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Women's health is having a moment! The Cuntsultant, joins us for a rapid-fire tour through the biggest women's health updates: PCOS gets a name change, birth control myths, why endometriosis takes 10 years to diagnose, and the push for pain management during in-office procedures, ex. UDIs. Plus vaginal estrogen's life-saving role and why women outlive their ovaries. Women weren't studied or treated seriously and that's changing. Bring this one straight to your next appointment.✨ Special Offers: ✨Splash Blanket! | Use code Jordan15ProDx Health | Use JordanDnelle to save 25%Thank you to our Sponsors: Splash Blanket, Prodx, PhexxJump to the Good Stuff:06:30 – PCOS gets a better name07:35 – What's happening in your ovaries with PMOS14:26 – The metformin story that got reported to the medical board16:48 – The evolutionary theory that PMOS might be a genetic advantage19:03 – What birth control does to your hormones23:39 – Why endometriosis takes 10 years to diagnose30:15 – New endometriosis diagnostic breakthroughs in Europe34:29 – Why pain management for in-office procedures is being taken seriously39:35 – Vaginal estrogen's as recommendation for recurrent UTIs42:47 – The grandmother hypothesis - why we outlive our ovariesPleasure Highlights:PCOS has a new name: PMOSBirth control doesn't "regulate" your hormonesPain management for in-office gyno procedures is not offered upfrontVaginal estrogen now recommended for recurrent UTIsEndometriosis takes an average of 10 years to diagnoseConnect with The Cuntsultant:Instagram @cvntsultantWebsite: TheCuntsultant.comEnhance your self-awareness by acknowledging and understanding your behavior patterns, and foster a deeper connection with your inner self. Get the Unleashing My Power: A Women's Empowerment and Gratitude Journal to reclaim your power through daily gratitude. Learn more HERE.Connect with Jordan D'Nelle:Facebook @jordandnelleInstagram @jordandnelleInstagram @TheVVVPodcastTikTok @jordandnelleYoutube @jordandnelleWebsite: Jordan D'NelleEmail: JordanDnelle@VaginasVulvasandVibrators.comLove this Episode? Join the Patreon: patreon.JordanDnelle.comLeave a review on iTunes.Subscribe & Follow on socials!Listen and Subscribe to the Podcast:Apple PodcastSpotify PodcastYoutube @jordandnelle*Disclaimer: This podcast is for informational and/or entertainment purposes only and is not a substitute for medical advice, diagnosis, or treatment. The views and opinions expressed are my own, or those of my guests, and do not necessarily reflect the views of any organizations or institutions with which I am affiliated.Vaginas, Vulvas, and Vibrators, the unapologetic women's sexual wellness podcast, normalizing pleasure, bodies, and sexual health through expert, shame-free conversations.PhexxINDICATIONPhexx® is an on-demand prescription birth control used to prevent pregnancy. Phexx is not effective when used after sex.IMPORTANT SAFETY INFORMATIONRare cases (0.36%) of bladder and kidney infection have been reported. If you have a history of urinary tract problems that keep coming back, you should not use Phexx.Contact your healthcare provider if you are experiencing genitourinary side effects such as vaginal burning, itching, discharge, genital discomfort (including in male partners), yeast infection, urinary tract infection or bacterial vaginosis.Phexx does not protect against any sexually transmitted infections, including HIV. Avoid using Phexx with a vaginal ring.Avoid Phexx if you or your sexual partner is allergic to lactic acid, citric acid, potassium bitartrate, or any of the Ingredients in Phexx. Stop using Phexx If you develop an allergic reaction.For more information about Phexx, talk to your healthcare provider and see full Product Informationat www.phexx.com.Please report side effects by contacting Evofem Biosciences® toll-free at 1-833-EVFMBIO or contact FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.EVFM-PHX-000068
The frozen shoulder. The 3 a.m. anxiety. The brain fog and the rage that come out of nowhere. For decades, women were told it was "just stress" and sent home with an antidepressant. This week, Dr. A and Mary Alice welcome back the woman changing that — Dr. Mary Claire Haver, the OB-GYN The New York Times calls the "Menopause Queen" — for a full masterclass on perimenopause.It can start in your late 30s, it lasts 7 to 10 years, and almost no one warned us. Dr. Haver explains what's really happening in your body and brain, why so many women are dismissed, and what you can actually do about it — HRT, progesterone, vaginal estrogen, sleep, mood, and the myth that you have to wait until it's "bad enough" to get help. Because suffering isn't the price of admission.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.SponsorsTalkiatry: Head to talkiatry.com/shemd to complete the short assessment and get matched with an in-network psychiatrist in just a few minutes. Babbel: Right now, Babbel is offering listeners up to 60% off. Go to Babbel.com/SheMD Egglife: Find Egglife chillin' in the fridge at Aldi, Whole Foods, Kroger, Target, Walmart & more. Visit egglifefoods.com to find a retailer near you. Acely: Visit Acely.com and use code SHE MD for 20% off. Ladder: If you have an iPhone, head to ladder.fit/SHEMD and take a quick quiz to find your perfect Ladder plan. Use our link and get a free 7-day trial with NO credit card, and $10 off your first month if you join. Skylight Frames: Right now, Skylight is offering our listeners $30 off their 15-inch calendars by going to myskylight.com/shemd. What You'll LearnWhat perimenopause actually is and how it differs from menopauseWhy perimenopause can begin in your late 30s or 40sWhy brain fog, sleep disruption, anxiety and mood changes can be early symptomsWhen hormone therapy may be considered during perimenopauseThe difference between HRT/MHT, birth control and vaginal estrogenWhat we know, and still don't know, about HRT and cardiovascular and bone healthHow GLP-1 medications can affect muscle and bone healthThe role of protein, resistance training, vitamin D, omega-3s, fiber and creatineWhat declining estrogen can mean for vaginal and urinary healthWhat women should know about HRT and breast cancer riskWhy listening to your symptoms and advocating for yourself mattersKey Timestamps00:00 Why Every Vagina Needs Estrogen01:32 Welcome Back Dr. Mary Claire Haver05:44 What Perimenopause Actually Is08:44 The "Zone Of Chaos" And Brain Glitching18:08 How To Evaluate A Perimenopausal Patient20:01 All Vaginas Need Estrogen24:50 Why Perimenopause Is The Best Time To Start HRT32:13 GLP-1s, Muscle Loss, And Bone Health36:41 Patches, Pellets, Creams: What Actually Works40:23 Debunking The HRT-Breast Cancer Myth50:33 Creatine, Vitamin D, And Key Supplements54:56 The Histamine-Hormone Connection58:12 Vulvar Changes Nobody Warns You About1:04:37 Lightning Round: Hormone Myths Busted1:07:19 Three Takeaways For Every WomanKey TakeawaysPerimenopause is a years-long biological transition, not simply the period immediately before menopause.Symptoms can appear before periods become irregular or hot flashes begin.Brain fog, sleep disruption and mental health changes can be among the earliest signs of fluctuating hormones.Hormone therapy does not necessarily have to wait until a woman is fully menopausal; treatment should be individualized based on symptoms, risks and benefits.Bone health, cardiovascular health, muscle mass and metabolic health all deserve attention during the menopause transition.If using GLP-1 medications, Dr. Haver emphasizes adequate protein, resistance training and monitoring body composition rather than focusing solely on the number on the scale.Vaginal and urinary symptoms can be related to declining estrogen and may be treated with local estrogen therapy.The goal of understanding perimenopause is not simply to get through it, but to enter the next stage of life informed, healthy and empowered.Guest Bio: Dr. Mary Claire HaverDr. Mary Claire Haver is a board-certified OB-GYN and a leading voice in menopause and women's health. She has dedicated her career to helping women better understand the biological changes that happen during midlife and has been called the “Menopause Queen” by The New York Times. She is the author of the bestselling The New Menopause and her newest book, The New Perimenopause, which focuses on the years leading up to menopause. She also hosts the podcast Unpaused and shares women's health education across social media.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
If you've been using dilators but still feel stuck, frustrated, or in pain, this episode is for you. I'm breaking down why dilators don't always work for vaginismus and pelvic floor tightness, what your nervous system has to do with it, and the missing piece that can help you move toward pain-free intimacy and more freedom in your body.JOIN THE WAITLIST: BUTTERY SEX 4 Week Program 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
Oh F*ck Yeah with Ruan Willow Podcast, Season 6, Episode 777: This is a replay of a previous audio episode to get the video version onto podcast apps for improved listener enjoyment and satisfaction. Discover the Goddess Within with Mind-blowing Vaginal Gymnastics Pompoir Empowering Women with author and coach Bel Di Lorenzo! #sexuality #sexualhealthmatters #sexualityeducation #femaleempowerment #empowerwomen #empowerment Guess what, the vagina is a muscle and it can be strengthened and utilized by women to enhance intimacy, sexual relations, and pleasure! Discovering the Art of Vaginal Gymnastics and techniques! Join Ruan Willow in an enlightening conversation with Bel Di Lorenzo, the CEO and founder of Goh!ddess, as they delve into the transformative practice of vaginal gymnastics, also known as pompoir. In this episode, Bel shares her journey of empowering women worldwide through the Goh!ddess Method, a practice that enhances female pleasure, boosts libido, and amplifies orgasms. Discover how mastering the pelvic floor muscles can lead to a more fulfilling sexual experience and why vaginal fitness is a game changer for women's health. Get the book "The Goh!dess Method" (affiliate link, podcast may receive commissions on sales, thank you!) https://amzn.to/403GUgj Bel explains the science behind pompoir, offering insights into the intricate control of pelvic floor muscles and the benefits it brings, from increased sexual frequency to the ability to experience penetrative orgasms. Learn about the various exercises and techniques that can be incorporated into your daily routine to strengthen these muscles and improve your sexual wellness, sexual health, and vaginal health. Explore the empowering stories of women who have transformed their lives through this practice, and find out how you can embark on your own journey of sexual empowerment and self-discovery. This is powerful sex education! Quotes from Bel Di Lorenzo "The stronger your pelvic floor muscles are, the stronger your orgasm response." "Your vagina is designed to give you pleasure." "With great power comes great responsibility." Quotes from Ruan Willow "Who doesn't want to have an amazing orgasm?" "Our bodies were created with pleasure in mind." Website: http://www.gohddess.com/ YouTube: https://www.youtube.com/@gohddess @gohddess Reddit: https://www.reddit.com/r/pompoir/ TikTok: https://www.tiktok.com/@goh.ddess Ruan's spicy Romantasy The Siren Who Couldn't Sing, book 1 in The Arching Hunger Series in Kindle Unlimited and on Amazon (as is book 1 Wingless Hunger) Affiliate link https://books.ruanwillowauthor.com/thesirenwhocouldntsing Podcast Merch! Wear Oh F*ck Yeah! Get Oh F*ck Yeah Podcast Merch T-shirts, tank tops, long sleeve shirts, mugs! Wear it sassy and hot! Support the show Join for $3 to get exclusive content Newsletters https://subscribepage.io/ruanwillow https://linktr.ee/RuanWillow
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.
If you keep getting vaginal yeast infections, treating the infection may only be part of the answer. Recurring itching, irritation, discharge, or discomfort can sometimes be influenced by hormones, blood sugar, medications, your vaginal microbiome, gut health, and other changes happening in the body. In this episode, I'm breaking down the most common signs of a vaginal yeast infection, why they happen, and what may be worth looking at when they keep coming back.You can also watch the full video here.
ACOG recommends the use of oral or vaginal misoprostol, vaginal dinoprostone (either gel or insert), or mechanical methods for cervical ripening. Plus, it states, “Combination methods (pharmacologic and mechanical) are also effective”. The July 2026 ACOG CPG 9 states this regarding vaginal misoprostol compared to vaginal dinoprostone for labor induction: “Vaginal dinoprostone is effective for cervical ripening; however, vaginal misoprostol has higher efficacy and less need for oxytocin augmentation. The Cochrane database systematic review in 2010 that compared vaginal misoprostol with vaginal dinoprostone in 38 trials (7,022 participants) showed a lower rate of failure to achieve vaginal delivery in 24 hours (RR 0.77) and reduced need for oxytocin augmentation with misoprostol (RR 0.68). There were no differences in the rates of cesarean delivery or tachysystole with FHR changes”. Now, as of August 19, 2026, a new meta-analysis from BJOG is examining this comparison (vaginal miso vs vaginal dino) again. Did they find the same thing? Listen in for details. 1. G. Andersson, B. Greenfield, A. Hunt, et al., “ Vaginal Misoprostol Compared to Vaginal Dinoprostone for Induction of Labour: A Systematic Review and Meta-Analysis,” BJOG: An International Journal of Obstetrics & Gynaecology (2026): 1–12, https://doi.org/10.1111/1471-0528.70314.2. ACOG Clinical Practice Guideline No. 9: Cervical Ripening in Pregnancy
You were told to just power through it. These eight women were told the same thing, and they're done accepting it. Dr. Anna Cabeca, triple board certified OB/GYN and host of The Girlfriend Doctor, sits down with the very first graduating class of her Magic Menopause Hormone Restoration Coaching Certification for an honest, unscripted, girlfriend-to-girlfriend conversation recorded live in front of an audience. Eight women. Eight completely different paths into hormone chaos, from surgical menopause after a hysterectomy, to a postpartum hormone crash after baby number four, to years of being dismissed as "just stressed." In this episode, you'll hear real stories and practical takeaways on: Why "that's just menopause" is one of the most common and most misleading things a woman can be told What actually happens hormonally after a hysterectomy, and why estrogen alone often isn't the full answer Why unexplained weight gain during perimenopause is common and not a personal failure The daily hydration and sleep habits these coaches consider completely non-negotiable How to open honest conversations with your husband and your daughters about hormones, before the silence gets passed down Why vaginal dryness and discomfort don't have to be something you just accept starting in your mid-thirties This one is personal. These are Dr. Anna's own students, women who did the work, then turned around to help the next woman behind them. If any part of this sounds like your story, you don't have to figure it out alone. Learn more about the Magic Menopause program at dranna.com, and if this episode helps you, share it with a woman in your life who needs to hear it today. Key Timestamps 00:00 – Welcome and introduction to the Magic Menopause coaching graduates 04:00 – Emily's story: burnout, invisible labor, and postpartum hormone crash 12:00 – Anna's story: fertility challenges into perimenopause 18:00 – Amy's story: surgical menopause after hysterectomy 27:00 – Angela's story: losing friends, and the wake-up call 38:00 – The myths panel: "power through," hormones and cancer, suffering as normal 52:00 – Meet Chelsea, Song, Tara, and Jamie 58:00 – Why weight gain happens and what actually helps 1:10:00 – Daily non-negotiables: hydration, pH testing, sleep 1:20:00 – Talking to husbands and daughters about hormones 1:32:00 – Vaginal and sexual health, and why dryness isn't something to just accept 1:45:00 – Final thoughts: choosing empowerment over silence Memorable Quotes "Menopause is natural. Suffering is optional." — Angela "It's the difference between common and normal." — Emily "Hormones are not the enemy." — Amy "This is an empowering journey." — Song "You're not broken." — Dr. Anna Cabeca Connect With Dr. Anna Website: Dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor
Vaginal and urinary symptoms are common during perimenopause and menopause—but understanding why they happen and how different forms of estrogen work can be confusing. In Episode 8 of this hormone series, Dr. Brendan McCarthy breaks down the relationship between systemic estrogen, vaginal estrogen, estradiol, estriol, testosterone, and the genitourinary symptoms many women experience during menopause. He discusses: Why oral estrogen doesn't necessarily reach every tissue in the body the way you might expect The difference between systemic and vaginal estrogen Why vaginal estrogen can be an important medical intervention—not simply a "cream" How estrogen can affect vaginal tissue, pH, and urinary health The role of androgens like testosterone in vaginal and genitourinary health What we know—and still don't know—about vaginal estrogen transfer to a partner Why informed consent means truly understanding your treatment Questions you can ask your provider about your hormone therapy and monitoring Dr. McCarthy's goal is simple: to give women unbiased information so they can feel more informed, curious, and confident when making decisions about their health. This episode is for educational purposes only and is not a substitute for individualized medical advice. Talk with your healthcare provider about what treatment approach is appropriate for you.
Cada vez más mujeres buscan procedimientos para cambiar la apariencia o función de su zona íntima, pero ¿qué tiene una indicación médica real y qué es puro marketing? Hoy vamos a hablar sin tabúes de labioplastia, vaginoplastia y del famoso “rejuvenecimiento vaginal”: qué problemas sí pueden corregirse, cuáles son los riesgos y cuándo realmente vale la pena hacerlo.
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In Part 2 of Tara's conversation with Dr. Lindsey Berkson, they continue the discussion by looking at the different forms and delivery methods of HRT, including Bi-Est, estradiol, estriol and progesterone. They discuss why the way a hormone is delivered can matter, why vaginal progesterone may work differently from oral or topical progesterone, and why individual response matters when choosing a delivery method. The conversation then moves into testosterone and breast health, including the role of hormone metabolites and estrogen receptors. Dr. Berkson also shares her thoughts on mammograms and breast cancer screening, including her own experience of finding breast cancer shortly after receiving a negative mammogram. This episode ultimately comes back to one of the biggest themes of the entire conversation: don't blindly follow a protocol simply because it's considered standard. Understand the evidence, understand the limitations, and make informed decisions with appropriate medical support. In Part 2: Why Tara switched to an estradiol patch Dr. Berkson's history developing menopause supplements Progesterone, puberty and menstrual health Why hormone education is missing from conventional medical training Why Bi-Est? Bringing estradiol and estriol back into the conversation Testosterone, muscle, brain health and breast health Why progesterone delivery needs to be individualised Oral vs vaginal vs topical progesterone How Dr. Berkson approaches mammograms, ultrasound and other screening methods The breast cancer Dr. Berkson discovered after a negative mammogram Why Dr. Berkson created Everything Breast Cancer and her personal mission to help women navigate breast cancer Dr. Lindsey Berkson Lindsey Berkson, MA, DC, CNS, DACBN was a Distinguished Hormone Scholar at the Center for Bioenvironmental Research (CBR: Tulane/Xavier Universities). She is a leading figure in integrative medicine, renowned for her expertise in hormones, nutrition, digestion, and environmental science. With a background as a clinician, professor, bestselling author, and radio show host, she brings a wealth of experience to her work. At the CBR, she collaborated with pioneers in estrogen and sex-steroid receptor research. Dr. Berkson is also a respected educator, teaching MDs and pharmacists in advanced certification courses. She has developed innovative nutraceuticals, holds patents in bioidentical hormone therapy, and has contributed to groundbreaking research on dialysis/pharmaceutical medications and nutrition. Dr. Berkson consults internationally, focusing on medical nutrition for breast cancer, inflammatory bowel disease, renal problems, and complex health issues. Dr. B's Links: Email - admin@drlindseyberkson.com Webpage - www.drlindseyberkson.com Memberships - www.drlindseyberkson.com/membership Agile Thinking Substack - https://drlindseyberkson.substack.com/ Biotics Products - https://drlindseyberkson.com/bioticsproducts/ Hormones: Vilified to Vindicated (Course) - https://drlindseyberkson.com/v2v/ Oxytocin Medicine - https://drlindseyberkson.com/oxytocinmedicine/ **Get $100 off Dr. Berkson's Everything Breast Cancer and/or Everything Hormones Courses by using the code: PC100TARA https://drlindseyberkson.com/everythingbreastcancer/ https://drlindseyberkson.com/everything-breast-cancer-nonprofessional/ https://drlindseyberkson.com/everythinghormones/ Estradiol vs. Bi-Est Debate, watch here: https://www.youtube.com/watch?v=u-p82VW1weA&t=2508s Watch Tara's Instagram Live with Dr. Berkson here: https://www.instagram.com/reel/DN6ieQRE0PI/ Fix Your Gut Masterclass Stop Blaming the Food! The Real Reason You've Still Got Bloating and Pooping Problems and How to Fix Your Gut for Good. In this free, live masterclass Tara will walk you through the real reason your gut symptoms keep coming back, no matter what you've tried, and what actually needs to happen to fix them properly, at the root, for good. [Save your spot HERE]
Send us Fan MailThis should not be revolutionary in 2026.They asked the women. Went out across Canada, asked postpartum women what they were actually desperate to know, and let the answers drive it. What came back was mental health and sleep.That's the 2025 Canadian postpartum guideline. Dr. Margie Davenport, PhD, was primary author on it. She's the director of the Program for Pregnancy and Postpartum Health at the University of Alberta, and this is her fourth time on the show. (Yes, we're already talking about Green Jacket choices)Quite honestly this one turned into a state of the union on pregnancy and postpartum exercise guidance. What we finally have. What changed. And the part she says nobody ever asks her about.The how.Not "is it safe." We have a LOT of that now. HOW do I use it. On Monday morning. With this patient. At mile two. On the pitch, in the moment, when you've got about four seconds to decide.
Does estrogen really cause breast cancer? It's one of the biggest fears women have when considering HRT, and in this conversation, Dr. Lindsey Berkson takes Tara back to where much of that fear began. They unpack the history of the Women's Health Initiative, how the original messaging around hormones shaped medical practice, and what later analyses of the research have shown. Dr. Berkson explains why she believes estrogen has been misunderstood, including the difference between estrogen's effects on different receptors and why "estrogen-positive" breast cancer does not necessarily mean estrogen caused the cancer. They also discuss research involving women with ER-positive breast cancer who received estrogen and what those studies reported. Dr. Berkson then shares her own breast cancer story and why it ultimately led her to spend decades researching hormones. This is a fascinating conversation about how medical messaging evolves, why women need to understand the details behind the studies, and why Tara believes these are conversations women deserve to have. In Part 1: The history of the Women's Health Initiative and why it was created What the early research was actually showing about estrogen and breast cancer The controversial press release that changed the conversation around HRT What 20 years of reanalysis of the Women's Health Initiative revealed Oral vs topical vs vaginal estrogen: why delivery method matters Tara's experience with vaginal progesterone and sleep/anxiety The controversy surrounding oral progesterone The debate around estriol What "estrogen-positive" breast cancer actually means The theory behind estrogen and progesterone fueling breast tumors Dr. Lindsey Berkson Lindsey Berkson, MA, DC, CNS, DACBN was a Distinguished Hormone Scholar at the Center for Bioenvironmental Research (CBR: Tulane/Xavier Universities). She is a leading figure in integrative medicine, renowned for her expertise in hormones, nutrition, digestion, and environmental science. With a background as a clinician, professor, bestselling author, and radio show host, she brings a wealth of experience to her work. At the CBR, she collaborated with pioneers in estrogen and sex-steroid receptor research. Dr. Berkson is also a respected educator, teaching MDs and pharmacists in advanced certification courses. She has developed innovative nutraceuticals, holds patents in bioidentical hormone therapy, and has contributed to groundbreaking research on dialysis/pharmaceutical medications and nutrition. Dr. Berkson consults internationally, focusing on medical nutrition for breast cancer, inflammatory bowel disease, renal problems, and complex health issues. Dr. B's Links: Email - admin@drlindseyberkson.com Webpage - www.drlindseyberkson.com Memberships - www.drlindseyberkson.com/membership Agile Thinking Substack - https://drlindseyberkson.substack.com/ Biotics Products - https://drlindseyberkson.com/bioticsproducts/ Hormones: Vilified to Vindicated (Course) - https://drlindseyberkson.com/v2v/ Oxytocin Medicine - https://drlindseyberkson.com/oxytocinmedicine/ **Get $100 off Dr. Berkson's Everything Breast Cancer and/or Everything Hormones Courses by using the code: PC100TARA https://drlindseyberkson.com/everythingbreastcancer/ https://drlindseyberkson.com/everything-breast-cancer-nonprofessional/ https://drlindseyberkson.com/everythinghormones/ Estradiol vs. Bi-Est Debate, watch here: https://www.youtube.com/watch?v=u-p82VW1weA&t=2508s Watch Tara's Instagram Live with Dr. Berkson here: https://www.instagram.com/reel/DN6ieQRE0PI/ Fix Your Gut Masterclass Stop Blaming the Food! The Real Reason You've Still Got Bloating and Pooping Problems and How to Fix Your Gut for Good. In this free, live masterclass Tara will walk you through the real reason your gut symptoms keep coming back, no matter what you've tried, and what actually needs to happen to fix them properly, at the root, for good. [Save your spot HERE]
CardioNerds (Dr. Apoorva Gangavelli, Dr. Rebecca Garber, and Dr. Tina Reddy), discuss pre-pregnancy risk stratification and counseling with Dr. Katy Young across a range of risks. This episode was produced as part of the CardioNerds Academy curriculum by House Einthoven under the guidance of House Chief, Dr. Apoorva Gangavelli and Academy Program Director, Dr. Gurleen Kaur. A matching review article will be published in US Cardiology Review, the official journal of CardioNerds. This discussion was planned in collaboration with the Mayo Clinic Cardiovascular Board Review Course. Audio editing by CardioNerds intern, Dr. Patrick Pekyi-Boateng. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Notes: Why is pregnancy considered a “physiologic stress test,” and why does risk extend beyond delivery? Blood volume, heart rate, and cardiac output rise while systemic vascular resistance falls, peaking in the late second/early third trimester; underlying (even undiagnosed) heart disease can be unmasked or worsened. Postpartum (“fourth trimester”) is a high-risk period, not a safe zone – fluid shifts, rising SVR, and bleeding risk can precipitate decompensation in patients with heart failure, pulmonary hypertension, valvular disease, or aortopathy. Adverse pregnancy outcomes (hypertensive disorders, gestational diabetes, preterm birth, fetal growth restriction, peripartum cardiomyopathy) are markers of future cardiovascular risk and warrant long-term preventive follow-up. What is the practical framework for approaching pre-pregnancy cardiovascular risk? Four broad categories: (1) patients who may need cardiac screening before pregnancy, (2) patients needing risk-factor/medication optimization, (3) known cardiovascular disease where pregnancy is reasonable with structured risk stratification, and (4) high-risk disease where pregnancy may need to be delayed, modified by intervention, or discouraged. Testing should be targeted, not blanket – reserved for symptoms, abnormal exam, concerning family history, or reduced functional capacity. How is risk stratified in patients with known cardiovascular disease? Use a combination of tools per 2025 ESC guidelines: mWHO 2.0 (broad maternal risk category), CARPREG II (additional predictors of maternal cardiac events), and ZAHARA (useful in congenital heart disease). Key lesion-specific factors: aortic size/growth, valve severity, ventricular function, symptoms, blood pressure, and family history of dissection. Translate risk into practical terms for patients rather than leading with a numerical score. Which cardiovascular medications require review before conception? ACE inhibitors, ARBs, and ARNIs should be transitioned off before pregnancy; statins, MRAs, and SGLT2 inhibitors also need review. DOACs are contraindicated in pregnancy and lactation; mechanical valve anticoagulation requires individualized shared decision-making, as no strategy is risk-free for mother and fetus. Medication changes are best made proactively, before conception, rather than reactively. This is not an exhaustive list! The medication list needs to be reviewed carefully. Which conditions carry high or prohibitive risk in pregnancy? Pulmonary arterial hypertension, Eisenmenger syndrome, severe ventricular dysfunction, prior peripartum cardiomyopathy with residual LV dysfunction, severe left-sided obstructive valve disease (e.g., severe mitral stenosis), mechanical valves, significant aortopathy, cyanotic congenital heart disease, and Fontan physiology. Common theme: limited cardiovascular reserve and high risk of decompensation, thrombosis, arrhythmia, heart failure, aortic dissection, or death. These patients need expert multidisciplinary evaluation before pregnancy. Severe mitral stenosis is poorly tolerated because tachycardia shortens diastolic filling time and raises left atrial pressure, risking pulmonary edema and decompensation. When should genetic testing or counseling be offered? Consider when a diagnosis may be inherited or affect the patient, pregnancy, or family members: inherited cardiomyopathies, aortopathies, channelopathies, select congenital heart disease, and some pulmonary hypertension syndromes. Recurrence risk of congenital heart disease in offspring is roughly 6-10% when the mother has CHD; fetal echocardiography should be offered. How should contraception be approached in high-risk cardiac patients? Frame contraception as part of the cardiac care and reproductive safety plan to prevent unplanned high-risk pregnancy. Long-acting reversible contraception is often preferred; progestin-only methods are generally safer than estrogen-containing options with thrombosis risk, pulmonary hypertension, or mechanical valves. What are key delivery-planning considerations for cardiac patients? Vaginal delivery is preferred unless there is an obstetric indication for cesarean or a specific cardiac reason (e.g., unstable maternal status, therapeutic INR) to avoid labor. Planning should address delivery location, anesthesia involvement, telemetry needs, fluid management, and postpartum monitoring, clearly communicated across the multidisciplinary team in advance. How should clinicians counsel patients when pregnancy is discouraged but strongly desired? Acknowledge the patient’s goals and the emotional weight of the conversation; separate the goal (family building) from the timeline (safety now vs. after optimization). If pregnancy remains prohibitively risky, discuss alternatives for family building and ensure adequate patient support. What are the key gaps and future directions in cardio-obstetric risk stratification? Current risk tools (mWHO, CARPREG II, ZAHARA) provide common language but do not fully capture functional status, prior pregnancy history, or how risk evolves over time. Future direction: individualized, dynamic risk prediction incorporating imaging, biomarkers, exercise capacity, and social drivers of health, with better long-term links between pregnancy complications and cardiovascular prevention. References 1. European Society of Cardiology. 2025 ESC Guidelines for the management of cardiovascular disease and pregnancy. 2. Mehta LS, et al. Cardiovascular Considerations in Caring for Pregnant Patients: A Scientific Statement From the American Heart Association. Circulation. 2020;141:e884-e903. PMID: 32362133. doi:https://doi.org/10.1161/CIR.0000000000000772 3. ACOG Practice Bulletin No. 212. Pregnancy and Heart Disease. Obstet Gynecol. 2019;133(5):e320-e356. PMID: 31022123. doi:https://doi.org/10.1097/AOG.0000000000003243
Send us Fan MailMeghan Rabbitt has been a health journalist for 25 years. And the thing she said to me about reporting this book was: why don't I know this?If she didn't know it, what are the rest of us working with?Meghan writes about women's health for Women's Health, Oprah Daily, Prevention, and Maria Shriver's Sunday Paper. Her book, The New Rules of Women's Health, came out of years of interviews with the people actually doing the research. Her phrase for what she wants for all of us is that we become our own health journalists.
Can you use HRT after breast cancer? Is vaginal estrogen safe for breast cancer survivors? Are mammograms dangerous? And is ultrasound a better option? In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone sits down with Dr. Liz O'Riordan, former breast surgeon, breast cancer patient, author, and advocate, for a candid conversation about breast cancer, estrogen, hormone therapy, screening, survivorship, and the realities of becoming the patient after years of being the doctor. Dr. O'Riordan thought she understood breast cancer. Then she was diagnosed herself. Her experience revealed a side of cancer care that medical training often doesn't teach: the fear of diagnosis, the physical and emotional effects of treatment, the impact of medically induced menopause, sexual health concerns, and the difficult decisions patients face when balancing recurrence risk with quality of life. Dr. Tassone and Dr. O'Riordan explore one of the most controversial conversations in women's health today: estrogen and hormone replacement therapy after breast cancer. Together, they discuss why conversations about estrogen and breast cancer are often far more complicated than "estrogen causes cancer" or "HRT is safe," how age, tumor biology, treatment history, individual risk, symptoms, and personal priorities can all influence the conversation, and why informed consent matters when women are making decisions about their health. They also discuss the important distinction between systemic hormone therapy and local vaginal estrogen, particularly for breast cancer survivors struggling with vaginal dryness, painful sex, urinary symptoms, and other consequences of estrogen deprivation. The conversation expands beyond hormones into another growing problem: breast cancer misinformation online. Do mammograms cause breast cancer? Can you replace a mammogram with an ultrasound? Can a biopsy cause cancer to spread? Dr. O'Riordan addresses common fears surrounding breast cancer screening and explains why misinformation can become dangerous when it prevents women from receiving appropriate evaluation or screening. They also discuss the concerning rise of breast cancer diagnoses among younger women, what women should understand about risk and screening, and why breast health cannot be reduced to a single test or universal recommendation. Finally, they examine something that often receives far too little attention during cancer treatment: quality of life. Exercise, nutrition, sexual health, menopause symptoms, mental health, relationships, patient support, and personal autonomy all matter during survivorship. Treating cancer is important, but so is treating the woman living through it. This is a conversation about what breast cancer care looks like from both sides of the exam room and what medicine could do better when physicians truly understand the patient experience. In This Episode, You'll Learn: Can women take HRT after breast cancer? Estrogen and estrogen-receptor-positive breast cancer Why "estrogen causes breast cancer" is an oversimplification Systemic HRT versus vaginal estrogen after breast cancer Menopause symptoms caused by breast cancer treatment Vaginal dryness, painful sex, and sexual health after cancer Quality of life versus recurrence-risk conversations What doctors may misunderstand about the patient experience Dr. Liz O'Riordan's transition from breast surgeon to breast cancer patient Rising breast cancer diagnoses among younger women Mammograms versus breast ultrasounds Whether mammogram radiation causes breast cancer Misinformation surrounding breast biopsies Exercise and breast cancer survivorship Nutrition and lifestyle after breast cancer Mental health and isolation during cancer treatment Patient autonomy and informed consent How breast cancer care could better support the whole patient About Dr. Liz O'Riordan Dr Liz O'Riordan blends surgical precision with human insight to deliver powerful messages, communication that holds, and resilience through change. A consultant breast surgeon who has faced cancer three times, Liz brings a rare dual perspective on what it means to lead, support others, and stay composed in a world of constant change, burnout risk, and fragile workplace cultures. Drawing on surgical training and her own experience of losing and regaining control, she gives repeatable methods to help people stay calm under pressure, communicate clearly when it counts, and adapt to disruption without falling apart. Liz speaks globally about how to improve the quality of patient care. Her experience as a cancer surgeon and patient, combined with the voice of over 200k people in her community, enables her to show healthcare professionals what patients really need when they leave the clinic. Alongside her keynotes, Liz delivers interactive workshops where teams practise the core habits behind sustained high performance: structured communication, adaptive leadership, decision-making under pressure, and the ability to stay calm and connected when everything around them is shifting. Her sessions are known for being honest, human, and transformative, not motivational peaks, but lasting changes in how people think and behave when the pressure is real. Dr Liz is also the best-selling author of four books, including The Cancer Roadmap. She hosts her own podcast and dedicates her spare time to creating educational content for her 200k online community. She was awarded an honorary doctorate in 2025 for her contribution to public education and received the Humanitarian of the Year Award from Future Dreams in 2024 for her advocacy, communication, and leadership. Liz is also a regular voice in international broadcast and print media, known for explaining complex ideas with clarity, warmth, and candour. Connect with Dr. Liz O'Reardon: Follow Dr. Liz O'Reardon on Instagram | Instagram Subscribe to Dr. Liz O'Reardon on YouTube | YouTube Channel Complete Guide to Breast Cancer by Liz O'Reardon The Cancer Roadmap by Liz O'Reardon Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Please contact the clinic directly at (512) 956- 0296 with all scheduling inquiries. Purchase Dr. Tassone's Best-Selling Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Discover Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
What I Discussed With Pauline Ryeland...- Why the brain turns your libido down on purpose, and what it thinks it's protecting you from- The one thing men do on the sofa every night that women were taught never to do- What Pauline said to a man in his early thirties who was booked in for his third Peyronie's operation- The trauma technique that cleared decades of her own dental trauma after EMDR did nothing- Where painful sex after menopause comes from, and what she reaches for before anyone mentions surgery- The client whose daily panic attacks stopped after a single session- Why I ended up shaking uncontrollably on a hypnotherapist's sofa, and what lifted afterwards- The thing Pauline wants every woman doing from perimenopause onwards, and almost nobody isChapters00:00 – Introduction & Sponsor Spotlight (OhMiBod)00:26 – Episode Preview: Unlocking Midlife Passion & Somatic Sexology with Pauline Ryeland01:30 – From Personal Healing to Intimacy Coaching: Pauline's Journey03:15 – Breaking the Silence: Why Seniors Are Reclaiming Their Sexual Wellbeing05:40 – Somatic Sexology Explained: How Your Body Holds the Key to Pleasure08:12 – Overcoming Midlife Libido Blockers & Emotional Disconnect11:05 – Midlife Intimacy Guide (GITM Playbook Sponsor)12:10 – Tantra & Sensual Touch: Redefining Intimacy Beyond Performance15:45 – The Power of Pelvic Floor Awareness & Sacred Energy19:20 – Navigating Body Image Changes and Self-Confidence After 5022:50 – Simple Micro-Habits to Ignite Connection with Your Partner Today26:15 – Vulnerability in Midlife Dating & Long-Term Relationships29:40 – Closing Words: Why Desire Has No Expiration DateShow NotesMost women over 50 assume their libido went quiet because of their age. Pauline Ryeland says the brain switched it off deliberately, and she can usually tell you why.In this episode I'm joined by Pauline Ryeland, a sexological bodyworker, tantra teacher and trauma specialist based in Queensland, Australia. She trained in NLP, hypnotherapy and the Havening technique, and calls herself a libido expert because that's what almost everyone arrives at her door with.Pauline works hands-on with things most practitioners won't touch. Vaginal pain that women have been told to put up with. Peyronie's disease when urologists have run out of ideas beyond surgery. Sexual trauma that has been sitting in the body for decades.She also told me about her own dental trauma, which EMDR couldn't shift and Havening cleared, and about the client who had ruled out having a baby because of daily panic attacks. I shared something from my own experience with hypnotherapy that I hadn't planned to.Then there's the homework. It costs nothing, needs no partner, and most women have never once tried it. Men have been doing it on sofas for decades without giving it a second thought.If your libido has gone quiet, this episode is proof it doesn't have to stay that way.Listen, learn and enjoy.Key Takeaways- Your libido didn't fail. If sex has hurt, the brain turns desire down to keep you away from the pain, and it doesn't turn back up on its own.- Havening is touch-based and gentle. You stroke your own arms while you talk, and score the memory out of ten as you go.- Pauline scored her childhood dental trauma at 10. Afterwards she could feel her brain hunting for it and coming back empty.- Vaginal pain is treatable. Pauline maps the whole area on a 0 to 10 scale, never pushing past a 4, and pain usually halves by the next session.- Castor oil builds elasticity and collagen in the vaginal wall. She wants women using it weekly from perimenopause, not after sex has become painful.- Peyronie's disease is not only an older man's condition, and surgery is not the only route. One client cancelled his third operation.- Nothing sticks in under 28 days. Miss a day of the practice and you start again. Most clients need five to eight sessions, a fortnight apart.- Sit with a hand down your pants and do nothing with it. No touching, no goal. It rebuilds the pathway between brain, heart and genitals, which for most of us are living in separate post codes.About the GuestPauline Ryeland, Intimacy Whisperer ® works as an Intimacy, Sex & Libido Coach & Educator. She is certified as a Somatic Sexological Body Worker, Tantra Teacher & Facilitator and a Master Trainer & Practitioner of Neuro-Linguistic Programming (NLP), Advanced Subconscious Reprogramming, Errikson Hypnotherapy, a Results Coach & Performance Consultant and a Havening Techniques™ Trauma SpecialistAbout SuzanneSuzanne Noble is a sex and relationship expert, author, and host of the Sex Advice for Seniors podcast—one of the top-rated shows empowering people 50+ to embrace confident, joyful intimacy. Known for her candid, warm, and often humorous approach, Suzanne challenges age-related taboos, misinformation, and awkward conversations about sex after 50. She helps millions around the world navigate their sexual lives with pleasure, connection, and self-assurance. Because life is too short for bad sex... or silence about it.Connect With SuzanneInstagram: https://www.instagram.com/sexadviceforseniorsFacebook: https://www.facebook.com/sexadviceforseniorsTikTok: https://www.tiktok.com/@sexadviceforseniorsSubstack: https://www.sexadviceforseniors.comConnect with PaulineWebsite: www.paulineryeland.comInstagram: www.instagram.com/intimacywhispererFacebook: https://www.facebook.com/IntimacyWhisperer/YouTube: https://www.youtube.com/@IntimacyWhispererWant More?Visit the Website: https://sexadviceforseniors.com — includes FREE guides and resources for better sex at any age.Free Downloadable Guide: 10 Most Overlooked Secrets to Better Sex PDF: https://subscribepage.io/suzannenoblefreebieSign Up for My FREE Newsletter: https://sexadviceforseniors.comOvercome Erectile Dysfunction & Stay Firm: https://www.stayfirmprogram.comCheck Out My Storefront for Better Sex: https://zaap.bio/stayfirmInterested in 1:1 Coaching or Custom Sex Advice for Seniors Sessions? https://tidycal.com/suzannenoble/30-minute-mentoringRelated Episodes69% of Women Unhappy in Sex... and How to Fix It - https://www.sexadviceforseniors.com/p/the-surprising-69-of-women-unhappyWhy Women Feel Completely Different After Menopause | Tanya Leake - https://www.sexadviceforseniors.com/p/why-women-feel-completely-different This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sexadviceforseniors.com/subscribe
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
Hoy en nuestro segmento semanal del cuerpo habla lo que la boca calla vamos a darte la información sobre los bloqueos que tienen que ver con la Vagina y el Ph que se afecta constantemente así como las emociones envueltas en ello.Déjanos tus comentarios y siguenos: Patreon con audios subliminales para Reprogramación R3PR0 5D HACK3O M3NTAL.Acceso a todos nuestros eventos en nuestro Link en Biohttps://linktr.ee/QUANTUM_GDLÚnete a nuestra comunidad desde cualquiera de nuestros eventos del año para obtener beneficios extraCOMUNIDAD MANADA QUANTICA DE CENTRO QUANTUM Informes en Whatsapphttps://wa.me/523310202149Te invitamos a visitar nuestros canales, activar la campanita, dar like y repost para seguir ayudando a más personasNuestros canalesINSTAGRAM https://www.instagram.com/QUANTUM_GDLTIKTOKhttps://www.tiktok.com/@quantum_gdlYOUTUBE https://www.youtube.com/@CentroQuantum/podcastsFACEBOOK https://www.facebook.com/QuantumGDL https://t.me/centroquantum....#Quantum #applepodcasts #spotifypodcast #centroquantum #despertardeconsciencia #quantum #constelacionesfamiliares #fisicacuantica #cuantica #tupuedescrearturealidad #googlepodcasts #CentroQuantum #podcast #epigenetic #conciencia #spotify #taniaramón ##inteligenciaemocional #amor #magia #matrix #JacoboGrinberg #bioreprogramación
Wendy Strgar, recently named to the 2025 Forbes 50 Over 50 Innovation List, is an award-winning entrepreneur and the founder of Good Clean Love and Vaginal Biome Science. She pioneered BioMatched® technology, applying biomimicry to develop safer, science-based products that support vaginal health. As both CIO and CEO, Wendy has led groundbreaking research on the vaginal microbiome and helped influence FDA standards—making her a true innovator in women's health. In this episode, Wendy Stregar of Good Clean Love breaks down the science of the vaginal microbiome, exposing common product ingredients that harm it and sharing how her new telehealth platform, biomimicry-based products, and vaginal estradiol insights help women fix chronic BV, yeast infections, and painful sex. RESOURCES: Learn more about Wendy Strgar here: https://www.wendystrgar.com/ Instagram: @wendy.strgar @goodcleanlove Get 10% off Peluva minimalist shoe with coupon code COACHTARA here: http://peluva.com/coachtara CHAPTERS: 0:00 – Meet Wendy Strgar 2:27 – Sponsor: Peluva Shoes ad 4:15 – Gut, oral, and vaginal microbiome basics 8:56 – Women's health's 5% research problem 10:17 – Funding Vaginal Biome Science and misdiagnosis 12:47 – The K-Y/Astroglide propylene glycol problem 14:51 – pH, odor, and healthy bacteria basics 17:32 – Launching Good Clean Clinical Care 19:57 – Vaginal estradiol and why the carrier matters 22:23 – Telemedicine platform and doctor access 26:50 – Good Clean Love at Target, Walmart, and the Reset 28:44 – Crispatus and racial disparities in birth outcomes 33:04 – Cancer treatment and vaginal health 36:24 – Clitoral anatomy and nerve endings 40:14 – The three-step biomimicry method 49:16 – Higher Coaching, app, and retreats 54:23 – Breaking the recurring BV, yeast, and UTI cycle 1:02:21 – Probiotics, cost, and the orgasm gap 1:04:02 – Orgasm science, scent, and arousal WORK WITH TARA: Are You Looking for Help on Your Wellness Journey? Here's how Tara can help you: TRY TARA'S APP FOR FREE: http://taragarrison.com/app INDIVIDUAL ONLINE COACHING: https://www.taragarrison.com/work-with-me CHECK OUT HIGHER RETREATS: https://www.taragarrison.com/retreats SOCIAL MEDIA: Instagram @coachtaragarrison TikTok @coachtaragarrison Facebook @coachtaragarrison Pinterest @coachtaragarrison INSIDE OUT HEALTH PODCAST SPECIAL OFFERS: ☑️ Upgraded Formulas Hair Test Kit Special Offer: https://bit.ly/3YdMn4Z ☑️ Upgraded Formulas - Get 15% OFF Everything with Coupon Code INSIDEOUT15: https://upgradedformulas.com/INSIDEOUT15 ☑️ Rep Provisions: Vote for the future of food with your dollar! And enjoy a 15% discount while you're at it with Coupon Code COACHTARA: https://bit.ly/3dD4ZSv If you loved this episode, please leave a review! Here's how to do it on Apple Podcasts: Go to Inside Out Health Podcast page: https://podcasts.apple.com/us/podcast/inside-out-health-with-coach-tara-garrison/id1468368093 Scroll down to the 'Ratings & Reviews' section. Tap 'Write a Review' (you may be prompted to log in with your Apple ID). Thank you!
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
Send us Fan MailYou leave the hospital with a healthy baby, a folder of paperwork, and zero mention of the fact that your estrogen just went from about 3,000 to almost nothing.That is where this conversation starts. In 2022, I sat down with Dr. Rachel Rubin, urologist and sexual medicine specialist, back in season one, long before she became the person everyone quotes about hormones. I've known her since she walked into the PT department at Georgetown as a resident and asked if she could shadow somebody and learn about Pelvic Floor Physical Therapy. This is her before the rest of the world caught up.We're rewinding it now because almost everything she predicted in this episode has since happened.
Leveling Up: Creating Everything From Nothing with Natalie Jill
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.
Sexuality, pelvic floor health, and embracing your body's natural flow are at the heart of this special Please Me! Podcast feed drop featuring Eve Hall on the Embracing Flow podcast with Heather Almendinger. Eve also opens up about her path into sexual health, the power of healing, and why intimacy does not have an expiration date. From navigating the orgasm gap and communicating desires with a partner to exploring self-pleasure, pelvic floor exercises, vaginal health, and sexual confidence, this conversation offers compassionate, practical insight for anyone seeking a more connected relationship with their body. In this episode, we discuss: Sexuality education, sexual wellness, and breaking shame around intimacy Menstruation, painful periods, and embracing your natural cycle Pelvic floor physical therapy for incontinence, painful sex, and sexual dysfunction Vaginal dryness, decreased sensitivity, blood flow, and vaginal health Menopause, hormone changes, estrogen, and sexual longevity The orgasm gap, self-pleasure, body awareness, and sexual confidence Communicating desires, needs, and boundaries with a partner Why intimacy, pleasure, and connection can continue throughout life Connect with Eve Heather Almendinger https://linktr.ee/vivydus Connect with Eve Website: Please Me! Substack:https://substack.com/@pleasemewitheve Patreon: https://www.patreon.com/PleaseMePodcast Book your FREE 15-Minute Discovery Call: https://calendly.com/pleasemebyevecreations/discovery-call Explore the Sexual Longevity: https://pleaseme.online/the-sexual-longevity-protocol/ The Sexual Longevity Protocol: A science-based course by Eve, a Sexual Health Physical Therapist to help you improve sexual function, confidence, and pleasure for life. Lifetime access for just $47. Affiliate Deals & Partners Shameless Care (Code: PLEASEME): www.shamelesscare.com Parlor Games Bioidentical Hormones: Parlor Games | Shop SDC.com (Code: PLEASEME): SDC CAKES (Code: CAKES-PLEASEME): Sticky Starter Pack | Our Best Sticky Offer, $33 Savings – CAKES body Lady Pump: Lady Pump FirmTech Ring: Male Enhancement Erection Ring | SexTech | Award-Winning Wearable Tech Juice Plus+ Nutrition: Whole-Foods, Plant-Based Nutrition | Juice Plus+ – Juice Plus+US Be a Guest: Share your story or expertise on relationships, sexual health, and personal growth:Be a Guest on Please Me! Podcast
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
Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief, and Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, for articles published from July 11-17, 2026.
What I Discussed With Dr. Jenn Kennedy...- The two problems that bring most couples over 50 into sex therapy, and why embarrassment keeps them away for so long.- Why an unreliable erection doesn't mean the end of pleasure, and what "pivoting" actually looks like in bed.- The surprising sensitivity of a soft penis, and why porn has left us all badly under-educated.- Why sex that "feels like sandpaper" is so common after menopause, and the fixes that work within weeks.- The generational reason women over 50 feel funny about keeping lube by the bed.- Why the low-desire partner usually doesn't dislike sex. She dislikes the sex she's having.- How pressure turns desire into obligation, and what brings real desire back instead.- The two words that reignite relationships after decades together.Show NotesIs it okay to say things aren't working in the bedroom? That's the question, according to my guest, that couples are silently asking as they walk into her office. Erections that have become unreliable. Sex that hurts. Desire that seems to have packed up and left. Most people wait years before saying any of it out loud.In this episode, I'm joined by Dr Jenn Kennedy, clinical sexologist, licensed marriage and family therapist and founder of The Pleasure Project in Santa Barbara. Jenn works with couples and individuals in their 50s, 60s and beyond, and she's refreshingly frank about what she sees: bodies that change with age, partners drowning in shame about it, and simple fixes that nobody has bothered to tell them exist.What I love about this conversation is how practical it gets. We talk about what to do in the actual moment an erection doesn't arrive. We talk about vaginal estrogen, the treatment that clears up painful sex in weeks, and why so many women have never heard of it. And we land on Jenn's most freeing insight: the partner who has "gone off sex" usually hasn't gone off sex at all. She's gone off sex where her pleasure comes last.Whether you're partnered, dating or somewhere in between, this episode is full of things you can actually use. Including, for the men, the simplest question in the entire universe. Ask it daily. Then listen to the answer.Listen, learn and enjoy.Key Takeaways- Dysfunction and dissatisfaction are the two main reasons couples over 50 seek sex therapy.- Pivoting to what feels good keeps shame out of the room, and often brings things back.- Sensitivity doesn't disappear with an erection.- Painful sex after menopause is common, treatable and nothing to be ashamed of.- Lube is not a failure.- Vaginal estrogen can transform painful sex in weeks, yet many women are never told about it.- Pressuring a low-desire partner creates obligation, not desire.- The low-desire partner often enjoys sex.- Desire lives in play, curiosity and banter, not in routine.About the GuestDr. Jenn Kennedy is a clinical sexologist and LMFT specialising in sex and couples. In 2023, Dr. Jenn launched The Pleasure Project, which is dedicated to helping us all have a better sex life. She hosts a podcast called Pleasure Project: Sex & Relationships and offers small group intensives for women and couples. She recently launched a self-guided intimacy course for women and owns a 9-person group therapy practice called Riviera Therapy. Dr Jenn has been quoted in Redbook, Reader's Digest, Forbes Health, DailyOm, Shondaland, Parade, Allure, Yahoo!, and others. She is often tapped to discuss intimacy and sexuality for therapists and physicians.About SuzanneSuzanne Noble is a sex and relationship expert, author, and host of the Sex Advice for Seniors podcast—one of the top-rated shows empowering people 50+ to embrace confident, joyful intimacy. Known for her candid, warm, and often humorous approach, Suzanne challenges age-related taboos, misinformation, and awkward conversations about sex after 50. She helps millions around the world navigate their sexual lives with pleasure, connection, and self-assurance. Because life is too short for bad sex... or silence about it.Connect With SuzanneInstagram: https://www.instagram.com/sexadviceforseniorsFacebook: https://www.facebook.com/sexadviceforseniorsTikTok: https://www.tiktok.com/@sexadviceforseniorsSubstack: https://www.sexadviceforseniors.comWant More?Visit the Website: https://sexadviceforseniors.com — includes FREE guides and resources for better sex at any age.Free Downloadable Guide: 10 Most Overlooked Secrets to Better Sex PDF: https://subscribepage.io/suzannenoblefreebieSign Up for My FREE Newsletter: https://sexadviceforseniors.comOvercome Erectile Dysfunction & Stay Firm: https://www.stayfirmprogram.comCheck Out My Storefront for Better Sex: https://zaap.bio/stayfirmInterested in 1:1 Coaching or Custom Sex Advice for Seniors Sessions? https://tidycal.com/suzannenoble/30-minute-mentoringRelated EpisodesWhy Long-Term Couples Drift Apart, and the Simple Habit That Brings Them Back: https://www.sexadviceforseniors.com/p/why-couples-lose-the-spark-and-howThe Simple Practice That Brought Intimacy Back After 20 Years: https://www.sexadviceforseniors.com/p/why-waiting-to-feel-in-the-mood-doesntBonus Live: The Relationship Lesson That Ends So Much Conflict: https://www.sexadviceforseniors.com/p/bonus-live-the-relationship-lesson This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sexadviceforseniors.com/subscribe
Jane's back in Times Towers, but she's just missed Fi, who's off jet-setting for the week. Jane and Eve chat about flat feet, bedside tables, and powerful forehands. Plus, Robbie Millen, literary editor of The Times and The Sunday Times, stops by to share his book picks for the week. He recommends: The Family Man by James Lasdun, London Falling by Patrick Radden Keefe, Waterland by Graham Swift, Murder in Paris '68 by Edward Chisholm, The Great Dictator by Matthew Sweet You can buy tickets for Fringe by the Sea: https://www.fringebythesea.com/off-air-with-jane-fi-and-special-guest-jan-ravens/Our next book club pick will be a collection of short stories! 'Interpreter of Maladies' is by Jhumpa Lahiri. You can check out our YouTube channel here: https://www.youtube.com/@OffAirWithJaneAndFiOur new playlist 'Coiled Spring' is up and running: https://open.spotify.com/playlist/4tmoCpbp42ae7R1UY8ofzaOur most asked about book is called 'The Later Years' by Peter Thornton.If you want to contact the show to ask a question and get involved in the conversation then please email us: janeandfi@times.radioFollow us on Instagram! @janeandfiPodcast Producer: Eve SalusburyExecutive Producer: Rosie Cutler Hosted on Acast. See acast.com/privacy for more information.
She's been told to have a glass of wine. To just relax. That the pain is in her head. And she is still in pain — every time she has sex, every time she uses a tampon, sometimes just sitting at her desk. What she may have is a hypertonic pelvic floor: muscles stuck in a state of tension they cannot release on their own. In this episode, Dr. Carolyn Moyers sits down with Dr. Chailee Moss, board-certified OB/GYN at the Centers for Vulvovaginal Disorders in Washington, DC, and one of the country's leading experts in sexual pain — to talk about a treatment most women have never been offered: vaginal Botox.In this episode:• What a hypertonic pelvic floor actually is — and why it is so often missed• Why painful sex in midlife is not always "just hormones"• Who is a candidate for vaginal Botox, and what has to be tried first• What the procedure is really like: units, timeline, results, and side effects• Whether pelvic floor physical therapy is still necessary alongside Botox• Dr. Moss's current clinical study on incobotulinumtoxinA for pelvic floor dysfunction• Her published JAMA research on medical gaslighting in vulvovaginal careIf sex hurts, tampons hurt, or exams hurt — and no one has been able to tell you why — this episode is for you.
Jambo! Today, travel medicine specialists Drs. Paul Pottinger & Chris Sanford talk with GYN expert Dr. Karen Tang, who will answer your questions about healthy travel during menopause. Topics include:What causes hot flashes, and how can I deal with them during travel?Should I change my medical hormone therapy if I'm headed to a hot location?Should I stop my hormone treatment before a long trip to reduce the risk of getting a blood clot?Any tips for keeping hormone patches on in wet, sweaty locations?What if I lose my hormone supply during travel--will I be able to get more overseas?Any advice for sleeping well during menopause?Sex and menopause--how can I get back in the game?Vaginal estrogen--any reasons NOT to use it?How can someone be a good partner to a fellow traveler experiencing menopause?UTI recurrences during travel--how can I avoid this?What about recurrent yeast infections--anything to recommend for prevention and treatment?If someone is reluctant to travel because of structural pelvic concerns, any advice?How can I be a good traveling companion for someone experiencing menopause?We hope you enjoy this podcast! If so, please follow us on the socials @germ.and.worm, subscribe to our RSS feed and share with your friends! We would so appreciate your rating and review to help us grow our audience. And, please visit our website: germandworm.com where you can find all our content and send us your questions and travel health anecdotes. Or, just send us an email: germandworm@gmail.com.Our Disclaimer: The Germ and Worm Podcast is designed to inform, inspire, and entertain. However, this podcast does NOT establish a doctor-patient relationship, and it should NOT replace your conversation with a qualified healthcare professional. Please see one before your next adventure. The opinions in this podcast are Dr. Sanford's & Dr. Pottinger's alone, and do not necessarily represent the opinions of the University of Washington or UW Medicine.
Legend of Dragoon Part 5: Rose's Vaginal Vortex Square Roots - Episode 519 Hot Gaming Gossip: 0:07:45 Quest Log: 0:28:50 Level Up: 1:45:00 On this heavy flowing chunker of Sony's Legend of Dragoon, we learn so much about Rose from her Level 3 attack. Every element of it was a surprise. The menstrual blood. The legs spread. How she's like a Vaginal Kirby. Put down a towel, it's a lot. Also: • Too Many Nopon? • It's A Fantasy World, Bed Bath & Beyond Could Still Exist • The Love Child of Grimace and Slimer • Somehow Emperor Diaz Has Returned • Another Deep Gash! • A Hot Prize This Week: Confronting Lenus Again and then Finishing Disc 2! Next Week: Retrieve the Dragon Staff! Our Patreon: http://patreon.com/squarerootspodcast Thanks to Steven Morris for his awesome theme! You can find him at: https://bsky.app/profile/stevenmorrismusic.bsky.social and https://www.youtube.com/user/morrissteven Contact Square Roots! Twitter: @squarerootspod Facebook: https://www.facebook.com/groups/486022898258197/ Email: squarerootspodcast (at) gmail (dort) com
Lucy's got a device that's changing the world of light therapy.Lucy founded LYMA, a supplement company born from her own health crisis. But the science kept pulling her forward, from skincare to the LYMA Laser. I wanted to understand why the red light panel in my bathroom might not be doing what the marketing says it does, and why a real cold laser is a different category entirely.In this episode, we get into the difference between LED scatter and laser coherence, what it means for light to reach deep tissue, and why damaging your skin to make it look better is one of the worst ideas in cosmetics.Don't pay for one more skin, pain, or longevity treatment before you check this one out.Visit lukestorey.com/lyma and use code LUKE10 for 10% off the LYMA Laser (not valid on LYMA Laser PRO).You'll learn:[0:00] Introduction[9:17] How a 49-year-old IVF miracle came down to one viable embryo[14:35] A chance discovery on a patient's knee revealed what LED light can't do[20:02] Why the light you can see is the light that never reached your cells[33:20] How cold laser tunes your genetic piano[51:31] The photo that convinced Lucy this technology could change everything[57:05] The world-first clinical trial that broke the LED myth[1:06:56] Brain tumors, diabetic ulcers, and the next frontier of near-infrared research[1:12:21] Vaginal health, tinnitus nozzles, and the applications still awaiting clearanceResources Mentioned:PowerMedic Laser | WebsiteSaunaSpace Firelight Infrared Bulb | WebsiteBefore and after photos: neck, inner arm, knees | PhotosBefore and after photos: C-section scar | PhotosMitozen Lumetol Blue Bars | WebsiteRead: The Art of War by Sun Tzu | BookRead: 48 Rules of Power by Robert Greene | BookRead: Who Moved My Cheese by Spencer Johnson | BookRead: Tao Te Ching by Laozi | BookRead: The War of Art: Break Through the Blocks and Win Your Inner Creative Battles by Steven Pressfield | BookFull show notes at lukestorey.com/laserRelated The Life Stylist Episodes:Not Just For Sleep: Melatonin | The Master Molecule + Next Level Biohacks w/ Dr. John Lieurance | PodcastThe Future Of Chronic Pain & Injury Healing w/ Drs. Matt Cook & John Lieurance | PodcastHeal Your Chronic Pain & Disease Now w/ Regenerative Medicine Feat. Dr. John Lieurance | PodcastThe Mega Quadcast! Life, Death & Love w/ Dr. John Lieurance, Josh Trent & Cal Callahan | PodcastMiracle Stem Cell + Laser Treatments for Hearing Loss & Tinnitus w/ Dr. John Lieurance | PodcastPsychedelic Journey & Jetlag Resilience, Mega-Dose Methylene Blue & Melatonin w/ Dr. John Lieurance | PodcastPornography, Parenting, Psychedelics & Rites of Passage w/ Josh Trent & Dr. John Lieurance | PodcastSupercharged Stem Cells, Prostate Power & Next Level Nutraceuticals w/ Dr. John Lieurance | PodcastFind more from Lucy:LYMA | Website | Instagram | Facebook | X | TikTok | YouTubeFind more from Luke:Luke Storey | Instagram |
Hormones are about far more than hot flashes. In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald is joined by urologist and hormone expert Dr. Kelly Casperson for a conversation that challenges conventional thinking about menopause, hormone replacement therapy (HRT), and healthy aging. Dr. Casperson explains why menopause may be better understood as a form of hypogonadism, shares the story behind the removal of the FDA's black box warning on vaginal estrogen, and explores the latest evidence on estrogen, progesterone, and testosterone therapy for women. Topics include: • Vaginal estrogen and the FDA black box warning • The lasting impact of the Women's Health Initiative (WHI) • Estrogen, brain health, and mitochondrial function • Testosterone therapy for women: science and misconceptions • Hormone therapy after age 60 • Patient education, body literacy, and informed decision-making • Exercise, sleep, alcohol reduction, and other foundations of healthy aging Whether you're a functional medicine practitioner or someone interested in menopause, longevity, and women's health, this evidence-based conversation offers practical insights and a fresh perspective on hormone care. Show notes and references: https://www.drkarafitzgerald.com/fxmed-podcast/ Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/ GUEST DETAILS Dr. Kelly Casperson is a board-certified urologic surgeon,CEO and founder of The Casperson Clinic, a modern practice dedicated to hormones and sex medicine, renowned public speaker, sex educator, and host of the top-ranking podcast You Are Not Broken. Dedicated to empowering women, Dr. Kelly blends humor, candor, and science to demystify sexual health, intimacy, and midlife wellness. Through her podcast and online courses, she tackles myths about desire and normalizes conversations around healthy, fulfilling sex. Her work also provides essential education on hormones and midlife health. Connect with Dr. Kelly on Instagram (@kellycaspersonmd) or visit http://kellycaspersonmd.com . THANKS TO OUR DIAMOND SPONSORS DUTCH: https://dutchtest.com/for-providers Biotics Research: https://www.bioticsresearch.com/ Time—Line Nutrition: http://pro.timeline.com/ THANKS TO OUR GOLD SPONSORS Fullscript Journeys: http://www.fullscript.com/journeys-kara Equelle: http://equelle.com CONNECT with DrKF Want more? Join our newsletter here: https://www.drkarafitzgerald.com/newsletter/ Or take our pop quiz and test your BioAge! https://www.drkarafitzgerald.com/bioagequiz YouTube: https://tinyurl.com/hjpc8daz Instagram: https://www.instagram.com/drkarafitzgerald/ Facebook: https://www.facebook.com/DrKaraFitzgerald/ DrKF Clinic: Patient consults with DrKF physicians including Younger You Concierge: https://tinyurl.com/yx4fjhkb Younger You Practitioner Training Program: https://www.drkarafitzgerald.com/trainingyyi/ Younger You book: https://tinyurl.com/mr4d9tym Better Broths and Healing Tonics book: https://tinyurl.com/3644mrfw
Most women have been told their cycle is something to manage, track for fertility, or push through. What almost no one is saying is that your cycle is a second biological clock running inside your body at all times. The circadian rhythm is roughly 24 hours and is governed by light. The infradian rhythm is roughly 28 days and is governed by the menstrual cycle. Men have one main rhythm. Women have two. This is not a flaw in our design. It is added intelligence. In this solo episode, Michelle walks you through what is actually happening underneath the surface of each phase. Your brain structure shifts across the cycle. Your immune system, metabolism, insulin sensitivity, microbiome, and nervous system are all moving with you. You will learn why the same stressor can feel completely different from one week to the next, why luteal phase cravings are real signals and not willpower failures, and how to begin matching your work, food, and rest to the phase you are actually in. Whether you are trying to conceive or simply want to stop fighting your own body, this episode offers a more accurate map of how you are designed to function. Key Takeaways: Women have two main biological rhythms. The circadian rhythm is roughly 24 hours. The infradian rhythm is roughly 28 days and is governed by the menstrual cycle. Most lifestyle and research advice is built around the male 24-hour clock, which is part of why so many women feel exhausted. Your brain structure literally changes across the cycle. The hippocampus shifts in volume, connectivity between regions changes, and verbal fluency, spatial reasoning, and pain perception all move with the phases. Feeling like a different person at different times of the month is neurobiology, not emotional volatility. Your immune system is rhythmic. It is more active in the first half of the cycle and shifts after ovulation, when progesterone becomes mildly immunosuppressive to prepare the uterus for a possible embryo. This is why colds, autoimmune flares, and allergies can shift across the month. Basal metabolic rate rises slightly in the luteal phase, and insulin sensitivity changes. The same meal can land differently depending on where you are in your cycle. Luteal phase cravings are often a real signal of higher energy needs. The gut and vaginal microbiomes also shift cyclically with hormones. You are not a static system. Everything inside your body moves with you. Heart rate variability tends to be higher in the follicular phase and lower in the luteal phase. The same stressor can land very differently depending on when in the month it arrives. Your nervous system is operating from a different baseline. From a TCM perspective, the liver works harder in the luteal phase to prepare for menstruation, which can show up as more irritability, less energy, and stagnation when qi is not flowing freely. Working with the cycle is not just a fertility tool. It is a way of living that supports energy, focus, mood, and recovery across the entire month. Practical starting points: track more than your period (energy, sleep, mood, focus, hunger, stress response), match the work to the phase when possible, and eat in a way that responds to what your body is actually doing in each phase. Host Bio: Michelle Oravitz, L.Ac., FABORM, is a board-certified fertility acupuncturist, Ayurvedic practitioner, and author of The Way of Fertility. She is the host of The Wholesome Fertility Podcast, where she explores the intersection of Traditional Chinese Medicine, modern fertility science, nervous system health, and the deeper, often overlooked terrain of mind-body fertility. Through her clinical practice and online programs, Michelle works with women trying to conceive and with practitioners who want to bring a more holistic, integrated approach into their work. Research and Resources Cited: Brain structure and function changes across the menstrual cycle (hippocampal volume) Cyclical changes in hippocampal volume across the menstrual cycle Menstrual cycle effects on cognition: verbal fluency and spatial reasoning Pain perception and threat sensitivity across the menstrual cycle Progesterone and immune modulation in the luteal phase Basal metabolic rate variation across the menstrual cycle Insulin sensitivity and the menstrual cycle Gut microbiome variation across the menstrual cycle Vaginal microbiome shifts across the menstrual cycle Heart rate variability across the menstrual cycle Cortisol and HPA axis response across the menstrual cycle Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. Ready to discover what your body needs most on your fertility journey? Take the personalized quiz inside The Wholesome Fertility Journey and get tailored resources to meet you exactly where you are: https://www.michelleoravitz.com/the-wholesome-fertility-journey For more about my work and offerings, visit: www.michelleoravitz.com Curious about ancient wisdom for fertility? Grab my book The Way of Fertility: https://www.michelleoravitz.com/thewayoffertility Join the Wholesome Fertility Facebook Group for free resources & community support: https://www.facebook.com/groups/2149554308396504/ Connect with me on social: Instagram: @thewholesomelotusfertility Facebook: The Wholesome Lotus
Send us Fan MailShow notes On January 1, 2027, every global OB code your practice has billed for the last thirty years is being deleted. Seventeen CPT codes. Gone. Replaced with a completely new structure for how every dollar of maternity revenue is earned, attributed, and collected. And the real deadline for your practice is not January 1, 2027. The real deadline is right now. What is actually going away For over thirty years, OB practices have lived in a bundled global world: one patient, one pregnancy, one code. Effective January 1, 2027, 17 global obstetric CPT codes (including 59400 for a global vaginal delivery and 59510 for a global C-section) are being deleted entirely. The AMA and ACOG determined the global model no longer reflects modern OB standard of care, and so the structure is being fully replaced, not patched. The four new phases of maternity billing Phase 1, Antepartum care. All bundled antepartum codes deleted. Every prenatal visit billed as individual E/M with TH modifier (99202 through 99215). Phase 2, Labor management. New dedicated code category for the first time in CPT history. Reported per calendar day, with straightforward vs complex management distinction. Phase 3, Delivery. Vaginal vs cesarean restructured. VBAC coded differently than first-time vaginal. Add-on procedures (3rd/4th degree laceration repair, uterine tamponade) now separately billable. Phase 4, Postpartum care. All existing postpartum codes deleted. Hospital care codes for inpatient day-after-delivery. Office E/M for outpatient follow-up. Same-date postpartum bundled into delivery. Why the real deadline is Q3 and Q4 2026 Cash flow in January 2027 will be decided this Q3 and Q4. Payer contracts reference CPT codes by number, so contracts that reference deleted codes need renegotiation now. Documentation habits have to change before the new codes go live, because every prenatal visit now needs to support E/M level selection. A 200-patient OB practice undercoding prenatal visits by even $40 each is leaving close to $100,000 a year on the table from day one. The multi-provider attribution problem Under the global model, attribution was easy: one practice, one fee, regardless of which provider saw which visit. Under the new model, every encounter is attributed to the individual provider who performed it. Practices with midlevels, hospitalists, or shared call need a clear protocol for labor management billing, on-call coverage, and cross-coverage now, or they will either double-bill (compliance risk) or miss charges (phantom revenue) from day one. Three actions this week Pull a payer contract audit. List every commercial contract referencing global OB codes that needs renegotiation before January 1. Run a prenatal documentation review. Pull 10 recent prenatal charts per provider and assess them against current 99213 and 99214 E/M standards. The gap is your single biggest revenue risk. Map your provider attribution workflow. Write out exactly how labor management, on-call coverage, cross-coverage, and same-day postpartum care will be tracked when every encounter is attributed individually. Episode breakdown 1. The 17 deleted codes 2. The four new phases of maternity billing 3. Why Q3 and Q4 of this year is your real deadline 4. The multi-provider attribution gap 5. What patients will see on their EOBs 6. Your 90-day action plan 7. What is ahead in the rest of the OB Global Coding Series Resources → Live OB Global Updates Webinar (PRIMARY): eligibility.natrevmd.com/obgyn-global-updates-webinar → Book a call with Heather: calendly.com/heather-natrevmd → Payment Posting Audit Checklist: eligibility.natrevmd.com/payment-posting-checklist → Practice Revenue Leak Scorecard: eligibility.natrevmd.com/nrm-revenue-scorecard-v3 → Coming next in the series: EP189 — How to Bill Antepartum Care Under the New E/M Model
The latest public version of ChatGPT can be made to generate sexualised images or depict scenes of graphic violence with a simple prompt, researchers have told the BBC. British AI security startup Mindgard figured out how to make ChatGPT create graphic pictures by slightly altering a widely-shared instruction, or prompt, which was originally designed to produce humorous results. To find out more, Anita Rani speaks to Technology correspondent Chris Vallance and Mindgard's Peter Garraghan. A spokesperson for Open AI said: "We take these reports seriously. After investigating this trend, we've introduced additional safeguards against this type of prompt. Our safety systems are designed to block potentially harmful images that are uploaded to ChatGPT and we analyse whether the AI generated image violates our policies before we show the image to the user. We also combine automated systems and human review to identify and block harmful material.”Jon Snow, the lead presenter of Channel 4 News for 32 years, has revealed he has Alzheimer's disease. During his career, he reported on stories including the fall of the Berlin Wall, the release of Nelson Mandela and Barack Obama's inauguration, receiving numerous awards including the BAFTA Fellowship in 2015. In a new Channel 4 documentary, made in conjunction with the Alzheimer's Society, Jon Snow: A Last Big Story, he is seen uncovering an environmental disaster in Zambia. In her first broadcast interview since the diagnosis was announced, Jon's wife, Dr Precious Lunga, joins Anita to talk about how they are navigating life now. Testing the microbiome of your vagina is increasing in popularity, with direct-to-consumer companies offering at-home tests and claiming that this information is critical to women's health. Anita speaks with Dame Lesley Regan, Professor of Obstetrics and Gynaecology at Imperial College London, and Dr Caroline Mitchell, Professor of Obstetrics, Gynaecology and Reproductive Biology at Harvard Medical School, to discuss what we know about the vaginal microbiome and the recent surge in private testing. New novel Mrs Dickens by Emily Howes, tells the imagined story of Kate Hogarth, wife of the writer and journalist Charles Dickens. She is much loved at first, but as Charles finds fame and the family rise through the ranks of Victorian society, Charles's attitude towards Kate changes and she is devastated. Emily talks to Anita about how she pieced together and embellished the invisible life of Kate, a woman who bore Charles 10 children during a 22-year marriage and had an unparalleled view of one of the world's greatest writers.Presenter: Anita Rani Producer: Corinna Jones
For most people, donor eggs is at the bottom of the list. It is not where you wanted to land. And if your clinic is recommending it, something in you is saying there has to be more to look at first. Here is what we see every week. The donor egg recommendation rarely arrives after a complete workup. It arrives after looking at the AMH, the FSH, the follicle count, maybe a basic semen analysis, and maybe being told your TSH is normal. Those numbers are real. The diagnosis is real. What gets called complete is the question. This episode is the 11 specific things we most often find skipped before the recommendation gets made. Pull it up. Take notes. Bring it to your next appointment. The 11 patterns: 1. Thyroid, the full panel, not just TSH 2. The gut, including H. pylori 3. Hidden food sensitivities 4. Medications you are already on that affect fertility 5. The vaginal microbiome 6. The seminal microbiome 7. The male partner's full bloodwork 8. Sperm DNA fragmentation 9. Vaginal and seminal cross-contamination between partners 10. The nervous system and HPA axis 11. Liver function and hormone clearance These are the tests that sit outside the standard fertility workup. A 2024 study in Archives of Gynecology and Obstetrics found that ovarian reserve markers like AMH do not significantly predict natural conception in women with regular cycles. The donor egg recommendation comes from one snapshot, not the full investigation. If this is the first episode you have landed on in this series, go back and listen to "Told Donor Eggs Are Your Only Option? Ask This First," then "How Long Should I Try With My Own Eggs Before Donor Eggs?" then "The Gut Findings Your Clinic Did Not Look For," and "Multiple Failed IVF And Told Donor Eggs?" This episode brings all of it together. WHAT YOUR CLINIC MISSED The companion guide walks through all 11 of these patterns in more detail, so you can take it to your next appointment and ask the questions. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide. FUNCTIONAL FERTILITY SECOND OPINION A free 45-minute call where I review your labs, your history, and your partner's results with you. You leave knowing what your biology has been telling you and what your next decision could be. Email hello@fabfertile.ca, subject line FERTILE, or book here. ABOUT THE HOST I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. If this episode helped, leave a review on Apple Podcasts. It is how other women find this work. TIMESTAMPS 00:00 The Donor Egg Recommendation and What Gets Called Complete 01:00 Who's Reviewing Your Case at Fab Fertile 02:00 Thyroid: The Full Panel, Not Just TSH 03:00 The Gut and H. pylori 04:00 Hidden Food Sensitivities 05:00 Medications That Affect Fertility 06:30 The Vaginal Microbiome 08:00 The Seminal Microbiome 08:30 The Male Partner's Full Bloodwork 09:00 Sperm DNA Fragmentation 09:30 Cross-Contamination Between Partners 11:00 The Nervous System and HPA Axis 11:30 Liver Function and Hormone Clearance 13:00 The Functional Fertility Second Opinion
I've brought together some of my best conversations on menopause and perimenopause with Dr. Jessica Shepard, Dr. Vonda Wright, and my wife Sage. Covering why your "normal" labs miss it, how a frozen shoulder can signal hormone changes, and the truth about hormone therapy. If you're navigating midlife, this video is for you. CLICK HERE TO BECOME GARY'S VIP!: https://bit.ly/4ai0Xwg Connect with Dr. Jessica Shepherd Website: https://bit.ly/3Pf6ZHG YouTube: https://bit.ly/47La74k Instagram: https://bit.ly/3NG17Xu TikTok: https://bit.ly/416VYLb Facebook: https://bit.ly/4ryjyeE X.com: https://bit.ly/4192QaQ LinkedIn: https://bit.ly/3Nhrm6x Connect with Dr. Vonda Wright Website: https://bit.ly/439JGmN YouTube: https://bit.ly/43EDGTe Instagram: https://bit.ly/47UjwHl TikTok: https://bit.ly/3X7Mcq2 Facebook: https://bit.ly/3JGqEhi X.com: https://bit.ly/4oiKJt1 LinkedIn: https://bit.ly/3Lj4T7K Connect with Sage Workinger-Brecka Instagram: https://bit.ly/44sN390 Thank you to our partners A-GAME: “ULTIMATE15” FOR 15% OFF: http://bit.ly/4kek1ij AION: “ULTIMATE10” FOR 10% OFF: https://bit.ly/4h6KHAD AIRES: "ULTIMATE20 " FOR 20% OFF: https://bit.ly/4a3Duze BAJA GOLD: "ULTIMATE10" FOR 10% OFF: https://bit.ly/3WSBqUa BODYHEALTH: “ULTIMATE20” FOR 20% OFF: http://bit.ly/4e5IjsV COLD LIFE: THE ULTIMATE HUMAN PLUNGE: https://bit.ly/4eULUKp CYMBIOTIKA: "ULTIMATE10" FOR 10% OFF: https://bit.ly/4tjyluP GENETIC METHYLATION TEST (UK ONLY): https://bit.ly/48QJJrk GENETIC TEST (USA ONLY): https://bit.ly/3Yg1Uk9 GOPUFF: GET YOUR FAVORITE SNACK!: https://bit.ly/4obIFDC H2TAB: “ULTIMATE10” FOR 10% OFF: https://bit.ly/4hMNdgg HEALF: 10% OFF YOUR ORDER: https://bit.ly/41HJg6S PEPTUAL: “TUH10” FOR 10% OFF: https://bit.ly/4mKxgcn SNOOZE: LET'S GET TO SLEEP!: https://bit.ly/4pt1T6V WHOOP: JOIN & GET 1 FREE MONTH!: https://bit.ly/3VQ0nzW Watch the “Ultimate Human Podcast” every Tuesday & Thursday at 9AM EST: YouTube: https://bit.ly/3RPQYX8 Podcasts: https://bit.ly/3RQftU0 Connect with Gary Brecka Instagram: https://bit.ly/3RPpnFs TikTok: https://bit.ly/4coJ8foX: https://bit.ly/3Opc8tf Facebook: https://bit.ly/464VA1H LinkedIn: https://bit.ly/4hH7Ri2 Website: https://bit.ly/4eLDbdU Merch: https://bit.ly/4aBpOM1 Newsletter: https://bit.ly/47ejrws Ask Gary: https://bit.ly/3PEAJuG Timestamps 00:00 - Intro of Show 04:23 - Perimenopause begins in your late 30s 05:16 - Why hormone symptoms don't show on labs 06:55 - The earliest warning signs to watch for 11:38 - Why the whole picture matters more than one number 13:33 - Frozen shoulder reversing after hormone therapy 13:46 - The misquoted study and the FDA reversal 15:37 - Good, better, best: when to start 20:11 - Frozen shoulder as a midlife inflammation sign 23:35 - Dispelling the estrogen and breast cancer myth 24:14 - Why estrogen affects every tissue in the body 29:44 - What "natural" hormone therapy really means 32:37 - Vaginal and facial estrogen, and collagen loss 35:31 - New data in 120 million women 37:59 - Sage's story: brain fog and frozen shoulder 43:31 - Reading the Dutch test results 46:36 - When mold and toxins muddy the picture 48:27 - Three weeks later: everything changed 52:37 - Don't let anyone say it's in your head Disclaimer: This podcast is for informational purposes only and does not provide medical advice. It is not intended for diagnosing or treating any health condition. Always consult a licensed healthcare professional before making health or wellness decisions. Gary Brecka is the owner of Ultimate Human, LLC which operates The Ultimate Human podcast and promotes certain third-party products used by Gary Brecka in his personal health and wellness protocols and daily life and for which Ultimate Human LLC and/or Gary Brecka directly or indirectly holds an economic interest or receives compensation. Accordingly, statements made by Gary Brecka and others (including on The Ultimate Human podcast) may be considered promotional in nature. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, Jillian Moehle focused on the latest evidence-based strategies for recognizing and treating Genitourinary Syndrome of Menopause (GSM). She explored newly updated guidelines from the American Urological Association, emphasizing the importance of proactive screening, a comprehensive approach to patient history, and the range of therapeutic options available, from non-hormonal treatments like moisturizers and lubricants, to hormone-based therapies including low-dose vaginal estrogen. Several points were raised, including safety considerations, the removal of the FDA black box warning on vaginal estrogen, and the crucial role of pelvic floor health in patient outcomes.Enroll now in: Under-Recognized, Under-Treated, and Misrepresented Realities of the Perimenopause and Menopause Transition, with Leslie Fuller, ND and Jillian Moehle, ND at https://pages.kharrazianinstitute.com/fuller-moehle-perimenopause00:00 Vaginal treatment recommendations and concerns05:26 Discussing hormone therapy alternatives08:13 Treatment options for vaginal health13:16 FDA removes black box warning15:24 Support for vaginal estrogen use18:13 Using GoodRx and applying cream22:00 Possible side effects and management24:54 Impact of GSM on women's health30:59 Podcast outro and resources sharingSupport this show http://supporter.acast.com/solving-the-puzzle-with-dr-datis-kharrazian. Hosted on Acast. See acast.com/privacy for more information.
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
“Every woman deserves the chance to have a real discussion about hormone therapy — and make whatever decision is right for her. I'm here to give information and answer questions. It's your body.”— Dr. Jacqueline RiedelThe doctor who finally has time for youDr. Jacqueline Riedel, DO spent 15 years in family medicine where she learned this: women's hormonal health in midlife was profoundly under-treated and misunderstood. In a busy hospital-based clinic, she'd start a long-overdue conversation with a patient about perimenopause symptoms… and have to cut it off because the schedule demanded it.So she left. She opened Magnolia Midlife Women's Health, a direct-care practice built on something simple but radical: unhurried, conversational visits where women can actually ask their questions, get real answers, and leave feeling seen.In this conversation, she covers what's really happening hormonally in your 30s, 40s, and 50s and why everything you were told to fear about hormone therapy probably isn't the full story.Perimenopause starts earlier than you thinkDr. Riedel sees women with perimenopause symptoms long before any changes in the menstrual cycle. If you've been dismissed, or told your symptoms are just stress or mom-brain, you're not alone. Symptoms she commonly sees:• New insomnia: can't fall asleep or waking for no apparent reason• Anxiety, often misread as “just life stress”• Persistent, unexplained fatigue• Hot flashes and night sweats• Mood changes including irritability, low mood, brain fog• Cycle irregularities such as heavier periods, irregular timingDr. Riedel's approach: map symptoms to your cycle. When do they happen? Are there patterns? She also rules out other common causes, including thyroid issues and iron deficiency before exploring hormone therapy as an option.MYTH BUSTINGThe fears holding women back from reliefTwo decades after the Women's Health Initiative (WHI) study was misread and sensationalized, fear still dominates the conversation around hormone therapy. Dr. Riedel sets the record straight.Myth 1: Hormone therapy causes breast cancer.Fact: Long-term WHI follow-up showed women in the hormone treatment group had lower rates of breast cancer. Even a first-degree family history is not a contraindication. And if breast cancer does occur in someone using MHT, their risk of dying is actually lower than in those not using it.Myth 2: The doses in MHT are dangerously high.Fact: Menopausal hormone therapy doses are far lower than those in oral contraceptive pills. If you'd prescribe the pill, you can't logically call MHT dangerous.Myth 3: Vaginal estrogen has systemic effects and should be avoided in cancer history.Fact: Topical vaginal estrogen has negligible systemic absorption. It reduces UTIs, yeast infections, urinary frequency, and pelvic floor dysfunction, even in women under active breast cancer treatment, per emerging oncology research. The FDA recently removed the black-box warning.TREATMENT OVERVIEWHow Dr. Riedel approaches careThere's no single protocol. Dr. Riedel listens first, identifying the top two or three symptoms most affecting quality of life, and builds from there.Progesterone for sleep & anxiety• Stimulates GABA production, a calming neurotransmitter• Helps with sleep onset and staying asleep• Reduces the racing mind at 2am• Often the first place she startsEstrogen for vasomotor symptoms• Addresses night sweats, hot flashes, palpitations• Keeps estrogen levels from dropping to “empty”• Preferred as transdermal (patch, gel, spray) to avoid blood clot risk• Added when progesterone alone isn't enoughVaginal estrogen for urogenital health• Reduces painful intercourse and dryness• Decreases UTIs and yeast infections• Supports pelvic floor health long-term• About 50% of women need this even on systemic estrogenNon-hormonal options when hormones aren't right• Newer medications targeting particular neurons in the hypothalamus (hot flash regulation)Things you can do and questions to askDr. Riedel's conversation offers practical starting points for women navigating this transition on their own or with a provider.01. Track your symptoms in relation to your cycleSleep disruption, anxiety, and mood changes that follow a cyclic pattern are often hormonal in origin. Note when in your cycle you feel worst because this information is gold for any provider visit.02. Ask your doctor to rule out thyroid and iron firstFatigue, brain fog, and sleep issues can also come from iron deficiency or thyroid dysfunction. Simple labs can clarify what you're actually dealing with before hormones enter the picture.03. Reconsider what's in your sleep toolkitAlcohol before bed worsens sleep, hot flashes, and anxiety, even though it feels like it helps. Benadryl/ZQuil, Ambien, and benzodiazepines disrupt true sleep architecture. CBT for insomnia has strong evidence and virtually zero side effects. 06. Consider this a second puberty — not a declineMidlife is a genuine developmental threshold. Dr. Riedel and Margaret Mead's concept of “postmenopausal zest” both point in the same direction: this can be a time of clarity, reclaimed energy, and real possibility if you get the support your body actually needs.REFERENCES & RESOURCES[Podcast] Kelly Casperson, MD — You Are Not BrokenUrologist and leading voice in the menopause space. Dr. Riedel's “gateway” into this field. Highly recommended for patients and providers alike.[Course] Rachel Rubin, MD — Physician Webinar SeriesSex medicine specialist and urologist based in Washington, D.C. Physician-only course covering the science of hormones, common fears, and evidence-based prescribing. Her tagline: “What are you afraid of?”[Course] Heather Hirsch, MD — Menopause EducationA well-regarded course for providers wanting to build competence in this space.[Organization] The Menopause Society (formerly NAMS)Membership, certification exam, slide decks, and a comprehensive textbook. menopause.org[Supplement Review] Labdoor.comIndependent third-party testing of supplement brands for purity and label accuracy.FIND DR. RIEDELMagnolia Midlife Women's HealthA direct-care practice built for women who are tired of feeling rushed, dismissed, and underserved. Long visits. Real conversations. Evidence-based care from a physician who actually gets it.Free 15-min consult Not sure if you need this kind of care? Book a quick call to talk through your symptoms and see if Magnolia is the right fit.Website: magnoliamidlife.comInstagram: @magnolia_midlifeUpcoming Event — June 30 Free public lecture at the Haddonfield Public Library: “Is It a Fad?” An evening on perimenopause, evidence, and what women deserve to know. Register through the library website.Thanks for reading A Mind of Her Own! This post is public so feel free to share it.
BOB AND TOM SHOW WEDNESDAY JUNE 3 20266:01 Attack of the wiener man-Here Come the Mummies6:05 Pat had shoulder surgery-He's fine6:10 Male members pick sides6:10 I'm a grower not a shower-Josh6:14 SIMPLI SAFE6:25 Letter-Brush my teeth in the shower6:28 Josh got in to puss laties class6:29 Letter-Husband loves my back scratches6:31 Big Bad John-Jimmy Dean/copyright6:33 Letter-Love Cajun Queen song by Jimmy Dean/copyright6:37 Small Sad Sam/copyright6:39 LEAN6:50 Cajun Queen Song explained by Tom6:53 Chicks Uber rating6:55 Little Bitty big John/copyright-Jimmy Dean7:06 Letter-look at my leg elbow=Knee-3 year old7:08 Letter-New Bob and Tom show-the Rotisserie man7:11 Letter-Remember they won't sell you a handgun if you are crying7:12 Devo song/copyright7:14 AMERICAN FINANCING7:23 Sports7:25 Have you ever wore spurs Tom?-Josh7:26 Had a cowboy kit as a kid-Tom7:33 Sex Mummy7:47 In Studio-Jess7:48 SWR-parade on Route 66 largest parade of classic cars-3596 cars7:53 Route 66-Nat King cole/copyright7:53 Tom says “before my time”7:55 Got your foreskin blown off in Civil War-Kristi8:03 Classic cars we would like to have8:10 Did anything happen to you after 1965, Tom?-Chick8:11 Vaginal health tips-mansplaining8:13 AURA FRAMES8:26 Windshield washing stations are empty at gas stations-Josh8:28 We need more flights-Josh8:29 More vaginal health tips-sleep naked8:30 I will never not sleep naked-Josh8:31 Josh's neighbor brought him chicken-he was in his boxers8:33 Vagina is a self -cleaning oven-Jess8:36 Alli is at the French open-Kristi calls her a bitch8:36 HYUNDAI8:47 Tom talks about his towel clips as a kid 8:48 Windows lead to the outside-Tom 8:50 Today in History 9:05 Dating a friends ex 9:07 Kissing Cousings Clip 9:08 Woman spent $50,000 to marry herself 9:13 SIMPLISAFE 9:26 More people charge their phones than put on sunscreen 9:26 Back to Tom's "Cowboy Kit" 9:31 Chick and Josh love tan lines 9:32 Woman suing Outback steak house-slipped on mashed potatoes 9:35 Please do not say my name in a non-comedy joke-Josh 9:37 AMERICAN FINANCING 9:49 Jess will be helping Pat play his guitar 9:51 Tom interviewing a DoDo bird 9:53 There is a McChicken on the menu Learn more about your ad choices. Visit podcastchoices.com/adchoices
Celia is a mom of four, an Air Force Technical Sergeant, and a passionate advocate for evidence-based communication in birth. In this episode, she shares her four very different birth experiences: a 36-hour induction ending in a forceps delivery and severe tear, another induction that turned precipitous, a breech Cesarean that felt calm and healing, and ultimately a hospital water birth VBAC at a hospital that DIDN'T allow water births! Celia opens up about prenatal depression, birth trauma, knowing your worth, switching providers, and the reality that both cesareans and vaginal births can be traumatic, and both can also be healing.Celia also sheds light on the power dynamics with navigating military maternity care as an enlisted service member treated by officers within the system. She talks about healing from an abusive relationship, how she opened her heart to love and trust again, and the unique challenges that come with a blended family. We encourage all Women of Strength to give grace to the younger versions of yourself just as Celia so beautifully exemplifies!Keywords: VBAC, hospital water birth, birth trauma, military maternity care, MTF, active duty VBAC, switching providers, forceps delivery, breech cesarean, advocacy, prenatal depression, precipitous labor, healing, hospital policiesPostpartum Support International Provider DirectoryNeeded Website: Code TVL for 20% OffThe Ultimate VBAC Prep Course for ParentsOnline VBAC Doula TrainingAdvertising Inquiries: https://redcircle.com/brands
Vaginal exams are one of the most common procedures during pregnancy and labor, but are they always necessary? In this episode, Deb sits down with certified nurse midwife Kara French to unpack when and why vaginal exams may be offered, what information they actually provide, and how parents can make informed decisions about their care. Together, they explore the role of vaginal exams both before and during labor, including why some providers routinely suggest them at the end of pregnancy and when they may truly impact medical decision-making. Kara also shares her philosophy around consent, labor progression, and helping families understand that cervical dilation is only one small piece of the birth picture. This thoughtful conversation offers expectant parents practical information, empowering questions to ask their care providers, and reassurance that they always have options when it comes to their bodies and birth experiences. Get the most out of each episode by checking out the show notes with links, resources and other related podcasts at: prenatalyogacenter.com Don't forget to grab your FREE guide, 5 Simple Solutions to the Most Common Pregnancy Pains HERE If you love what you've been listening to, please leave a rating and review! Yoga| Birth|Babies (Apple) or on Spotify! To connect with Deb and the PYC Community: Instagram & Facebook: @prenatalyogacenter Youtube: Prenatal Yoga Center Learn more about your ad choices. Visit megaphone.fm/adchoices
Hormone replacement therapy is one of the most talked about—and misunderstood—topics in women's health. For years, women were told HRT was dangerous. Now, the conversation is shifting, but many are still left confused about what's actually safe, when to start, and whether hormones are even right for them. In today's episode, I'm joined by Dr. Cindy Geyer from my clinic, The UltraWellness Center, to answer the most common questions we received from our audience about hormone replacement therapy, including: What the latest research actually says about the safety of HRT—including breast cancer and cardiovascular risk Why timing matters and the critical “window of opportunity” around perimenopause and menopause The difference between bioidentical hormones, synthetic hormones, compounded options, and patches vs. oral therapy How hormones impact sleep, brain fog, weight distribution, insulin resistance, libido, bone health, and healthy aging Natural strategies that can support hormone balance alongside—or without—HRT, including nutrition, exercise, stress reduction, and targeted supplements How functional medicine personalizes hormone therapy through testing, estrogen metabolism, gut health, genetics, and lifestyle factors Menopause is not just a hormone issue—it's a full-body metabolic transition. And hormone therapy isn't one-size-fits-all. The key is understanding your biology, your symptoms, and your long-term health goals so you can make informed decisions that support vitality, resilience, and healthy aging. Visit functionhealth.com for 160+ lab tests at just $365 a year. Want more on brain health? Sign up for the Brain Shaping Academy HERE. Have a question you'd love answered on Office Hours? Submit it here As a special thank you for our listeners, we're offering $300 off a Functional Medicine Consultation Package, the most comprehensive service offering at Dr. Hyman's Functional Medicine Clinic, The UltraWellness Center. To learn more and book your consultation, please schedule a New Patient Discovery Call at the link HERE and reference the Dr. Hyman Show. Disclaimer: Offer expires July 31, 2026. Functional Medicine Consultation Appointments must be booked by July 31,2026 but may take place at a later date. The initial call with a New Patient Engagement Coordinator is required to book the appointment. Offer not valid on other appointment types or existing appointments. Offer valid for bookings with Dr. Boham, Dr. Geyer, Dr. LePine and Dr. Papanicolaou. (0:00) Welcome, introduction, and overview of hormone replacement therapy (1:26) Introduction of Dr. Cindy Geyer and safety of HRT (4:13) Timing, risks, and cancer concerns with HRT (7:06) Functional medicine perspective and factors in starting HRT (12:10) Benefits, timing, and natural alternatives to HRT (16:33) Prescription, bioidentical, and compounded hormones (19:20) Symptoms improved by HRT and libido considerations (22:24) Vaginal estrogen, progesterone, and recognizing need for therapy (24:25) Health markers and types of hormone testing (27:08) Duration, contraindications, and tailored hormone therapy (33:34) Preview: Dr. Sharon Malone on breast cancer risk (42:24) Introduction and details of Brain Shaping Academy
In today's episode, Kristina shares her breech birth story following a long journey marked by cycle irregularities, miscarriage, and difficulty conceiving. At 40 weeks, she learned that her baby was breech and was scheduled for a C-section, despite having been told throughout pregnancy that the baby was head down.Unwilling to move forward with surgery, Kristina sought out an alternative and ultimately found a physician in Connecticut willing to support a hospital-based vaginal breech birth. She describes the pressure she faced from both her care team and loved ones, the process of transferring care late in pregnancy, and the decisions she made to stay aligned with her instincts.This episode offers a detailed look at late breech diagnosis, informed refusal, and the realities of navigating hospital-based breech birth. Kristina also shares what she would do differently and what this experience taught her about trust, decision-making, and preparation.#257 | Labor & Delivery Nurses' Roundtable: How Their Hands are Tied to Doctors' OrdersSend us Fan Mail Cozyearth: Use code DTB for 20% offNeeded
What if the body already knows exactly how to heal… but modern life keeps interrupting the process? In this profoundly emotional and paradigm-shifting conversation, Darin sits down with Australian wellness expert, author, and speaker Andi Lew for a sweeping exploration of trauma, birth, attachment, nervous system regulation, chiropractic philosophy, purpose, intuition, breast implant illness, and the forgotten wisdom of the human body. From the way we enter the world through birth, to the emotional wounds that shape our identities, to the systems that disconnect us from nature and ourselves, this episode is ultimately about one thing: reclaiming your innate intelligence and reconnecting to what it truly means to be human. What You'll Learn Why symptoms like fevers, coughing, and rashes may actually be signs of healing The body's innate intelligence and how modern medicine often suppresses it How trauma and emotional suppression shape physical health outcomes The connection between birth practices, attachment, and nervous system development Why "cry it out" parenting may create emotionally disconnected adults How posture, movement, and chiropractic care impact longevity and vitality The hidden reality of breast implant illness and medical gaslighting How trauma can unconsciously drive cosmetic enhancement decisions Why purpose, creativity, and service are essential for healing How reconnecting to nature, vulnerability, and authenticity changes everything Chapters 00:00:03 – Welcome to SuperLife and the mission of reclaiming sovereignty 00:00:33 – Sponsor: plastic toothpaste tubes, toxins, and environmental impact 00:01:06 – Endocrine disruptors and hidden exposure from everyday products 00:01:35 – Bite Toothpaste Bits and sustainable wellness solutions 00:02:47 – Introduction to Andi Lew 00:03:03 – 30 years teaching holistic health and wellness 00:03:24 – Symptoms as signs of healing—not dysfunction 00:03:51 – Chiropractic philosophy and the nervous system as master controller 00:04:07 – The hidden dangers of the cosmetic industry 00:04:19 – Introducing "Treasure Chest" and breast implant illness 00:04:49 – Trusting nature and reclaiming innate power 00:05:08 – Instant connection and unscripted conversation 00:05:43 – Why storytelling itself is healing medicine 00:06:35 – Indigenous wisdom, dreamtime, and human connection 00:07:00 – Education, service, and sharing wisdom with the world 00:07:30 – The courage required to share your voice 00:08:03 – Aging naturally and embodying wellness principles 00:08:47 – "Connected" and the body's innate healing intelligence 00:09:11 – Why vomiting, fevers, and rashes may be healing responses 00:09:53 – The danger of suppressing symptoms instead of listening to them 00:10:15 – Norwegian researcher: "The body never makes a wrong choice" 00:11:08 – Inflammation as intelligent communication from the body 00:11:32 – Emotional healing through chiropractic care 00:12:14 – The shocking story of abuse ending after nervous system treatment 00:13:09 – Purpose, excitement, and why "your cells sing" 00:14:01 – Courage, the heart, and following what excites you 00:14:47 – Childhood rejection of pharmaceuticals and synthetic medicine 00:15:11 – Discovering chiropractic philosophy and innate intelligence 00:16:10 – Reactive medicine vs proactive wellness 00:16:35 – Birth, attachment, and nervous system programming 00:17:15 – Vaginal birth, microbiome transfer, and stress adaptation 00:18:03 – Elective cesareans, fear conditioning, and birth trauma 00:18:29 – The disturbing origins of modern birthing positions 00:19:03 – Lotus birth and allowing natural cord detachment 00:19:43 – Returning the placenta to the earth and the cycle of life 00:20:09 – Dependency culture and forgetting our innate power 00:20:34 – "Cry it out" parenting and neurological consequences 00:21:18 – Babies "feigning death" and nervous system overwhelm 00:21:40 – Emotionally unavailable babies becoming disconnected adults 00:22:06 – Attachment parenting and human brain development 00:22:23 – Sponsor: Manna Vitality and frequency-based wellness 00:24:18 – Questioning inherited systems and reclaiming connection 00:24:53 – Darin reflects on premature birth and separation trauma 00:25:59 – The unconscious programming created in childhood 00:26:53 – Mothers instinctively regulating babies through movement 00:27:29 – Synchronizing heartbeats, breathing, and body temperature 00:28:19 – Breastfeeding, immunity, and sacred connection 00:28:39 – "If breastfeeding offends you, put a blanket over your own head" 00:29:16 – Society disconnecting us from natural immunity and instincts 00:30:00 – Jaw alignment, breastfeeding, and healthy aging 00:30:47 – Chiropractic care, posture, and visible signs of aging 00:31:29 – Humans as reflections of nature itself 00:32:04 – Reclaiming connection to nature and innate wisdom 00:33:13 – Motherhood, surrender, and slowing down 00:33:37 – Lactation consultants and forgotten ancestral wisdom 00:34:01 – Co-sleeping, hormones, and nervous system healing 00:34:27 – "Velcro babies" and learning presence through parenting 00:35:15 – Why babies teach adults to slow down 00:36:00 – Purification, attachment, and emotional regulation 00:37:03 – Darin reflects on Andi's embodied wisdom and energy 00:38:20 – Leaving Australia with two suitcases and a calling to serve 00:39:08 – "Hurrying up to slow down" 00:39:40 – Creativity, AI, and reclaiming imagination 00:40:21 – Permission, dreams, and pursuing your true calling 00:41:07 – Trauma, identity, and self-liberation 00:41:59 – Bruce Lipton, epigenetics, and changing gene expression 00:42:38 – Perception shaping biology and reality itself 00:43:02 – Darin's emotional reaction to Andi's April Fools joke 00:45:04 – Introducing "Treasure Chest" and breast implant illness 00:46:16 – Childhood trauma and the decision to get implants 00:47:05 – Feeling disconnected from femininity and identity 00:47:46 – Depression, anxiety, and unexplained physical symptoms 00:48:43 – Six surgeons, medical gaslighting, and ignored intuition 00:49:28 – "Women know their bodies" 00:49:53 – Beauty standards and the historical control of women 00:50:35 – The disturbing origins of breast implants 00:51:15 – Trauma, healing, and turning pain into purpose 00:52:01 – Why leaning into discomfort creates liberation 00:53:08 – Accountability, surrender, and refusing victimhood 00:53:55 – Darin reflects on Andi's energetic embodiment 00:54:59 – "You are not your age—you are your energy" 00:55:23 – Botox, emotional masking, and relationship disconnection 00:56:34 – The systems designed to keep humanity disconnected 00:57:19 – Edward Bernays, propaganda, and engineered consumerism 00:58:16 – Selling unhappiness to create endless consumers 00:58:39 – Human imagination, intuition, and untapped potential 00:59:09 – Dreams, synchronicities, and alternate perceptions of reality 01:00:15 – Near-death experiences and reclaiming health after explant surgery 01:00:59 – Returning to the "divine organic state" 01:01:26 – Breast implants as inflammatory drivers and systemic shutdown 01:02:09 – The body walling off toxins through scar tissue 01:02:29 – "If I don't get this out of me now, I'm dying" 01:02:50 – Waking up after surgery and "coming back online" 01:03:24 – The extraordinary healing intelligence of the body 01:04:05 – Closing reflections on reconnection, healing, and human potential Thank You to Our Sponsors Bite Toothpaste: Go to trybite.com/DARIN20 or use code DARIN20 for 20% off your first order. Manna Vitality: Go to mannavitality.com/ and use code DARIN12 for 12% off your order. Join the SuperLife Community Get Darin's deeper wellness breakdowns — beyond social media restrictions: Weekly voice notes Ingredient deep dives Wellness challenges Energy + consciousness tools Community accountability Extended episodes Join for $7.49/month → https://patreon.com/darinolien Find More from Andi Lew Website: andilew.com Instagram: @andi.lew Podcast: Well To Do Book: Treasured Chest Connect with Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness Key Takeaway "The body is not broken. It's constantly communicating, adapting, protecting, and trying to guide us back into alignment. But modern life has disconnected us from that wisdom. Real healing begins the moment we stop suppressing the signals, start listening deeply, and reconnect to nature, purpose, vulnerability, and the innate intelligence already living inside of us."