Dr. Streicher’s Inside Information: Menopause, Midlife, and More
Hot flashes, vaginal dryness, leaky bladders, weight gain, hair loss, inability to orgasm? Nothing is off limits in these fact-filled, solution-driven and often surprisingly funny podcasts that address the specific symptoms women face as they navigate perimenopause and post-menopause. Each segment is like having an in-depth consultation with Dr. Lauren Streicher, a nationally recognized menopause expert and the founding Medical Director of the Northwestern Medicine Center for Sexual Medicine and Menopause. Guests will include other experts on all things menopause. This is THE podcast for accurate information about menopause but is not meant to be personal medical advice.
Episodes
S4 Ep200: Perimenopause Problems-an Experts Approach with Dr. Steven Goldstein
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S4 Ep199: Closing the Mind-Body Libido Gap with Dr. Lori Brotto
As a gynecologist, I help women with the physical, hormonal, and medical aspects of sexual response: eliminate sexual pain, and help women who can’t orgasm due to an SSRI, diabetes or vascular disease. I am not a therapist. I do not treat the psychosocial aspects of sexual difficulties or address the mind-body connection. And that is why the work I do depends on experts like my guest today, Dr.
S4 Ep198: Preventing Dementia: Estrogen? Testosterone? Prevogen?
Preventing Dementia: Estrogen? Testosterone? Prevogen™?On November 10, 2025, the Secretary of Health and Human Services, Dr. Marty Markary, along with the head of the FDA, RFK Jr, announced that hormone therapy would “reduce Alzheimer’s by 35%." Where does that statistic come from? And should all women take hormone therapy to stave off dementia later in life? In this episode, I take a deep dive in
S4 Ep197: Don't Be SKIN-fluenced! A Q and A with Dr. Ellen Gendler
In the world of medical influencers, the only thing crazier than the menopause world is the skin world. There are a lot of people who are making millions selling lotions and potions that promise to make your 50-year-old skin look like it did when you were 20.Enter Dr. Ellen Gendler- you know her-the New York dermatologist who is the voice of reason, and wildly entertaining, but most importantly,
S4 Ep196: An Intimate Conversation with the Author of The Intimate Animal, Dr. Justin Garcia
In this episode, join me in my living room for a conversation between me, Christie Hefner, and the author of a just released book, Intimate Animal by Justin Garcia, an evolutionary biologist and international authority on the science of sex and relationships and the Executive Director of the world-renowned Kinsey Institute. The Intimate Animal explores: Why we love who we love? Why do we stay in u
S4 Ep195: VULVAR RELIEF! New Research Takes the Pain out of Vulvodynia and Lichen Sclerosus with Dr. Andrew Goldstein
Of all of the vulvar conditions out there, two of the most frustrating to treat are VULVODYNIA and LICHEN SCLEROSUS. Even when properly diagnosed, treatment can be challenging. But help is on the way! In this episode, Dr. Andrew Goldstein discusses new cutting-edge research and treatments for both vulvodynia and lichen sclerosus. Dr. Goldstein describes 5 ongoing studies and how you can partici
S4 Ep194: It’s All in the Family: BRCA and Other Hereditary Cancer Syndromes with Dr. Michelle Jacobson
One out of ninety women will develop ovarian cancer in her lifetime. It is the second most common gynecologic cancer and the fifth leading cause of death among women from cancer. Roughly 25% percent of ovarian cancer is hereditary. If a woman is a carrier of one of the gene mutations associated with ovarian cancer, her risk is strikingly higher than the risk of the general population. But most w
S4 Ep193: Esoteric Symptoms of Menopause with Dr. Makeba Williams
Women who are in the throes of menopause are never thrilled about having hot flashes, but they aren’t particularly surprised by them. It’s other symptoms that often blindside women, including symptoms that are not often associated with menopause.Esoteric symptoms are different than unusual symptoms. An unusual symptom is something that rarely occurs. An esoteric symptom, on the other hand, is on
S4 Ep192: Love Your Age with Dr. Jen Ashton
Dr. Jen Ashton- you know her as the chief medical correspondent for ABC News and Good Morning America, who appeared in your home every morning, explaining the hot topics in health. Today, we talk about her pivot into her passion- fitness and wellness- and how to incorporate into the second half of your life..and love your age.
How Dr. Ashton ended up as an anchor on Good Morning America
How she
S4 Ep191: Say Yes to Testosterone? And Why Pellets are a Problem
Come Again: Sexuality and Orgasm, my solution-driven audio Series, for both non-healthcare professionals and healthcare professionals is now available on demand on drstreicher.com. Subscribers get loads of supplementary guides and resources. Health care professionals have an option to purchase additional material on incorporating sexual medicine into their practice. For a 25% discount to the COM
S4 Ep190: Ready, Set…. Start!, Stop! Switch! Hormone Therapy with Risa Kagan MD
At my monthly Ask Me Anything Webinars, I always get questions about hormone therapy- when to start, when to stop, if the dose should be changed as women get older, and what to do if someone continues to have symptoms or continues to bleed… In this episode, Dr. Risa Kagan and I answer submitted questions. We start by briefly running through the established indications for starting menopausal hor
S4 Ep189: The FDA Removes the Black Box Label for Hormone Therapy
In case you missed it, last week was quite the week in the menopause world. The FDA made a landmark decision to remove all black box warnings from estrogen products and to update the labels of individual products. I was in the room where it all happened and in this episode, I’m going to break it all down for you. But here’s the headline- this label change is overall, a good thing, a very good thin
S4 Ep188: The Case for HPV (and Other) Vaccinations in Women Over 45 with Vivien Brown
Human Papillomavirus, or HPV, is responsible for 6 different kinds of cancers…Cervical, anal, oral pharyngeal, vaginal, vulvar, and penile. So, it was a big deal when the HPV vaccine was approved in 2006 females between the ages of 9 and 26. In 2018, the age range was expanded to include adults up to the age of 45. But, what about women over 45? Shouldn’t they have the option of getting a vac
S4 Ep187: A Nuanced Conversation About Hormone Therapy with Selene Yeager
Selene Yeager is not a doctor; she is a health reporter with an enormous following of women who count on her to provide evidence-based medical information. Recently, we sat down to discuss challenges in prescribing hormone therapy for her podcast, "Hit Play, Not Pause." We had such a good conversation that I asked her if I could share her episode with my audience. 👉Hormone therapy research👉The
S4 Ep186: Reframing the Obesity Conversation with Dr. Robyn Pashby
"The psychological aspects of having obesity are rarely recognized. The psychological burden that people carry outweighs the adipose tissue.” Robyn Pashby PhDThis episode is a must-listen for anyone struggling with obesity, or who knows someone with obesity, or a healthcare clinician who has patients with
S4 Ep185: The Science of Menopause and Mental Heath with Dr. Pauline Maki
Emotional lability, anxiety, crying jags. Welcome to perimenopause.70% of women experience depressive symptoms and alterations in mood when estrogen levels plunge or start to fluctuate. While many factors increase the risk, there is no denying that changes in hormone levels have something to do with anxiety, mood, and depression, even in people who never had issues before perimenopause. Dr. P
S4 Ep184: Sleep and Menopause -A Wake Up Call with Dr. James Simon
Hot flashes, vaginal dryness, and sleep disturbance are the three most common symptoms of menopause. Currently, there are over 20 FDA-approved products to treat hot flashes. There are roughly 10 FDA-approved products to treat vaginal dryness. There are zero FDA-approved products to treat insomnia due to menopause. Zero. My guest is Dr. James Simon, a clinical professor of Ob-Gyn at George Washing
S4 Ep183: Women Have Their Say About Sex After Breast Cancer
If you are a menopausal woman and spend any time on social media, you are familiar with Dr. Corinne Menn. She is a trustworthy voice of science and evidence-based medicine in a sea of influencers who don’t always stick to the data. Dr. Menn is one of the authors of a recent study titled Women’s Insights on Sexual Health after a Breast Cancer Diagnosis. This study, published in the Journal of Cl
S4 Ep182: The TRUE History of the Vibrator
I have written many times about how in the 1800s, vibrators were not sexual items that women bought for themselves, but medical devices used by doctors to treat a medical condition then known as hysteria. The problem is- that’s not true. And be sure to check out my photo gallery of devices discussed in this episode!
The popularly accepted history of the vibrator
Hysteria, and how it was treated i
S4 Ep181: The FDA Roundtable on Menopausal Hormone Therapy- And Why I Declined to Participate
I was invited to participate in the FDA roundtable on menopausal hormone therapy. I declined. In this episode, I’m going to tell you why.
A brief history of the FDA
Why there is a black box warning on all estrogen products
Why the black box warning should be removed from all local vaginal estrogen products
Prior efforts to get the label removed
How product labels and warnings traditionally have
S4 Ep180: The Six Pillars of Lifestyle Medicine with Dr. Dawn Mussallem
Dr. Dawn Mussallem, a board-certified lifestyle medicine physician, was diagnosed with Stage 4 cancer at age 26, followed by a heart transplant. She walks the walk when it comes to healthy lifestyle choices. At the Mayo Clinic Breast Center, Dr. Mussallem is the go-to expert for how healthy choices not just prolong life, but also make life better.. not just for women living with a cancer diagn
S4 Ep178: Mid-life Nutrition: Tips and Tricks From a Dietician with Dr. Alexandra Filingeri
Any mid-life woman knows that once you hit your 40s, 50s, or 60s, things will not go well if you eat the same way you did when you were 20. But it’s confusing to know what to eat, and how much to eat, without downloading multiple APPs and carrying around a calculator My guest, Alexandra Filingeri, holds a doctorate in Clinical Nutrition with a focus on evidence-based nutrition interventions, parti
S4 Ep178: The Impact of Hormone Therapy on DCIS with Dr. Swati Kulkarni
Women are generally told that if they have a breast cancer diagnosis, they should steer clear of estrogen. In this episode, I have a conversation with Dr. Swati Kulkarni, the lead investigator of a new study in which women with a newly diagnosed breast ductal carcinoma in situ, DCIS, were given a month’s worth of hormone therapy before standard treatment to see the impact it would have on developi
S4 Ep177: CANCER: Misinformation and Misleading "Science" with Shikha Jain MD
Do cell phones cause brain cancer? Does using an antiperspirant increase the risk of breast cancer? Does fluoride in the water increase the risk of bone cancer? Is the HPV vaccine lifesaving or dangerous? In this episode, I am joined by Dr. Shikha Jain, an academic hematologist and oncologist. We start by busting cancer myths and then move on to discuss the impact of the “Make America Healthy Ag
S4 Ep176: FOOD and BRAIN Health with Dr. Annie Fenn
When it comes to the risk of developing dementia, family history is a factor, but it is far from the only factor. It is well known that physical activity, social isolation, smoking, alcohol, medical conditions like diabetes, heart disease, or being hard of hearing, all impact the risk of developing dementia down the road.In this episode, I explore the relationship between what you eat and brain h
S4 Ep175: Your BONES On and Off ESTROGEN
When women think about the benefits of menopausal hormone therapy, things like hot flashes, insomnia and vaginal dryness come to mind. But for many women, bone health is, or should be, at the top of the list. In this episode, I speak with Dr. Risa Kagan about the role of estrogen, progesterone, and testosterone in bone health.
Definition of Low Bone Mass (Osteopenia) and Osteoporosis
The Diffe
S4 Ep174: Is Your Transdermal ESTROGEN... Getting ABSORBED?
Transdermal estrogen in the form of a patch, gel, or cream is often the preferred delivery method for menopausal hormone therapy. Unlike oral estrogen, in addition to other advantages, transdermal estrogen does not increase the risk of blood clots. But a new study, published in the journal Menopause, indicates that your transdermal estrogen… may not be doing what you think it’s doing. Today, I a
S4 Ep173: Two Clinicians- Twelve Questions
I get lots of questions on various platforms. But I never get to all of them. So, today is Q and A day. I asked my friend and colleague, Dr. Heidi Flagg to join me because it’s always good to get another point of view. Dr. Flagg is, above all, a clinician. She is in her office in NY city, day in and day out, helping women navigate peri menopause and menopause. And unlike many people out there who
S3 Ep172: COME AGAIN!
Welcome to COME AGAIN: Sexuality and Orgasm PodcastWhat if suddenly your tried-and-true maneuvers that consistently ended in orgasm no longer worked? Or it took so long and the climax so pathetic it was hardly worth the effort? Along with hot flashes, sandpaper sex, and a loss of libido, add the inability to have an orgasm to the list of post-menopause surprises your mom "forgot" to warn you abo
S3 Ep171: TEETH TALK with Whitney DiFoggio MA, RDH
As our bodies age, so do our teeth. And, no surprise, menopause also has an impact on dental health. My guest, Whitney Difoggio, AKA Teeth Talk Girl ,knows it all when it comes to dental hygiene ,anti-aging tips and post menopause teeth, gums, and tongues. Whitney DiFoggio, founder of teethtalkgirl.com, is a passionate dental health communicator and registered dental hygienist, recognized as "Tee
S3 Ep170: The Dark History of the Pelvic Exam
The vagina is a dark and mysterious place. It is the passage by which most of us enter the world. As an adult, it is the place where our sexuality is housed, hopefully, associated with pleasure, but it can also be a place associated with pain, and sometimes trauma. It is impossible to see the vagina without a speculum since the vagina is completely internal. And it was the invention of the specul
S3 Ep169: When Progesterone is Problematic: A Collaboration on a Complex Patient with Dr. Risa Kagan
Menopause experts rarely see patients with no medical issues. We see the patient with multiple medical problems and concerns. In this episode, I bring in menopause expert Dr. Risa Kagan to collaborate on options for the following complex patient. (Be sure and check out my Substack article that gets into the nuances of bazodoxifene)Beth is 51 years old. I’ve been flashing for 2 years with no end
S3 Ep168: GLP-1 Drugs- The Good, The Bad, and the Unknown
GLP-1 drugs like Ozempic™ and Wegovy™ do a great job at helping folks lose large amounts of weight, but there is emerging evidence that the benefits go well beyond achieving a healthy weight. And then there is the dark side…can they also harm? In this episode, Dr. Alexandra Sowa, an internist who is certified in obesity medicine, and the author of the just published book The Ozempic Revolution: A
S3 Ep167: All Hot Flashes Do Not Mean Menopause
Hot flashes, the hallmark of menopause are experienced by up to 80% of women. And if you are in your late 40s or early 50s and dressing in layers, carrying a fan, and sweating through your pajamas, chances are, it’s menopause. But maybe it’s not. In this episode I run through the list of conditions that have nothing to do with menopause, that can cause women to sweat through the day and night. Dr
S3 Ep166: Paternalism and the Uterus
The 1950s and 60s were a time of medical paternalism in America. The doctor, who was male in 98 percent of cases, decided what was best for his patient and unilaterally made decisions that were rarely, if ever questioned. In 1969 Dr. Marcus Welby was the TV prototype of this godlike paragon, and he spoke decisively and with authority in countless American households, including my own, on a weekly
S3 Ep165: The Secret Fantasy Life of Women with Dr. Justin Lehmiller
Sexual fantasy is at the top of the list when it comes to taboo topics. My guest, Dr. Justin Lehmiller is a social psychologist, an award-winning educator, a prolific researcher, and is the host of The Sex and Psychology podcast. He is also the author of The popular book, Tell Me What You Want_ The Science of Sexual Desire and How it Can Help You Improve Your Sex Life based on his survey of sexual
S3 Ep164: Is Bioidentical Always Best?
Many, if not most women and clinicians believe that bioidentical estrogen is always best when it comes to post menopause hormone therapy. This comes from the premise that bio-identical estrogen is completely natural and therefore safer and more effective than other forms of estrogen. Except that is not necessarily true. In this myth-busting episode, I discuss:
Why words and terms need to have p
S3 Ep162: Your Post Menopause Urethra with Dr. Kelly Casperson
Most women don’t even think about their urethras, but an estrogen-starved urinary tract can be the culprit when it comes to recurrent urinary tract infections and that persistent “gotta go” feeling. In this episode I sit down with Dr. Kelly Casperson, a board-certified urologist, a certified Menopause Practitioner of the North American Menopause Society, and the host of the hit podcast You Are Not
S3 Ep161: Dating After 50 Doesn't Need to Be Daunting
30% of women over the age of 50 are single. 50% of women over age 65 are single. Too often the whole dating process is overwhelming, frustrating, and unsuccessful. Enter Bela Gandhi- the nationally known dating coach who regularly appears on Good Morning America and hosts a hit podcast, “The Smart Dating Academy.” So whether you need to fix your picker, find the whole idea of dating daunting or
S3 Ep160: The Musculoskeletal Syndrome of Menopause with Dr. Vonda Wright- UPDATE
As 2024 ends, I decided to revisit the top episodes from last year. If I were to go by my favorites, choosing would be impossible. According to the number of downloads, the two top contenders are Top Tips for Skin and Hair with Dr. Ellen Gendler and Musculoskeletal Syndrome of Menopause with Dr. Vonda Wright. I am going to update Dr. Gendler's episode in a few weeks. In this episode I am going
S3 Ep159: Holiday Gifts That Happen to be Healthy
If you haven't finished your holiday shopping yet, I've got you covered. In this episode, I have great gift ideas that also happen to be healthy.There were two criteria to make it to this list. One, it had to be something I already own or would like to own. Second, there had to be a scientifically proven health benefit to using these items.And if you have already finished your shopping, these ar
S3 Ep158: How to Find a Clinician Who is Not Clueless
An “MD” after the name is no assurance that the person to whom you are about to bare your soul—and your vagina—is an expert when it comes to menopause. In this episode, I am going to walk you through the steps to find someone you can trust to fix your flashes, foggy brain, and failing sex life.Head over to Substack.com/@DrStreicher for a transcript of the episode, and bonus! I posted an article
S3 Ep157: Hormone Therapy to Help the Heart?
If you would like to read a transcript of this episode along with some additional information, head on over to my substack- substack.com/@DrStreicherChances are you have heard at least one expert say that systemic hormone therapy will prevent heart disease. But you also may have heard other experts say, No- if you don’t have hot flashes or low bone mass, it is not recommended to take hormone thera
S3 Ep156: Perimenopause Problems : An Expert’s Approach with Steven Goldstein MD
The only thing predictable about perimenopause is that it is …unpredictable. My guest today is Dr. Steven Goldstein, a tenured professor at NYU's Grossman School of Medicine, the past President of the International Menopause Society, Past President of The Menopause Society, and one of the WORLD’S top experts on the science of perimenopause.
The problem with the standard definition of menopause
S3 Ep155: Genital Dryness and Misbehaving Bladders
Men have always had the clear advantage of being able to inspect their genitals with very little effort on their part. Women’s genitals are not quite as accessible, resulting in a lot more uncertainty about what’s normal and what’s not. No wonder women are frequently blindsided by not only the physical changes that occur with the onset of menopause but also symptoms like dryness, painful sex, itch
S3 Ep154: Invisible Woman Syndrome
Studies reveal that 70% of women experience a sense of being overlooked socially and professionally once they hit 50. The term for this phenomenon is Invisible Woman Syndrome. In this episode, I am joined by Christine Morrison, who writes about the social constructs in the fashion, beauty and wellness industry that inform the way society views women, and the way women often feel about themselves a
S3 Ep153: Q And A Marathon
I give two to three lectures a week. No matter who I am talking to or what the topic is, the part I like the best is the Q and A. It’s always different and I never know what I am going to get. In this episode I answer 37 questions in a 45 minute webinar I did on behalf of Midi Health where I am the Medical Director of Community Education and Outreach. If you are looking for in-depth explanations
S3 Ep151: Don't Be Duped: Misleading Marketing and the FDA
You grab a product off the shelf—maybe it promises to help with bladder control, take off ten pounds, erase wrinkles, or boost orgasms. You assume it will do what it claims to do because it has the FDA seal on the package. Most consumers have no idea that most over-the-counter products have not been tested to ensure product claims are legitimate.
The history of the FDA
Why estrogen disappeared fro
S3 Ep150: Managing Menopause When Cancer is a Concern with Dr. Mindy Goldman
Managing menopause in the face of cancer can be complicated. Many women are made to think that they should just be grateful to be alive and not complain about their all day all night hot flashes, brain fog and sex that is excruciatingly painful. Many oncologists are not experts when it comes to menopause or sexual function and don’t bring it up or give information that isn’t accurate. Many women a
S3 Ep149: The Menopause Society Meeting
Episode149 The Menopause Society Meeting Insights from an InsiderOnce a year, the Menopause Society holds an annual meeting where thousands of experts gather to present their research and learn from each other. In this episode, I will di
S3 Ep148: GYNE HACKS for Midlife Women
You know what a Hack is…something that solves a problem, simplifies a task or reduces frustration. Who doesn’t love a good hack? This episode is loaded with GYNECOLOGIC HACKS ...your gyne never told you. Useful tips, tricks and solutions for frustrating gyne problems. Alternative uses for products that are intended to be used on your vulva or in your vagina. And if this does well, I’ve got pl
S3 Ep149: Orgasm Equality with Dr. Laurie Mintz
There is a long history of women not only not knowing nothing about sexual pleasure but being made to feel as if there is something dangerous and wrong with them if they seek it. My guest for this episode is Dr. Laurie Mintz a professor, a therapist, and the author of “Becoming Cliterate: Why Orgasm Equality Matters- and how to get it”, the groundbreaking book that changed not only how millions of
S3 Ep145: TESTOSTERONE for ALL? with Kelly Casperson MD
Put a group of menopause experts in a room, and there are certain things everyone will agree on. But there are other topics, that do not result in universal agreement. And, usually, when that happens, it’s the battle of the academic purists vs …everyone else. And in the menopause world right now, there is no more controversial topic than the use of testosterone as part of the standard hormone th
S3 Ep144: ESTROGEN for the FACE? THE FACTS!
Something happens to skin after your 40th birthday, and that something isn’t good. So is it just a coincidence that wrinkles and sags show up at the same time your periods disappear, or is it just one of those mid-life things? The answer is both. Post menopause skin without estrogen is dryer, thinner, blotchier, hairier, and wrinklier. So, is TOPICAL ESTROGEN the answer? And is it safe?
The spe
S3 Ep143: Who Do You Believe When Experts Disagree? with Tamsen Fadal
In a world where women are barraged with information when it comes to how best to manage menopause, it can be overwhelming and confusing. Between having their symptoms dismissed by their regular physician, and then being overwhelmed with information on social media, it’s hard to know what’s fact and hype. And what do you do when the doctor you trust, tells you that the social media expert you als
S3 Ep142: Don’t Go with This Flow: Post Menopause Bleeding
It can be terrifying to have bleeding when you are post-menopause. It’s not just about making the midnight run for tampons, it’s that stomach-dropping fear that “blood equals cancer” that causes women to spend hours consulting Dr. Google for some reassurance. But, although most women imagine the worst, in most cases, postmenopausal spotting or bleeding is not, is not, an indication of anything ser
S3 Ep141: When Your Hair Today is Gone Tomorrow - PART 2
In Part 1 on Mid-Life Hair Loss, I covered hair care strategies, vitamins, and supplements. And pretty much every section ended with the equivalent of “Don’t waste your money.” This episode has useful advice to get those follicles to kick in and significantly increase the hair on your head.
TOPICAL minoxidil
ORAL minoxidil
FINASTERIDE
Dutasteride
Platelet-rich plasma (PRP Injections)
Low Li
S3 Ep140: Stress Incontinence- You Go Girl- But Only When You Want To ( A Hot Flash-Back Episode) with Dr. Rachel Rubin
The market for adult diapers in the US is almost as large as the market for baby diapers. Part of this trend is because birth rates have slowed and longevity continues to lengthen. Still, the other reason why almost 50% of adults experience some form of urinary incontinence is due to an increase in risk factors. Today, with my guest, urologist Dr. Rachel Rubin, I am taking on the taboo topic of ur
S3 Ep139: Hair Today- Gone Tomorrow-Part 1
For guys, middle-aged hair loss is upsetting, but not something that generally prompts a doctor’s appointment. But that is not the case for women that are suddenly seeing a lot more scalp. While not exactly a medical emergency, it qualifies as an emotional emergency. This is PART 1 of 2 parts on post-menopause hair loss. This episode covers hair care strategies, vitamins, and supplements. PART 2
S3 Ep138: The Shocking Trend Happening in Bedrooms with Debby Herbenick PhD
A recent New York Times article was titled “The Troubling Trend in Teenage Sex”. Before I even clicked, I knew what that troubling trend was since I had recently attended a medical conference where I heard a lecture from Dr. Debbie Herbenick about the increasing numbers of young adults who were including CHOKING as part of their sexual repertoire. Today I am having a conversation with Dr. Herbenic
S3 Ep137: A Short History of Estrogen Therapy
“The physician who puts a woman on ‘Premarin’ makes her pleasant to live with once again- something for which husbands are grateful" 1960 Premarin adThe history of hormone therapy goes back over 100 years. And it didn’t start with horses; it started with cows. If there is a theme, it is that history continues to repeat itself, and following the money is as important as following the science.
S3 Ep136: Muscle Mass and Menopause with Amanda Thebe
Vaginas are not the only part of the body that change mid-life. With age, muscles start to naturally atrophy- a condition called sarcopenia. Women can lose up to 10% of their muscles mass every decade. In this episode, my guest is fitness expert Amanda Thebe, who addresses the value and importance of exercise, diet, and lifestyle choices to keep your muscles from getting mushy!
Amanda’s PERSONAL
S3 Ep135: Minimizing the Monotony of Monogamy: How relationships change over time with Dr. Alexandra Solomon
When there is a lack of lust decades into an otherwise loving marriage or relationship, many, if not most, women assume their indifference to sex is a result of declining hormone levels and that a prescription for estrogen, testosterone or a libido enhancing drug will re-light the flame. A plunge in hormones can be part of the problem, and sometimes a trip to the pharmacy will help, but there are
S3 Ep134: The FACTS on CLOTS and ESTROGEN
Women who have a history of a blood clot, or a risk factor that makes them at high risk for developing a blood clot are generally told that hormone therapy is not an option. And then there is that terrifying black box warning on every single estrogen product, including local vaginal estrogens, that states, “Using estrogen alone may increase your chances of getting strokes or blood clots”Except not
S3 Ep133: Best Breast Advice When it comes to Hormone Therapy With Dr. Corinne Menn
There continues to be great confusion regarding the impact of hormone therapy on the breast. And despite the known benefits of hormone therapy, and reassuring data regarding the impact of hormone therapy on breast cancer, most clinicians are still reluctant to prescribe it, and most women are reluctant to take it. Even more so if a woman is high risk for breast cancer or has a breast cancer diagn
S3 Ep132: The Itchy Vulva (and Not So Itchy Vulva) with Dr. Jill Krapf
Men have always had the obvious advantage of inspecting their genitalia with essentially no effort on their part. For women, it’s a little more challenging. Combine that with the recommendation that there is no need for women to have a gynecologic exam as they get older, most doctors are also not looking. Today I am joined by Dr.Jill Krapf, a gynecologist whose area of expertise is …the vulva. We
S3 Ep131: Why You Need to Keep Seeing a Gyne with Dr. Shieva Ghofrany
More likely than not, if you are over 65, your internist has declared everything between your belly button and your thighs to be the “NO NEED” zone. “NO NEED” for a pap, “NO NEED” need for a speculum, “NO NEED” to remove your underpants, and definitely “NO NEED” to see a gynecologist unless you have a specific problem. But in today’s episode, I am joined by Dr. Shieva Ghofrany to explain the f
S3 Ep130: Are You Ever Done with Menopause?
… and how to increase longevity with and without hormone therapyThe idea that menopause only lasts for a few years is a common misconception. You may have even been told by a medical professional that when you no longer have hot flashes, you are done with menopause! But menopause means you’re no longer producing estrogen. There are hormone receptors throughout the body and there are lifelong co
S3 Ep129: PCOS Problems Post Menopause with Dr. Allison Rodgers
When I first learned about PCOS during my training, I was told that once a woman with PCOS hit menopause, irregular periods, excess hair growth dealing with fertility problems and other manifestations of PCOS were in the rear-view mirror. And that’s true, but we now know that women who had PCOS during the reproductive years, are not entirely off the hook down the road and that PCOS early in life i
S3 Ep128: Can you Exercise Your Hot Flashes Away? A Journal Club with Dr. Maria Sophocles
While not everyone is necessarily good about regular physical activity, no one questions that it’s good for you. Cardiovascular health, weight management, cognitive function, mood, better sleep and even reducing the risk of many kinds of cancer are all established benefits to moving as opposed to sitting on your butt all day. But, when it comes to the impact of exercise when it comes to reducing
S3 Ep126: A Deep Dive into RECURRENT UTI-Update!
The only thing more miserable than a urinary tract infection (UTI) is when it happens again, and again, and again. But, good news, there are ways to prevent post menopause RECURRENT URINARY TRACT INFECTIONS. But sometimes urinary urgency, burning and that “gotta go” feeling is NOT FROM an INFECTION, and need a completely different kind of treatment. You need to know the difference. In this episo
S3 Ep124: All Hormones Are Not Created Equal With Dr. James Simon
Every available type of hormone therapy will effectively eliminate hot flashes and other menopause symptoms. However, all hormone therapy is not the same. Individual formulations impact bone health, breast health, and cardiovascular health differently. In episode 123, Dr. James Simon and I discussed starting hormone therapy after the age of 60. In this episode, we discuss the nuances between
S3 Ep123: Hormone Therapy AFTER Age 60 with Dr. James Simon
While it has been established that the most optimal time to start hormone therapy is within ten years of the menopause transition or before age 60, one of the most common questions that pops up is, “Is it safe to start hormone therapy after age 60?” In this episode I have a conversation with Dr. James Simon to determine WHO is a candidate for a “late start” and HOW to evaluate if it is safe. I a
S3 Ep122: Navigating Menopause: Celebrity Style- Here We Go Again!
In 2009 I was invited to appear on The Oprah Winfrey Show as a menopause expert to counter the other menopause “expert”, actress turned author Suzanne Somers. “Dr” Somers is not the only celebrity to help women navigate menopause. Today, Gwyneth Paltrow, Selma Hayek, Naomi Watts, and others are also doling out advice, and in some cases selling products, to manage menopause symptoms. And now, Dre
S3 Ep121: Dr. Streicher and Dr. Mary Claire Haver Respond to a “New” Model to Manage Menopause
Don't Mess with These Menopause Experts!When The Lancet, one of the oldest, most respected medical journals, published a series of articles saying that “menopause had been over-medicalized”, that many symptoms were “just in her head” and that overall, women should navigate menopause “without the need for medical treatments” a group of furious menopause experts went
S3 Ep119: Weighing in on Weight Loss Drugs
Dr. Kathleen Jordon and I sat down to discuss the two most commonly prescribed GLP- 1 Inhibitors: Semaglutide (Ozempic™) and Terzepatide (Mounjaro™)
What are GLP1 Inhibitors?
How GLP-1 Inhibitors
Who is a GOOD CANDIDATE to take a GLP-1 Inhibitor
Who is NOT a GOOD CANDIDATE based on medical conditions
Other HEALTH BENEFITS from taking a GLP1 Inhibitor besides weight loss
The COST of the drugs?
S3 Ep118: How Hormones Impact the Gut and GERD
It was news to me that estrogen levels can impact on the likelihood of reflux, your gut microbiome, and even the frequency and consistency of your poop. It’s complicated, and I had a hard time interpreting the data, so I invited gastroenterologist Dr. Michael Ruchim to help me out. In this episode:
How and why GERD is impacted by menopause
If Hormone Therapy Make GERD worse or better?
The impact
S2 Ep117: Top Tips for Terrific Skin & Hair with Dr. Ellen Gendler
In this episode I am talking to a dermatologist that has over 100 thousand followers on Instagram. And with good reason. She is funny, she tells it like it is, she is a rock star in the world of dermatology and is my go-to when it comes to mid-life skin care, fillers, Botox, not to mention how to have more hair on your head and less hair on your face.Dr. Ellen Gendler is a Clinical Associate Profe
S2 Ep116: Your HEART on Hormones-Update!
Estrogen is not only good for your brain, your bladder, and your bones, estrogen is also good for your blood vessels. And a lack of estrogen is one of the reasons, that heart disease spikes in women post menopause. Hormone therapy, if started within ten years of the menopause transition, appears to be heart protective. Today I am joined by Dr. Marla Mendelson, a cardiologist and associate professo
S2 Ep112: The Cosmo Report on Sex After 60 with Dr. Rachel Zar
In the 1960s, under the leadership of Helen Gurley Brown, Cosmo morphed from a “proper ladies' magazine” to a much racier version that was thought of as being a sex manual disguised as a woman’s magazine. The target audience was the young working woman. Women in their 60s were not reading it and were certainly not buying subscriptions for their daughters or granddaughters. And here we are, Cosmo h
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