Podcasts about utis

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

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.

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.

What happens when a childhood kidney condition goes undiagnosed for years?   In this powerful episode of Diary of a Kidney Warrior Podcast, host Dee Moore speaks with Noël, who was born with vesicoureteral reflux (VUR), also known as kidney reflux. Although she experienced repeated urinary tract infections (UTIs) throughout childhood, her condition wasn't diagnosed until she was seven years old. By then, irreversible kidney damage had already occurred, leading to chronic kidney disease (CKD).   Noël shares her remarkable Kidney Warrior journey—from growing up with chronic kidney disease, to unexpectedly crash landing onto dialysis, and ultimately receiving the life-changing gift of a kidney transplant.   This honest, emotional and inspiring conversation explores the realities of living with kidney disease, navigating childhood and adulthood with a lifelong condition, advocating for your health, and finding hope through resilience and community.   In this episode, we discuss:  

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

If you're doing everything "right" and your body still feels like it's falling apart in perimenopause, this one is for you.Andrea sits down with Dr. Cassie Smith, a dual-board-certified endocrinologist who grew tired of watching women get normal lab results and zero answers. She wrote the book "Fix Your Gut, Fix Your Hormones" because she was one of those women, too. This conversation goes deep into why your gut is running the show behind your hormones and what you can actually do about it.We get into the stuff nobody explained to you: why your "UTI" might not be a UTI, why insulin is the domino that knocks over your estrogen, your progesterone, your thyroid, and your sleep, and what microdosing a GLP-1 really means (with real numbers, not hype).What you'll learn:Why perimenopause belly fat and stubborn weight gain often start in your gut, not your willpowerWhat "microdosing GLP-1s" actually means, the real dose ranges, and who it may helpWhy recurring "UTIs" in perimenopause are sometimes due to estrogen deficiency, not infectionHow your gut bacteria change the way your body metabolizes estrogen and thyroid hormoneThe fasting insulin test most doctors skip, and exactly what to ask for at your next appointmentListen to this next:Ep #195: GLP-1 and Muscle Loss in Perimenopause: What to Eat to Protect It with Natalie Bean: https://podcasts.apple.com/ca/podcast/ep-195-glp-1-and-muscle-loss-in-perimenopause-what-toChapters: 0:00 Why your gut controls your hormones in perimenopause3:31 What damaged your gut before perimenopause: birth, antibiotics, everyday meds9:37 The "UTI" that isn't: estrogen deficiency vs infection13:20 Good vs bad bacteria: inflammation, thyroid, and estrogen19:14 Insulin, cortisol, and the "metabolic dumpster fire"28:14 How to lower insulin without "eat less, move more"35:33 Microdosing GLP-1s for PMOS: the actual doses42:06 PMOS, medical gaslighting, and the 103 symptoms doctors miss46:51 How Dr. Cassie works with patients + where to find herLearn more about Dr. Cassie Smith here: https://www.modern-endocrine.com/Dr. Cassie Smith's Book: Fix Your Gut, Fix Your Hormones: The Critical Connection Your Doctor Is Missing… And Why You Still Feel Terrible Despite “Normal” Labs https://amzn.to/44GLALREducational only, not medical advice. Dr. Smith's GLP-1 dosing reflects her clinical practice and is individualized for each patient. Talk to your own provider before changing anything. These statements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease.Send us Fan Mail ======Morphus: Menopause Reimagined

Fontes do episódio aqui:⁠https://portal.afya.com.br/podcasts/afya-news/03-07-2026Nesta sexta-feira, o boletim destaca uma aprovação histórica em engenharia biológica, a padronização do suporte ventilatório em UTIs e o impacto do estresse emocional no organismo. Analisamos a decisão do FDA que estendeu a indicação da terapia gênica Casgevy para crianças a partir de dois anos com disfunções hematológicas hereditárias graves, permitindo intervenções precoces. Detalhamos a nova diretriz da Sociedade Torácica Americana, que redefine os critérios de uso para a cânula nasal de alto fluxo e ventilação não invasiva na insuficiência aguda. Por fim, abordamos no Radar as evidências que conectam a intensa carga emocional de partidas decisivas da Copa do Mundo a um aumento expressivo em intercorrências circulatórias. Afya News. Informação médica confiável e updated no seu tempo.

In this episode of MENO with Jacqueline Buckingham, we sit down with Board-Certified Urologist and Sexual Medicine Specialist Dr. Rachel Rubin to discuss why hormone therapy is a fundamental element of women's healthcare. Dr. Rubin challenges the historical stigma surrounding hormones, explaining that past concerns were often based on flawed data from synthetic products that are no longer standard practice. She advocates for an individualized approach to hormone therapy where patients are empowered with information to make the best decisions for their specific goals, whether they are seeking relief from hot flashes, prevention of osteoporosis, or improvement in libido and sexual function. The conversation delves into the specific benefits of various hormone treatments: ➡️ Vaginal Hormone Therapy: Dr. Rubin describes low-dose local vaginal hormones (estrogen or DHEA) as highly effective, evidence-based treatments for symptoms like dryness, pain, and urinary urgency. She notes these treatments are safe for most women and can reduce urinary tract infections (UTIs) by more than half. ➡️ The "Female Viagra": Dr. Rubin refers to vaginal hormones as the equivalent of "female Viagra" because they improve blood flow to sexual organs, enhancing arousal and making orgasms better. ➡️ Systemic Hormone Therapy: The discussion covers whole-body hormone therapy—including estrogen, progesterone, and testosterone—which can be administered via patches, rings, or creams to address a broader range of menopausal symptoms. ➡️ Mental Health Connection: Dr. Rubin highlights the "amazing benefit" of hormone therapy in managing anxiety and depression that often emerges during perimenopause. ➡️ Bioidentical Hormones: She clarifies that there are FDA-approved bioidentical hormones available that are both safe and often covered by insurance. ➡️ Jacqueline and Dr. Rubin also discuss pelvic floor rehab, the neurological connection between the spine and sexual organs, and how patients can find knowledgeable specialists to build their own "medical pit crew". RESOURCES The Menopause Society: menopause.org ISSWSH (International Society for the Study of Women's Sexual Health): isswsh.org American Physical Therapy Association (for Pelvic Floor Therapy): apta.org 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

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

Fontes do episódio aqui:⁠https://portal.afya.com.br/podcasts/afya-news/29-06-2026Nesta segunda-feira, analisamos o crescimento acentuado na busca por suporte emocional na infância, uma nova solução clínica na medicina intensiva e diretrizes globais para a longevidade funcional. Abordamos os dados da Inglaterra que mostram que o volume de crianças encaminhadas para cuidados de saúde mental ultrapassou a marca de um milhão, impulsionado por alterações severas de humor e investigações neurodesenvolvimentais. Detalhamos o estudo publicado no JAMA comprovando que o uso de EDTA tetrassódico a 4% como solução de lock em UTIs preserva a perviedade de cateteres venosos centrais e diminui intervenções por obstrução. Por fim, trazemos no Radar o posicionamento da OMS sobre o papel de práticas corporais integrativas na prevenção de quedas em idosos. Afya News. Informação médica confiável e atualizada no seu tempo.

In this episode of GynoCurious, host Dr. Amy Novatt speaks with Nicole Notar, a patient-turned-entrepreneur who spent over 15 years undiagnosed before finally receiving excision surgery that revealed 73 endometriosis lesions throughout her body. Nicole shares her deeply personal journey — from symptoms beginning at age 9, to repeated dismissals by doctors, to a seven-hour surgery that changed her life — and explains how that experience drove her to found both a patient surgery fund (EndoExcisionForAll) and a clinical decision support startup (Vindicara) aimed at helping electronic health record systems flag endometriosis earlier. Dr. Amy and Nicole dive deep into the complexities of endometriosis diagnosis, including the wide range of symptoms that extend far beyond painful periods — from gastrointestinal issues and chronic UTIs to thoracic involvement and infertility. They discuss why diagnosis can take up to 12 years, how endometriosis is routinely mistaken for IBS, vulvodynia, or interstitial cystitis, and why the mismatch between symptom severity and physical findings makes it so difficult to catch. Nicole also breaks down the critical difference between ablation (surface burning) and excision (root removal), explaining why excision is the gold standard — and why insurance reimbursement structures make it nearly inaccessible for most women. Nicole's message is one of persistence: the care exists, it's getting easier to find, and you cannot afford to stop advocating for yourself. Questions of comments? Call 845-307-7446 or email comments@radiofreerhinecliff.org Produced by Jennifer Hammoud and Matty Rosenberg @ Radio Free Rhiniecliff

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.

"Is this in my head, or is this real?"Millions of women ask themselves this question -- about their sleep, their mood, their body suddenly working differently than it used to. They can't tell if they can't sleep as well as they used to because they've got two young children ... or whether it's perimenopause.If you want to be an awesome partner (either now or in the future), listen on! This is the hormonal literacy class you never got that could help with everything.Here I sit down with Morgan Miller, midwife and co-author of The Cycle Book (with her best friend, sex therapist Laura Federico), to decode what's actually happening in a woman's body as she's in different phases.We go deep on perimenopause: sleep disruption, night sweats, heart palpitations, ER scares no one warns you about; the anxiety and PMDD that can be a hormonal sensitivity, not an imbalance. There's also the easy, often-missed fix for vaginal dryness, recurrent UTIs, and painful sex (a targeted topical instead of antibiotics).We also cover why a single blood draw is just "her estrogen at 2pm on a Tuesday" — and why tracking biomarkers (which is actually pretty simple) over a few cycles tells you a LOT more.Plus a stat that floored me: period-tracking apps are only ~20% accurate at predicting ovulation — wrong roughly 80% of the time.If your woman has ever been told "everything's fine" while her body said otherwise, and you've felt helpless watching it — this one's for you.—Work with usReady to go deeper than the podcast and take action? Jason and I will help you break old patterns and transform your sex & love life for good. To see if you're a fit for our flagship program, Pillars of Presence, book a call here. Start anytime. (https://evolutionary.men/apply/)—Mentioned on this episode:The Love Field: Hot Love Summer → www.violetlange.com/thelovefieldThe Cycle Book: An Interactive Step-by-Step Guide to Tracking Hormones and Knowing Your Body by Laura Federico, LCSW & Morgan Miller, CPM, LMWork with Morgan & Laura (virtual; they also train providers): www.itslauraandmorgan.com—Memorable quotes from this episode:"I feel loved when the men in my life know things about a woman's body.""Men have a 24-hour cycle, too.""Vaginas are so smart — they're self-cleaning systems.""Don't get pigeonholed into the algorithms; you're not every human.""It's like learning a new language. Once you learn it, you can't unlearn it.""Is this my body adjusting? Is this my body asking for support? Or should I be getting a divorce?""There's no amount of hormones you can pump your body full of that's going to make your libido crank up if you're not into it.""We are patient zero. We are figuring this out for ourselves."

If you are on hormone replacement therapy and still dealing with vaginal dryness, pain with sex, or recurring UTIs — you are not failing your treatment. Your tissue is telling you it needs something more.In this episode, Dr. Durst and Farideh, break down exactly why hormones alone sometimes aren't enough to restore vaginal tissue health — and what local regenerative treatments can do that systemic estrogen simply cannot. If you have been told there are no solutions, this episode will change that

Primary care docs Mark Ebell, Kate Rowland, Henry Barry and Gary Ferenchick tackle 4 new studies: health benefits of cocoa supplements, the best antibiotic for managing uncomplicated UTIs in women, left atrial appendage closure for AF with high bleeding or stroke risk, and evolocumab for primary (sort-of) prevention of MACE in patients with diabetes.Essential Evidence Plus: www.essentialevidenceplus.comhttps://www.iafp.org/2026ac Cocoa and health: https://pubmed.ncbi.nlm.nih.gov/35294962/ Antibiotics for UTI: https://pubmed.ncbi.nlm.nih.gov/42026010/ Left atrial appendage closure and AF: https://pubmed.ncbi.nlm.nih.gov/41849741/ https://pubmed.ncbi.nlm.nih.gov/41903215/

If you've ever had urinary symptoms that antibiotics didn't fix — and your cultures kept coming back negative — this episode is for you.A new 2026 study in the Journal of Sexual Medicine followed 253 women with recurrent UTIs and persistent urogenital symptoms despite negative urine cultures. What researchers found reframes everything: 85% of these women had hormonally mediated vestibulodynia, 75% had pelvic floor hypertonicity, and only 15% had a classic urologic cause for their symptoms.This isn't a bladder problem. It's a hormone problem — and the vulvar vestibule, urethra, and bladder are one integrated, estrogen- and androgen-responsive system. Whether it presents as genitourinary syndrome of menopause (GSM) in a postmenopausal woman or hormonally mediated vestibulodynia in a younger one, the tissue-level pathophysiology is the same.In this episode, Dr. Carolyn Moyers breaks down:• Why persistent urinary symptoms after negative cultures have a hormonal explanation• The shared embryologic origin of the vestibule, urethra, and bladder trigone — and why it matters• How androgen deficiency drives vestibular inflammation, pelvic floor guarding, and bladder dysfunction in a self-perpetuating cycle• Why this affects premenopausal women too — 98.9% of premenopausal patients in the study had below-range free testosterone• What the Rubin et al. 2025 data adds: vaginal prasterone (DHEA) was associated with meaningfully lower UTI rates in women with vulvovaginal atrophy — treating the hormone environment changed the urological outcome• What integrated treatment looks like — vaginal estrogen for GSM, compounded estradiol/testosterone gel for vestibulodynia, pelvic floor PT for hypertonic muscles• The honest limits of this research: selection bias, non-uniform hormonal evaluation, absence of long-term outcome data — and what prospective studies still need to answerThis episode builds directly on Episode 149 — When Sex Hurts with Dr. Jill Krapf. If you haven't listened to that one, it is linked below and is essential companion listening.https://podcasts.apple.com/us/podcast/sky-womens-health/id1541657642?i=1000630939731

Send us Fan MailPhototherapy duration, jaundice and UTIs, extended CPAP, and The Pitt. A full week on the Incubator Journal Club.Ben opens with a nationwide Swedish cohort study from JAMA Network Open examining phototherapy duration in nearly 5,000 very preterm infants. Longer phototherapy was not significantly associated with late neonatal mortality, but six to seven days was associated with significantly higher rates of severe neonatal morbidity. With 95% of the cohort receiving phototherapy, Ben and Daphna question how much evidence actually supports the near-universal practice.Daphna follows with a retrospective study from Istanbul showing that 31% of term and near-term neonates hospitalized for unexplained hyperbilirubinemia had culture-proven UTIs, with pathological renal ultrasound findings independently associated with a 4.6-fold increased odds of UTI.Ben then reviews the extended CPAP secondary analysis by Mamidi and McEvoy, showing that two additional weeks of bubble CPAP reduced intermittent hypoxemia episodes from 151.7 to 57.6 compared to discontinued CPAP.Daphna closes with the NEOASP five-day UTI treatment guideline from Nationwide Children's Hospital, where a structured stewardship approach yielded a 1% failure rate.Ben and Eli close the week reflecting on The Pitt and what it reveals about the broken realities of American healthcare.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Send us Fan MailIs five days of antibiotics enough to treat a urinary tract infection in a NICU infant? In this Journal Club episode, Ben and Daphna review a single-center study from Nationwide Children's Hospital examining adherence and safety of a five-day antibiotic treatment guideline for culture and urinalysis-proven UTIs in the NICU. Among 77 infants with 93 bacterial UTIs, the five-day course was associated with a 1% failure rate, defined as reinitiation of antibiotics within seven days for the same organism. The episode also explores the potential role of enteral antibiotic therapy and what shorter treatment courses could mean for babies still weeks away from discharge.----Urinary tract infection in the neonatal intensive care unit. Magers J, Burton A, Prusakov P, White NO, Miller RR, Moraille R, Theile AR, Sánchez PJ; Nationwide Children's Hospital Neonatal Antimicrobial Stewardship Program (NEO-ASP).J Perinatol. 2026 May;46(5):754-760. doi: 10.1038/s41372-026-02690-1. Epub 2026 Apr 29.PMID: 42056240 Free PMC article.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Send us Fan MailIn this Journal Club episode, Daphna reviews a retrospective cohort study from Istanbul examining clinical, laboratory, and ultrasound factors associated with UTI in neonates hospitalized for unexplained hyperbilirubinemia. Among 96 term and near-term infants, 31% had culture-proven UTIs, a striking prevalence. Pathological renal ultrasound findings were independently associated with UTI, with affected neonates 4.6 times more likely to have a concurrent infection. Notably, standard laboratory markers including CRP and white blood cell count failed to distinguish UTI-positive from UTI-negative infants. The findings prompt a practical question: should urine culture be part of the routine workup for neonatal hyperbilirubinemia?----Renal ultrasonography findings are associated with urinary tract infection in neonates with asymptomatic hyperbilirubinemia. Sarı EE, Salihoğlu Ö.J Perinatol. 2026 Apr 13. doi: 10.1038/s41372-026-02686-x. Online ahead of print.PMID: 41975209Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Urinary tract infections are one of the most common health issues women experience, yet there's still so much confusion about what they are, why they happen, and how they're different from yeast infections and other vaginal conditions. In this episode of Ask Dr. A, Dr. Aliabadi breaks down the anatomy behind UTIs, explains the difference between bladder infections and kidney infections, and shares the symptoms every woman should know.Dr. Aliabadi also dives into why some women seem to get recurrent UTIs while others never experience them, covering the roles of hydration, sex, genetics, hormones, menopause, and the vaginal microbiome. She explains how bacteria causes infection, why urine cultures are essential for an accurate diagnosis, and the common mistakes that can lead to repeated infections.Plus, you'll learn evidence-based prevention strategies, including the truth about cranberry supplements, D-mannose, vaginal estrogen, probiotics, and whether peeing after sex actually helps. If you've ever wondered why UTIs keep coming back, or how to lower your risk, this episode is packed with practical information every woman should know.Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.SponsorsMidi: Ready to feel your best and write your second act script? Visit JoinMidi.com today to book your personalized, insurance-covered virtual visit. Peloton: Let yourself run, lift, sculpt, push and GO. Explore the new Peloton Cross Training Tread+ at onepeloton.comMyriad: List GetMyRisk.com to learn more about hereditary cancer testing and how you can use Myriad's virtual care option for fast, at-home testing - no office visit required. Talkiatry: Head to Talkiatry.com/shemd and complete the short assessment to get matched with an in-network psychiatrist in just a few minutes.Transcendental Meditation: Curious about Transcendental Meditation? Find a certified teacher near you and begin your journey today. Go to TM.org/SheMDWhat You'll LearnThe difference between UTIs, bladder infections, kidney infections, and yeast infectionsHow bacteria enters the urinary tract and causes infectionCommon UTI symptoms and warning signs you shouldn't ignoreWhy some women are more prone to recurring infectionsThe role of hydration, sex, and vaginal health in UTI preventionHow menopause and declining estrogen affect urinary tract healthWhen a urine culture is necessary and why it mattersThe truth about cranberry supplements, D-mannose, and other prevention strategiesWhy recurrent UTIs may require a deeper investigationKey Timestamps00:00 Welcome to She MD Podcast00:46 UTI, Yeast infection, Bladder infection, and Kidney infection07:12 E.coli and how you get them in the urethra13:09 How is the test called?19:45 What can a woman do for these infections?29:13 What kind of treatment will help with the infection?37:15 Vaginal Estrogen Treatment 45:18 How do you address the bacteria?50:20 How much is too much?51:40 Let's address some myths 53:33 Final WordsKey TakeawaysUTIs and yeast infections are completely different conditions that affect different parts of the body.Most UTIs begin as bladder infections caused by bacteria entering the urethra.Early diagnosis and treatment can help prevent serious kidney infections.Hydration, urinating after sex, and avoiding prolonged urine retention can reduce risk.Vaginal microbiome health plays a major role in preventing recurrent UTIs.Menopause-related estrogen loss can increase susceptibility to urinary tract infections.A urine culture is the best way to confirm whether symptoms are truly caused by a UTI.Cranberry extract and D-mannose may help prevent recurrent infections but are not treatments for active UTIs.Recurrent infections should prompt an evaluation of underlying causes rather than repeated rounds of antibiotics.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Contributor: Aaron Lessen, MD Educational Pearls:   UTIs are commonly seen in older women We often see them taking long-term prophylactic antibiotics because of common recurrence. Around 20-30% of older women who develop a UTI have a recurrence due to either diagnostic failure, treatment failure or non-compliance with treatment.  UTI signs and symptoms Burning sensation when urinating Strong urge to urinate Urinating often and passing small amounts of urine.  Pelvic pain    There are currently more guidelines and studies on treatments to prevent these recurrent UTIs in women that we can start in the Emergency Department. Vaginal estrogen has been shown to significantly reduce this issue of recurrence. Very simple prescriptions can be prescribed in the ED It has little systemic absorption and is generally very safe and effective.   References Wells BA, De EJB, Visingardi J, Feustel PJ. IP15-36 IMPACT OF VAGINAL ESTROGEN ON SERIOUS ADVERSE OUTCOMES IN POSTMENOPAUSAL WOMEN WITH RECURRENT URINARY TRACT INFECTIONS: A RETROSPECTIVE STUDY. Journal of Urology [Internet]. 2025 May 1;213(5S):e778. Available from: https://doi.org/10.1097/01.JU.0001109984.67114.74.36 Ackerman AL, Bradley M, D'Anci KE, Hickling D, Kim SK, Kirkby E. Updates to Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline (2025). J Urol. 0(0). doi: 10.1097/JU.0000000000004723 Kaufman MR, Ackerman LA, Amin KA, et al. The AUA/SUFU/AUGS Guideline on Genitourinary Syndrome of Menopause. J Urol. 0(0). doi:10.1097/JU.0000000000004589 Meister MR, Wang C, Lowder JL, Mysorekar IU. Vaginal Estrogen Therapy Is Associated With Decreased Inflammatory Response in Postmenopausal Women With Recurrent Urinary Tract Infections. Female Pelvic Med Reconstr Surg. 2021 Jan 1;27(1):e39-e44. doi: 10.1097/SPV.0000000000000790. PMID: 31725016; PMCID: PMC7737516. Nazarko L. Recurrent lower urinary tract infection in older women [Internet]. Urology & Continence Care Today. Available from: https://www.ucc-today.com/journals/issue/launch-edition/article/recurrent-lower-urinary-tract-infection-in-older-women-ucct   Summarized by Aaryn David & Ahmed Abdel-Hafiz | Edited by Aaryn David & Ahmed Abdel-Hafiz, NREMT-P   Donate: https://emergencymedicalminute.org/donate/   Join our mailing list: http://eepurl.com/c9ouHf

Pediatric urinary tract infections, or UTIs, don't always follow a script. While they're one of the most common diagnoses, they're also one of the most nuanced. They can be subtle, inconsistent and easy to over — or under — diagnose. Aside from clear urinary symptoms, they can show up as a fever without a source, vague abdominal pain, new incontinence or a child who simply isn't acting like themselves. And in those moments, the decisions pediatricians make such as who to test, how to collect a sample or how to interpret results, carry real clinical weight. To dive into this topic, we are joined by Kevin Olson, PA, and Meghan Rommel, NP, who practice in the Department of Pediatric Urology at Children's Hospital Colorado. Some highlights from this episode include: The challenges of diagnosis and the importance of getting it right  How UTIs present differently across ages   When to use antibiotics versus when more discovery is needed  Approaching recurrent UTIs in children  For more information on Children's Colorado, visit: childrenscolorado.org. 

What if understanding your menstrual cycle could completely change the way you prepare for pregnancy and transform how you feel in your body every single month?I sat down with Nora DeBora, functional fertility coach, holistic nutritionist, fertility awareness practitioner, and host of the Ultimate Pregnancy Prep Podcast, to talk about everything from eating for your cycle and seed cycling to gut health, hormone testing, and the fertility information most conventional providers are simply not sharing with their patients. Whether you are trying to conceive, currently pregnant, or just want to understand your hormones better, this conversation is one I know you are going to come back to again and again.I honestly took mental notes the entire time we were recording this one...and wrote some down when I got to listen again!

We might have finally found out what's causing Paige's UTIs.subscribe to our newsletter Hosted on Acast. See acast.com/privacy for more information.