Podcasts about vaginoplasty

Cori and Nina endure 2 hours of neo-religious propaganda so you don't have to. Instead, you must endure 20 minutes of Nina attempting to recall plot points while Cori complains how long it's taking. Are the characters flat, or nuanced? Is the movie merely terrible, or does it have cult classic potential? Is the director cleverer than we give him credit for? How much can the Academy of Motion Picture Arts and Sciences humiliate itself? Cori eventually talks himself into giving two thumbs up for “The Room of 2024” while Nina is just glad it's over.Links:Emilia Pérez: https://www.imdb.com/title/tt20221436/Vaginoplasty song: The Room: https://www.imdb.com/title/tt0368226/?ref_=fn_all_ttl_2“Oh hi Mark”: Get full access to Heterodorx Podcast at heterodorx.substack.com/subscribe

Send us a textJoin us as we discuss Brooke Shields' shocking experience with a doctor performing unsolicited surgery. We explore the ethical concerns, patient rights, and the broader implications in the medical world. Tune in, then let's unpack it all over a fun coffee meetup. Grab your cup and join us!Brooke Shields Is Not Allowed to Get Old: Thoughts on Aging as a Womanhttps://amzn.to/3EpcMouListen to Lisa's "We're Allowed to Get Old" Playlist:https://open.spotify.com/playlist/71BNawTVtSS2shHIqwmB8F?si=MDxcnwbQSxSgZRCfqg4AjwMusic by:Golden Hour by Vlad Gluschenko https://soundcloud.com/vgl9

This is a free preview of a paid episode. To hear more, visit smokeempodcast.substack.com“I didn't transition to replace cis women in sports,” begins Brianna Wu, the straight-shooter who chats with Sarah and Nancy this week. “I transitioned because I wanted to get along.” Joined by Kelly Cadigan, who co-hosts their new podcast “Dollcast,” both women talk openly about the frustration of watching the trans civil rights conversation hijacked by extremists, pitting people against each other. We discuss how the election may have been affected by the trans issue, the challenge of integrating trans women into sports, and what a more sane approach to dealing with trans minors might look like.Also discussed:* The newest member of Sarah's family* Gamergate* Brianna just wants to have lunch uptown* Vaginoplasty, actually rare among trans women* “You do not want to know me without HRT”* The nonbinary phenomenon* “I don't have any delusions I'm a biological woman, just admit I'm a kind of woman, albeit a weird one.”* 15 is terrible for every girl!* “It's dangerous for me to out myself.”* Who drank the Zionism super-serum?Plus, the conundrum of granting grace, the hope that we've reached a reset on conversations, the sexiness of Seth Moulton, and more!

LaRell and Valerie Herbert are a married couple with a very unique story. During their time together, LaRell first believed he was a transgender woman and went through full sex trait modification before awakening to self-acceptance as a man. Join us as we explore their journey through somatic psychology and psychedelic integration. How did their relationship withstand the challenges of detransitioning, medical trauma, and identity crises? What impact did their individual traumas have on their journey? Discover the intricate dynamics of their blended family and the unexpected twists that unfolded as they navigated the medical pipeline of gender transition. How did their experiences with therapists and surgeons shape their perspectives on identity and healing? Tune in to uncover the profound insights and personal growth that emerged from their transformative journey.Valerie is a somatic trauma-informed mentor and teacher. She is an earth ceremonialist and weaves wisdom through understanding and learning more about our innate goodness and wildness from connection with Mother Earth and learning from her elements. Although she is classically trained as a systems thinker and understands theoretical approaches and methods of healing trauma, she finds that creating a deep, loving, consistent, and safe relationship and container is how people heal. Valerie helps people remember the wholeness of who they are.LaRell Herbert is a former transwoman who lived for years believing he was a female born in the wrong body. This belief led him to pursue hormone replacement therapy in 2017 at 36 and gender reassignment surgery in 2019, despite being married to a loving and supportive woman. Through introspection and self-growth, LaRell realized his gender identity was rooted in childhood trauma. In October 2023, he de-transitioned and returned to living as his biologically male self. His journey through trans ideology and lived experience as a trans woman has made him acutely aware of the tragedies young people face when sold the idea of medical transition for happiness. LaRell and his wife Valerie aim to raise awareness about the impact of transition on spouses and family members, recognizing that while transition is a personal choice, it significantly affects those around you.Books mentioned in this episode:"The Body Keeps the Score" by Bessel van der Kolk"The End of Gender" by Debra Soh 00:00 Start[00:00:00] Identity exploration and transition journey.[00:05:30] Shame and trauma in childhood.[00:11:45] Discovering transgender identity.[00:14:10] Inner dissonance in marriage.[00:18:51] Repression and trauma in relationships.[00:23:02] Transition and addiction parallels.[00:25:46] Taking female hormones' impact.[00:30:42] Hormone effects on emotionality.[00:33:45] Femininity and bone mass.[00:38:17] Fear of suicide and transition.[00:41:22] Blended family challenges.[00:44:32] Relational healing and gender ideology.[00:52:20] Vaginoplasty experiences and complications.[00:53:02] Post-surgical challenges in transitioning.[00:57:08] Gender identity and self-love.[01:01:19] Dissociation and body acceptance.[01:07:00] Gender identity and transition journey.[01:09:58] Gender identity realization.[01:12:55] The journey of self-discovery.[01:17:30] Unique life path and experiences.[01:22:16] Men's initiation retreats.[01:24:43] Best friends with therapist.[01:30:25] Real-life relationships and complications.[01:31:51] The Reality of Gender-Affirming Care. To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!Learn more about Do No Harm.Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.Check out my shop for book recommendations + wellness products.Show notes & transcript provided with the help of SwellAI.Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration.Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join my Locals community! Members get to ask questions I will respond to in exclusive, members-only livestreams, post questions for upcoming guests to answer, plus other perks TBD. ★ Support this podcast on Patreon ★

Amy brings passion to everything she does at LJC. From the front desk to managing accounts to IT support, she's our go-to guru for everything. Amy's expertise in plastic surgery goes beyond her two decades of experience at work, she's also a seasoned patient herself. Over the years, she's had a tummy tuck, breast lift with implants, and feminine rejuvenation and knows firsthand how life-changing these procedures can be.Get to know Amy in and out of the office and find out which procedure is on her future wish list.LinksRead more about AmyMeet Amy's plastic surgeons, Dr. Hector Salazar-Reyes & Dr. Johan BrahmeLearn more about tummy tuck, breast lift with augmentation and vaginal rejuvenationLa Jolla Cosmetic is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.To learn more, go to LJCSC.com or follow the team on Instagram @LJCSCThe La Jolla Cosmetic Podcast is a production of The Axis: theaxis.io 

After being unexpectedly recalled from his surgery fellowship at Yale to serve in Air Force hospitals during the first Gulf War, Dr. Red Alinsod discovered his passion for cosmetic gynecology.Following the war, Dr. Alinsod went on to build his career in pelvic reconstructive surgeries such as labiaplasty and vaginoplasty in Los Angeles. Later establishing his practice in Laguna Beach where most women are in their mid-40's, Dr. Alinsod became known as the “second chance doctor.” He specialized in restoring the moisture, blood flow, sensitivity, and bladder control women had in their 20's and 30's, often without the need for surgery.Through radiofrequency microneedling, lasers, Botox + PRP injections, and amniotic fluid injections, Dr. Alinsod is saving women's self esteem, intimacy, and comfort.Driven by his passion for advancing the specialty of cosmetic gynecology, Dr. Alinsod shares instructional videos on labial surgeries and non-surgical feminine rejuvenation treatments with other doctors through his online training platform, GynFlix.To learn more about Dr. Red AlinsodFollow Dr. Alinsod on Instagram @vageniusmdGynFlix online aesthetic gynecology trainingSubscribe to the feminine wellness newsletterSubscribe to the cosmetic gynecology newsletterSubscribe to the labiaplasty newsletterABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple.  We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast?  Book a free 30 minute recording session at meetthedoctorpodcast.com.

Women throughout Dallas and beyond seek the help of gynecologic surgeon Dr. Wesley Anne Brady to feel comfortable and confident through feminine rejuvenation treatments.Women often visit Dr. Brady for revision surgery after going to a general gynecologist for labiaplasty as her eye for aesthetics helps them look as good as they feel.Freeing her patients of the pain and insecurities that hold them back from doing what they love is the driving force of her philosophy, whether it be through labiaplasty and vaginoplasty or nonsurgical treatments such as EmpowerRF, Mona Lisa or Votiva.Determined to help women enjoy happy and healthy intimate lives as late as their 80's, Dr. Brady offers hormone replacement therapy and exosomes.To learn more about Dr. Wesley Anne BradyFollow Dr. Brady on Instagram @drwesleybradyABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple.  We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast?  Book a free 30 minute recording session at meetthedoctorpodcast.com.

Non-Binary Male In Canada Demands Male And Female JunkYouTube ChannelRumble ChannelBecome a supporter of this podcast: https://www.spreaker.com/podcast/radio-baloney-the-richie-baloney-show--4036781/support.

Seattle public schools set to remove gifted and talent program for more “inclusive, equitable, and culturally sensitive” alternative; NYC mayor claims that city's crime spike is simply a “perception problem”; US Immigration Services adds a third gender option to citizenship forms, continuing to complicate the border/immigration issues; Canadian citizen wants publicly funded “penile sparing vaginoplasty” This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit arkmedia.substack.com

Dr. Michelle Jones Singer knew early on that gynecology was her calling. Intensely passionate about education, she teaches women in person (and on TikTok), reassuring them that they aren't alone and transforming their lives through various treatments.Following residency, Dr. Jones Singer practiced in Flint, Michigan, where there were very few female gynecologists at the time. Realizing the area had an unusually large population of women who were suffering as a result of genital mutilation for cultural or social reasons, she leaned into the problem to help improve their lives.From surgical procedures such as vaginoplasty, labiaplasty, and hymenoplasty to non-surgical treatments such as MonaLisa Touch, ThermiVa, and O-Shot, Dr. Jones Singer offers a wide range of solutions for vaginal rejuvenation, urinary incontinence, and female intimacy.Away from her medical practice, Dr. Jones Singer is an accomplished voice over artist and uses her platform on Instagram and TikTok to speak up loudly about the taboo things women don't want to ask their doctor.To learn more about Dr. Michelle Jones SingerFollow Dr. Jones Singer on InstagramFollow Dr. Jones Singer on TikTok Learn more about Dr. Jones Singer's voiceover project, Michelle Savary ABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.

Join us for an enlightening conversation with two leading experts in vaginal tightening surgery, Dr. Amy Brenner and Dr. Red Alinsod. These highly experienced surgeons take us on a comprehensive journey through the intricacies of vaginal tightening surgery, covering everything from recovery and candidacy to the historical context, safety measures, and outcomes. Dr. Brenner talks with Dr. Alinsod about how he shifted into cosmetic gynecology and developed the advanced techniques to improve the outcomes for these surgeries. Episode Highlights: Recovery Insights for vaginal tightening surgery: Dr. Brenner and Dr. Red Alinsod share their insights into the recovery process after vaginoplasty. Learn about post-surgery care, expected timelines, and the importance of a supportive environment. Who is a Candidate?: Discover the diverse reasons individuals choose vaginoplasty and the factors that make someone an ideal candidate. The surgeons delve into the physical and emotional aspects considered during the evaluation process. Motivations Behind Vaginoplasty: Our experts explore the various motivations behind the decision to undergo vaginal tightening surgery. Whether it's addressing post-childbirth concerns, age-related changes, or enhancing personal comfort, understanding these motivations is crucial. Historical Context: Take a fascinating trip through the history of vaginoplasty as Dr. Alinsod provides insights into how the procedure has evolved over time. Discover the milestones, advancements, and shifts in societal attitudes that have shaped the history of this surgery. Safety Measures: Ensuring the safety of patients is paramount. The surgeons discuss the stringent safety measures in place during vaginoplasty procedures, providing listeners with a deeper understanding of the medical protocols and standards involved. Including why they choose to do vaginoplasties in office versus hospitals. Outcomes and Realistic Expectations:  Learn about the potential outcomes of vaginoplasty and how effective communication between surgeons and patients plays a crucial role. Tune in to this episode to gain valuable insights in this exclusive conversation with two expert vaginoplasty surgeons. Whether you're considering the procedure or simply seeking to understand more about this aspect of women's health, this episode offers a balanced and informative perspective. Remember to subscribe, rate, and share HealthiHer to stay informed on more empowering discussions. And for those searching for information on vaginal tightening surgery, you're in the right place! Learn about Vaginoplasty in Cincinnati like and subscribe!  Instagram- https://www.instagram.com/amybrennermd/ Facebook- https://www.facebook.com/DoctorAmyBrenner YouTube- https://www.youtube.com/c/AmyBrennerMD Special Guest - Dr. Red Alinsod - Alinsod Institute Dr. Red Alinsod completed medical training at Loma Linda University Medical Center in 1990. He served a 12-year Air Force career with 4 active duty years at George and Nellis Air Force Bases. He has practiced in Southern California and now in Texas and Nevada. Red has built a thriving cosmetic urogynecology following. He is the Director and founder of South Coast Urogynecology and The Alinsod Institute for Aesthetic Vulvovaginal Surgery (an educational center) and Gynflix (Online e-Learning). His International teaching program is the first of its kind to combine both pelvic reconstructive and aesthetic principles together. He has trained many of the world's leading doctors and instructors in cosmetic gynecology and has presented his techniques worldwide for over 27 years. He is co-editor of Female Cosmetic Genital Surgery, Concepts, Classification and Technique, the seminal textbook for plastic surgeons and gynecologists in this rapidly growing field. He is the Founder and Chairman of CAVS (Congress on Aesthetic Vulvovaginal Surgery), the oldest and longest running Congress dedicated to Female Cosmetic Genital Surgery. It is now incorporated into The International Society for Cosmetogynecology, the Grand Daddy of the field. He is the inventor of the “Barbie Look” and “Hybrid Look” Labiaplasty, Medial Curvilinear Labia Majoraplasty, Central and Lateral Clitoral Hood Reduction, In- office No-IV Labiaplasty, Perineoplasty, Vaginoplasty, Micro Tumescent Labial Block, Pudendo-Levator Block. He is the inventor and patent owner of the Lone Star APS Vaginal Retractor, APS Surgical Table, Alinsod Scissors, and various pelvic reconstructive devices and techniques such as Sling with Bladder Support and Implants and Procedures for Treatment of Pelvic Floor Disorders.

Many women, often after having children, seek ways to make sexual intercourse more comfortable for themselves and their partners. Dr. Johan Brahme answers all the questions women have about vaginoplasty to demystify this procedure. Often included in a mommy makeover, the pelvic floor is one of the main areas that needs rejuvenating after childbirth. Kegels can strengthen muscles, but a vaginoplasty tightens the gap between those muscles.Find out all you need to know about this “hush hush” yet life-changing procedure:What is it and what does it address?How much pain is involved?How long is the downtime?Are there any visible scars?Do OB-GYNs do this procedure?LinksMeet San Diego plastic surgeon Dr. Johan Brahme Learn more about vaginal rejuvenation La Jolla Cosmetic is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.To learn more, go to https://www.ljcsc.com/ or follow the team on Instagram The La Jolla Cosmetic Podcast is a production of The Axis: http://www.theaxis.io/

A board-certified gynecologist, Dr. Darren Lazare, is an experienced surgeon and committed advocate for women's health. He has been performing labiaplasty, vaginoplasty and other vagina reconstruction procedures for more than ten years, helping women regain confidence and achieve their desired aesthetic.Dr. Lazare is rated as the #1 gynecologist in Surrey, British Columbia according to RateMDs.Dr. Darren Lazare received his residency training in Obstetrics and Gynaecology at the University of British Columbia. He successfully completed his subspecialty fellowship training in female pelvic medicine and reconstructive surgery at the University of Alberta.  Dr. Lazare has been appointed as a Clinical Associate Professor at the University of British Columbia where he is the residency supervisor for the urogynecology program. He is a Surgeon Champion for the American College of Surgeon's National Surgical Quality Improvement Program (NSQIP). He is a committed advocate for women's health, medical education and quality improvement initiatives while maintaining a full clinical, reconstructive and cosmetic practice.Dr. Lazare's professional memberships include the Royal College of Physicians and Surgeons, the Canadian Society of Pelvic Medicine, the International Urogynecology Association, the International Continence Society and the American Urogynecology Society. https://www.drlazaremd.ca/meet-the-surgeon/https://www.instagram.com/drlazaremd/*******************I recommend checking out my comprehensive pelvic health education and fitness programs on my Buff Muff AppYou can also join my next 28 Day Buff Muff Challenge https://www.vaginacoach.com/buffmuffIf you are feeling social you can connect with me… On Facebook https://www.facebook.com/VagCoachOn Instagram https://www.instagram.com/vaginacoach/On Twitter https://twitter.com/VaginaCoachOn The Web www.vaginacoach.com

Dr. Michael A. Reed, is a board-certified OB/GYN and cosmetic gynecologist with a deep commitment to empowering women. With over twenty years of expertise in obstetrics and gynecology, Dr. Reed has helped countless women overcome a wide range of conditions and concerns.  Fellowship trained in cosmetic gynecology by Michael Goodman, MD, patients choose Dr. Reed because of his exceptional surgical skills, unwavering professionalism, and personalized attention. He approaches patient care holistically, utilizing cutting-edge non-invasive technologies, optimizing hormone therapies, and prioritizing active listening to address his patients' unique needs and desires. As a member of The American College of Obstetrics and Gynecology (ACOG), the North American Menopause Society (NAMS), and the International Society for the Study of Women's Sexual Health (ISSWSH), Dr. Reed remains at the forefront of advancements in female cosmetic surgery.   On the show, we talk about:  Dr. Reed's journey from OBGYN to Cosmetic Gynecology via Fellowship training with Dr. Michael Goodman, MD How a gynecologist is different from a cosmetic gynecologist  How to find a trained cosmetic gynecologist and what questions to ask your provider  Tips to Safety first in cosmetic gynecology and why you shouldn't assume your regular doctor can perform cosmetic surgery  What is a labiaplasty What is vaginoplasty  Functional components for getting a labiaplasty or vaginoplasty  The downtime and details of a vaginoplasty or labiaplasty  The reasons one would have a labiaplasty or vaginoplasty -  How cosmetic gynecology can address complications with the gastrointestinal sytstem due to laxity of the pelvic floor as an impetus for a vaginoplasty like bulging and splinting  Surgical vs non-surgical (energy-based devices)  Menopause  Andropause  The “zombie effect” of The WHI Trial  Estrogen and Cancer  The role of testosterone in women  The science of carboxy therapy  The anatomy of the vagina The components of the clitoris  Why our clitoris gets smaller as we age  Women using viagra  Procedures to increase blood flow  How a virtual consultation is done for cosmetic gynecology    How to find Dr. Michael Reed, MD, OB/GYN  https://drmichaelreed.com/ https://www.youtube.com/@thecosmeticgyn https://www.instagram.com/thecosmeticgyn/   Resources  ISSWSH https://www.isswsh.org/ NAMS North American Menopause Society  https://www.menopause.org/ ISCG  International Society of Cosmetic Gynecologists https://www.iscgmedia.com/about-iscg.html The Vulva Puppet  https://vulvapuppet.com/ Carboxy Therapy https://co2lift.com/   The HP Mug https://hugepussy.org/products/huge-pussy-mega-mug-2?_pos=2&_sid=f633c223e&_ss=r   Disclaimer:  CLITEROLOGY is for general information and entertainment purposes only and does not constitute the practice of medicine in any way.    CLITEROLOGY 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 CLITEROLOGY 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.  

Women all over South Florida know Dr. Mark Scheinberg for his exceptional results that leave them feeling confident and comfortable again after childbirth or aging changes.Although has delivered over 8,000 babies in his career, over time, though, his focus has transitioned into cosmetic gynecology and he has since been teaching plastic surgeons, obstetricians, and gynecologists all over the world his techniques.To learn more about Dr. Mark ScheinbergLearn more about what Dr. Scheinberg does at The Center for Cosmetic & Reconstructive Gynecology Follow Dr. Scheinberg on InstagramABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.

This is a free preview of a paid episode. To hear more, visit wesleyyang.substack.comToday's bonus podcast for paid subscribers is the first 40 minutes of my marathon  conversation with Corinna Cohn. Toward the end of that podcast, I referred to the beginning of our conversation as "tense." I don't mean that we were in any way hostile, just that it took a little while for us to fully establish our rapport and for the conversation to bec…

Dr Linda Baker visits the studio as we consider birth defects of the vagina... and the buccal mucosa vaginoplasty. Around 1 in 4,000 girls experience these birth defects, and using tissue from inside the mouth is less invasive than traditional repairs. We hope you can join us!

In this episode, KJK Student Defense attorneys Susan Stone and Kristina Supler talk with Dr. Michelle Fourcier, a Professor of Pediatrics, Assistant Dean of Medicine at The Warren Alpert Medical School of Brown University.  Dr. Forcier specializes in gender, sexual and reproductive health.  In this episode, they talk about what all the terms of LGBTQ+ mean, how pediatricians work with both parents and children about gender identity, and resources for parents to learn more about this complicated issue. Links: PubMed Website Show Notes: (04:12) Understanding the Gender Terminology within LGBTQ+ (06:59)  How Does Type of Care Different from Heteronormative (09:27)  Assigned Gender versus Gender Identity: What is the Difference? (12:16)  Is the Child Just Playing With Identities?  Or Do We Need to Act? (15:02)  When Does a Physician Decide if Hormones are Required? (16:44)  Do We Want Puberty in Children to Happen Later? (18:11)  How Pediatricians Work With Children to Keep Them Safe (19:15)  What are the Side Effects of Hormones? (20:52)  Blockers: What Do They Do? (22:43)  Conversations with Parents Who Are Not on Board with Hormones or Blockers (24:45)  When Do Children Go Through Surgery? (25:32)  When Surgery for Minors may be Necessary (27:46)  What are LARCs?  How Do They Prevent STIs? (30:36)  Dual Method for Birth Control and STI prevention (31:46)  Consider This Thought If Your 14 Year Old Child is Sexually Active (34:19)  Resources for Parents to Learn More Transcript: Susan Stone: So everybody out there listening to this podcast know that my, this is Susan and my daughter got married this weekend, and I'm a little tired.  But  Kristina Supler: though you think everyone knows that. Everyone doesn't actually know that.  Susan Stone: I know, but I felt the need. This is Real Talk guys out there on listening land. I am exhausted. But I had to come into work today cuz they knew that we had, the books, the recording of this podcast. And we're gonna talk about pediatric health for the L G P. Lg, I told you I'm tired. BTQ Plus community and I, Kristina, I just wanna have a conversation about the health needs and not a political conversation.  Kristina Supler: Yeah. I'm really looking forward to today's episode because I think there's so muchto talk about and learn to have more real conversations about the issues versus some of the politicized language that has pushed people into corners and people have in many ways shut down and are not open to learning new information. Susan Stone: and I think we're just forgetting that we're still talking about kids. So why don't you kick off the guest so we can just launch in and talk about whatever the health needs are of the kids and guys, let's leave the politics out. Okay? For once.  Kristina Supler: Today we are really happy to be joined by Dr. Michelle Fourier, who is an associate professor of pediatrics and an assistant dean at the medical school at Brown University. And with extensive training and experience in adolescent health and sexual healthcare, she's dedicated her career to addressing the unique needs of the LGBTQ plus youth.  Susan Stone: That is the guest we needed for today's podcast, a Doctor.  Perfect.  Dr. Michelle Forcier: So let's jump in.  Susan Stone: Let's just jump in. Dr. Fourier, can you explain exactly what you do for that population? Dr. Michelle Forcier: I have been a pediatrician for about 25 plus years. And I've been providing gender, sex and reproductive justice care, basically across the lifespanfor this period of time. And it's been a pretty exciting, community, pretty wonderful and satisfying community to work for and to work with. And the way I look at providing care for the L G B T Q community is that it really is primary care. Basically gender and sexuality are part of human identity. And they're there before we leave the womb. There's a neat study about in utero masturbation, which is kind of cool. So we get started early and we are gendered and sexual persons, until we die. So if we look at gender and sexuality as being a ubiquitous part of the human experience, and we look at biology as absolutely diversity is a part of biology. It's one of the basic tenets of biology. Then we understand that both sex and gender are gonna be diverse experiences for a range of different people and folks. And my role has been to provide care for some of our most marginalized community members, which is the L B G T Q I A plus. Sometimes it's easier just to say rainbow population. I like that.  Kristina Supler: Before we dive in further, just to get some terminology nailed down for our listeners who maybe aren't as familiar. you've spoken about gender and sex and we're referencing the plus, but can you just define those terms for our listeners, particularly the plus as well? Dr. Michelle Forcier: Sure. For many gender has been considered in this very binary, traditional way of male, female. Or heterosexual and homosexual. Sexuality is about who we love and who we're attracted to and who we have different sexual behaviors with. Gender is who we are. It's a part of our identity in terms of being masculine, feminine, non-binary and all the other ways that we could express, a gendered self. And the world for many years has been pretty limited in terms of only discussing these binary identities. I think with time, with improved social discourse, with the advent of the internet and increasing knowledge spread in, in diverse ways and diverse communities, we understand that there are many, many ways to be sexual and many ways to be gendered. So the L stands for lesbian, which are persons, we might say women who are attracted to or have sex with women. Gay usually is referenced to either, males or females who are attracted to the same gender partner, bisexual, historically has been the term for people who identify as being attracted to both males and females. But now we have even more inclusive terms, which are things like pansexual, which means gender doesn't factor into who I'm attracted to. Transgender or gender diverse are persons whose gender identity doesn't exactly match the gender they were assigned by their parts, chromosomes or hormones and birth. I is another. Initial for intersex or persons who have differences, in sexual development in the parts and organs they were born with. And A can mean asexual or persons who really don't have a sexual affinity or an interest in, sexual activity.  allied, And the plus means there are probably a million different ways, and we know there are a million different ways people may identify in terms of how they see themselves as a gendered person and their gender expression and gender role and gender self in the world, as well as their sexual, um, attraction, their sexual behaviors and their sexual identity in the world. Susan Stone: That's a lot. That's a lot. But here's messy. Something that comes into my mind, because you are a pediatrician. How do those differences make a difference in terms of just treatment for well visits? What is, what type of care is specific and unique to that population as opposed to what I would call a heteronormative child. Dr. Michelle Forcier: Sure. to be honest, in any visit, and again whether it's children or whether it's adults, we should be talking about these aspects of selfhood and behavior and health needs across the lifespan. Of course, we should do it in a developmentally appropriate way. So if we're gonna talk to a six year old about their gender identity, we might ask them, they're like, what is it like to be a boy or a girl? How does that feel to you? How do you express boyness? How do you express girlness, For a 16 year old, that may have very different words in terms of, how do you view your gender identity? What parts of it are comfortable for you, what parts are not comfortable? Do you have any questions? Again, the same with sexuality. Who might you have a crush on versus, a full sexual history forlater teen or young adult who's sexually active with one or more partners. So it's all about, again, using the language of the patient and understanding where they are developmentally to continue to talk about these aspects of both selfhood and wellness during health visits. Susan Stone: Well, I guess I wanna press you on that because I'm a mother of three. And I would say for the first 14 years of, checkups. It's, you know, height, weight, weight, vaccinations,  Kristina Supler: poking and prodding,  Susan Stone: poking and prodding, talking about school and milestones. We really,  Kristina Supler: or at least that was your experience with your child's children's pediatrician. Susan Stone: Yeah, but I just don't rem I don't think conversations regarding sex came into play until when the making a decision about the H P V vaccine or maybe when does menstruation start for that being the end of growth? I guess that's what I'm confused. Or birth control when that comes in. But other than that, I think of, how big is the baby? Dr. Michelle Forcier: And I'm thrilled that you ask about this. Because what I'm proposing is a slightly more advanced model of care in the sense that, again, if we know that there is gender diversity in the world and some youth present as gender diverse, gender exploratory as early as four, five, and six. Shouldn't we be talking to parents about, say again, educating people? Your child who is assigned male or female at birth. But we don't know what their gender identity may be later down the line. And that's the one or two sentences that a pediatrician can have with a parent to, again, describe and educate the difference between an assigned gender at birth and the fact that potentially two or three of probably more percent of the population of young people are going to be, or exploring gender, or at least talking about it over time. Then when we know that many youth undergo puberty and it's considered normal. As early as seven or eight year old, you can start having breast buds. By age seven or eight, it's considered within the normal range. You can be having a period by the age of 10. So if you're waiting for the magic number of teen years, 13, you've missed a whole bunch of folks that have already started many and of the stages of puberty and actually maybe completely, adult in their hormones and progressing toward adulthood very quickly in terms of their bodies.  So by waiting till kids are teens until quote unquote, they're ready to be sexual or ready to go through the process of puberty, we've missed the boat in preparing both parents and kids for helping their children approach adolescence, approach the changes of puberty. Approach the concepts of being a gendered or a sexual person in a healthy and supportive way.  Think about it. Wouldn't it be easy as a parent or easier as a parent to talk about sexuality when it's theoretical? Versus you're coming in because your daughter's pregnant and you didn't even know she was having sex? I would prefer to talk with kids in a developmentally appropriate way over time. So that kids are prepared to make decisions and that we're not going back and saying, okay, now we need to deal with an issue. Now we need to deal with a problem. Now we need to deal with some sort of health need versus let's talk about anticipatory guidance. Let's have our kids be healthy.  Susan Stone: I know that you are involved in giving T blockers or hormones.  Kristina Supler: Oh, I was gonna ask about that.  Susan Stone: Yeah. I'm really curious, when do you decide that's appropriate? What are the side effects? Are they safe and are they safe? And also, how do you know, and this is a lot, that a child's just not playing with identities and trying on what suit fits because there is discussion versus this is real and we need to act.  Dr. Michelle Forcier: Sure. So we know that gender play trying on identities is common among kids. It's how again, we explore and figure ourselves out. But every kid that plays with their gender identity and gender rules and gender expression doesn't get hormones and doesn't go to a clinician to go get hormones. So if a child is really thinking hard and long about their gender identity, and oftentimes they'll think about it quite a bit before they even talk to their parents, they'll have that conversation with their parents about maybe the gender they were B with were born with doesn't quite fit them. Or maybe it absolutely doesn't fit them. And we have kids really at young ages, just like they know their cisgender identity. We have some kids at very young ages know their transgender identity. Regardless as a parent, in some ways, it really shouldn't matter what their gender identity is. What you want is to create a home situation and ideally again, or early clinical situation where kids and parents have lots of information so they can explore gender in whatever ways make sense for that child in a safe and healthy way. If you look at the studies by Kay Olson, the Trans Youth, project, she shows that kids that grow up in supportive environments, kids who present early as gender diverse and exploring gender identity, she demonstrates that they look just like their cisgender peers in terms of anxiety and depression growing up in supportive households. Now a supportive household doesn't care. The endpoint is a happy and safe child. It doesn't matter which directions the child goes in terms of gender identity, because as an accepting and loving parent, I don't care what their gender identity is. I want my child to be authentic. I want my child to feel safe. I want my child to feel loved. I want my child to feel heard and respected. And it doesn't matter what their gender identity is. They're my child.  Kristina Supler: Is there an average age when the research shows children start to explore gender identity and conversations are starting to be had within households or is it different for everyone? Dr. Michelle Forcier: It's different for everyone. I've had 80 year old patients come to me and say, now is the time that they're ready to start their gender affirmation process.  Susan Stone: But I do wanna press back on the question. Yeah. Because there are parents who do want to help their child. Yep. Good hormones are a health option. And I think Kristina's question was a good one. When does a physician make, how does a physician, and when does a physician make a choice that this is appropriate and are they safe?  Dr. Michelle Forcier: It's not based on age. It's based on need. And so a patient will go through a very thorough evaluation. People don't just walk in clinic and get a shot of puberty blockers, people. Kristina Supler: What do those evaluations entail?  Dr. Michelle Forcier: Oh, long history. About home, about activities, about the family medical history, their medical history, their social history, substances, self harm and mental health issues, exposures at home, in school,  Kristina Supler: it's like I assume questionnaires are given to children and parents as well. Dr. Michelle Forcier: It depends. And I mean, I find that most kids would rather talk to me than fill out a piece of paper.  Susan Stone: Yeah. So we talk. So if you make the decision that it's appropriate, what are the, the benefits and what are the risks?  Dr. Michelle Forcier: So the benefits, again, just remember we're not having the same conversation about, say, kids that are using the same medication for precocious puberty. Again, just to remind yourself in the context of avoiding political chatter, same medicine, kids not talking about it at all. So these are very safe medicines that have been around for many, many years. And we've used them in first, studied them with precocious puberty. Again, completely reversible.  Susan Stone: because Provo, is it true doctor, that precocious puberty, which just for our listeners who mm-hmm. don't know what that is, that's the onset of pub. Pub of puberty, very, very early at life. And we wanna delay that as much as possible because they're now finding that, especially for females, you want a puberty go in later and menopause to be later.  Dr. Michelle Forcier: Well, you want puberty to be later for a couple reasons. Number one, it would be really, really weird to have a fully feminized body at age six. Horrible. Yes. So they're social as well as biological consequences. And these kids use puberty blockers far longer than many of our trans kids. Again without all the bruja about safety and effectiveness. So puberty blockers basically are an hormone analog, and they fool glands in the brain to shut down and stop secreting the hormones that trigger ovaries and testes to secrete testosterone and estrogen, the sort of puberty hormones that start to create adult body and adult sort of physiology. And by putting this temporary pause on those brain gland signals, the ovaries and testes just sort of rust. They stop secreting. And when we take away that hormone, the ovaries and testes start secreting again. So it's sort of like putting a pause button on your Spotify or your, your music player. Pause, lift it back up. The music starts right back where it was. It just has a delay in time.  Susan Stone: Have children ever gone back but forth and said to you, you were, they were on the medication and then said they changed their mind? Or do you see that when kids are evaluated, you make that choice, they're happier, more fulfilled, and they'll stay on it long-term? Or is it across the board?  Dr. Michelle Forcier: It's across the board. as a pediatrician, we wanna keep asking kids, is this the right path for you? Should we be doing this? Does this still help you figure out who you need to be, where you need to go? Or are, have you figured some of these things out and don't need puberty blockers anymore? Or have you figured these things out and now need gender hormones? It all depends on the child. So our job is not to push someone forward through gender hormones or puberty blockers. It's to keep asking kids, what do you need? And that's medicine 1 0 1 patient. Sure. What do you need? Where are we now? Things change in our body. Things change in our heart and mind. We have to keep talking and listening to kids to find out what they need. So if they need to stop, they should. And if they need to, start again because stopping actually demonstrated that they are really uncomfortable with the changes of puberty. Then, yeah, we can honor that request and honor their experience.  Kristina Supler: So what are the, what are some of the risks though, that can be attendant to taking these hormones?  Dr. Michelle Forcier: Well, the way I tell kids and parents having to come to the doctor to get a shot kind of stinks. So that's a risk and that's a bummer. Let's see if kids start these medicines very early in puberty, there's very little change in their internal hormone environment. So they don't have side effects like say, menopause, some hot flashes and some little bit of irritability as hormones are shifting.  Is growth impacted?  Growth usually, is, that's a great question. Impacted in the sense that, trans boys may have the potential to grow a little bit taller because we're gonna block estrogen's effect on growth plates. And for trans girls, again, we can work with them to look at again, their potential height or their, high trajectory to figure out how tall they are gonna be. And will that factor into, again, starting estrogen or gender hormones so we can use it again to inform our patients what their options are. So that they can be in a body that's comfortable and safe for them. Susan Stone: Well, is, are those blockers different than hor gender hormones to help, let's say in a trans. Would it be a child who identifies as trans male wanting to be female? I hope, again, I'm terms right and forgive me if I'm getting 'em wrong. So if you want to help someone develop the other way, or maybe a female by birth sex, who wants to be a male, is that a different type of hormone or medication protocol? Dr. Michelle Forcier: So blockers are used basically just to stop the current gonads, ovaries and testes from secreting, estrogen and testosterone. If a patient is either way past the beginning of puberty or a patient is on gender blockers, you know, puberty blockers, they can start the other hormones in the past referred to as cross-gender hormones to basically start the puberty that makes sense for them. So if I am identifying as female, and I have been on puberty blockers, At age, say 13 or 14 or 15 or 16, whenever again that child, that patient says it's appropriate for them, they have parent support and we all have a plan. They may start estrogen so that they can develop just like their peers. Which we think, again, has a positive health benefit in terms of, again, that congruence.  Socially with my body is developing just like my friends. I feel normal, I feel accepted, I feel like,I'm a part of my community. So for boys puberty usually happens a little bit later, so sometimes they might start their male testosterone hormones a little bit later, say, than females. But again, It's all dependent on when we first see a patient, how far they've gone through puberty, what they understand of their gender identity and where they are in terms of making a plan to affirm their gender identity or not, or just learn more and explore. Kristina Supler: What do you say to parents who are in your office with the child and the parent you can tell, just isn't on board with the child's desire to start hormone therapy or whatever the circumstance may be. What sort of conversations do you have?  Dr. Michelle Forcier: Would that ever happen? Never. So yes, that happens quite frequently. We have parents that want us to say, this is just a phase or a fad. Let me tell you, being transgender or gender diverse is hard in our culture. It's hard. And when we see kids in our clinic, the vast majority of the time, they're there for real issues, real goals, and real pain. And we need again to start with taking our patients at their word and carefully explore what they mean by their experience, their dysphoria or their goals. So I tell parents, listen, you and I are coming from the same place. I want a safe kid, a kid who's around alive participating in the world, the kid who's healthy. Who's mentally and physically healthy. We may come at it from slightly different approaches. You're coming at it as I expected my child to be cisgender and to I wanna walk them down the aisle, at their wedding and they're gonna have a baby and provide me with grandchildren. And my job as that child's pediatrician is to say, your child is telling me that their body, if it's to continue to develop, say, into a female body, is gonna create such harm, such discomfort with their physical self, such anxiety and depression because in their heart and head they identify as male. And so we have to really listen to your, your child and hear what they say in terms of how do we explore the identity you were assigned at birth with the identity that you are telling me you experience now.  Susan Stone: When do you talk about surgery? When does that enter into the conversation? Because it's, I think, One, I think it's a very different conversation. When do you start maybe blockers or hormones versus when do you actually put a child through radical surgery that you can't reverse?  Dr. Michelle Forcier: Most children don't go through quote unquote radical surgeries. In fact, children have far more radical surgeries for lots of other issues or problems, and they ascent to the process of surgery for whatever their healthcare needs, along with the consent of their parents. So I think that's the first thing to take that. would some children  Susan Stone: wa, I would say would wanna com complete the process right?  Dr. Michelle Forcier: But many children don't have necessarily the support or the resources to necessarily go through some of the more major and intensive surgeries. Vaginoplasty and phalloplasty creating a vagina and a penis are very intensive. People don't usually do that until after age 18.  Susan Stone: Okay. So it's not really a pediatric issue then?  Dr. Michelle Forcier: No. Now say there are some youth, and this is the more quote unquote common surgery, although again, with blockers, we don't have to do this quite as often now is say a child's developed breast at age seven or eight and say they identify longstanding as a trans male. Why? When they come see me at age 16, or they come see me at age 14 and by age 16 they're gender dysphoria regarding their adult size breasts, which they've had now for eight years is killing them. They're not showering. They're wearing a binder 24 7. They have suicidality and again, nothing's changed in their gender identity. Why would I say you need to wait two more years until the magic number of 18 to have a male chest construction knowing that nothing has changed from age six to now 16, and you have had eight years of female breast tissue That's harmful. The harm in that is far greater than the harm of saying you're 16, you've been through years of care with us. You're gonna be as assessed by a surgeon. The surgeon may require other information before they do your surgery. And then through this long standing process, not I come in the clinic and tomorrow I have my chest removed, oftentimes months to years I get my chest surgery and I no longer have to wear a binder 24 7 and I can take a shower. And look in the mirror.  Susan Stone: So it can be a pediatric issue. Yeah. Something that a pediatrician. Okay. That's all I wanted to understand. Yeah. Is this something that pediatricians deal with versus not? Dr. Michelle Forcier: Not too often. And most of the time when we get to the point of surgery, again, there may be a number of people involved including gender specialists as well as including mental health people as well as the team that works with the surgeon. So we're talking about a whole lot of people.  Kristina Supler: Dr. Forcier can you tell our listeners a little bit. I, in preparing for today, we came across the term or pneumonic I had never seen before. Lark. Susan Stone: I looked it up too.  Kristina Supler: How do you work with this population in terms of contraception and tell our listeners what a lark is and yeah,  Susan Stone: Because a lark is not a bird, guys. It's an acronym.  Dr. Michelle Forcier: No, and it's wonderful. It's a long acting, completely reversible contraception. They are a little device we can put in the arm or an intrauterine device we put in the uterus. So the I U D, right? Yeah, exactly. They're so effective in terms of preventing pregnancy.  Now we know that young people may not identify, they may identify as straight, but they have either same sex relationships. We also know that young women who have sex with women are actually at increased risk for STIs in pregnancy because they're not prepared.  Susan Stone: Wait, wait. So I was gonna say, if you have a child who tells you that they're interested in only sex with their own matching sex, not gender. Mm-hmm. Because that can be an identity issue. Yeah. You know what? I have to be honest with you, Dr. I would think, why do I need to go down the contraception path?  Dr. Michelle Forcier: Because the data says that young women who have sex with women get STIs and get pregnant because they're exploring well, but wait.  Susan Stone: But long act larks won't prevent an sti I only condom use. Correct. Or dances. They're not  Dr. Michelle Forcier: having sex barriers prevent  Susan Stone: STIs. yes. But given we all know, we can all say that. But we are in the world. World and teens engage in sexual activity. I like the idea of a lark in terms of, you don't have to depend on taking that pill and memory. You got, I gotta be honest with you though, it's not as good though in terms of St I. Infection prevention, is it?  Dr. Michelle Forcier: No, it's purpose is not to prevent STIs. To be like asking your microwave to show you a TV show. Your microwave isn't gonna play Netflix. It's a D, it's a d it's a device for a different purpose. So we need, so I feel like I'm missing about this. Talk about them as separate  Susan Stone: pieces. Help me out. help me out. I'm getting confused.  Dr. Michelle Forcier: I dunno.  Kristina Supler: I'll ask the dumb question. so I mean it's essentially an i u d . Dr. Michelle Forcier: What's essentially an i u D? A lark. Well, no, there's one that goes in the arm or and there's one that goes in the uterus. There, there are different kinds of long, I was confused. Thank you. Yeah. Got it. Cause it's just about the location of the implant. Some young people don't want people putting things in their uteruses. They don't want a pelvic exam. They're freaked out. And so that little rod in the arm that suppresses ovulation, wonderful. Very effective, very easy to put in and take out. Nice.  Kristina Supler: So it's really about patient comfort and what the patient is more,open to.  Dr. Michelle Forcier: Shouldn't that be patient care 1 0 1 anyway?  Susan Stone: Yes. Yeah. But, but, but we still need to insist that students are mindful of using condoms or other ways of preventing disease. So what do you recommend a LARC plus what Dr. Michelle Forcier: I mean the lit well number when the literature shows that, dual methods are wonderful and especially dual methods of STI protection with some sort of barrier method or condom, internal external condom. Or again, a lark in terms of a long-acting reversible contraceptive.  So again,think about the story. You have a parent coming in and she's worried about her teen being sexually active, right? And she says, I don't wanna, I don't wanna allow her to have birth control, even though she tells me this is what she wants, cuz that's gonna give her permission to have sex. Do you really think the parent allowing birth control gives that child permission to have sex? Or do you think that child's gonna make that decision to have sex on their own?  Susan Stone: You're talking to two lawyers whose whole practice is dealing with students and issue sex issue. So and and I have to gather that people who listen to our podcast are well on the way of understand. I guess our questions are focused differently because really our parents all are very supportive of their students and their choices. We're very lucky that by large, by and large, not all of 'em, but. By and large. Yeah.  Dr. Michelle Forcier: but I think the main thing is your kid's telling you they need something and you may not agree with the fact that you want them to be sexually active. Most of us aren't super excited to think about like our 14 year old being sexually active, but I'm not a 14 year old. But if my 14 year old is sexually active, I would really wanna make sure they had good birth control and I would really wanna make sure they understood things like consent. Saying no, saying you need to use a condom. And walking away from that encounter feeling empowered and safe. We don't how Advocacy, yeah. Yeah. If we don't talk about sex and how to manage it, how are young people gonna make thoughtful decisions? And safe decisions.  Kristina Supler: What are some of the most promising or not promising, pressing health issues facing the lgbtq plus community today?  Dr. Michelle Forcier: I thought we weren't gonna talk about politics and legislation. so I'm gonna say health issue. Health issue. Health. Health issue. Yeah. Those are health issues though. Because those are about geographic and political access to care and a state by state basis.  Kristina Supler: So Access's huge. Yeah, funda fundamentally just, it's not even access so much access, the medicine or the science, it's access. Dr. Michelle Forcier: Sure. The science is actually a lot less exciting because the science is pretty consistent. In terms of avail, like different types of availability and access to care for larks is really important. The safety of abortion, the benefits, short term and long term of gender affirmative care.  The science, again, we're not seeing there's like a huge variance in terms of different outcomes in different studies. The outcomes are pretty consistent in terms of access to care improves outcomes. And a whole host of these sexual gender health issues.  Susan Stone: I have to tell you something. I learned something today because, I learned a lot. I did not know what a lot of these acronyms meant, and they're missing, I have to be honest with you. I like taking worries off the table and I did not think you had to worry about pregnancy when you have a child. I thought that, that's, a huge benefit is that's one issue off the table. Or I didn't think about the s t I issue. So I thank you for educating me.  Kristina Supler: Absolutely. I think that this has been a really good discussion with a lot of information for our listeners. And if, parents out there listeners want to learn more about you or any of your research or any good literature, where would you direct them?  Dr. Michelle Forcier: PubMed has lots of good information in terms of all the research. Not just me, but all the research that supports sort of making these types of decisions. Up to date is a nice summary of different information about gender, sexuality, and reproductive healthcare. I'm happy to come on with you guys if you ever wanna have a question and answer session. This is really important stuff and I'm really excited to talk science and to talk evidence and to talk about listening to kids. So I'm, I so appreciate what you're doing and happy to be helpful in any way.  Susan Stone: Thank you, and I'm concerned. I can't imagine, doctor, how many doctors in your area are across the country?  Dr. Michelle Forcier: I wish, that's what, that's why we keep talking about this healthcare being primary care. Primary care, pediatricians, family, medicine doc, nurse practitioners, we all should be comfortable talking about gender and sexuality because they're a part of our lives and they're a part of primary care. Yeah. So we're,  Susan Stone: I can, we're doing more and more training. Yes. Yeah. We do need more discussion about this. Because like I said, when I think of a well visit with the child, I do think of weight, health, and, pumping meningitis, getting,yeah. Yeah. So thank you.  Dr. Michelle Forcier: My 14 year old did not wanna talk about pooping and peeing. There were more pressing and more pertinent issues relevant to her life. Oh, than age 14.  Susan Stone: You need to spend a day at my house because, Pooping is an everyday conversation.  Dr. Michelle Forcier: Okay. And not that, I think it's time to wrap it up.  Kristina Supler: Time to wrap it up. Dr. Forcier thanks so much for joining us and we, hope our listeners enjoyed this episode. Dr. Michelle Forcier: Thank you. Bye-bye. Bye-bye. 

Transgender Teen Dies After Vaginoplasty Surgery Goes Awfully Wrong

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In this episode, VP of the APTA Connecticut Chapter, Dr Stephanie Weyrauch, CEO of Inclusive Care, Dr Krystyna Holland, and Obstetrics and Gynecology faculty member at Denver Health, Dr Jennifer Hyer, talk about bottom surgery and gender-affirming care. Today, we talk about vaginoplasty complications, pelvic floor goals post-vaginoplasty surgeries, and setting post-operative expectations. What are the barriers that trans people face when trying to access gender-affirming healthcare? Hear about pre-operative education, hysterectomy versus vaginoplasty outcomes, trauma-informed care, and hear their advice to healthcare providers, all on today's episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “You only have one time in your life to be post-op.” “The only way out of this is through.” “Give yourself grace, because you need to heal.” “Trauma-informed care is a commitment to continuing to try to reduce our own propensity for perpetuating harm.” “Once you start, you're going to see a lot of folks that need this care.” “Be honest about who you can help and what feels good for you.” “Not everyone currently is a safe person for trans and non-binary people, and that's okay. We are not all for everybody.” “We are seeing patients who are gender-diverse, and we need to be able to provide good care to people.” “If you don't change your environment, it'll change you.” “The hard work is always worth it.”   More about Dr Stephanie Weyrauch Dr. Stephanie Weyrauch is employed as a physical therapist at Physical Therapy and Sports Medicine Centers in Orange, Connecticut. She received her Doctorate in Physical Therapy and Master of Science in Clinical Investigation from Washington University in St. Louis. Dr. Weyrauch has served as a consultant for a multi-billion dollar company to develop a workplace injury prevention program, which resulted in improved health outcomes, OSHA recordables, and decreased healthcare costs for the company's workforce. She has served on multiple national task forces for the American Physical Therapy Association (APTA)—most recently, she was elected to the APTA Nominating Committee—and actively lobbies for healthcare policy issues at the local, state, and national levels of government. She currently serves as Vice President of the American Physical Therapy Association Connecticut Chapter and is a member of the American Congress for Rehabilitation Medicine. Dr. Weyrauch has performed scientific research through grants from the National Institutes of Health and National Science Foundation at institutions including Stanford University and Washington University in St. Louis. Her research examining movement patterns and outcomes in people with and without low back pain has led to numerous local, regional, and national presentations and a peer-reviewed publication in Archives of Physical Medicine and Rehabilitation, a top journal in rehabilitation.   More about Dr Krystyna Holland Krystyna Holland, DPT (she/her) is the founder and CEO of Inclusive Care, a physical therapy office in Denver, Colorado specializing in the provision of trauma informed pelvic floor care to individuals across the gender identity spectrum. Krystyna's journey as a provider started as a patient. Traumatic experiences in her own medical treatment inspired her to open Inclusive Care. In addition to helping folks feel confident in their ability to live without leaking and have intimacy without fear, Krystyna aims to change the fundamental patient-provider relationship from one that centers the provider as a problem solver to one that focuses on collaboration between the patient and the provider. She is a well-known Instagram educator (@Krystyna.Holland), an instructor of trauma-informed care trainings, and a healthcare consultant.   More about Dr Jennifer Hyer Jennifer Hyer, MD joined the Obstetrics and Gynecology faculty at Denver Health in 2007. She is an Associate Professor of Clinical Practice in Obstetrics and Gynecology at the University of Colorado School of Medicine. She completed medical school at the University of Tennessee Health Sciences Center and completed her Obstetrics and Gynecology residency at the University of Colorado. She is a Fellow of the American College of Obstetrics and Gynecology and a Diplomate of the American Board of Obstetrics and Gynecology. She is a member of the 2017 class of the Association of Professors in Gynecology and Obstetrics (APGO) Academic Scholars and Leaders Program. In 2022, she joined the Denver Health Medical Staff Executive Committee.  In 2021, she was honored by her peers with the Denver Health Outstanding Clinician Award. Her clinical activities include full scope practice of Obstetrics and Gynecology at Denver Health Medical Center as an attending physician. She has been providing surgical management for transmasculine patients since 2016. In 2018, she expanded her surgical skill set under the direction of Dr. Marci Bowers and Dr. Chris Carey to include vaginoplasty for transfeminine patients. She continues to provide these surgical services and is the only transfem bottom surgeon at Denver Health. She has presented Denver Health gender affirming surgical data at both national and international conferences. She hopes to expand the Denver Health Gender Affirming Surgical Program and participate in research opportunities to improve care of all LGBTQ+ patients.  She also has a research interest focused on maternal mental health, and she has presented on this topic at both the national and international level. She has received grant funding from the Denver Health Foundation and Zoma Foundation to support integration of behavioral health into obstetrics clinics. Additionally, she has partnered with colleagues at academic institutions within Denver to collaborate on projects to improve maternal mental health and access to support services.  Suggested Keywords Healthy, Wealthy, Smart, Gender, Transgender, Surgery, Gender-affirming care, Education, Advocacy, To learn more, follow Drs. Weyrauch, Holland, and Hyer at: Website:          www.inclusivecarellc.com.                         Dr. Stephanie Weyrauch.                         www.denverhealth.org. LinkedIn:         Krystyna Holland PT, DPT.                         Stephanie Weyrauch DPT. Twitter:            @TheSteph21. Instagram:       @thesteph21.                         @krystyna.holland.   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927  

There are many preconceptions about what is entailed in transitioning, both from a medical and a surgical perspective. In this episode, Zale speaks with a urologist who specializes in transition-related surgeries at the University of Toronto. Below is a link to a previous episode we ran called 'The Transgender Experience', which delves more into the personal experience of someone who has transitioned themselves: https://www.spreaker.com/episode/48733119This episode is sponsored by Uncertain Things - https://uncertain.substack.com/podcast

Today I speak with Dr. Gerry Agnew, a Consultant Obstetrician Gynaecologist who specialises in urogynaecology. We discuss all those issues that you were too embarrassed to talk about, even with your best friends- prolapse, urinary incontinence (leakage), sexual dysfunction, vaginoplasty and everything in-between. Dr. Gerry takes the stigma out of the female anatomy and addresses ALL your concerns.The Laura Dowling experience is sponsored by EMSELLA by BTL Aesthetics: Say NO to incontinence. Visit https://btlaesthetics.com/ for more information.The Laura Dowling experience  is brought to you by fabuwellness- nutritional supplements that merge the power of nature with the precision of science. Formulated and developed by Laura Dowling, Fabulous Pharmacist. Visit https://fabuwellness.com/ for more information.  . 

What we did this weekend. The Dolphins didn't look stellar. People that think they drink smart. It's Tooth Fairy day. How much did the Tooth Fairy leave you as a kid? Looks like Brady was in the Bahama's with the family. Dennis Rodman is going to Russia to try and get Britney Grimes. Best opening lyrics to songs. Bad first date.

What we did this weekend. The Dolphins didn't look stellar. People that think they drink smart. It's Tooth Fairy day. How much did the Tooth Fairy leave you as a kid? Looks like Brady was in the Bahama's with the family. Dennis Rodman is going to Russia to try and get Britney Grimes. Best opening lyrics to songs. Bad first date.

In our inaugural episode Luke and Dr Jamie Seeman cover everything from squirting, the cultural stigma surrounding the vagina, vaginal health, diet, natal nutrition and self-love, to name a few.Dr. Jaime Seeman is a board certified Obstetrician-Gynecologist with a background in Nutrition, Exercise and Health Science. She's a current Fellow in Integrative Medicine, a Board Certified Ketogenic Nutrition Specialist, wife and mom to three little girls.This episode is sponsored by Kion. Save 20% on Kion Aminos, Luke's fundamental fitness supplement. Click hereContraceptive mention:Phexxi - Click hereTo read:Real Food For Pregnancy - Click hereReal Food For Diabetes - Click hereYou can find her at:https://www.doctorfitandfabulous.comhttps://www.instagram.com/doctorfitandfabulous/https://twitter.com/JaimeSeemanhttps://www.youtube.com/channel/UC5V8mfAe3DDPpDZmzJgIGSA?reload=9https://www.facebook.com/doctorfitandfab/Subscribe or keep tuning in at:https://www.instagram.com/thelukecook/?hl=enhttps://www.tiktok.com/@thelukecook?lang=enhttps://www.youtube.com/watch?v=ElQgOmpsWBEhttps://thelukecook.com

Plastic surgery on occasion tackles some sensitive topics. Today's subject, labiaplasty, certainly belongs in that category. While other surgeries may have more social prevalence, such as breast augmentation or rhinoplasty, there is an emerging sensibility about the role labiaplasty plays.In this episode we cover the rise in popularity of labiaplasty here in the US, and how the taboo around it is slowly going away. We discuss the importance of understanding what a labiaplasty actually is, what it ultimately does, and the changes it can make for the women who choose to have the procedure. Highlights: Introducing labiaplasty and getting to the better information (00:00) What a labiaplasty actually is (02:00) Who gets labiaplasty (04:45) How the surgery is done (07:07) Recovery (12:15) Links:Dr. Jason Hall, MD Website: https://drjasonhall.com/ Twitter: twitter.com/jhallmd Instagram: https://www.instagram.com/jhallmd/ Facebook: https://www.facebook.com/DrHallPlasticSurgery/ TranscriptDr. Hall: Welcome to The Trillium Show, where we help you make the changes you want to see in your body, in your mind, and in your life. I'm your host, Dr. Jason Hall.All right, welcome to the show. On today's show, we're going to talk about a really sensitive topic. Now, most of plastic surgery, most of the stuff that we discuss on the show is really out in the open. Labiaplasty surgery is not there. It is still very hush-hush, obviously, and is not one of those procedures that people talk about at parties, or that you're going to discuss with a casual group of people like you would a breast augmentation or rhinoplasty surgery.However, labiaplasty is really becoming more popular in the United States, largely due to social media and a more relaxed attitude towards plastic surgery enhancements. Every year, there are about 10,000 labiaplasties performed in the United States and that number is going up. So, labiaplasty is a thing, for lack of a better term, and it is one of those things that people are looking for information for. And the reason to make this show, in particular, is that there really is not a lot of good information out there. There's a lot of social media stuff; not a lot of great information.So, why I really wanted to record this episode is to give you good information about what a labiaplasty is, what it treats, and what else is out there because there are other non-surgical treatments that are out there that are kind of aimed at the same population, but not really. So, let's start with what a labiaplasty actually is. Now, without going into great anatomic detail here, there are two main portions of the female external genitalia that we surgically manipulate. One is the labia majora, which are large and largely fatty tissue on the outside, and then the labia minora, which are on the inside—so medial or inside of the labia majora—and are right at the edge of the vagina and urethra. This is the very thin tissue that does have muscle in it that is highly sensitive and sort of shields the opening of the vagina and the urethra, as well as providing cover for the clitoris.In labiaplasty surgery, what we're primarily doing is altering the labia minora which is that thin tissue on the inside, which can get stretched out or enlarged, or some women are born with it enlarged. Now, why would we want to perform a labiaplasty and remove this tissue? Well, there are medical reasons for that, mostly chafing, pain, discomfort with activity or exercise, something called dyspareunia, which is pain with sexual intercourse, but a lot of the reason for labiaplasty is cosmetic and psychological: Women feel that their labia are too long, that they're too protrusive, that they're asymmetric, that they are embarrassed to wear tight clothes or swimsuits, or they're self-conscious when they're undressed. And all of those things can really damage a woman's self-esteem and lead to difficulty with sexual relationships.This has actually been studied in 2016, in a behavioral science journal, and women who demonstrate a positive genital self-image demonstrate higher levels of sexual self-esteem, which make them feel more sexually attractive. And I think that's probably a no-brainer of a statement, but if you feel good about the way that your genitals look, you're going to feel more sexually attractive. And this is really, I think, the driving force behind a lot of women seeking labiaplasty surgery. So, that gets to, kind of, the next point which, who gets labiaplasty? Some of my labiaplasty patients are moms who are done having children, but many if not most of them are in their early-20s, never had kids, but are embarrassed by the appearance of enlarged or asymmetric labia minora that make it difficult to wear swimsuits, tight clothes, exercise without discomfort, or they're just embarrassed at the way they look naked.And, like we kind of said before, this can really damage sexual relationships and sexual self-esteem. Some of my labiaplasty patients are moms who are done having kids and who have very similar complaints but feel that the changes that they see in their labia minora are largely due to childbirth changes, with hormones that come with age, but we end up treating essentially the same problems. Some women have seen their gynecologist, who have tried to dissuade them and told them not to worry about their problem, that it wasn't a big deal, that the surgery was very dangerous. And what we see, as plastic surgeons, is that many gynecologists traditionally have a very dismissive attitude toward the surgery because, in their literature, labiaplasty surgery does carry a fairly high complication rate of about 20%. Now, you can contrast this with the quoted complication rate in the plastic surgery literature, which is one-fifth of that, which is about 4%.And there's probably room for jokes between the specialties there, but gynecologists, in all fairness, have no training in cosmetic surgery, where plastic surgeons, we learn how to do this operation during our training. But it's also, from a principle standpoint, very similar to a lot of the other procedures that we do, specifically an upper lid blepharoplasty. The techniques are a little bit different, the way we approach the operation is a little bit different, plastic surgeons tend to be more liberal at using labiaplasty surgery because of its low complication rate and because of its very high patient satisfaction.So, let's talk surgery. How's the surgery done? So, first thing, before we talk about the surgical details is, I want to differentiate between labiaplasty and vaginoplasty. Labiaplasty, which is what we're talking about here, is removing excess skin on the outside of the genitalia. Vaginoplasty on the other hand, is tightening the vaginal canal.This is often the result of childbirth or birth trauma such as an episiotomy, and can also occur naturally with menopause. Surgical vaginal canal tightening is muscle repair. It's tightening the muscular wall of the vagina to narrow it. And when we do that, that is oftentimes combined with labiaplasty surgery but doesn't have to be. There are also non-surgical vaginal tightening methods which are out there, there are lasers which can tighten the muscles of the vaginal canal, and these offer—compared to surgery—fairly modest results that are less predictable because we're relying on muscle tightening as a result of heating. Some of the very same principles that we talked about in the laser show apply to that procedure as well.Now, the important thing to remember with vaginoplasty surgery is the need for vaginoplasty can often be accompanied by other medical problems, problems with the—genitourinary system, pelvic floor laxity problems—and so a more extensive medical workup is really necessary before a vaginoplasty is performed to make sure that there are no other issues that need to be addressed at the same time.Okay, so let's talk surgery here. There are two main labiaplasty techniques. One is the wedge resection, the second is the trim technique. Now, the wedge resection is just what it sounds like. It's essentially taking a wedge or a pie piece out of the excess labia that includes both skin and muscle, and then sewing those two edges together to shorten the labia and make them smaller.This technique works but has a much higher rate of complications. There can be notching, there can be dehiscence, or where the suture line comes apart, and the need for revisions if any of that happens because essentially, the whole thing comes apart, falls apart completely. Because it's a non-anatomic resection. Contrast that with the trim technique—a modification of which is what I do—is where excess tissue is removed laterally and no muscle is removed. It is essentially skin only.And this is really where the similarities between labiaplasty and blepharoplasty are most apparent is that we're taking off skin, hiding incisions, really in plain sight in tissue creases where they're right there. But because of the way the skin is removed and closed with no tension and buried sutures, which are underneath the skin and dissolve and never need to be removed, that we're able to reshape and really beautify that entire area, with incisions that are almost invisible. Trim labiaplasty is often combined with clitoral hood reduction to elevate and expose the head of the clitoris, and that can be easily done with the same hidden incision as used for a standard labiaplasty. Dehiscence, or the suture line coming apart, really is not a problem with a trim technique because we respect the natural anatomy; we put those incision lines in natural skin creases, we're not removing muscle.And so if a suture gaps a little bit, or God forbid, there's a blood clot or something else goes wrong right after surgery, the entire thing doesn't come apart and need to be redone. And, you know, whenever we talk surgery, the discussion of complications as important, and the trim technique just carries a lower chance of problems, even though the chance of problems is low already. Surgery itself, in my practice, we do this under general anesthesia. Takes about an hour; you're asleep the whole time and go home the same day. I know there are some surgeons that do this as an outpatient procedure under a local in their office.For my patients, I just find that it's easier and much more comfortable to do this under an anesthetic, you're asleep, you don't have to worry about whether something that I'm going to do is going to hurt, and it just makes it a much more pleasant experience for everyone. In terms of recovery, you'll be able to return to work after labiaplasty within a few days, but you will really need to avoid any exercise or any other strenuous activity for about a month.A couple of recovery tips after labiaplasty. Number one is, wear loose cotton undergarments and avoid any clothing that's too tight or too irritating. And you're going to want to follow that one for about a month. You just want to make sure that nothing is too tight and constrictive. You've just had surgery, you don't want to constrict that area, and goodness knows, you don't want to disrupt the suture line. But you also—if things are tight, it's just going to be uncomfortable, so avoid anything that is tight for at least a month.Number two is, wear a maxi pad is covered with a lot of antibiotic ointment. You want to make sure that the suture lines stay covered in antibiotic ointment for at least the first week after surgery to really let those incisions heal. Those incisions in my practice, all of the sutures are buried, so there's no stitches that are going to be sticking out or catch, but you don't want anything sticking to that suture line and pulling and potentially disrupting it.Third is that ice is going to be your friend. And this—you could probably say that about every plastic surgery procedure, but ice is going to help reduce swelling and reduce discomfort, especially during the first two or three days after surgery.Tip number four; biggest question we get is, “When can we have sex?” And what I tell patients is you want to wait a month. Give yourself a month, no tampons, no intercourse, and avoid crossing your legs for about a month after surgery. Again, you just want to let this area heal without any unnecessary trauma. In my practice, we see our patients back for their, kind of, clearance checkup at six weeks, and the incisions after labiaplasty are really difficult to see at six weeks.At the three-month mark, they're practically invisible. And my patients will tell me afterwards that they've been to see their gynecologist for their annual checkup, their gynecologist couldn't even find their incisions. And that to me, that tells me that I did a good job, is things look… natural, look pretty, and incisions are almost invisible. So, this is a shorter show, but really wanted to get this out there because, you know, labiaplasty is a rapidly growing procedure here in the US. It is an incredibly beneficial operation that offers not only functional improvement but improves a woman's quality of life and self-confidence in a way that's really difficult to describe. So, if you're interested in learning more about labiaplasty, you can check out my website for more information, or hit me up on social media @jhallmd. Thanks, everybody.Dr. Hall: Thanks for listening to The Trillium Show. You can keep up with the latest on the podcast at jhallmd.com. Be sure to follow us on Spotify, Apple Podcasts, or wherever you listen to podcasts. If you want to connect with us on social media, you can find us at @jhallmd on Instagram and Twitter and @DrHallPlasticSurgery on Facebook. Remember, be the change you wish to see in the world.

In today's podcast, Dr. Ghozland sits down with Saundra Pelletier - CEO & Founder of Evofem Biosciences, creators of Phexxi non-hormonal birth control. Together they discuss Saundra's journey in founding Evofem and bringing the revolutionary birth control Phexxi to market, her role as the founding CEO of Woman Care Global, a non-profit organization that brings reproductive health products to women in developing countries, and much more!Important Safety Information: If you have had a history of UTIs that keep coming back or other urinary tract problems, you should not use Phexxi. Please see additional safety and PI at www.phexxi.com. More About Saundra Pelletier: Saundra Pelletier is the CEO of Evofem Biosciences, Inc., biopharmaceutical company committed to developing and commercializing innovative products to address unmet needs in women's sexual and reproductive health. Saundra has over 25 years of pharmaceutical experience and she also founded an international non-profit organization that delivered products to women in more than 100 developing countries. Under her leadership, Evofem launched Phexxi – the first and only FDA-approved prescription birth control method that is hormone-free and used only on-demand when women have sex.Find Saundra on Social Media!Twitter: @SaundraceoInstagram: @saundrapelletierofficialTo learn more about Dr. David Ghozland and his GYN practice in Los Angeles, visit our website at: https://www.davidghozland.com/ Find Dr. Ghozland on Social Media!Twitter: https://twitter.com/davidghozlandmdFacebook: https://www.facebook.com/davidghozlandmdInstagram: https://www.instagram.com/davidghozlandmd 

Jules and Gem dump all their sex toys out on the bed and let you know what they have discovered to be good, not great, and truly terrible for both the natal and post-op vulva/vagina. Part 1 covers lubricants and vibrators, with special attention paid to post-vaginoplasty toy selection and use.

In Part 2, Jules and Gem talk about their favorite and less favorite dildos, and give you their best budget recommendations for both insertable toys and vibrators. Also we stick them to the wall to see what happens.

In today's episode, Dr. Ghozland sits down with Alix Sabatelli from sweetspotpower.com to discuss the best ways of making your New Year's resolution stick and transform yourself into a better version of you. She starts by touching on figuring out what matters to you, how we look at the obstacles we put in our own way, how to get where you want to go, aligning yourself towards your goals, and more.  To learn more about Alix and sweetspotpower.com, visit her website and on social:http://sweetspotpower.comhttps://www.facebook.com/SweetSpotPOWER/https://www.instagram.com/alixsabatelliragerhttps://www.linkedin.com/in/alixsabatelliragerhttps://www.youtube.com/alixsabatelliragerTo learn more about Dr. Ghozland and his practice, visit our website at: https://www.davidghozland.com/

In today's episode of Women's Health and Beyond, Dr. Ghozland interviews one of his patients on her experience after having gone through the Fractional CO2 Bartholin Cyst procedure. He starts out by giving background on the anatomy of a Bartholin Cyst, how they develop, as well as common signs and symptoms. From there, they talk about Alexa's unsuccessful attempts to acquire treatment for her Bartholin Cysts, why the usual treatments often don't work, what makes Dr. Ghozland's method different, and much more.Want to learn more about treatment for your Bartholin Cysts with Dr. Ghozland? Visit our website at: https://www.davidghozland.com/laser-procedures/bartholins-cyst-co2-ablation/

In today's episode of Women's Health and Beyond, Dr. David Ghozland interviews Rochelle Weitzner - A beauty industry veteran, former CEO of Erno Laszlo, CFO of Laura Mercier, and founder of "Pause Beauty" a skincare line that specializes in helping the skin of women who are experiencing Menopause.   Together, they take a deep dive into Rochelle's background, have a discussion on ways to combat signs and symptoms of Menopause, skin health in Menopause, and much more.Have questions or want to learn more about Dr. Ghozland? Visit our website at: https://www.davidghozland.com/Want to Learn More About Rochelle Weitzner? Follow her on Twitter!@pausewellaging@rochelleweitzner

Jules and Gem are doing an advent-calendar-style listen-through of the GCS episodes each day to celebrate a year after Jules's vulvovaginoplasty. They remember ice chips, speaking Japanese to the nurses, and Gem experiencing sleep deprivation and anxiety while Jules enjoyed being cared for by the excellent medical team and her family. 

Heather Moky, Loren Schecter and Sandi Gallagher.Recorded on 4 May 2021.

An all-encompassing (and sometimes funny) conversation with plastic surgeon Johan Brahme, MD and Kara Pennington, PA about the reasons women seek vaginal rejuvenation and the treatments available at LJC to help with these concerns including Labiaplasty (https://www.ljcsc.com/body/labiaplasty-san-diego/) , Vaginoplasty, Mons liposuction, ThermiVa (https://www.ljcsc.com/body/thermiva-san-diego-vaginal-rejuvenation/) , and the O-Shot (https://www.ljcsc.com/body/o-shot/) . The book that Kara mentioned, The Great Wall of Vagina, can be found here (https://jamiemccartney.com/product/the-great-wall-of-vagina-book/). Take a screenshot of this podcast episode with your phone and show it at your consultation or appointment, or mention the promo code PODCAST to receive $25 off any service or product of $50 or more at La Jolla Cosmetic. La Jolla Cosmetic is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus. To learn more, go to ljcsc.com (https://www.ljcsc.com/) or follow the team on Instagram at @ljcsc (https://www.instagram.com/ljcsc/) The La Jolla Cosmetic Podcast is a production of The Axis. (http://www.theaxis.io/) Special Guests: Johan Brahme, MD and Kara Pennington, PA-C, MMS.

One of the hottest topics in plastic surgery today is Female Rejuvenation. However, it can also be a taboo topic for many women who are too embarrassed to discuss openly about their situation. In this episode Dr. Rady Rahban delves into the different procedures that are done in female rejuvenation and the reasons for needing it. He explains which procedures are available; labiaplasty, vaginoplasty and G-spot enhancement, and he breaks-down the post-op recovery and the risks. You won’t want to miss it!We would love your feedback... If you enjoyed this episode, or if you find our podcast helpful, tell us why! Leave us a review and make sure you subscribe on your favorite podcast platform. If you have a topic you would like us to discuss in an upcoming episode, please reach out to us on:Instagram:@DrRadyRahbanFacebook:Rady RahbanWebsite:RadyRahban.comExecutive Producers:Maria Alvarez + Mike Morse for YEA Networks / YEA PodcastsAssociate Producer:Sally Chacon

You did it. You birthed a bouncing baby and your body is in recovery from enduring the sheer awesomeness that is childbirth. As the months that follow unfold and that baby starts to grow, you can’t help but shake the feeling that something is not quite right down there. Why is peeing so weird now? When did my body decide it was okay to just leak out said pee every time I cough? Am I supposed to just wear panty liners all day every day just in case someone makes me laugh? Why does it feel like there is a bulge in my vagina? Though it is a common post-birth issue, the first time you hear that you have pelvic organ prolapse may be frustrating and quite upsetting. I mean, your body was made to have babies. Why would something so natural cause such an issue? Avoiding the S Word Your doctor may suggest many treatment options to help prevent your prolapse from advancing to the point where they begin to start talking about surgery. Surgery is a SCARY word that we would like to help you avoid. Prolapse reconstruction surgery, or Vaginoplasty, may be recommended in advanced cases. However, if you aren’t severely prolapsed, there are steps you can take that may help you avoid surgery all together. Yes, early prolapse can be corrected without ever ending up under the knife. Even a grade 3. Popular less invasive treatment offered can include vaginal pessaries and Kegels as the only form of pelvic floor treatment. Don’t hear me wrong, these can be very helpful, but I am more a fan of using a functional, whole body exercise approach to healing core and pelvic floor issues. Here at Restore your Core®, we are fellow partners of your health-focused team and are seriously invested in empowering you to make every movement throughout your everyday life healing. We believe and have seen first hand with many clients, that our 12-week program can train you to bring symptom relief and avoid the discussion of surgery altogether. No matter when you discover a prolapse, we always recommend 1 year of pelvic floor rehab before deciding on more drastic routes.  Pelvic Organ Prolapse: What is it? First things first, let’s make sure we are all speaking the same language here: pelvic organ prolapse is the injury in which one or more of your pelvic organs “drop” from their normal position. Though bladder prolapse is the most common, any pelvic organ (bladder, uterus, rectum) can make the descent. This injury happens for a variety of reasons and sometimes, it is really not known why. Birth injury, core and pelvic floor muscle imbalances, postural misalignments, and excess intra ab pressure are all reasons one might sustain a prolapse. If pelvic organ prolapse is allowed to advance to its fullest potential, the prolapsed organ will make its way down the path of least resistance into the vaginal canal. Eventually, the organ may exit the vaginal opening. Different types of Pelvic Organ Prolapse include: Bladder prolapse- Cystocele (the most common)Rectum prolapse- RectoceleUterine Prolapse Vaginal Vault ProlapseSmall Intestine Prolapse- Enterocele Though pelvic organ prolapse can be caused by obesity, aging, and other stressors on the floor muscles, vaginal birth is the leading cause of prolapse. As you can imagine, vaginal birth does a number on those pelvic floor muscles because of the amount of stretch the pelvic floor muscle must undergo to make way for the baby’s grand entrance into the world. This is why it is pretty common to pelvic floor prolapse after childbirth.

In Episode 24, Erin Everett, NP-C, speaks with Dr. Sidhbh Gallagher, a double board-certified plastic surgeon in Miami who takes a highly individualized approach to both transmasculine and transfeminine gender affirming surgical procedures such as Masculoplasty, Phalloplasty, Metoidoplasty, and Vaginoplasty. The post Masculoplasty Top Surgery with Dr. Sidhbh Gallagher appeared first on Exclusively Inclusive with Erin Everett, NP-C.

We talk about the rise of surgeries to beautify the vulva and also about what is involved in construction of a vagina when having sex reassignment surgery

I am myself firstGuest: Jupiter PerazaJupiter shares her transition journey from discovery, to coming out to her parents to undergoing surgery. Mentioned in this episode:Madonna, ‘what it feels like for a girl’Madonna, ‘I’m a sinner’¡Cuentamelo! By Juliana Delgado LoperaReach out to us here…You can reach Sergio Novoa personally HERETheme song by:  http://djolgat.net

This is Part 2 of Episode 4. In Part 2 we go over why pelvic floor therapy is important post vaginoplasty, what the differences are in orgasming pre and post surgery, what stigmas and issues Hannah has faced as a transwoman and what language/questions to use when talking to your trans friends as recommended by Hannah. To find out more about this episode and others check out the Vagina Jul Instagram or the the Vagina Jul website: https://www.vaginajul.com/post/episode-4-a-trans-woman-s-experience-with-vaginoplasty-part-1 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/juluncensored/message Support this podcast: https://anchor.fm/juluncensored/support

This episode is an interview with Jul and a woman named Hannah who has had bottom surgery. Hannah explains what it was like to have Vaginoplasty (Pre & Post-Op), what stigmas trans women face in our society, what it was like to pee for the first time with a vagina, and so much more! To check out Hannah's Go-To Post-Op Checklist click on the link below for my website or check out the Vagina Jul Instagram (@vagina_jul). https://www.vaginajul.com/post/episode-4-a-trans-woman-s-experience-with-vaginoplasty-part-1 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/juluncensored/message Support this podcast: https://anchor.fm/juluncensored/support

Anjelica and Dr. Aimee Nguyen (aka Dr. Rejuvation) discuss the next steps after deciding to have surgery!Dr. Rejuvenation and Dr. Dallas perform the PERFECT MOMMY MAKEOVER. Dr. Dallas can do everything ABOVE the belt (Breast Augmentation/Life, Liposuction, Tummy Tuck, and Brazilian Butt Lift) and Dr. Rejuvenation can do everything BELOW the belt (Vaginoplasty, Labiaplasty, Hymenoplasty, Rejuvenation Shot, etc.)Learn more about Dr. Aimee Nguyen here!https://vaginalmakeoverdallas.com https://www.youtube.com/channel/UC9ObiGzw6sDn5HR85ay6ySw  Be sure to FOLLOW US:Instagram: https://www.instagram.com/realdrdallas/?hl=en Snapchat: @RealDrDallas (live surgeries)Facebook: https://www.facebook.com/realdrdallas/  CONTACT US TO SCHEDULE YOUR CONSULTATION TODAY!rinfo@najeraplasticsurgery.com (469) 234-88903140 Legacy Dr, Ste 210 Frisco, TX 75034

Post-surgical recovery, physical therapy, and the patient panel were in the second part of the NYU-Langone day-long class in vaginoplasty.  Faith got antsy toward the end of the class but Kath took her to the Waterfront Ale House right after (1 block away) and everything was okay. Peggy Huddleston wants you to heal from surgery faster.  Visualization and breathing have empirical data supporting them but reiki lacks reliable evidence at this time. Trick or Treatment is a great book that looks at high-quality scientific publications about several alternative medical practices. The dilator set: throw away the purple and work your way up to the orange! Support us on Patreon to help us keep making great content, and to get some cool rewards! Check out our website for our latest episodes!   Follow us on twitter for all our shower thoughts and other musings @TheGenderRebels  Like us on  FaceBook so we can haunt your feed.

NYU-Langone offers a day-long class in vaginoplasty for women who have their GRS scheduled in the near future.  Caregivers are able to attend too!  So we went, listened, took notes, asked questions, and ate sandwiches.  We learned SO MUCH that we couldn't fit it all into one episode. We could barely fit it into two.  So enjoy these mega-episodes! A hand mirror is recommended for looking at one's brand-new vagina.  Your phone, or a compact, won't work.  Sure, any hand mirror will do. But here, we like to go big or go home. Psychology Today can help you find a therapist.  (That's the US link, so go here if you're Canadian, Mexican, or if you live outside North America.) The OUT Foundation partnered with NYU-Langone for the class. They can provide resources for people traveling for their GRS, and seem pretty cool overall.  They have an inclusive gym finder, host the Big Gay Field Day , and started the Don't Be An Asshole Tour. Support us on Patreon to help us keep making great content, and to get some cool rewards! Check out our website for our latest episodes!   Follow us on twitter for all our shower thoughts and other musings @TheGenderRebels  Like us on  FaceBook so we can haunt your feed.

Dr. Michelle Owens interviews Dr. Marco Pelosi III in a reenactment of a recent media interview by RealSelf on the topic of vaginoplasty. The original interview was a telephone conversation between Dr. Pelosi and a reporter. The product of that exchange was an article that you can access in the links below the show notes.   SHOW NOTES What [3:47] is a vaginoplasty?   A perineoplasty [4:40] isn’t really a vaginoplasty.   Patients [5:29] don’t have a clue.   Physical exam [6:30] determines the best candidates.   Vaginoplasty [7:05] always includes a perineoplasty as a part of the repairs.   Childbirth [7:46] is not the only cause of a lax vagina.   Can you [8:52] walk me through the procedure?   Marking [10:17] is the first step in the procedure.   Rectocele [12:36] repair is the most important part.   What [14:36] is the recovery like?   Sex [15:42] can be resumed in 8 weeks.   Results [16:15] are apparent immediately.   Risks [17:45] of the procedure?   Is there [21:20] an average price for these procedures?   Are there [23:03] less invasive options to vaginoplasty?   Dr. Pelosi III can be reached via DrMarcoPelosi.com The article that was the topic of this interview can be accessed here https://www.realself.com/vaginoplasty

Episode 64 •  (1:40)  Jerokee and Micktorious have been cursed.  They believe they were victims of brujeria.  Now they need a limp (cleanse). •  (14:00)  Our friend is having a baby, she may need a vaginoplasty.   •  (20:00) LISTENER QUESTION: When it comes to dating women: What are turn ons and turn offs? •  (39:06) […]

Loving and restoring the vagina https://tangchitnobmd.com/

This week Tim speaks with Dr. Natalia Zhikhareva, also known as Dr. Z, PhD, nationally renowned expert on transgender psychology, about the wide range of erectile issues that trans women and trans feminine people experience. They talk about different expectations for genital function (determined by hormones, surgery and sexual orientation), the role gender incongruence and dysmorphia play, and most importantly, how to negotiate a new relationship to sex and intimacy. 

Wow....this one is a doosie y'all.  We start out this week with a douchebag school shooter, and then we go down a twisted path into the life of one very disturbed Robert Black.  Robert Black was one that I needed a bath after researching, so strap in in for this one.  Also, our new website is now live.  Go to  https://badintheboondocks.com (https://badintheboondocks.com) to see it.  There you are able to directly get in touch with us, learn a little backstory about us, and listen or subscribe to all of our episodes.  Please get in touch with us and give us some feedback, or suggestions.  We have not heard from any of our listeners, and we really do want to.  Also, stop by our Patreon page and consider supporting our show so that we can keep it ad free.  There are three tiers to choose from, each with really cool perks.  Our first Patron only episode is up but until we get some patrons, we will not post any more.  Once we do get our first patron, we will actively post new ones as per the schedule.  Thanks to everyone that listens.  We love and appreciate each and every one of you.  Also, PLEASE rate and/or REVIEW us....that is the only way for our show to get shown to others so they can also listen. Support this podcast

on this episode we talk about the look of the lady parts and the men's parts

Next week I am happy to have Dr. Ryan Stanton on the show! Dr. Stanton is a fully credentialed, "Board Certified" Plastic and Reconstructive surgeon with over 15 years of experience. Although he was trained to operate on the entire body, he specializes in plastic surgery of the vulva and vagina (Labiaplasty, Hoodectomy, Vaginoplasty), as well as Breast and Buttock Augmentation. He just released his latest book called "Read My Lips...If Vaginas Could Talk".. a catchy and a bit spicy quick read about the true world of female genital cosmetic surgery (i.e. plastic surgery of the vulva and vagina).  We will be discussing his book and why these procedures have become so popular... as well as a new procedure called the O-Shot. Besides external surgery, Dr. Stanton also focuses on internal therapy and anti-aging treatments,an important part of overall health. http://www.drryanstanton.com/

Vaginoplasty, labiaplasty and vaginal rejuvenation are today's hottest new plastic surgeries. So what does a normal vagina look like? Tune in to learn more about why women get "The Barbie" and other vaginal cosmetic surgeries. Learn more about your ad-choices at https://news.iheart.com/podcast-advertisers

We begin with a discussion about the various types of vaginoplasty being peddled to women as elective surgeries (as if pussy suddenly became unattractive or something), then move into ways a 25 year old newlywed can battle her loss of focus during sex. No, it isn't an urban legend that some women thing about doing the laundry during sex. Yes, there are things that can be done about it, and most of them are a lot of fun. All the sex-positive awesomeness now appearing on the website will also appears on our new Facebook page (along with a lot more), so please stop by and "Like" it next time you have a chance. Show Links: From ABC News: Women Are "Duped" In Quest For Perfect Vagina, Says DoctorNew Facebook Page for Ending The Sexual Dark AgeSponsored By: AdamAndEve.com, enter the code "DARKAGE" at checkout to get HALF OFF just about any item, FREE shipping, three FREE porn DVDs and a FREE sexy surprise. Show website: SexualDarkAge.com