Dr. Streicher’s Inside Information: Menopause, Midlife, and More

De: Lauren Streicher MD
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  • Resumen

  • Hot flashes, vaginal dryness, leaky bladders, weight gain, hair loss, inability to orgasm? Nothing is off limits in these fact filled, solution-driven and often surprisingly funny podcasts that address the specific symptoms women face as they navigate perimenopause and post-menopause. Each segment is like having an in-depth consultation with Dr. Lauren Streicher, a nationally recognized menopause expert and the founding Medical Director of the Northwestern Medicine Center for Sexual Medicine and Menopause. Guests will include other experts on all things menopause. So strap in- it’s going to be quite the ride! This is THE podcast for accurate information about menopause but is not meant to be personal medical advice.
    Lauren Streicher, MD
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Enfermedades Físicas Hygiene & Healthy Living
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Episodios
  • S4 Ep175: Your BONES On and Off ESTROGEN

    S4 Ep175: Your BONES On and Off ESTROGEN
    May 1 2025
    When women think about the benefits of menopausal hormone therapy, things like hot flashes, insomnia and vaginal dryness come to mind. But for many women, bone health is, or should be, at the top of the list. In this episode, I speak with Dr. Risa Kagan about the role of estrogen, progesterone, and testosterone in bone health. Definition of Low Bone Mass (Osteopenia) and Osteoporosis The Difference Between a T score and a Z score FRAX- Fracture Risk Assessment ToolWhen Bone Mass Peaks How to Maximize Bone Health Before Menopause HitsRole of Estrogen in Young Women The Danger Zone- When Most Women Lose the Majority of Their Bone MassThe Role of Birth Control Pills and Prevention of Bone LossIf Exercise is EnoughThe Relationship Between Hot Flashes and OsteoporosisBone Loss Post Menopause Impact of Menopausal Estrogen Therapy on BonesTaking Menopausal Hormone Therapy (MHT) in the Absence of Hot Flashes to Protect BonesThe Difference Between Bone Density and Bone Quality When it is Appropriate to Take an Anabolic Agent If the TYPE of Estrogen you take matters (Conjugated, Synthetic, Bioidentical)What DOSE of Estrogen is Needed to Prevent Fractures If it is Appropriate to Monitor Estradiol Blood Levels When Taking Transdermal MHTThe Target Estradiol Level for Bone HealthWhat Happens to Bone Density When MHT is Discontinued If MHT Should Be Taken Forever If Progestogens Plays a Role in Bone HealthThe Role of Bazodoxifene (Duovee™) in Bone HealthThe Role of TESTOSTERONE therapy in Bone Health Another Podcast with Dr. Kagan: When Progesterone is a Problem Dr. Risa Kagan is a Clinical Professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the University of California San Francisco, and a consulting gynecologist with Sutter Health. Dr. Kagan has published over 100 scientific papers on post menopause bone health and hormone therapy. Dr. Streicher is on SUBSTACK DrStreicher.Substack.com ArticlesMonthly newsletterAll COME AGAIN podcast episodes Monthly News Flash Reports on recent research Monthly Zoom Ask Me Anything Webinar Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health. 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. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology 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 painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.
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    59 m
  • S4 Ep174: Is Your Transdermal ESTROGEN... Getting ABSORBED?

    S4 Ep174: Is Your Transdermal ESTROGEN... Getting ABSORBED?
    Apr 17 2025
    Transdermal estrogen in the form of a patch, gel, or cream is often the preferred delivery method for menopausal hormone therapy. Unlike oral estrogen, in addition to other advantages, transdermal estrogen does not increase the risk of blood clots. But a new study, published in the journal Menopause, indicates that your transdermal estrogen… may not be doing what you think it’s doing. Today, I am speaking with one of the authors of that study, Dr. Louise Newson. My Substack post summarizing the study: https://drstreicher.substack.com/p/is-your-estrogen-patch-gel-or-spray?r=740mq Link to article: https://pubmed.ncbi.nlm.nih.gov/39689249/ We discuss: The advantages of transdermal estrogenThe realization that blood levels of transdermal estrogen may be below what is expectedWhat the study looked atResults of the studyWhat factors may cause decreased absorption of transdermal estrogenWhy decreased levels of estrogen are problematicWays to maximize absorptionOptions if serum estrogen levels are low on standard doses of transdermal estrogenConcerns of using a higher than standard doseThe pushback in the UK regarding Dr. Newson’s workIf it should be routine to measure blood levels of estrogen if using a transdermal product For more information on Dr. Newson, visit DrLouise Newson.com Dr. Streicher is on SUBSTACK DrStreicher.Substack.com ArticlesMonthly newsletterAll COME AGAIN podcast episodes Monthly News Flash Reports on recent research Monthly Zoom Ask Me Anything Webinar Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health. 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. Links: Subscribe To Dr. Streicher’s Substack Information About the COME AGAIN Podcast Dr. Streicher’s CV and additional bio information Glossary Of Medical Terminology 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 To Find a Menopause Clinician Midi Health www.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. Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.
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    50 m
  • S4 Ep173: Two Clinicians- Twelve Questions

    S4 Ep173: Two Clinicians- Twelve Questions
    Apr 3 2025
    I get lots of questions on various platforms. But I never get to all of them. So, today is Q and A day. I asked my friend and colleague, Dr. Heidi Flagg to join me because it’s always good to get another point of view. Dr. Flagg is, above all, a clinician. She is in her office in NY city, day in and day out, helping women navigate peri menopause and menopause. And unlike many people out there who are new to the scene, Dr. Flagg brings decades of real-world experience to the table. QUESTIONS Do you need to be 12 months without a period to start hormone therapy?I am getting a period every 3-4 months, so I assume I am in perimenopause. I am having a lot of symptoms, so I went to my doctor, and she suggested I go on birth control pills. I’m not even having sex. I don’t need birth control. I am 48 years old. I had a hysterectomy 5 years ago because of fibroids. I am now having hot flashes, brain fog, and mood swings. What hormone levels should I check to see if I am ready for hormone therapy? I started using an estrogen patch around 3 months ago. I am still having hot flashes. Do I need to give it more time or do I need more estrogen? Is it OK to substitute a brand name patch with a generic patch? I am 62. My last period was 13 years ago. Is it too late for me to state hormone therapy?Since I started using local vaginal estrogen, I have an accumulation under my clitoral hood. How best to clean it?Is it OK to put vaginal lubricant inside the vagina? Will hormone therapy trigger the recurrence of endometriosis? I have high cholesterol and want to know if Duovee™ is a good product for someone with high cholesterol. Would it be better to use a transdermal estrogen?Is it safe to use systemic estrogen and local estrogen at the same time?I had a hysterectomy last year because of uterine cancer. Can I take estrogen?I am taking low doses of testosterone, and I am pretty sure my voice is getting lower. My doctor said my levels are fine. I thought that only happened with high doses. If I go off, will it go back to how it was?I am 45 years old and scheduled for a hysterectomy because of fibroids that bleed a lot. Is my sex life going to change? A menopause coach who wants to know how to help women getting conflicting information on social media. Heidi Flagg MD IG @m_pause Dr. Heidi Snyder Flagg is a founder and managing partner of Spring ObGyn, a private practice in NYC. Since completing her ObGyn residency at Brown’s Woman & Infant’s Hospital Dr. Flagg’s clinical interests have spanned the woman’s reproductive cycle with a current focus on peri menopausal and menopause.Dr. Flagg is a medical advisor to Flow Health and Let’s Talk Menopause. Information on COME AGAIN-Sexuality and Orgasm Ways to Ask a Question I am not able to answer individual questions directly, but if you submit a question, I will do my best to get it answered during a podcast episode, Ask Me Anything Webinar, or a future Substack Article. The least likely place for me to see a question is on social media. (Instagram/Facebook) I do not check regularly. 1. Record a Question-Use this link to record your question. 2. Ask Me Anything Webinars Paid Substack subscribers can attend or submit a question in advance. The replays are available on my Substack platform. For more information or to become a subscriber, DrStreicher.Substack.com/subscribe. 3. Substack Chat Subscribers can submit a question on my Substack chat. Dr. Streicher is on SUBSTACK DrStreicher.Substack.com ArticlesMonthly newsletterAll COME AGAIN podcast episodes Monthly News Flash Reports on recent research Monthly Zoom Ask Me Anything Webinar Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health. 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. Links: To receive Dr. Streicher’s FREE Insider Newsletter Glossary Of Medical Terminology Subscribe To Dr. Streicher’s Substack Information About COME AGAIN Podcast Dr. Streicher’s CV and ...
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    49 m
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Very informative.

So grateful for Dr. Streicher for all the info. She helped me understand all about menopause and make the right decisions for myself. Love her! I enjoy listening to her.

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