Hot flashes, vaginal dryness, leaky bladders, weight gain, hair loss, inability to orgasm? Nothing is off limits in these fact filled, solution-driven and often surprisingly funny podcasts that address the specific symptoms women face as they navigate perimenopause and post-menopause. Each segment is like having an in-depth consultation with Dr. Lauren Streicher, a nationally recognized menopause expert and the founding Medical Director of the Northwestern Medicine Center for Sexual Medicine ...
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S3 Ep160: The Musculoskeletal Syndrome of Menopause with Dr. Vonda Wright- UPDATE
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As 2024 ends, I decided to revisit the top episodes from last year. If I were to go by my favorites, choosing would be impossible. According to the number of downloads, the two top contenders are Top Tips for Skin and Hair with Dr. Ellen Gendler and Musculoskeletal Syndrome of Menopause with Dr. Vonda Wright. I am going to update Dr. Gendler's epis…
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S3 Ep159: Holiday Gifts That Happen to be Healthy
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If you haven't finished your holiday shopping yet, I've got you covered. In this episode, I have great gift ideas that also happen to be healthy. There were two criteria to make it to this list. One, it had to be something I already own or would like to own. Second, there had to be a scientifically proven health benefit to using these items. And if…
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S3 Ep158: How to Find a Clinician Who is Not Clueless
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An “MD” after the name is no assurance that the person to whom you are about to bare your soul—and your vagina—is an expert when it comes to menopause. In this episode, I am going to walk you through the steps to find someone you can trust to fix your flashes, foggy brain, and failing sex life. Head over to Substack.com/@DrStreicher for a transcrip…
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S3 Ep157: Hormone Therapy to Help the Heart?
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If you would like to read a transcript of this episode along with some additional information, head on over to my substack- substack.com/@DrStreicher Chances are you have heard at least one expert say that systemic hormone therapy will prevent heart disease. But you also may have heard other experts say, No- if you don’t have hot flashes or low bon…
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S3 Ep156: Perimenopause Problems : An Expert’s Approach with Steven Goldstein MD
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The only thing predictable about perimenopause is that it is …unpredictable. My guest today is Dr. Steven Goldstein, a tenured professor at NYU's Grossman School of Medicine, the past President of the International Menopause Society, Past President of The Menopause Society, and one of the WORLD’S top experts on the science of perimenopause. The pro…
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S3 Ep155: Genital Dryness and Misbehaving Bladders
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Men have always had the clear advantage of being able to inspect their genitals with very little effort on their part. Women’s genitals are not quite as accessible, resulting in a lot more uncertainty about what’s normal and what’s not. No wonder women are frequently blindsided by not only the physical changes that occur with the onset of menopause…
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S3 Ep154: Invisible Woman Syndrome
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Studies reveal that 70% of women experience a sense of being overlooked socially and professionally once they hit 50. The term for this phenomenon is Invisible Woman Syndrome. In this episode, I am joined by Christine Morrison, who writes about the social constructs in the fashion, beauty and wellness industry that inform the way society views wome…
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I give two to three lectures a week. No matter who I am talking to or what the topic is, the part I like the best is the Q and A. It’s always different and I never know what I am going to get. In this episode I answer 37 questions in a 45 minute webinar I did on behalf of Midi Health where I am the Medical Director of Community Education and Outrea…
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S3 Ep152: Moisturizers are Not Just for Your Face
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Most women are very familiar with the concept of a moisturizer since they have been conditioned to constantly apply one to their face and neck to avoid dire consequences like wrinkles and fine lines While the tissue that lines the vagina is not the same as the skin on the rest of your body, when estrogen declines, both the skin on your face and the…
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S3 Ep151: Don't Be Duped: Misleading Marketing and the FDA
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You grab a product off the shelf—maybe it promises to help with bladder control, take off ten pounds, erase wrinkles, or boost orgasms. You assume it will do what it claims to do because it has the FDA seal on the package. Most consumers have no idea that most over-the-counter products have not been tested to ensure product claims are legitimate. T…
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S3 Ep150: Managing Menopause When Cancer is a Concern with Dr. Mindy Goldman
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S3 Ep149: The Menopause Society Meeting
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Episode149 The Menopause Society Meeting Insights from an Insider Once a year, the Menopause Society holds an annual meeting where thousands of experts gather to present their research and learn from each other. In this episode, I will discuss some of the most interesting research presented at the meeting…and explain why I didn’t attend the meeting…
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S3 Ep148: GYNE HACKS for Midlife Women
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You know what a Hack is…something that solves a problem, simplifies a task or reduces frustration. Who doesn’t love a good hack? This episode is loaded with GYNECOLOGIC HACKS ...your gyne never told you. Useful tips, tricks and solutions for frustrating gyne problems. Alternative uses for products that are intended to be used on your vulva or in yo…
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S3 Ep149: Orgasm Equality with Dr. Laurie Mintz
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There is a long history of women not only not knowing nothing about sexual pleasure but being made to feel as if there is something dangerous and wrong with them if they seek it. My guest for this episode is Dr. Laurie Mintz a professor, a therapist, and the author of “Becoming Cliterate: Why Orgasm Equality Matters- and how to get it”, the groundb…
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S3 Ep146: I’m Using Vaginal Estrogen but Sex Still Hurts Like Hell
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It’s a common scenario. A woman is given a prescription for a local vaginal estrogen, or DHEA and uses it faithfully but continues to have painful intercourse. In most cases, the product is working just fine and there is another reason for the pain. In this segment Dr. Streicher discusses: The TOP 5 REASONS women have pain despite using estrogen Wh…
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S3 Ep145: TESTOSTERONE for ALL? with Kelly Casperson MD
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Put a group of menopause experts in a room, and there are certain things everyone will agree on. But there are other topics, that do not result in universal agreement. And, usually, when that happens, it’s the battle of the academic purists vs …everyone else. And in the menopause world right now, there is no more controversial topic than the use of…
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S3 Ep144: ESTROGEN for the FACE? THE FACTS!
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Something happens to skin after your 40th birthday, and that something isn’t good. So is it just a coincidence that wrinkles and sags show up at the same time your periods disappear, or is it just one of those mid-life things? The answer is both. Post menopause skin without estrogen is dryer, thinner, blotchier, hairier, and wrinklier. So, is TOPIC…
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S3 Ep143: Who Do You Believe When Experts Disagree? with Tamsen Fadal
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In a world where women are barraged with information when it comes to how best to manage menopause, it can be overwhelming and confusing. Between having their symptoms dismissed by their regular physician, and then being overwhelmed with information on social media, it’s hard to know what’s fact and hype. And what do you do when the doctor you trus…
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S3 Ep142: Don’t Go with This Flow: Post Menopause Bleeding
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It can be terrifying to have bleeding when you are post-menopause. It’s not just about making the midnight run for tampons, it’s that stomach-dropping fear that “blood equals cancer” that causes women to spend hours consulting Dr. Google for some reassurance. But, although most women imagine the worst, in most cases, postmenopausal spotting or blee…
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S3 Ep141: When Your Hair Today is Gone Tomorrow - PART 2
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In Part 1 on Mid-Life Hair Loss, I covered hair care strategies, vitamins, and supplements. And pretty much every section ended with the equivalent of “Don’t waste your money.” This episode has useful advice to get those follicles to kick in and significantly increase the hair on your head. TOPICAL minoxidil ORAL minoxidil FINASTERIDE Dutasteride P…
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S3 Ep140: Stress Incontinence- You Go Girl- But Only When You Want To ( A Hot Flash-Back Episode) with Dr. Rachel Rubin
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S3 Ep139: Hair Today- Gone Tomorrow-Part 1
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For guys, middle-aged hair loss is upsetting, but not something that generally prompts a doctor’s appointment. But that is not the case for women that are suddenly seeing a lot more scalp. While not exactly a medical emergency, it qualifies as an emotional emergency. This is PART 1 of 2 parts on post-menopause hair loss. This episode covers hair ca…
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S3 Ep138: The Shocking Trend Happening in Bedrooms with Debby Herbenick PhD
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A recent New York Times article was titled “The Troubling Trend in Teenage Sex”. Before I even clicked, I knew what that troubling trend was since I had recently attended a medical conference where I heard a lecture from Dr. Debbie Herbenick about the increasing numbers of young adults who were including CHOKING as part of their sexual repertoire. …
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S3 Ep137: A Short History of Estrogen Therapy
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“The physician who puts a woman on ‘Premarin’ makes her pleasant to live with once again- something for which husbands are grateful" 1960 Premarin ad The history of hormone therapy goes back over 100 years. And it didn’t start with horses; it started with cows. If there is a theme, it is that history continues to repeat itself, and following the mo…
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S3 Ep136: Muscle Mass and Menopause with Amanda Thebe
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Vaginas are not the only part of the body that change mid-life. With age, muscles start to naturally atrophy- a condition called sarcopenia. Women can lose up to 10% of their muscles mass every decade. In this episode, my guest is fitness expert Amanda Thebe, who addresses the value and importance of exercise, diet, and lifestyle choices to keep yo…
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S3 Ep135: Minimizing the Monotony of Monogamy: How relationships change over time with Dr. Alexandra Solomon
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When there is a lack of lust decades into an otherwise loving marriage or relationship, many, if not most, women assume their indifference to sex is a result of declining hormone levels and that a prescription for estrogen, testosterone or a libido enhancing drug will re-light the flame. A plunge in hormones can be part of the problem, and sometime…
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S3 Ep134: The FACTS on CLOTS and ESTROGEN
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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 ch…
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S3 Ep133: Best Breast Advice When it comes to Hormone Therapy With Dr. Corinne Menn
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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 ri…
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S3 Ep132: The Itchy Vulva (and Not So Itchy Vulva) with Dr. Jill Krapf
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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 gynec…
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S3 Ep131: Why You Need to Keep Seeing a Gyne with Dr. Shieva Ghofrany
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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 …
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S3 Ep130: Are You Ever Done with Menopause?
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… 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 recepto…
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S3 Ep129: PCOS Problems Post Menopause with Dr. Allison Rodgers
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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 th…
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S3 Ep128: Can you Exercise Your Hot Flashes Away? A Journal Club with Dr. Maria Sophocles
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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 …
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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 hair The BIOLOGIC BENEFIT of pubic hair A brief HISTORY of pubic hair removal trends and techniques Current TRENDS in pubic hair styles WHY …
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S3 Ep126: A Deep Dive into RECURRENT UTI-Update!
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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…
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S3 Ep124: All Hormones Are Not Created Equal With Dr. James Simon
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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 …
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S3 Ep123: Hormone Therapy AFTER Age 60 with Dr. James Simon
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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 “la…
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S3 Ep122: Navigating Menopause: Celebrity Style- Here We Go Again!
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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 prod…
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S3 Ep121: Dr. Streicher and Dr. Mary Claire Haver Respond to a “New” Model to Manage Menopause
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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 meno…
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S3 Ep120: Did Your SSRI Make Your “O” Go?
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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-depressants Why perimenopause hormon…
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S3 Ep119: Weighing in on Weight Loss Drugs
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Dr. Kathleen Jordon and I sat down to discuss the two most commonly prescribed GLP- 1 Inhibitors: Semaglutide (Ozempic™) and Terzepatide (Mounjaro™) What are GLP1 Inhibitors? How GLP-1 Inhibitors Who is a GOOD CANDIDATE to take a GLP-1 Inhibitor Who is NOT a GOOD CANDIDATE based on medical conditions Other HEALTH BENEFITS from taking a GLP1 Inhibit…
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S3 Ep118: How Hormones Impact the Gut and GERD
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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 Hormo…
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S2 Ep117: Top Tips for Terrific Skin & Hair with Dr. Ellen Gendler
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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 fa…
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S2 Ep116: Your HEART on Hormones-Update!
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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. Marl…
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S2 Ep115: Do You Have Good Sex? A Visit with Dr. Ruth
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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 appro…
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S2 Ep114: Is Duavee™ the Ideal Hormone Option? A Collaboration on a Complicated Patient with Dr. Risa Kagan
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Menopause experts rarely see patients with no medical issues. We see the patient with multiple medical problems and concerns. In this episode, I bring in menopause expert Dr. Risa Kagan to collaborate on options for a complex patient. My name is Beth, and I am 51 years old. I’ve been flashing for 2 years with no end in sight. I really want to try e…
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It’s so tempting. His little blue pills are sitting there and seem to solve his problem. Why not take one and see what happens? It did wonders for Samantha on Sex in the City who had earth-shattering orgasms after she took her guy’s Viagra™. Viagra™ is the trade name for sildenafil and is one of a class of drugs known as phosphodiesterase type 5 in…
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S2 Ep112: The Cosmo Report on Sex After 60 with Dr. Rachel Zar
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In the 1960s, under the leadership of Helen Gurley Brown, Cosmo morphed from a “proper ladies' magazine” to a much racier version that was thought of as being a sex manual disguised as a woman’s magazine. The target audience was the young working woman. Women in their 60s were not reading it and were certainly not buying subscriptions for their dau…
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S2 Ep111: BONE UP with Hormone Therapy with Dr. Kristi DeSapri
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While many women are aware that hormone therapy is good for the bones, it is usually thought of as a side benefit. You know, women take hormone therapy because they are flashing or can’t sleep and then are told, are told, by the way ..estrogen will also help prevent bone loss. In the United States, there are 10 million women with OSTEOPOROSIS and 4…
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S2 Ep110: Home Menopause Tests YEA! or NAY?
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Pregnancy tests, ovulation tests…and now the latest in tests you can do in your bathroom laboratory- Menopause Tests! Clear Blue™, who sell ovulation predictor kits and home pregnancy tests, has come out with an over-the-counter kit to help women who are “confused and wondering if what you’re feeling is the start of the menopause journey, or perhap…
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