Podcasts about utis

You're told to suffer through menopause after cancer, try lube first, and never question the blanket "no" on hormones. This episode tears that playbook apart.I sat down with Dr. Corinne Menn, a board-certified OB/GYN, Menopause Society certified practitioner, and breast cancer survivor who was diagnosed at just 28 years old, and this conversation blew me away. Dr. Menn experienced menopause three different ways — from chemotherapy-induced to medically suppressed to surgical — and that lived experience fuels her mission to make sure no woman suffers the way she did. We unpack why breast cancer is not one disease, why hormone therapy decisions must be individualized, and why the "lube it up and suck it up" culture around painful sex and vaginal atrophy needs to end…NOW!This is a wake-up call for every woman in menopause, and especially for cancer survivors who've been told their only option is to suffer in silence. Dr. Menn brings the science and the soul to our conversation about genetic testing gaps, the real data on hormone therapy after breast cancer, and why vaginal estrogen should be standard of care, full stop.Plus, she breaks down what vaginal atrophy actually looks like, why it goes way beyond "dryness," and how untreated GSM can lead to everything from chronic UTIs to hip fractures. If you've ever felt dismissed by your doctor or confused by conflicting advice, this one's for you.What You'll LearnWhy breast cancer is "as unique as your fingerprint" and why your menopause treatment should be just as individualizedThe 3 times Dr. Menn experienced menopause and how each one taught her what the medical system got wrongWhy genetic testing done before 2013 may be dangerously incomplete, and how to request updated panelsThe real data on systemic hormone therapy after breast cancer, including what the HABITS and Stockholm trials actually showedWhy vaginal estrogen is now in the NCCN guidelines and should be offered as standard of care to breast cancer survivorsThe difference between ER-positive, triple-negative, and DCIS when it comes to hormone therapy riskWhy the "fail first" approach to vaginal dryness (try lube and moisturizers before hormones) is unscientific and harmfulHow genital urinary syndrome of menopause (GSM) affects far more than just sex, including UTIs, bladder function, and even hip fractures in older womenWhat Dr. Menn would have done differently after her own diagnosis: baseline labs, bone density, vaginal hormones, and a real exercise prescriptionSamantha's "10% Toxic" philosophy and why trying to eliminate 100% of toxins actually backfired after her first cancer diagnosis…and more!About Our GuestDr. Corinne Menn is a board-certified OB/GYN and Menopause Society Certified Practitioner who was diagnosed with breast cancer at age 28 during her second year of residency in New York City. After losing her mother to ovarian cancer at 54 and later discovering she carries the BRCA2 mutation, Dr. Menn dedicated her career to helping women navigate menopause, with a particular focus on breast cancer survivors. 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In this episode, I sit down with Dr. Melissa Mauskar, a vulvar dermatologist at UT Southwestern, for a wide-ranging conversation about vulvar skin conditions, common misdiagnoses, and why so many patients are told to just "wait and see" when they actually need an exam. We dig into GSM, estrogen, OTC yeast treatments, soaps, waxing, and the biggest myths that keep women from getting real care.If you've ever been told itching, burning, or irritation is "normal," this conversation explains why that advice can delay diagnosis for years, and what to do instead.What We CoverWhat vulvar dermatology is, and why the vulva deserves the same care as skin anywhere else on the bodyWhy so many patients see 5 or 6 clinicians before getting the right diagnosis, often because no one ever actually examined the vulvaHow symptoms get mislabeled as yeast when the real culprit is lichen sclerosus, psoriasis, eczema, contact dermatitis, or GSMWhy numbing products like Vagisil (and benzocaine specifically) can become irritants or allergens that make things worseBarrier care for "red angry vulva," including zinc oxide for irritation and moisture-related skin breakdownHow overcleaning, douching, and scented washes disrupt the vulvar microbiome — and the shame baked into that marketingWaxing, microtrauma, and hair as a protective barrierGSM, recurrent UTIs, and why vaginal estrogen is still so underprescribedLate diagnosis of vulvar melanoma, and why genital skin needs to be looked at, not just talked about over telehealthNotable Quotes"My five year old can say vulva.""I really like talking about uncomfortable things and making comfortable people uncomfortable.""Just do what brings you joy."About Dr. Melissa MauskarDr. Melissa Mauskar is an Associate Professor of Dermatology and of Obstetrics and Gynecology at UT Southwestern Medical Center, where she's the founder and Director of the Vulvar Health Program — a tertiary referral center for gynecologists, dermatologists, and primary care physicians across Texas and the nation. She's a Fellow of the International Society for the Study of Vulvovaginal Diseases (ISSVD), founding president of the Vulvar Dermatoses Research Consortium, and serves on the board of the Women's Dermatologic Society. Learn more at utswmed.org/doctors/melissa-mauskar.As always, this podcast is for educational purposes and is not a substitute for individualized medical advice — talk to your own doctor about your own health.Subscribe, leave a review, and share this episode with someone who needs it.

In this episode, the conversation focused on pressing health questions including prostate cancer screening, testicular self-exams, and the causes of recurrent UTIs in women after sex. The discussion explored evidence-based approaches to these concerns, offering practical advice on early detection, lifestyle modifications, and when to seek medical care. Listeners will gain trustworthy guidance on maintaining sexual and urinary health, as well as supporting partners through challenging issues. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Introduction00:27 PSA Testing and Prostate Cancer Risk01:32 When to Start Prostate Screening02:34 Digital Rectal Exams and Enlarged Prostate03:59 Testicular Mass After Trauma04:50 How to Do a Testicular Self-Exam06:28 Recurrent UTIs After Sex07:10 Post-Sex UTI Risk Factors08:05 Confirming and Preventing Recurrent UTIs Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of *Aging Angst & Alleluias*, Mary Anne Oglesby-Sutherly explains why caring for caregivers matters, the dangers of UTIs in older adults, and why the dementia clients at The Veranda still know how to laugh, celebrate, and have a whole lot of fun, despite their difficulties. Mary Anne also reflects on the recent Celebration of Life for beloved Veranda client Lowell, complete with military honors. His story reveals two remarkable lives: the man he was before dementia and the man Mary Anne came to know after it. She knew only the latter—and he was still a great man, worthy of honor, dignity, and celebration. Because dementia may change the story—but it never erases a person's value. Speaking of celebration, join us **Tuesday, October 20, at 6:30 p.m., at Three Oaks Church** for a special benefit concert for The Veranda featuring **Billy Blackwood, Lauren Talley, The NEW Speer Family, Riley Harrison Clark, Tribute Quartet, Dale Forbes, Dave Clark, Mary Anne Oglesby-Sutherly, and Jeff & Sue Duffield.** Tickets are **$15**, with an additional love offering that evening to benefit The Veranda. For information, call **615-675-4345**. www.verandaministries.org

Is your missing sex drive just part of getting older? I'm joined by Jennifer Gularson, a women's midlife health and hormone expert, to explain why libido fades in perimenopause and menopause, and the solutions available for women. We cover testosterone dosing and the pros and cons of creams, injections, and pellets. We also get into why oral progesterone can change your sleep and stress, and how high cortisol pulls resources away from your sex hormones.  Jennifer explains how vaginal estrogen improves comfort and helps prevent recurring UTIs, and why feeling safe matters so much for desire. We also look at metabolism, microdosed GLP-1s, sleep hygiene, and fast-acting options.    "Libido loss in menopause is common, but that doesn't mean that it's normal." ~ Jennifer Gularson   In This Episode: - Why libido changes during menopause - Low testosterone and what women can do about it - How stress steals from sex hormones - Progesterone for sleep and stress resilience - Estrogen, vaginal dryness, and comfort - Impact of metabolism, body image, and GLP-1s - When to seek help for low libido: find the right practitioner - Misconceptions about libido loss during menopause - UTIs and vaginal health - Quick ways to boost libido   Products & Resources Mentioned: Puori Grass-Fed PW1 Whey Protein: Use code WENDY20 to save up to 32% off your order and get a free shaker worth $25 at https://puori.com/wendy  Tru Energy Skincare Bio Adaptive Hydration Oil: Try the oil and save up to $197 at https://trytruenergy.com/wendy5   Heavy Metals Quiz: Take the quiz at https://heavymetalsquiz.com    About Jennifer Gularson:  Jennifer Gularson, PA-C, IFMCP, is a well-respected expert in women's midlife health, functional and integrative medicine, longevity science, and natural aesthetic enhancement. She practices at the Osteopathic Center for Healing, a unique medical practice known for delivering elevated, concierge-level care to patients, and specializes in helping women navigate perimenopause, menopause, and complex chronic health concerns. A Board-Certified Physician Assistant and graduate of The University of Virginia and the University of Maryland Baltimore, Jennifer also holds the elite designation of Institute for Functional Medicine Certified Practitioner (IFMCP). She has more than 20 years of clinical experience and advanced training in bioidentical hormone replacement therapy, peptide therapy, and metabolic optimization. Learn more about her work at https://www.yourbestlifewithjennifer.com/  Disclaimer The Myers Detox Podcast was created and hosted by Dr. Wendy Myers. This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast, including Wendy Myers and the producers, disclaims responsibility for any possible adverse effects from using the information contained herein. The opinions of guests are their own, and this podcast does not endorse or accept responsibility for statements made by guests. This podcast does not make any representations or warranties about guests' qualifications or credibility. Individuals on this podcast may have a direct or indirect financial interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.

Send us Fan MailVaginal dryness, painful sex, burning and nonstop irritation get brushed off as “normal aging” far too often and the bladder fallout is even easier to miss. We're talking about genitourinary syndrome of menopause (GSM), a hormone deficiency problem that can affect the vulva, vagina, urethra and bladder, driving overactive bladder symptoms and recurrent UTIs. When GSM is treated, it not only improves comfort and intimacy, it protects urinary health and quality of life.We focus on the most effective first line therapy: vaginal estrogen. Speaking of Women's Health Podcast host Dr. Holly Thacker shares what's changed in the conversation around safety, including why the data on low dose local therapy is so reassuring, how correct placement keeps absorption minimal and what dosing often looks like for severe symptoms versus maintenance. If creams or tablets are not a fit or not enough, Dr. Thacker digs into other options. Vaginal DHEA can support tissue health and sexual function through local conversion, and vaginal rings offer convenience for people who want steady therapy.Support the show

Send us Fan MailSometimes caregiving begins long before anyone calls you a caregiver.It can begin with a forgotten bill. A house that isn't being kept up the way it once was. A confusing moment that seems funny at first. Or simply that feeling that something with Mom or Dad is... different.So, what should we be noticing BEFORE there's a crisis?On this episode of the Ageless Glamour Girls™ Podcast, host Marqueeta Curtis-Haynes talks with Elder Care Strategist Nicole Hilgenkamp, founder of Your Parents Keeper, a caregivereducation company, about how families can prepare for the caregiving journey before a fall, hospitalization, or other emergency forces them into action.After navigating her own caregiving journey with her mother, Nicole created the 7 Phases of Caring for an Aging Parent. She shares what she wishes she'd known, along with practical advice on spotting early changes, starting important conversations, preparing essential documents, understanding different levels of care and their costs,and building a caregiving team before you need one.We also talk about a health issue that can have surprising consequences for older adults: UTIs, and why families should know the signs.And then we turn the conversation around: We're aging, too.What can WE do now to make life easier for the people who may someday have to care for or advocate for us?Whether you're already caring for someone you love, beginning to notice those little changes, or simply thinking ahead, this conversation is a reminder that the best time to prepare for caregiving isn't during the crisis. It's before it.                                **********************************************ABOUT OUR GUEST:  Nicole Hilgenkamp Founder, Your Parents Keeper · Elder Care StrategistWith a degree in sociology and 30 years of executive experience in process optimization, change management, and Fortune 100 operations and supply chain, Nicole Hilgenkamp brings a systems-based approach to one of life's most complicated jobs: caring for an aging parent.After experiencing elder care firsthand while caring for her own parents, Nicole founded Your Parents Keeper, a caregiver education company that helps adult children plan for and navigate the physical, emotional, financial, and legal realities of caring for aging parents.FOLLOW NICOLE: Website: Your Parents Keeper | https://yourparentskeeper.com/                            Free Starter Guide: care4aging.substack.com/embed                                  Instagram: https://www.instagram.com/yourparentskeeper/                                Substack: https://substack.com/@yourparentskeeper                                        LinkedIn: https://www.linkedin.com/company/your-parents-keeper/home/?viewAsMember=trueSupport the showSupport Ageless Glamour Girls™:www.agelessglamourgirls.com        www.linkedin.com/in/marqueetacurtishaynes       https://www.youtube.com/@agelessglamourgirls      https://agelessglamourgirlsboutique.com/Instagram @agelessglamourgirlsFacebook: https://www.facebook.com/agelessglamourgirlsPrivate (AGG) FB Group: The Ageless Café: https://www.facebook.com/groups/theagelesscafeTikTok: @agelessglamourgirlshttps://www.shopltk.com/explore/AgelessGlamourGirls Podcast Producers: Ageless Glamour Girls™ and Purple Tulip Media, LLC  

In this episode, I walk through the basics of vaginal estrogen and vaginal DHEA for genitourinary syndrome of menopause, recurrent UTIs, painful sex, urinary urgency, and vulvar tissue changes. I also answer audience questions throughout, covering safety after breast cancer, use alongside systemic HRT, dosing, formulations, and what to do when symptoms don't improve.This one's for clinicians and the general public alike, the focus is correcting misinformation, improving access, and helping people understand that low hormones can affect the pelvis long before or long after menopause.What We CoverWhat genitourinary syndrome of menopause (GSM) actually means, and why it replaced older terms like vaginal atrophyThe full range of GSM symptoms — urinary urgency, recurrent UTIs, bladder leakage, pain with sex, dryness, tissue thinning — as one unifying hormone-related syndromeWhy GSM is so common (roughly 50–90% of women at or after menopause) and can start in perimenopause, during breastfeeding, on oral birth control, or after cancer treatmentData showing vaginal estrogen can reduce recurrent UTIs by about 50%, plus a large database study linking vaginal estrogen use to lower hospitalization, ICU admission, and sepsis-related death in women with recurrent UTIsWhy "too old for vaginal estrogen" is a myth, and why age alone is never a reason to deny itSafety after breast cancer — why the evidence supports vaginal estrogen for many survivors, and why "zombie myths" keep resurfacing anywayThe difference between systemic and local hormone therapy, and why some people need bothCreams vs. tablets vs. rings vs. vaginal DHEA — and why DHEA can be especially useful for reversing established atrophy (it converts to both estrogen and testosterone)Practical stuff: burning, discharge, application technique, dosing frequency, and when it's time for a pelvic exam instead of another productUsing vaginal estrogen alongside clobetasol for lichen sclerosus, and alongside systemic estrogen or testosterone when appropriateNotable Quotes"The third pillar of academia is to communicate the research, to communicate the knowledge to the general population.""There is not an age your driver's license tells you if you're too young or too old for vaginal estrogen.""If atrophy happens because of low hormones and you add hormones back, you can reverse atrophy."Key FrameworksGSM as the unifying diagnosis for urinary, sexual, and vulvovaginal symptomsLocal hormone therapy vs. systemic hormone therapyPrevention vs. symptom treatment"Zombie myths" — outdated beliefs that keep resurfacing despite the evidenceWant to join me live for these? Get on my email list so you don't miss the next one.As always, this podcast is for educational purposes and is not a substitute for individualized medical advice — talk to your own doctor about your own health.Subscribe, leave a review, and share this episode with someone who needs it.

In this episode of Bladder Buzz we are joined by Dr. Blayne Welk, a fellowship trained reconstructive urologist who specializes in urinary incontinence and other conditions that affect urination in adults. He currently practices at St. Joseph's Hospital in Ontario, Canada. We discuss urinary tract infections in the spinal cord injury population and what can be done to treat and prevent them. Specific topics include common symptoms that are often mistaken for UTIs, specific signs of UTIs that may be overlooked, day-to-day strategies to help reduce the risk of developing UTIs and more. 

When you get into your 60s, forgetting someone’s name isn’t easy to laugh off anymore. It often brings up real fears of losing your mind due to Alzheimer’s. That’s why I’m happy to share this conversation with a dementia expert who explains the difference between normal aging and real cognitive decline. Behavioral specialist Lisa Skinner reveals the surprising list of treatable conditions that often get misdiagnosed as dementia. We also talk about what the newest research actually says about reducing your risk of Alzheimer’s disease and dementia, why learning a new language or instrument genuinely protects your brain, and how to support a loved one who’s struggling with compassion instead of correction. This is a conversation about healing in midlife and how to trade vague fear for real information, and real information for peace of mind. In this episode, you'll discover: The real difference between a “memory hiccup” and an actual warning sign of cognitive decline Treatable conditions — including thyroid imbalances, UTIs, and Lyme disease — that are routinely mistaken for Alzheimer’s What the 2024 Lancet Commission’s research means for your ability to lower your own dementia risk by up to 45% Why learning a new language or instrument does more for your brain than any puzzle app How to support a loved one showing signs of decline without arguing them out of their reality About Lisa Skinner Lisa Skinner is a behavioral specialist and certified dementia care trainer with more than 30 years of experience guiding families and caregivers through the challenges of Alzheimer’s disease and related dementia. She is the two-time #1 bestselling author of “Not All Who Wander Need Be Lost and Truth” and “Lies & Alzheimer’s — Its Secret Faces.” Lisa also hosts both the Truth, Lies & Alzheimer’s podcast and television show, where she’s built a library of more than 165 episodes dedicated to replacing myths about dementia with accurate, compassionate information. Connect with Lisa Website: https://www.mindingdementia.com/ YouTube: https://www.youtube.com/@LisaSkinnerOfficial LinkedIn: https://www.linkedin.com/in/lisaskinnerauthor/ Book: Not All Who Wander Need Be Lost Resources & links mentioned: Alzheimer’s Association 24/7 Helpline — 800.272.3900 2024 Lancet Commission report on dementia prevention (14 modifiable risk factors, up to 45% potential risk reduction) Truth, Lies & Alzheimer’s podcast and TV show — 165+ episodes on mindingdementia.com Watch more conversations like this one, completely free, on New Reality TV. Consciousness, healing, the paranormal, the unexplained, all in one place. Available on Roku, FireTV, iOS, and Android. newrealitytv.com Design Your Life, Your Way – next steps: Book a Strategic Clarity Session with Gloria: tidycal.com/gloria3/power-call If this episode spoke to you, leave us a review. Follow/subscribe to the podcast so you never miss an episode. Share this with a friend who's navigating transition, reinvention, or a fresh start after 50. Connect with me on LinkedIn @GloriaGraceRand to continue the conversation about midlife, meaning, and living on purpose.

With so many treatment options for bladder outlet obstruction, how do you select the best approach for each patient? On this episode of BackTable Urology, host Dr. Jose Silva is joined by Dr. John DiBianco for a practical discussion on evaluating lower urinary tract symptoms and matching patients with the right intervention. They emphasize confirming that symptoms are truly due to benign prostatic hyperplasia (BPH) before proceeding, and walk through triggers for intervention, including quality-of-life impact, UTIs, renal impairment, high post-void residual, bladder stones, and retention. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction03:24 - Complex BPH Referrals and Symptom Assessment06:07 - Deciding When to Operate11:12 - Imaging and Prostate Sizing14:27 - When to Use Cystoscopy and Urodynamics16:43 - Incorporating Patient Preferences21:53 - Medical Therapy and Pills23:45 - Decision Aids and Personal Experience27:13 - Managing HoLEP Complications and Leakage32:57 - Advances in HoLEP Technique36:07 - TURP Indications and Outcomes38:36 - Special Considerations: Radiation and UroLift39:58 - ThULEP vs. HoLEP41:17 - Redo Surgery Strategies43:52 - Counseling Through Case Scenarios56:16 - Future Directions in BPH Treatment59:05 - Wrap Up and Credits --- More about this episode The conversation covers everything from surveillance and imaging-based prostate sizing to when to use cystoscopy and urodynamics for complex or high-risk patients. Drs. Silva and DiBianco compare procedure options like HoLEP, TURP, GreenLight, UroLift, PAE, iTind, and aquablation, highlighting how factors like prostate size, morphology, history, and patient goals drive decision-making. They discuss durability, redo surgery issues, management of radiation patients, and postoperative care including leakage management and pelvic floor therapy. The episode wraps up with future directions in BPH procedures and practical counseling tips for patient satisfaction. --- Resources Love this episode? Check out BackTable.com and search “BPH” to get more information on a variety of the surgical options discussed in this episode, including HoLEP, Aquablation, PAE, and more! Further resources include the BackTable App, which has a course on treating Benign Prostatic Hyperplasia. --- BackTable Urology is the go-to podcast for urologists, urologic oncologists, and urogynecologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Have you ever been told that your fertility labs are “normal,” yet you're still wondering why you're not getting pregnant?Standard fertility testing gives us important information about hormones, ovarian reserve, ovulation, anatomy, and sperm. Sometimes, though, those results leave us with more questions.Nora DeBora, functional fertility coach, holistic nutritionist, and host of the Ultimate Pregnancy Prep podcast, joins me on Health Youniversity to talk about what additional testing may tell us about the health of the body in which eggs and sperm are developing and pregnancy is trying to take hold.We talk about hormone metabolism, the gut and vaginal microbiomes, recurrent BV, UTIs and yeast infections, inflammation, nutrient status, and the role of functional testing. We also discuss something I feel strongly about: testing should give us information we can actually use. More testing and more supplements aren't necessarily better.This episode may be especially helpful if:your fertility testing looks normal, but you're still having difficulty getting or staying pregnantyou've experienced recurrent BV, UTIs, or yeast infectionsyou're taking multiple supplements and aren't sure which ones you actually needyou've experienced pregnancy loss, a failed transfer, or a low AMH result and want to explore your health more broadlyyou're curious about functional testing and want to understand which tests may be useful and whenOur conversation is ultimately about looking at fertility within the health of the whole person and deciding which information can help you make meaningful changes before pregnancy.Register for the free Root Cause Fertility Summit:https://www.naturallynora.ca/registration?ref=https%3A%2F%2Fwww.naturallynora.ca%2Fa%2F2148309419%2FPmHd57bKSupport your fertility journey with the Preconception Plan at Health Youniversity:https://healthyouniversity.co/programsLearn more about Nora DeBora and the Ultimate Pregnancy Prep podcast:https://www.naturallynora.ca/

If you're waking up at night to pee, dealing with frequent UTIs, bladder leakage, painful sex, or chronic constipation during perimenopause or menopause — this episode is for you.In this ENCORE episode, we talk with pelvic health physical therapist Elizabeth Stryker about how hormonal changes impact your pelvic floor — and what you can do to fix it naturally.Many women are told these symptoms are “just part of aging.” They are not.You'll learn how pelvic floor physical therapy can dramatically improve urinary health, reduce recurrent UTIs, relieve constipation, improve sexual health, and even help with TMJ symptoms.Elizabeth Stryker is a pelvic health physical therapist and founder of Pelvic Stability PT in New Jersey. She earned her Doctorate of Physical Therapy from Thomas Jefferson University and completed advanced training at the Cleveland Clinic Foundation specializing in pelvic floor dysfunction and neurological impairments.In this episode, we discuss:✔ Why pelvic floor dysfunction increases during perimenopause and menopause✔ Why you keep waking up at night to pee (nocturia explained)✔ How pelvic floor PT helps prevent recurrent urinary tract infections (UTIs)✔ The surprising connection between TMJ and the pelvic floor✔ Pelvic floor therapy for chronic constipation✔ What to expect during a pelvic floor physical therapy session✔ How to reduce bladder leakage naturallyConnect with Elizabeth StrykerWebsite: https://www.pelvicstabilitypt.com/Instagram: https://www.instagram.com/pelvicstabilitypt/

Pharmacists in the UK will be able to treat more minor ailments under an expanded NHS "pharmacy first" scheme - things like migraines, acne, shingles, infected insect bites, and UTIs. In New Zealand pharmacy treatments have already been expanded to include UTI's ... ACT is campaigning to let pharmacies do more. Pharmacist Lanny Wong is the director of Mangawhai Pharmacy, and a member of the national executive of the Pharmaceutical Society. She spoke to Ingrid Hipkiss.

Dr. Jenn Simmons talks with Dr. Robin Berzin about her path from an unexpected pre-med background to conventional medical training, then into functional medicine and entrepreneurship. The conversation covers the roots of Robin's interest in prevention, her early exposure to health and nutrition, and how she built Parsley Health into a national, insurance-covered practice.In this episode, they discuss why functional medicine can work alongside conventional care, how to think about root causes instead of symptom suppression alone, and what it takes to scale a health care company without losing clinical rigor. Robin also shares the realities of fundraising, leadership, and protecting her own health while building a company and raising three kids.Key topicsDr. Robin Berzin's origin story, from international relations and economics to medicineHow a college thesis on hormone-treated beef helped shape her interest in public health, nutrition, and cancer riskWhy she did not initially see herself as a science person, and how she later reframed medicine as pattern recognition and synthesisThe role of her father's internal medicine background, and why she still did not assume medicine was her pathHow yoga, meditation, organic food, and personal health experiences deepened her interest in prevention and whole-person careWhat functional medicine means in practice: using the same medical tools, but focusing on root causes, personalization, and preventionWhy Robin saw a need to standardize and scale functional medicine through Parsley HealthThe tension between conventional medicine and alternative medicine, and why she rejects all-or-nothing thinkingExamples of root-cause thinking, including recurrent UTIs, migraines, autoimmune disease, infertility, and chronic fatigueThe challenge of building trust with insurers through outcomes data, cost savings, and reduced utilizationWhat it took to raise capital as a female founder with no MBA and no prior business backgroundHow leadership changed as Parsley grew from a small team to a 120-person companyThe importance of listening to patients, not just investors or skeptics, when making company decisionsHow Robin maintains her own health with sleep, supplements, meditation, food choices, exercise, and self-monitoringHer hope that evidence-based functional medicine becomes part of standard primary careTimestamps00:00 - Why Dr. Robin Berzin stands out in functional medicine 01:22 - The unexpected path from undergrad to medicine 02:26 - A thesis on hormone-treated beef and public health 04:35 - Early exposure to cancer prevention and health research 06:12 - Having a doctor father, but not seeing medicine as an obvious path 07:01 - Why medicine is more about synthesis than equations 09:22 - Strengths that matter in clinical practice 10:56 - From conventional med school to a functional medicine career 12:40 - What functional medicine actually means 14:14 - Yoga, food, and becoming more aware of health 16:18 - Research, ADHD trials, and early clues about her own ADHD 18:12 - Early exposure to Mark Hyman and Dr. Oz 20:31 - Why Parsley Health was built to fix access and consistency problems 21:24 - Real outcomes from functional medicine care 22:33 - Why medicine should use both conventional and functional tools 23:47 - Root-cause care for UTIs and migraines 25:09 - Functional medicine versus paint-by-numbers primary care 26:04 - Making functional medicine accessible through a national platform 27:24 - The courage required to build a company while practicing medicine 28:29 - Trial, error, and the first steps as a founder 31:20 - Bootstrapping the first version of Parsley 33:28 - Building a patient base and hiring the first team 34:32 - Raising a first round as a female founder 36:11 - The fear and pressure of taking investor money 37:30 - Learning fundraising with help from other women in venture 38:26 - Why fundraising never really ends 39:23 - How investor relationships changed as Parsley grew 41:28 - Why medicine did not prepare her for executive leadership 42:16 - The hardest lessons in hiring and management 44:15 - When investor priorities pushed the company off course 46:17 - Choosing company survival while staying true to the mission 47:45 - Parsley's broader mission and why health care costs are unsustainable 49:34 - Why functional medicine should become standard primary care 50:01 - Using outcomes data to win over insurers 52:25 - Why people assumed Parsley was only for the “worried well” 53:29 - How the medical community has responded over time 54:20 - The rise of longevity medicine and ongoing skepticism 56:52 - Dark nights of the soul during fundraising and board conflict 59:51 - How Robin protects her own mental and physical health 62:52 - Sleep, data, and the reality of life as a busy founder 64:03 - Travel routines, intermittent fasting, and skincare 65:53 - What she hopes medicine will look like when her career is done 68:17 - Why impact is fastest when you stay in your lane 70:18 - Food dyes, public health priorities, and respecting different missions 73:16 - Curiosity, skepticism, and keeping the lamps lit 74:24 - What Parsley Health offers now and how to work with the teamConnect with Dr Robin Berzin & Parsley Health:Website: https://www.parsleyhealth.com/Instagram: https://www.instagram.com/robinberzinmd/To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-callTo get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuideConnect with Dr. Jenn:Website:  https://www.perfeqtionimaging.com/Facebook: https://www.facebook.com/DrJennSimmonsInstagram: https://www.instagram.com/drjennsimmons/YouTube: https://www.youtube.com/@dr.jennsimmons

JAMA Medical News Director Jennifer Abbasi and Staff Writer Samantha Anderer discuss "Is Phage Therapy the Next Big Hope for Urinary Tract Infections?" Related Content: Is Phage Therapy the Next Big Hope for Urinary Tract Infections?

In this episode, host Jacqueline Buckingham sits down with Val Emanuel, the visionary founder and CEO of Rif Care. Rif Care—which stands for Regenerative International Female—brings you hemp-based menstrual care products that are healthy, sustainable, and responsible. Together, Jacqueline and Val explore the health and environmental benefits of making the switch to hemp, share hilarious and empowering period stories, and strip away the period shame that so many women face. From the shocking synthetic chemicals hidden in typical high school period products to the fact that menstrual products were never historically tested with real blood, this conversation pulls back the curtain on the corporate history of period products and highlights how Riff Care is truly making the planet better. IN THIS EPISODE WE COVER: ➡️ What RIF Stands For: The powerful meaning behind the name—Regenerative International Female—and how the brand embraces physical, planetary, and emotional regeneration. ➡️ The Mission to Regenerate the Planet: How growing hemp actively replenishes the soil with nutrients and diversity, ensuring that creating the product actually leaves the earth better off rather than just sustainable. ➡️ Riff Care's Explosive Trajectory: Launching exclusively with Erewhon in June 2022 to test the consumer appetite, expanding across West Coast retailers like Gelson's, New Seasons, Market of Choice, and Lazy Acres, and securing a spot on Target.com. ➡️ Val's Personal Health Journey: The perfect storm of relationship stress, physical displacement from the Malibu fire, a miscarriage, and severe hormonal imbalances that prompted Val to rid her life of synthetic, chemical-sprayed products and create the solution she needed. ➡️ The Problem with Synthetic Menstrual Products: A breakdown of how typical oil-based polyester and polyurethane components in mainstream brands are essentially cottonized plastic byproducts of gasoline production that trap heat and bacteria. ➡️ Demystifying Tampon Design and Shedding: How Rif Care's organic cotton tampons utilize unique ridges to trap blood more effectively and feature a protective, non-woven outer layer to prevent fiber shedding, which can minimize risks of BV, UTIs, or yeast infections. ➡️ A "Free to Bleed" Period Underwear Experience: Val explains the breathable, leak-proof design of Rif Care's period underwear—crafted with hemp, organic cotton, eucalyptus fiber, and a recycled polyester barrier—that completely removes the stress of stains and daytime sheet washing. ➡️ The Shocking History of Menstrual Product Testing: The deeply unsettling reality that until recently, tampons and pads were historically tested using only salt water rather than real human blood. RESOURCES: rifcare.com https://valemanuel.com/ ABOUT MENO MENO is the definitive platform for menopause and perimenopause care — connecting women to trusted experts, solutions, and support. https://joinmeno.com/ https://www.instagram.com/join.meno https://www.tiktok.com/@join.meno Follow our Founder/CEO on Instagram @jacquelinebuckingham Disclaimer: MENO is for general information and entertainment purposes only and does not constitute the practice of medicine in any way. MENO does not constitute professional health care services or medical advice. No doctor/patient relationship is formed as a result of this podcast. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of MENO is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard getting medical advice for any such medical condition they may have and should seek the assistance of their healthcare professionals for any conditions.

If you have ever finished treatment, rung the bell, and thought "wait, why do I feel worse now than I did during chemo," this episode is for you. Dr. Eleonora Teplinsky is back on the show, and there is a very good reason. She is a board-certified medical oncologist specializing in breast and gynecologic cancers, Director of Breast and Gynecologic Medical Oncology at Valley Health System in New Jersey, host of the Interlude podcast, and her first book, Beyond the Pink: Navigating Life, Health, and Breast Cancer, comes out September 29. Her core message is one we talk about here constantly: survivorship does not start when treatment ends. It starts the day you are diagnosed. We go deep into the things most women are never prepared for. Why the "after" is often harder than active treatment. Why a DEXA scan is only half the bone health picture and muscle mass is the piece almost no one measures. What the emerging GLP-1 and breast cancer recurrence research actually shows, and what it does not show yet. Why vaginal estrogen is still being denied to women who have every guideline on their side. Where testosterone and systemic HRT fit in, and the three-bucket framework she uses to help patients decide. And how to tell trustworthy health information from the noise. Dr. Teplinsky wrote Beyond the Pink with more than 400 citations, and where the evidence does not exist yet, she says so. It is the resource she wished her patients had, and it is written to be brought into the exam room. In this episode Why survivorship begins on day one, not after your last treatment The gap in medical training around menopause, sexual health, and long-term survivorship Why the post-treatment period is often the hardest, and why the support disappears right when you need it Fear of recurrence and scanxiety, and what an oncologist actually says to patients living in it Bone health after an aromatase inhibitor: DEXA scans, calcium, vitamin D, and bone medications The muscle health conversation almost no one is having, sarcopenia, and how it is linked to aromatase inhibitor side effects and adherence How little movement it actually takes: resistance bands, dumbbells, and 20 minutes GLP-1s and breast cancer: the recurrence signal, what is still unknown, and why the source of your prescription matters Why "humans are not mice" and the caution around unstudied peptides Sexual health after cancer: body image, intimacy, dryness, bladder issues, and why sexual health is health Vaginal estrogen: the guidelines, the study that gets misquoted, and the link to reduced UTIs, sepsis, and hospitalizations Testosterone after breast cancer: the theoretical concerns, the hormone receptor nuance, and what newer data suggests Systemic HRT and the three-bucket framework: symptoms, recurrence risk, and your personal risk tolerance A chapter-by-chapter look inside Beyond the Pink Her three pieces of advice for someone newly diagnosed Being mindful of what you consume online, and why nothing good happens on social media after 10pm Connect with Dr. Eleonora Teplinsky Pre-order Beyond the Pink: Navigating Life, Health, and Breast Cancer (out September 29): https://interludecancerstories.com/book/ Pre-order on Amazon: https://www.amazon.com/Beyond-Pink-Navigating-Health-Breast/dp/1538777142 Instagram: https://www.instagram.com/drteplinsky/ Interlude podcast and website: https://interludecancerstories.com/ Connect with Jen Website: https://www.jendelvaux.com Instagram: https://www.instagram.com/jendelvaux Free guide, the changes I made after my diagnosis: https://www.jendelvaux.com/nowwhat If this episode spoke to you, share it with someone who needs it, and follow the show so you never miss an episode. Pre-order Beyond the Pink, take care of yourself, and be gentle with yourself. This episode is for educational purposes and is not medical advice. Please talk with your own care team about what is right for you.

Another UTI. Another round of antibiotics. Another one right behind it a few weeks later.If that cycle sounds familiar, you've probably been told it's bad luck, bad hygiene, or just something that happens as you get older.Dr. Tamara Beckford sees this pattern constantly in her practice, women getting treated over and over for infections that keep returning, while nobody ever asks the one question that actually matters.In this episode, she breaks down Genitourinary Syndrome of Menopause, the estrogen-driven shift that changes the vaginal and bladder environment and makes recurrent UTIs, dryness, and urinary frequency so much more likely after 40.She also shares what can happen when this gets missed for years, and why in older women, an untreated infection can turn into a medical emergency.If you or someone you love keeps getting UTIs and nobody has connected it to hormones, this conversation could change how you handle it going forward.

Casey Stumpf is a nurse practitioner and my sister. Years in emergency medicine and hospice, a stretch inside military medicine at Camp Pendleton, and now her own practice in Montana treating hormones full time — perimenopause, menopause, testosterone for men and women. She is one of roughly 4,100 providers in the country holding the MSCP certification. There are 75 million American women in some phase of menopause. The math does not work. She is back to answer listener questions and to explain why estrogen patches are disappearing. The FDA says there is no shortage. Pharmacists say otherwise. Best estimate on a fix is two to three years. She lays out what the 2002 Women's Health Initiative did to an entire generation of women, and why the black box warning finally came off. Testosterone for women, prescribed off-label because no FDA-approved formulation exists. GLP-1s and what they pull out of you besides fat. Hormone therapy after breast cancer. Vaginal estrogen, UTIs, and hip fractures. The suicide risk in perimenopause that standard screening misses. Contact Casey Here: https://theradiantwelltality.com/ Today's Sponsors:  Ethos:  Get your free quote at https://www.ethos.com/clearedhot Cash App:  Download Cash App Today:  https://cash.app/ Terms apply. Bitcoin services by Block, Inc. See the Bitcoin disclosures at cash.app/legal/podcast.

“For vaginal estrogen . . . there's no window of timing. If you're 80 years old and your body has not seen estrogen in 30 years, you can still start local vaginal estrogen. It's not too late. You can start.” — Dr. Margaret Nachtigall  We talk a lot about protecting our hearts, our brains, and our bones as we get older. But what about vaginal health?  In this episode of AGE BETTER, Dr. Margaret Nachtigall joins me to talk about what really happens to the vagina and urinary tract after menopause — and, more importantly, what we can do about it.  We cover vaginal dryness, burning and discomfort; why urinary urgency and recurrent UTIs can be connected to menopause; when symptoms are normal and when they're a red flag; and the treatments that can make a real difference. Dr. Margaret explains the role of local vaginal estrogen, hyaluronic acid, moisturizers and lubricants, pelvic floor physical therapy, and other options — including what women with a history of breast cancer should discuss with their medical team.   We also talk about sex after 60, STI protection with a new partner, pelvic exams as we age, and one message I especially want women to hear: you do not have to simply accept vaginal discomfort as part of getting older. There are treatments, and it is never too late to ask for help.  If you're in your 60s, 70s or beyond — or care about someone who is — this is an important conversation to hear and share.  Listen now, and then talk with your healthcare provider about what makes sense for you.  Are you loving AGE BETTER? Consider subscribing and following wherever you tune in. Check out AGE BETTER CHEAT SHEET newsletter on Substack.   See you next week! 

Sometimes your cat will be diagnosed with diabetes because he was addicted to getting UTIs so the emergency vet had to inject him with steroids that cause the pancreas to act up which will ultimately cost you ten thousand dollars!!! This episode is basically a PSA to get the pet insurance btw!!!Then we dive into The Good, The Bad & The Ugly: stone fruit season, taking the decorations down after the party, and people who are judgmental about doing AC on and windows open at the same time (live a little!) THERE'S MORE WHERE THAT CAME FROM:SUBSCRIBE TO THE NEWSLETTER:Substack: @samgeorgsonFOLLOW THE PODCAST:Instagram: @pessimisticatbestTikTok: @pessimisticatbestFacebook: @pessimisticatbestWebsite: pessimisticatbest.comFOLLOW SAM:Instagram: @samgeorgsonTikTok: @samgeorgsonYouTube: @samgeorgsonWebsite: samanthageorgson.com

What do sugar, nerve compression, recurrent UTIs, the vaginal microbiome, and a nerve whose name literally comes from the Latin word for “shame” have in common?On this episode of Sugar Crush: The Rest of the Story, Dr. Rick Jacoby ventures into a subject that doesn't get nearly enough attention: the relationship between metabolic health, the nervous system, and women's pelvic health.Inspired by a recent conversation surrounding longevity enthusiast Bryan Johnson and the vaginal microbiome, Dr. Rick turns his attention to the pudendal nerve - a major pelvic nerve responsible for sensory and motor functions involving the perineum, vulva, clitoris, and surrounding structures. Its name even traces back to the Latin pudendus, meaning “to be ashamed.” Drawing on his background in peripheral nerve surgery and his work with diabetic neuropathy, Dr. Rick explains his global compression theory and explores whether some pelvic symptoms can be viewed through the same nerve-compression framework he applies elsewhere in the body. He discusses glycation, circulation, nerve compression, microbiome changes, itching and burning, pelvic pain, and recurrent urinary and vaginal symptoms. The conversation also examines the complicated relationship between antibiotics, bacteria, yeast, medications, diet, and recurrent UTIs, while Dr. Rick challenges conventional thinking about whether treating symptoms alone always addresses their underlying cause. It's an unconventional - and at times deliberately provocative - look at women's health through the lens of nerves, metabolism, and microbiology.

In this solo episode of GynoCurious, Dr. Amy Novatt takes a deep dive into urinary tract infections — one of the most common bacterial infections affecting women, with an estimated 150 million cases worldwide each year. She breaks down what UTIs are, how they develop, who is most at risk, and why women face a lifetime risk of over 50% of experiencing at least one. From anatomy to hormonal changes to birth control methods, Dr. Amy explains the many factors that make women uniquely vulnerable to these infections. Dr. Amy then walks through the latest science on diagnosis, challenging the outdated assumption that the bladder is sterile and introducing the concept of the urinary and vaginal microbiome. She explains how shifts in lactobacillus levels — particularly around menopause — increase the risk of infection, and how modern diagnostic tools like urine dipsticks, clean-catch cultures, and imaging are used to accurately identify and distinguish UTIs from conditions like overactive bladder or vaginitis. She also addresses a critical and often overlooked point: asymptomatic bacteria in the urine should not automatically be treated with antibiotics. Finally, Dr. Amy reframes UTI treatment and prevention through a holistic, microbiome-centered lens. She discusses the judicious use of antibiotics — shortest effective course, first-line agents only — and highlights promising non-antibiotic strategies including vaginal estrogen, cranberry tablets, D-mannose, methenamine, and probiotics. She closes with a look at emerging therapies like UTI vaccines and bacteriophage therapy, urging listeners to have informed conversations with their providers rather than defaulting to antibiotics at the first sign of symptoms. Questions of comments? Call 845-307-7446 or email comments@radiofreerhinecliff.org Produced by Jennifer Hammoud and Matty Rosenberg @ Radio Free Rhiniecliff

UTIs are one of the most common reasons women seek medical care, but many symptoms people attribute to a urinary tract infection may actually be caused by something else. In this episode of Life Without Leaks, we sit down with board-certified urogynecologist Dr. Jannah Thompson to separate fact from fiction when it comes to UTIs. Dr. Thompson explains what truly defines a UTI, why urine cultures matter and when antibiotics may - or may not - be necessary. She also discusses the surprising role that menopause, estrogen, hydration and prevention strategies play in reducing recurrent infections. Whether you're struggling with frequent UTIs, worried about urinary symptoms, or simply want to better understand your bladder health, this conversation offers practical, evidence-based guidance to help you take control of your care. To learn more about Dr. Thompson, click here.For more information about the National Association for Continence, click here, and be sure to follow us on Facebook, Instagram and Pinterest.MusicRainbows Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 3.0 Licensehttp://creativecommons.org/licenses/by/3.0/Stay in the know with all the latest hints and tips for managing incontinence. Visit NAFC.org and click the Newsletter button at top - it's free, it takes just a minute, and it can make a real difference in your life.

When I first started learning about PDA six years ago, so much of what I encountered was focused on behavior. What I was not seeing discussed was something I kept observing in my own family, and have since seen in thousands of families I have worked with: the way cumulative nervous system activation can disable a child or teen from accessing the things they need to stay alive.In this episode, an excerpt from the Understanding PDA Masterclass, I walk through what basic needs struggles actually look like across five domains: toileting, sleep, hygiene, eating, and safety. I share why I conceptualize PDA as a nervous system disability, how the survival drive for autonomy can override other survival instincts, and why paradoxically the most effective intervention for a basic needs struggle is often to stop focusing on it directly.Key TakeawaysWhy PDA May Be a Nervous System Disability, Not a Behavioral Disorder | 00:00:00 I define PDA as a survival drive for autonomy and equality that consistently overrides other survival instincts, including the instinct to eat, sleep, stay safe, maintain hygiene, and use the bathroom. This is what makes it distinct from other neurotypes and what led me to begin theorizing it as a nervous system disability. This also makes it distinct from "a behavioral problem". The challenges our children face are physiological, and this is part of what I am researching with the University of Michigan.The Fire, the Traffic, and the River: When Autonomy Overrides Safety in the Moment | 00:03:30 On a night of camping when my son was four and a half, he kept moving toward the campfire the more we told him to stay back, to the point where I had to physically restrain him from running into it. I have heard similar accounts from families of children running toward oncoming traffic or accelerating into a lake when told to move away. These are extreme examples that I share to show how the survival drive for autonomy can override the instinct to stay safe in real time. They are not defiance. They are a nervous system response that has overridden the instinct that should have protected the child.Five Basic Needs and What Struggles Can Look Like | 00:06:32 Toileting struggles can include regression to diapers, UTIs from withholding, accidents, and refusing to use the toilet. Sleep struggles can include a non-twenty-four-hour cycle, intensifying bedtime resistance, and needing to co-sleep at eleven or twelve years old with no prior history of it. Hygiene can include refusing tooth brushing, bathing, nail cutting, or hair cuts. Eating can present as extreme restriction, similar to ARFID but without the body image component, or as compulsive eating. Safety struggles can range from running toward traffic or fire to self-harm, suicidal ideation, or harming others. Two PDA children can have the same root cause and look dramatically different across all five domains.The Paradox: Focusing on the Basic Need Often Makes It Worse | 00:11:09 When my son stopped eating, every instinct told me to find strategies to make him eat. I went to feeding therapy. I tried every approach in the moment. But for a PDA child, focusing attention and gentle pressure on eating registers as a loss of autonomy and can intensify the avoidance. What I have seen across thousands of families is that bringing down cumulative nervous system activation across all domains, not in the moment of the basic need struggle, is what allows the control to release and the need to become accessible again. That is the paradigm shift.Doubt, Fluctuation, and Why Basic Needs Must Be Part of the PDA Profile | 00:09:34 Because basic needs struggles fluctuate, parents are often doubted or doubt themselves. A child may brush their teeth at the beginning of the week and refuse by Friday. They may eat one food for months and then drop it. They may have had no toileting issues and then regress at age eight. This fluctuation is a feature of the cumulative model, not evidence that the disability is inconsistent. Basic needs have largely been left out of the behavioral literature on PDA. I believe they belong at the center of the profile, because if a child cannot access safety, sleep, eating, hygiene, or toileting, their health and survival are at risk.Relevant ResourcesUnderstanding PDA — The free masterclass from which this episode is excerpted, covering the full nervous system disability framework and basic needs indicators described here.Burnout — Free class with context for the burnout threshold at which basic needs struggles tend to intensify and become most disabling.Tracking Progress — Free class on the three dimensions I track with families, including basic needs access as a primary indicator of whether cumulative nervous system activation is coming down.Paradigm Shift Program — My signature program where the basic needs framework, cost-benefit decision making, and the full accommodation toolkit are taught across twelve weeks of live coaching.Mentioned in this episode:Free Live WorkshopI'm offering a free live workshop this month: "Supporting your PDA child or teen through burnout without breaking yourself in the process."Free Live Workshop Registration

You're exhausted but can't sleep. Your brain feels foggy. Your mood has changed, stubborn belly fat seems to appear from nowhere, painful periods derail your life, or recurring UTIs keep coming back. If you're in your 40s, 50s, or beyond, these symptoms aren't something you should automatically dismiss as “just getting older.”In this episode of V.I.B.E. Living Podcast, Lynnis Woods-Mullins sits down with osteopathic physician Dr. Jeffrey Brown, who specializes in hormone imbalance and chronic pelvic pain, to uncover what may really be happening when hormones begin to shift during perimenopause and menopause.We explore hormone imbalance, bioidentical hormone replacement therapy (BHRT), estrogen dominance, cortisol, chronic stress, gut health, sleep disruption, brain fog, weight changes, and recurrent urinary symptoms—and how these seemingly separate issues may be more connected than many women realize.Dr. Brown explains what hormone therapy actually means, how BHRT approaches hormonal symptoms, and why the conversation about hormones extends far beyond hot flashes. We discuss the role hormones can play in sleep, bone health, cardiovascular health, cognitive function, mood, energy, and overall quality of life.We also take a closer look at one of the biggest disruptors of hormonal health: chronic stress and cortisol. Why can you feel completely exhausted all day and suddenly wide awake at night? What does “wired but tired” really mean? And how can long-term stress make navigating menopause and perimenopause even harder?The conversation goes deeper into estrogen dominance and gut health, including the estrobolome and the role the gut plays in estrogen metabolism. Dr. Brown also discusses when more comprehensive hormone testing may be useful and how everyday exposure to potential endocrine disruptors—including certain plastics, fragrances, cosmetics, and other environmental exposures—may affect hormonal health.Most importantly, this episode is about helping women become better advocates for themselves.If you've been told your symptoms are simply part of aging—or you know something has changed in your body but haven't been able to connect the dots—this conversation can help you understand what questions to ask and what options to explore with your healthcare provider.In this episode, you'll learn about:Perimenopause and menopause symptoms women often overlookSigns that may be associated with hormone imbalanceCortisol, chronic stress, and the “wired but tired” cycleBHRT and hormone therapyEstrogen dominanceMenopause belly fat and metabolic changesBrain fog, mood changes, and disrupted sleepGut health, estrogen metabolism, and the estrobolomeHormone testingEndocrine disruptors in everyday lifeHow to have a more productive conversation with your healthcare providerIf this conversation reminds you of yourself—or another woman in your life—share this episode with her. And subscribe to V.I.B.E. Living for more conversations about menopause, hormone health, stress, nutrition, healthy aging, and holistic wellness for women 40+.BioUndergraduate at Cornell University. New York College of Osteopathic Medicine.  Family Medicine Residency Mt. Sinai School of Medicine at Jamaica Hospital Medical Center.  Got frustrated with conventional medicine's focus on symptom care and later became board certified by the American Academy of Anti-Aging & Regenerative Medicine (A4m).  Has been practicing functional medicine with a focus on women's health for over 15 yearsWebsitehormonehealthwithdrbrown.comPlease Patronize Our Sponsors  Healthy aging starts from the inside out. Great Lakes Wellness Collagen is made with clean, grass-fed collagen peptides that are iGen Non-GMO tested, dissolve effortlessly in hot or cold liquids, and fit seamlessly into your daily routine. I personally use it to support healthy skin, stronger hair, joint comfort, and gut health. If you're looking for a simple way to nourish your body after 40, this is one of my favorite daily wellness essentials. Learn more by clicking here. Special Discount Code: VIBEWELLNESSWOMAN

Are you struggling with recurrent UTIs, bladder pain, or interstitial cystitis and wondering why the symptoms keep coming back? Could aloe vera, hormone support, and new approaches to women's pelvic health offer better options for UTI prevention and chronic bladder symptoms?In this episode, I'm joined by Heather Florio, CEO of Desert Harvest and a leading advocate for women's pelvic health. We're talking about a topic that affects so many women but often doesn't get the attention it deserves: chronic bladder symptoms and interstitial cystitis. Heather explains why IC can feel so much like a UTI that never goes away, why women can spend years searching for the right diagnosis, and what newer research is teaching us about the different causes of bladder and pelvic pain.We also get nerdy about aloe vera and the research behind using it to support the bladder lining, including what makes certain forms of aloe different from what you might find at the grocery or health food store. Heather walks us through the connection between bladder health and hormones, why symptoms may become more common during menopause and post-menopause, and how declining estrogen may affect the tissues of the bladder and pelvic region.And we don't stop at interstitial cystitis. We talk about recurrent UTIs, why D-mannose may not address every type of UTI-causing bacteria, and some of the newer research Heather and her team are exploring around lactoferrin, endometriosis, iron balance, Hashimoto's, and thyroid health. If you've been dealing with chronic bladder symptoms, pelvic pain, hormonal changes, or recurring UTIs and feel like you're still searching for answers, this conversation will give you some fascinating new things to explore.Disclaimer: This information is being provided to you for educational and informational purposes only. It is being provided to educate you about how to take care of your body and as a self-help tool for your own use so that you can reach your own health goals. It is not intended to treat or cure any specific illness and is not to replace the guidance provided by your own medical practitioner. If you are under the care of a healthcare professional or currently use prescription medications, you should discuss any dietary changes or potential dietary supplement use with your doctor, and should not discontinue any prescription medications without first consulting your doctor. This information is to be used at your own risk based on your own judgment. If you suspect you have a medical problem, we urge you to take appropriate action by seeking medical attention.In This Episode:[02:45] How Desert Harvest got its start in 1993[08:20] Why interstitial cystitis is often misdiagnosed or completely missed in women[10:45] New research reveals 3 distinct categories of interstitial cystitis[12:40] Desert Harvest products that are currently undergoing drug trials[15:10] How does aloe vera work inside the bladder?[19:45] Why does IC happen in the first place?[25:15] Continued fears around HRT keep women feeling sick[29:04] Can SSAV be combined with HRT to be even more useful for women with IC?[26:05] The risks and benefits of using telehealth for HRT[32:50] Supporting healthy iron levels throughout life and menstruation[34:35] How can Desert Harvest products support chronic UTIs?[38:50] New developments working on products for people with thyroid problemsFind more from Heather online:Website: https://desertharvest.com/Instagram: @desertharvestaloeveraFacebook: https://www.facebook.com/DesertHarvest/Connect with Sophie: Instagram: @shetalkshealthWebsite: shetalkshealth.comThyroid Breakthrough Call: https://thyroidhealthaudit.shetalkshealth.com/thyroid-health-auditApply to work with us: www.shetalkshealth.com/callThe Mineral Reset (HTMA): https://shethrives.shetalkshealth.com/htma-packageMineral Mocktail (get your energy back now!: https://shetalkshealth.com/mineral-mocktail-guide/Stop guessing with your thyroid & Get Answers Now: https://ace.shetalkshealth.com/home-front

Why Don't I Feel Like Myself Anymore? The Midlife Conversation Every Woman Needs to Hear Can I tell you about a conversation with Dr. Christina Enzmann that completely changed the way I think about midlife? Actually...it started with a question I hear from women all the time. "Lisa...I just don't feel like myself anymore." Whenever a woman tells me that, I know she's not talking about one symptom. She's talking about this feeling that somewhere along the way, her body started playing by a completely different set of rules. Maybe she's exhausted even though she's sleeping… or maybe she's not sleeping. Maybe she's gained weight without changing anything. Or maybe she's anxious, forgetful, dealing with heart palpitations, waking up at three in the morning, or wondering why hormone therapy helped her friend but made her feel worse. It all feels disconnected. And that's exactly what makes it so frustrating. Every appointment seems to focus on one tiny piece of the puzzle. One doctor talks about hormones. Another talks about stress. Someone else tells you,  "Well...you're getting older."   That's why I was so excited to sit down with Dr. Christina Enzmann. First of all, she's just fun to talk to. She's incredibly smart, but she has this gift for explaining complicated science in a way that suddenly feels obvious. Every few minutes she said something that made me stop and think, "Wait...why has nobody ever explained it like that before?"   Those are my favorite interviews—the ones where I'm learning right alongside you. Christina shared one perspective that completely reframed the way I think about menopause. It wasn't dramatic. It wasn't gimmicky. It just...made sense.   And once she said it, I thought - “Every woman needs to know this.”   We ended up talking about everything from hormones and the gut microbiome to insulin resistance, sleep, stress, recurrent UTIs, heart palpitations, vaginal health, and why so many women feel like their body has turned against them in midlife.   But what I loved most is that she never looked at those as separate conversations. She connected the dots. If you've ever found yourself wondering... Why don't I feel like myself anymore? Why am I so tired all the time? Why am I gaining weight when nothing has changed? Why did hormone therapy work for someone else but not for me? Is there something my body is trying to tell me? ...I know you're going to love this conversation.   Connect with Dr. Christina Enzmann: drchristinaenzmann.com #Perimenopause #Menopause #Hormones #GutHealth #FunctionalMedicine #Microbiome #HealthyAging #Fatigue #Anxiety #Inflammation #Metabolism #BrainHealth #Longevity #WomensHealth   ✨Join the conversation: Share your thoughts with us on social media or in the comments!

Urinary tract infections (UTIs) are among the most common infections in older adults, but in people living with dementia, they can trigger a sudden and dramatic change in behavior and cognition. A UTI that might cause mild discomfort in a younger, healthier person can instead set off delirium — an acute, fluctuating state of confusion — in someone with Alzheimer's or a related dementia.Dr. Shouri Lahiri is director of the Neurosciences Critical Care Unit and Neurocritical Care Research at Cedars-Sinai and leads the Lahiri Lab. His research focuses on the inflammatory mechanisms that link acute illnesses and infections to delirium and cognitive decline, including the role of immune signaling in brain changes during infection.In this conversation with Being Patient founder Deborah Kan, Lahiri explained why up to one-third of older adults with a UTI can develop delirium, and why that risk is even higher for people with dementia, who have less cognitive reserve to draw on. He discussed why early antibiotic treatment is critical and what caregivers can do — from monitoring hydration and sleep-wake cycles to recognizing subtle signs of urinary discomfort — to help prevent and manage delirium at home. He also shared where his lab's research into anti-inflammatory treatments currently stands.----If you loved this Live Talk, visit our website to find more of our Alzheimer's coverage and subscribe to our newsletter: https://www.beingpatient.com/Follow Being Patient: Twitter: https://twitter.com/Being_Patient_Instagram: https://www.instagram.com/beingpatientvoices/Facebook: https://www.facebook.com/beingpatientalzheimersLinkedIn: https://www.linkedin.com/company/being-patientBeing Patient is an editorially independent journalism outlet for news and reporting about brain health, cognitive science, and neurodegenerative diseases. In our Live Talk series on Facebook, former Wall Street Journal Editor and founder of Being Patient, Deborah Kan, interviews brain health experts and people living with dementia. Check out our latest Live Talks: https://beingpatient.com/live-talks/

Send us Fan MailMenopause can flip your life upside down without a single hot flash, and the most dangerous part is how often nobody connects the dots. We sit down with Dr. Shauna Watts, a physician, mother of four, and BRCA1 carrier who went from caring for patients to becoming one overnight, facing risk-reducing surgery and a sudden surgical menopause that reshaped her body, brain, relationships, and identity. Her story is raw, practical, and packed with the kind of details women usually whisper about, if they talk at all. We dig into the real symptom map of perimenopause and menopause: brain fog, anxiety, sleep that breaks at 3 a.m., joint pain, skin and hair changes, weight redistribution, libido shifts, and the genitourinary symptoms that can make sex painful and trigger recurrent UTIs. Dr. Watts explains why these changes happen, why younger women get dismissed, and why “normal hormone labs” can still miss a textbook clinical picture. Then we go straight at the fear that still blocks care: hormone replacement therapy. We revisit the Women's Health Initiative (WHI) fallout, what later analysis clarified, and how to discuss HRT using individualized risk, modern formulations, and real-world tradeoffs like bone health, cardiovascular risk, mental health, and quality of life. We also talk lifestyle medicine, including alcohol, sleep, resistance training, and nutrition, plus why every clinician should be menopause-trained. If this helped you, subscribe, share it with a partner or friend, and leave a review so more people can find evidence-based menopause care. What belief about HRT or menopause do you want us to unpack next?Dr. Shauna Watts: Website: https://youbydrshaunawatts.com.au/IG: @dr.shaunawatts      @youbydrshaunawattsPodcast: All About You PodcastTweet me @realdrhamrahIG @drhamrah

393: Vaginal health is a taboo topic and sadly because it is, countless women are suffering in silence when it comes to any kind of vaginal issue whether it be UTIs, yeast infection, vaginal dryness, infections, and basically anything related. So today's, we are breaking that stigma with Wendy Strgar who specializes in vaginal health and has her own line of lube specifically designed to support the vaginal microbiome - yes, we have a microbiome down there just like we have a gut microbiome, oral microbiome, and skin microbiome. We talk about probiotic suppositories, if putting a garlic clove up your V is a good idea, vaginal pain that so many women suffer with, and why using pure coconut oil as a natural lube alternative may actually be causing bacteria and yeast infections! Topics Discussed: → The right and wrong kind of lube → Fertility lube → Yeast infections & UTI's → Why we should not use pure coconut oil as lube → Why women suffer silently with vaginal issues → Probiotic vaginal suppositories  → Is garlic up your V a good thing? → How to care for your V after giving vaginal birth → Why most vaginal care products are making symptoms worse  As always, if you have any questions for the show please email us at digestthispod@gmail.com. And if you like this show, please share it, rate it, review it and subscribe to it on your favorite podcast app.  Sponsored By:  → Kasandrinos | Go to https://www.kasandrinos.com/digest and use code DIGEST for 25% off → LMNT | Get your FREE sample pack with any LMNT purchase at https://drinklmnt.com/DIGEST Timestamps: → 00:00:00 - Introduction → 00:03:45 - Vaginal Health & the Vaginal Microbiome → 00:09:13 - How Gut Health Affects Vaginal Health → 00:11:45 - Is Coconut Oil Safe as Lube? → 00:13:51 - Causes of Yeast Infections & UTIs → 00:17:00 - Vaginal pH Explained → 00:20:28 - Best Fertility Lubricants → 00:25:00 - Hormones & Vaginal Health → 00:26:55 - Hygiene Habits That Affect Vaginal Health → 00:31:28 - Postpartum Vaginal Care → 00:33:45 - Vaginal Probiotic Suppositories → 00:37:02 - Best Probiotics for Vaginal Health → 00:40:12 - Garlic, Vaginal Steaming & Natural Remedies → 00:43:38 - Vaginal Health & Immune Function → 00:44:36 - Common Women's Health Mistakes → 00:46:36 - The Future of Vaginal Healthcare Further Listening: → Natural Botox Alternatives, Beef Tallow & Clean Beauty | Emilie Toups Check Out Wendy Strgar: → Instagram: https://www.instagram.com/wendy.strgar/ → Second Instagram: https://www.instagram.com/goodcleanlove/ → Website: https://www.wendystrgar.com/ → Vaginal support products: https://goodcleanlove.com/ Check Out Bethany: → Bethany's Instagram: @lilsipper → YouTube → Bethany's Website → Discounts & My Favorite Products → My Digestive Support Protein Powder → Gut Reset Book  → Get my Newsletters (Friday Finds) Learn more about your ad choices. Visit megaphone.fm/adchoices

Ready for your weekly dose of unfiltered women's health? From awkward body quirks to the latest health headlines, nothing is off-limits. Dr Ginni Mansberg and Cath Mahoney tackle why you should think twice before trying injectable peptides, whether the shingles vaccine could actually lower your risk of dementia, and if the viral rebounding trend is worth jumping up and down over. In Are You Well? they shed light on two surprisingly common issues: why we get haemorrhoids (and whether you should actually be shoving them back up), and how to tell if your nipple hair is totally normal or a sign of something else. Plus, in Asking for a Friend, Dr Ginni answers your real-life anonymous health questions, from what’s really driving recurrent UTIs to why you’re suddenly passing way more wind in public. GET IN TOUCH Leave us an 'Asking for a Friend' voice note here. Follow us on Instagram and Tiktok. Very Peri, Mamamia's exclusive perimenopause series is here! 25 world-leading experts, over 20 on-demand sessions, instant access. We’ve sorted through the noise so you don't have to. Go to veryperi.com.au today. You hot? Same. CREDITS Hosts: Dr Ginni Mansberg & Cath Mahoney Senior Producer: Tina Matolov Executive Producer: Courtney Ammenhauser Audio Producer: Tina Matolov Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on. Information discussed in Well. is for educational 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. Become a Mamamia subscriber and get an all-access pass to everything we make, including exclusive podcasts and early listening, subscriber-only articles, monthly giveaways and our home workout app, MOVE. Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.

This week's episode was supposed to be a deeper dive into perimenopause, but as I started talking, the conversation went somewhere completely different. And honestly, I think it went exactly where it needed to go.I open up about some very personal parts of my health journey, including living with HPV, abnormal pap smears, precancerous cervical cells, and a recent conversation with my doctor about potentially having a partial hysterectomy. That conversation brought up so many questions for me about what happens to our bodies as we age and the parts of womanhood we don't talk about nearly enough.I also share what I've noticed changing in my 40s when it comes to sex, libido, vaginal health, and how those changes have affected the way I see myself as a woman. We talk about vaginal estrogen, recurrent UTIs during perimenopause, my recent experience with an infection I initially ignored, and why listening to our bodies and advocating for our health matters so much.In this episode, we discuss:Living with HPV and my history of abnormal pap smearsWhy my doctor brought up a partial hysterectomySex, libido, vaginal dryness, and intimacy in your 40sVaginal estrogen and vaginal health during perimenopauseMy recent UTI experience and why I wish I had acted soonerLearning to listen to your body and advocate for yourselfIf you've been experiencing changes in your body that you don't understand, putting off an appointment, or simply wondering why no one ever taught us about some of these things, I hope this conversation encourages you to ask questions, listen to your gut, and take your health seriously.Our bodies are such a gift, and sometimes, watching them change can be harder and more emotional than we expect.Here's to asking more questions and learning as we go. ❤️WANT TO JOIN A COMMUNITY THAT UNDERSTANDS THIS? Sign up for my next 30 Day Challenge: CORE, PELVIC FLOOR + HORMONE STRENGTH, starting August 31, 2026…go to heidipowell.net/reset or click HERE.Here are the key moments from the episode:00:00 Why I'm Going Deeper Into My Perimenopause Journey03:19 What I've Learned From Living Through Perimenopause at 4405:55 HPV, Cervical Cancer Risk & What Women Need to Know08:43 Why I Refuse to Skip My Annual Pap Smear11:42 The Partial Hysterectomy Decision I'm Now Facing14:28 Sex, Libido & Vaginal Changes During Perimenopause17:15 The Emotional Reality of Watching Your Body Age20:20 The Bladder Symptoms I Mistook for Something Else23:28 My UTI Got Worse: When I Finally Went to Urgent Care25:08 Why UTIs Can Become a Bigger Problem During Perimenopause27:28 Vaginal Health Signs Women Shouldn't Ignore28:24 The Health Checks I Want Every Woman to Stop Putting OffConnect with Heidi:Website: https://heidipowell.net/Email: podcast@heidipowell.netInstagram: @realheidipowellFacebook: Heidi PowellYouTube: @RealHeidiPowellJoin Heidi's next Hormone Reset Challenge: heidipowell.net/resetTrain with Heidi on her Show Up App: https://www.showupfit.app/

On this episode, Dr. Sadaf is joined by family physician and metabolic health expert Dr. Jumana Al-Deek to discuss everything you need to know about the intersection of weight loss, resistance training, and hormone optimization during perimenopause. This episode dives deep into everything related to metabolic health, from preserving skeletal muscle while using GLP-1 medications, the life-saving benefits of vaginal estrogen for recurrent UTIs, and why visceral fat increases due to insulin resistance and falling hormones. Dr. Al-Deek also shares her expertise to spotlight how weight gain and systemic inflammation impact female libido.Visit Dr. Al-Deek online at medmethoddirect.com and check out her book, The Menopause Weight Loss Trap!Disclaimer: Anything discussed on the show should not be taken as official medical advice. If you have any concerns about your health, please speak to your medical provider. If you have any questions about your religion, please ask your friendly neighborhood religious leader. It's the Muslim Sex Podcast because I just happen to be a Muslim woman who talks about sex.To learn more about Dr. Sadaf's practice and to become a patient visit DrSadaf.comLike and subscribe to our YouTube channel where you can watch all episodes of the podcast!Feel free to leave a review on Apple Podcasts and share the show!Follow us on Social Media...Instagram: DrSadafobgynTikTok: DrSadafobgyn

She was 63, hadn't been intimate with her husband in years, and was told by every doctor, "This is just aging." Dr. Anna Cabeca had one thing to say back: No, it isn't. Dr. Anna Cabeca, The Girlfriend Doctor—a triple board-certified OB/GYN specializing in menopause, hormones, and women's vitality—shares her fully updated vaginal health protocol. This isn't the "just use a lubricant" advice you've heard before. It's a whole-body approach built from more than 26 years of clinical practice, her own experience with early menopause, and the patients who refused to accept "normal" as the final answer. You'll learn: Why vaginal dryness, bladder leaks, and recurrent UTIs are common after menopause—but not something you have to live with. How declining DHEA, estrogen, and progesterone affect tissue health, blood flow, and the vaginal microbiome. A simple 5-step daily routine to support adrenal health, tissue comfort, intimacy, and long-term vitality. Why oxytocin—not just estrogen or testosterone—may be the missing piece for connection, mood, and desire. How Dr. Anna's Sexual CPR framework helps women rebuild communication, pleasure, confidence, and intimacy at any age. Whether you're in your 30s preparing for what's ahead or in your 60s ready to feel like yourself again, this episode will help you understand what's really happening in your body—and what you can do about it. Your body has not given up on you. And it's never too late to feel vibrant again. Timestamps ●  00:03 — The patient who said "I'd rather die than live this way" ●  04:49 — Following her for 20 years, and a better bone scan at 73 than 63 ●  07:07 — The psychiatrist who never connected her sleep to her bladder ●  09:24 — Why vaginal health is a whole body issue ● 11:45 — The old advice that wasn't enough, and her own early menopause story ● 14:13 — What declining hormones actually do to tissue, blood flow, and the urethra ● 16:30 — Why Julva was created, and the rise of inflammation and microbiome disruption ● 18:54 — Early symptoms and why earlier intervention makes restoration easier ●  20:57 — When symptoms get louder, and why comfort drives desire ●  23:13 — The 5-part vaginal health protocol, starting with Step 1: nourish the tissue ●  25:38 — DHEA and testosterone before surgery, and canceling surgeries that were no longer needed ●  32:21 — Step 2: restoring the vaginal microbiome ●  39:11 — The gut, mouth, and vaginal microbiome connection ●  41:35 — Step 3: comfort during intimacy, and why she resisted lubricants for years ●  43:51 — Step 4: supporting hormones from the inside out with Mighty Maca Plus ●  48:40 — Step 5: building a simple daily ritual ●  51:02 — Oxytocin, her own PTSD story, and the hormone we never talk about ●  53:22 — Oxy play: free, daily ways to build oxytocin ●  55:40 — Sexual CPR, and why intimacy isn't a reward, it's a path Memorable Quotes ●  "Common is not the same as normal. And you do not have to accept them." ●  "You are the CEO of your health." ●  "Your body is the cathedral of your spirit, and every cathedral needs constant renovation and repair." ●   "Oxytocin is the connection hormone we've overlooked. You cannot buy it, but you can build it." ●   "It takes more than hormones to support your hormones." Mentioned in This Episode Protecting Your Heart and Smile with Dr. Ellie Campbell: https://drannacabeca.com/blogs/podcast/protecting-your-heart-and-smile-with-dr-ellie-campbell-how-your-oral-health-affects-your-cardiac-health Julva: https://drannacabeca.com/products/julva  Velvé: https://drannacabeca.com/products/velve  Sexual CPR: https://drannacabeca.com/pages/offers-sexualcpr  Join Dr. Anna Live in Dallas Ready to go deeper? Join Dr. Anna Cabeca at The Vitality Experience, an immersive event designed to help you understand what really changes after 40—and what you can do about it. You'll discover: • How your hormones really change after 40 • Practical strategies for fat loss, muscle, and metabolic health in midlife • The pelvic health and intimacy conversations no one else is having with you • What you need to know about breast health, testing, and which screenings actually matter You'll leave knowing what's common, what you don't have to simply manage, and exactly where to focus your energy to feel stronger, healthier, and more vibrant. Learn more and reserve your spot: https://drannacabeca.com/pages/f-vitality-experience If you're looking for natural menopause relief, vaginal health solutions, pelvic floor support, hormone balance, or ways to improve intimacy after menopause, this episode is an essential listen.  Connect with Dr. Anna ●      Website: dranna.com ●      Instagram: @thegirlfrienddoctor ●      YouTube: @thegirlfrienddoctor ●      TikTok: @drannacabeca ●      Facebook: The Girlfriend Doctor If this episode helped you, share it with a woman who needs to hear it, subscribe to The Girlfriend Doctor Podcast, and leave a review so more women can discover these conversations.

Join me at this year's National Menopause Show, October 17th and 18th at the International Center in Mississauga. Go to https://nationalmenopauseshow.com/ and use code :TRANSFORM45 Menopause isn't the end of the story. In this episode of Transforming 45, Lisa sits down with functional medicine practitioner and nutritionist Cindy Dupuie to talk about what happens after menopause and why women need to pay attention to their health long after the hot flashes fade. Together they tackle hormone therapy myths, the lasting impact of the WHI study, bone health, vaginal estrogen, inflammation, muscle loss, heart disease risk, and the importance of becoming the CEO of your own health. If you've ever thought "I'm past menopause, so I'm done worrying about it," this episode may change the way you think about your future health. ✔ Why post-menopause deserves more attention ✔ The lasting impact of the WHI study ✔ What estrogen actually does throughout the body ✔ Why heart disease is the leading cause of death for post-menopausal women ✔ Bone density, osteoporosis and preventing fractures ✔ The role of vaginal estrogen in preventing UTIs ✔ Why muscle matters more than ever ✔ The importance of building your healthcare team ✔ How to advocate for yourself in medical appointments ✔ Why it's never too late to improve your health Menopause is one day. Post-menopause lasts the rest of your life. Hormones affect far more than reproduction. Bone loss begins long before most women receive screening. Vaginal estrogen may help prevent recurring UTIs and improve quality of life. Movement is medicine, especially strength training. Women deserve preventative care, not just reactive care. You are the CEO of your own health. Connect with Cindy: Website: alivingbalance.net https://alivingbalance.net  Instagram: @cindy_dupuie https://www.instagram.com/cindy_dupuie/ YouTube channel: https://www.youtube.com/@alivingbalance Facebook: https://www.facebook.com/cdupuie/ Signature Course: Grace In Transition for Women Of A Certain Age https://alivingbalance.net/course/ Free Download Lab Checklist for The Pause Years https://mailchi.mp/ec838eef0e74/lab-checklist Connect with Lisa Website: https://liberatedmenopause.ca Instagram: https://www.instagram.com/lboate/ Facebook: https://www.facebook.com/leaninfindyourwayhome/ Facebook Group: https://www.facebook.com/groups/245092311417467 Email: lisa@liberatedmenopause.ca New episodes of Transforming 45 drop every Thursday. Learn more about your ad choices. Visit megaphone.fm/adchoices

Why does your body still feel dry, itchy, and irritated in places you never expected, even after starting hormone replacement therapy? I brought back the girlfriend doctor, Dr. Anna Cabeca, because there's an area of our midlife health we just don't talk about enough, and it's costing women their comfort, their confidence, and in some cases, far more than that. In this episode, Anna and I get into the real reasons behind vaginal dryness, recurring UTIs, and burning that no one can explain, and why so many of these symptoms don't fully resolve even with HRT. We unpack the massive difference between synthetic progestins and bioidentical progesterone, and why so many women who've had a hysterectomy have been wrongly told they don't need progesterone at all. We also go deep on the vaginal microbiome, why it works completely differently from your gut microbiome, and the surprisingly small things, like a single course of antibiotics, that can throw the whole system off balance. I go deep on the personal side of this too, from Brooks' hotel room debut as an influencer to why I still can't sleep on cycled progesterone no matter how many times Anna tells me to try it. We Go Deep On: Why vaginal dryness and itching often don't improve even with systemic HRT The real difference between bioidentical progesterone and synthetic progestins Why women without a uterus have been wrongly denied progesterone for decades Pregnenolone, the hormone precursor nobody talks about Vaginal microbiome and why it works the opposite of your gut What vaginal rejuvenation procedures actually require to work The mindset shift that keeps Anna consistent with her own health Catch the full episode on YOUTUBE HERE: https://bit.ly/MidlifeConversationsYouTube Products mentioned:  Julva: https://dranna.com/nataliejill Balance Cream: https://dranna.com/nataliejillbalance Mighty Maca: http://dranna.com/nataliejillmaca Velve: http://dranna.com/natalievelve Use code NATALIEJILL to save    Learn More About Dr. Anna Cabeca  Instagram ➜ http://www.instagram.com/thegirlfrienddoctor   Website ➜ https://drannacabeca.com/  Thank you to our show sponsors:  QUANTUM UPGRADE:  Try Quantum Upgrade completely free for 15 days—no credit card required. Use code NATALIEJILL at checkout on https://quantumupgrade.io/start  THE PATCH METHOD:  Vitamins you can wear! Visit https://www.thepatchmethod.com  and use code NATALIEJILL to save Free Gifts for being a listener of Midlife Conversations! Mastering the Midlife Midsection Guide: https://theflatbellyguide.com/ Age Optimizing and Supplement Guide: https://ageoptimizer.com   Connect with me on social media! Instagram: www.Instagram.com/Nataliejllfit Facebook: www.Facebook.com/Nataliejillfit   For advertising inquiries: https://www.category3.ca/  Disclaimer: Information provided in the Midlife Conversations podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before making any changes to your current regimen.  Information provided in this podcast and the use of any products or services related to this podcast does not create a client-patient relationship between you and the host of Midlife Conversations or you and any doctor or provider interviewed and featured on this show. Information and statements may have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease. Advertising Disclosure: Some episodes of Midlife Conversations may be sponsored by products or services discussed during the show. The host may receive compensation for such advertisements or if you purchase products through affiliate links. Opinions expressed about products or services are those of the host and/or guests and do not necessarily reflect the views of any sponsor. Sponsorship does not imply endorsement of any product or service by healthcare professionals featured on this podcast.

Hormones aren't the problem. Misunderstanding them is. On this episode of BackTable Women's Health, Dr. Karen Toubi sits down with Dr. James Simon to discuss menopause, sexual medicine, and his career journey from early IVF research to treating aging women. They also unpack his Green Journal paper with Dr. Barbara Levy, challenging common misconceptions about hormone therapy and explaining why treatment should be individualized because not all estrogens and progestogens are the same. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction03:11 - Why Menopause Medicine07:51 - Hormone Therapy Paper11:48 - Counseling Perimenopause16:14 - Unopposed Estrogen Strategy23:01 - IUDs And Progesterone26:54 - Estrogen Types Explained34:59 - Thrombosis Risk Approach43:11 - Oral Estrogen Use Cases44:48 - Breast Cancer Risk Counseling46:49 - Estrogen Risk Myth48:11 - Pregnancy and Breast Cancer50:09 - Counseling BRCA Patients53:26 - Duavee: Who Benefits?55:32 - Bazedoxifene Access Limits57:47 - Ospemifene for Genitourinary Syndrome of Menopause (GSM)01:00:37 - Dryness Explained01:02:41 - Thrombosis Risk Screening01:05:01 - UTIs and Vaginal Estrogen01:07:18 - Starting HRT After 6001:12:47 - Window of Opportunity01:14:46 - Staying on HRT01:16:43 - Blood Levels and Absorption01:20:13 - Clinician Takeaways --- More about this episode The conversation explores strategies for managing perimenopause, including when hormonal contraception is the best option and when symptom-focused hormone therapy may be more appropriate. They cover practical guidance on using transdermal estradiol, Mirena and Liletta for contraception and endometrial protection, and how thrombosis risk differs depending on the type and route of hormone therapy. The episode wraps up with a discussion on newer treatments for genitourinary syndrome of menopause, when to consider hormone therapy, and why clinical experience is so important in menopause care. --- Resources A Contemporary View of Menopausal Hormone Therapy https://journals.lww.com/greenjournal/abstract/10.1097/aog.0000000000005553~a-contemporary-view-of-menopausal-hormone-therapy?redirectionsource=fulltextview --- BackTable Women's Health is the go-to podcast for gynecologists, gynecologic surgeons, and other healthcare professionals focused on women's health. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Today I'm chatting with Nurse Amber, a board-certified women's health nurse practitioner, to discuss sexual health and STIs. We cover the prevalence and stigma of herpes, common STIs like chlamydia and gonorrhea, testing frequency, and prevention methods including PrEP and DoxyPEP. Our conversation also addresses female health concerns such as UTIs, bacterial vaginosis, and pelvic floor health, as well as men's sexual health topics. Nurse Amber emphasizes open communication, regular testing, and finding a sex-positive healthcare provider.Understanding Herpes Transmission (00:02:11)Discussion on HSV-1 and HSV-2, how both can be transmitted genitally or orally, and why blood testing has limited utility.Most Common STIs (00:08:18)Chlamydia, gonorrhea, and trichomonas are identified as the most common STIs seen in clinical practice, with chlamydia being most frequent.Symptoms of Common STIs (00:08:50)A description of potential STI symptoms in people with vaginas and penises, noting that 50% of cases are asymptomatic.What is Trichomonas? (00:10:02)An explanation of trichomonas, a common parasitic STI that often causes no symptoms but can cause severe inflammation.Long-Term Risks of Untreated STIs (00:11:50)Untreated bacterial STIs can lead to serious complications like Pelvic Inflammatory Disease (PID), chronic pain, and impaired fertility.STI Incubation Periods (00:14:39)Genital STIs are detectable 1-2 weeks post-exposure, while blood-borne infections like HIV and syphilis can take 1-3 months.How to Disclose an STI to a Partner (00:15:53)Advice on having a direct conversation with partners about a positive STI test and the need for mutual treatment.STI Testing Frequency (00:17:19)Recommendations for testing frequency based on sexual activity, ranging from every 6-12 months to every 2-3 months for active individuals. PrEP and DoxyPEP Explained (00:21:49)An overview of PrEP for HIV prevention and DoxyPEP, a post-exposure prophylaxis to reduce the risk of bacterial STIs.Syphilis is Not Gone (00:26:47)Syphilis, known as "the great pretender," is still prevalent and can have sneaky symptoms, making regular screening important.The Current State of HIV (00:29:00)HIV is now a highly treatable chronic condition, and transmission rates are much lower than for other STIs like Hepatitis C.What to Ask For at the Gynecologist (00:31:59)Clarifying that a pelvic exam is not always a Pap smear and what specific STI tests patients should request.The Importance of Triple Testing (00:37:23)Why testing genital, oral, and rectal sites is crucial for a comprehensive screening, as infections can exist in one area.Myth-Busting: Partner Testing (00:42:04)Debunking the myth that if one partner tests negative, the other is also clear. Each person needs individual testing.Vaginal Health and Hygiene (00:44:01)Advice on maintaining vaginal health, emphasizing that vaginas are self-cleaning and harsh soaps or douching should be avoided.Squirting and Prolapse (00:50:31)Explaining that squirting is largely urine and discussing bladder prolapse, a common condition that can cause stress incontinence.Pelvic Floor Health (00:54:39)How to maintain pelvic floor health through exercises like Pilates and yoga, which can improve sex and prevent incontinence.Hormone Replacement Therapy (HRT) (00:58:16)A discussion on the benefits and considerations of HRT for perimenopausal symptoms, cautioning against unproven testing methods.When Men Should See a Doctor (01:02:54)An overview of symptoms like itching, discharge, pain, or sores that should prompt a person with a penis to seek medical care.Finding a Sex-Positive Provider (01:17:29)The importance of finding a healthcare provider you can be open with about your sexual health for accurate testing and treatment.Follow The Open Bedroom:https://www.instagram.com/theopenbedroompodcast/

In this episode of Dishing Up Nutrition, Kara Carper and Brandy Buro explore why UTIs often return and how nutrition, gut health, blood sugar balance, and the vaginal microbiome all play a role. Learn why antibiotics alone may not prevent future infections, how certain foods and habits can increase your risk, and practical nutrition strategies to help support a healthier urinary tract. If recurring UTIs have left you frustrated, this episode offers a fresh perspective on addressing the root causes, not just the symptoms.

A brutal selloff swept through the markets as concerns over AI spending, earnings, and geopolitical uncertainty rattled investors. Mark Longo is joined by Henry "The Flowmaster" Schwartz from Cboe and special guest "The Black Hatted" Dan Passarelli from Market Taker Mentoring to break down the biggest stories driving the options market. This episode explores the market reaction to disappointing earnings from Tesla and Alphabet, rising volatility as the VIX climbs back toward 20, unusual options activity in Micron, Universal Technical Institute (UTI), LSB Industries (LXU), and Nokia, plus the ongoing debate over whether markets are finally beginning to price geopolitical risk. You'll also hear: Tesla and Alphabet earnings reactions AI infrastructure spending and CapEx concerns VIX, SPY, QQQ, and Russell 2000 options activity Massive unusual options flow in Micron Bullish call buying in UTI and LXU Nokia earnings and post-earnings options trading Earnings season strategies and time spreads with Dan Passarelli Around the Block: what the panel is watching next

A brutal selloff swept through the markets as concerns over AI spending, earnings, and geopolitical uncertainty rattled investors. Mark Longo is joined by Henry "The Flowmaster" Schwartz from Cboe and special guest "The Black Hatted" Dan Passarelli from Market Taker Mentoring to break down the biggest stories driving the options market. This episode explores the market reaction to disappointing earnings from Tesla and Alphabet, rising volatility as the VIX climbs back toward 20, unusual options activity in Micron, Universal Technical Institute (UTI), LSB Industries (LXU), and Nokia, plus the ongoing debate over whether markets are finally beginning to price geopolitical risk. You'll also hear: Tesla and Alphabet earnings reactions AI infrastructure spending and CapEx concerns VIX, SPY, QQQ, and Russell 2000 options activity Massive unusual options flow in Micron Bullish call buying in UTI and LXU Nokia earnings and post-earnings options trading Earnings season strategies and time spreads with Dan Passarelli Around the Block: what the panel is watching next

We are getting into vaginal pH and why it's about so much more than odor or infections. I'm breaking down what vaginal pH actually is, what really affects it (and what doesn't), why those "pH-balancing" products aren't the answer, and how recurring infections can impact your pelvic floor, intimacy, and confidence. If you've ever dealt with yeast infections, BV, UTIs, or just felt confused about what's happening with your body, this episode will help you better understand what's going on and how to support your vaginal health from the inside out.We're accepting new remote clients who are looking to overcome vaginismus, pelvic pain, and pelvic floor dysfunction! Book a free clarity call with me through the link below.https://www.vaginarehabdoctor.com/heal-painful-sex-telehealth/Follow me on Instagram @vaginarehabdoctorFollow me on YouTube https://youtube.com/@vaginarehabdoctor?si=19BnPuV8ykIRTbUDFollow me on Tik Tok: https://www.tiktok.com/@vaginarehabdoctor?_r=1&_t=ZT-93XJyKkkU1HLeave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comProduced by Light On Creative Productions 

If you have ADHD, you've spent your whole life being told to stop procrastinating. And you've tried. But starting two weeks early feels like nothing. No pressure, no relief, no reward. Just the nagging sense you wasted an afternoon. So you wait. The deadline gets close, the stress kicks in, and suddenly you can work. You finish, you feel incredible, and then you beat yourself up for doing it the wrong way. Again.David's read: nothing here is broken. An ADHD brain needs a specific amount of stimulation to start a task, and a looming deadline manufactures exactly that. The threat is the fuel. The relief is the reward. Which changes the whole question. Not how do you stop procrastinating. How do you plan for it? How do you procrastinate more effectively? And when the pressure turns you into a monster, how do you give it a quiet place to go instead of pretending it won't show up?Isabelle's husband Bobby joins the conversation, and they share what happened the day they planned around Bobby's project stress instead of fighting it. Every argument they would normally have had just... didn't happen. No self-control required.A few minutes in, Isabelle goes quiet because this is suddenly applying to every area of her life. Fair warning: it might do that to you too.This episode is a Something Shiny summer replay, back in the feed while David and Isabelle take their break.In this episode:The difference between the task and the story you tell yourself about how it has to lookWhy doing the work early genuinely feels like nothing, and why the last minute feels like winningThe monster, and why the goal was never to stop being oneHow Isabelle and Bobby avoided every fight in a day without using an ounce of self-controlWhy Isabelle is done sitting through baths she hates, and what that has to do with how you've been told to relaxWhat David means when he says everyone with ADHD believes they're an imposter-------Wait, What's That? Here are some of the terms and people mentioned in this episode explained:Task vs Emotionality David's frame for the whole episode. The task is the thing you're trying to accomplish. The emotionality is everything you pile on top of it. Your assumptions, your fears, your beliefs about how it's supposed to be done. If the task is sweating once a day, the task is sweating once a day. It doesn't matter if you got there in a class, on a trail, or by hauling groceries up the stairs. Deciding it only counts one way is the emotionality.Wilfred Bion The psychoanalyst who developed the task versus emotionality idea back in the 1940s while studying how groups either focus or fall apart. David borrows it here and applies it to one brain instead of a room full of them.Self-Medicating with Emotion Why procrastination works. An ADHD brain needs a specific amount of stimulation to do a task. Anger, anxiety, and excitement all raise your heart rate, which means they all stimulate you. David compares it to a cup of coffee. Waiting until the deadline is close manufactures the stress, and the stress does the job.Delay of Gratification The part that explains why starting early feels so hollow. When you work under pressure, every step you take reduces the stress, so every step feels like relief. Do the same work two weeks early and there's no stress to relieve, so it just feels like you wasted an afternoon. Same work. Completely different reward.Extinction Burst A behavioral term for what happens when the thing that always worked suddenly stops working. David's example is the TV remote. You press the button, nothing happens, and instead of going to get a battery you press it harder, faster, at a new angle, pointed at a mirror. The escalation is the extinction burst.The Monster What an extinction burst looks like in a person. The fists, the stomping, the fury at a change you can't control. David's argument is that we all have one, that pretending otherwise is what makes it dangerous, and that the actual skill is planning for it and clearing the room instead of trying to shame it out of existence.Relational Trauma What builds up over years of watching everyone else do something easily that you cannot do. Your brain does not tell you there's too much stimulation in the room. Your brain tells you that you're stupid, or that you're not trying hard enough. That's the injury this episode is really about.Does cranberry juice prevent UTIs? Yes (and no). And one thing Isabelle learned on this internet rabbit hole: cranberry comes from "crane berry," named because the bilberry flower, when it withers, looks like the head and neck of a sand crane, a bird that feeds on the berries. Who knew? Full fascinating article here: https://pmc.ncbi.nlm.nih.gov/articles/PMC3370320/-------

Summer is here and it's such a fabulous time to be outside, soak up the sun, travel, and be more social. With all of this fun, there's also unfortunately a few things that can come up, which can affect your vaginal area. In this episode, we go over common situations and activities that can happen more often during the summer: from staying in your swimsuit for too long, taking long road trips, dating more and being more sexually active. We explain how these situations can lead to unpleasant vaginal odor, urinary tract infections (UTIs), vaginal irritation, etc. We also talk about how you can prevent these health issues and have the best summer ever!  I am joined with my co-host and good friend, Touseef Mirza.  

Today I'm joined by Robert Johnson, founder of Shameless Care, a telehealth company focused on sexual health, STI testing, and sexual wellness medications. After a missed STI diagnosis changed his life, Robert built Shameless Care to challenge outdated sexual health practices and bring more transparency, better education, and better access to care. We're diving into the truth about STI testing, modern Telehealth, and why so many people are still getting bad information about sex.Website: https://shamelesscare.com/Instagram: @shamelesscareofficialYouTube: https://www.youtube.com/@shamelesscareofficialFollow The Open Bedroom Podcast:https://www.instagram.com/theopenbedroompodcast/Use code “OPENBEDROOM” for $15 off at shamelesscare.comRobert's Personal Story (00:01:52)Robert shares his story of a missed oral gonorrhea diagnosis, which inspired him to create Shameless Care.The Problem with Incomplete Testing (00:03:02)Robert explains how his doctors were uninformed about throat swabs and the high prevalence of asymptomatic oral gonorrhea.Normalizing STIs and Testing Frequency (00:05:30)Jen asks about normalizing STI testing, how often people should get tested, and the stigma surrounding STIs.STI Rates and Demographics (00:07:47)Robert discusses high national STI rates, like chlamydia in young women, compared to the lower rates among his educated customers.The Importance of Thorough Testing (00:10:50)Robert emphasizes that testing thoroughly (all sites) is more critical than testing frequently but incompletely.Why Doctors Don't Test Thoroughly (00:12:49)Robert explains that the lack of thorough testing is a systemic issue due to physicians' lack of specialized knowledge.How to Get a Proper STI Test (00:16:36)Robert advises on how to ask your doctor for a full panel or use a telehealth service like Shameless Care.The At-Home Testing Process (00:19:08)Robert describes the at-home kit, how to collect samples (throat, anal swabs), and the low sample rejection rate.The Myth of Being "Clean" (00:21:59)The host and guest discuss the common but inaccurate dating profile claim of being "clean" from STIs.How Often Should You Get Tested? (00:23:39)Robert explains that testing frequency is personal and depends on resources, lifestyle, and number of partners.Addressing Shame and Discretion in Healthcare (00:26:26)Jen shares experiences of shame from doctors, and Robert explains how telehealth offers a discreet and non-judgmental alternative.The Future of Telehealth (00:29:14)Robert discusses the convenience, speed, and accessibility of telehealth for specialty medications and common health issues like UTIs.STI Prevention with DoxyPEP (00:33:38)Robert introduces DoxyPEP, an antibiotic taken after sex to significantly reduce the risk of gonorrhea, chlamydia, and syphilis.Sexual Wellness Medications Offered (00:37:12)Robert details other products available, like topical creams for female arousal and ED medications, without mandatory subscriptions.Common STI Testing Misconceptions (00:39:10)Robert debunks two myths: that a partner's negative test represents your status, and that a recent test is worthless.The Mental Benefit of Testing (00:43:34)Robert and Jen discuss how knowledge and regular testing reduce anxiety, leading to more enjoyable and worry-free sex.How to Use Shameless Care (00:46:49)Robert provides instructions on how to use the website and offers a discount code for the podcast listeners.

Do you have heart flutters, palpitations, or chest tightness , but your EKG comes back "perfect" and your stress test says you're fine? Dr. Chris Motley breaks down a connection most doctors never check: the direct link between your kidneys, bladder, and urinary tract system and the health of your heart. In this episode, Dr. Motley explains how hidden kidney infections, bladder infections, UTIs, and even kidney stones can create heart palpitations, brain fog, tingling in the hands and feet, and shortness of breath — all while standard urine tests come back completely normal. He breaks down why most UTI testing only screens for E. coli and misses dozens of other bacteria, fungi, and parasites that can colonize your urinary tract. Recommended Testing & Products Mentioned: Urokey Test by MicroGen DX (comprehensive urinary infection panel) https://patients.microgendx.com/products/urokey Uva Ursi Supreme https://shorturl.at/vqxmG Bodyguard Supreme (Chanca Piedra / Stonebreaker) https://shorturl.at/l7KuF Cranberry + D-Mannose For more on emotional release techniques mentioned: Neuro Emotional Technique (NET) Dr. Vivian Cairo, Dr. Sam Riley https://www.instagram.com/dr.samriley/ LENS Neurofeedback In this episode you'll learn: Why a "normal" UTI test can still miss a real infection — and the comprehensive test that screens for over 50,000 organisms The physical signs of kidney and bladder imbalance you've probably dismissed as unrelated: flank pain, tight hips, dark under-eye circles, cracked heels, and chronic calf tightness How the kidney meridian in Traditional Chinese Medicine travels directly to the heart — and why a weak kidney means a weak heart The embryological connection between your kidneys and your reproductive organs, and why issues in one often show up in the other How chronic fear, dread, and unresolved emotional trauma physically wear down your kidneys and adrenal glands Dr. Motley's go-to herbal protocol for cleaning out the kidneys naturally — including Uva Ursi, Chanca Piedra (Bodyguard Supreme), cranberry, and D-Mannose Why fascia, acupuncture, and emotional release techniques like EMDR and Neuro Emotional Technique (NET) can help break the cycle of recurring kidney and bladder infections If you've been told your heart is "fine" but you still don't feel right, this episode offers a missing piece...and hope! ------  Want more of The Ancient Health Podcast? Subscribe to the YouTube channel. Follow Doctor Motley Instagram Facebook Website ------  *You can get cell support in gummy form: Mitopure now starts at $79, when you go to timeline.com/DRMOTLEY. *Join Doctor Motley's newsletter for TCM insights and regular podcast updates: https://www.doctormotley.com/ *Do you have a ton more in-depth questions for Doctor Motley? Check out his course on emotions and the body in his membership. You'll find other courses full of his expertise and clinical wisdom, plus bring all your questions to his weekly lives! To try risk-free for 15 days click here: https://www.doctormotley.com/15

This week, the guys prove that life comes at you fast—and sometimes all in the same week.Dr. Carlton celebrates Pride in style with a trip to his local casino, where the drinks were flowing, the thongs were plenty for, and the people-watching was practically an Olympic sport. Meanwhile, Dangilo heads to Florida for a funeral, proving that even during life's heavier moments, family, reflection, and a little humor can still find a seat at the table.The guys also weigh in on the World Cup, because nothing brings people together quite like international competition... and the occasional shirtless athlete.Then it's time to open the mail sack.One Booty Gangster leaves us a heartfelt voicemail asking how Crohn's disease can impact intimacy and what it means for maintaining a healthy sex life. Dr. Carlton offers practical advice and reassurance for navigating sex when your body has other plans.Another listener is completely baffled after dealing with recurrent UTIs despite doing everything "right." Is it bad luck? Bad timing? Or is there something everyone overlooks? The guys break down the possibilities.And finally, one listener asks for advice on reopening an open relationship after pressing pause. Can you pick up where you left off? Do the rules change? And who exactly gets to rewrite the playbook?It's another episode full of medical insight, relationship advice, questionable life choices, and just enough side-eye to keep everyone honest.As always, the guys wrap things up with Love Language of the Week, reminding us that communication, trust, and a healthy sense of humor are still the sexiest things you can bring to any relationship.So grab your headphones, settle in, and join the Booty Gang. Because whether you're navigating Pride, partnerships, or plumbing issues... you're never alone when we're talking Butt Honestly.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

On episode #109 of the Infectious Disease Puscast, Daniel and Sara review the infectious disease literature for the weeks of 6/4 – 6/22/26. Host: Daniel Griffin and Sarah Dong Subscribe (free): Apple Podcasts, RSS, email Become a patron of Puscast! Links for this episode Viral CMV viraemia is associated with mortality among children with HIV starting antiretroviral therapy in sub-Saharan Africa (CID) Bacterial Cefazolin for Methicillin-Susceptible Staphylococcus aureus Bacteremia(NEJM) A fatal case of Legionella micdadei prosthetic valve endocarditis diagnosed by plasma microbial cell-free DNA metagenomic sequencing (LANCET: Infectious Diseases) Legionnaires Disease Associated with a Private-Use Hot Tub in a Vacation Rental Property — New York, October 2024–April 2025 (CDC: MMWR) Notes from the Field: Case of Legionnaires Disease Associated with a Home Device Used to Mix Powdered Infant Formula — United States, 2025 (CDC:MMWR) Duration of antibiotic therapy for bacteremia in immune compromised hosts—a post hoc subgroup analysis of the BALANCErandomized clinical trial (CMI: Clinical Microbiology and Infection) FDA approves first oral carbapenem therapy for complicated urinary tract infections (FDA) Oral Tebipenem Matched IV antibiotic for complicated UTIs in Phase III Trial (MEDPAGE Today) US FDA approves GSK's oral antibiotic for drug-resistant UTIs (Reuters) Anti–Methicillin-Resistant Staphylococcus aureus (MRSA) Cephalosporins Plus Daptomycin as Initial Therapy for MRSA Bacteremia: Does a "Hit Hard and Fast" Strategy Improve Outcomes? (CID) Fungal The Last of US Season 2 (YouTube) Oral Wash PCR Improves the Diagnosis of Pneumocystis Pneumonia in Immunocompromised Patients Without HIV: A Prospective Multicenter Study (CID) Miscellaneous Foodborne Disease Outbreaks Associated with Marine Toxins — Foodborne Disease Outbreak Surveillance System, United States, 2011–2023 (CDC: MMWR) Music is by Ronald Jenkees Information on this podcast should not be considered as medical advice.