Natural Cycles! Take control of your perimenopause journey. Get 15% off your yearly subscription to the NC° app plus a free NC° Band at https://naturalcycles.app/lady // Natural Cycles is for 18+ and does not protect against STIs. Always read and follow the instructions for useLucy Nicotine Pouches: The only pouch that delivers long-lasting on-demand flavor! Get 20% off your first order at lucy.co/ladygang with promo code LADYGANGMacy's: Refresh your spring wardrobe! Shop at Macys.com OR in-store!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Dr. Sigrid Burruss and Dr. Adrienne Schlatter join Dr. Sandie Morgan to explore what human trafficking actually looks like in healthcare settings, why safety matters more than rushing to the rescue, and how hospitals can build responses that help patients feel seen, supported, and safer -- with a close look at California's new SB 963, requiring emergency departments to screen every patient for trafficking.Chapters(00:00) - Intro + SB 963: The New California Law (03:08) - How Trafficking Survivors Come to Healthcare (05:51) - Recognizing the Signs and Using Screening Tools (10:00) - The Sticker Method: Creative Strategies for Privacy (14:36) - Planting Seeds Instead of Rushing to Rescue (19:27) - Training the Whole Team — Even the Cleaning Staff (24:40) - Where to Find Resources and Training (28:01) - Consent Laws, Reporting, and Adult Patients Dr. Sigrid Burruss & Dr. Adrienne SchlatterDr. Sigrid Burruss is a board-certified surgeon at UCI Health specializing in trauma surgery and surgical critical care. She earned her medical degree from the University of California, San Francisco School of Medicine, completed her general surgery residency at UCLA Medical Center, and a fellowship in surgical critical care at UC San Diego Medical Center. Her professional interests include trauma prevention, reducing trauma recidivism, and understanding the relationship between mental health and physical trauma. She is engaged in connecting patients and families with community support systems to promote long-term recovery, and serves on the Orange County Human Trafficking Task Force Healthcare Subcommittee and CSEC steering committee as a leader in clinical response to child sexual exploitation and human trafficking.Dr. Adrienne Schlatter is a board-certified pediatrician at UCI Health, with dual board certification in Pediatrics and Child Abuse Pediatrics. She earned her medical degree from Rowan University School of Osteopathic Medicine, completed her residency in pediatrics at Los Angeles County USC Medical Center, and a fellowship in child abuse pediatrics at the University of Washington School of Medicine. Her clinical work focuses on the care of children who may be affected by abuse or neglect, including evaluation and coordination within multidisciplinary systems. Dr. Schlatter also serves on the Orange County Human Trafficking Task Force Healthcare Subcommittee and CSEC steering committee, bringing her expertise in child abuse pediatrics to the intersection of clinical care, consent law, and trauma-informed practice.Key Points• SB 963, effective January 1, 2025, requires all California emergency departments to screen every patient for human trafficking and adopt formal policies for doing so -- regardless of whether risk factors are present.• Trafficking survivors may come to the ED for reasons that appear unrelated to trafficking: physical assault with an inconsistent history, recurrent STIs, or chronic conditions like hypertension and diabetes that go unmanaged because the trafficker controls whether they can follow up with a primary care provider.• The triage nurse and check-in staff are often the first point of contact -- not the physician -- making it essential that everyone who encounters a patient, from reception to security to cleaning staff, knows what to look for and how to escalate.• When a potential trafficking survivor arrives with a companion claiming to be a family member, clinical policy and common procedures -- like a separate exam, an X-ray, or a trip to the bathroom for a urine sample -- can create a private moment to ask sensitive questions.• The sticker method gives patients a covert way to signal for help: bathroom posters invite patients to place a sticker on their urine cup if they feel unsafe, prompting staff to create a private conversation even when a trafficker is in the room.• Healthcare providers need to manage the impulse to rescue immediately; many survivors, especially teenagers, may not recognize that they are being trafficked, so the goal is to plant a seed of safety -- not to expect immediate disclosure or departure.• Discharge paperwork can carry covert resources: embedding youth housing, counseling services, and hotline numbers in a generic "age-appropriate resources" sheet means a survivor leaves with something useful even if they are not ready to act on it today.• California consent law gives minors over 12 the right to consent to STI testing, mental health care, and substance use counseling without parental permission -- and anyone can consent to forensic evidence collection after sexual assault -- giving clinicians important tools for trauma-informed care without putting young patients at greater risk.ResourcesSB 963 -- California Hospital Human Trafficking Screening Lawhttps://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB963Orange County Human Trafficking Task Force -- Healthcare Subcommitteehttps://www.ochumantrafficking.com/committees/healthcaresubcommitteeQuick Youth Indicators for Trafficking (QYIT)https://resources.rhyttac.org/resources/screening-tool/quick-youth-indicators-trafficking-qyitCSE-IT -- Commercial Sexual Exploitation-Identification Toolhttps://www.westcoastcc.org/cse-it/National Human Trafficking Hotlinehttps://humantraffickinghotline.org/en
Antimicrobial resistant gonorrhea is a global public health concern. This episode discusses two articles evaluating two new antibiotics, gepotidacin and zoliflodacin, to treat uncomplicated urogenital gonorrhea. A retrospective study of WHO global gonococcal antimicrobial surveillance program (GASP) 2019-2022 data is also reviewed. View episode transcript and references at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs and STIs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW), Program Director of the UW Infectious Diseases Fellowship Program, and Associate Editor of the National STD Curriculum.
Every pregnancy journey is unique, and it's okay to ask for help and adjust your expectations! And today we invited three amazing Lady Gangers – Tori, Heather, and Caitlin – to share their experiences. Tori discovered that her illness hit hard and early, making it impossible to keep her pregnancy a secret. Heather, now pregnant with twins, emphasizes the importance of flexibility and grace amidst the chaos. And Caitlin learned that morning sickness can be a relentless nausea rather than just throwing up. We have spring deals for YOU!!LadyGang is brought to you by Natural Cycles! Take control of your cycle and fertility. Get 15% off your yearly subscription to the NC° app plus a free NC° Band at https://naturalcycles.app/lady // Natural Cycles is for 18+ and does not protect against STIs. Always read and follow the instructions for use.Nutrafol: Got thinning hair? Get $10 off your first month's subscription AND free shipping at Nutrafol.com and use code LGPODSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
A federal commission met last night about the Duane Arnold Energy Center. A bill on the governor's desk would no longer allow minors to get vaccines that prevent STIs. And the gender pay gap in Iowa's state employees has widened.
There were nearly 300 more reported STIs in the first three months of 2026 compared to the same time last year. 5,160 sexual transmitted infections were recorded by the Health Protection Surveillance . All to discuss with Cathal O'Broin, Infectious Diseases Consultant at St. Vincent's and Sexual Health Lead.
Send us Fan MailIn this episode, we're diving into the real first trimester: preconception. I'm breaking down why the 90 days before pregnancy matter so much for both egg and sperm quality, how your daily habits today can influence fertility, embryo development, and even your future baby's health, plus the science of epigenetics in a simple, empowering way. It's never too early to start learning more about fertility health!Book recommendations: Hormone Intelligence by Aviva Romm, It Starts With the Egg by Rebecca Fett, Fertility Formula by Natalie Crawdford, and 9 Months Is Not Enough by Alexandria DeVito.This episode is sponsored by Natural Cycles! Use my code SophiaNC at checkout to get 15% off an annual subscription, plus a free NC Band. Natural Cycles is 18+ and does not protect against STIs. Always read and follow instructions for use.My fitness app:https://my.playbookapp.io/sophia-panellaAdd your stories you want shared on Simply Yours here: https://docs.google.com/forms/d/e/1FAIpQLSc85qckIf4L2QUttwrQluVWZaMDnyrurrrvcaU6yb1i-Y-bLQ/viewform?usp=header 1:1 Online Fitness, Nutrition, + Hormone Health Coaching: https://docs.google.com/forms/d/e/1FAIpQLScrqyOOH8Uq9tvTjxQv7TQKmzF-FaJvSUG7WROcEk42ajNNBQ/viewform?usp=headerCoaching Course:https://level-up-u.teachable.com/p/online-fitness-coaching-course
Fertility can feel like magic… until it doesn't. In this raw and emotional LadyGang Quickie—presented by Natural Cycles—we're turning the mic over to our own community for the first time ever. From devastating loss and IVF struggles to surprise pregnancies and miracle babies, three LadyGang members share the stories no one talks about—the heartbreak, the frustration, the advocacy, and ultimately, the hope. Plus, we get into why so many women don't actually understand their fertility, how tracking your cycle can change everything, and why having real data (hello, Natural Cycles) can help you feel more in control of your body. If you're trying, struggling, or just want to feel less alone—this episode is for you.
Hosted on Acast. See acast.com/privacy for more information.
We're kicking off our new mini-series with Natural Cycles by finally asking the question every woman has wondered at some point: Why does no one ACTUALLY teach us how our menstrual cycles work? Joined by board-certified OBGYN and reproductive endocrinologist Dr. Natalie Crawford, we break down the four phases of the menstrual cycle, what your hormones are actually doing each week, and why you feel like a boss one minute... and a feral recluse the next. Plus, Dr. Crawford shares the shocking truth about why most period-tracking apps miss ovulation, how cycle tracking can help you catch bigger hormonal issues sooner, and what every woman should know about fertility, embryo transfers, and advocating for herself at the doctor. Whether you're trying to get pregnant, avoid pregnancy, or just want to understand your body better, this episode is the masterclass we all should have gotten years ago.LadyGang is brought to you by Natural Cycles! Take control of your cycle and fertility! Get 15% off your yearly subscription to the NC° app plus a free NC° Band at https://naturalcycles.app/LADY // Natural Cycles is for 18+ and does not protect against STIs. Always read and follow the instructions for useSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this episode, I dive into what the f*ck is happening to my body during weeks 8-11 (which are always the hardest weeks for me) during my third pregnancy. I cover every detail from eating every possible second to avoid nausea, to extreme pregnancy exhaustion, to starting Zofran and it changing my life, to experiencing constipation from said medication. I talk about the relief of finally being able to announce my pregnancy, the insane amount of time that pregnant women have to spend at the doctor's office, and overall not feeling my best during these difficult weeks of the first trimester.Key Takeaway / Points: Pregnancy exhaustion and intense napsSurviving on saltine crackers and sour candy, coffee aversions, & body shakesHow taking Zofran saved me from my nauseaDetails around announcing my pregnancyDifficulty keeping up with hygiene, self-care, and no longer fitting in my clothesThe conflicting emotions of feeling gratitude while also struggling during pregnancyThis episode is sponsored by Natural Cycles, the company behind the first FDA-cleared, hormone-free, and non-invasive birth control app that helps prevent or plan pregnancy naturally. Use code CAMERON at https://naturalcycles.app/Cameron for 15% off an annual subscription + a FREE NC° Band. The NC° app is for 18+ and does not protect against STIs. Always read and follow the instructions for use.Follow me:Instagram: @cameronoaksrogersSubstack: Fill Your CupWebsite: cameronoaksrogers.comTikTok: @cameronoaksrogersYoutube: Cameron Rogers
Send us Fan MailThis episode is all about shifting your focus from strict dieting and macro perfection to building a healthier, more sustainable relationship with food. We break down why so many women struggle with nutrition, unrealistic standards, and all-or-nothing thinking. Instead of chasing weight loss or perfection, we dive into redefining what “healthy” actually means for you, and how to build habits rooted in nourishment, awareness, and consistency.Tracking Macros 101 FREE Ebook:https://www.canva.com/design/DAGp-h7ap-E/lguuZbAOSFbzmo8TlNttsQ/watch?utm_content=DAGp-h7ap-E&utm_campaign=designshare&utm_medium=link2&utm_source=uniquelinks&utlId=h1efad5fe96This episode is sponsored by Natural Cycles! Use my code SophiaNC at checkout to get 15% off an annual subscription, plus a free NC Band. Natural Cycles is 18+ and does not protect against STIs. Always read and follow instructions for use.My fitness app:https://my.playbookapp.io/sophia-panellaAdd your stories you want shared on Simply Yours here: https://docs.google.com/forms/d/e/1FAIpQLSc85qckIf4L2QUttwrQluVWZaMDnyrurrrvcaU6yb1i-Y-bLQ/viewform?usp=header 1:1 Online Fitness, Nutrition, + Hormone Health Coaching: https://docs.google.com/forms/d/e/1FAIpQLScrqyOOH8Uq9tvTjxQv7TQKmzF-FaJvSUG7WROcEk42ajNNBQ/viewform?usp=headerCoaching Course:https://level-up-u.teachable.com/p/online-fitness-coaching-course
The Urge stopped by to breakdown their upcoming show with Less Than Jake at St Louis Music Park July 25th.Rizz returns from a wholesome family reunion… immediately followed by a three-hour movie experience that emotionally drained him and physically assaulted his stomach via popcorn. Meanwhile, the crew debates whether movies should legally be allowed to exceed 90 minutes anymore (jury's still out, but Rizz says “absolutely not”).The gang also tackles:Broken AC units vs. box fan survival tacticsGym crowds officially dying off (RIP New Year's resolutions)Rizz complaining about plans… then admitting he had a great time anyway (a classic character arc)The highlight? A trip to Fast Eddie's + a pinball bar in Wood River, which Rizz initially describes like a post-apocalyptic wasteland… before admitting it was actually awesome. Growth. Personal growth.90s Movie Madness, where the crew debates iconic matchups:Then it's straight into Crap on Celebrities, featuring:A buzzworthy new band discovery (Dspitz — Lern is obsessed)Justin Timberlake's DWI footage, where “I'm on a world tour” becomes the worst possible answer to a copA controversy involving Chappell Roan allegedly making a young fan cry (with debate on whether it was her fault or overzealous security)Plus:Kevin Hart launching a Netflix comedy competition showBehind-the-scenes insight from Rafe about comedians actually competing on itPlanning a wholesome cat café birthday (with painting and dinner)“One sibling sees all the funerals, one sees none, and one has no one at theirs.”From there, it pivots (hard) into Sex Time Fun Facts, including:Ashley Madison rebranding as a “privacy” dating app (lol sure)Stats about people knowingly spreading STIs (yikes)A general discussion on dating apps, deception, and why people are shadyBasically: emotional damage → jokes → emotional damage → sex facts.Follow The Rizzuto Show → linktr.ee/rizzshow for more from your favorite daily comedy show.Connect with The Rizzuto Show Comedy Podcast online → 1057thepoint.com/RizzShow.Hear The Rizz Show daily on the radio at 105.7 The Point | Hubbard Radio in St. Louis, MO.Florida Woman Allegedly Trashed Airbnb Rentals, Posted Videos OnlineWoman dies soon after takeoff on British Airways flight, passengers spend 13 hours with body on planeAmericans are living for the weekend: Vast majorities like Saturday and Sunday while Mondays are divisiveThe Urge with Less Than Jake , My Posse in Effect - A Live Tribute to the Beastie Boys1 in 10 Americans Admit They Knowingly Gave a Partner an STDSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
What starts as birthday talk turns into a full existential spiral real quick.In this episode of The Rizzuto Show, Lern plans a wholesome birthday at a cat café (yes, really), while the rest of the crew somehow invents “The Glitter Box” and immediately regrets it. But things take a hard left when Rafe drops a brutally honest thought about siblings, death, and who ends up alone—which sends the entire show into a surprisingly deep (and slightly unhinged) discussion.Then it's time for Sexy Time Fun Facts, where nothing is safe. Ashley Madison tries to rebrand itself as a “privacy-first” dating app (LOL), a shocking stat about people knowingly spreading STIs gets everyone fired up, and the crew debates what actually counts as cheating in 2026. Spoiler: flirting with a barista might cost you your relationship… or save you money on landscaping.It's weird, it's uncomfortable, and it's exactly why this is your favorite daily comedy show.
#fyp #fyppage #podcast #podcasting #media #journalism #advertising #advertorial #nonprofit #pregnancy #stds #stis #religion #missouri In this paid-for episode of "Ray County Voices," Connie Taylor and Cierra Miller with the Richmond, Mo-based nonprofit organization Bridge of Hope discuss the services the organization provides, including education about STIs and STDs. Other topics include ways to donate to the nonprofit. Notes:To read about the Bridge of Hope's visit to the podcast studio at the Richmond News and Excelsior Springs Standard offices, visit https://www.richmond-dailynews.com/index.php/news/bridge-hope-addresses-community-health-concerns. #newspapersFor more information about Bridge of Hope, visit https://www.boh4women.org/.Credits: Hosts: Miranda Jamison, Shawn RoneyProducers: Sharon Donat, Miranda Jamison, Shawn RoneyEditing: Shawn RoneyMusic director: Shawn Roney
Hello Booty Gang, and welcome back to another episode of BUTT HONESTLY with Dr. Carlton and Dangilo—where the questions are specific, the answers are thoughtful, and the tone is… professionally unhinged.This week, we kick things off with a listener asking about “lazy gut”—what it means, what's myth versus medicine, and how it intersects with some very advanced extracurricular activities.Then we slide into a practical (and surprisingly common) question: can STIs stick to silicone lube? It's part chemistry lesson, part public health PSA, and fully in line with the show's mission of keeping things sexy and smart.And yes… we hear from a listener named Splat—who writes in with a response to last week's conversation about straight men. The name alone deserves airtime, and the message does not disappoint.Outside the inbox, the guys take a moment to highlight some important news out of Florida, where lawmakers have restored funding for HIV/AIDS medication programs—a reminder that access to care is not just policy, it's personal.Of course, no episode would be complete without tackling a timeless debate: hairy, trimmed, or shaved? The answers are passionate, the opinions are strong, and no one leaves unchanged.As always, they wrap things up with their Love Language of the Week, because after all the science, sass, and Splat… we still believe in connection.Press play. It's educational, it's entertaining, and it's Butt Honestly at its finest.
Surprise! I'm pregnant with Baby #3! Which means we are bringing back WTF Is Happening To My Body, this time as a series on the podcast sponsored by Natural Cycles. In this episode, we get into what the actual fuck is happening to my body during my third pregnancy, and the raw, unfiltered realities that come with it. I walk you through my experiences during weeks 4–7, from how I found out I was pregnant to the rollercoaster of early symptoms: nausea, exhaustion, pregnancy rage, and the literal superhuman changes that our bodies go through. I get honest about my mental health, why I stay on medication throughout my pregnancy, and how I'm practicing self-compassion during this journey!Key Takeaway / Points: How I found out I was pregnant and my first symptomsMy experience with PMDD, anxiety, depression & staying on meds during my pregnancyPregnancy exhaustion vs. postpartum exhaustionCravings, letting go of “food noise”, and a deep desire for comfort and nostalgiaThe realities of early pregnancy: irritability, nausea, intense dreams, and moreThis episode is sponsored by Natural Cycles, the company behind the first FDA-cleared, hormone-free, and non-invasive birth control app that helps prevent or plan pregnancy naturally. Use code CAMERON at naturalcycles.com for 15% off an annual subscription + a FREE NC° Band. The NC° app is for 18+ and does not protect against STIs. Always read and follow the instructions for use."Follow me:Instagram: @cameronoaksrogersSubstack: Fill Your CupWebsite: cameronoaksrogers.comTikTok: @cameronoaksrogersYoutube: Cameron Rogers
Send a textOur very first Simply Yours episode and it is, dare I say, the best stories we have ever heard? We have a gal navigating friendships and motherhood, a girl's night out gone bad, libido struggles in relationships, and much more!This episode is sponsored by Natural Cycles! Use my code SophiaNC at checkout to get 15% off an annual subscription, plus a free NC Band. Natural Cycles is 18+ and does not protect against STIs. Always read and follow instructions for use.My fitness app:https://my.playbookapp.io/sophia-panellaAdd your stories you want shared on Simply Yours here: https://docs.google.com/forms/d/e/1FAIpQLSc85qckIf4L2QUttwrQluVWZaMDnyrurrrvcaU6yb1i-Y-bLQ/viewform?usp=header 1:1 Online Fitness, Nutrition, + Hormone Health Coaching: https://docs.google.com/forms/d/e/1FAIpQLScrqyOOH8Uq9tvTjxQv7TQKmzF-FaJvSUG7WROcEk42ajNNBQ/viewform?usp=header Coaching Course:https://level-up-u.teachable.com/p/online-fitness-coaching-course
Die Regierungen der Ostschweizer Kantone und Graubünden kritisieren die nationale Verkehrspolitik. Sie fordern vom Bundesrat ein höheres Tempo bei Autobahn- und Bahnprojekten. Zudem sollen die Projekte besser koordiniert werden, heisst es im heute verabschiedeten Positionspapier. Weitere Themen: · Frühling im Anmarsch: Aus meteorologischer Sicht ist der Winter am 1. März zu Ende gegangen. Er war zuerst warm, dann kalt, lange trocken und dann nass - der Rückblick.
Send a textIf you've been feeling overwhelmed, exhausted, or “off,” you're not broken...you're just overloaded. This episode dives into what I am calling the female stress epidemic and the biology behind chronic stress. We are going to reframe stress as a systems issue and walk through realistic ways to support your nervous system in real life.This episode is sponsored by Natural Cycles! Use my code SophiaNC at checkout to get 15% off an annual subscription, plus a free NC Band. Natural Cycles is 18+ and does not protect against STIs. Always read and follow instructions for use.My fitness app:https://my.playbookapp.io/sophia-panellaAdd your stories you want shared on Simply Yours here: https://docs.google.com/forms/d/e/1FAIpQLSc85qckIf4L2QUttwrQluVWZaMDnyrurrrvcaU6yb1i-Y-bLQ/viewform?usp=header 1:1 Online Fitness, Nutrition, + Hormone Health Coaching: https://docs.google.com/forms/d/e/1FAIpQLScrqyOOH8Uq9tvTjxQv7TQKmzF-FaJvSUG7WROcEk42ajNNBQ/viewform?usp=header Coaching Course:https://level-up-u.teachable.com/p/online-fitness-coaching-course
Trichophyton species are fungi that can cause dermatophytosis also known as ringworm or tinea. This episode reviews four papers about an emerging Trichophyton in which sexual transmission has been reported and antifungal resistance might be a concern. View episode transcript and references at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs and STIs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW), Program Director of the UW Infectious Diseases Fellowship Program, and Associate Editor of the National STD Curriculum.
Sexual medicine is underfunded, misunderstood, and often dismissed. But it's also one of the most collaborative fields in healthcare. Dr. Tami Rowen recaps this year's ISSWSH conference and what it revealed about where the field is heading.Dr. Rowen is the current president elect of ISSWSH and has been instrumental in shaping sexual medicine education and research. We recorded this right after the 2026 ISSWSH conference in Long Beach, which had almost 600 attendeesone of our biggest conferences yet.We discuss the standout research from the meeting, including award winning work on sexual function after gender-affirming hysterectomy and why most top abstracts focused on sexual pleasure rather than prevention. We talk about the reality of research funding in sexual medicine, why industry support creates conflicts of interest that look bigger than they are, and how lack of NIH funding means we have almost no treatment options for conditions like vulvodynia.We also dive into testosterone therapy why it's controversial, what the data actually shows versus what social media claims, and why Dr. Rowen doesn't treat hormone levels but rather treats individuals with specific goals. We discuss body image after breast cancer surgery, lymphedema's impact on sexual function, and why technoference is contributing to the lowest rates of sex we've ever seen.HighlightsISSWSH focuses on sexual pleasure and quality of life, not just prevention of pregnancy and STIs.Research funding for vulvodynia is $4 million annually versus $800 million for breast cancerthat's one grant versus hundreds.Testosterone therapy should treat symptoms and goals, not hormone levels or deficiencies.Body image and sexual function outcomes are significantly worse after mastectomy versus lumpectomy, even though cancer outcomes are equal.Technoference (technology interference) is contributing to historically low rates of sexual activity.If you're a clinician interested in sexual medicine, consider attending the ISSWSH Fall Course for foundational education and the annual meeting for cutting-edge research. If you're a patient navigating any issues and not currently getting help, know that there are practitioners out there who want to help you.Subscribe to the podcast and share this episode with anyone who wants to learn more about sexual medicine, menopause, or women's health education.Get in Touch with Dr. RowenWebsiteInstagramGet in Touch with Me: WebsiteInstagramYoutubeSubstackMentioned in this episode:GSM CollectiveThe GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today. GSM Collective
Intimacy isn't just sex—and for a lot of autistic and ADHD adults, dating can feel like a confusing set of unspoken rules that nobody will explain. In this episode of Adulting With Autism, host April sits down with Mandy Hart, a Certified Sexologist and founder of Hart's Desire—Intimacy and Relationship Coaching, for a candid, compassionate conversation about shame, consent, boundaries, and connection. Mandy blends behavioral science, public health, and trauma-empowered somatic coaching to help people reconnect with their bodies, build confidence, and create authentic intimacy on their own terms—whether that's with a partner, multiple partners, or solo. We talk about what it means to feel safe in your body, how to communicate needs and boundaries, how to discuss STIs without panic or shame, and how consent can be sexy, clear, and ongoing (not a checklist). In this episode, we cover: Intimacy vs. sex: expanding what "connection" can mean Shame and self-worth: how it shows up in dating and relationships "Safety in your body" and nervous system regulation Consent skills: how to ask, how to check in, and how to make it hot (not awkward) Neurodivergent dating: navigating cues, boundaries, and communication Asexuality, sensory needs, and relationships without partner sex STI disclosure and sexual health conversations with compassion Connect with Mandy Hart: Website: https://harts-desire.com/ Email: mandy@hearts-desire.com Book a free discovery call via the site Blog: Embodying Hart's Desire
There has been over a forty percent increase in sexually transmitted diseases compared in January of this year compared to last year. So what is causing this sharp rise? For more on this, Anton spoke to Dr Aisling Loy, Consultant in Genito-Urinary Medicine in the GUIDE clinic at St James's Hospital.
Episode 213: HIV PrEP Review H. Nicole Magaña, medical student, reviews the history of PrEP and outlines the currently FDA-approved medications used for HIV prevention. Dr. Arreaza provides additional perspective on long-acting injectable options, including how quickly they begin to protect patients after initiation. Written by Nicole Magana, MSIV, American University of the Caribbean. Comments and edits by Hector Arreaza, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice. Pre-exposure prophylaxis for HIV. Previous episodes related to HIV: -Episode 67, HIV history (September 2021) -Episode 68, HIV transmissibility (October 2021) -Episode 70 (October 2021), HIV prevention (including HIV Prep with oral medications) -Episode 98 (June 2022), we introduced Apretude, the first injectable for HIV PrEP. Apretude was approved in December 2021. What is Pre-Exposure prophylaxis (PrEP)? Pre-exposure prophylaxis, or PrEP, is the use of antiretroviral medications taken by individuals who are HIV-negative to prevent HIV acquisition. There are 30,000 new HIV infections annually in the US. How effective is it? When taken as prescribed, PrEP is highly effective at reducing the risk of HIV transmission through sexual exposure and injection drug use. Patients who are adherent to PrEP can lower their risk of contracting HIV by 99%. The effectiveness of oral PrEP is highly adherence dependent. In trials with 70% adherence, the relative risk of HIV acquisition was 0.27, compared to 0.51 with 40-70% adherence and no significant benefit with adherence ≤40%. How does PrEP work? PrEP works by maintaining therapeutic drug levels in the bloodstream and in target tissues. If HIV exposure occurs, viral replication is inhibited, preventing the establishment of infection. Brief History of PrEP. The concept of PrEP originated from early animal studies demonstrating that antiretroviral medications could prevent retroviral transmission when administered before exposure. In 2010, the iPrEx trial showed that daily oral tenofovir disoproxil fumarate (known as Truvada) with emtricitabine significantly reduced HIV acquisition among men who have sex with men and transgender women. This was the first large clinical trial to demonstrate the effectiveness of PrEP. In 2012, the FDA approved oral Truvada, which is TDF/FTC (tenofovir disoproxil and emtricitabine) for HIV prevention. Since then, additional studies have expanded indications and introduced new formulations, including long-acting injectable options. Who Should Be Offered PrEP? PrEP should be considered for any HIV-negative individual at increased risk of HIV acquisition, including Men who have sex with men, transgender individuals, heterosexual men and women with an HIV-positive partner, individuals with recent bacterial sexually transmitted infections, people who inject drugs, individuals engaging in condomless sex with partners of unknown HIV status. Remember that PrEP should be offered in a nonjudgmental, patient-centered manner, make it a safe space to talk openly about prevention of HIV. Available HIV PrEP Options. Daily Oral PrEP: There are 2 formulations of Tenofovir. There is Tenofovir disoproxil fumarate (TDF)/ Truvada and Tenofovir alafenamide (TAF)/ Descovy. Each is available in a tablet combined with Emtricitabine a nucleoside reverse transcriptase inhibitor. Truvada: It is approved for all populations at risk through sexual exposure or injection drug use. Something to look out for before starting this medication is for pre-existing CKD. Do not give to patients who have an estimated glomerular filtration rate of less than 60 mL/min. (6) Descovy: This option is approved for men who have sex with men and transgender women but is not approved for individuals at risk through receptive vaginal sex. It has less impact on renal function and bone mineral density compared to Truvada. It can be used in moderately reduced kidney function (GFR between 30-60 mL/min). Truvada and Descovy are taken orally once a day. After patients start taking these medications, when are they considered to be protected? Nicole: With daily oral PrEP, guidelines differ with WHO and International Aids Society-USA stating it takes about 7 days, while CDC states 21 days to allow for adequate concentration in tissues (1). Adherence is critical for efficacy. Injectable HIV PrEP. In 2021, the FDA approved the first Injectable PrEP option Long-acting cabotegravir (CAB-LA)- known on the market as Apretude. Cabotegravir is an integrase strand transfer inhibitor administered as an intramuscular injection.Dosing consists of an initial injection, a second injection one month later, and then maintenance injections every two months (1). Another option is Lenacapavir (Yeztugo). The Yeztugo as a pre-exposure prophylaxis (PrEP) for HIV in Oct 2024. Yeztugo is the first and only FDA-approved HIV prevention treatment that requires just two injections per year, offering a long-acting option for people who weigh at least 35kg. It is given as 2 injections every 6 months. First dose is given with 2 tablets on Day 1 and Day 2, then every 6 months 2 injections on the same day. Clinical trials, including HPTN 083 and HPTN 084, demonstrated that injectable cabotegravir is superior to daily oral PrEP in preventing HIV infection. This advantage is largely due to improved adherence rather than differences in intrinsic drug potency. There have been no head-to-head comparisons between Yeztugo and Apretude, but they are both very effective. Apretude starts protecting 7 days after the first dose, and Yeztugo starts protecting 2 hours after Day 2 (if patient takes the oral loading dose) or 3-4 weeks if no oral load is taken. Injectable PrEP is particularly beneficial for patients who struggle with daily pill adherence, have trouble swallowing pills, prefer a discreet option, have difficulty storing their medication or have renal or bone disease that limits the use of tenofovir-based regimens like Truvada and Descovy (6). In one unpublished report by Medline, patients who received Apretude had an increase in bone mineral density compared to those who received Truvada (1). Tests prior to starting PrEP. Before initiating PrEP, patients must be confirmed to be HIV-negative. Baseline evaluation includes HIV testing with a fourth-generation antigen/antibody assay, HIV RNA testing if acute infection is suspected, renal function testing for oral PrEP, Hepatitis B screening, sexually transmitted infection screening, and pregnancy testing when appropriate. PrEP should not be started in individuals with known or suspected acute HIV infection. Monitoring for patients on HIV PrEP. Monitoring typically includes HIV testing every 2 to 3 months, STI screening every 3 to 6 months, renal function monitoring for those on oral PrEP (tenofovir- based), ongoing adherence and risk-reduction counseling. And for injectable PrEP, adherence to the injection schedule is essential, as delayed dosing may increase the risk of resistance if HIV infection occurs. HIV PrEP is not a prevention for other STIs. Screening for STIs and counseling about prevention is essential. Breakthrough HIV infections on PrEP are rare and most often associated with poor adherence or delayed diagnosis. Truvada is more studied in all populations and is considered safe during pregnancy and breastfeeding. There is less data regarding the injectable option in patients who are pregnant, may become pregnant, or whose primary risk factor is injection drug use (1). Injectable PrEP provides an important alternative for patients with chronic kidney disease and bone disease (1). Key Takeaway Pre-exposure prophylaxis is a safe, effective, and evidence-based strategy for HIV prevention. With both daily oral and long-acting injectable options available, PrEP can be individualized to meet patient needs. Normalizing PrEP discussions in clinical practice is essential to reducing new HIV infections and advancing public health goals. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! References: Antiretroviral Drugs for Treatment and Prevention of HIV in Adults: 2024 Recommendations of the International Antiviral Society–USA Panel. The Journal of the American Medical Association. 2025. Gandhi RT, Landovitz RJ, Sax PE, et al. Long-Acting Lenacapavir Acts as an Effective Preexposure Prophylaxis in a Rectal SHIV Challenge Macaque Model. The Journal of Clinical Investigation. 2023. Bekerman E, Yant SR, VanderVeen L, et al. Pharmacokinetics and Safety of Once-Yearly Lenacapavir: A Phase 1, Open-Label Study. Lancet. 2025. Jogiraju V, Pawar P, Yager J, et al.
About this episode: Sexual education often focuses on the potential risks of unplanned pregnancies and STIs. But an approach to sexual health that includes frank discussions of what feels good could yield better health outcomes. In this episode: Sexual health expert Joshua O'Neal talks about the value of starting sexual health conversations with enjoyment and comfort. Note: This episode was produced in collaboration with the National Coalition of STD Directors. Guests: Joshua O'Neal, MA, is a sexual health educator and program director at the Southeast HIV/STI Prevention Training Center. Host: Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health. Show links and related content: Promoting protection and pleasure: amplifying the effectiveness of barriers against sexually transmitted infections and pregnancy—The Lancet Pleasure and PrEP: Pleasure-Seeking Plays a Role in Prevention Choices and Could Lead to PrEP Initiation—American Journal of Men's Health Pleasure as a measure of agency and empowerment—Medicus Mundi Schweiz Pleasure As Tool For STI Prevention: Part 2—NCSD Real Talk Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @PublicHealthPod on Bluesky @PublicHealthPod on Instagram @JohnsHopkinsSPH on Facebook @PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.
Matt Farah and Zack Klapman went off-roading in the new 2026 INEOS Grenadier Station Wagon Trialmaster and it almost went very wrong; a full review of the INEOS and its competitors; Tesla is ending production of the Model S and X, so we talk about why and what it means for the future; Washington D.C. is going to have an INDY street race apparently; and we answer 50 questions from our Patreon members, including: Would we rather be mid-tier racing drivers or have our current jobs?Which supercar should have had a diesel engine?Miata RF or soft-top?Best M5: E90 M5 or E90 M3?Most enthusiast-magnet nerd car?Are "classic" tires worth the price for my older car?Which cars does every enthusiast need to drive?More timeless design: Lexus GS or C6 Corvette?Do we like bigger wheels? When?Were early paddle-shifted transmissions cool when they came out?That new Porsche Rally GTWhy does the S63 AMG feel like too much AMG and not enough S?F1 2026: Audi vs Cadillac. Thoughts?Which cars depreciate TOO fast?Why don't STIs hold value?Options that made cars unreliableWould you always choose a lighter engine in a race car?Foreign car brands that would work hereAnd many more!Recorded February 2, 2026TruewerkGet 15% off your first order at https://www.truewerk.com using CODE: TIRE. . FitbodJoin Fitbod today to get your personalized workout plan. Get 25% off your subscription or try the app FREE for seven days at https://www.Fitbod.me/TIRE. Want your question answered? Want to watch the live stream, get ad-free podcasts, or exclusive podcasts? Join our Patreon: https://www.patreon.com/thesmokingtirepodcast Use Off The Record! and ALWAYS fight your tickets! Enter code TST10 for a 10% discount on your first case on the Off The Record app, or go to http://www.offtherecord.com/TST. Watch our car reviews: https://www.youtube.com/thesmokingtire Tweet at us!https://www.Twitter.com/thesmokingtirehttps://www.Twitter.com/zackklapman Instagram:https://www.Instagram.com/thesmokingtirehttps://www.Instagram.com/therealzackklapman
This episode reviews four recent BV studies which address the efficacy of treating male partners, women's self-management strategies, and how the vaginal microbiome might impact BV and HIV infection. View episode transcript and references at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs and STIs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW), Program Director of the UW Infectious Diseases Fellowship Program, and Associate Editor of the National STD Curriculum.
Dating and sex can feel like they come with a hidden rulebook. You’re meant to be adventurous but not too adventurous, confident but not reckless, and always somehow immune to consequences. So the potential of catching an STI – whether it’s a scare, a diagnosis, or a message from a clinic – can feel not only a health impact, but also a judgement on our character. In this episode, we’re unpacking the psychology of STIs in our 20s why they carry so much shame, how stigma shapes the stories we tell ourselves, and what it looks like to navigate disclosure with self-respect. We explore:• How common STIs really are• The most common infections in our 20s• The difference between treatable and manageable• The role of sexual shame and purity culture• How shame drives secrecy and avoidance• When and how to tell a partner, and what to do if you face rejection If you’ve ever felt panicked, embarrassed, or stuck in your head about sexual health, this episode is for you. Watch on Netflix Follow Jemma on Instagram: @jemmasbeg Follow the podcast on Instagram: @thatpsychologypodcast For business: psychologyofyour20s@gmail.com The Psychology of your 20s is not a substitute for professional mental health help. If you are struggling, distressed or require personalised advice, please reach out to your doctor or a licensed psychologist.See omnystudio.com/listener for privacy information.
This Is What Happens When Gen Z Asks AI About STIs by 102.9 The Hog
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-467 Overview: Join us as we discuss recent changes to newborn hepatitis B vaccination recommendations and review the risks, benefits, and rationale for immunizing this patient population. Come away with confidence to navigate new guidance, thoughtfully address parental concerns, and provide evidence-based care that promotes both infant and public health. Episode resource links: N Engl J Med 2019;380:2041-2050 DOI: 10.1056/NEJMra181047 Clin Infect Dis. 2021 Nov 2;73(9):e3317-e3323. doi: 10.1093/cid/ciaa898. Guest: Robert A. Baldor MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-467 Overview: Join us as we discuss recent changes to newborn hepatitis B vaccination recommendations and review the risks, benefits, and rationale for immunizing this patient population. Come away with confidence to navigate new guidance, thoughtfully address parental concerns, and provide evidence-based care that promotes both infant and public health. Episode resource links: N Engl J Med 2019;380:2041-2050 DOI: 10.1056/NEJMra181047 Clin Infect Dis. 2021 Nov 2;73(9):e3317-e3323. doi: 10.1093/cid/ciaa898. Guest: Robert A. Baldor MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com
In this episode, we review the high-yield topic of Sexually Transmitted Infections (STIs) from the Infectious Disease section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com Accessible diagnostics isn't a luxury anymore; it's the missing link preventing millions from receiving timely care. In this episode, James York, Chief Commercial Officer and Head of Government Affairs for Molecular Testing Labs, discusses how reimagining the patient journey can remove the economic, geographic, and emotional barriers that keep people from getting essential tests. He explains how at-home self-collection, transparent pricing, and frictionless access are transforming diagnostics, especially for conditions like HIV, STIs, chronic disease markers, and wellness indicators. James walks through the challenges of pioneering new models in healthcare, including regulatory hurdles, industry resistance, and the realities of scaling without major outside funding. He also explains why affordability is inseparable from access, how virtual care has shifted expectations, and why focusing on everyday tests, not cutting-edge technology, is where the greatest impact lies. Tune in and learn how simplifying diagnostics can unlock a more equitable, consumer-centered healthcare system! Resources Connect with and follow James York on LinkedIn. Follow Molecular Testing Labs on LinkedIn and visit their website!