Ageless and Outrageous
Ageless and Outrageous is a podcast hosted by urogynecologist and hormone and sexual health expert Dr. Kristin Jackson. Drawing on 25 years of expertise, she discusses hormone optimization, pelvic floor health, and maintaining vibrant sexual experiences as people age. Episodes cover hormonal balance, pelvic floor well-being, and practical insights grounded in medical science. The show offers an approachable and enjoyable perspective on aging for both men and women.
Episodes
Beyond Hot Flashes: How Estrogen Shapes Women’s Heart Health
In this episode, I’m talking about one of the most overlooked threats to women’s health—heart disease—and the powerful role estrogen plays in protecting your cardiovascular system. Most people think of estrogen in relation to hot flashes, mood swings, or bone health, but it also keeps your blood vessels healthy and your heart protected. When estrogen levels drop at menopause, that protection fades
Estrogen and Alzheimer’s: What 6 Million Women Taught Us
Let’s talk about something most doctors still aren’t saying clearly enough: estrogen matters for your brain. In this episode, I review what the research actually shows about HRT and long-term brain protection.Alzheimer’s disease is the leading cause of death for women over 65 in the U.S. and Australia. And it’s not just because we live longer — women are more biologically vulnerable. One major rea
Still Flashing at 65? You’re Not Too Late for HRT
In this episode I break down one of the most frustrating myths I hear in women’s health: that once you reach a certain age — usually 60 or 65 — you’re “too old” to start hormone therapy.Spoiler alert: that is not true. And it’s long overdue that we challenge the outdated thinking behind it.I walk you through how this myth started, what the science actually shows, and how a personalized, risk-based
The Forgotten Hormone: Why DHEA Might Be Your Missing Piece
DHEA is one of the most overlooked hormones in the conversation around aging well, but it plays a powerful role in energy, mood, metabolism, and muscle maintenance. I often see patients who are doing everything right—eating clean, sleeping well, on hormone replacement—but still feel like something is missing. That something could be DHEA.This hormone starts declining in your 30s and 40s, and witho
Estrogen Is Everywhere: What They Didn’t Tell You About Menopause
Most people associate estrogen loss with hot flashes and night sweats, but the truth is—estrogen affects nearly every part of the body. I often see women struggling with fatigue, brain fog, bladder irritation, joint pain, and sleep problems, and they’ve never been told these symptoms could be related to perimenopause or menopause. In this episode, I walk through the science of how estrogen functio
Sermorelin: The Secret to Muscle, Sleep, and Longevity?
In this episode of Ageless and Outrageous, I dive into one of my favorite add-ons for optimizing weight loss, improving recovery, and aging better: Sermorelin. While often confused with growth hormone itself, Sermorelin works upstream—by signaling your pituitary to produce more of your own natural growth hormone. It’s one of the most exciting ways to maintain muscle, reduce visceral fat, and suppo
Testosterone & Mood: What the Research Really Shows
Let's review a powerful new study on how testosterone therapy can improve mood, cognition, and libido in perimenopausal and menopausal women—even those already on hormone replacement therapy. If you've been struggling with brain fog, irritability, or a loss of motivation and joy, this episode offers a science-backed look at one often-overlooked solution.Here’s what you’ll discover:🧪 The results of
Big News on Treating GSM! The 2025 Update You Need to Hear
In this timely episode, I am excited to share the brand-new 2025 clinical guidelines for treating Genitourinary Syndrome of Menopause (GSM)—a long-overdue update that prioritizes shared decision making and patient-centered care. Whether you’re a patient navigating vaginal dryness, bladder issues, or recurrent UTIs, or a clinician looking to stay current, this episode is a must-listen. We'll go ove
The Mind-Body Connection: Optimizing Wellness with Dr. Christine Vaccaro
In this episode, I sit down with Dr. Christine Vaccaro to dive into the powerful connection between mindset, hormones, and overall well-being. Dr. Vaccaro shares her approach to integrative medicine, emphasizing how lifestyle choices, stress management, and personalized hormone optimization play a crucial role in longevity and quality of life. We explore how women can take control of their health
The Truth About Hormone Replacement with Dr. Amy Killen
In this must-listen episode, I'm speaking with Dr. Amy Killen, a leading expert in hormone optimization and longevity medicine. Dr. Killen shares her journey from emergency medicine to preventive care, driven by the realization that our healthcare system often fails to keep people truly healthy. Together, we unravel the science behind hormone replacement therapy (HRT), debunk common fears surround
Getting the Word Out about Menopause with Dr Alicia Robbins
Today I sit down with Dr. Alicia Robbins to discuss the critical need for better education and support for women in perimenopause and menopause. Dr. Robbins shares how her background as a general OB/GYN led her to realize that many women in their late 30s and 40s were struggling with symptoms like sleep disturbances, mood swings, and weight gain—yet traditional training left her without the right
Understanding Vulvar and Sexual Health with Dr. Jill Krapf
In this enlightening episode, I welcomes Dr. Jill Krapf, a leading vulvovaginal specialist, to shed light on common but often misunderstood conditions affecting women’s sexual health. From vulvar pain to genitourinary syndrome of menopause (GSM), Dr. Krapf explains the importance of proper diagnosis and treatment, emphasizing why many gynecologists aren’t adequately trained in these areas. The dis
Building Strength to Fight Breast Cancer with Dr. Devina McCray
In this powerful episode, Dr. Kristin Jackson sits down with breast surgeon and fitness advocate Dr. Devina McCray. Dr. McCray shares her personal journey from being an overworked physician struggling with her health to becoming a competitive bodybuilder. She dives into how muscle-building is essential for longevity, cancer prevention, and overall health—especially for women.Tune in as Dr. McCray
Why Does It Still Hurt During Sex?
The podcast discusses challenges of experiencing painful intercourse and how it can be treated effectively. It raises the importance of conversation about sexual health in medical settings and sheds light on genitourinary syndrome of menopause, a common issue affecting post-menopausal women related to the ageing process.Want to consider non-medication options to improve painful intercourse? Check
Why Pelvic Floor Health Matters
Let’s talk about the pelvic floor—one of the most important and misunderstood muscle groups in the body. In this episode, I’m dicussing everything you need to know about your pelvic floor: what it is, what it does, and why it’s crucial to your overall health. Whether you’re dealing with postpartum changes, menopause symptoms, or just want to understand your body better, this episode is for you.I’l
Safety of Testosterone Therapy in Women
In this episode, I’m looking into a topic that’s close to my heart: the safety of testosterone therapy for women. I’ll share the latest research showing how testosterone improves quality of life, libido, cardiovascular health, and even bone and brain health—all without increasing risks like breast cancer or cardiovascular events. If anything, the data points to some surprising benefits that could
The Truth about Recurrent UTIs
In this episode, I tackle the uncomfortable yet important topic of recurrent urinary tract infections (rUTIs), a challenge many women face. I draw on my 25 years of expertise to explain the causes, symptoms, and cutting-edge diagnostic tools for managing rUTIs effectively. I dispels common myths, highlights the limitations of traditional urine cultures, and discusses the potential role of advanced
Muscle: The Secret to Anti-Aging
In this episode, I discuss the fascinating world of muscle health, exploring why muscle is not just about strength but also a critical component of long-term vitality. From the biology behind muscle growth to its surprising role in hormone regulation, aging, and even metabolism, this conversation is packed with insights that will change how you think about fitness and health. We discuss the natura
Dr. Levy and Dr. Simon: Voices in Menopause Medicine
In this episode, I dive into a groundbreaking study featured in the prestigious Obstetrics and Gynecology (the Green Journal), which is the American Congress of Obstetricians and Gynecologists' leading publication. Join me as I explore the insights shared by two renowned experts, Dr. Barbara Levy and Dr. James Simon, on the evolving landscape of menopausal hormone therapy. Key moments in this epis
Menopause and Mood Disorders
In this episode, I explore the complex relationship between menopause, hormone fluctuations, and mood disorders. IKey Topics Covered:How estrogen and progesterone decline impacts neurotransmitters in the brain.The connection between menopause and increased risks of depression and anxiety.Role of estrogen in regulating serotonin, dopamine, and GABA to maintain mood stability.The HPA axis: how menop
When UTIs Aren't to Blame: Exploring IC and PBS
In this episode, I'm diving into the often-misunderstood world of chronic bladder pain. What might be causing that unrelenting discomfort if it's not a bladder infection??If you've ever been told you have a UTI but the pain persists even after treatment, you may be dealing with something more complex, like interstitial cystitis (IC) or painful bladder syndrome (PBS). I explain the overlapping symp
The Surprising Truth About Testosterone in Women
In this episode, I dive into one of the most overlooked aspects of women’s health—testosterone. Learn about this powerhouse hormone, including:Why this hormone is often misunderstood as a male-only hormoneThe crucial role of testosterone in women’s well-being and agingGetting rid of common myths surrounding testoterone useWhy so many women are unaware of the powerful benefits of testosteroneGround
Sex Ed 202
What if sex education didn’t stop at puberty? In this episode, I talk about "Sex Ed 202"—the essential health education that women need after their teenage years, especially as they transition into their 20s and beyond.Reflecting on a lively discussion that took place during my niece’s bridal shower, I explore the surprising curiosity young women have about menopause and the hormonal changes that
Navigating Intimacy After Cancer
Dr J breaks down barriers to help you embrace the journey to reclaiming sexual health after cancer treatment! Join in as I navigate the often uncharted waters of post-cancer intimacy. In this episode, I'll explore the types of sexual changes experienced after cancer treatment as well as many of the treatment options that they may not be recommended by your surgeon or oncologist! Listen today to l
Empowering Your Sexual Health: A Conversation with Dr Sarah Cigna
In my first every interview episode, I have my special guest, talented urogynecologist and close friend Dr. Sarah St. Louis. We will dive deep into the often misunderstood aspects of female anatomy and vaginal health. There is such a lack of comprehensive education about women's bodies, so we will discuss the importance of understanding of just what our anatomy is! We also advocate for better sexu
The Buzz About Collagen: What You Need to Know
Today's episode is a mission to unlock the secrets of youthful skin! In this episode, I'll delve into the science behind collagen production and explore practical ways to boost collagen levels for radiant, age-defying skin. From understanding the different types of collagen to debunking myths about supplements, I'm here to arm you with the knowledge you need to glow from within. I'm tackling:
The Journey of Becoming a Urogynecologist
Welcome to the episode you never knew you needed! In this episode, I'll unravel the enigma of urogynecology--who we are and where we come from. Plus I'll share why I'm passionate about this unique field. Today's episode covers:
The origins of urogynecology and the different paths that lead physicians to this specialized field
The differences between OBGYN and urology backgrounds in
Insights from a Pelvic Floor Therapist with Allie Demers
In this episode, I sit down with Allie Demers, a seasoned pelvic floor therapist and owner of Anchor Pelvic Physical Therapy in Winter Park, Florida. Together, we dive into all things pelvic floor, a vital yet often overlooked aspect of women’s wellness.Allie shares her journey from motherhood to becoming an advocate for pelvic health, offering you a comprehensive understanding of the pelvic floor
Progesterone Perfection
Discover the intricate world of progesterone and its vital role in women's hormonal balance. From its origins in the body to its functions in pregnancy and beyond, this episode delves deep into the benefits of maintaining optimal progesterone levels.
Learn the role of progesterone and the organs that make it
Understand the symptoms associated with low progesterone
Recognize the association betwee
What Two Urogyns Think You Should Know
In my first every interview episode, I have my special guest, talented urogynecologist and close friend Dr. Sarah St. Louis. We will dive deep into the often misunderstood aspects of female anatomy and vaginal health. There is such a lack of comprehensive education about women's bodies, so we will discuss the importance of understanding of just what our anatomy is! We also advocate for better sexu
From Honey to Hot Oil: Unconventional Remedies for Prolapse
Delve into the intriguing history of vaginal pessaries and their use in treating pelvic organ prolapse. From ancient times to the modern era, discover the unconventional remedies and treatments that were employed, as well as advancements made through the centuries.
If you or a loved one has dealt with pelvic organ prolapse, you'll love hearing the colorful history of vaginal pessaries!
Key
Perimenopause: Unraveling the Mystery
Today's episode discusses the various symptoms and changes that women may experience as they navigate the menopausal transition, specifically focusing on perimenopause. Many women have no understanding at all about the symptoms that can occur at the end of their reproductive life. Dr J will explore:
What are the stages that women go through
The typical age of the menopausal change, and when
Why Does It Feel Like Sandpaper? The Dry Vagina
Does your vagina feel dry, sandpapery, filled with paper cuts or ground glass? If so, you are not alone. While perimenopause and menopause are a major cause of this condition, there are also many other culprits.
Learn how GSM, or genito-urinary syndrome of menopause, causes vaginal dryness
The safety of vaginal estrogen products
Medications that lead to vaginal dryness
How medical conditions like
Tears Run Down My Leg: Stress Urinary Incontinence
Stress urinary incontinence, a condition characterized by urine leakage during activities such as coughing, sneezing, or physical exertion, can be both bothersome and embarrassing. Today's episode offers a comprehensive understanding of stress incontinence:
What causes this type of urine leakage
Activities that can make the leakage worse
When is the best time to treat it
Can I solve it with Kegel
Decoding Menopause: Understanding the Stages
Menopause is a complex journey for women, but we hear all kinds of terms used to describe it--premenopause, postmenopause, perimenopaus. Today we dive into what it all means, as well as the stages of the menopause transition as women enter midlife.
Hear about the scope of the condition, and how many women it affects both worldwide and in the USA
Understand the reproductive stage, the menopa
Hormones and Hair Loss: How to Restore Your Crowning Glory
Hair loss is a common and troublesome issue affecting millions of Americans. Today we look into the common cause of hair loss and how to improve hair growth, thickness and coverage. Listen to discover:
What stages hair goes through as it grows
How hormones and hormone replacement affects hair growth
Autoimmune conditions that cause hair loss
How medical conditions, stress and life changes c
Unlocking the Secrets of Hormonal Control of Eating
For years, it has been believed that metabolism slows with age, leading to weight gain. However, new studies suggest that the decrease in metabolic rate is not as significant as previously thought. The control of our eating and weight is highly influenced by hormones like leptin and ghrelin. In today's episode, we look at:
Leptin, the "I am full" hormone
Ghrelin, the "I need to eat" hormone
How l
Strong Foundations: Understanding Pelvic Floor Health
This episode delves into the basics of the pelvic floor, explaining its anatomy and function. It highlights how the pelvic floor is an essential support system for the organs in the pelvic region. Pelvic floor dysfunction, which can occur due to weakness or spasms in the pelvic floor muscles, is discussed along with its associated symptoms. The importance of pelvic floor therapy and the role of pe
Smooth Talkers: The Slippery Episode
Let's take a journey through the history of personal lubricants, from ancient remedies to modern options. Today we explore the different types of lubricants, their ingredients, and when to use them. Discover the pros and cons of water-based, oil-based, and silicone-based lubricants. Learn about the importance of choosing body-safe ingredients., and what ingredients are best to avoid. W
Clitoral Chronicles: The Science of Satisfaction
Many women struggle to have solely have orgasms through vaginal penetration, and today's podcast episode dives into the reasons behind it. Through an understanding of female anatomy, it becomes clear that direct clitoral stimulation is often essential for orgasm. The podcast also discusses how the position of the clitoris relative to the vaginal opening affects a woman's likelihood of experiencing
Beyond Wrinkles: Unusual Applications for Botox Injections
This episode delves into the fascinating world of botulinum toxin. We take a comprehensive journey through the mechanisms behind how botulinum toxin operates, exploring the fundamental principles of how nerves trigger muscle contractions, and how botulinum toxin works to interfere with that. We unravel the rich history of the medical discovery of botulinum toxin and its evolution into an FDA
Men Need Estrogen Too??
Step into the incredible world of estrogen in our latest podcast episode. We unpack staggering statistics, explore the historical perceptions surrounding menopause, and unravel the intricate changes in women's bodies as they transition through this natural phase. From the gradual decline in egg count to the hormonal shifts that mark this milestone, we delve into the nitty-gritty details of menopau
Beneath the Petals: Understanding Vaginal Rejuvenation
Vaginal rejuvenation, although not a specific medical term, encompasses various restorative procedures for the vagina, vulva, and pelvic floor. In this podcast, we discuss what can happen to the vagina and vulva as we age, and ways to restore vaginal health. Listen in to understand:
Changes to the vagina related to childbirth, aging, and hormonal fluctuations
The role of vaginal estrogen in m
A Woman's Guide to Male Sexual Health
Today's podcast episode explores the top five things women should know about their male partner's sexual health and provides crucial information for women on how to support their male partners. Tune in to learn:
What is erectile dysfunction (ED)
Vascular causes of ED
Neurogenic causes of ED
Hormonal causes of ED
Treatment options for ED
Premature ejaculation and treatment strategie
The Skinny on Weight Loss Options
Obesity has become a pressing issue in the United States, with a significant increase in its prevalence over the past few decades. This episode explores the factors contributing to weight gain, genetics that may predispose individuals to obesity, and the environment in which we live., highlighting the control we each have over our weight and the potential to modulate genetic influences. We a
Removing Obstacles to an Amazing Orgasm: A Guide for Women
Many women face various obstacles when it comes to experiencing an amazing orgasm. From struggling to reach orgasm to feeling unsatisfied with the intensity of their orgasms, there are several barriers that can hinder sexual satisfaction. In this episode, we explore:
The analogy of a waterfall, and how boulders get in the way of a fantastic orgasm
Common challenges to reaching orgasm
Causes o
The Truth About Vaginal Itching and Irritation
Vaginal and vulvar itching can have various causes beyond just yeast infections. Understanding the anatomy of these areas is crucial in determining the source of the irritation. Today's podcast looks at the many causes of itching:
Learn the proper anatomy of the vulva and vagina
Understand both vaginal and vulvar yeast infections and how they present with different symptoms
What's ne
Debunking the Top 3 Myths About Testosterone in Women
Testosterone is often misunderstood, and that can create fear about use of this very critical hormone. It's often wrongly considered a hormone only important for men. In reality, testosterone is crucial for both men and women, with women actually having higher levels of testosterone than estrogen. Women's testosterone levels peak in their 20s and 30s, gradually declining as they age. Optimi
Dispelling Myths about Estrogen and Breast Cancer
Hormone replacement therapy (HRT) and breast cancer risk has long been overestimated. For too long, both patients and providers have overestimate the risk of hormone replacement therapy and undervalued its value. Despite the fear surrounding HRT and breast cancer, the actual risks are relatively low.
The Womens' Health Initiative study (WHI), which played a significant role in shaping opini
After the Surgery: Hysterectomy and Sexual Health
Hysterectomy is a common surgery that many women undergo for various reasons, While most women do not experience any change in sexual function post-hysterectomy, it is important to have a conversation with your doctor to address any concerns. Our episode today delves into:
Reasons for hysterectomy, such as pain, fibroids, heavy bleeding, endometriosis, or cancer
The different types of hysterec
Skin Deep: Menopausal Skin Changes
Today's episode discusses the changes that occur in the skin after menopause. While aging is a factor, the main cause of these changes is the decrease in estrogen levels. Estrogen plays a critical role in maintaining skin health, including collagen production. The loss of estrogen leads to a decline in collagen, resulting in wrinkles, fine lines, and sagging skin. Additionally, estrogen increases
Do You Believe These Vaginal Myths?
There are so many long-standing myths about vaginal and vulvar health. You may have heard these myths from movies, your friends, or even you family members. Today we take a look at 8 common myths about the vaginal and vulvar area to see which ones hold up under scrutiny. Can a tampon get lost inside your vagina? Do all sexually transmitted infections given you noticable symptoms?
Bladder Battles: Breaking the Cycle of Recurrent UTIs
Recurrent bladder infections, also known as UTIs, can be a challenging problem for women, especially as they age. Urinary pain, burning, urgency and frequency can have several causes, but today's podcast will focus on those UTIs that just won't go away!
The parts of the urinary tract that can become infected
The importance of an accurate diagnosis of infection vs other causes of symp
Secrets of the Postmenopausal Orgasm Part 2
Menopause doesn't have to mean the end of fulfilling sexual experiences. The post menopausal orgasm is real! You may just need to take some steps to make sure it's in tiptop shape. In the second part of this podcast, we continue to explore the most common reasons for the decline of the post menopausal orgasm.
Maintaining good overall health is the first step to a healthy sex life.
Blood flo
Secrets of the Postmenopausal Orgasm Part 1
Postmenopausal women can and do experience orgasms! This podcast episode explores the changes and challenges that occur with orgasms after menopause and offers strategies to improve them. It debunks stereotypes that suggest women lose interest in sex after menopause and highlights the importance of addressing sexual concerns for both women and men.
Why are physicians not discussing healt
Hanging by a Thread: What's Falling Out of My Vagina?
Pelvic organ prolapse is a condition that affects many women, with up to 40% experiencing it in their lifetime. This podcast episode provides an in-depth discussion of pelvic organ prolapse, focusing on:
The causes, symptoms, and risk factors for pelvic organ prolapse
How pregnancy, genetics, and menopause may increase the risk of developing prolapse
What lifestyle factors affect prolapse
Comm
Cracking the Code: Understanding Hormones
Hormones are critical chemical messengers in our body, constantly relaying signals between organs and maintaining homeostasis. This podcast episode delves into the fascinating world of hormones, explaining their role and the difference between our nervous system and endocrine system.
The endocrine system acts as the thermostat, slowly regulating our body's temperature, while the nervous system re
More Bang for Your Buck: 7 Surprising Health Benefits of Regular Sex
Regular, healthy sex has numerous surprising health benefits that are backed by scientific research.
It can help reduce stress and anxiety by modulating cortisol responses and increasing the release of endorphins.
Libido is improved, by increasing spikes of oxytocin
It gives a boost the immune system and increases the release of immunoglobulins
It is associated with enhanced cardiovascular health
Lubrication Liberation: Treatments for Vaginal Dryness
Vaginal dryness is a common issue affecting many women, especially during and after menopause. While it may be a sensitive topic to discuss, it's important to address this discomfort with healthcare providers.
The lack of estrogen, a hormone responsible for keeping the vagina lubricated, is the main cause of vaginal dryness in menopause.
We explore different products available for treating
Unveiling the Ageless and Outrageous Podcast: Meet the Hosts
In this inaugural episode of the Ageless and Outrageous Podcast, Dr. Kristin Jackson and Rosalind Arp introduce themselves as the hosts and share their background stories. Learn about each of your hosts, and where they have come from, as well as why they have launched this fun and educational podcast.
In this episode, you'll hear:
Dr. Jackson discussing her decision to become an OB/
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