In this episode, I sit down with Dr. Julie Baron, a pelvic floor physical therapist and director of Pelvic Health and Performance Center in Bellevue, Washington. Dr. Baron blew our minds at ISSWSH this year with her groundbreaking lecture on pelvic venous disorders a condition that's massively underdiagnosed and often dismissed as "just in your head."

Dr. Baron shares her own lived experience with pelvic venous disease. For years, she couldn't sit or stand for more than 10 minutes without needing to lie down. She saw urologists, gynecologists, GI docs, colorectal specialists, and pelvic PTs and everyone told her she was normal. She was working as a pelvic floor PT herself, helping other people with pelvic pain while feeling like a fraud because she couldn't solve her own.

She finally diagnosed herself, pushed her way into getting the imaging no one wanted to order, and finally felt validated after the report came back showing renal vein obstruction, iliac obstruction, gonadal vein reflux, and 12-millimeter varicose veins across her uterus. After gonadal vein embolization and sclerotherapy, her life changed completely.

We discuss the classic presentation of pelvic venous disorderschronic non-cyclical ache or heaviness that gets worse throughout the day, urinary urgency, postcoital pain, and varicose veins. We talk about why pregnancy is one of the biggest risk factors and how hypermobility disorders, MCAS, and POTS all connect. Dr. Baron explains the imaging process and why a normal ultrasound doesn't always mean you're fine.

She also explains the five functions of the pelvic floor and how pelvic venous disease impacts everything from bladder support to sexual function. We get into the sump pump concept, why belly breathing can actually make things worse for this patient population, and how compression shorts can be life-changing. Dr. Baron shares her protocol for helping patients optimize venous return through breathing, positioning, and nervous system regulation.

If you're experiencing chronic pelvic pain and feel like you're being dismissed or told it's normal, talk to your provider about pelvic venous disease. While it's frustrating, don't stop advocating for yourself even if you're told everything is normal. You know your body, and if something feels off, keep pushing for answers.

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Dr. Alexis Cutchins

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In this Between Two Labia episode a subseries of the podcast filmed in my office I sit down with Dr. Dahlia Rice a board-certified plastic surgeon and owner of DMR Aesthetics Chicago.

Dr. Rice started her career doing autopsies and teaching human anatomy before becoming one of only 1,400 female board-certified plastic surgeons in the United States.

There's a misconception that labiaplasty is only cosmetic women trying to mimic unrealistic porn aesthetics.

But the reality is that many are functional. Some women can't wear jeans or bike comfortably because of an elongated labia minora.

Dr. Rice emphasizes finding a surgeon who does these procedures regularly and understands the anatomy. Being too aggressive can damage the clitoral arousal tissue that sits right behind the labia. Recovery sounds intimidating, but while there's significant swelling that Dr. Rice calls "Frankenpussy," the area heals quickly. You'll need to elevate your hips as much as possible during the first week and use lots of ice, but it's not as horrible as you might think.

We also discuss medical tourism. A good deal on plastic surgery abroad sounds appealing, but Dr. Rice explains what happens when complications arise and you're back home with no one willing to help. The US has more expensive procedures because of stringent training and regulations, but when things go wrong overseas, you can fall through the cracks. Insurance won't cover it, and finding a surgeon to fix someone else's work becomes a challenge.

Dr. Rice and I talk about why representation matters in plastic surgery. Only 20% of plastic surgeons in the US are female, even though over 90% of patients are women.

We discuss how cultural understanding affects outcomes from knowing the right placement for eyelid creases in Asian patients to understanding how different cultures communicate about complications.

Highlights

• 50% of labia are naturally asymmetric, but social media and porn have created unrealistic expectations of what "normal" should look like.
• Plastic surgery as a board certification specialty has only existed since the 1940s, even though reconstructive procedures have been performed since ancient times.
• There's now cadaver fat available as an alternative to using your own fat for transfer, which eliminates issues with poor "take" in older patients.
• Korean skincare focuses on prevention and low inflammation from a young age, while Americans take a "guns blazing" approach when we suddenly panic about aging.
• Pigmentation naturally darkens during menopause regardless of your ethnicity or background.
• Plastic surgery has shifted from focusing on what men want to what women want for themselves and their own comfort.

If you're considering any aesthetic procedures in midlife, take time to find a surgeon who understands the anatomy and does these procedures regularly. Ask to see their work, understand the recovery process, and set realistic expectations about outcomes.

What other topics would you like to see from me? Who would you like me interview next? DM on Instagram.

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In this episode, I sit down with Dr. Lucky Sekhon, a double board-certified reproductive endocrinologist in New York City and author of the bestselling book The Lucky Egg. Dr. Sekhon has spent years watching patients walk into her clinic overwhelmed by information that is not always true or grounded in science. This is what inspired her to write a book that could close the massive knowledge gap around fertility.

Dr. Sekhon gives the actual numbers most fertility doctors won't commit to and explains why doctors who speak in absolutes are a red flag.

How men have a biological clock too. Advanced paternal age can also bring on mutation risks and can affect pregnancy outcomes like preeclampsia.

We talk about how many women end up with unwanted pregnancies due to thinking they are not able to get pregnant anymore because their cycles are no longer consistent.

We also touch on vaginismus and how common it is in the South Asian community, where women often delay seeking help because of cultural stigma and family pressure. This is physical, not just psychological Dr. Sekhon will share something that confirms this is not in patients' heads.

And the shocking fact that one in four female physicians will struggle with infertility, and it's an independent risk factor beyond just delayed childbearing.

This is an episode you don't want to miss, especially if you're in the thick of making decisions around your fertility or you're a clinician in the field looking to better support your patients.

Highlights

• Egg freezing gives you a head start if you ever need IVF, not just an insurance policy.
• LGBTQ family building have more options than most people realize.
• Ovulation predictor can be helpful but aren't 100% accurate.
• Your fertility is individual you're not a statistic or an algorithm.
• How doctors can practice cultural humility.

If you're making decisions about egg freezing or navigating fertility challenges, make sure to pick Dr. Sekhon's book The Lucky Egg for the evidence-based information you need. Visit theluckyegg.com to use the egg freezing calculator and access more resources.

Make sure to subscribe to the podcast so you don't miss upcoming episodes.

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We talk about why complex conditions like pelvic pain, painful sex, and hormonal changes don't fit into 10-minute appointments. You can't address someone's full picture when insurance only reimburses for quick visits. We discuss why multidisciplinary care matters, why pelvic floor therapy sessions need real time, and why treating hormonal health alongside aesthetics makes a difference.

This conversation is about what patients deserve and why the traditional insurance model makes that impossible. We talk about treating the whole person, not just symptoms. Last year, I transitioned to a concierge model after over a decade of taking insurance because this is how medicine should be practiced.

Highlights

• Genitourinary syndrome of lactation is similar to GSM in menopause.
• Upper cross syndrome from breastfeeding and tech neck causes cervical spine issues.
• Visible light from phones and screens worsens hyperpigmentation (tinted mineral sunscreen helps).
• Tight pelvic floor muscles are actually the weakest, not the strongest.
• Insurance bundles entire pregnancy into one fee with no separate postpartum reimbursement.
• Patients can see multiple providers on the same day for coordinated care.

f you're struggling with sexual health issues, pelvic pain, or hormonal changes and feel like your appointments are too rushed, consider seeking comprehensive care. Check out our practice at https://www.thegsmcollective.com/ to learn more about our concierge model. Subscribe to the podcast so you don't miss upcoming episodes.

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When Katalin started experiencing severe skin issues during menopause, her GP dismissed her concerns about hormones and instead gave her marriage counseling referrals. That experience led her to write a book about nutrition strategies for menopause.

We discuss functional strength training and why it's different from typical gym workouts, how estrogen decline affects protein synthesis, and why most women aren't getting enough protein. Katalin explains why midlife is a reset rather than a decline, how to support strength training with proper nutrition, and why small wins compound into big wins.

Highlights

• Estrogen decline causes anabolic resistance, making it harder to synthesize protein as you age.
• Pairing protein with every carb helps stabilize blood sugar throughout the day.
• "One plus one equals three" strategic meal combinations compound nutrition benefits.
• Digestion should be invisible; if you can hear it, your meal timing or choices need adjustment.
• Movement is longevity insurance for independence in later life.

Midlife is a reset, not a decline. If you're feeling dismissed by doctors or struggling with where to start, consider prioritizing protein at your meals and finding movement that builds functional strength. Small changes compound over time.

Katalin's book Nutrition for Women Navigating Menopause: The Power of Addition: An Anti-Diet Strategy is available on Amazon if you want practical strategies for reorganizing your nutrition.

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When colleagues come to town, I sit down with them to talk about the things you want to ask but think you shouldn't.

These are the conversations I have with friends and colleagues that you wouldn't normally get to listen to.

Dr. Shieva Ghofrany is my first guest, and you'll see these episodes pop up from time to time between regular podcast episodes.

We discuss the weird limbo between having a baby and hitting perimenopause, why bounce-back culture is toxic, why every vulva and labia looks different (and that's completely normal), and much more.

Shieva talks about how going through her own health challenges made her a more empathetic doctor. And of course, we cover the basics: you NEVER and we mean never have to apologize for your body. We don't care how you come for your appointments.

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Meghan is a health journalist who's been translating complex medical topics into accessible language for 25 years. She's spent her career asking doctors the questions patients want answered and helping women understand their bodies better. When Maria Shriver asked her to write a manifesto about women's healthcare, even with all that experience, she was shocked by what she learned. Women weren't included in federally funded medical research until 1993. Autoimmune diseases disproportionately affect women, but we still don't know why. Heart disease kills more women than all cancers combined, yet awareness is declining.

We talk about what it means to become the CEO of your own healthcare and why that mindset matters.

Meghan shares practical strategies for making the most of short doctor visits and navigating the flood of health information online. We discuss why shame keeps women from getting care, why we need to stop normalizing pain, and how perimenopause can be a window of opportunity instead of something to fear. The conversation covers everything from why your pregnancy complications matter for heart health decades later to why medical devices are still designed without women's bodies in mind.

Highlights

• Most doctors don't proactively discuss lifetime breast cancer risk with patients.
• 70% of autoimmune disease patients are female, but research is severely underfunded.
• Anatomical eponyms like "fallopian tubes" actually increase cognitive load for medical students.
• Making a prioritized symptom list before appointments helps maximize limited doctor visit time.
• 80% of the 10 million Americans with osteoporosis are women.
• Gynecologic history like preeclampsia impacts heart disease risk decades later.

Start thinking of yourself as the CEO of your own healthcare. That means educating yourself, showing up to appointments with a prioritized list of what matters most to you, and stopping the apologizing. Your body isn't something to be ashamed of. Your symptoms aren't an inconvenience. If you're a woman of color facing additional barriers in the healthcare system, bring someone with you to appointments who can advocate alongside you.

Make sure to subscribe to the podcast and share this episode with any woman who needs permission to stop normalizing pain and start demanding better care.

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Dr. Rowen is the current president elect of ISSWSH and has been instrumental in shaping sexual medicine education and research. We recorded this right after the 2026 ISSWSH conference in Long Beach, which had almost 600 attendeesone of our biggest conferences yet.

We discuss the standout research from the meeting, including award winning work on sexual function after gender-affirming hysterectomy and why most top abstracts focused on sexual pleasure rather than prevention. We talk about the reality of research funding in sexual medicine, why industry support creates conflicts of interest that look bigger than they are, and how lack of NIH funding means we have almost no treatment options for conditions like vulvodynia.

We also dive into testosterone therapy why it's controversial, what the data actually shows versus what social media claims, and why Dr. Rowen doesn't treat hormone levels but rather treats individuals with specific goals. We discuss body image after breast cancer surgery, lymphedema's impact on sexual function, and why technoference is contributing to the lowest rates of sex we've ever seen.

Highlights

• ISSWSH focuses on sexual pleasure and quality of life, not just prevention of pregnancy and STIs.
• Research funding for vulvodynia is $4 million annually versus $800 million for breast cancerthat's one grant versus hundreds.
• Testosterone therapy should treat symptoms and goals, not hormone levels or deficiencies.
• Body image and sexual function outcomes are significantly worse after mastectomy versus lumpectomy, even though cancer outcomes are equal.
• Technoference (technology interference) is contributing to historically low rates of sexual activity.

If you're a clinician interested in sexual medicine, consider attending the ISSWSH Fall Course for foundational education and the annual meeting for cutting-edge research.

If you're a patient navigating any issues and not currently getting help, know that there are practitioners out there who want to help you.

Subscribe to the podcast and share this episode with anyone who wants to learn more about sexual medicine, menopause, or women's health education.

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GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

Dr. Chavez has spent her career helping individuals and couples navigate sexual shame, intimacy disorders, and compulsive behaviors through a trauma informed, non-pathologizing framework.

We discuss how shame is learned, not inherent, and why the opposite of shame is acceptance. We talk about how she approaches vaginismus and pelvic pain patients in therapy, why pain can live in the body even after the physical issue is resolved, and how mental rehearsal and visualization help people reclaim pleasure.

We also discuss compulsive sexual behaviors not as addiction in the traditional sense, but as intimacy disorders rooted in early trauma and attachment.

Dr. Chavez explains why the sex negative addiction model has done more harm than good, how porn is designed to overconsume just like doom scrolling, and why education around healthy sexuality is more effective than abstinence only approaches. We cover pleasure literacy, the difference between healthy desire and compulsive use, and why sex should feel like play, not another item on your to-do list.

Highlights

• The body keeps score even after physical pain is resolved, which is why sex therapy is essential for sexual dysfunction issues.
• Compulsive sexual behaviors are often rooted in early trauma, attachment issues, and lack of self-soothing skills rather than traditional addiction.
• The sex-negative addiction model has created more stigma and hasn't been effective healing intimacy disorders is more successful.
• Pleasure literacy means understanding what pleasure means to you personally, not fitting into a prescribed definition.
• AI companions and technology are creating more isolation, which amplifies sexual and intimacy issues.

If you've been struggling with sexual shame, pain, or compulsive behaviors, know that you're not broken. These are things many people navigate at different points in our lives, and reaching out for help doesn't mean years of therapy sometimes it's just getting permission or validation from someone who understands.

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Dr. Malick has spent her life caring for women across the UK, Pakistan, UAE, and Saudi Arabia. She founded a charity that trains midwives on clean, sanitary practices and provides lifesaving interventions to pregnant women in rural Pakistan. We discuss why 50% of global maternal deaths happen in just four countries, and how evidence based measures can save lives.

We also talk about how menopause presents differently across cultures and populations, the cultural barriers women face when seeking care, and why conversations about hormones and aging remain deeply stigmatized in many regions.

While symptoms may vary, what's universal is how much work we still have to do whether it's PCOS and insulin resistance, young cancer survivors entering menopause without follow up care, or ensuring every woman understands why vaginal estrogen matters.

This conversation is about cultural humility, global health disparities, and why education about perimenopause needs to start in schools, not at age 40.

Highlights:

• Maternal mortality is concentrated in just four countries, but simple interventions like clean supplies and IV iron can save lives.
• Menopause symptoms present differently across populations South Asian women experience more joint pain and mood issues than hot flashes.
• Cultural expectations around fertility and aging create additional barriers for women seeking menopause care.
• Young cancer survivors are sent home at 23 in menopause with no follow-up care or education about long-term health risks.
• Vaginal estrogen reduces death risk by 70% and should be part of routine care for women over 40.
• The average age of suicide for women in the UK is 51, and 70% of divorces happen after menopause.

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

If you've ever been told your dizziness, palpitations, or pelvic pain is "just anxiety," this episode is for you. Dr.Dr. Alexis Cutchins is a cardiologist treating POTS and MCAS—she's willing to say 'I don't know, let's figure it out' instead of dismissing patients.

We discuss what POTS actually is, how to diagnose it why 80% of her POTS patients have venous insufficiency, and how treating the veins can sometimes cure the POTS.

We also talk about the connection between POTS, mast cell activation syndrome, hypermobility, and pelvic venous disease conditions that often travel together and are frequently dismissed.

Dr. Alexis Cutchins explains why the venous system is a "lost organ system" that no one really learns about in med school,how left iliac vein compression (May-Thurner syndrome) can cause everything from pelvic pain to back pain and headaches

Plus, we discuss women's cardiovascular health, microvascular disease, coronary vasospasm, and why women's heart attack symptoms can look completely different including neck tightness from allergies that's actually cardiac ischemia.

Highlights:

• You don't need a tilt table test to diagnose POTS simple office based or at home tests can help identify it.
• First-line POTS treatment: volume expansion (drink water, eat salt), compression stockings, treating comorbid MCAS.
• About 80% of POTS patients have venous insufficiency treating it can dramatically improve or even cure symptoms.
• Pelvic venous disease is diagnosed with MRV (not CT) and treated with stenting by interventional radiologists.
• Women's heart attacks can present as abdominal pain, neck tightness, or jaw pain—not just chest pain.
• These conditions run in families mothers and daughters often share the same constellation of symptoms.

If you've been dismissed for POTS, MCAS, pelvic pain, or any constellation of symptoms that don't fit into a neat diagnostic box, this episode validates what you've been experiencing. These conditions are real. They're treatable. And more doctors are finally starting to listen.

Make sure to subscribe to the podcast so you don't miss upcoming episodes on related topics, and share this with anyone who needs to hear that their symptoms matter.

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Dr. Malone and I talk about the things we don't usually say out loud. How do you balance being a great doctor, a present parent, and a supportive partner when society tells you to excel at all three simultaneously?

Dr. Malone practiced medicine before and after the Women's Health Initiative, so she has a unique perspective on how hormone therapy went from being standard care to being feared and how that fear disproportionately affected women of color. We discuss why only 1% of Black women who are eligible for hormone therapy are actually on it, despite suffering the longest and most severe menopausal symptoms.

We also talk about her work with Alloy Health, her new podcast The Second Opinion, and why she believes menopause is inevitable but suffering is not. Plus, we get into the uncomfortable truth about medical racism, implicit bias, and why your gut feeling matters more than your doctor's ego.

Highlights

• Give yourself grace in midlife perimenopause decreases your coping threshold for everything you're already juggling.
• Women of color carry the weight of representing their entire group, not just themselves, which adds invisible pressure.
• Diversity in healthcare leadership literally changes what research gets funded and what treatments get offered.
• Only 1% of Black women eligible for hormone therapy are actually on it, despite having more severe and longer-lasting symptoms.
• The "adipose tissue theory" that Black women don't need hormones because they make more estrogen on their own is completely false.
• Racialized medicine affects everything from endometriosis diagnosis (only thin white women?) to pain management assumptions.
• If your doctor gets mad that you asked for a second opinion, you need a different doctor.
• Guidelines are guardrails, not laws medicine requires both confidence and humility.

Dr. Malone's book Grown Woman Talk is everything you need to know about navigating midlife with confidence and information. And remember: trust your gut. If something feels off, keep advocating until someone listens.

I have an incredible lineup of guests coming up, so make sure you subscribe and leave a review so you never miss episodes like this one!

Links:

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

In this powerful conversation, I sit down with Dr. Kameelah Phillips to discuss hysterectomies from every angle the good, the bad, and the historically traumatic. Dr. Phillips, author of The Empowered Hysterectomy, shares why she wrote a book that isn't anti-hysterectomy, but rather pro-information and pro-choice.

From her origin story working at Planned Parenthood at age 15, to understanding the disturbing history of gynecology built on the experimentation of enslaved women, to counseling patients through one of the most significant decisions of their lives this episode covers it all. We also discuss the importance of true informed consent, the impact on sexual function, and why women of color are disproportionately offered hysterectomies over other treatment options.

Highlights

• The birth control pill has such a bad reputation that patients reject it even though it could be the thing that helps their symptoms.
• The racist history behind hysterectomies continues today Black women are still being steered toward them at a much higher rate than their white counterparts
• You may not realize that your orgasm is actually coming from your cervix, which is why a conversation about sexual function should happen before surgery.
• Education and income doesn't protect Black women from maternal mortality.
• Explaining medical concepts in everyday language isn't "dumbing it down" it's ensuring patients actually understand what's happening to their bodies.
• Properly counseled patients who freely choose hysterectomy often experience profound liberation not just physically but sexually too.

If you're considering a hysterectomy or have been told you need one, get Dr. Kameelah Phillips' book The Empowered Hysterectomy to ensure you have all the information you need to make the best decision for YOUR body. And remember you deserve time, information, and advocacy. Don't settle for less.

I have an incredible lineup of guests coming up, so make sure you subscribe and leave a review so you never miss episodes like this one!

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Dr. Avrum Bluming is a medical oncologist, emeritus clinical professor of medicine at USC, former senior investigator for the National Cancer Institute, and co-author of Estrogen Matters. He's been fighting estrogen fear for over 30 years long before it was safe or popular to do so.

His origin story starts with his wife. At 45, she developed breast cancer. The chemotherapy he gave her threw her into premature menopause. She couldn't sleep. She had hot flashes, night sweats, painful urination, palpitations. She couldn't remember what she'd read two pages back. And he an oncologist who had induced menopause in countless breast cancer patients—had been sympathetic but didn't know how to help them until he saw what was happening with his wife.

So he started a study in 1992 to give estrogen to breast cancer survivors. The FDA denied him twice. He did it anyway. By 1997, he presented his data to 8,500 oncologists from around the world. The National Cancer Institute said it was "irresponsible" to study this. The audience challenged them. Dr. Bluming's data showed no increased risk of recurrence.

We talk about the Women's Health Initiative, how the media misinterpreted the data, why the estrogen alone actually decreased breast cancer by 23% and breast cancer death by 40%, and why the box warning that just came off in November 2025 never should have been there in the first place. There are now 26 studies in the English literature on giving estrogen to breast cancer survivors. Only one showed increased risk. Four showed decreased risk. Twenty-five showed no difference.

Highlights:

• The FDA denial story: "Don't shoot me, I'm just the messenger".
• Why tamoxifen works better in premenopausal women (even though it raises estrogen 4-5x).
• The DCIS patient whose oncologist changed their tune after the box warning came off.
• The FDA committee member who asked "most of your patients are going to die anyway, aren't they?"showing how little some understood about breast cancer survival.
• When he asked if the FDA actually read his research before denying it: "Don't shoot me, I'm just the messenger"—a quote that reveals everything.
• What actually causes breast cancer (spoiler: nobody knows).

If you've been denied estrogen or hormone therapy, share this episode with your provider. Share Estrogen Matters with its 555 references. Share the data. At this point, there's overwhelming evidence showing HRT is safe and beneficial for most women. But some clinicians are still using outdated information from 2002. You deserve care based on current science, not decades-old fear.

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GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

Dr. Kelly Casperson is a urologist, sexual medicine physician, and bestselling author of The Menopause Moment and You Are Not Broken. She's been leading the charge on women's health advocacy from serving on the FDA panel that removed the box warning on estrogen to pushing for testosterone deregulation. She has a large following, but as Kelly says: it's just a drop in the bucket.

HThere are 80 million women over 40 in America. Only 4,100 menopause certified clinicians. The gap is real. And my guest is working on changing that.

Dr. Kelly Casperson is a urologist, sexual medicine physician, and bestselling author of The Menopause Moment and You Are Not Broken. She's been leading the charge on women's health advocacy from serving on the FDA panel that removed the box warning on estrogen to pushing for testosterone deregulation. She has a large following, but as Kelly says: it's just a drop in the bucket.

We talk about the women who aren't on social media, who aren't listening to podcasts, who don't know their options exist. How we need to reach people in the community churches, community centers, libraries. We discuss why grassroots education matters, why testosterone is locked behind 1980s doping laws. We discuss why grassroots education matters, why testosterone is locked behind 1980s doping laws, and Kelly shares the real reason for menopause.

This is a conversation about what's changing in women's health and what still needs to change.

Highlights:

• Why grassroots advocacy in the community matters as much as social media.
• Why 30% of women prescribed vaginal estrogen won't use it (the box warning effect).
• Frailty isn't inevitable it's what happens when you don't maintain your health.
• The biopsychosocial model: how culture shapes your menopause experience.
• Kelly's philosophy: you have to advocate for yourself, but you're not alone.

Don't be afraid to start conversations with friends and loved ones about menopause, hormones, and the options available. You might be the only person in their life talking about this and that conversation could change be life changing.

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I'm sharing the story of a patient who had a complete breakdown at Christmas dinner. She snapped at her husband, her kids, her mom, her in-laws—everyone. A few hours later, her family told her: "We love you, but for 10 days every month, we actively avoid you."

She came to me asking: Am I bipolar? Am I manic? What's happening to me?

This is PMDD premenstrual dysphoric disorder. And when it collides with perimenopause, it becomes a perfect storm. This is not just PMS. This isn't you being dramatic. It's a real biochemical thing happening in your brain an abnormal response to normal hormonal changes.

I discuss the science of PMDD: how GABA receptors respond to progesterone metabolites, why some brains are change sensitive, and why the hormonal volatility of perimenopause (erratic estrogen, declining progesterone, unpredictable timing) makes everything exponentially worse. I explain treatment options from luteal-phase SSRIs to Yaz to Duavee for refractory cases, and why tracking your symptoms for at least two cycles is critical for diagnosis.

Highlights:

1. Why "I feel like I'm watching myself burn down my life and can't stop it" is the hallmark of PMDD.
2. The DRSP tracking tool: why you need 2 cycles to diagnose PMDD properly.
3. Why Vitex (chasteberry) might help mood swings and breast pain.
4. What Duavee is and why it works for women who can't tolerate progestins.
5. Why Dr. Tammy Rowan calls PMDD a progesterone sensitivity issue.
6. Ulipristal: the emergency contraception drug being studied for PMDD.

If you've ever felt like your brain gets hijacked on a schedule, if you've felt completely out of control, this episode is for you. Track your symptoms. Find a clinician who takes cyclic mood symptoms seriously. You don't have to live like this. Please share this episode with someone you know might be experiencing this or a clinician you think would benefit from it.

Resource:

DRSP

Dr. Tami Rowen

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

In this year end solo episode, I'm reflecting on 2025 in women's health.

It was a year that felt heavy at the start personally for me after losing my mother, and globally with so much suffering and injustice. But even in all of that, women's health moved forward in meaningful ways. Not perfectly. Not fast enough. But enough that it deserves reflection.

I'm covering the moments that shifted conversations this year from the FDA removing the black box warning on estrogen to new cervical cancer screening guidelines allowing self-collection HPV tests. From Addyi finally being approved for women under 65 to the release of comprehensive GSM guidelines that make genitourinary syndrome everyone's business, not just gynecologists'.

And I'm getting personal about why I launched a concierge practice this year, what it taught me about the broken healthcare system, and why sexual health cannot be practiced in 10-minute appointments.

Highlights:

• Why you're not too old for screening and what "safe exit criteria" really means.
• Menopause certification jumped from under 1,000 to over 4,100 practitioners in 2025.
• Menopause divorce vs. midlife clarity: Why hormonal chaos shouldn't decide your marriage.
• DARE to PLAY is a new, topical sildenafil launching in 2026 for female arousal disorder.
• Treating male partners reduces recurrent BV by 50% (New England Journal of Medicine).
• Hormone therapy for prevention: The nuanced conversation about bone health and cardiovascular risk.
• Why I launched a concierge practice and what it revealed about what women actually need.

Thank you for being here for another year of Gyno Girl Presents: Sex, Drugs & Hormones. Your support, your messages, and your stories are what keep me going you are my why.

If this year-in-review resonated with you, please share it with someone who needs to hear that they're not broken, not dramatic, and not asking for too much. And keep following the show in 2026 we've got incredible conversations lined up.

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In this solo episode, I'm doing a deep dive into what nobody's discussing about GLP-1 medications (Ozempic, Wegovy, Mounjaro, Zepbound) and what they do to your sex life.

These medications have been absolutely transformational for metabolic disease, obesity, and cardiovascular health. But they don't just work on your gut and pancreas they work centrally in your brain, in your reward pathways, in your pleasure centers.

I'm sharing stories from my practice: the glamorous patient who suddenly didn't want to shop anymore. The wine connoisseur who lost interest in drinking. The foodies who can't stand restaurants. And yes, the patients whose sexual desire completely disappeared because their brain stopped experiencing reward the same way.

Highlights:

1. Why GLP-1 medications are actually anti-inflammatory powerhouses (and what that means for PCOS, endometriosis, even PGAD).
2. How these drugs modulate dopamine and serotonin the same pathways that control sexual desire.
3. Why improving body image doesn't always improve sexual function (the biopsychosocial model).
4. The emerging science on GLP-1s reducing alcohol cravings, substance use, and compulsive behaviors.
5. What SHBG changes mean for your free testosterone and libido.
6. Why your brain doesn't compartmentalize pleasure food, shopping, alcohol, and sex all use the same reward circuits.
7. The informed consent conversation every doctor should be having (but isn't).

If you're on a GLP-1 medication or considering starting one, ask your doctor about how it might affect what brings you pleasure including sex. With great power comes great responsibility, and sexual health is health. Period.

Get in Touch with Me:

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

I'll never forget the day Jess walked into my office. By the time she found me, she'd already been dismissed by multiple doctors including specialists at what was supposed to be one of Chicago's premier women's health centers. They told her the severe pain and skin changes she was experiencing were "all in her head." Two different physicians suggested she needed a therapist, not medical treatment. Her depression history was weaponized against her, used as proof that she was just being hysterical.

But Jess wasn't hysterical. She had advanced lichen sclerosis, and her vulvar skin was literally fusing together. Had she not found proper treatment, she would never have been able to have penetrative sex again. Even worse, without treatment, her risk of vulvar cancer would have climbed from 1% to 3-5%. Yet nobody had explained any of this to her. She'd been handed a tube of clobetasol and essentially told to figure it out herself which she did, on YouTube, learning the proper application technique that her doctors never bothered to teach her.

In this episode, Jess bravely shares her journey living with lichen sclerosis—from the devastating experience of being gaslit by female physicians to finding relief through injectable steroids and surgical lysis of adhesions. We talk about how her symptoms worsened when she entered menopause in her mid-40s (common with autoimmune conditions), the complete loss of libido that left her sobbing when a doctor said "it's never coming back," and the body changes that made her feel like a "potato."

But this conversation is about more than just lichen sclerosis. It's about the failures of our healthcare system, the importance of advocating for yourself even when you're furious and exhausted, and learning to accept yourself exactly where you're at. Jess's story will resonate with anyone who's ever been dismissed, anyone struggling with vulvar health issues, and anyone navigating the chaos of menopause while trying to hold onto their sense of self-worth.

Highlights:

Why most gynecologists miss lichen sclerosis (hint: they're not actually looking at your vulva).

The proper way to apply clobetasol that doctors don't teach.

How vaginismus became a catch-all diagnosis for any woman with painful sex.

The We Do Not Care Club movement and redefining your value at midlife.

What it means when influencers are the face of menopause marketing.

If you've been dismissed or told your vulvar symptoms are "all in your head," this episode validates your experience and shows you're not alone. And if you're a clinician, this is your wake-up call we can no longer dismiss women's symptoms as psychological when real physical disease is staring us in the face.

Please share this with someone who needs to hear that their symptoms are real and treatment is available.

Get in Touch with Me:

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Join me as we explore the profound connection between trauma and sexual health with Erika Kelley, an award-winning clinical psychologist who specializes in women's sexual medicine and trauma treatment.

Erika Kelley is revolutionizing how we understand and treat the intersection of PTSD and sexual dysfunction. Winner of the prestigious Irwin Goldstein Award at ISSWSH for her groundbreaking research on childbirth-related PTSD, Erika shares insights from her years of experience helping women reclaim their bodies and sexuality after trauma.

Together, we discuss the often overlooked reality of "smiling PTSD" the postpartum trauma that women hide behind societal pressure to appear only joyful after childbirth. Erika explains how trauma becomes physically embedded in the body through the fight-flight-freeze response, creating real physiological changes that impact everything from pelvic floor function to sexual desire.

She also shares the evidence based psychotherapies that are proven to help, including Prolonged Exposure Therapy and Cognitive Processing Therapy, and how these treatments can be integrated with pelvic floor physical therapy and sexual medicine approaches for comprehensive care.

Erika's commitment to building trust with marginalized communities through community-based participatory research demonstrates how we can address healthcare disparities while advancing trauma care. Her work with Black women and perinatal mental health is paving the way for more inclusive and effective treatment.

This episode is essential listening for anyone who has experienced trauma, healthcare providers who work with trauma survivors, and anyone interested in understanding how our bodies truly do "keep the score." By listening, you'll gain crucial knowledge about recognizing trauma symptoms, accessing appropriate treatment, and advocating for yourself or your patients.

TRIGGER WARNING: This episode contains discussions of sexual assault, traumatic childbirth experiences, medical trauma, PTSD symptoms, and obstetric complications. Please listen with care and reach out for support if needed.

Highlights

• How PTSD manifests physically in the body and affects sexual health.
• Dr. Kelley's award-winning research on childbirth trauma and sexual dysfunction.
• Why "smiling PTSD" prevents women from getting help after traumatic births.
• Evidence-based treatments that work: Prolonged Exposure Therapy, CPT, and EMDR.
• How to prepare for subsequent pregnancies after traumatic childbirth.
• Trauma-informed care and why communication during emergencies is critical.
• Healthcare disparities affecting BIPOC women and community-based solutions

If this episode resonated with you, please rate and review the show on Apple Podcasts or Spotify it helps other women find this life changing information. Share this episode with someone who needs to hear that their trauma is real and treatment is available.

Get in touch with Erika:

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Get in Touch with Me:

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We dive into the FDA's recent decision to remove the boxed warning from vaginal estrogen a huge victory for women's health advocacy. This warning has prevented countless women from getting treatment for painful sex, recurrent UTIs, and other symptoms of genitourinary syndrome of menopause.

I share a powerful story of a patient with breast cancer history who was denied hormone therapy by her oncology team, only to have them completely reverse course once the boxed warning was removed.

The conversation covers the most frequently asked questions from listeners: Is it perimenopause or just stress? (It's both.) Why is my libido gone? (Biology, psychology, and life circumstances all play a role.) Why do I keep getting UTIs after sex? (Often it's vestibulodynia or changes in the vaginal microbiome from estrogen deficiency.) How do I talk to my partner about sex? (Communication is key, and sometimes you need a sex therapist to help.)

We also discuss the reality of midlife weight gain, the role of GLP-1 medications like Wegovy and Zepbound, and why building muscle matters more than endless cardio. This episode is a celebration of how far we've come and a reminder that you don't have to suffer through menopause.

Highlights:

• The FDA removed the boxed warning from vaginal estrogen—what this means for access to care
• The biology behind midlife low libido and why it's not "all in your head"
• Why recurrent UTIs after sex might actually be vestibulodynia or vaginal microbiome changes.
• How to talk to your partner about sex when you've never had those conversations
• The truth about midlife weight gain and what hormones can and can't do
• GLP-1 medications: FDA approvals for weight loss, cardiovascular protection, MASH, and sleep apnea

Thank you for being here for 100 episodes. Honestly, there have been times I've wanted to stop, but then I get a DM from someone saying they heard something on the podcast that changed their care, or a patient tells me they finally found answers here. That's what keeps me going.

The biggest way you can help me keep doing this work is simple: share this show with someone who needs it and hit subscribe. When you share an episode with a friend who's struggling, a family member who's been dismissed by doctors, or post about it on social media, you're helping me reach more women who deserve better care.

Thank you for listening, for learning, and for advocating alongside me. Here's to the next 100.

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After experiencing perimenopausal symptoms herself and realizing how little she understood about the connection between hormones and chronic disease, she started Lifestyles by Dr. Noor a multidisciplinary practice focused on prevention, metabolic health, and helping women stop suffering through menopause.

We discuss why stress management isn't just "woo woo" but creates measurable biological changes in blood sugar and cardiovascular health, how continuous glucose monitors reveal the real-time impact of stress on your body, and why women in the Middle East face unique barriers to hormone therapy access.

Dr. Noor shares her approach to building a practice with dietitians, mind-body therapists, and weightlifting programs because hormones alone aren't the answer it's about addressing sleep, muscle, nutrition, and stress together.

The conversation covers why sleep is so under treated in perimenopausal women, the cultural differences in how menopause is experienced across the world, and why there's such a high tolerance for women's suffering. Dr. Noor explains why she refuses to give up on helping women access care, even when hormone therapy isn't available in their countries.

Highlights:

• Why stress creates measurable biological changes in blood sugar and blood pressure.
• How continuous glucose monitors show real-time impact of stress on your health.
• The importance of CBTI (cognitive behavioral therapy for insomnia) over sleeping pills.
• Why weightlifting with proper form matters more than endless cardio.
• Cultural differences in menopause experience between the Middle East and the US.
• Why suffering through menopause isn't noble you deserve to feel better.

You're part of a growing community of women who refuse to accept suffering as inevitable. If you found value in this conversation, subscribe and help us spread the message that midlife women deserve comprehensive, compassionate care.

Get in Touch with Dr. Noor:

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LinkedIn

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

We discuss why your standard annual labs are missing the markers that actually predict heart disease and diabetes, how to finally break free from the cardio-only mentality that's keeping you from building muscle, and why eating more protein feels impossible when you've been trained to restrict food your entire life. Dr. Senemar reveals the advanced testing she runs on every patient and explains why most women are being managed reactively instead of proactively.

We cover transitioning out of insurance medicine to actually spend time with patients, why strength training won't make you bulky, and when peptides and longevity treatments fit into your health plan. Plus, we talk about what it means to optimize your health span, not just your lifespan.

Highlights:

• The critical biomarkers your doctor isn't checking (ApoB, Lp(a), fasting insulin, inflammatory markers).
• Why perimenopause accelerates your risk for heart disease and metabolic problems.
• How to shift from endless cardio to building muscle that protects your bones and metabolism.
• The real reason getting enough protein feels so hard and why it matters.
• When peptides, NAD, and supplements belong in your health plan.
• Starting health optimization in your 30s instead of waiting for disease in your 50s.

This show has grown over nearly two years thanks to viewers and listeners like you. While menopause and sexual health have become more mainstream, too many women still aren't getting the help or education they need. I'm working to change that. If you found this episode helpful, please subscribe to the show and leave a review on Apple Podcasts.

Get in Touch with Dr. Senemar:

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Podcast

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We discuss why erectile dysfunction in male partners directly affects female sexual dysfunction, the treatments for Peyronie's disease that most couples don't know exist, and why testosterone replacement is straightforward for men but controversial for women. Dr. Burnett explains his holistic approach beyond just prescribing pills and shares insights on helping prostate cancer survivors recover sexual function.

The conversation covers healthcare disparities in men's sexual health and how implicit bias affects treatment outcomes. Dr. Burnett emphasizes that sexual health is a right and encourages advocating for comprehensive care.

Highlights:

• How nitric oxide research led to Viagra and revolutionized treatment.
• Why one in 10 men develop Peyronie's disease and available treatments.
• Nerve-sparing surgery techniques that preserve function after prostate cancer.
• Healthcare disparities that affect men of color in sexual medicine.
• Why advocating for yourself matters when providers dismiss concerns.

Get in Touch with Dr. Burnett:

Website

Facebook

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LinkedIn

Get in Touch with Me:

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

Recording this on the eve of my mother's one-year death anniversary from a massive heart attack, I want to talk about the real changes that happen when estrogen leaves the chat and why cardiovascular disease awareness among women has actually dropped from 65% to 44% in recent years.

I talk through the key cardiovascular takeaways including why white coat hypertension isn't benign, how the 2025 American Heart Association guidelines changed what's considered normal blood pressure, and why perimenopause is a time of accelerated cardiovascular risk when cholesterol and blood pressure can spike suddenly.

The most fascinating session covered invisible heart disease: INOCA (ischemia with no obstructive coronary arteries) and microvascular dysfunction. This is when women have chest pain, get full cardiac workups showing wide-open arteries, yet still have reduced blood flow to the heart through tiny vessels that don't show up on standard angiograms.

I discuss mental stress ischemia, a hidden killer where emotional stress causes measurable damage and reduced perfusion to the heart even when exercise stress tests are normal. How many women were told they had panic attacks when they actually had coronary microvascular dysfunction?

The mind-heart connection is real, and the sympathetic nervous system surge during high stress can constrict small vessels cutting off microcirculation. I share practical steps including finding preventative cardiologists, getting CT angiograms if you have family history, understanding your blood pressure parameters, and why stress reduction isn't just self-care, it's cardiovascular medicine.

Highlights:

• Why awareness that heart disease is the #1 killer in women dropped from 65% to 44%.
• How white coat hypertension is NOT benign and leads to cardiovascular events.
• New 2025 blood pressure guidelines: normal is now less than 120/80.
• Why perimenopause causes accelerated cardiovascular risk with sudden cholesterol spikes.
• What INOCA and microvascular dysfunction mean for women with chest pain and normal angiograms.
• How mental stress ischemia causes measurable heart damage even with normal stress tests.

If this episode helped you understand cardiovascular risks in menopause and why symptoms like chest pain deserve thorough evaluation beyond standard testing, please share it with women who need this information. Subscribe and leave a review to help more people discover these critical discussions about heart health in midlife.

Resources:

Microvascular Network

INOCA

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I love exploring the how sexual wellness, shame, and communication, all need to work together. Jennifer shares her journey into the world of sex therapy, why she believes naming what we do is so powerful, and how shame around sex can impact us even if we are educated or in committed relationships. We also explore practical strategies for improving communication with your partner, overcoming desire mismatches, and creating a culture of openness in your relationship.

We also discuss how early sex education or the lack of it affects adults, how parents can start conversations with their kids without shame, and why understanding pornography and modern sexual culture is crucial for young people today. Plus, we touch on how sexual identity, including asexuality, is being more openly discussed and accepted in today’s world.

Whether you are a clinician, a parent, or just someone curious about your own sexual wellness, this conversation is packed with insights, practical advice, and validation that yes, you deserve pleasure and connection.

Highlights:

• How sexual shame develops and shows up in relationships.
• The power of naming what we do and embracing sexual wellness without fear.
• Tools and exercises for improving communication and connection in intimate relationships.
• Why early, open, and shame free conversations about sex matter for the next generation.
• Insights into modern sexual identity, desire discrepancies, and responsive desire.

If you are ready to explore your own sexual wellness, improve communication with your partner, or learn how to have these conversations with your kids, this episode is for you. Don’t forget to subscribe, leave a review, and share this episode with anyone who could benefit from a little sexual empowerment in their life.

Get in touch with Dr. Litner:

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Using a 28-year-old patient with CHECK2 mutation as an example, I walk through when genetic testing makes sense, how to calculate your lifetime risk, and what screening protocols change when your risk is elevated.

I cover modifiable lifestyle factors that account for 30% of breast cancer cases, including alcohol intake, diet, exercise, and optimal body weight. The key message: genetic testing is about empowerment and prevention, not fear.

I also address surgical menopause after risk-reducing procedures. When you remove ovaries in your 30s or 40s to prevent cancer, you fall off a hormonal cliff with immediate consequences.

The critical issue: estrogen therapy is NOT contraindicated for previvors without personal cancer history, yet surgical patients are rarely given a menopause plan before going under anesthesia. Early estrogen loss increases cardiovascular disease, dementia, osteoporosis, and all-cause mortality risks.

Highlights:

• What CHECK2, BRCA1/2, and other mutations mean for lifetime cancer risk.
• How removing ovaries before age 45 without HRT increases all-cause mortality risk.
• Why previvors without cancer CAN and SHOULD take estrogen after preventative surgery.
• Why you should demand a menopause plan BEFORE risk-reducing surgery, not after.

If this episode empowered you to have conversations about family history and genetic testing, or helped you understand why hormone replacement matters after preventative surgery, please share it with women who need this information.

Subscribe and leave a review to help more people discover these critical discussions about cancer prevention and quality of life.

Get in Touch with me:

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

We discuss how insurance restrictions meant that even when we spent 30 minutes with patients more than most providers could offer it still wasn't enough time for patients with complex conditions like PGAD, vaginismus, and chronic pelvic pain who needed proper evaluation and treatment. Under our new concierge model with Ms. Medicine, we can now offer 90-minute first visits for pelvic floor patients, co-treat in the same appointment, and collaborate seamlessly to address the full spectrum of each patient's needs.

Grace walks through what actually happens in pelvic floor PT, dispelling the anxiety many patients feel about internal exams. She explains her three-year journey from orthopedics to discovering her passion for treating chronic pain with emotional and physical components. The conversation covers why "just do kegels" is often wrong advice, how tension creates weakness, and why a tight pelvic floor causes urinary incontinence despite conventional wisdom.

We also emphasize that pelvic floor dysfunction isn't just about postpartum issues it affects children with constipation, teenagers on hormonal birth control, athletes overworking their cores, and menopausal women with GSM.

Highlights:

• Why we left insurance-based model.
• How concierge medicine allows 90-minute first visits and same-day co-treatment between providers.
• Why pelvic floor PT should be preventative, not just reactive to pain and dysfunction.
• How nitrous oxide helps those who are anxious progress through dilators in single sessions.
• How TMJ, back pain, and anxiety all connect to pelvic floor tension and clenching.
• Why pregnancy itself damages the pelvic floor regardless of delivery method.

If this episode helped you understand the importance of pelvic floor therapy and comprehensive sexual medicine care, help other women discover this information by subscribing and leaving a review. Your reviews help more people find these discussions about different approaches to sexual health.

Get in touch with me and my team:

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Karen's Instagram

Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

As a fistula repair surgeon working in Sub-Saharan Africa for four years, Dr. Pope realized that even after successfully repairing bladder leaks, many patients couldn't have intercourse due to vaginal scar tissue yet providers never asked about sexual function.

Meanwhile, her sister battling cancer was asking basic questions about intimacy that Dr. Pope, despite all her training and a fellowship, couldn't answer.

These twin revelations led Dr. Pope to pursue sexual medicine education and eventually building Cleveland's first female sexual health division that spans multiple departments.

Her unique background in global women's health, fistula repair, and reconstructive gynecology informs her holistic approach to sexual medicine and menopause care.

The conversation also explores Dr. Pope's current research focus on perimenopause and cardiovascular health, believing this critical 10-year window before menopause holds the key to prevention rather than just treatment. She shares her proactive approach to her own perimenopause, including checking baseline testosterone levels at peak ovulation to guide future hormone therapy decisions.

Highlights:

• Sexual function should be assessed after every pelvic surgery, not just assumed
• Obstetric fistulas are still happening globally but were eliminated in the US once C-sections became accessible.
• Building a sexual medicine division works best when spanning multiple departments for true biopsychosocial care.
• The fellowship program accepts both urology and OBGYN applicants, with only two OBGYN programs in the country.
• Her work continues in Africa doing shorter trips and training local surgeons.

If this episode inspired you to think differently about international women's health and sexual medicine education, help others discover this conversation by subscribing and leaving a review. Your reviews help more clinicians and patients find these discussions about comprehensive sexual health care.

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X

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Lauren emphasized that millennials are still being dismissed by providers with harmful phrases like "you're too young" and "your labs are normal so you're fine." She stressed that perimenopause can start in the late 30s and that normal lab results don't rule out hormonal changes. The shadow of the Women's Health Initiative continues to create unnecessary fear about hormone therapy, with breast cancer concerns being the most common question she receives.

The discussion highlighted how perimenopause intersects with major life transitions that define the millennial experience - career changes, relationship evaluations, and identity shifts. Lauren and I discussed while men experience "midlife crisis," women going through perimenopause often experience "midlife clarity" once they understand and treat their hormonal changes. This clarity sometimes leads to relationship changes as women reevaluate what they want and deserve.

A significant focus was placed on the mental health impact of perimenopause, particularly for women with previous anxiety or depression. Lauren explained that old coping mechanisms often stop working, and symptoms like rage, brain fog, and irritability can feel overwhelming. She advocates for psychoeducation as the first step, helping women understand that these changes are hormonally driven and treatable, not character flaws.

Lauren shared practical coping strategies including mindfulness techniques like box breathing, cold water on wrists or neck, and "putting the pause back in menopause." She emphasized the importance of partners getting educated and helping with the mental load rather than just witnessing the struggle. Her approach combines cognitive behavioral therapy with self-compassion work and acceptance.

Highlights:

• Why millennials need to start preparing for perimenopause now, even in their 30s.
• Debunking the "too young" myth and normal lab fallacy.
• How perimenopause creates "midlife clarity" vs traditional midlife crisis.
• Practical mindfulness techniques: box breathing, cold water therapy, five senses grounding.
• The connection between postpartum mental health and perimenopause preparation.
• Why partners need education and how to support without judgment.

If this episode helped you understand millennial perimenopause preparation and mental health support, help other women find this conversation by subscribing to the channel and leaving a review on Apple Podcasts. Your reviews help more women discover these important discussions about preparing for life's next phase.

Connect with Lauren:

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Book

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

Dr. Moyers emphasized the critical importance of debunking perimenopause myths that continue to harm women. The most damaging myths include "it's all in your head," "your labs are normal so you're fine," "you're too young for perimenopause," and "hormone therapy just delays the inevitable." She stressed that perimenopause is a clinical diagnosis that can start in the early 30s and last 7-10 years before the final menstrual period.

The discussion highlighted the complexity of managing perimenopause versus menopause, with Dr. Moyers noting that perimenopause is actually more difficult to treat because of the "pesky period running around." She advocates strongly for the Mirena IUD, which reduces bleeding by 90% in the first six months, making hormone management much more straightforward.

A significant focus was placed on metabolic changes during the menopause transition, including the natural 0.6% annual decline in muscle mass. Dr. Moyers outlined a comprehensive approach including strength training, protein-rich diets, sleep prioritization, and stress management. She introduced the concept of "thought dumping" - an unedited journaling practice combined with identifying three daily wins and three goals for tomorrow.

Dr. Moyers shared her unique integration of osteopathic manipulation into menopause care, offering quarterly OMT sessions as part of her membership model. This hands-on approach helps balance the autonomic nervous system and addresses the physical manifestations of hormonal changes, particularly beneficial for pelvic pain and pregnancy-related discomfort.

Highlights:

• Debunking harmful myths: "you're too young" and "labs are normal".
• Why perimenopause is harder to manage than menopause.
• Osteopathic manipulation for hormonal balance and pelvic pain relief.
• "Thought dumping" stress management technique with daily wins tracking.
• Comprehensive metabolic support including strength training and nutrition.
• Strategic use of GLP-1 medications as jumpstart tools for sustainable change.

If this episode helped you understand perimenopause management and holistic care options, help other women find this conversation by subscribing to the channel and leaving a review on Apple Podcasts. Your reviews help more women discover these important discussions about comprehensive midlife health care.

Connect with Dr. Moyers:

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Instagram

Podcast

Connect with me:

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

This conversation with therapist Mandi Dixon revealed a critical connection between ADHD and perimenopause that's leaving countless women struggling without answers. Dixon's work focuses on the intersection of neurodivergence and hormonal changes, addressing why so many women receive their first ADHD diagnosis during midlife transitions.

The discussion explored how ADHD in girls and women presents differently than in boys - with internal hyperactivity like daydreaming and anxiety rather than external disruption. This leads to years of successful masking, where women learn to follow rules and appear organized while struggling internally. The hormonal support of estrogen helps maintain these coping mechanisms until perimenopause strips away that scaffolding.

Dixon introduced the concept of "ugly perimenopause" - the severe mental health struggles that go beyond typical mood changes and require immediate attention. She emphasized that the highest suicide rates in women occur between ages 46-54, making this a critical period for intervention and support.

The conversation highlighted how neurodivergent women experience more intense perimenopause symptoms due to nervous system sensitivity. Sensory overload becomes overwhelming - from cooking exhaust fans to children's noise levels. Rejection sensitive dysphoria, already challenging for ADHD individuals, intensifies with hormonal fluctuations, making criticism feel devastating.

Dixon's therapeutic approach combines traditional counseling with EMDR (Eye Movement Desensitization and Reprocessing) therapy, which uses bilateral stimulation to help reprocess trauma. This technique proves particularly effective for both mental health recovery and physical conditions like pelvic pain where trauma responses interfere with healing.

The discussion addressed the "menno divorce" phenomenon, with Dixon explaining that divorce often results from pre-existing relationship issues becoming intolerable once women stop accommodating poor treatment. Perimenopause doesn't cause problems but reveals them, giving women clarity about what they will and won't accept.

Dixon stressed that neurodivergent women require specialized menopause care, describing them as "orchids" who need delicate handling during hormone therapy. The combination of hormonal treatment with mental health support often provides the best outcomes, with some women needing long-term antidepressant therapy as a "safety net" alongside hormone replacement.

Highlights:

• Why ADHD gets missed in girls due to internal vs. external symptoms.
• The "ugly perimenopause" requiring immediate mental health intervention.
• Sensory overload and rejection sensitivity intensifying with hormone changes.
• EMDR therapy for trauma processing and pelvic pain recovery.
• How menopause empowerment reveals relationship problems rather than causing them.
• Neurodivergent women needing specialist hormone care and patience with treatment.
• The importance of combining hormone therapy with mental health support.
• Suicide risk peaks between ages 46-54 in women.

If this episode helped you understand the ADHD-perimenopause connection, help other women find this conversation by subscribing to the channel and leaving a review on Apple Podcasts. Your reviews help more women discover these important discussions about neurodivergence and hormonal health.

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GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

This conversation with dating expert Bella Gandhi revealed why traditional approaches to finding love fail and how midlife presents unique opportunities for rewriting your romantic story. Gandhi's philosophy centers on "fixing your picker" learning to identify and choose partners based on compatibility rather than superficial chemistry or outdated checklists.

The discussion explored the cultural challenges faced by South Asian women and others from conservative backgrounds who were discouraged from dating during their formative years, then suddenly expected to find life partners without any relationship skills. This creates a particularly challenging dynamic for professionals who focused on career development while neglecting romantic education.

Gandhi addressed the "gray divorce" phenomenon, noting how hormonal clarity during perimenopause and menopause often coincides with women recognizing they've been settling for relationships that don't serve them. Economic independence allows women to leave situations their mothers and grandmothers couldn't escape, leading to increased midlife divorces and subsequent re-entry into dating.

A major myth-busting focus emerged around modern dating being "harder than ever." Gandhi argues that technology simply provides more options than the historical six-block radius of potential partners. The real challenge isn't the dating landscape but the lack of education around relationship skills - something we'd never expect someone to master without training in any other life area.

If this episode gave you hope about finding love at any age, help other women discover this conversation by subscribing to the channel and leaving a review on Apple Podcasts. Your reviews help more women find the support they need for all aspects of midlife transitions.

Highlights:

• Why "fixing your picker" matters more than finding matches.
• The cultural challenges of South Asian dating expectations.
• How perimenopause clarity contributes to "gray divorce".
• Debunking the myth that modern dating is impossible.
• Red flags: inconsistency, not respecting boundaries, too much too soon.
• Success stories from clients in their 70s finding love.
• Teaching relationship skills to teenagers and young adults.

Connect with Bela:

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

This conversation with Dr. Jackie Piasta explored why perimenopause has become such a powerful word for women finally finding answers to years of unexplained symptoms. We discussed the complex hormonal orchestra that begins breaking down in the late 30s and early 40s, creating a cascade of physical and emotional changes that often leave women feeling like they're "not themselves."

The physiology behind perimenopause involves the ovaries becoming less responsive to brain signals, leading to missed ovulations and progesterone deficiency. This creates what's often called "estrogen dominance" though we prefer the term "progesterone deficiency" to avoid vilifying estrogen. The result is unpredictable cycles, mood changes, brain fog, sleep disruption, and metabolic shifts.

A major revelation emerged around hormone testing it's largely unhelpful during active perimenopause with regular cycles, since hormones fluctuate daily. However, testing can provide validation for women experiencing significant cycle disruptions, even if it doesn't change treatment plans. The key is understanding when testing makes sense versus when it's a waste of money.

The conversation highlighted how perimenopause accelerates metabolic dysfunction, with cholesterol, blood sugar, and liver enzymes often rising for the first time. Dr. Piasta introduced the "red wine sign" when alcohol tolerance suddenly disappears as an early warning that metabolic changes are happening throughout the body.

Treatment approaches vary based on individual needs, considering contraception requirements, cycle regulation, and symptom management. Both birth control pills and menopausal hormone therapy have roles in perimenopause care, often used together with IUDs providing contraception while hormones address symptoms. The goal is having more tools in the toolbox, not fewer.

Highlights:

• Why perimenopause is a "power word," not just medical jargon.
• When to test hormones (and when not to waste your money).
• Metabolic changes that accelerate during perimenopause.
• Birth control pills vs. menopausal hormone therapy approaches.
• When your body stops processing alcohol.
• Weight gain and metabolic dysfunction solutions.
• Treatment strategies for the "sandwich generation".

If this episode gave you new perspective on perimenopause and metabolic health, help other women find this conversation by subscribing to the channel and leaving a review on Apple Podcasts. Your reviews help more women discover these important discussions about taking control of their healthcare choices.

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

This conversation explored the evolution of plastic surgery from dramatic transformations to natural, undetectable enhancements. The discussion covered how celebrity influence, particularly Kris Jenner's recent facelift, has normalized conversations about aesthetic procedures while highlighting the shift toward subtlety over obvious results.

A major focus was the reality of dermal fillers contrary to marketing claims about 12-16 month dissolution, many patients retain fillers for years due to individual metabolism differences. This has led to overfilled appearances and the need for ultrasound guided dissolution techniques.

The conversation highlighted practical anti-aging strategies, particularly upper eyelid surgery as a high impact, low downtime procedure that can dramatically improve appearance without looking artificial. Fat transfer emerged as a game changing technique that provides natural volume while improving skin quality through growth factors.

The discussion addressed modern challenges like "Ozempic face" from rapid weight loss and the limitations of non-surgical skin tightening. We also discussed the importance of rejecting societal pressure around aging and aesthetic choices, framing these decisions as personal autonomy rather than vanity.

Throughout, the conversation challenged stigmas in both plastic surgery and women's health, advocating for patients to address what bothers them rather than suffering in silence. The overarching message was about empowering women to make choices that improve their quality of life without shame or judgment.

Highlights:

• Celebrity influence on plastic surgery trends (Kris Jenner's facelift analysis).
• The shift from "overfilled" to natural aesthetics in modern plastic surgery.
• Breast reconstruction for cancer survivors and body image.
• Filler dissolution and the truth about how long they really last.
• AI filters vs. realistic surgical expectations.
• Ozempic face/body and massive weight loss surgery.
• Small procedures with big impact (upper eyelids, lip lifts).

If this episode gave you new perspective on aging and body autonomy, help other women find this conversation by subscribing to the channel and leaving a review on Apple Podcasts. Your reviews help more women discover these important discussions about taking control of their healthcare choices.

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Mentioned in this episode:

GSM Collective

The GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options available Ready for personalized women's healthcare? Visit our Chicago office today.

GSM Collective

In this fascinating episode, I dive into the hidden world of sexual fantasies with Justin a psychologist who has conducted the largest study on what people actually fantasize about. As someone who works daily with patients struggling with sexual health concerns, I found this conversation incredibly revealing about what's happening in people's minds behind closed doors.

Justin reveals the seven universal fantasy themes that emerge across all demographics, from threesomes and kink to romance and taboo scenarios helping me understand what my patients are likely thinking about but afraid to discuss.

We explore the surprising finding that religiously and politically conservative people often fantasize about the very things they're "not supposed to" do, and how taboos actually amplify excitement through what he calls the "forbidden fruit effect."

One of the most valuable insights I gained was learning that 80% of people report positive experiences when sharing fantasies with partners, and how women who act on fantasies have higher orgasm rates.

We also discussed surprising findings about who people fantasize about most (hint: it's usually people they know, not celebrities), and how factors like age, gender, and culture shape our secret desires. Perhaps most importantly, we addressed how most people think their fantasies are much rarer than they actually are, creating unnecessary shame that impacts sexual wellbeing.

This conversation opened my eyes to just how normal and diverse human sexual fantasies really are. For anyone wondering if their thoughts are "weird" or struggling with shame around their desires, this episode offers both validation and practical insights.

Highlights:

• Justin surveyed over 10,000 people to uncover the seven most common sexual fantasy categories.
• Conservative people often fantasize about breaking the very taboos they publicly support.
• 80% of people have positive experiences when sharing fantasies with their partners.
• Most people fantasize about people they know rather than celebrities.
• Women who act on their fantasies report higher rates of orgasm.

Curious about more honest conversations around sexual health? I encourage you to subscribe to my podcast, for more candid discussions that help you advocate for your sexual wellness.

Do you have questions about sexual health? I always tell my listeners -don't hesitate to discuss your concerns with a qualified healthcare provider who specializes in sexual medicine. Remember: I'm here to educate so you can advocate for yourself.

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After years of following the traditional achievement pathway elite schools, medical training, career advancement Dr. Moon found herself asking "is this it?" despite checking all the boxes society told her would lead to fulfillment.

In this deeply personal episode, Dr. Moon shares her transformation from a people pleasing perfectionist to someone who prioritizes authentic joy and connection. She opens up about her challenging fertility journey with twins, the systemic barriers she faced as a part-time physician (including being denied promotion solely for working three days a week), and her controversial experience on Real Housewives of Dallas, where she faced racist harassment that ultimately led her to leave the show.

Our conversation explores the unique pressures facing women in medicine, from cultural conditioning around achievement to the impossible myth of "having it all." Dr. Moon discusses her mid-career burnout, how she found creative outlets through entrepreneurship, and why she believes joy must be cultivated from within rather than sought externally.

She also addresses the double edged sword of social media how it can build businesses and connections while also fueling dangerous comparisons and shares practical strategies for maintaining authentic relationships in an increasingly digital world.

Highlights:

• The Achievement Paradox: Why following traditional success markers often leaves high achievers feeling empty and unfulfilled.
• Systemic Bias in Medicine: Research showing 75% of women physicians delay childbearing, with career penalties for part-time work.
• Cultural Conditioning: How Asian American upbringing around being "smart and obedient" creates lifelong people-pleasing patterns.
• Reality TV Racism: Dr. Moon's experience with harassment on Real Housewives of Dallas and learning when to walk away.
• Mental Health Stigma: The importance of seeking treatment for anxiety and depression, especially in medical culture.
• Social Media Strategy: Using platforms for business growth while avoiding the "comparison trap".
• Redefining Success: The difference between conditional happiness and sustainable inner Boundary Setting: Practical advice for saying no and valuing your worth as a professional.

Get in Touch with Dr. Moon:

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Book link

LeadHer Summit

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LinkedIn

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Many women in midlife find themselves overwhelmed by clutter but don’t connect it to their irritability, fatigue, or mental fog. In this episode, we explore how disorganization can worsen the emotional toll of perimenopause, and why seeking support without shame is both practical and therapeutic.

Amy shares how hormone shifts intersect with household stress, why “just buying bins” won’t solve the problem, and how a well organized space can actually help regulate mood, sleep, and decision making. We also dig into the emotional weight of stuff, the cultural shame around mess, and how to build systems that support not sabotage your daily life.

Highlights:

• Why perimenopause amplifies stress from household clutter.
• The emotional payoff of donating with purpose and clearing space.
• Why traditional storage solutions often fail, and what works instead.
• How shame and societal roles keep women stuck in disorganization.
• How to build resilience and reclaim peace at home through simple systems.

If your home feels like one more thing you can’t manage, this conversation will offer both empathy and a path forward. Subscribe, leave a review, and share with someone who needs it.

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Rosy isn’t a one size fits all app. It’s a platform built by a variety of clinicians and trained experts in their fields to support women with low libido, arousal issues, and the systemic failures around both. Through erotica, CBT based coaching, education, and clinical trials, Rosy is setting a new standard for how sexual health care can actually work.

In this episode, Dr. Harper shares how the platform continues to evolve and what the data is showing us. We talk about desire, responsive arousal, cultural context, and the new tools changing how we treat sexual dysfunction. If you’ve ever wondered what expert driven, patient-centered care really looks like, this is it.

Highlights:

• How a platform built by clinicians, therapists, and researchers is changing care for low libido and arousal.
• Why erotica is an evidence based intervention and how Rosy makes it accessible without shame.
• What Rosy’s data reveals about responsive desire, cultural identity, and unmet sexual health needs.
• Behind the scenes: Rosy's upcoming arousal treatment, coaching expansion, and Quickies feature.

Get in Touch with Dr. Harper:

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We discuss her journey into urology, the importance of representation in medicine, and her focus on female pelvic health from prolapse and incontinence to the surgical and non-surgical treatments that can dramatically improve quality of life.

From mid urethral slings to bulking agents like Bulkamid, Dr. Milhouse breaks down the options for restoring bladder control and day to day comfort. We also explore how pelvic floor dysfunction can affect self-image and sexual wellbeing and why informed consent must include conversations about pleasure, not just pathology.

Highlights:

• Representation in Urology: Dr. Milhouse shares how meeting a Black woman urologist shaped her path into a field traditionally dominated by older white men and how that representation continues to matter.
• Prolapse Realities: From “it felt like I had a scrotum” to “an egg between my legs,” Dr. Milhouse describes how patients experience pelvic organ prolapse and what options exist to restore both anatomy and confidence.
• Incontinence Treatments Explained: A breakdown of surgical and non-surgical options—like mid urethral slings and Bulkamid and how patient goals and downtime factor into decision making.
• Preserving Sexual Function: Why asking about cervical orgasms matters, and how uterine sparing procedures can protect sexual wellbeing during prolapse repair.
• Medical Bias and Advocacy: A frank discussion about racism, bias, and the emotional toll that clinicians of color face—both from patients and within the healthcare system.

If you found this episode helpful, please subscribe, rate, and leave a comment. Your support helps us reach more people who deserve real, respectful conversations about their health.

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I often talk about the lack of current information many doctors have about hormones. This is a global issue, which is precisely why I wanted to have a leading UK menopause expert on the show.

Have you ever felt like your own body was working against you? Like your mood, memory, or even sexual health just aren't what they used to be, and no one's really listening? In this episode, I sit down with Dr. Louise Newson to dig into why so many women first experience these frustrations and why they feel such immense relief after speaking with a menopause specialist, especially after constantly being dismissed by other clinicians.

Dr. Newson, a relentless advocate for women's health, challenges why hormones like estrogen, progesterone, and testosterone are often denied to women, highlighting a pervasive medical bias against female physiology. She shares crucial insights on testosterone deficiency and its effects on the brain, the revolutionary benefits of vaginal DHEA (Prasterone) for recurrent UTIs, painful sex, and vaginal atrophy, and the potential for deprescribing opioids and antidepressants through hormone optimization. Tune in for a frank, evidence-based discussion that empowers you to advocate for personalized hormonal care at every stage of life.

Episode Highlights:

• Challenging Medical Bias: We confront the historical medical bias denying women crucial hormone therapy (HT) and discuss its impact on overall health.
• Hormones, Mood & Brain Health: Discover how estrogen, progesterone, and testosterone function as neurotransmitters, profoundly impacting mood, memory, and sleep. Learn how hormone optimization can even reduce the need for opioids and antidepressants.
• The Power of Testosterone: Beyond libido, we discussl how testosterone replacement can boost brain function, energy, and combat chronic joint pain.
• Vaginal DHEA: A Game-Changer: Hear about the revolutionary benefits of vaginal DHEA (Prasterone) for recurrent UTIs, painful sex, and vaginal atrophy.
• Advocating for Long-Term Health: Understand why hormone deficiency raises risks for major conditions like dementia and heart disease, emphasizing the need for personalized hormonal care for healthy aging.

If this conversation has sparked questions or empowered you, don't keep it to yourself. Share this episode with a woman in your life who needs to hear it, and remember to visit my Youtube Channel for more resources. Until next time, stay informed and advocate for your health!

Guest Bio:

​​Dr. Louise Newson is a world-renowned physician, women's hormone specialist, and member of the UK Government’s Menopause Taskforce, widely known as the "medic who kickstarted the menopause revolution." An award-winning doctor, educator, and Sunday Times bestselling author, she founded the free balance menopause support app (over 1M downloads) and hosts the No.1 UK medical podcast. Through her Newson Health clinic and extensive research, Dr. Newson is committed to improving access to individualized menopause and hormone treatment, while tirelessly working to educate healthcare professionals and challenge medical bias without pharmaceutical funding.

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In this episode, I talk with Dr. Kate White about what really happens to the body and mind during midlife and why so many women feel unsupported during this transition. We explore how hormonal shifts can affect mood, memory, desire, and relationships not for everyone, but for more women than we acknowledge. Dr. White brings both her clinical experience and personal insight, shedding light on why these experiences are real, valid, and deserving of better care.

We also dig into the emotional weight that comes with midlife the shifting roles as parents, professionals, and partners and how this period can lead to questioning everything from career goals to long-term relationships. It’s not about assigning blame to hormones, but about recognizing them as one piece of a complex puzzle.

This conversation is about validation, education, and hope. Whether you’re in the thick of midlife changes or just starting to feel things shift, this episode is an invitation to listen without shame and to speak up without apology.

Highlights:

• Why midlife can feel like an emotional landmine
• How hormone changes impact libido, focus, and memory
• What no one tells you about perimenopausal rage
• The link between invisible labor and sexual disconnection
• Tips for recalibrating long-term relationships without blowing them up
• Why naming the problem isn’t blaming—it’s empowering

Did you enjoy this episode? Make to follow the show, leave a rating or review, and share this episode with someone who needs to hear it. Your support helps more women find real answers and better care.

Guest Bio:

Dr. Kate and Jay White are the married duo behind Heads and Tails, a podcast about recalibrating life, love, and identity in midlife. With over 50 years of combined experience Kate as a nationally recognized gynecologist and menopause/sexual medicine specialist, and Jay as a seasoned therapist, musician, and magician they bring both clinical expertise and real-life perspective to the mic.

Married for 26 years, they’ve weathered their own relationship evolutions while raising kids, building careers, and navigating the many curveballs of midlife. Together, they speak candidly (and often hilariously) about everything from hormones and hot flashes to emotional intimacy and second chances.

Their chemistry is real, their advice is grounded, and their mission is clear: to help listeners turn the so-called “midlife crisis” into a powerful recalibration body, brain, and relationship.

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As a South Asian woman and gynecologist, I’ve long seen the ripple effects of misunderstood metabolic conditions, especially in women who don’t “look” unhealthy. In this episode, I’m joined by Dr. Mubin Syed—also known as DesiDoc on Instagram—whose new book Healing From Our History connects the dots between colonial-era famines and today’s alarming rates of disease in South Asians. His personal health scare led to years of research, and the result is a compelling case for why our bodies still carry the burdens of our history.

We also unpack what this means for PCOS, early menopause, and the misdiagnoses that come from trying to fit diverse bodies into Eurocentric templates. If you're South Asian, female, or both, this conversation will likely shift how you understand your symptoms—and how urgently we need better, more specific care.

It’s not all gloom. Mubin and I dive into actionable strategies, from rethinking white rice and walking more to using CGMs and reconsidering hormone therapy earlier. It’s knowledge, not fear, that lets us take the reins on our future health. His book, Healing From Our History, is a must-read if you want to go deeper into the research, the history, and the path forward for South Asian health.

Highlights

• The real story behind Mubin’s “healthy” heart attack.
• What to test for now especially if you’ve been dismissed before.
• How British colonialism and famine still shape South Asian metabolism.
• Why lean South Asian women may still face PCOS and early menopause.
• Epigenetics explained: your genes didn’t change, but their expression did.

If you're a healthcare provider or part of the South Asian community, I hope this episode brought clarity and context to the health challenges we often face. Share it with someone who might benefit whether that’s a colleague, a patient, or a family member. And don’t forget to subscribe, leave a comment, and like the show. Your support helps amplify conversations that matter.

Dr. Syed's Bio:

Mubin Syed, MD, is a nationally recognized physician with almost 30 years experience, specializing in endovascular therapy. He is also a health historian, a medtech entrepreneur, anda medical products inventor holding 28 patents.

He is the author of a medical guide on pain treatment and two works focusing on the modern South Asian health crisis. He has been a TEDx speaker, and was featured in the “Healthy Minds, Healthy Bodies” PBS documentary, and in CNN International/The Guardian and HuffPostUK.

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Let’s talk about the pelvic floor the part of your body no one teaches you about, yet it’s tied to nearly everything we experience as women. In this conversation with Dr. Sara Reardon, I felt like someone was finally explaining what so many of us were never taught to understand.

We discuss what really happens to the pelvic floor during pregnancy and postpartum (it's not just about vaginal delivery), and how most women are sent home with little more than stool softeners and good luck. Sara shares the recovery tips every mom deserves, from managing that first postpartum poop to understanding why pelvic floor strength is essential for long term health not just for sex or leaking.

We also talk about the issues that make healing harder like short postpartum visits, the myth of bouncing back, and how clenching (yes, even in traffic) is wrecking your pelvic health. We also talk on bladder habits, poop positions, why “just do Kegels” is bad advice, and what your body needs in every stage of life, from lactation to menopause.

Sara’s insights go beyond trendy wellness they’re practical, backed by science, and grounded in almost two decades of treating real patients. This episode is packed with tools that will leave you feeling informed, validated, and ready to take action.

Dr. Reardon’s Bio:

Dr. Sara Reardon is a board-certified pelvic floor physical therapist with over 18 years of experience helping individuals prevent and overcome pelvic floor issues including, urinary leakage, painful sex, prolapse and discomfort during pregnancy, postpartum and menopause. Sara has been featured in Time, Yahoo, Harper’s Bazaar, Romper, InStyle, Today, and numerous other podcasts, publications, and professional conferences about her advocacy and educational work as a pelvic floor therapist. She is also a TED presenter on Rethinking Postpartum Care. Sara is the Founder of The V-Hive, an online, on-demand pelvic floor fitness platform for pregnancy, postpartum, menopause, painful sex and pelvic floor strengthening.  Sara lives in New Orleans with her husband and two sons. FLOORED: A Complete Guide to Women’s Pelvic Floor Health at Every Age and Stage is her first book.

If this conversation helped you feel seen or gave you practical tools to work with please subscribe, leave a review, and share it with someone who needs it.

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If you’ve been told you’re “too young” for perimenopause, you’re not alone—and you’re not too early. In this conversation with Dr. Fatima Khan, an Australian menopause specialist, we dig into what perimenopause really looks like and why so many women fall through the cracks of outdated definitions.

Dr. Khan explains how progesterone and testosterone begin declining in our late 30s, long before estrogen crashes. The result? Fatigue, insomnia, anxiety, and heavy bleeding symptoms often brushed off or misdiagnosed. We discuss how the stress of modern life, poor sleep, and constant cortisol spikes are pouring gasoline on an already intense hormonal fire.

But this isn’t just about hormones it’s about support. From rethinking your exercise habits to building better boundaries and giving up the need to control everything (easier said than done), we talk about real-life tools that make this phase survivable and maybe even freeing.

Whether you're a clinician or someone living through the chaos, this episode offers a new lens on the perimenopause transition one that goes far beyond HRT and into the heart of what women truly need.

Highlights:

• Why current definitions of perimenopause don’t reflect what women actually experience.
• The early symptoms no one talks about: anxiety, fatigue, and mood swings.
• The role of progesterone and testosterone before estrogen becomes the issue.
• How cortisol and chronic stress intensify hormonal symptoms.
• Practical tools for nervous system support and reclaiming your energy.

If you found this episode helpful, make sure to subscribe, leave a review on Apple Podcasts, and share it with someone who might need it too.

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In my practice, I see patients every day who are silently suffering dealing with UTIs, vaginal dryness, painful sex, and bladder issues they think are just part of aging. But these symptoms often point to something much bigger: Genitourinary Syndrome of Menopause. And what’s worse, it’s still widely misunderstood or ignored.

A recent study with new data stopped me in my tracks. Over 11 million patient records showed that vaginal estrogen doesn’t just improve quality of life it dramatically reduces serious outcomes like sepsis and even death. That kind of impact should be front-page news in every medical journal, yet here we are… still debating whether it’s “necessary.”

We also talked about the brand new AUA guidelines, which now make it clear: local estrogen is first-line therapy. It's safe, even for many patients who were once told they couldn't use hormones. These guidelines finally reflect what we’ve known clinically for years that low-dose vaginal estrogen isn’t just symptom relief. It’s prevention.

There’s still a lot of confusion about systemic absorption, cancer risk, and when to refer out. So in this episode, I’m breaking down what’s new, what’s misunderstood, and what every patient and provider needs to know. I’m also sharing how I approach treatment options from estrogen and DHEA to pelvic floor therapy and even energy-based devices (yes, we go there).

If you’ve ever been told this is just part of aging, or you’re not sure what your options are, I hope this gives you clarity—and maybe a little validation, too.

 Highlights:

• Why vaginal estrogen can lower mortality, sepsis, and hospital stays.
• What the AUA’s 2025 GSM guidelines say—and why they matter.
• Clearing up myths about hormone absorption and cancer risk.
• When to consider DHEA, Ospemifene, or non-hormonal options.
• The role of pelvic floor therapy in managing GSM.

Resources:

AUA’s Guidelines

Gyno Girl-GSM Video

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I see a lot of patients who are struggling with fatigue, pain, and hormone symptoms that don’t seem to make sense on paper. And I’ve noticed a pattern but I wanted to talk to someone who lives in the complexity of it every day.

Dr. Tania Dempsey, is one of the few physicians who’s helped bring mast cell activation syndrome (MCAS) into the spotlight. Years ago, she was treating a patient who just wasn’t getting better until she stumbled on a paper about mast cells that changed everything. That one article led to a phone call, a new way of thinking, and a career shifting collaboration with one of the leading voices in the field.

In this conversation, we explore how MCAS shows up in gynecology especially in cases involving PCOS, perimenopause, and unexplained pelvic pain. We discuss why some patients are unusually sensitive to progesterone, how inflammation fuels insulin resistance, and what’s actually going on when mast cells become overactive. We also get into the clinical triad so many of us see MCAS, hypermobility, and POTS and how they often appear together in patients who are struggling to get answers.

Tania also talks about how she built her practice by spending more time listening to her patients and trusting that their symptoms meant something, even when the labs didn’t show it. 

Highlights:

• What mast cells do and how they become overactive in MCAS.
• The overlooked link between PCOS, perimenopause, and mast cell dysfunction.
• Why some patients react badly to progesterone—and what to do about it.
• How GLP-1 drugs like Ozempic may help calm inflammation in MCAS.
• What to know before seeking a diagnosis or starting treatment.

If this episode opened your eyes or gave you language for what you’ve been going through, please subscribe, leave a review, and drop a comment. I’d love to hear what resonated most with you.

Dr. Dempsey's Bio:

Dr. Tania Dempsey, MD, ABIHM is a world-renowned expert in complex, multisystem diseases. As founder of the AIM Center of Personalized Medicine, in Purchase, NY, Dr. Dempsey uses functional and integrative medicine to get to the patient’s root cause(s) of illness and to help them find a path to optimum health. Her extensive knowledge and experience with Mast Cell Activation Syndrome, Mold, and Lyme and other Vector-Borne Diseases, has propelled her to the forefront of the medical community as a recognized and trusted speaker, researcher, advocate, and physician.

Dr. Dempsey is Board-Certified in Internal Medicine and Integrative and Holistic Medicine. She received her MD degree from The Johns Hopkins University School of Medicine and her BS degree from Cornell University. She completed her Internal Medicine Residency at NYU Medical Center.

She was recently elected to the Board of Directors of ILADS (International Lyme and Associated Diseases Society). She is also a member of the U.S. ME/CFS Clinician Coalition, the American Academy of Ozonotherapy, and ISSWSH (International Society for the Study of Women’s Sexual Health).

She is an accomplished international speaker, writer and thought leader and has 8 peer-reviewed articles in the medical literature. Her latest endeavor is cohosting the new podcast, Mast Cell Matters.

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In this episode, I sit down with Dr. Andrea Matsumura—board-certified sleep physician and women’s health specialist—to finally unpack why sleep is such a persistent struggle for women, especially during perimenopause and menopause. Andrea breaks down the biological, psychological, and cultural reasons why women are conditioned to expect poor sleep—and why it doesn’t have to be that way.

We talk melatonin myths (the dose matters), the silent epidemic of undiagnosed sleep apnea in women, and why most wearables are only telling part of the story. Andrea also explains why cannabis, supplements, and even hormone therapy may help—but won’t fix the root cause for many women.

Plus, we get into the real reason cognitive behavioral therapy for insomnia (CBT-I) actually works—if you’re willing to do the work—and how the entire medical system is failing women by ignoring gender-specific data in sleep studies and diagnostics.

If you’re tired of being tired and want real, practical answers—not just another supplement or influencer sleep hack—this conversation is for you.

Highlights

• Why hormone therapy helps some women sleep—but not all.
• How sleep apnea presents differently in women and often goes undiagnosed.
• The truth about melatonin: why most people take the wrong dose at the wrong time.
• Cannabis and sleep: what the research really shows.
• Why CBT-I is the gold standard for insomnia (and why apps alone aren’t enough).

Do you like what you heard? Don’t forget to subscribe, like, and leave a comment on Apple Podcasts your support helps us reach more listeners who deserve better answers.

Guest Bio:

Dr. Andrea Matsumura MD MS FACP FAASM is a board certified sleep specialist and menopause expert, event and corporate speaker, group facilitator, co-founder of the Portland Menopause Collective, and creator of the Sleep Goddess MD D.R.E.A.M. Sleep Method™ and Sleep Goddess Archetype™.

Dr. Matsumura attended medical school at The University of Texas Health Science Center in San Antonio. She moved to Portland, Oregon for her residency in Internal Medicine and was an Internal Medicine Physician with Northwest Permanente for 13 years before entering her fellowship in Sleep Medicine. She attended Oregon Health and Science University as a fellow in Sleep Medicine. She became a partner at The Oregon Clinic in Pulmonary, Critical Care, and Sleep Medicine after completing her fellowship. During her tenure there she focused on women’s health and became a sought-after expert on women and sleep. She is currently the Medical Director of primary care services and medical home development for Cascadia Health in Portland, Oregon and has plans to develop sleep services.

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This episode hit me hard. Not because the stories were shocking—but because they weren’t. Dr. Chailee Moss joined me to talk about the groundbreaking study she co-authored, recently published in JAMA, that finally puts numbers to the gaslighting so many of our patients experience.

We dug into what dismissal looks like in a medical setting and how phrases like "have a glass of wine" or "your exam is normal" can cause lasting harm. For patients living with vulvovaginal pain, being told it’s "all in your head" is not just invalidating—it can delay care, destroy trust, and lead people to give up entirely.

Dr. Moss shared how her own experiences as a patient shaped her path as a physician. We also talked about the deep-rooted system issues in training and documentation that continue to reinforce doubt instead of compassion. The problem isn’t just one bad doctor. It’s a medical culture that doesn't know how to listen to women in pain.

This isn’t just about statistics. It’s about rebuilding the broken parts of medicine so more women feel seen, heard, and actually treated. If you’ve felt dismissed by the system or know someone who has, this episode is for you.s

Highlights:

• Why patients with vulvovaginal pain are often told to "just relax".
• The power of naming gaslighting and measuring it in clinical care.
• How medical training creates blind spots around pain and gender.
• The importance of early diagnosis to prevent years of unnecessary suffering.
• Resources and organizations helping patients find the right care.

If this episode resonated with you, please subscribe, leave a review, and share it with someone who needs to hear it. Let’s keep pushing for better care.

Dr. Moss’s Bio: 

Dr. Chailee Moss is a gynecologist specializing in vulvovaginal disorders in Washington, D.C.   She first became interested in vulvovaginal disorders at the University of North Carolina at Chapel Hill where she earned an M.D. in 2013. She engaged in research on pain and gynecologic surgery during residency training in Ob/Gyn at The Ohio State University where she was a chief of resident education  and earned awards for her research and clinical care. 

Upon graduation, Dr Moss joined the faculty at Johns Hopkins University where she continued to research pain and publish original research in this and other areas.   Dr. Moss is board certified by the American Board of Obstetrics and Gynecology and has been an active member of the Society for Academic Specialists in OB/GYN, serving on the research committee and paper award committee. In her free time she enjoys cooking, camping, and travel with her husband and their three energetic children in Baltimore, MD.

Resources:

Book

Jama Article

Tight Lipped

Dr. Rahman with Tight Lipped

Isswsh

The National Vulvodynia Association

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Sexual pain is one of the most misunderstood issues in medicine. I invited my friend and colleague Dr. Corey Babb to dive into why so many women still struggle with pain, even after their doctors tell them everything looks “normal.” Corey just released his new book A Practical Guide for Female Sexual Medicine, which aims to help clinicians actually treat sexual dysfunction—not just study it.

We unpack the deeper reasons patients experience conditions like vaginismus, vestibulodynia, and hypertonic pelvic floor, including trauma, religious shame, and outdated medical training. Corey and I also explore the groundbreaking Pacik method for treating vaginismus, including why Botox and dilators can truly change lives (and minds).

But as we both know, treatment is never just about the body. We talk about the psychological side of healing—including why some patients avoid intimacy even after their pain resolves. Corey shares his insights on retraining the brain, rebuilding trust, and supporting patients beyond the exam room.

We also discuss why pelvic pain is so often dismissed, how to empower women to advocate for themselves, and why our field still has so much work to do when it comes to teaching clinicians about sexual health.

If you’ve ever been told to “just relax” or “drink some wine” to fix your pain—you’ll want to hear this.

Highlights:

• Why sexual pain can persist even after physical treatment
• How trauma and religious shame impact vaginismus
• The Pacik method: Botox and dilator therapy explained
• Why desire and intimacy often lag behind pain relief
• The critical need for better sexual health education in medicine

If this episode helped you feel seen or gave you new insights, please leave a review on Apple Podcasts and share the episode with someone who might need it. Your reviews help more people find this important information and advocate for their health!

Dr. Babb’s Bio:

Dr. Corey Babb is a Tulsa native who has dedicated his life to bringing awareness and acceptance to female sexual health. Through education, activism, and empathy, he helps people feel heard and validated, empowering them to find answers in a complicated medical environment. 

In addition to being a board-certified gynecologist, he is a Fellow of the International Society for the Study of Women’s Sexual Health, a Menopause Society Certified Menopause Practitioner and a member in the International Society for the Study of Vulvovaginal Disorders. Currently, Dr. Babb serves on the board of directors for ISSWSH, is a reviewer for multiple sexual medicine journals, is a respected lecturer and educator, and has been featured in numerous national and international publications, as well as the author of A Practical Guide to Female Sexual Medicine (CRC Press).

Get in Touch with Dr. Corey Babb :

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In this eye-opening episode, I talk with Dr. Janeane Anderson, a powerhouse researcher and faculty member at the International Society for the Study of Women’s Sexual Health, about the hidden reasons so many women stop taking critical medications like tamoxifen. It’s not just about the side effects—it’s about the silence surrounding them.

We dig into her research on how poor communication, racial bias, trauma, and lack of sexual health conversations lead to lower adherence rates, especially for Black women. We also explore the idea of epistemic injustice—how patients are often dismissed, even when they know something is wrong. Janeane shares how this harm shows up in the room and what clinicians can do to build trust and improve care.

From religious shame to relationship dynamics, sexual trauma, and systemic inequality, this conversation doesn’t shy away from the messy, painful, and very real barriers women face in their health journeys. But we also talk about hope—what it looks like to listen better, ask different questions, and create safer spaces for patients to advocate for themselves.

If you're a patient who's ever felt unheard, or a clinician who wants to do better, this one's for you.

Highlights:

• Why Black women are disproportionately affected by advanced-stage breast cancer.
• The link between sexual dysfunction and stopping cancer treatment.
• How religion, shame, and duty shape sexual health after diagnosis.
• What epistemic injustice means and how it plays out in exam rooms.
• Simple but powerful questions doctors can ask to avoid retraumatizing patients.

If this episode resonated with you, please hit subscribe, leave a review on Apple Podcasts, and share it with someone who needs to hear it. Let’s change how we talk about women's health—together.

Dr. Janeane N. Anderson Bio:

Janeane N. Anderson is an Assistant Professor in the Department of Community and Population Health in the College of Nursing at the University of Tennessee Health Science Center (UTHSC) in Memphis, TN. Dr. Anderson completed postdoctoral research fellowships at Emory University and UTHSC. She earned a Ph.D. in Communication and a Master of Public Health degree from the University of Southern California.

Dr. Anderson’s research targets the relationship between patient-clinician communication practices and clinical and quality of life outcomes among Black adults with chronic health conditions, specifically breast cancer, HIV/AIDS, and vulvovaginal and pelvic pain.

Past extramural funding from National Cancer Institute supported studies that explored patient-clinician communication, treatment adherence, and sexual health challenges among women with early-stage, HR+ breast cancer. Funding from the Washington DC Center for AIDS Research supported development of a shared decision-making tool to improve uptake of pre-exposure prophylaxis (PrEP) among Black sexual minority men; the Tennessee Department of Health funding supported development and implementation of a training for healthcare professional students to improve communication practices for PrEP education and counseling.

Currently, she is the Co-PI of a $1.58 million industry-sponsored grant to investigate multilevel barriers to healthcare access and utilization among Black women with de novo metastatic breast cancer and those with increased risk for advanced breast disease in the U.S. Mid-South region.

Dr. Anderson’s professional activities also include developing faculty resources and university-level programming to address diversity, equity, and inclusion goals and objectives. She is frequently invited to give lectures on systems of oppression, patient-centered communication practices, and sensitive and socially relevant topics within U.S. healthcare system for national and international organizations.

Get in Touch with Dr. Janeane N. Anderson:

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I’m diving into something I see all the time in my practice: mood disruption during perimenopause that goes far beyond PMS. We’re talking about that "I don’t feel like myself" feeling that so many women deal with—and the deeper hormonal patterns behind it.

PMDD (Premenstrual Dysphoric Disorder) is real. It’s not just feeling irritable—this is a full-body, mind-altering shift that can wreck relationships, sabotage careers, and leave you wondering what the hell is going on. And during perimenopause, those symptoms can go from bad to unbearable.

I’m breaking down the science behind why some women are more sensitive to hormonal fluctuations, how PMDD is diagnosed and the surprising connection to earlier menopause and severe hot flashes. You’ll also hear my thoughts on treatment options—from cognitive therapy to hormonal suppression.

If you’ve been dismissed, told to just “relax,” or handed a birth control pill that made everything worse… this episode is for you.

Highlights:

• What PMDD really is—and how it’s different from regular PMS
• How perimenopause can trigger or worsen mood disorders
• The overlooked connection between progesterone sensitivity and mental health
• Why some women with PMDD enter menopause earlier
• Treatment options that go beyond the pill (including a smart use of Duavee)

If this episode hit home, please like, share, and leave a review on Apple or Spotify. And follow me on Instagram and YouTube @GynoGirlTV for more unfiltered women's health talk.

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So many women come to me wondering what happened to their sex drive. They blame hormones, aging, or even themselves—but rarely do they consider the daily grind of their own lives. In this episode, I'm diving into a topic that sparked massive discussion at a recent sexual health conference: how gender dynamics in heterosexual relationships can play a major role in low desire.

Inspired by a presentation from sex therapist and author Dr. Laurie Mintz, we explore what happens when women take on more of the housework, childcare, and emotional labor in a relationship. We talk about why inequities in household duties, blurred lines between caregiving and romance, and constantly running a mental to-do list all add up to a complete libido crash.

This episode isn’t just about identifying the problem—it’s about understanding how chronic stress, hormonal shifts, and societal expectations intersect to shape your sexual experience. I also share actionable insights from clinical work and research that can help you reconnect with your own pleasure and reframe desire on your own terms.

Whether you're in a long-term relationship or just trying to rediscover what pleasure looks like for you, this is the conversation that might finally explain what no one else has.

Highlights:

• The 2021 study linking gender roles to low sexual desire in heterosexual couples
• Why the division of household labor can quietly kill intimacy
• How chronic stress and role overload affect hormones and sexual arousal
• Actionable strategies to reclaim desire, from scheduling "trysts" to sensory mindfulness
• The impact of perceived unfairness and caregiving dynamics on sexual connection

If this episode resonated with you, please like, comment, share, and leave a review on Apple Podcasts. It helps more people find the show and start reclaiming their own narratives around desire.

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Most people don’t think to ask what’s happening on both sides of a sexual relationship. But sexual dysfunction doesn’t happen in a vacuum—it’s a two-way street. In this episode, I’m joined by Dr. Jessica Yih, a urologist who treats both men and women, and we get real about the overlap of issues that show up in the bedroom.

We dive into Peyronie’s disease and why it’s been overlooked for so long, how injections can break down plaques, and why those curves aren’t just uncomfortable—they can lead to serious problems for both partners. We also break down erectile dysfunction beyond the “just pop a blue pill” myth. Spoiler: Viagra doesn’t work for everyone.

Jessica brings a powerful perspective to the conversation, especially around what it’s like treating both members of a couple, sometimes in back-to-back appointments. She’s also helping train the next generation of sexual health urologists through her fellowship at UC Irvine.

Sex is more than individual dysfunction—it’s communication, treatment access, aging, and understanding both bodies in the room. If you’re a provider, a patient, or just curious about how these dynamics work together, this episode is for you.

Highlights:

• The truth about Peyronie’s disease, painful sex, and treatment options
• Why Viagra isn’t a one-size-fits-all fix for erectile dysfunction
• How injectable medications and implants are changing the game
• Dyadic sexuality and the importance of treating both partners
• Jessica Yih’s unique path to sexual medicine and her work training new fellows

If this episode got you thinking, please hit that follow button, leave a comment, and give us a review on Apple Podcasts or Spotify. Your support helps more people find the info they’ve been missing.

Dr. Yih’s Bio:

Dr. Jessica Yih is a urologist specializing in both male and female sexual health and male infertility. She currently serves as Director of Women’s Sexual Health and Male Infertility and Assistant Professor at UC Irvine. Her clinical focus includes menopause care, vestibulodynia, arousal and orgasm disorders, erectile dysfunction, and oncofertility.

Dr. Yih is active in research, surgical education, and advocacy, particularly in advancing care for women’s sexual health. She contributes to several professional societies including SMSNA, ISSWSH, SMRU, AUA, and SWIU.

She holds degrees in brain sciences, medical sciences, mental health, and healthcare management, and completed her M.D. at Wayne State, urology residency at Case Western, and fellowship at San Diego Sexual Medicine.

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I can't even begin to tell you how many women come into my office thinking they’re broken—because sex isn’t working for them the way it “should.” They’re doing all the right things, checking all the boxes, and still feeling disconnected, dry, resentful, or just straight-up bored in the bedroom. But here's the thing: it's not their fault, and they’re definitely not alone.

In this episode, I’m talking with Maria, a total powerhouse in sexual medicine and menopause care. We go deep into the systemic blind spots in medical training, the cultural shame around female pleasure, and how most of us were never even taught how to understand our own bodies. From the bedroom gap to vibrator prescriptions, we’re covering it all—honestly, unfiltered, and with the kind of compassion that’s long overdue.

Maria shares how her own clinical journey shifted when she realized how many women were being misdiagnosed or dismissed—especially when it came to menopause and sexual health. She’s on a mission to close the gendered healthcare gap, and she’s not waiting around for the system to catch up. We also dig into the everyday stuff: how screens are killing sex, why novelty matters, and how to actually start advocating for the sex life you want.

This is one of those conversations that’ll make you laugh, nod, and maybe even rethink your nightstand drawer. And yes, we talk about lubes, vibrators, and why your bedroom deserves better vibes (and better lighting).

 Highlights:

• The origin of The Bedroom Gap and how it's damaging women's relationships
• Why Maria believes medical education is failing women—especially in menopause
• The orgasm gap, mercy sex, and how women are taught to prioritize male pleasure
• The cultural baggage that still surrounds self-pleasure and masturbation
• How to reframe your relationship with lube, sex toys, and your own body

If you loved this episode, don’t forget to like, subscribe, and leave a comment wherever you’re listening. To keep growing the show we would love it if you would leave a review on Apple Podcasts It helps more women find these real, necessary conversations—and that means we all win.

Dr. Maria Sophocles bio:

Maria has been a practicing gynecologist for 29 years and is an internationally respected expert in menopause and female sexual function.

She is the founder of Women's Healthcare of Princeton, a progressive gynecology practice serving over 30,000 women in the U.S. To meet the needs of international and remote U.S. patients, in 2024  she launched The Thinking Woman, a virtual consultation practice.

She completed a BA in English with honors and distinction from Duke University, attended medical School at Jefferson Medical College and completed her residency at Johns Hopkins Hospital’s Greater Baltimore Medical Center. 

She is board certified in ob/gyn, a certified menopause practitioner, and has been named a fellow to national societies (ISSVD and ISSWSH) for her contributions to gynecology.

As one of the first U.S. clinicians to recognize the need for a non-estrogen option to treat vaginal atrophy, in 2015 she pioneered the use of Co2 Laser  in the U.S.; she has taught clinicians this technology on five continents.

A passionate advocate for reproductive freedom and contraceptive access, she fought for seven years alongside Senator Shirley Turner to achieve passage of New Jersey Bill S275, a part of the historic Freedom of Reproductive Choice Act which became law in 2023.

Appalled by the pervasiveness of the gendered healthcare gap, she is developing a Women’s Health clinic in rural Kenya.

Her TED talk “What Happens to Sex in Midlife” has garnered nearly a million views and her forthcoming book, The Bedroom Gap will be released in late 2025. 

She is currently at work on a documentary about Sex, Menopause and Gender Equality called HOT!. She is married with four children. 

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Maria's Ted Talk

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There’s a reason vulvar conditions like lichen sclerosus are often missed or misdiagnosed—and it’s not because they’re rare. It's because most doctors aren't trained to recognize the signs. In this episode, I’m joined by Dr. Jill Krapf, a dedicated gynecologist and vulvar skin expert, to unpack the truth about vulvar dermatoses, why it takes so long to get diagnosed, and what can be done when scarring, pain, and sexual dysfunction start taking over your life.

We don’t just skim the surface—we go deep into the subtle (and not-so-subtle) symptoms, the stories of people who were told nothing was wrong when something clearly was, and what really works when managing chronic vulvar skin conditions. Jill also shares insights about how women of color are even more likely to be overlooked and misdiagnosed because of gaps in training and representation in medical education.

If you’ve ever been told “it’s just in your head,” or if you’ve silently dealt with vulvar discomfort, pain with sex, or itching that won’t go away—this episode is a must. There is real hope and effective care available. You just need to know where to look—and what to ask.

💡 Highlights:

• Why vulvar conditions are so often missed in both OB-GYN and dermatology settings
• The different types of lichen (and why not all itching is the same)
• Scarring, fissures, and sexual pain: when to ask about surgical options
• How patients of color face even more barriers to diagnosis and care
• What to know about emerging treatments like JAK inhibitors and lasers

Dr. Krapf’s Bio:

Dr. Jill Krapf is a board-certified Obstetrician Gynecologist specializing in female sexual pain disorders and Director of the Center for Vulvovaginal Disorders Florida in Tampa, Florida, USA. She is active in research and has published chapters and peer-reviewed articles on vulvodynia and vulvar lichen sclerosus.

She is Associate Editor for the medical journal Sexual Medicine, as well as for the textbook Female Sexual Pain Disorders, 2 nd Edition. She is a Fellow of the International Society for the Study of Vulvovaginal Disease (ISSVD) and a Fellow and Board Member of the International Society for the Study of Women’s Sexual Health (ISSWSH), serving on the Education Committee and the Social Media Committee. Dr. Krapf is a co-author on the trade book “When Sex Hurts: Understanding and Healing Pelvic Pain.” She shares educational content on social media @jillkrapfmd.

If this episode helped you feel seen or gave you language to advocate for your health, don’t keep it to yourself. Like, comment, and share this episode with someone who needs it. And don’t forget to subscribe for more unfiltered conversations on women’s health.

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When Tamsen  Fadal found herself on the bathroom floor during a live news broadcast, she had no idea menopause was to blame. Brain fog had been chipping away at her confidence for months, and no one had prepared her for what was happening. After countless appointments and endless Google searches, she realized that so many women suffer in silence, simply because they don’t have the right information.

In this episode, we discuss the real struggles of menopause — from the frustrating search for answers to the overwhelming amount of misinformation online. Tamsen shares how she finally found the right treatment, including hormone therapy and testosterone, and why she’s dedicated her career to helping women take charge of their health.

We also explore the role of advocacy, the dangers of predatory wellness trends, and how partners can play a vital role in supporting women during this transition. Tamsen’s powerful story is a reminder that you don’t have to suffer alone — there are answers, and it starts by asking the right questions.

If you’ve ever felt dismissed by your doctor or overwhelmed by conflicting advice, this episode is for you.

Highlights:

• How a terrifying on-air episode led Tamsen to uncover her menopause symptoms
• The emotional toll of brain fog and memory loss — and how it impacts confidence
• Why hormone therapy and testosterone became game-changers in Tamsen’s journey
• The surprising role partners can play in helping women navigate menopause
• How Tamsen turned her experience into a powerful documentary and book to help others

If you found this episode helpful, please like, comment, and subscribe to the podcast. Giving a review on Apple Podcasts helps spread the word and empowers more women to advocate for their health.

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For years, we've treated bacterial vaginosis as a frustrating yet common vaginal infection. But new research suggests BV may actually be sexually transmitted — and that changes everything.

In this episode, I dive into a groundbreaking study from the New England Journal of Medicine that reveals treating a woman's partner with antibiotics may reduce BV recurrence. This finding has huge implications for how we diagnose and manage this condition, especially since BV is linked to serious complications like infertility, preterm labor, and increased risk of other infections.

I also unpack why the feminine hygiene industry continues to prey on women’s insecurities — selling products that often do more harm than good. While some vaginal health products may seem promising, they can upset your vaginal microbiome, potentially increasing your risk of infections like BV.

Finally, I break down practical strategies for preventing and treating recurrent BV, from partner treatment to emerging solutions like boric acid suppositories and innovative medications designed to break down stubborn bacterial biofilms.

If you've struggled with recurring BV or want to know how to better advocate for your vaginal health, this episode is packed with actionable insights.

Highlights:

• New research showing BV may be sexually transmitted
• Why treating male partners could reduce BV recurrence
• The dangers of feminine hygiene products that disrupt vaginal health
• The role of boric acid in breaking down stubborn biofilms
• Why vaginal health products often target women’s insecurities — and what to watch out for

If this episode gave you a new perspective, please like, subscribe, and leave a review on Apple Podcasts. Your feedback helps spread the word and empower more people with the information they need to advocate for their health.

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If you’ve been following this show, you already know that women’s sexual health has been historically neglected in research and medicine. We’ve talked about the lack of funding, the outdated medical perspectives, and the frustrating gaps in knowledge. But this year’s ISSWSH conference gave us something new—real momentum, new studies, and potential breakthroughs that could finally shift the conversation from what’s missing to what’s next.

From redefining orgasm disorders to new treatments for sexual pain, the field of sexual medicine is evolving. Testosterone in women’s health is still a hot debate, but the latest data challenges many of the old assumptions. We’re also seeing new medications in the pipeline, more discussions about the impact of mental health, and growing recognition that sexual health is far more than just a biological issue—it’s psychological, social, and deeply personal.

So where do we go from here? What does the future of sexual medicine look like? And most importantly, how do we make sure these advancements actually reach the people who need them? 

Highlights:

• We already know women’s sexual health is underfunded—so what’s actually changing?
• New research from ISSWSH on orgasm disorders, painful sex, and hormone therapy.
• Why testosterone remains controversial for women—and what the latest data says.
• The growing role of mental health in understanding sexual dysfunction.
• What’s next: new treatments in the pipeline and the fight for better access.

The conversation is shifting, but there’s still work to do. Subscribe, rate, and leave a review on Apple Podcast to help bring more attention to these critical issues.

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Midlife has a way of forcing women to wake up. For Marcella Hill, it came in waves—divorce, reinvention, success, then the sudden and unexplained loss of energy, libido, and joy. She was doing everything “right,” yet her body was shutting down.

After years of being dismissed by doctors, she took matters into her own hands. From finding the right hormones to breaking free from deeply ingrained sexual shame, Marcella shares how she not only reclaimed her body but also her power.

Her journey didn’t stop with her own awakening. One viral TikTok turned into a movement, leading thousands of women to the resources they desperately needed. Now, she’s on a mission to make sure no woman has to suffer in silence again.

In this episode, Marcella and I get real about everything—hormones, libido, the lies we’ve been told about aging, and how women can rewrite their midlife stories on their own terms.

Episode Highlights:

• The moment Marcella realized her body was shutting down—and why doctors ignored it
• How testosterone completely transformed her energy, mood, and sex drive
• Breaking free from religious and cultural shame around pleasure and desire
• Why women over 40 are feeling invisible—and how to change that
• The rise of midlife awakenings and how Marcella is helping women take control

If this episode resonated with you, don’t forget to subscribe, like, and comment! And view the show on Apple Podcasts.

Let’s keep the conversation going—share your thoughts and tag a friend who needs to hear this.

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The clitoris is more than just a pleasure center—yet most doctors barely acknowledge it, let alone know how to examine it properly. Dr. Rachel Rubin joins me to expose the medical blind spots surrounding clitoral health, including the shocking lack of education on clitoral adhesions and why so many women suffer in silence.

We also dive into the impact of testosterone in women’s health, how outdated medical biases are keeping life-changing treatments out of reach, and why the FDA’s warning labels on vaginal estrogen are doing more harm than good.

Dr. Rachel Rubin shares her groundbreaking research on sexual medicine, why simple procedures like clitoral lysis can be life-changing, and how she’s fighting to get doctors to start asking the right questions about sexual function.

This episode is packed with critical insights on women’s health, pleasure, and the science that’s been overlooked for far too long.

Episode Highlights:

• Why the clitoris and penis are made of the same tissue—but only one gets studied
• The hidden problem of clitoral adhesions and how they impact sensation
• How testosterone plays a crucial role in women’s health (and why most doctors ignore it)
• The truth about vaginal estrogen, the FDA’s misleading warning, and the fight to fix it
• The urgent need for better education on sexual health in medical schools

If you found this episode eye-opening, don’t forget to subscribe, like, and comment! Share your thoughts and help us spread the conversation about women’s sexual health.

Dr. Rubin’s Bio

Dr. Rachel S. Rubin is a board certified urologist with fellowship training in sexual medicine. She is an assistant clinical professor in urology at Georgetown University and owns her own practice in Washington DC. Dr. Rubin provides comprehensive care to all genders. She treats issues such as pelvic pain, menopause, erectile dysfunction, and low libido. Dr. Rubin is the former education chair and current Director-at-Large for the International Society for the Study of Women’s Sexual Health (ISSWSH), and she serves as associate editor for the Journal of Sexual Medicine Review and the Video Journal of Sexual Medicine. Her work has been featured in the NYT, NPR and PBS. She was named a Washingtonian Top Doctor in 2019-2024.

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Hair loss is often dismissed as a cosmetic issue, but for millions of people, it’s deeply personal and frustrating to treat. In this episode, this week I talk with Dr. Omer Ibrahim, a leading dermatologist, to break down the real science behind hair loss and hair thinning, especially in women. From postpartum shedding to perimenopausal hair loss and PCOS-related thinning, we explore the complex factors that influence hair health and why most treatments aren’t a one-size-fits-all solution.

Dr. Ibrahim shares why many dermatologists don’t prioritize hair loss treatment, the role of stress and nutritional deficiencies, and why early intervention is key. We also dive into cutting-edge treatments—from oral minoxidil and exosomes to laser therapy and PRP injections—and whether hair transplants are actually worth it.

If you’ve ever felt dismissed or confused about your hair loss, this episode is packed with expert insights that will help you advocate for the right care.

Episode Highlights:

• Why hair loss isn’t taken seriously in dermatology
• The biggest myths about hair thinning (and what actually works)
• How postpartum, perimenopause, and PCOS impact hair health
• The latest treatments, from oral minoxidil to exosomes
• Why early intervention is crucial (and when to seek help)

Enjoyed this episode? Don’t forget to subscribe, like, and leave a comment! Your support helps us continue bringing expert insights to the conversation.

Dr. Ibrahim’s bio:

Omer Ibrahim, MD FAAD is a board-certified, fellowship trained dermatologist and co-director of research at Chicago Cosmetic Surgery and Dermatology. He completed his residency at Cleveland Clinic, followed by an ASDS-accredited fellowship in cosmetic, laser and dermatologic surgery at SkinCare Physicians in Boston. Dr. Ibrahim serves as adjunct faculty at Cleveland Clinic and Rush University where he teaches residents the fundamentals of cosmetic and surgical dermatology.

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The medical field often hesitates to tackle less-explored topics, but Dr. Jen Romanello is breaking new ground as a young advocate for advancing sexual medicine.As a medical student, Jen identified a glaring gap in education on female sexual health and decided to act. She founded the Medical Student Forum on Female Sexual Medicine, an initiative that has expanded to impact students across the U.S. and beyond.

In this episode, we delve into Jen’s journey from medical student to resident, exploring her mission to tackle the stigma surrounding sexual health in medical education. From collaborating with leading experts like Dr. Rachel Rubin and Dr. Andrew Goldstein to hosting groundbreaking symposiums, Jen has made waves in an underserved area of healthcare.

We also explore the challenges of navigating medical systems that often overlook sexual medicine and how Jen’s leadership is paving the way for students, clinicians, and patients alike. Whether it’s addressing medical trauma or fostering a deeper understanding of patient care, Jen’s work highlights the importance of multidisciplinary collaboration and a patient-first approach.

Her insights go beyond the clinic, offering practical advice for medical students, residents, and professionals interested in bridging gaps in education and care.

Join us for an inspiring conversation that showcases how one person’s determination can spark systemic change and improve countless lives.

Don’t miss this eye-opening episode. If you enjoyed the conversation, please subscribe, leave a review, and share it with your network to spread awareness about the importance of sexual medicine. Your feedback helps us continue these critical discussions!

Dr. Romanello’s Bio:

Jen Romanello MD is an intern physician in internal medicine at NYU and attended medical school at Rush Medical College in Chicago. She is President of the Medical Student Forum on Female Sexual Medicine (The Forum), which she founded in 2020. The Forum is an independent trainee-led organization that has facilitated over 1000 trainees to connect to educational, writing, research, conference, and mentorship opportunities in the field of Female Sexual Medicine (FSM).

Her professional interests include sexual medicine and menopause, reproductive mental health, neuroplastic pain, metabolism and nutrition, and lifestyle medicine. Her clinical research and publications have focused on topics including clitoral adhesions,chronic pelvic pain, and medical education.  

She is a member of the International Society for the Study of Women's Sexual Health, the Menopause Society, and the Association for the Treatment of Neuroplastic Symptoms. She loves speaking with medical students who are deciding which specialty to pursue about how there are many great ways to approach this field.

Don’t miss this eye-opening episode. If you enjoyed the conversation, please subscribe, leave a review, and share it with your network to spread awareness about the importance of sexual medicine. Your feedback helps us continue these critical discussions!

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This episode is like no other. I sit down with my colleague and friend, Dr. Heidi Flagg, for one of the most open and candid conversations I’ve had on the podcast. We don’t just talk about the science of menopause—we share our own symptoms, challenges, and the surprising ways hormones have shaped our journeys.

Dr. Flagg and I explore the lesser-discussed symptoms of menopause, including brain fog, joint pain, and more. I share my own experience with a midlife panic attack and how it opened my eyes to the complexities of this transition. Together, we debunk myths about hormone therapy, dive into the vital connection between estrogen and brain health, and highlight the transformative power of lifestyle changes like weight training and improving sleep. This episode is all about addressing the symptoms no one talks about and empowering you with the knowledge to thrive.

If you’ve ever felt like you’re the only one struggling with menopause symptoms, this episode will show you that even the experts have been there—and we’re here to help. With humor, honesty, and a ton of actionable insights, we explore how to navigate midlife with confidence.

Episode Highlights:

• Dr. Flagg and I get real about our own menopause struggles
• The truth about hormone therapy and why it’s not a “one-size-fits-all” solution
• How brain fog and panic attacks are linked to hormonal changes
• Practical tips for improving cognitive and physical health in midlife
• The power of social connection and breaking the stigma around menopause

Enjoyed this conversation? Don’t keep it to yourself—subscribe, leave a review, and share this episode with someone who needs it. Leave a comment on my Instagram about what you would like to see or what you got out of today’s episode. 

Your support helps us reach more listeners!

Dr. Flaggs Bio:

Dr. Heidi Snyder Flagg is a founder and managing partner of Spring ObGyn, a private practice in NYC. Since completing her ObGyn residency at Brown’s Woman & Infant’s Hospital in 1999, Dr. Flagg’s clinical interests have spanned the woman’s reproductive cycle with a current focus, as a certified menopause specialist, on peri menopausal and menopausal issues, challenges and treatments. 

Dr. Flagg sits on the Every Mother Counts Founder’s circle as a medical advisor and speaker.  She holds positions on the HL Snyder Medical Foundation and The Experimental Science Now boards. 

In addition, Dr. Flagg is a medical advisor to Flow Health and Let’s Talk Menopause.

Dr. Flagg lives in New York City with her husband, Chris, and two kids.

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In this episode, I talk with Dr. Alexandra Sowa, a leader in obesity medicine and the author of The Ozempic Revolution, to uncover the truths and misconceptions about GLP-1 medications. Drawing on her decade-long journey in treating patients, Dr. Sowa shares how a holistic approach—rooted in education, behavioral shifts, and a deep understanding of the brain-body connection—can lead to sustainable health transformations.

We delve into the transformative impact of GLP-1 medications, not as a magic bullet but as a critical tool within a comprehensive, intentional strategy for achieving long-term health. Dr. Sowa explains the science behind these treatments and how they work to regulate cravings, metabolic function, and even brain pathways linked to food and addiction. She also addresses common misconceptions, including the much-discussed “Ozempic face,” and reveals why slow and steady weight loss is key to preserving muscle and overall well-being.

Beyond the individual level, Dr. Sowa highlights the broader societal implications of these medications, including their role in reducing stigma around obesity and pushing for more accessible, equitable healthcare solutions. Her expertise sheds light on how addressing the cognitive and emotional barriers to weight loss can create lasting, meaningful change—not just for individuals but for the healthcare industry as a whole.

If you’ve ever wondered how medications like GLP-1s can be part of a holistic health journey or how they are reshaping the landscape of weight loss and healthcare, this episode is packed with insights and strategies you won’t want to miss.

Highlights:

• The science of GLP-1 medications and their role in holistic weight loss strategies
• How behavioral and cognitive factors impact weight management success
• Dispelling myths about “Ozempic face” and muscle loss
• The societal impact of GLP-1s on obesity stigma and healthcare reform
• Key lessons from The Ozempic Revolution to empower patients and practitioners alike

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In this episode, I’m joined by Jen Lanoff, a nurse practitioner with a passion for women’s health, to explore the critical connection between menopause and bone health. We uncover the rapid decline in bone density during menopause, why early screening with DEXA scans is crucial, and how hormone therapy can make all the difference.

Jen shares her journey from public defender to nurse practitioner and explains why she’s on a mission to empower women with actionable steps to protect their health and quality of life. We also dive into the nuances of osteoporosis treatments, from the benefits of anti-resorptives and anabolics to practical lifestyle modifications.

If you’ve ever wondered how to interpret a DEXA scan, what medications are truly effective, or why bone health impacts everything from mobility to longevity, this conversation is packed with evidence-based insights. Jen’s relatable approach and dedication to patient care make this episode both educational and empowering.

Whether you’re entering menopause, supporting someone in midlife, or just want to better understand your body, you won’t want to miss this deep dive into maintaining health and independence.

Highlights

• How menopause accelerates bone density loss
• The essential role of estrogen in preventing osteoporosis
• Why early DEXA scans can be life-changing
• Busting myths about osteoporosis prevention and treatment
• Proactive steps to maintain health and independence

Subscribe, like, and comment to join the conversation about thriving in midlife. Let’s prioritize your health together!

Jennifers Bio:

Jennifer Lanoff, WHNP-BC, MSCP, JD, is a board-certified Women’s Health and Gender-Related Nurse Practitioner. She currently has a GYN-only practice at Reiter, Hill and Johnson, an Advantia Practice, and sees patients in their Washington, DC, Chevy Chase, MD, and Falls Church, VA offices, where she focuses on menopause, osteoporosis, complex sexual health disorders, pelvic floor dysfunction, incontinence, hypoactive sexual desire disorder, persistent genital arousal disorder, and other vulvovaginal disorders such as vulvodynia, lichen sclerosus, and genitourinary symptoms of menopause (GSM) in addition to well-woman exams and related care. 

Jennifer has a passion for gynecological health and well-being at all stages of life. She is a Menopause Society (formerly NAMS) Certified Provider and currently serves as the Chair of the Menopause Society Education Committee, in addition to being on the Trustee Nominating Committee and a peer reviewer for the Menopause Journal. She also serves on Ms. Medicine’s Physician Executive Group, The Body Agency’s Medical Expert Board, and on the National Menopause Foundation’s (NMF) Medical Advisory Committee (MAC). She is a member of The Menopause Society, The International Menopause Society, the International Society for the Study of Women’s Sexual Health (ISSWSH), the International Society for the Study of Vulvovaginal Disease (ISSVD), the Bone Health and Osteoporosis Foundation, the American Urogynecology Society, the American College of Obstetrics and Gynecology (ACOG), and the Society for Family Planning (SFP).

Jennifer completed her undergraduate studies at Stanford University, receiving her MSN at Johns Hopkins School of Nursing, and her Women’s Health Nurse Practitioner degree from Georgetown School of Nursing. Prior to entering the medical field, Jennifer earned a law degree from the University of Michigan Law School and was a trial and appellate attorney for over 20 years at the Public Defender Service for the District of Columbia. 

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Persistent genital arousal disorder (PGAD) is one of the most misunderstood and challenging conditions I treat. But what happens when the brain is part of the problem? In this episode, I dive into the intriguing and often overlooked connection between obsessive-compulsive disorder (OCD) and PGAD.

From brain hiccups to catastrophic thoughts, I unpack how mental health can fuel this condition and why understanding the mind-body relationship is key to effective treatment. I’ll share my experiences treating patients and offer practical insights on how addressing mental health, pelvic floor therapy, and tailored interventions can provide relief. Whether you’re a patient or a clinician, this episode sheds light on why treating “region five” is just as critical as addressing physical symptoms.

Highlights:

• My five-region approach to treating PGAD.
• How OCD symptoms worsen PGAD and affect intimacy.
• Why exposure response therapy is vital for tackling intrusive thoughts.
• The role of pelvic floor therapy and medication in managing symptoms.
• Resources I recommend for finding help and support.

If you found this episode helpful, don’t forget to subscribe, leave a review, and share it with someone who might benefit. Follow me on YouTube at Gyno Girl TV and Instagram @GynoGirl for more expert content!

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As the year turns, I’m taking a moment to reflect on 2024—the challenges, the growth, and the goals I’ve set for the year ahead. In this deeply personal episode, I’m sharing my journey through loss, the lessons my patients have taught me, and the reasons I continue to fight for better healthcare.

Losing my mother this year was a defining moment for me. Grief has a way of reshaping your perspective, forcing you to pause and reevaluate what really matters. While the pain is still raw, it has also deepened my commitment to my work and my mission: to educate so you can advocate for yourself.

I’ll also take you back to my early days as a burnt-out OB-GYN, navigating the challenges of starting my private practice and finding my calling in sexual medicine and menopause care. These experiences shaped who I am today and taught me the value of persistence, curiosity, and building a strong community.

This episode isn’t just about looking back; it’s about looking forward. I’ll share how I’m planning to make an impact in 2025, both in my personal life and in my practice. If you’ve ever felt stuck, lost, or unsure of your next step, I hope my story reminds you that even in the hardest moments, there’s a path to growth and purpose.

Let’s walk into 2025 together—stronger, more focused, and ready to make a difference.

Highlights:

1. How losing my mother reshaped my perspective and deepened my purpose.
2. Why I left OB-GYN to build a private practice focused on sexual medicine and menopause care.
3. The patients and mentors who inspired my passion for advocacy and education.
4. My reflections on grief, resilience, and building a legacy.
5. How I’m setting my goals for 2025 and why I believe in starting the year with intention.

If this episode resonated with you, please subscribe, like, and share it with someone who might benefit from hearing it. Leave a comment about your favorite moment or what inspired you most. Let’s make 2025 a year of growth, connection, and impact together.

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When it comes to sexual health, the focus is often one-sided. But the reality is that sexual dysfunction is rarely an individual issue—it’s a couple’s disease.I talk with Dr. Mohit Khera, renowned urologist and past president of SMSNA, to unpack the disparities in sexual health treatment for men and women and why it’s time to rethink our approach.

Dr. Khera shares personal insights from his career, revealing how focusing on one partner’s libido or function can create unexpected challenges in a relationship. We explore the hidden world of male sexual dysfunction, from erectile dysfunction to Peyronie’s disease, and uncover why women’s sexual health still lags behind in research, funding, and treatment options.

We also tackle the controversial topic of testosterone—its impact on men and women, the myths around its use, and why it’s still inaccessible for women despite clear benefits. Dr. Khera offers actionable advice on lifestyle changes, sleep, and stress management that can dramatically improve sexual function for both partners.

This isn’t just about medicine—it’s about partnership, communication, and the power of addressing sexual health as a team. Join us for a candid discussion that might change the way you think about intimacy, health, and what it means to truly support your partner.

Highlights:

1. Why sexual dysfunction is a “couple’s disease” and how treating one partner impacts the other.
2. The silent epidemic of Peyronie’s disease and its profound emotional toll.
3. The overlooked benefits of testosterone for women and why FDA-approved options remain elusive.
4. How lifestyle changes like the Mediterranean diet, exercise, and sleep can reverse sexual dysfunction.
5. The importance of destigmatizing sexual health concerns and advocating for the right care.

If this episode resonated with you, don’t keep it to yourself! Like, subscribe, and leave a comment to help us continue these essential conversations. Share this episode with someone who needs to hear it.

Dr. Khera’s Bio:

Dr. Khera earned his undergraduate degree at Vanderbilt University. He subsequently earned his Masters Degree in Business Administration and his Masters Degree in Public Health from Boston University. He received his Medical Degree from The University of Texas Medical School at San Antonio and completed his Urology residency training in the Scott Department of Urology at Baylor College of Medicine. At Baylor, he completed a one-year general surgery internship and then went on to complete a five-year residency program in Urology.  After completing his Urology residency, he went on to complete a one-year fellowship in Male Reproductive Medicine and Surgery at Baylor.  Currently, he is a Professor in the Scott Department of Urology at Baylor College of Medicine, and he holds the F. Brantley Scott Chair in Urology. Dr. Khera specializes in male and female sexual dysfunction, Men’s Health, and hormone replacement therapy. Dr. Khera also serves as the Director of the Laboratory for Andrology Research, the Medical Director of the Baylor Executive Health Program, and the Medical Director of the Scott Department of Urology.  He also serves as President of the Sexual Medicine Society of North America.

Dr. Khera has dedicated his clinical and research efforts to three main areas:  Men’s Health, sexual medicine, and hormone replacement therapy.  Soon after completing my fellowship, he started the Laboratory for Andrology Research. His laboratory focuses on basic science research, and he has had the opportunity to train many residents and research fellows over the past 12 years.  In addition to his basic science research, he has initiated numerous FDA-approved clinical trials.  His basic science and clinic experiences have allowed him to thus far give over 250 lectures at scientific meetings throughout the world, publish over 120 articles in peer-reviewed journals, complete 15 book chapters, and edit and write two books, all in the field of sexual medicine and Men’s Health.

In 2007 he was awarded the American Urologic Association (AUA) Research Scholars Award to study the correlation between ED and BPH.    In 2013 he was elected to serve a 4-year term on the American Urologic Society Examination Committee.  Dr. Khera has also served on the AUA Peyronie’s Disease and Erectile Dysfunction Guidelines Panel.  For the past several years, he has taught numerous course in testosterone therapy and sexual dysfunction nationally and throughout the world.

Dr. Khera freely shares his time and knowledge with the general public. He has been voted several times as one of Houston’s Best Doctors by Health and Sport Fitness Magazine and by Houstonia Magazine and is a frequent guest on such TV programs as Fox News’ “Ask the Doctor.” He also writes a blog on Men’s Health for the Houston Chronicle Newspaper.

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Healthcare in the United States is failing millions of people, but women in midlife are hit the hardest. From denied treatments to dismissive attitudes, the system often prioritizes profits over patients. Women dealing with chronic pain, sexual health issues, and menopause-related symptoms are left with little to no support, and I see this every day in my practice.

In this episode, I dive into the layers of frustration felt by both patients and clinicians. I talk about the systemic issues—like insurance companies denying essential care and the burnout faced by healthcare providers—that make navigating the system a nightmare. Using my own experiences as a menopause and sexual medicine specialist, I explore why midlife women are particularly underserved and what that means for their health.

I also discuss alternative care models, like concierge medicine, and how they might help women who feel lost in the system. My goal is to show you how to advocate for your health, find a trusted provider, and break through the barriers keeping you from the care you deserve.

This isn’t just about highlighting the problems—it’s about empowering you to take control of your healthcare journey. With compassion and actionable advice, I hope to leave you feeling inspired to advocate for yourself and demand better.

Highlights:

• Why midlife women and those with sexual health issues are the most neglected by the healthcare system.
• The shocking challenges clinicians face when working with insurance companies.
• How chronic pain and untreated menopause symptoms are connected to mental health struggles.
• The rise of concierge medicine as a more personalized care option.
• Practical tips on advocating for yourself in a system that often fails to prioritize women.

If this episode resonated with you, please subscribe, like, and leave a comment. Share this conversation to help more women understand how to navigate their health journey.

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Menopause isn’t just a transition—it’s a puzzle that too many clinicians fail to solve. In this episode, Aoife and I go beyond the usual conversations about menopause being dismissed and misunderstood. Together, we uncover the deeper issues behind why symptoms like anxiety, memory loss, and mood shifts are often overlooked—even by experienced doctors.

Aoife opens up about her personal struggles with misdiagnosis, sharing how she questioned her own mental health before discovering the role of hormones in her symptoms. What makes this episode different? We tackle hormonal health, mental health, and the gaps in education that leave both patients and clinicians struggling to connect the dots.

This isn’t just about the challenges—it’s about solutions. Aoife’s experience shows that with better training, advocacy, and small changes in care, we can transform lives. We also discuss the systemic changes needed to ensure midlife women are supported, not sidelined.

If you’ve listened before, this episode will add depth and new insights to the conversation. It’s a call to action for women and clinicians alike: let’s stop dismissing midlife symptoms and start treating them with the attention they deserve.

Highlights:

• Aoife’s personal struggle with misdiagnosis and suicidal thoughts in midlife.
• The impact of perimenopause on mental health, memory, and executive function.
• How the healthcare system fails women by misunderstanding menopause.
• The importance of hormone therapy trials and finding the right provider.
• Steps women can take to advocate for themselves and their healthcare needs.

Dr. O'Sullivan’s Bio:

Dr. Aoife O’Sullivan is a board-certified family physician with training in Ireland and the U.S., specializing in women’s midlife care. Her curiosity about the unique health challenges women face during perimenopause and menopause led her to extensive training with experts like Dr. Heather Hirsch and Dr. Louise Newson. A Menopause Society Certified Practitioner, she is passionate about education and regularly lectures to clinicians and the community on menopause care. Currently, she sees patients through The Heather Hirsch Collaborative, providing expert telemedicine care for midlife women.

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Heather, a seasoned nurse practitioner and sexual medicine expert, shares her journey from traditional healthcare to creating a compassionate, patient-centered approach that addresses the real-life challenges women face, especially in midlife.

We dive into how trauma—whether it’s from childhood, medical experiences, or societal pressures—can manifest in symptoms like severe menopause and chronic pain. Heather breaks down the "big T" and "little t" traumas and explains how acknowledging these experiences can transform patient care. We also discuss the power of the ACE score (Adverse Childhood Experiences) and how it should be a part of every clinician's toolkit.

Heather shares her experience working with trafficking survivors, addressing not just the immediate medical needs but the long-term emotional recovery these patients require. Her work highlights the importance of creating safe, empowering healthcare environments that consider the whole patient—mind, body, and history.

We also discuss why finding the right provider for midlife care is crucial and how to identify clinicians who prioritize evidence-based, patient-centered treatment. From understanding the principles of trauma-informed care to advocating for your health, this episode is packed with practical advice and deep insights.

Join us for an enlightening conversation that challenges the status quo and reminds us all of the importance of compassionate, informed care.

Highlights:

• The connection between trauma and worsening menopause symptoms.
• What trauma-informed care means and why it’s vital in healthcare settings.
• How ACE scores help identify patients at higher risk for chronic health conditions.
• Heather’s work with trafficking survivors and lessons for all healthcare providers.
• Tips for finding the right provider for midlife and sexual health.

Heather’s Bio:

Heather’s Bio:

Dr. Heather Quaile, (she/her) is a renowned clinical and academic leader and

entrepreneur. A double board certified, women’s and gender health nurse practitioner

and advanced forensic nurse specializing in human trafficking and female sexual health.

She is a thought leader and creator of the Just Ask podcast. Dr. Quaile is also trained

and certified as a Menopause Society Certified Practitioner, AASECT sex counselor and

sexual assault nurse examiner providing sexual health education, trauma-informed

care, and information to patients of all ages. She created and implemented a medical

program for emergency stabilization for commercial sexual exploitation of youth in

Georgia. Dr. Quaile has been working in all aspects of women’s healthcare for over 23

years caring for women of all ages across the health-illness continuum and recognized

the lack of sexual health awareness not just in her community but in its providers. She

founded, developed, and implemented her private practice The Sexual Health

Optimization and Wellness (SHOW) Center. Her goal is to help guide patients through

their healthcare journey and provide a range of services that address the

biopsychosocial aspects of health, wellness, optimization, and sexuality.  She is

passionate about changing the systems and beliefs that have stigmatized women’s

health and female sexuality through a non-judgmental, empathic approach grounded in

evidence-based research. She is a Fellow of the International Society for the Study of

Women’s Sexual Health (ISSWSH) and Fellow of the American Academy of Nurse

Practitioners.  She is the chair of the ISSWSH scientific committee and past Treasurer

of the National Association of Nurse Practitioners in Women’s Health. She is on the

National Menopause Foundation medical advisory committee as well as the Governor’s

Task for human trafficking and sex offenders. She is widely published in the field of

women’s health, trauma-informed care, and is a highly sought after speaker for lectures

to international and national audiences.

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Lara shares how her experience with endometriosis and the lack of adequate support from healthcare providers drove her to develop her company, Elixir Play. With a focus on ethical, body-positive products, Lara is challenging societal taboos and creating tools that help women reclaim their sexual health. Her products are more than just devices—they’re part of a larger mission to bridge the gap between medical advocacy and personal empowerment.

In this candid conversation, we discuss why vibrators deserve a place in medical settings, their benefits for pelvic floor therapy and sexual pain, and the ways they can aid in rehabilitation. Lara also opens up about balancing her advocacy work with her role as a mother and her vision for creating a more inclusive dialogue around women’s sexual health.

This episode is a powerful reminder of the importance of education, innovation, and breaking down stigmas. Lara’s commitment to advocacy and her drive to empower women will leave you inspired and ready to take charge of your own health journey.

Episode Highlights:

• Lara’s journey through vaginismus and how it shaped her mission in sexual health advocacy.
• The untapped potential of vibrators in promoting healing and pelvic floor health.
• Overcoming stigma and breaking taboos in conversations around sexual wellness.
• The challenges Lara faced in developing ethical and inclusive pleasure products.
• Why advocating for women’s health starts with education and open communication.

If you enjoyed this conversation, don't forget to like, comment, and subscribe to the podcast. Share this episode with anyone who could benefit from Lara’s inspiring story and insights. Let’s keep the conversation going and help create a more supportive, informed dialogue around women’s health. Follow us on your favorite podcast platform and leave a review to support the show!

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Menopause is often clouded by myths and misinformation, leaving many women confused about their health options. In this episode, Dr. Sameena Rahman invites Dr. Heather Hirsch, a dedicated expert in women's health, to share her journey into menopause care and the profound insights she's gained over the past decade. 

From the misconceptions surrounding HRT (Hormone Replacement Therapy) to the nuanced challenges of treating perimenopause, Dr. Hirsch discusses her unique "hormone stacking" approach and how it aids in managing side effects effectively. 

This conversation goes beyond surface-level explanations, diving into the realities of balancing treatment, understanding progesterone sensitivities, and how personalized care makes a difference in women's experiences. Listen in for a blend of clinical expertise and relatable advice that champions informed choices and women's health advocacy.

Highlights

• Dr. Hirsch’s Journey: From OBGYN to menopause specialist—how her path shaped her passion for women’s health.
• Hormone Stacking Insight: Why introducing hormones one at a time can be transformative for treatment.
• Perimenopause Realities: Breaking down misconceptions and exploring why tailored care is essential.
• Progesterone Sensitivities: Understanding the third-rule approach to help patients navigate side effects.
• Brain Health & HRT: The untold story of how hormone therapy impacts cognitive function and mental health.

Enjoyed this discussion? Don't forget to subscribe, like, and leave a comment. Your engagement helps us bring you more expert conversations. What other guest would you like to see on the podcast. Send me a DM on Instagram and let me know!

Dr. Hirsch’s Bio :

HEATHER HIRSCH, M.D., MS, NCMP, is the founder of the Menopause & Midlife Clinic at Brigham and Women’s Hospital and a former Harvard Medical School faculty member. Board certified in Internal Medicine, she completed advanced fellowship training in Women’s Health at the Cleveland Clinic. Her practice specializes in menopausal hormone therapy, perimenopause, breast cancer survivorship, sexual dysfunction, and bone health. Dr. Hirsch is an active member of the North American Menopause Society and the International Society for the Study of Women’s Sexual Health and serves on the medical advisory board of Midi Health. She now sees patients via her private telemedicine practice.

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In many cultures, deep-seated traditions shape women's lives in unexpected and profound ways. This episode delves into the intricate world of women's health, sexuality, and the rites of passage that are still practiced today, shedding light on the complex balance between cultural pride and personal empowerment.

This conversation takes you into the lesser-known rituals and beliefs surrounding women's sexual health in North African cultures. Dr. Rahman is joined by Dr. Ons Kaabia, who shares fascinating insights into traditional rites of passage, one practice with roots far beyond modern religion. They discuss the role of matriarchs in maintaining these practices, the dichotomy between preserving cultural heritage and promoting individual empowerment, and the complex experiences of women navigating sexual health in the context of deep cultural expectations. Through empathy and evidence-based knowledge, this episode fosters understanding and builds awareness around sensitive topics often hidden from mainstream discussions.

Highlights

• The role of the matriarch in traditional protective rituals and their impact on young girls.
• The significance of rituals in preserving family and cultural honor.
• The challenges women face when navigating modern health practices alongside deep-rooted cultural beliefs.
• How comprehensive, culturally aware sexual health education can empower future generations.
• The complex emotions and societal pressures surrounding these traditions.

If you found this episode insightful, please like, subscribe, and share it with others. Your comments and thoughts are always welcome—let’s continue this important conversation!

In many cultures, deep-seated traditions shape women's lives in unexpected and profound ways. This episode delves into the intricate world of women's health, sexuality, and the rites of passage that are still practiced today, shedding light on the complex balance between cultural pride and personal empowerment.

This conversation takes you into the lesser-known rituals and beliefs surrounding women's sexual health in North African cultures. Dr. Rahman is joined by Dr. Ons Kaabia, who shares fascinating insights into traditional rites of passage, one practice with roots far beyond modern religion. They discuss the role of matriarchs in maintaining these practices, the dichotomy between preserving cultural heritage and promoting individual empowerment, and the complex experiences of women navigating sexual health in the context of deep cultural expectations. Through empathy and evidence-based knowledge, this episode fosters understanding and builds awareness around sensitive topics often hidden from mainstream discussions.

Highlights

• The role of the matriarch in traditional protective rituals and their impact on young girls.
• The significance of rituals in preserving family and cultural honor.
• The challenges women face when navigating modern health practices alongside deep-rooted cultural beliefs.
• How comprehensive, culturally aware sexual health education can empower future generations.
• The complex emotions and societal pressures surrounding these traditions.

If you found this episode insightful, please like, subscribe, and share it with others. Your comments and thoughts are always welcome—let’s continue this important conversation!

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Dr. Choll Kim, a pioneering spine surgeon whose work is challenging the traditional boundaries of pain management and sexual medicine. Dr. Kim shares his journey from orthopedic surgery to collaborating with specialists in sexual health, uncovering the unexpected links between spinal conditions and pelvic pain disorders like PGAD (Persistent Genital Arousal Disorder). 

Together, we discuss how this understanding could reshape treatment options for those who’ve been told their conditions are “all in their heads.” Dr. Kim explains how seemingly routine spinal issues, such as annular tears or Tarlov cysts, may trigger chronic pain that extends beyond the back, affecting intimate areas in ways that are often overlooked by conventional medicine.

He also shares the innovative diagnostic techniques he uses to distinguish spinal-related sexual dysfunction from other causes, which has opened doors to effective, minimally invasive treatments.

In addition, we discuss the challenges of bringing these ideas to the broader medical community. Dr. Kim has faced resistance from peers who view the spine as an unlikely source of sexual pain, yet his patient successes speak volumes. This episode is packed with insights for both patients and practitioners who want to explore a more holistic approach to pain management and sexual health.

Dr. Kim’s dedication to helping patients find relief from life-disrupting symptoms is nothing short of inspiring. By listening, you'll gain a new perspective on the interconnectedness of the body and why keeping an open mind is crucial in healthcare.

Episode Highlights:

• The surprising role of the spine in conditions like PGAD and pelvic pain disorders.
• How Dr. Kim uses targeted spinal injections to identify the source of sexual dysfunction.
• The anatomy of annular tears and why they’re a common cause of persistent pain.
• Challenges and breakthroughs in advocating for spinal evaluations in sexual health cases.
• Practical advice for both patients and clinicians on considering spinal health in treatment plans.

Dr. Kim’s Bio:

Dr. Choll Kim, a Harvard cum laude graduate, completed advanced training in complex spine surgery at the Mayo Clinic. Dr. Kim is a pioneer in minimally invasive spine surgery techniques including Laser Endoscopic Spine Surgery (LESS) which has transformed treatment for herniated discs, radiculopathy,and sciatica.

In addition to spine surgery, Dr. Kim is also recognized for his knowledge in sexual dysfunction related to spinal conditions, such as Tarlov cysts. His integrated approach ensures comprehensive care for patients facing spinal and sexual concerns. 

Dr. Kim is a renowned global educator, training specialists around the world in advanced, computer-assisted minimally invasive techniques such as LESS. As the founder and past president of SMISS and MIS-COE, he has played a pivotal role in the advancement of spine surgery. With over 200 publications and active involvement in organizations such as ISASS, NASS, AAOS, and KASS, Dr. Kim has made significant contributions to the field, shaping the future of minimally invasive spine surgery.Beyond the operating room, he enjoys kickboxing, golfing with his mom, and family vacations.

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We also dig into how her role in media influences public conversations around women’s health topics like menopause, creating a more open dialogue for others to feel informed and empowered. Hearing Dawn’s perspective on breaking down barriers for women in journalism and her advice for those entering the industry is truly inspiring.

Highlights:

• A Surprising Career Path – Dawn’s journey from a budding interest in entertainment law to finding her true calling in journalism.
• Mentorship and Support – The key figures and advice that shaped her career approach.
• Workplace Realities – How she balances family life with a demanding career and the unique pressures of the media industry.
• Normalizing Women’s Health Conversations – Using journalism to tackle traditionally taboo topics, making space for open discussions on reproductive health and menopause.
• Advice for Women in Media – Dawn’s encouragement for women to advocate for themselves, form strong support networks, and continue paving the way for others.

Call to Action:

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In this episode, I sit down with Nadiah Mohajir and Sahar Pirzada, leaders from Heart, an organization focused on advancing sexual health and reproductive justice within Muslim communities. Nadiah shares her personal story, growing up in a South Asian Muslim family, and how it led her to start Heart. She talks about the cultural and religious barriers women face regarding sexual health and gender-based violence, and how Heart is working to create safe, open spaces for these crucial conversations.

Sahar, who’s been with the organization for nearly a decade, reflects on her journey from teaching sex education in Singapore to leading grassroots movements at Heart. Together, they dive into the complexities of addressing sexual health in faith-based communities, highlighting the importance of centering marginalized voices, such as queer and trans Muslims.

They also introduce their latest reproductive justice campaign, which aims to provide Muslims with the knowledge and tools needed to make informed decisions about their health, all while staying true to their faith. Tune in for a conversation that blends faith, community, and health in a refreshing and insightful way.

Highlights:

• Nadiah’s upbringing in a traditional South Asian Muslim family and her path to founding Heart.
• Sahar’s experience bringing sex education to Muslim communities and advocating for reproductive justice.
• The unique challenges of tackling gender violence and sexual health in faith-based communities.
• Heart's new reproductive justice campaign and its efforts to empower Muslim women and marginalized groups.
• How the organization blends Islamic values with public health education to offer holistic support.

Nadiah’s Bio:

Nadiah Mohajir is a lifelong Chicagoan, Pakistani-American-Muslim, mother of three, public health professional, reproductive justice activist, and anti-sexual assault advocate.

She is the Co-founder and Executive Director for HEART Women & Girls. For over a decade, she has led the organization to provide reproductive justice, sexual health education and gender-based violence awareness programming and advocacy to thousands of individuals, organizations, and campuses across the country. HEART ultimately aims to dismantle the stigma, silence, and systems that prevent individuals from seeking information, healing, and justice.

Nadiah has worked in public health and reproductive justice for over twenty years in a variety of settings, including, but not limited to research, academics, policy, and community health. Her past work includes projects such as redesigning teen pregnancy programs, improving pregnancy outcomes in low-income communities in Chicago, running sex education programming for vulnerable youth, and evaluating innovative cross-sector partnerships in public health.

She earned her Master’s degree in Public Health in 2009 from the University of Illinois at Chicago and her Bachelor’s degree in Public Policy Studies from the University of Chicago. Nadiah has also participated in a number of fellowships, including the American Muslim Civic Leadership Institute, Germanacos Fellowship, is a recipient of the Women’s Innovation Fund and was selected to participate in Cohort 4 of the NoVo Foundation’s Move to End Violence program. She is also the recipient of numerous awards, including the 2018 Chicago Foundation for Women’s Impact Award and the El Hibri Foundation’s Community Builder award. 

In the past, she served on the executive board of directors for the National Women’s Health Network and currently serves on the advisory board for Third Wave Fund. Most recently, she co-authored the first edition of The Sex Talk: A Muslim’s Guide to Healthy Sex and Relationships.

Sahar’s Bio

Sahar is a Pakistani-American Muslim woman from the Bay Area, currently living in Los Angeles. Her dedication to serving the Muslim community draws from her extensive experience working as an organizer and educator within community spaces.

After graduating from UC Berkeley with a degree in Development Studies, Sahar moved to Singapore where she worked as a Project Coordinator for a UN-funded regional project on promoting gender-equitable interpretations of Islam for the full adoption of CEDAW (pronounced see-dah). Sahar passionately believes Islam is a religion that is sex positive and promotes healthy sexual relationships.

Since moving back in 2015, she has continued her activism by challenging Islamophobia as Co-Chair of #VigilantLOVE where she creatively organizes against the mosque-to-prison pipeline. She is currently the Manager of Movement Building for HEART, where she explores the intersections of islamophobia and gender-based violence and supports survivors of sexual violence in the Muslim community.

Sahar’s work with HEART has been featured in Teen Vogue, NPR, KPCC, Fusion’s Sex Right Now and #GoodMuslimBadMuslim.

If you enjoyed this episode, don’t forget to subscribe, share, and leave a review! Your support helps keep these important conversations going.

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Dr. Sameena Rahman welcomes her longtime friend and renowned plastic surgeon, Dr. Azra Ashraf, for an insightful conversation about cosmetic surgery for midlife women. 

Dr. Ashraf shares her journey as a surgeon and discusses the most common procedures sought by women in their 40s and 50s, from breast lifts to tummy tucks and facial rejuvenation. Together, they explore how hormonal changes, such as the loss of estrogen, impact the body and why cosmetic surgery can often help women feel more like themselves again.

They also talk about the importance of reconstructive procedures for women undergoing mastectomies, including breast reconstruction options that have transformed recovery for cancer survivors. Dr. Ashraf shares her personal experiences of helping women regain their confidence and improve their quality of life.

Episode Highlights:

• The rise in cosmetic procedures among perimenopausal women.
• Breast lifts, tummy tucks, and liposuction as part of the "mommy makeover."
• How hormonal changes during menopause affect body shape.
• The importance of breast reconstruction for women post-mastectomy.
• Why some cosmetic procedures are shifting toward more natural, proportioned results.

Don't forget to subscribe, rate, and review the podcast on your favorite platform! Share this episode with friends who might benefit from learning more about midlife cosmetic procedures and recovery options.

Dr. Ashraf’s Bio:

Dr. Azra Ashraf is a double Board-Certified Plastic Surgeon, boarded by the American Board of Plastic Surgery and American Board of Surgery. She has worked on east and west coasts with over 10 years of cosmetic surgery expertise. Dr. Ashraf was a recognized physician in the Washington DC area, voted a Top Doctor. She is a Californian at heart and loves practicing in her home state.

Dr. Ashraf completed a BA in Public Policy from Brown University, focusing on gender equity in healthcare. This led her to pursue an MPH from Harvard School of Public Health while jointly attending Brown Medical School. She has always loved working with her hands, and knew she wanted to pursue surgery as soon as she started medical school. She is a highly skilled surgeon with an artistic eye for detail.

She trained in general surgery at Saint Elizabeth Medical Center (Boston, MA), an affiliate of Tufts Medical School. She completed her plastic surgery training at Temple University Hospital (Philadelphia, PA). Dr. Ashraf has distinguished herself by completing an additional year in comprehensive breast reconstruction, including microvascular and aesthetic breast surgeries at Beth Israel Deaconess Medical Center, an affiliate of Harvard Medical School.

She is recognized as a beauty expert by both the community and media. Schedule a consultation  and work with Dr. Ashraf to diversify the idea of beauty.

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Dr. Sameena Rahman sits down with Dr. Vonda Wright, a leading orthopedic surgeon and women’s health advocate, to delve into the often-overlooked musculoskeletal syndrome of menopause. They discuss Dr. Wright’s groundbreaking research on how menopause impacts bone density, joint health, muscle mass, and overall physical resilience.

Dr. Wright shares her journey into orthopedics, why she shifted her focus to women’s health advocacy, and the transformative power of hormone replacement therapy (HRT) when paired with lifestyle changes. They also tackle cultural misconceptions, the importance of naming conditions to validate women’s experiences, and practical steps for managing menopause-related musculoskeletal symptoms.

Episode Highlights:

• Understanding the Musculoskeletal Syndrome of Menopause: What it is, why it matters, and the key symptoms to look out for.
• Hormone Replacement Therapy: The benefits and considerations for women navigating menopause.
• Bone Health Strategies: How to build and maintain bone density through exercise, nutrition, and supplements.
• The Impact of Frozen Shoulder: How hormonal changes contribute and what treatment options are available.
• Prehab and Rehabilitation: Tips for building strength and avoiding injury during menopause and beyond.
• The Role of Platelet-Rich Plasma (PRP): How PRP therapy can help reduce inflammation and support healing.
• Dr. Wright’s Midlife Mastery Retreats: How to join and what to expect.

If you want to dive deeper into Dr. Vonda Wright’s work or learn more about her midlife mastery programs, check out the show notes for all the links to her website and upcoming events. Be sure to subscribe, share, and leave a review on Apple Podcasts or Spotify!

Guest Bio-

Dr. Vonda Wright is a double-boarded, fellowship-trained orthopedic surgeon and internationally recognized authority on active aging and mobility. Dr. Wright’s practice focuses on minimally invasive surgery for hip preservation, shoulder and knee reconstruction, cartilage restoration, orthobiologics, and the latest in injury prevention and performance optimization. An intra-preneur, Dr. Wright was the founding director of the Performance and Research Initiative for Masters Athletes (PRIMA) and her pioneering research in mobility and musculoskeletal aging is changing the way we view and treat the aging process. Dr. Wright cares for athletes and active people of all ages and skill levels from the Division I Georgia State Panthers, Pens Elite developmental hockey teams, University of Pittsburgh Division I athletes, World Rugby 7’s, Olympic track and field athletes, and the Atlanta Ballet. She is a pioneering physician and thought leader for the new legion of E-Sports athletes.

In addition to her surgical practice, Dr. Wright is an accomplished researcher and author who speaks worldwide and develops innovative programs for optimizing performance and minimizing injury from the ball field to the boardroom. Dr. Wright is a media content expert and regularly appears on national TV shows including “Dr. Oz” and “The Doctors.” She is frequently quoted in the Wall Street Journal, New York Times, USA Today and U.S. News & World Report, as well as in magazines such as Maxim, Prevention, Fitness, MORE, Runner’s World, Best Life, Arthritis Today, and numerous online publications. She proudly serves on the Sharecare Medical Advisory Board. She has authored five books: “Fitness After 40: How to Stay Strong at Any Age;” “Guide to THRIVE: 4 steps to Body, Brains & Bliss;” “Younger in 8 Weeks;” “A Parent’s Playbook for Raising Healthy Athletes;” and “Masterful Care of the Aging Athlete.”

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Actress, entrepreneur, and creator of "Huge Pussy Energy," Jacqueline Buckingham, joins the show today to discuss the societal stigmas surrounding female anatomy and the gaps in women’s healthcare. Together, they address the deep-rooted cultural norms that associate shame with women’s bodies and how this stigma translates into real-world barriers, from menstrual health to sexual wellness.

Jacqueline shares her journey from the entertainment world to becoming a vocal advocate for women’s health and empowerment. With anecdotes about censorship and personal experiences that sparked her mission, Jacqueline emphasizes the need for equal representation and acceptance of the word "pussy" in society. 

The duo delves into how embracing one's body without shame can transform lives and why advocating for yourself is more crucial than ever in a healthcare system that often overlooks women’s pain and pleasure.

Highlights:

1. Jacqueline discusses how her experience with censorship and how it fueled her to continue on her Huge Pussy advoacy.
2. Dr. Sameena and Jacqueline explore the challenges of talking about female anatomy openly, even in medical settings.
3. Cultural barriers and how societal norms around words like “pussy” impact women's health and confidence.
4. Why the narrative around women’s bodies needs to change—from shame to celebration.
5. The importance of closing the gender gap in healthcare and normalizing discussions around sexual health and pleasure.
6. How embracing a “huge pussy energy” mindset can empower women to take control of their health and lives.

If you enjoyed this episode, be sure to subscribe and follow on Apple Podcasts, Spotify, and YouTube! Share your thoughts by leaving a review, and don’t forget to spread the word about breaking down stigma around women’s health!"

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The Goldsteins, known as the “real Masters of Sex,” share their incredible journey in advancing women’s sexual health, from founding the International Society for the Study of Women’s Sexual Health (ISSWSH) to groundbreaking treatments for female sexual dysfunction. 

Dr. Irwin Goldstein discusses the evolution of orgasm disorder treatment, the importance of the spine in genital pelvic pain, and cutting-edge therapies like shockwave therapy. Together, the Goldsteins have transformed sexual medicine, and this episode offers a glimpse into their work and the future of sexual health treatment.

Highlights:

• The origin story of ISWISH and the role of Viagra in female sexual medicine.
• New treatment strategies for orgasm disorders, including an upcoming paper.
• Insights into the treatment of persistent genital arousal disorder (PGAD) and other pelvic pain conditions.
• The use of shockwave therapy in sexual medicine and its applications beyond female sexual health.
• The importance of multidisciplinary approaches to sexual health and the Goldsteins’ commitment to education and research.

Don’t miss an episode! Subscribe to Gyno Girl Presents: Sex, Drugs, and Hormones on Apple Podcasts, Spotify, and YouTube. Follow us for updates and behind-the-scenes content on Instagram @GynoGirl. Share this episode with friends or colleagues who need to know more about sexual health and be sure to leave us a 5-star rating! Your support helps us bring you more impactful conversations

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Join Dr. Rahman as she sits down with Dr. Jayne Morgan, a renowned cardiologist passionate about addressing healthcare disparities. They delve into how heart disease uniquely affects women, especially during menopause, and the importance of understanding cardiovascular risks. 

Dr. Morgan sheds light on the racial disparities in healthcare, the systemic biases that impact women of color, and the importance of clinical trials that include women. This episode also explores preventive measures, the role of hormone therapy, and how women can better advocate for their health.

Highlights:

1. Heart Disease in Women – Why it’s the #1 killer and how symptoms are often missed.
2. Menopause and Heart Health – The link between menopause, estrogen, and cardiovascular disease.
3. Bias in Clinical Trials – How underrepresentation in trials impacts women and minorities.
4. Navigating Healthcare Bias – Tips for women, especially women of color, to find the right care.
5. The Role of Hormone Therapy – Can it prevent heart disease, and how should it be approached?

If you found this episode insightful, don’t forget to subscribe and leave a review! Share your thoughts on how healthcare can better serve women and follow Dr. Jayne Morgan on Instagram, LinkedIn, and X for more medical insights.

Guest Bio

Dr. Jayne Morgan is an accomplished Cardiologist and Vice President of Medical Affairs at Hello Heart, with a strong focus on Women’s Health. She has extensive experience in cardiovascular research and is a recognized advocate for health equity, particularly in increasing minority participation in clinical trials. Dr. Morgan has held leadership positions at Piedmont HealthCare, where she led community health education efforts and the Covid Task Force. She is also well known for her social media series, The Stairwell Chronicles, which provides accessible medical information.

Dr. Morgan has received numerous accolades, including the NAACP Award and the National Women's Empowerment Award, and is a recognized expert on CNN and Scripps News. She holds an adjunct associate professor role at Morehouse School of Medicine and serves on various advisory boards, including Pfizer and Novartis. Her pioneering work in cardiovascular research, clinical trials, and women's health has made her a respected voice in the medical community.

Outside of her professional work, Dr. Morgan is also a certified Pilates enthusiast, promoting overall wellness in and out of the clinic.

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Dr. Lynn shares her journey into the specialized field of sex med, revealing the gaps in medical training that drove her to become a leading voice in women's sexual health. She discusses her innovative approaches to treating menopausal symptoms and sexual health problems, integrating her deep medical expertise with practical advice.

Our conversation today covers a range of topics, from the challenges of obesity medicine in menopausal women to groundbreaking research on cannabis use for sexual enhancement. Dr. Lynn's insights are not only informative but also deeply empowering, offering hope and new possibilities for women struggling with these complex issues.

Highlights

• Innovative Approaches: Dr. Lynn discusses how she uses her expertise in obesity medicine to address weight management in menopausal women, integrating treatments like GLP-1 agonists.
• Sexual Medicine Insights: Explore how Dr. Lynn helps her patients navigate sexual health challenges during menopause, using both medical and counseling strategies.
• Cannabis Research: Dr. Lynn shares fascinating insights into her research on the effects of cannabis on sexual function, providing a nuanced view of its benefits.
• Educational Empowerment: Dr. Lynn emphasizes the importance of education and advocacy in overcoming the stigmas associated with sexual and reproductive health.

Do you have questions about menopause or sexual health you're hesitant to ask? Join our conversation and empower yourself with knowledge. Subscribe to our podcast, leave a review, and follow us on social media to stay updated with expert insights and supportive community discussions. Let's change the way we talk about women's health together!

Guest Bio:

Dr. Becky Lynn is the Founder and CEO of the Evora Women’s Health as well as an Adjunct

Associate Professor of Obstetrics and Gynecology at Saint Louis University.

Dr. Lynn is a leader in the women’s health and cannabis space. Her research focuses on the

effects of cannabis on sexual function in women. She has published papers in the scientific

literature and has presented her research both nationally and internationally. Dr. Lynn has been

featured in numerous podcasts and several articles in the cannabis space. Her The Relationship

between Marijuana Use Prior to Sex and Sexual Function in Women and Effects of Cannabinoids

on Female Sexual Function can be found online.

Dr. Lynn completed medical school at Georgetown University School of Medicine in

Washington, DC, completed her residency at Washington University in St. Louis, and practiced

at the University of Missouri, Columbia before joining the faculty at Saint Louis University in

2015 where she was full time faculty until 2020. After leaving SLU, she founded the Evora

Women’s Health in February 2020. In addition, she completed her sexual counselor training at

Sexual Medicine Associates in Florida and she completed her MBA at Saint Louis University. Dr.

Lynn enjoys running, foreign language and travel. She once rode her bicycle from London to

Paris to raise money for Breast Cancer Care.

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Dr. Rowen provides valuable insights into the often-overlooked hormone progesterone and its significance in conditions like PMDD. She also delves into cultural attitudes toward genital grooming, the realities of labial surgery, and societal pressures affecting perceptions of genital appearance.

Highlights:

• Progesterone’s Essential Role: Discover why natural progesterone is crucial for health and how it differs from synthetic hormones in birth control.
• Managing PMDD: Learn about hypersensitivity to progesterone in PMDD and explore treatment options that avoid worsening symptoms with progestin.
• Cultural Perspectives: Understand the influence of societal standards and the porn industry on genital grooming and body image.
• Labial Surgery Insights: Explore the reasons behind labial reconstructions, associated risks, and Dr. Rowen’s approach to managing complications.
• Patient Advocacy: Emphasizing the importance of counseling for labial surgeries and addressing potential sexual sensitivities and outcomes.
• Progesterone Beyond the Uterus: Examine how progesterone impacts brain health, postpartum depression, and overall sexual health.
• Research Challenges: Learn about the difficulties and costs associated with researching progesterone and obtaining FDA approval for testosterone treatments for women.
• Comprehensive Treatment Approach: Highlighting the need for a holistic approach to treating hypoactive sexual desire disorder, including the use of testosterone formulations.

Guest Bio: 

Dr. Rowen is an obstetrician and gynecologist whose care and research focuses on sexual health and transgender health, as well as complex gynecologic care for people with cancer. A lead gynecologic surgeon at UCSF, Rowen has expertise in laparoscopy (surgical diagnostic procedure to examine the inside of the abdomen) and vaginal and vulvar surgery, including especially hysterectomy. She is medical director of perioperative services for the obstetrics and gynecology department.

Rowen earned her medical degree and a master's degree in health and medical sciences through a joint program of the University of California, Berkeley and UCSF. She completed a residency in obstetrics, gynecology and reproductive sciences at UCSF.

Rowen is an international expert in sexual health. She has served as a board member for the International Society for the Study of Women's Sexual Health and as an associate editor for the Journal of Sexual Medicine. She is a sought-after speaker on sexual medicine and has published dozens of papers and book chapters on the topics of sexual health and family planning and safe motherhood in developing countries. She is a member of the International Society for Sexual Medicine, World Professional Association for Transgender Health and American Congress of Obstetricians and Gynecologists.

Who would you like to hear from next? Our podcast is committed to educating and empowering listeners to advocate for their health. Please like, share, and leave a 5-star review on Apple Podcasts!

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Dr. Rahman dives deep into hypoactive sexual desire disorder (HSDD), the most common form of female sexual dysfunction, affecting up to 40% or more of women. This episode is packed with valuable insights, from the biological intricacies of libido to the innovative treatments available today.

Dr. Rahman’s thorough exploration of HSDD helps listeners understand the vast influence of factors like brain neurotransmitters, hormonal imbalances, and socioeconomic conditions on women’s sexual health. She emphasizes that understanding these elements is key to effective treatment and overall quality of life.

Dr. Rahman's episode is a must-listen for anyone dealing with low libido or in search of a better understanding of women's sexual health. This episode is packed with actionable information, making it clear that acknowledging and addressing sexual dysfunction is essential for living a fulfilled life.

Highlights:

• Understanding HSDD: Discover how HSDD impacts women and why addressing it is crucial. From fluctuating libido to distressing low sexual desire, Dr. Rahman explains it all.
• Biopsychosocial Approach: Learn how Dr. Rahman assesses HSDD through a comprehensive lens, looking at biological, psychological, and social factors.
• Groundbreaking Treatments: Get familiar with innovative treatments like Flibanserin (Addyi), Bremelanotide (Vyleesi), and the off-label use of testosterone. Dr. Rahman shares her clinical experiences and patient outcomes with these medications.
• Impact of Mental Health: Understand the significant role of mental health in sexual function. Whether it’s anxiety, depression, or the side effects of medications like SSRIs, Dr. Rahman elaborates on how these factors interplay with HSDD.
• The Role of Self-Care: Dr. Rahman underscores the importance of self-care beyond the physical, emphasizing the need for mental and emotional well-being.

Remember, no one can advocate for your health better than you can. Dr. Rahman’s mission is to empower you with information so you can make informed decisions about your health.

Who else should we feature on Gyno Girl Presents: Sex, Drugs, and Hormones? Tune in, like, share, and leave a 5-star review on Apple Podcasts to help more listeners discover this invaluable resource

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Join us as we explore these critical issues that affect countless women and discuss the path to better understanding and treatment.

We discuss the often misunderstood and stigmatized conditions of vaginismus and interstitial cystitis (IC), shedding light on the interplay between cultural influences, psychological factors, and the critical importance of specialized care.

Highlights:

• Personal and Professional Journeys: Learn about Dr. Bahlani's unique career path, including her transition from general gynecology to specializing in pelvic pain, and her dedication to comprehensive patient care.
• Cultural and Psychological Insights: Dr. Bahlani delves into how cultural stigmatization, especially in South Asian communities, contributes to conditions like vaginismus. These cultural influences often prevent women from seeking the treatment they need.
• Beyond Physical Pain: We both emphasize that the absence of pain is not equivalent to experiencing pleasure and discuss the comprehensive treatments required for conditions such as vaginismus and IC, extending beyond just physical pain.
• The Spectrum of Pelvic Pain: Discover the complexities of IC, also known as painful bladder syndrome. Dr. Bahlani explains how IC is a spectrum condition with varying treatment approaches for different types of lesions, including both topical steroids and oral medications.
• The Role of Diet: We dive into the nuanced role of diet in managing IC and the conflicting data surrounding its effectiveness. Learn about how only a small percentage of patients are diet sensitive.
• Patient Empowerment:  We stress the importance of patient education and self-advocacy, encouraging listeners to be proactive in seeking specialized care and understanding their bodies.
• Navigating Online Resources: The conversation touches upon the dual-edged sword of using online resources and social media for medical information. Both doctors caution against the potential stress and misinformation that can arise.
• Healthcare System Challenges: The challenges of providing adequate care within a healthcare system constrained by high patient volumes and insurance limitations are addressed, highlighting the need for better specialized training in sexual health.

Who else would you like us to interview? This podcast exists so you can be better educated and advocate for yourself. Please share, subscribe, and give us a 5-star review on Apple Podcasts!

Guest Bio:

Dr. Bahlani graduated magna cum laude with an undergraduate degree and then went on to receive her Doctor of Medicine degree from the Virginia Commonwealth School of Medicine in Richmond, VA. She completed her residency in OB/GYN at New York Presbyterian / Weill Cornell Medical Center. After her residency, Dr. Bahlani joined the Smith Institute following a fellowship in urology under the mentorship of Dr. Robert Moldwin, a leader and innovator in the field of pelvic pain.

As the 2014 recipient of the Marinoff Career Development Award from the National Vulvodynia Association, Dr. Bahlani has been able to continue her clinical and research interests in the treatment of vulvodynia and sexual pain.

She’s been invited to present her research at multiple conferences, including the International Association for the Study of Pain, the American Association of Gynecologic Laparoscopists, and the American Urologic Association. Dr. Bahlani has also been published in top national and international journals and has appeared on Dr. Oz.

Most recently, Dr. Bahlani was named a recipient of New York Super Doctors 2022, a prestigious accolade awarded to leaders in medical excellence. Dr. Bahlani’s specialized training allows her to treat patients with urologic and gynecologic pelvic pain syndromes, such as vulvodynia, pelvic floor dysfunction, interstitial cystitis, vulvar dermatoses, and female sexual dysfunction. As a clinician and through her continual pursuit of knowledge and research, Dr. Bahlani always strives to achieve her ultimate goal of enabling women to spend less time in pain and gain the tools they need to live their lives to the fullest.

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Imagine having a reliable, go-to source for all your menopause questions—no more sifting through conflicting advice. That’s exactly what our guest, Monica Molenaar, co-founder of Alloy, has created. Alloy is transforming the landscape of women's health, providing accessible, trusted solutions for those navigating menopause.

We delve into the nuances of hormone therapy as a safe and effective solution for menopausal symptoms. We address the misinformation surrounding it and discuss ways to access accurate and reliable information.

Monica’s personal journey forms a vital background to the conversation.From navigating personal health challenges to developing innovative solutions for vaginal and skin care, Monica’s journey has fueled Alloy’s mission to empower women.

Alloy aims not to replace traditional medical examinations but to supplement them by providing guidance and treatment options like hormone therapy, topical sildenafil, and more. 

One recurring theme in our conversation is the importance of individual experiences. Different women will have different reactions to hormone therapy, but the key is having access to sound, evidence-based advice.

Highlights:

• Monica’s Journey: Discover why Monica founded Alloy, including her personal experience with surgical menopause and the drive to create solutions for menopausal symptoms.
• Hormone Therapy Insights: Explore the key steps in hormone therapy, its potential to protect against chronic diseases, and how Alloy addresses skepticism through research and trials.
• Access and Advocacy: Learn how Alloy helps women access proper menopause care, bridging gaps with personalized advice from experienced OB-GYNs.
• Overcoming Challenges: Hear about Monica’s balance between work and motherhood, and how she overcame misinformation to provide evidence-based care.
• Empowerment and Community: Understand the importance of support networks and personal advocacy in navigating menopause and perimenopause.

Join us for a deeply insightful discussion that's not just about menopause but about taking control of your health journey and living your best life through informed decisions.

Is there someone you'd love to hear from on the show? Remember, this podcast is here to help you become your own best advocate. If you enjoyed the episode, please like, share, and leave us a 5-star review on Apple!

Monica's bio:

Monica Molenaar is a serial entrepreneur and an advocate for frank talk and common sense solutions around women’s health and wellness.

At the age of 40, Monica tested positive for the BRCA gene and elected to remove her ovaries prophylactically to reduce her risk of breast and ovarian cancers, thereby ending her natural production of estrogen and sending her into surgical menopause overnight. This began a multi-year journey trying to make sense of all the misinformation and lack of clarity around this phase of life. It was only after starting to supplement with estrogen and progesterone that Monica found relief from the menopausal symptoms affecting her quality of life and was able to get back to work. She was inspired to start Alloy to make sure that other women entering menopause would have an easier time than she did accessing credible information, effective and safe solutions, and a supportive community.

Monica is a graduate of the Stanford University Graduate School of Business. A lifelong New Yorker, she now resides in Rotterdam, The Netherlands, with her husband and two teenage sons.

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We also dive deep into Dr. Suzanne's personal journey from labor and delivery to becoming a menopause specialist. She opens up about the transformative experiences that shaped her integrative approach and her mission to educate and empower women.

If you're ready to explore a whole new paradigm of women's health and menopause care, this episode is for you. Get ready to have your mind expanded and your spirit uplifted!

Highlights:

• Psychedelics and Microdosing: Explore the growing research on psychedelics like psilocybin for mood disorders, trauma, and addiction in perimenopause, and the rising popularity of microdosing as an alternative treatment.
• Nature and Plant Medicine: Discover the healing power of reconnecting with nature through plant medicines and its impact on overall well-being.
• Cannabis for Sexual Health: Learn about the potential benefits of cannabis for sexual health and the need for more research to fully understand its effects.
• Integrative Medicine Approaches: Find out how blending Western and Eastern medicine, including Ayurveda and modern practices, can enhance health during menopause.
• Mind-Body-Spirit Connection: Understand how fitness, yoga, meditation, and spirituality contribute to physical and mental health during menopause.
• Healthcare Advocacy: Get practical tips from Dr. Gilberg on communicating your needs, finding the right provider, and utilizing telehealth services.
• Personal Insights: Hear about the real-world benefits of integrative medicine from Dr. Gilberg and myself, and why personal experiences are valuable.
• Inclusive Education: Recognize the importance of culturally sensitive menopause education and addressing racial biases in healthcare.

As always, I'm here to empower you with knowledge so you can advocate for your best health. If this episode resonated with you, please give us a 5-star review on Apple Podcasts, subscribe, and share with your friends. Your support keeps this podcast thriving!

I'd love to hear your thoughts and questions. Who would you like me to interview next? Let me know in the reviews or on my social media channels. Together, let's revolutionize women's health, one conversation at a time!

Guest Bio

Dr. Suzanne Gilberg- Lenz is a Diplomat of the American College of Obstetrics and Gynecology, Suzanne Gilberg-Lenz, MD, received her medical degree in 1996 from the USC School of Medicine and completed her residency in obstetrics and gynecology at UCLA/Cedars-Sinai Medical Center. Dr. Gilberg-Lenz is involved in women’s empowerment and public education. She appears frequently as an expert in women’s health and integrative medicine in print, online, and on TV, where she is the Chief Medical Correspondent for the Drew Barrymore Show. She is the author of MENOPAUSE BOOTCAMP: Optimize Your Health, Empower Your Self, and Flourish as You Age (Harper Wave; October 11, 2022).

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In this episode, I dive deep into the often-overlooked but crucial topic of GSM, a condition affecting a significant percentage of postmenopausal and perimenopausal women. GSM extends beyond vaginal dryness, causing discomfort, pain during intercourse, and urinary issues.

I discuss the importance of shifting away from the term "atrophic" and embracing the more comprehensive "genitourinary syndrome of menopause." This change in terminology reflects the wide-ranging impact of hormone deficiencies on genital and urinary health.

Highlighting the chronic and progressive nature of GSM, I emphasize the need for ongoing treatment and open communication between patients and healthcare providers. Unfortunately, many cases go unrecognized and under treated due to stigma and hesitancy surrounding menopause and perimenopause.

I also explore various treatment options for GSM, including topical estrogen, vaginal DHEA, and CO2 laser therapy. Importantly, I clarify that GSM can affect individuals at various stages of hormone deficiency, not just during perimenopause or postmenopause.

Throughout the episode, I advocate for the use of sensitive language when discussing these issues and encourage clinicians to prioritize patient comfort and understanding. By promoting education and open dialogue, we can break down barriers and ensure that individuals receive the care they need.

Remember, you don't have to suffer in silence. If you're experiencing symptoms of GSM, reach out to your healthcare provider and advocate for your well-being. Together, we can work towards better recognition, treatment, and support for this critical aspect of women's health.

Highlights:

- Understanding GSM: Learn about the comprehensive impact of hormone deficiencies on genitourinary health, extending beyond vaginal dryness to include discomfort, pain, and urinary symptoms.

- Shifting Terminology: Discover the significance of embracing the term "genitourinary syndrome of menopause" and moving away from the potentially hurtful "atrophic" label.

- Treatment Options: Explore various approaches to managing GSM, including topical estrogen, vaginal DHEA, and CO2 laser therapy, and understand their potential benefits.

- Breaking Stigmas: Recognize the importance of open communication and sensitive language in addressing the hesitancy and shame surrounding menopause and perimenopause.

- Advocating for Your Health: Gain the knowledge and confidence to discuss GSM with your healthcare provider and prioritize your well-being throughout the menopausal transition and beyond.

Who would you like me to interview next? Remember, this podcast is here to empower you with the information you need to advocate for your health. If you found this episode valuable, please give us a 5-star review on Apple Podcasts, subscribe, and share with your friends!

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Well, that's exactly what our latest guest, Jaclyn Lanthier, provides. Jaclyn is a dedicated advocate and educational resource for individuals with lichen sclerosus, and she's here to share her wealth of knowledge and personal journey.

Jaclyn offers a free 100+ page ebook supported by over 40 peer-reviewed journal articles that are constantly updated. Covering topics from sexual health to mental health and building a support team, her work is an essential resource for those managing lichen sclerosus.

Jaclyn is also a powerhouse for the Lichen Sclerosus Support Network, producing a variety of content, ranging from blogs and YouTube videos to webinars and virtual meetups. She conducts in-person support groups, webinars, and even educates healthcare providers, bridging critical gaps in patient support and professional understanding.

Transforming her own challenging experiences into advocacy, Jaclyn emphasizes the importance of tools for condition management, mental health prioritization, and finding the right healthcare providers. Her story and advice are especially poignant, given her past struggles with misdiagnoses and the healthcare system, a common theme in our discussions on medical gaslighting and the need for compassion in care.

Jaclyn's initiative, The Lost Labia Chronicles, exemplifies her dedication to education. Through blogs, videos, speaking events, and multiple media forms, she ensures everyone can access and understand this crucial information.

Highlights:

• Jaclyn's Journey with lichen sclerosus: Facing years of misdiagnoses and trialing through inadequate care, Jaclyn transforms her personal hardships into robust advocacy efforts.
• Tackling Health Anxiety: Hear Jaclyn's advice for avoiding overwhelming research, focusing on treatment and mental health, and managing symptoms with confidence.
• Empowerment through Education: Jaclyn stresses the necessity of educating oneself about conditions like lichen sclerosus and finding the right healthcare providers equipped to offer proper care.
• The Lost Labia Chronicles: Gain insight into this initiative, demonstrating the power of storytelling and education in transforming patient care.
• Overcoming Healthcare Barriers: Jaclyn shares actionable advice based on her own experiences, emphasizing the need for proper diagnosis, appropriate medication use, and comprehensive understanding from healthcare providers.

Remember, awareness and education are the first steps to advocacy and better healthcare. Tune in for more insights on reproductive health and leave us a review on Apple Podcasts!

Guest Bio:

Jaclyn is a vulvar lichen sclerosus patient advocate from Toronto, Canada. Jaclyn is the founder and director of The Lost Labia Chronicles, an evidence-based knowledge-sharing hub for vulvar lichen sclerosus information and support. 

She is on the executive board of Lichen Sclerosus Network, a non-profit organization based in the USA. 

She is currently enrolled in the EUPATI patient expert training program to improve her skills in patient advocacy. Jaclyn did her Ph.D. in philosophy of neuroscience at the Western University, in London, Ontario, where she evaluated the scientific methods and protocols used in cognitive neuroscience research to assess the reliability of the findings and ensure that the conclusions drawn from these studies are credible and trustworthy. 

Jaclyn is passionate about science communication, knowledge translation, and improving the quality of life of people with VLS through education and support.

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