Dr. Streicher’s Inside Information: THE Menopause Podcast

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 nothing in that statement is true when it comes to transdermal or local vaginal estrogens. So, why is it even there? And what is the risk?  In this episode: Why getting a blood clot (DVT) is a problemNon-hormonal factors that increase the risk of blood clotsHormonal factors that increase the risk of a blood clotThe likelihood of getting a blood clot whileTaking birth control pills During pregnancyDuring post-partum Taking oral hormone therapy While taking transdermal estrogen While using a local vaginal estrogen The difference between HRT, HT, and MHTWhen a transdermal estrogen rather than an oral estrogen is recommendedThe problem with class labeling For more information Episode 11: Vaginal Estrogen is Not Poison Episode 46 Finding a Menopause Clinician Who Will Listen  Episode 51- Transdermal versus Oral Estrogen- What's the Difference?  Episode 84 Non-Hormonal Prescription Drugs to Treat Hot Flashes Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat *Scroll down for information on finding a menopause clinician Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of The Menopause Society.                  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.     Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV LinkedIn @DrStreicher Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy Come Again! A Guide to Midlife Libido and Orgasm  (available for pre-order)                                           *To Find a Menopause Clinician*                Episode 46 Finding a Menopause Clinician Who Will Listen Midi Health  joinmidi.com Midi Health is a telehealth company that provides high level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi’s Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country.  The Menopause Society- Certified Menopause Practitioner List Menopause.org To find a menopause practitioner: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx Put in your zip code and designate NCMP or CMSP to get a certified menopause practitioner. While all people on this list have passed a competency examination, Dr. Streicher does not vouch for every one of these clinicians. Most are excellent.  Major Medical Centers It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who have an interest and expertise in menopause.  If you are in the Chicago area, the center founded by Dr. Streicher:  The Northwestern Medicine Center for Sexual Medicine and Menopause Sexmedmenopause.nm.org Menopause Masterplan Sessions. Dr. Streicher offers one on one and group informational and educational Menopause Masterplan sessions.  For more information: https://www.drstreicher.com/menopause-master-plan

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 diagnosis.  In this episode, I am joined by Dr. Corinne Menn, a board-certified Ob GYN and menopause expert who herself had a breast cancer diagnosis when she was in her 20s. We will be reviewing the latest research on the impact of estrogen on the breast in several different scenarios.  PREGNANCY post breast cancerWomen who have a BREAST CANCER diagnosis Women with a FAMILY HISTORY of breast cancerWomen with a BRCA MUTATION after prophylactic ovary removalThe approach to therapy for women with a NEW BREAST CANCER DIAGNOSISThe use of local vaginal estrogen in women with a breast cancer diagnosis that are taking TAMOXIFEN or using an AROMOTASE INHIBITORIf a LOCAL VAGINAL ESTROGEN needs to  be used at the lowest doseWhat to do if your DOCTOR NOT WILLING to prescribe local or systemic estrogen (list of articles to share is below) If a woman with a breast cancer diagnosis can use TESTOSTERONE for libido and other possible benefits Dr. Corrine Menn https://drmenn.com/ @drmennobgyn For more information: Episode 124 All Hormones Are Not Created Equal with Dr. James Simon Episode 65- The Dilemma of Menopause and Breast Cancer Episode 31 The TRUTH About Hormone Therapy: Does it CAUSE or Does it PREVENT Breast Cancer? Episode 28: The BEST approach for BREAST Cancer Screening and Risk Reduction with Dr. Lisa Larkin Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Scientific Articles  Hormone Therapy and Risk of Breast Cancer Bluming AZ, Hodis HN, Langer RD. 'Tis but a scratch: a critical review of the Women's Health Initiative evidence associating menopausal hormone therapy with the risk of breast cancer. Menopause. 2023 Dec 1;30(12):1241-1245. Bluming AZ. Introduction: Estrogen Reconsidered: Exploring the Evidence for Estrogen's Benefits and Risks. Cancer J. 2022 May-Jun 01;28(3):157-162. Hodis HN, Sarrel PM. Menopausal hormone therapy and breast cancer: what is the evidence from randomized trials? Climacteric 2018;21:521–8.Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Mar 14. Chlebowski RT, Aragaki AK, Pan K, Mortimer JE, Johnson KC, Wactawski-Wende J, LeBoff MS, Lavasani S, Lane D, Nelson RA, Manson JE. Randomized trials of estrogen-alone and breast cancer incidence: a meta-analysis. Breast Cancer Res Treat. 2024 Apr 23. doi: 10.1007/s10549-024-07307-9. Pan K, Lavasani S, Aragaki AK, Chlebowski RT. Estrogen therapy and breast cancer in randomized clinical trials: a narrative review. Menopause. 2022 Sep 1;29(9):1086-1092.  Use of Hormone Therapy in Women with a Breast Cancer Diagnosis Bluming A. Hormone replacement therapy after breast cancer: it is time. Cancer J 2022;28:183–90. Bluming AZ. Safety of systemic hormone replacement therapy in breast cancer survivors. Breast Cancer Res Treat. 2022 Feb;191(3):685-686. doi: 10.1007/s10549-021-06479-y. Fahlén M, Fornander T, Johansson H, Johansson U, Rutqvist LE, Wilking N, von Schoultz E. Hormone replacement therapy after breast cancer: 10 year follow up of the Stockholm randomised trial. Eur J Cancer. 2013 Jan;49(1):52-9.Mikkola TS, Savolainen-Peltonen H, Tuomikoski P, Hoti F, Vattulainen P, Gissler M, et al. Reduced risk of breast cancer mortality in women using postmenopausal hormone therapy: a Finnish nationwide comparative study. Menopause 2016;23:1199–203 Hormone Therapy in Women with BRCA Mutation Kotsopoulos J, Gronwald J, Karlan BY, Huzarski T, Tung N, Moller P, Armel S, Lynch HT, Senter L, Eisen A, Singer CF, Foulkes WD, Jacobson MR, Sun P, Lubinski J, Narod SA; Hereditary Breast Cancer Clinical Study Group. Hormone Replacement Therapy After Oophorectomy and Breast Cancer Risk Among BRCA1 Mutation Carriers. JAMA Oncol. 2018 Aug 1;4(8):1059-1065.. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

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 will be discussing one of the most maddening, frustrating symptoms in all of gynecology- THE ITCHY VULVA , but just as important, why even if your vulva isn’t itching, why it still needs some attention.     In this episode  Why it is important to have a VULVAR EXAM Why VULVAR CANCER numbers are increasing HOW to inspect your vulva What products can IRRITATE the vulva and should be avoided When URINE is the culprit The difference between a VULVAR YEAST infection and a vaginal yeast infection How to get rid of CHRONIC YEAST Vulvar itching from LOW ESTROGEN How to know if you have a dermatologic condition such as LICHEN SCLEROSUS How to get the best results from your lichen sclerosus treatment If your vulvar itching could be CANCER  Why even if your vulva is not itchy, it still needs to get checked regularly                                                         Jill Krapf MD                                         www.jillkrapfmd.com                                              Dr. Krapf Instagram                              https://www.instagram.com/jillkrapfmd/     Dr. Krapf’s Lichen Sclerosus Webinar on YouTube  https://www.youtube.com/watch?v=vltY9mr8E68     To find a vulvar specialist:  Lichen Sclerosus Support Network: https://www.lssupport.net/     The International Society for the Study of Sexual Medicine:   https://www.issm        For More info on this topic:    Episode 93 What’s Up Down There  Episode 131Why You Need to Keep Seeing a Gyne with Dr. Shieva Ghofrany Episode 60  Lack of Lubrication Not Always From Lack of Estrogen    Episode 4: Is Your Lubricant Helping or Hurting Your Vagina? Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things  Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.                    Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

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 flaw in this reasoning and why “no complaint” is not the same as “No problem”. We discuss specific issues that are addressed post menopause:  Pap tests and other screening testsThe reason for a gynecologic exam in non-Pap yearsThe problem with your internist doing your Pap testOther reasons the annual exam is important Conditions with no symptomsSTI screeningSexual HealthMenopause issuesHysterectomyInsurance issues Shieva Ghofrany MD Instagram -@drshievag Website: Tribecalledv.com For more information: Episode 62 Are Current Screening Guidelines Helping Women or Hurting Women? With Dr. Melissa Simon  Episode 102 An Insider approach to Ovarian Cancer with Dr. Shieva Ghofrany Episode 130- Are You Ever Done with Menopause?  Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

… and how to increase longevity with and without hormone therapy The 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 consequences of being without estrogen even if perimenopausal symptoms are in the rear-view mirror. In this episode:  Why not every woman has long-term health issues post menopauseThe long-term impact of menopause (not aging) onBone healthJoints and musclesFrailtyCardiovascular SystemDiabetesBrain FunctionVulva and  VaginaSexual FunctionUrinary Tract How to increase your longevity without hormonesNine Secrets of the Blue Zones where women live to 100 (without taking estrogen) If you can take hormone therapy for life For further information on this topic:  The Menopause Brain by Lisa Mosconi Netflix: Live to 100: Secrets of the Blue Zones https://www.netflix.com/title/81214929 Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders  Episode 59 - Boning Up on Bones: Part 1 with Dr. Kristi Tough DeSapri (Risk Factors for osteoporosis, and Screening) Episode 123 Hormone Therapy After Age 60 with Dr. James Simon Episode125 Musculoskeletal Syndrome of Menopause with Dr. Vonda Wright Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

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 is associated with several health issues later in life.  Today I am having a conversation with reproductive endocrinologist Dr. Alison Rogers, about the impact of PCOS later in life.  The history of PCOS, AKA Stein Levinthal SyndromeWhat Polycystic Ovarian Syndrome isHealth concerns of young women with PCOSIf there is a genetic predisposition to PCOSWhy women with PCOS are at increased risk for cardiovascular diseaseWhat happens to women with PCOS when they go through menopausePost menopause risks in women with a history of PCOSIf women with PCOS can safely use hormone therapyWrap Up!                                                   Allison Rogers MD                             https://www.fcionline.com/doctors/allison-rodgers/                                    Social Media: @dr.allison.rodgers For more information on this topic:  Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 57 Uterine Cancer: Reducing Your Risk Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

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 hot flashes, the jury is still out.  Dr. Maria Sophocles is the Medical Director of Women’s Healthcare of Princeton. She is a certified menopause practitioner and has a particular interest in non-hormonal approaches to help with menopause symptoms.  In this episode, we discussed a study that was recently published in the Journal Menopause titled “The influence of habitual physical activity and sedentary behavior on objective and subjective hot flashes at midlife”  Link to article: Witkowski, Sarah PhD1; White, Quinn BA1; Shreyer, Sofiya MA2; Brown, Daniel E. PhD3; Sievert, Lynnette Leidy PhD2. The influence of habitual physical activity and sedentary behavior on objective and subjective hot flashes at midlife. Menopause Chat about South by Southwest PanelDr. Sophocles Ted TalkWhat research shows as far as exercise and hot flashesThe Menopause Society’s statement on exercise and yoga How hot flashes are measured in studiesPerceived hot flashes versus actual hot flashesFindings of this study Dr. Sophocles research with EmberWave™                                                   Maria Sophocles MD                                                  mariasophoclesmd.com                                                    @mariasophoclesmd                                  Ted Talk- https://go.ted.com/rpUSM For more information on this topic:  Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 53 Not All Hot Flashes  Mean Menopause  Episode 82 Journal Club with Mary Jane Minkin Episode 87 Will THAT Really Help Your Hot Flashes? Lifestyle and other Interventions Episode 95 Non-hormonal options to treat VMS- Herbs Spices &Wishful Thinking  Laurie Mintz Sheryl Kingsberg Amanda Thebe Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

Have you ever wondered about the history of pubic hair removal, current trends, risks and benefit? In this episode, you will learn more than you ever wanted to know including:   The EVOLUTIONARY reason for pubic hairThe BIOLOGIC BENEFIT of pubic hairA brief HISTORY of pubic hair removal trends and techniquesCurrent TRENDS in pubic hair styles WHY women choose to remove their pubic hairMy survey on PARTNER preference  HEALTH BENEFITS of pubic hair removalIf removing hair has any SEXUAL BENEFITS METHODS of hair removal MY ADVICE….. Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

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 episode, Dr. Streicher covers: WHY post menopause women have so many UTIsThe typical symptoms of a UTI  What BLOOD in the urine meansWhy symptoms that MIMIC a UTI but are not caused by an infection Why it is important to get a URINE CULTURE An  HOME TEST to get a rapid urine culture and antibiotic sensitivityStrategies that DO WORK to PREVENT recurrent urinary tract infectionsHow a LOCAL VAGINAL ESTROGEN can reduce or eliminate both recurrent infections and bothersome bladder symptoms that are not from an infection. Non antibiotic options, such as TK that will reduce recurrence. Strategies that DO NOT WORK to PREVENT recurrent urinary tract infectionsThe new vaccine that might keep UTIs away for almost a decade For more information on MY UTI- Rapid at home testing delivered to your doorstep Website: www.myuti.com  Facebook: @myutiwebsite Instagram @_myuti_ For more detailed information on the genitourinary syndrome of menopause, treatment options, and the impact on bladder function:  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders  Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things  Episode 11: Vaginal Estrogen is Not Poison Episode 63 DHEA-An Estrogen Alternative for Vaginal Dryness  Episode 74 Ospemifene- A Pill a Day to Keep Dryness Away  Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

When one thinks of a medical specialty that is knowledgeable about menopause, usually an Ob Gyn, Family Practice doctor, Internist or maybe a urologist comes to mind. In this episode , I am talking to Dr. Vonda Wright, an orthopedic surgeon who has made it her mission to raise awareness about the musculoskeletal changes that occur as a result of menopause, and how a lack of estrogen  sabotages  the ability to be active. And that lack of activity not only impacts bone health and cardiovascular health but also cognitive function.  Today, we are talking about solutions to protect your bones, your blood vessels, and your brain.  Dr. Vonda Wright MD, MS Orthopedic Sport Surgeon Associate Professor UCF College of Medicine Orlando, Florida @DrVondaWright How Dr. Wright became an Orthopedic surgeon who was interested in menopauseThe six symptoms of musculoskeletal syndrome of menopauseHot flashes go away, the consequences of MSM go on foreverConsequences of no estrogen: fracture, incontinence, cardiovascular compromise, dementiaThe relationship between GSM and dementiaWhy frozen shoulder is the number one complaintIf taking estrogen will help frozen shoulderThe relationship of menopause to osteoarthritisThe impact of mobility on cognitive functionThe impact of menopause on frailtyThe impact of testosterone on musculoskeletal syndrome of menopauseExercise and cancer risk reductionHow heavy your weights should be to increase muscle power For more information on this topic:  Episode 59 - Boning Up on Bones: Part 1 with Dr. Kristi Tough DeSapri (Risk Factors for osteoporosis, and Screening) Episode 61 Boning Up on Bones: Part 2 with Dr. Kristi Tough DeSapri (Prevention and Treatment)  Episode 67- How Long Can you Safely Take Hormone Therapy? Episode 85 Estrogen and Alzheimer’s Disease Episode  111 Bone Up with Hormone Therapy with Dr. DeSapri  Episode 123 Hormone Therapy After Age 60 with Dr. James Simon Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

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 different hormones and their impact on breast cancer and bone health.  Why it is important to individualize hormone therapyWhy there is the perception that estrogen causes breast cancerThere is a difference between causing breast cancer and making breast cancer growThe differences between conjugated equine estrogen (Provera) and a plant-derived bioidentical beta-estradiol in terms of breast cancer impactThe differences between the different estrogens and progestogens as far as bone healthTransdermal vs oral estrogen Dr. Simon’s Article : Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Mar 14.  Ms Magazine article with Lancet Rebuttal https://msmagazine.com/2024/04/15/menopause-treatment-the-lancet/ List of doctors who signed rebuttal                                                 James A. Simon, MD                                      Clinical Professor George Washington University                                                  www.IntimMedicine.com The Menopause Society Find a menopause practitioner page  Midi Health https://www.joinmidi.com/ For more information on this topic:  Episode 51- Transdermal versus Oral Estrogen- What's the Difference?  Episode 67- How Long Can you Safely Take Hormone Therapy? Episode 114- Is Duovee the Ideal Hormone Therapy?  Episode 123 Is Starting Hormone Therapy After Age 60 an Option?  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

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 also included (at the end!) breaking news on a new study that gives reassuring data about continuing hormone therapy well  the age of 60. How it was determined that the optimal time to start hormone therapy is in perimenopause or early post menopauseThe risks of starting hormone therapy after age 60How to determine individual risksTests to evaluate the cardiovascular systemWhy timing of Hormone Therapy impacts Alzheimer’s disease and cognitive function James A. Simon, MD Clinical Professor George Washington University      www.IntimMedicine.com For more information on this topic:  Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 51- Transdermal versus Oral Estrogen- What's the Difference?  Episode 116- Update! Your Heart on Hormones with Dr. Marla Mendelson  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

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, Drew Barrymore has joined the ever-growing list of actresses who have jumped on the menopause money making bandwagon. But far more women are taking their advice than the advice of medical professionals.  In this episode, I’m going to tell you why otherwise smart informed women continue to preferentially turn to celebrities and social media for help from everything from hot flashes to vaginal dryness.  Drew Barrymore’s new miracle menopause pillsMy experience on The Oprah Winfrey ShowThe problem with most celebrity and social media menopause adviceThe good thing about celebrities talking about menopauseWhy hormone balancing is not a real thingThe truth about “anti-aging” hormone expertsWhy most doctors know nothing about menopause. Related Episodes: Episode 35 Compounding Hormones: The Good, the Bad, and the Ugly  Episode 66 Don’t Be Duped-Misleading marketing and the FDA Episode 46 Finding a Menopause Clinician Who Will Listen  Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Twitter @DrStreicher Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

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 ballistic.  In this episode, Dr. Mary Claire Haver and I tell you why there was such a huge backlash from hundreds of menopause experts, and how we took action.  Dr. Haver and I address 4 specific statements from the Lancet article:  “Most women navigate menopause without the need for medical treatments.”“During the menopausal transition, women should “challenge self-critical beliefs, which can…make [hot] flushes worse.”“Based on scarce data, we found no compelling evidence that risk of anxiety, bipolar disorder, or psychosis is universally elevated over the menopause transition.” “Over-medicalization of menopause can lead to disempowerment and over-treatment.”   Dr. Streicher’s New Book Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order)                                                Mary Claire Haver, MD  Website:www.thepauselife.com TikTok - @drmaryclaire Instagram - drmaryclaire and the.galveston.diet Facebook - The Galveston Diet Mary Claire Haver, MD YouTube - Mary Claire Haver, MD LinkedIn - The 'Pause Life with Dr. Mary Claire Haver Link to Pre-Order The New Menopause: https://thepauselife.com/pages/the-new-menopause-book  For more information from Dr. Streicher on this topic Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 46 Finding a Menopause Clinician Who Will Listen  Episode 78 Is Menopause Making You Moody?   Episode 87 Will THAT Really Help Your Hot Flashes? Lifestyle and other Interventions  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.                   Sign up to receive Dr. Streicher’s FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and follow Dr. Streicher on: DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order)   Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.

Up to 50% percent of women who take an antidepressant have sexual problems. By age 60, roughly 1 in 4 women are taking an antidepressant.  This episode is all about the science behind WHY SSRIs and other antidepressants can sabotage your sex life, and what you can do about it.   Why so many mid-life women take anti-depressantsWhy perimenopause hormonal changes trigger mood issues. Why anti-depressants impact libido and the ability to orgasm. Other things that impact on libido and orgasm in mid-life women. If all SSRIs are equally problematic This is not a do-it-yourself project! Please speak with your personal clinician before making any changes in your medication! Options  It may be temporary  Altering the dose  Switching to a different prescription  Drug holidays  Timing of taking your medication  Switching to hormone therapy  Oral PDE5 inhibitors  Topical sildenafil   Selective Serotonin Reuptake Inhibitors  citalopram dapoxetine escitalopram fluoxetine fluvoxamine paroxetine sertraline vortioxetine Amitriptyline Amoxapine Desipramine  For more information on this topic:  Episode 78 Is Menopause Making You Moody?   Episode 113 Viagra! For Women?   Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order)  Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order)

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 InhibitorWho is NOT a GOOD CANDIDATE based on medical conditionsOther HEALTH BENEFITS from taking a GLP1 Inhibitor besides weight lossThe COST of the drugs? INSURANCE coverage?When it is OK to get a GLP 1 inhibitor from a COMPOUNDING pharmacyWhat are the problems with some compounding pharmacyHow well these drugs workPotential side effectsWhat happens with the medicine is stoppedThe best approach to maintaining a healthy weight once the DRUG is STOPPEDWhat is on the horizon as far as new GLP1 drugsIf it is possible to be obese and healthyThe differences between the different GLP-1 drugsIf any doctor can prescribe these drugs Dr. Kathleen Jordan, Midi’s Chief Medical Officer, is a board certified  internist who spent decades working within the traditional healthcare system before branching out into digital health, leveraging innovative technology to care for patients in a more human way. In addition to treating women with obesity, Dr. Jordon is an expert  in the management of  menopause in women who are complex due to medical problems,  menopause problems.   To learn more about Midi  Health and Dr. Jordon : JoinMidi.com Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

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 of hormones on the gut microbiomeHow frequency of bowel movements correlates with menopause symptomsIf an alteration in diet will change the microbiome and influence hot flashesIf an alteration in the gut microbiome can impact other serious medical conditions  Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.  Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy Put the O Back in Mojo: A Guide to Post Menopause Libido and Orgasm (available for pre-order)

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 Professor of Dermatology at NYU Langone Medical Center, where she was a co-director of the Contact Dermatitis Division for many years. Dr. Gendler is also a fellow of The American Academy of Dermatology and a former trustee of The Dermatology Foundation. She is the author of numerous scientific publications.  We cover :  Sunscreen (Anthelios UVMune400)Facial estrogenSkin products that contain DNASaggy skin under the eyes and on the neckChanges in facial bone structureUpper lip line strategiesStrategies for hair lossGetting rid of facial hair (Dermaflash™) Tattoo make-upThe magic of retinoid                                                      Ellen Gendler MD                                  https://gendlerdermatology.com/                         All of the specific products Dr. Gendler mentioned                                   can be found on her Instagram Page                                         Instagram @ellengendlermd For Information about Midi  Health: JoinMidi.com For Information on Midi Estriol Plus Face Cream: https://www.joinmidi.com/store/estriol-face-cream For More Information on This Topic Episode 7: Hair Today, Gone Tomorrow-Menopause & Hair  Loss Episode 11: Vaginal Estrogen is Not Poison Episode 13: Post Menopause Skin- What! Why? And How to  Make it Better Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.                       Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy Put the O Back in Mojo: A Guide to Post Menopause Libido and Orgasm (available for pre-order)

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 professor of Medicine at the Feinberg School of Medicine, Northwestern University.   She is also the former co-director of the Women’s Health research Institute. Dr. Mendelsohn has devoted her career to the evaluation and treatment of women’s cardiovascular health throughout the lifespan.  A new study on the impact of INSOMNIA on heart healthWhy ESTROGEN is important for heart health and vascular health RISK FACTORS for cardiovascular disease  Family history- what’s significant, what’s not  Smoking  Diabetes  Hypertension  High cholesterol  Age of Menopause  Obesity  Hypertension during pregnancy  Why Black women have high rates of cardiovascular disease The relationship of polycystic ovarian syndrome (PCOS) on heart disease risk. How to SCREEN women for heart disease with and without a family historyWhen a STRESS TEST is appropriateIf a CORONRY CALCIUM test should be done routinelyThe impact of cardiotoxic CHEMOTHERAPY and chest RADIATION PREVENTION of cardiovascular disease WARNING SIGNS of heart disease in womenWhat happens during a HEART ATTACK  The relationship of HOT FLASHES and heart diseaseWhy it is generally safe and beneficial to take HORMONE THERAPY if there is heart diseaseWhy most cardiologists and internists are not comfortable recommending hormone therapy even though estrogen decreases cholesterol and triglyceridesWhy most medications given to women have only been tested in men Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.                               Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Twitter @DrStreicher Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy

Gynecologists have the unique position that it is appropriate to ask personal, invasive, and otherwise inappropriate questions. One question that is standard when you go to the gynecologist is “Are you sexually active? “This seems like a reasonable question, but is, completely meaningless. In my opinion doctors can learn a lot from Dr. Ruth’s approach!  The Doctor is In: Dr. Ruth on Love, Life and Joie de Vivre Put the O Back in Mojo: A Guide to Post Menopause Libido and Orgasm (available for pre-order)  To Find a Certified Menopause Practitioner   Midi Health: JoinMidi.com  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Episode 8: When Painful Sex Leads to Problem Relationships with Dr. Kingsberg Episode 14: Need to Know Info About the Penis in Your Bed with Dr. Rachel Rubin Episode 16 Minimizing the Monotony of Monogamy with Dr. Alexandra SolomonEpisode 27:  Using Vaginal Estrogen but Sex Still Hurts Like Hell Episode 37 Having a Positive Sexual Experience Without Testing Positive Episode 54 What Happens During Sex Therapy with Rachel Zar  Episode 89  Faking Orgasm with Rachel Zar Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.                      Sign up to receive DR. STREICHER’S FREE NEWSLETTER Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.  Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy Put the O Back in Mojo: A Guide to Post Menopause Libido and Orgasm (available for pre-order)