Podcasts about vaginal

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

[Rediffusion]---------Cette semaine dans Tout sur elles, Anna Roy nous parle de microbiote vaginal, de bactéries lactiques et de pertes… Des mots qui peuvent faire peur, par leur allure complexe, mais qu'il est pourtant important de comprendre: le microbiote est essentiel à l'hygiène du vagin et en parler permet de déconstruire les complexes et préjugés. Anna Roy évoque notamment les pertes vaginales, dont l'odeur et la couleur permettent de juger de l'état de santé du microbiote.Alors à quoi sert ce microbiote vaginal? Est-ce grave d'avoir des pertes odorantes? (non, mais il faut consulter) Et comment réaliser une bonne toilette intime? Notre sage-femme préférée vous dit tout dans cet épisode.Tout sur elles est un podcast d'Anna Roy, présenté par Nina Pareja, produit par Slate Podcasts.Direction éditoriale: Christophe CarronProduction éditoriale: Nina ParejaMontage et réalisation: Marius SortMusique: Victor Benhamou et Johanna Lalonde Hébergé par Audion. Visitez https://www.audion.fm/fr/privacy-policy pour plus d'informations.

Julie and Karinda are back from the NHAA Herbal Medicine Summit to tackle one of the most controversial, misunderstood topics in functional health: sunlight.Inspired by the hot-off-the-press book, In Defense of Sunlight by Rowan Jacobsen, they look past the rigid “slip, slop, slap” messaging to explore why sun avoidance might actually be driving our chronic disease epidemic. From the evolutionary biology of pale skin and blue eyes, to how your skin microbiome builds UV-resistant, cancer-fighting bacteria when exposed to natural light, this episode is a masterclass in circadian nuance.Ready to take this deeper and build your own strategic light routine? Join us for our upcoming live masterclass, Returning to Our Natural Rhythm: How to Use Sunlight and Darkness for Whole Body Health and Healing, on Thursday, July 2nd at 6:30 PM AEST. We'll show you how to assess your skin type, build a solar callus, and optimise your circadian biology from sunrise to bedtime.

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

Welcome to MENO — your go-to for perimenopause, menopause, and everything in between. Stop guessing and start sequencing. 30% of women have Bacterial Vaginosis (BV) at any given time, yet standard medical tests only look for a handful of microbes. Priyanka Jain, founder of Evvy, is using whole-genome metagenomic sequencing to close the gender data gap and help women reclaim their vaginal health. From recurrent infections to the hidden link between your microbiome and IVF success, we're decoding the 700+ microbes that dictate your reproductive well-being. IN THIS EPISODE, WE COVER: - The Standard Culture Failure: Why your "negative" test result still feels like an infection. - Microbiome & Fertility: The shocking impact of vaginal health on IVF and preterm birth. - Whole Genome Sequencing: How Evvy identifies pathogens, antibiotic resistance, and biofilms. - The "Lactobacilli" Defense: How beneficial bacteria create a protective barrier against STIs. - The Gender Research Gap: Why women have been historically ignored in clinical data. Welcome to MENO™ with Jacqueline Buckingham, the definitive destination for perimenopause, menopause, and everything on The Pause Spectrum™. RESOURCES: Get Tested with Evvy: https://www.evvy.com/ Follow Priyanka Jain: @priyankajain ABOUT MENO MENO is the definitive platform for menopause and perimenopause care — connecting women to trusted experts, solutions, and support https://joinmeno.com/ https://www.instagram.com/join.meno https://www.tiktok.com/@join.meno Follow our Founder/CEO on Instagram @jacquelinebuckingham Disclaimer: MENO is for general information and entertainment purposes only and does not constitute the practice of medicine in any way. MENO does not constitute professional health care services or medical advice. No doctor/patient relationship is formed as a result of this podcast. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of MENO is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard getting medical advice for any such medical condition they may have and should seek the assistance of their healthcare professionals for any conditions. Learn more about your ad choices. Visit megaphone.fm/adchoices

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

Millions of women experience painful sex after 50, yet many never discover the real reason behind it.The answer may have less to do with aging and more to do with powerful hormone changes happening inside the body. In this episode, learn how menopause affects vaginal lubrication, sexual comfort, libido, and overall health in ways that often go unnoticed. Discover the treatment options that may help restore intimacy, confidence, and quality of life.If you want to better understand painful sex after 50 and the solutions available, tune in to this episode.--------------Key TakeawaysPainful sex after 50 is often hormone-related.Estrogen decline can cause vaginal dryness.Low testosterone may reduce libido and arousal.Menopause affects vaginal tissue and blood flow.Longer foreplay can improve natural lubrication.Topical estrogen may relieve vaginal discomfort.Hormone replacement therapy may support overall health.Vaginal dryness should not be ignored.Pain during intercourse is often treatable.Medical evaluation can rule out other conditions.Menopause symptoms can affect relationships.Early treatment can improve quality of life.--------------Resources mentioned:Modern Man CribMediterranean DietGood Morning Wood SmoothieRenew with Dr. Anne--------------Curious about how you can boost your bedroom game and build lasting confidence? Check out the course at getwoodnow.com and start your journey to feeling like yourself again!--------------If you enjoyed this episode and want to learn more and get more tips, subscribe to The Modern Man newsletter for exclusive content delivered straight to your inbox! https://dranne.co/themodernman--------------Follow Me On:InstagramTwitterFacebookTikTokYouTube--------------For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://truongrehab.com/painful-sex-after-menopause-treatment--------------Want to regain control of your sex life? It's time to reverse the effects of ED on your life. Join the Modern Man Club and embark on your journey to complete recovery and community.--------------Reveal the FREE treatment most men ignore that solves thousands of erectile dysfunction cases every year, plus the 5 biggest mistakes you must avoid if you want to say goodbye to your ED. Uncover it all in my free eBook, available to download now.https://dranne.co/ebook

En este episodio de Solo Para Ellas, Allison Paredes y Leonardo Urrego se meten de lleno en un tema del que casi no se habla… pero que cada vez genera más interés: las cirugías íntimas femeninas. Junto a la ginecóloga experta en salud femenina y sexualidad, Diana Vélez, destapan mitos, verdades y todo lo que realmente hay detrás de procedimientos como la labioplastia, vaginoplastia, clitoroplastia y otros tratamientos estéticos genitales. ⚠️ Spoiler: no todo es estética… y hay muchas decisiones que se están tomando por presión externa sin saber las consecuencias. En este episodio vas a descubrir: ✨ Por qué cada vez más mujeres se operan la zona íntima ✨ Qué es realmente la vaginoplastia (y qué NO es) ✨ La verdad sobre el famoso “punto del marido” ✨ Qué pasa con el cuerpo después del parto (desgarros, cicatrices y dolor) ✨ Cuándo una cirugía es funcional y cuándo no ✨ Los errores más comunes en procedimientos íntimos ✨ Cómo influyen la mente, el deseo y la pareja en el placer ✨ Por qué no existe una “vulva perfecta” ✨ Casos reales de reconstrucción tras cirugías mal hechas Además, entenderás algo clave: no todo se soluciona con cirugía y muchas veces el problema no está donde crees. Un episodio sin filtros, necesario y súper revelador para conocer tu cuerpo, tomar decisiones informadas y dejar atrás los mitos sobre la sexualidad femenina.See omnystudio.com/listener for privacy information.

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, consultant obstetrician and gynaecologist Dr Fadi joins Laura for an open, practical conversation about pelvic floor health, incontinence, prolapse and the realities of modern obstetrics.Dr Fadi explains how childbirth, ageing and menopause affect the pelvic floor, and why so many women end up living with stress incontinence, prolapse and faecal incontinence in silence. He walks through the full range of treatment options — from physiotherapy and pessaries to urethral bulking, Botox, sacral neuromodulation, robotic surgery, and the mesh procedures paused in Ireland since 2018.The conversation also takes in interstitial cystitis, vaginal oestrogen, the impact of long inductions on older mothers, and the trade-offs women now weigh up between a vaginal delivery and a caesarean section. Dr Fadi closes with a reflection on his time working with Syrian refugees, where he met 13-year-old mothers and a 26-year-old grandmother.

You've increased estrogen.You've supported the gut.You've cleaned up the protocol.And… she's still dealing with dryness. recurrent UTIs., and discomfort that keeps coming back.At some point, it stops being a hormone conversation.When labs look “fine” and symptoms persist, adding more support doesn't fix the problem. It just exposes it.In this episode, Dr. Ritamarie sits down with Dr. Anna Cabeca to look at a pattern that gets missed in conventional and functional care: the vaginal microbiome.This is NOT a side topic but a primary driver.They walk through what happens when Lactobacillus balance is disrupted, why vaginal pH shifts matter more than most practitioners realize, and how these changes can create symptoms that look hormonal but don't respond to hormone-based approaches.You'll start to see why some cases don't resolve…and what to look at next when they don't.What's Inside This Episode?Normal estrogen… but persistent drynessWhy UTIs keep coming backWhen pH—not hormones—is the issueThe key Lactobacillus strains that matterHow antibiotics and HRT disrupt the ecosystemUrgency and leakage that aren't a bladder problemThe link to fertility, aging, and tissue healthWhy systemic protocols fail when the issue is localResources and LinksDownload the Full TranscriptDownload our FREE Metabolic Health Guide here. Join the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results. Check out other podcast episodes hereDr Anna's Resources and LinksDr Anna's Website: https://drannacabeca.comCheck out Dr Anna's productsFind her on Social Media FacebookYouTube: The Girlfriend Doctor: TikTokPodcast Labs & Testing Mentioned in This EpisodeThese tools go beyond traditional testing (HPV, chlamydia, gonorrhea, trichomonas) and help assess overall vaginal microbiome balance, including beneficial Lactobacillus species.MDL (Medical Diagnostic Laboratories) - Vaginal testing that includes both pathogenic organisms and beneficial bacteriaBiomeFX Vaginal Microbiome Kit - Advanced microbiome analysis to assess vaginal bacterial balanceTiny Health Vaginal Microbiome Test - At-home testing option for evaluating vaginal microbial healthGuest BioAnna Cabeca, DO, OBGYN, FACOG, is best selling author of The Hormone Fix and Keto-Green 16 and MenuPause. Dr. Anna is triple-board certified and a fellow of gynecology and obstetrics, integrative medicine, and anti-aging and regenerative medicine. She holds special certifications in functional medicine, sexual health, and bioidentical hormone replacement therapy. She lectures frequently on those topics and shares the secret behind the ebb and flow of intimacy as she demystifies the fascinating hormonal changes over time. She will help you discover how the “love hormone”, Oxytocin can breathe life into your relationship, and how Cortisol can take it away - and how the delicate balancing act of those hormones can reignite your libido and support a healthy relationship, most importantly the one you have with yourself.She is sassy, blunt, speaks from the heart and has a wonderful sense of humor, and this is why we call her The Girlfriend Doctor, because everyone needs a friend like her! She has personally developed natural products to help women balance hormones and thrive through menopause including the highly acclaimed Julva® cream for the vulva and MightyMaca® Plus, a powerful superfood blend. She lives in Dallas with her daughters, horses and dogs.

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

Barbara shares her powerful journey from a breech caesarean to a surprise breech homebirth. In this episode, we explore breech birth, advocacy, informed choice and trusting yourself when birth takes unexpected turns.After her first baby was discovered to be breech during labour, Barbara faced changing plans, hospital policies and important decisions that ultimately led to a breech caesarean birth.But her second birth unfolded very differently.Preparing for homebirth with a private midwife and birth team, Barbara experienced an unexpected and empowering surprise breech homebirth.This conversation explores:✨ Breech birth and hospital policies✨ Advocacy and asking important questions✨ Breech caesarean birth✨ Ultrasound estimates and informed decision-making✨ Vaginal seeding and postpartum planning✨ Homebirth preparation✨ Surprise breech birth at home✨ Trusting yourself and exploring your optionsBarbara's story is a powerful reminder that birth doesn't always follow a straight line—and that informed choices, good support and trusting yourself matter.More from Ashley:Join us in: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The VBAC Village⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Insta: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@ashleylwinning⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.ashleywinning.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join our⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ VBAC Homebirth Support ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Group here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Love the podcast? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Buy me a⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ coffeeDisclaimer: The VBAC Homebirth Stories Podcast is for educational and inspirational purposes only. The stories and opinions shared are personal experiences and should not be considered medical advice. Every birth journey is unique, and we encourage you to research, trust your intuition, and consult with a qualified healthcare provider before making decisions about your pregnancy, birth, and postpartum care.

In this episode of AUA News Inside Tract, Drs. Yahir Santiago-Lastra and Fenwa Milhouse break down genitourinary syndrome of menopause (GSM), a common but often overlooked condition. They explore why fear of estrogen persists, clarify the safety of vaginal estrogen, and share practical, real-world prescribing tips to help clinicians confidently treat patients and improve quality of life.

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

De acuerdo con la National Institutes of Health, 6 de cada 10 mujeres de entre 20 y 40 años presentan hipertrofia genital, que es cuando una mujer tiene un tamaño desproporcionado o asimétrico, tanto de ancho como de longitud, de los labios mayores o menores que superan los 4 centímetros de tamaño, y lo peor de todo ¡es que no lo saben! Invité a Mari Mar, cirujana plástica para que nos expliqué cómo el rejuvenecimiento vaginal les ayuda a tener una mejor calidad de vida y sexualidad. 

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

Vaginal dryness, insomnia, irregular periods, how are you treating your menopause symptoms? Hey Beauties, on this week's Five Minute Friday, we chat about different supplements and herbs you can rely on to treat your menopausal symptoms! Some of these include ginseng, dong quad, flax seeds, and many more! Hormonal replacement therapy is also a great option to alleviate any menopausal symptoms! Be sure to talk to your doctor before undergoing any treatments or supplements! Want to learn how to incorporate supplements and herbs into your daily routine during your menopause phase? Listen to find out more!

Welcome to MENO — your go-to for perimenopause, menopause, and everything in between. Is your sexual health stuck in "low-flow" mode? Most women don't realize that blood flow to the clitoris drops significantly after age 25. Lana Kerr, the creator of CO2LIFT, joins us for a world-first live demo of the carboxytherapy gel that is reversing vaginal atrophy, ending painful sex, and restoring sensation for women (and men) at any age. IN THIS EPISODE, WE COVER: The "Flaccid Clitoris": Why blood flow is the secret to sensation. Carboxytherapy 101: How CO2 triggers rapid tissue regeneration. Menopause & Cancer Recovery: Reversing dryness without hormones. Lichen Sclerosus: A non-invasive hope for chronic vulvar conditions. Live Demo: Watch exactly how to apply CO2LIFT for face and pelvic health. TIMESTAMPS: 0:00 – The "Flaccid Clitoris" Hook 0:02:47 – LIVE DEMO: How Carboxytherapy regenerates skin 0:12:58 – From Painful Chore to Pleasure: Lana's Backstory 0:26:46 – Hand Demo: Watch the instant "Glow" effect 0:32:51 – CO2LIFT for Men: Performance & Sensation 0:38:26 – Beyond Beauty: Medical uses for carboxytherapy 0:45:15 – Lichen Sclerosus: Relief for chronic vulvar pain 0:49:01 – Cancer Survivors: Restoring intimacy after chemo 0:54:16 – Mask Removal & Final Results RESOURCES: Shop CO2LIFT: https://co2lift.com/ Follow Lana Kerr: @thelanakerr Learn more about your ad choices. Visit megaphone.fm/adchoices

Editor's Choice:  Optimization of methylated DNA markers to rule out endometrial cancer in patients with abnormal uterine bleedingEditorial: Tampon-based methylated DNA testing for endometrial cancer: Promising innovation, but prudence before practiceHosted by: Charles N. Landen Jr., MD; University of Virginia Charlottesville, VA, USAFeaturing: Jamie N. Bakkum-Gamez, MD; Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USAJohn B. Kisiel, MD; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USAJoy M. Davis MD; Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USACheck out more content on the journal's homepage  at https://www.gynecologiconcology-online.net

durée : 02:30:09 - Les Matins - par : Guillaume Erner, Yoann Duval - Ce matin à 7h40, Guillaume Erner reçoit Mathieu Laine, qui publie "Les saisons de la liberté" (Grasset), pour une discussion sur la confusion qui règne à un an de la présidentielle. Il est rejoint à 8h20 par Charles Dantzig. A 7h17, Omar Brouksy révèle les dessous de la monarchie marocaine. - réalisation : Félicie Faugère

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."

For many women, trying to get a clear answer to their health problems can be challenging, if not downright frustrating. But it doesn't have to be this way. Joining us today is Priyanka Jain, co-founder and CEO of Evvy, a women's health technology company focused on closing the gender health gap by decoding the vaginal microbiome. In this conversation, Priyanka shares how her own experiences with unanswered symptoms led her to question the limits of traditional testing and explore overlooked areas of female biology. She explains the role of the vaginal microbiome in protecting reproductive health, how imbalances can contribute to inflammation and fertility challenges, and why many conditions are still misdiagnosed or missed entirely. They also discuss how Evvy's at-home testing works, what makes it more comprehensive than standard approaches, and where it can support patients across the fertility journey, from early planning to IVF. Tune in for an informative and empowering conversation about an often-overlooked factor in women's health! 

Yvette talks with the founder of gina, Korin Korman.  Korin, through her life long journey, started gina, a women's wellness brand dedicated to restoring comfort, confidence, and care to an often overlooked area of health. Korin has worked closely with physicians, nurse practitioners, and formulation experts, to bring together medical insight, thoughtful design, and natural ingredients to establish the use of coconut oil for internal vaginal moisturizing.  Korin's mission is to help women feel beautiful inside and out, and to create hormone-free solutions that support women through every stage of life.  Yvette and Korin talk about the importance of empowering the discussion of and accessibility to trusted and experienced vaginal care.  Learn more about gina by clicking on the link below:  https://getgina.com/pages/our-story

Good overall health for women requires good vaginal health.  Good vaginal health requires your lube to be made of high quality ingredients.   This is applicable for all women using lube vaginally, but especially around the time of perimenopause when vaginal dryness becomes more common, vaginal pH often starts to shift, the vaginal microbiome often changes and risk of infections goes up.  Most lubes can make all of those things worse, not to mention introducing toxins into your systemic circulation.  It's time to become more discerning about your lube ingredients.  The typical ones sold in grocery stores are not good enough for you.Reminder of our criteria we require our lube to meet: 1- Won't raise your vaginal pH 2- Won't alter your microbiome 3- Is isosmotic (matters for water based only)4- Doesn't contain any harmful ingredients (ie. any type of paraben, chlorhexidine gluconate, nonoxonol 9, propylene glycol, glycerin, fragrances, petroleum based oils, quaternium 15, polyquaternium 15, benzocaine, menthol, or any type of sugar)  Sex therapist Amanda Louder's podcast notes that list pH of different lubes and osmolality of different lubes:  https://amandalouder.com/podcast/295/ Dr. Anna Cabeca's waitlist for her lube, VelvėHer daily vaginal moisturizer with DHEA, Julva: $60.16Brands mentioned on “The Good List” of this episode:Coconu - both water based and oil based lubes $23Uberlube - silicone based $22Sutil - Especially promoted to women with a drop in estrogen $18Good Clean Love $15Aloe Cadabara flavored and unflavored $10Desert Harvest $22Sliquid $22My website: www.healthcouragecollective.com - let's hang out and get you confident and at peace about your hormone health and on track to not have to stop living before you die!Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!Join the Waitlist HereCome visit me: www.healthcouragecollective.comemail me: healthcouragecollective@gmail.com

In this episode, host DanaIrvine sits down with Jennifer Gularson PA-C to tackle the often-overlooked topics at the intersection of women's health, sexual wellness, and hormonal balance. Together, they explore what it really means for women to thrive throughperimenopause and menopause — from reclaiming libido and intimacy to understanding the science behind hormone replacement therapy. Jennifer brings her integrative and functional medicine lens to a candid, empoweringconversation that reminds every listener: you don't have to suffer in silence.About Jennifer Gularson,PA-C, IFMCPAs a menopause educator and board-certified Functional Medicine provider, Jennifer is deeply committed tohelping women navigate hormonal transitions with clarity, confidence, and evidence-based care. Her approach goes beyond symptom management — she addresseshormone, thyroid, and adrenal imbalances from a root-cause perspective, integrating lifestyle medicine, targeted nutrition, supplementation, and conventional therapies when appropriate. ocfhealingocfhealingJennifer believes menopause is not something to simply endure, but a pivotal season where the right supportcan dramatically improve quality of life. She practices at the Osteopathic Center for Healing in Rockville, Maryland, where she works collaboratively to deliver truly personalized, patient-centered care that examines the full picture of health — including genetics, environment, emotional wellbeing, andlifestyle patterns. ocfhealingocfhealingJennifer has been featured on Good Morning Washington and FOX 5, and is a sought-after podcast guest on women's hormonal health.Connect with Jennifer: ocfhealing.com/jennifer-gularson Key Takeaways•    Women frequently suffer in silence when it comes tosexual health during menopause — this episode breaks that silence.•    Hormone replacement therapy (HRT) can be alife-changing tool for improving quality of life when approached thoughtfully.•    Libido exists on a spectrum: understanding thedifference between spontaneous and responsive desire is a game-changer forcouples.•    Vaginal estrogen is a non-negotiable component ofsexual health for many women post-menopause.•    Peptides are an emerging area of interest for enhancingoverall well-being and sexual health.•    Open communication between partners — and with yourhealthcare provider — is foundational to healing.•    Integrative and functional medicine offer a holisticalternative to conventional approaches to women's health.•    Women deserve education about their bodies and theoptions available to them — knowledge is power.•    Health is a longevity game, not a quick fix. Giving yourself grace is part of the process. Memorable Moments"You just wait, you just wait.""It's a longevity game, it's not a quick fix.""Giving yourself grace, giving your body grace." Episode Chapters00:00  Introduction to Women's Health andHormones04:05  The Journey to Hormone ReplacementTherapy10:52  Understanding Libido and Intimacy16:44  The Role of Hormones in Women'sHealth23:44  Peptides and Their Impact onHealth33:14  The Importance of Communication inSexual Health Topics Covered#womenshealth #hormoneReplacementTherapy #libido  #intimacy  #menopause #sexualhealth #peptides  #communication  #integrativemedicine  #functionalmedicine  Connect & Resources

Episode 369: Dr. Kelly Casperson, interviewed by Sarah Reardon What happens when a urologic surgeon who has spent years treating women's bladder and sexual health sits down to answer every question she wishes her patients had asked sooner? You get this episode. In a role reversal from her usual hosting chair, Dr. Kelly Casperson is interviewed by Sarah Reardon for a wide-ranging, myth-busting conversation on perimenopause, hormone therapy, and what it actually means to advocate for yourself in a medical system that has historically under-served women. No gatekeeping. No fear-mongering. Just the science, the nuance, and the permission to want more. Perimenopause is not just hot flashes. The hormonal shifts of perimenopause and menopause affect your bladder, your sleep, your joints, your skin, your mood, and your sex life — often years before your period stops. Kelly breaks down what's actually happening biologically and why so many women are told their symptoms are "just aging." Local estrogen and systemic HRT are not the same thing — and you may need both. Vaginal estrogen treats the tissue. Systemic hormone therapy treats the whole person. Kelly explains the difference, who benefits from each, and how to have an informed conversation with your provider about what's right for you. DHEA and testosterone belong in the conversation. These hormones are not just for men. Kelly covers the evidence for testosterone and DHEA in women's health — including delivery methods, indications, and why so many women are never offered them. Finding a knowledgeable provider is hard. Here's how to do it. Not every clinician is trained in hormone therapy. Kelly talks about how to identify providers who are, and how to self-educate enough to advocate effectively in any appointment. Gut health, exercise, and alcohol all matter — but not instead of hormones. Lifestyle strategies can amplify hormone therapy; they're not a replacement for it. Kelly cuts through the supplement noise and explains what the evidence actually supports. Gender bias is real, and naming it is the first step. From the Women's Health Initiative fallout to the way women's pain is routinely minimized, Kelly addresses the systemic forces that have shaped (and limited) what women are offered — and how to push back. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠via4her.com⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠hcp.solvwellness.com⁠⁠. Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠ Learn more about your ad choices. Visit podcastchoices.com/adchoices

Send us Fan MailVaginal Estrogen, Libido & Testosterone : The Missing Conversation with Somi JovaidIn this episode, I sit down with Dr. Somi Jovaid to unpack one of the most important and often overlooked conversations in women's health today.We dive into the role of testosterone in women, the real story behind vaginal estrogen, and why so many women are left navigating midlife health without clear, proactive guidance. If you've ever felt dismissed, confused, or like you're piecing together your health from fragmented advice… you're not imagining it.Dr. Jovaid shares what she's seeing firsthand in the healthcare system, where the gaps are, and why it's more important than ever for women to step into the role of CEO of their own health.If you're navigating perimenopause, menopause, or simply want to feel more informed and in control of your health, this is a conversation you don't want to miss.Follow Dr Jovaid on InstagramFSFI Index - Female Sexual Function Index If you love total body workouts, and are looking to increase muscle, this Total Body Split Calendar (follow along video) is for you! Grab yours here today and get started.  The Move Daily Membership is a paid monthly subscription for women, which gives you access to a huge amount of resources to help support you in reaching your health goals. Whether you're looking to lose fat, gain lean muscle, focus on your nutrition, give time to wellness or simply wish to dial in your overall health, we can support you in achieving your objectives. Join today! Shop Legion Supplements and use discount code: MoveDailyThis is an affiliate link.Support the showUse discount code PODCAST10 for a discount on your Move Daily Membership. Don't fade out women, level up!Thanks for moving daily with us in your fitness, wellness and nutrition! Be sure to follow us here:YouTubeInstagramFacebookTikTokSubscribe to my podcast! 

This week we welcome Beth Crosby, aka Garbage Mom, to the show. Beth is an actress, comedian, and content creator.She started creating content during the pandemic as an outlet to connect with other women and share in the perimenopause transition. She now has over 250k subscribers and is the creator of Perimenapalooza™.We talk about her symptoms of perimenopause and how anxiety was one of the worst. We also chat about being in an industry that works last minute and isn't conducive to women being mothers.She shares how she had undiagnosed celiac disease that was causing a lot of issues and dealt with medical gaslighting from doctors until she finally got the right tests to discover what was going on.She also shares why, even though she knew how raw and honest she wanted to be, it's scary to really put everything out there online.And she shares some amazing attention she's getting from her idols—Alanis Morissette commented on her post about Perimenapalooza.She's hilarious, vulnerable, and completely unfiltered about what it's really like navigating perimenopause while trying to keep your career, marriage, and sanity intact.HighlightsGen X is the first generation refusing to accept the status quo whether it's breaking generational trauma or demanding better healthcare.If something feels off, keep going until you find the help you need.Motherhood is a gift but also hard.Vaginal estrogen can make a real difference when sex drive disappears.Freeze your eggs if you're young and unsure about timing.Couples therapy helps navigate the changes perimenopause brings to relationships.Don't accept "it's just your period" as an answer push for help.If you're experiencing symptoms that don't feel right, don't accept "it's just your period" or "this is normal" as an answer. Keep pushing until you find the help you need.Talk to your provider about what's actually happening. If they dismiss you, find someone who will listen.Subscribe to the podcast so you don't miss upcoming episodes.Connect with Beth:WebsiteInstagramGet in Touch with Me:WebsiteInstagramYoutubeSubstack

This episode unfolds as a candid Q and A, exploring some of the most common and often confusing questions women have about menopause, menopause hormone therapy MHT, and what it really means to age well as a woman. By the time women seek help, many feel unlike themselves. Common symptoms include hot flashes, night sweats, sleep disturbances, anxiety, irritability, and a noticeable decline in mood. Libido often drops. Weight gain can feel sudden and unexplained. Hair may thin. Skin becomes dry, and eyes can feel gritty. Vaginal dryness can lead to discomfort and even pain with intercourse. When women seek care, they are often met with what has historically been considered standard treatment, synthetic hormones, frequently in the form of birth control pills or hormonal IUDs. In some cases, therapies used in older studies such as the Women's Health Initiative are still being prescribed, despite those studies being widely reanalyzed and often misunderstood. This is where understanding the difference between bioidentical and synthetic hormones becomes critical. Bioidentical hormones, such as estradiol and progesterone, are chemically identical to the hormones produced by the human body. Synthetic hormones are structurally different. Over time, research has increasingly suggested that these synthetic compounds may carry more risk, while bioidentical hormones appear to be significantly safer. MHT has been shown to support cardiovascular health, reduce the risk of osteoporosis, and protect cognitive function. There is growing evidence that it may even reduce overall mortality when used appropriately. This reframes the entire conversation. Instead of asking how do I get through menopause, the question becomes how do I support my health for the next 30 to 40 years. A helpful framework is to think in five year increments. Every five years, a woman can reassess. Am I still benefiting from this. Do I want to continue protecting my bones, heart, and brain. For many women, the answer is yes. Others may choose to stop later in life as priorities shift or new health concerns arise. The key is ongoing, informed decision making. Another increasingly common scenario involves women who are well into postmenopause, sometimes 10, 15, or even 20 years beyond their last period, who are just now learning about hormone therapy and wondering if it is too late. We know that starting hormone therapy within 10 years of menopause offers the most significant cardiovascular benefit. Starting later may still help with symptoms, but the protective effects are less clear. There may also be a slightly increased risk of cardiovascular events, particularly when using oral estrogen. When it comes to safety, bioidentical hormones, especially when delivered through the skin via a patch, gel, or cream, carry a very low risk of blood clots. Oral estrogen has a slightly higher risk, which is why transdermal options are often preferred, particularly for women with additional risk factors. That said, no medical treatment is entirely without risk. What matters most is understanding the data, weighing the risks and benefits, and making an informed decision that aligns with personal health goals. Menopause is not simply an end point. It is a transition into a new phase of life. With the right information, support, and care, it can be a time of strength, clarity, and renewed health rather than decline. We Heart Nutrition 20% off with code: GENIUS Wonder Cow Colostrum Supports gut health, immune function 30% off your subscription with code: HORMONEGENIUS www.wondercow.com/hormonegenius

Prefer to listen? Play the latest episode below. Episode Summary Monday's show is a beautiful garbage fire of AI romance, vaginal odor scholarship, panic-wine thievery, and one Louisiana buffet possibly trying to turn roadside venison into dinner service. In other words, business as usual. Episode Highlights AI Love, But Make It Abusive The Top Five […] The post The Five Vaginal Smells You Need To Avoid first appeared on Distorted View Daily.

We are long overdue for an updated conversation on low estrogen — and today I'm pulling it all apart. Estrogen has been villainized for far too long, and I want to change that. This isn't just about reproductive health or getting your period. Estrogen is a master communicator that touches your brain, heart, bones, gut, skin, mood, sleep, libido, and so much more.   In this episode, I cover: Why low estrogen is one of the most missed and underdiagnosed issues for women between 35 and 65 The three types of estrogen (E1, E2, E3) and why estradiol matters so much beyond fertility Why estrogen often increases first in perimenopause before it eventually declines — and what that means for your symptoms The symptom clusters to pay attention to, organized by body system: Brain, mood & sleep — brain fog, anxiety, emotional flatness, rage responses, waking between 2–4am Body composition & metabolic health — belly fat shifts, muscle loss, fatigue, insulin resistance Skin, hair & connective tissue — collagen loss, hair texture changes, joint pain, frozen shoulder, ACL issues Vaginal & urinary health (GSM) — dryness, painful sex, recurring UTIs, urgency, bladder changes Cardiovascular & bone health — rising LDL, heart palpitations, hot flashes, bone density loss Gut & digestion — bloating, constipation, new food sensitivities, the estrobolome and estrogen recirculation The symptoms I personally would never ignore (waking 2–4am, joint pain without a clear cause, rapid body composition shifts, recurrent UTIs, brain fog affecting your work, heart palpitations) What to ask your doctor to test: FSH, LH, estradiol, progesterone, testosterone, full thyroid panel, fasting glucose and insulin, cholesterol, CBC, SHBG — and when functional testing like DUTCH or HTMA may be useful My thoughts on DIM, sulforaphane, calcium-d-glucarate, magnesium, adaptogens (ashwagandha, rhodiola, maca), omega-3s, creatine, collagen, and vitamin D Nutrition strategies — phytoestrogen-rich foods, cruciferous veggies, fiber, protein targets (30–40g per meal), healthy fats, and what to cut Movement priorities — why resistance training 3–4x/week is non-negotiable for bone, muscle, and metabolic health Hormone replacement therapy — what options exist, how to approach the conversation with your provider, and why your protocol will evolve over time   Let's dive in! Thank you for joining us today. If you could rate, review & subscribe, it would mean the world to me! While you're at it, take a screenshot and tag me @jennpike to share on Instagram – I'll re-share that baby out to the community & once a month I'll be doing a draw from those re-shares and send the winner something special! Click here to listen: Apple Podcasts – CLICK HERESpotify – CLICK HERE This episode is sponsored by: withinUs | Use the code JENNPIKE20 at withinus.ca for a limited time to save 20% off your first order and 20% off your first subscription order St. Francis | Go to stfrancisherbfarm.com and save 15% off your all your orders with code JENNPIKE15  Eversio Wellness | Go to eversiowellness.com/discount/jennpike15 and save 15% off every order with code JENNPIKE15 /// not available for "subscribe & save" option Free Resources: Free Perimenopause Support Guide | jennpike.com/perimenopausesupport Free Blood Work Guide | jennpike.com/bloodworkguide The Simplicity Sessions Podcast | jennpike.com/podcast Get 20% on thewalkingpad.com using code "JENNPIKE20" Metabolic Guide | jennpike.com/metabolic-guide Get discounts at happybumco.com using code "JENNPIKE" *code doesn't apply with Black Friday sale* Programs: Ignite: Your 8-Week Body Transformation Program | https://jennpike.com/ignite The Peri & Menopause Project  - Join the Waitlist | jennpike.com/theperimenopauseproject Synced Virtual Fitness Studio | jennpike.com/synced Services: Work With Jenn | https://jennpike.com/work-with-jenn/ Functional Testing | jennpike.com/testing-packages Business Mentorship | The Audacious Woman Mentorship:  jennpike.com/theaudaciouswoman Connect with Jenn: Instagram | @jennpike Facebook | @thesimplicityproject YouTube | Simplicity TV Website | The Simplicity Project Inc. Have a question? Send it over to hello@jennpike.com and I'll do my best to share helpful insights, thoughts and advice.

Oral hormone replacement therapy is typically not enough. The deficiency syndrome is irritating and predisposes to infections up to and including life-threatening pyelonephritisSupport the show

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Link Up w/The Morning Sickness Digitally All Over:Instagram: @hms_98_official, @bosskupd, @bretvesely, @dickToledoX/Twitter: @HMSon98, @DickToledo, @bretveselyFacebook: @HMSKUPDYouTube: @hmspodcast9320, @98kupdRequest/Call in/Wakeup Song line:(IN AZ) 602.585.9800More HMS: holmbergpodcast.com, 98kupd.comEmail: dtoledo@98kupd.com, bvesely@98kupd.com, bbogen@98kupd.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Ever wondered why your body feels out of balance after a swim or relaxing bath—even in your own home? Many women in midlife cope with recurring intimate health issues without realizing water exposure could be a hidden factor. This episode unpacks the science and everyday realities behind vaginal health, giving you practical clarity for preserving well-being in all stages of life. Vaginal and gut health are often overlooked in midlife, but subtle changes in immune balance, hormones, and environment can make a big difference. Natalie Tysdal welcomes Dr. Sheena Lim, founder of The BSeal, who shares her personal journey and offers grounded advice for protecting the vaginal microbiome—insights crucial for women who want to enjoy travel, exercise, and self-care with confidence. What you'll learn:     How the vaginal microbiome works—and why it matters more after 40   Links between gut health, immune resilience, and intimate well-being   Why pools, lakes, and even your home bathtub can disrupt delicate balance   What to know before choosing products like probiotics, bath bombs, or natural remedies   Simple, proactive strategies to care for your intimate health (not just treat problems after the fact) Navigating midlife should include feeling informed and supported about intimate wellness, not left guessing or overwhelmed by trial and error. This conversation validates your experiences and arms you with knowledge, so you can care for yourself with intention and peace of mind—whether you're planning a vacation or just taking time for yourself at home. Guest website: https://thevseal.com https://www.natalietysdal.com https://www.instagram.com/ntysdal https://www.tiktok.com/@ntysdal https://www.facebook.com/NatalieTysdal

Pussy air scrubbers/air purifying machines are running out of fuel in every state!

Livi by LiviWell is an FDA-cleared, single-use, soft polyurethane foam device designed to immediately absorb post-intercourse fluids (semen) to support vaginal health. Inserted like a tampon within 15 minutes post-coitus, it works in roughly 60 seconds to restore natural pH, helping to manage odor, dripping, and discomfort. Is this evidence-based? Listen in for details.1. https://www.biospace.com/press-releases/liviwell-secures-fda-clearance-for-livi-introducing-a-new-category-in-post-intercourse-vaginal-care#:~:text=Advertise-,LiviWell%20Secures%20FDA%20Clearance%20for%20Livi%2C%20Introducing%20a%20New%20Category,and%20other%20post%2Dintercourse%20fluids.2. Mngomezulu K, Mzobe GF, Mtshali A, et al. Recent Semen Exposure Impacts the Cytokine Response and Bacterial Vaginosis in Women. Frontiers in Immunology. 2021. 3. Abstract: ISSWSH/ISSM Joint Meeting 2025. Abstract citation ID: qdaf068.138 (155) SEMEN IS NOTTHEVAGINA'SFRIEND:ANOVEL POST-SEX TAMPON IMPROVES VAGINAL HEALTH PARAMETERS

Vaginal discharge questions are “three-line trap” questions: a short stem with just enough detail to mix up BV, candidiasis, and trich. Add cervicitis, PID, cervical cancer screening, Bartholin masses, and inclusive sexual history… and a lot of smart PA students still miss points they don’t need to miss. In this episode, we walk through how […] The post 162: Stop Missing Vaginal Discharge & PID Questions on Exams appeared first on Physician Assistant Exam Review.

If you've ever avoided anal because it hurt, felt intimidating, or just had too many unanswered questions — you haven't had the right conversation yet. Whether you're completely new to backdoor play or you've been doing it for years without the proper foundation, most people are skipping the steps that actually make it feel good. And that's not a problem. That's an education problem. In this episode, I sit down with nationally renowned anal surgeon Dr. Evan Goldstein — founder of Bespoke Surgical and Future Method — for the most honest, shame-free breakdown of anal health and pleasure you're going to find anywhere. In this episode, you'll learn: • Why anal sex should never be painful, what's actually causing the pain, and the exact 4-6 week protocol that prepares your body the right way • The truth about douching, wet wipes, and why most people are unknowingly damaging their anal microbiome before sex even starts • How to navigate anal with hemorrhoids, skin tags, or past injuries — and what your options actually are when something goes wrong This episode is sponsored by... Try Promescent Delay Spray today and get 15% off your first order. Just go to www.promescent.com/swe More Dr. Emily:  • Shop With Emily! Explore Emily's favorite toys, pleasure accessories, bedroom essentials, and more — designed to support your pleasure and confidence. Free shipping on orders $99+ (some exclusions apply).5 • Interested in 1:1 Coaching with Emily? Go to sexwithemily.com/coaching to apply!  • Sex With Emily Guides: Explore pleasure, deepen connections, and enhance intimacy using these Sex With Emily downloadable guides. • The only sex book you'll ever need: Smart Sex: How to Boost Your Sex IQ and Own Your Pleasure • Want more? Visit the Sex With Emily Website • Let's get social: Instagram | X | Facebook | TikTok | Threads | YouTube • Let's text: Sign up here • Want me to slide into your email inbox? Sign Up Here for sex tips on the regular. Chapters: 0:00 - Intro 1:51 - Meet Dr. Evan Goldstein: Anal Surgeon & Founder of Bespoke Surgical 3:46 - Where Does the Taboo Around Anal Come From? 6:54 - The Three Pillars: How to Prepare, Play & Recover 8:07 - The 4 to 6 Week Dilating Protocol Every Beginner Needs 14:08 - Lube 101: Silicone vs. Water-Based & When to Use Each 15:55 - The Lube Shooter, Empowering the Bottom & Why You Can't Assume Your Partner Knows 16:57 - Douching: Why Water and Store-Bought Enemas Can Do More Harm Than Good 20:33 - Less Is More: Gut Health, Fiber & How to Douche the Right Way 23:27 - Aftercare: What to Do If You Tear or Have Pain 24:19 - Beginner Tips: Positions, Partner Communication & Choosing the Right Size 32:38 - Listener Q&A: Hemorrhoids, Skin Tags & Can You Still Have Anal Sex? 36:43 - Listener Q&A: Colon Surgery, Couples Starting Out & Sex Positions by State 42:14 - Why Wet Wipes Are Wrecking Your Microbiome (Anal and Vaginal) 44:45 - Five Quicky Questions with Dr. Goldstein Learn more about your ad choices. Visit megaphone.fm/adchoices

Karen answers a listener's question about vaginal biofilms. What are they and why do they make recurrent BV and yeast infections so hard to treat? She explains how these bacterial or fungal communities form protective layers that resist standard treatment, reviews options that may help break the cycle and looks at at-home microbiome testing.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.