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
  • S3 Ep172: COME AGAIN!

    S3 Ep172: COME AGAIN!
    Mar 20 2025
    Welcome to COME AGAIN: Sexuality and Orgasm Podcast What if suddenly your tried-and-true maneuvers that consistently ended in orgasm no longer worked? Or it took so long and the climax so pathetic it was hardly worth the effort? Along with hot flashes, sandpaper sex, and a loss of libido, add the inability to have an orgasm to the list of post-menopause surprises your mom "forgot" to warn you about. In this episode you will hear the first two episodes of COME AGAIN-a new podcast series with science-based information to get your libido to kick in and your clitoral nerve endings to wake up while also being wildly entertaining For more INFORMATION and to SUBSCRIBE COME AGAIN: Sexuality and Orgasm is a limited podcast series Part One- Sexual Function and Obstacles to Orgasm § An overview of female sexuality, arousal and obstacles to orgasm. § What it takes for an orgasm to occur § What can happen as a consequence of menopause, aging, medications and medical conditions such as diabetes, heart disease, cancer Part Two - Everyone Come! Part Two focuses on hormonal and non-hormonal solutions to eliminate pain boost arousal wake up your clitoris COME AGAIN is intended for both healthcare professionals and the general public. For more INFORMATION and to SUBSCRIBE 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. DrStreicher.com Instagram @DrStreich Facebook @DrStreicherYouTube @DrStreicherTV LinkedIn @DrStreicher Sign up to receive DR. STREICHER’S FREE NEWSLETTER 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. 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 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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    31 m
  • S3 Ep171: TEETH TALK with Whitney DiFoggio MA, RDH

    S3 Ep171: TEETH TALK with Whitney DiFoggio MA, RDH
    Mar 13 2025
    As our bodies age, so do our teeth. And, no surprise, menopause also has an impact on dental health. My guest, Whitney Difoggio, AKA Teeth Talk Girl ,knows it all when it comes to dental hygiene ,anti-aging tips and post menopause teeth, gums, and tongues. Whitney DiFoggio, founder of teethtalkgirl.com, is a passionate dental health communicator and registered dental hygienist, recognized as "Teeth Talk Girl" on social media (@teethtalkgirl). With a bachelor’s degree in biology from the University of Illinois Chicago and a master’s degree in health communication from Arizona State University, she is currently pursuing her doctorate in health science at Eastern Virginia Medical School. Whitening DenturesDry mouthBurning mouthFluorideFlossing (and other uses for dental floss!) Electric toothbrushesLosing teeth Website: teethtalkgirl.com YouTube: YouTube.com/TeethTalk Instagram: @teethtalkgirl TikTok: @teethtalkgirl Facebook: @teethtalkgirl Please take my survey about the relationship between vaginal dryness and dry mouth. It will take no more than 3 minutes to fill out. As a thank you, I am giving away 10 free subscriptions to my paid substack for the year! DrStreicher.Substack.com If you are willing to give me your e-mail at the end, I will enter you. If you prefer to take it anonymously, known you are making a major contribution to menopause research! https://www.surveymonkey.com/r/HOWDRYIAM 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. DrStreicher.com Instagram @DrStreich Facebook @DrStreicherYouTube @DrStreicherTV LinkedIn @DrStreicher Sign up to receive DR. STREICHER’S FREE NEWSLETTER 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. 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 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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    52 m
  • S3 Ep170: The Dark History of the Pelvic Exam

    S3 Ep170: The Dark History of the Pelvic Exam
    Mar 6 2025
    The vagina is a dark and mysterious place. It is the passage by which most of us enter the world. As an adult, it is the place where our sexuality is housed, hopefully, associated with pleasure, but it can also be a place associated with pain, and sometimes trauma. It is impossible to see the vagina without a speculum since the vagina is completely internal. And it was the invention of the speculum that allowed physicians to help women suffering from gynecologic conditions. But, there is a dark history to the origins of the speculum exam, and even in recent times there are those that have taken advantage of this very vulnerable moment to harm, not help women. In this episode, I have a conversation with Dr. Wendy Kline, a Professor at Perdue University who is internationally recognized for her scholarship in the history of medicine, the history of women’s health, and the history of childbirth. She is the author of many books, including her most recent book: Exposed: The Hidden History of the Pelvic Exam. 19th century- The invention of the speculum and how it changed gynecologyThe 1960s- the age of medical paternalism 2010 when the American College of Physicians said pelvic exams were no longer necessaryToday- how predators and abusers have taken advantage of women during gynecologic exams Exposed: The Hidden History of the Pelvic Exam Dr. Streicher is on SUBSTACK DrStreicher.Substack.com Wendy Kline Ph.D., Dema G. Seelye Chair in the History of Medicine at Purdue University, is internationally recognized for her scholarship in the history of medicine, history of women's health and the history of childbirth. She is the author of four major books: Exposed: The Hidden History of the Pelvic Exam (Polity, June 2024); Coming Home: How Midwives Changed Birth (Oxford University Press, 2019); Bodies of Knowledge: Sexuality, Reproduction, and Women’s Health in the Second Wave (U. of Chicago Press 2010); and Building a Better Race: Gender, Sexuality, and Eugenics from the Turn of the Century to the Baby Boom (U. of California Press, 2001). 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. DrStreicher.com Instagram @DrStreich Facebook @DrStreicherYouTube @DrStreicherTV LinkedIn @DrStreicher Sign up to receive DR. STREICHER’S FREE NEWSLETTER 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. 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 Dr. Streicher’s Inside Information podcast is for education and information and is not intended to ...
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    1 h y 3 m
  • S3 Ep169: When Progesterone is Problematic: A Collaboration on a Complex Patient with Dr. Risa Kagan

    S3 Ep169: When Progesterone is Problematic: A Collaboration on a Complex Patient with Dr. Risa Kagan
    Feb 27 2025
    Menopause experts rarely see patients with no medical issues. We see the patient with multiple medical problems and concerns. In this episode, I bring in menopause expert Dr. Risa Kagan to collaborate on options for the following complex patient. (Be sure and check out my Substack article that gets into the nuances of bazodoxifene) Beth is 51 years old. I’ve been flashing for 2 years with no end in sight. I really want to try estrogen not just to help my hot flashes, but also because my mom had osteoporosis. I don’t have osteoporosis yet, but I’m worried since I’ve been told I have low bone mass. My doctor won’t give me estrogen because my grandmother died from breast cancer. She wants me to take raloxifene to protect my bones and my breast, but that won’t help my flashes. I also would rather not take anything with progesterone since when I took it years ago to help with irregular periods, I got moody and bloated. I need some help here. “ *Options discussed include: Raloxifene (Evista™)A Selective Estrogen Receptor Modulator (SERM) and estrogen togetherParoxitene (Brisdelle™)GabapentinFezolinetant (Veozah™)Fezolinetant and raloxifene togetherEstrogen and vaginal progestogen gel (Crinone™)Estrogen and a Progestogen IUDUnopposed estrogenConjugated equine estrogen (Premarin™) and bazodoxifene (Duavee™) *I have no financial relationship with any of the companies that sell these drugs For more information on this topic: Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 31 The TRUTH About Hormone Therapy: Does it CAUSE or PREVENT Breast Cancer? Episode 46 Finding a Menopause Clinician Who Will Listen Episode 77 Fezolinetant! A New Non-Hormonal Hot Flash Drug Episode 80 When Progesterone is a Problem Episode 84 Non-Hormonal Prescription Drugs to Treat Hot Flashes Ep 111 Bone Up with Hormone Therapy with Dr. DeSapri 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 Put the O Back in Mojo: A Guide to Post Menopause Libido and Orgasm (available for pre-order)
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    1 h
  • S3 Ep168: GLP-1 Drugs- The Good, The Bad, and the Unknown

    S3 Ep168: GLP-1 Drugs- The Good, The Bad, and the Unknown
    Feb 20 2025
    GLP-1 drugs like Ozempic™ and Wegovy™ do a great job at helping folks lose large amounts of weight, but there is emerging evidence that the benefits go well beyond achieving a healthy weight. And then there is the dark side…can they also harm? In this episode, Dr. Alexandra Sowa, an internist who is certified in obesity medicine, and the author of the just published book The Ozempic Revolution: A Doctor's Proven Plan for Success to Help You Reverse Obesity, End Yo-Yo Dieting, and Protect Yourself from Disease discusses the impact of the GLP-1 drugs throughout the body. How GLP-1s workNew drugs on the horizon Benefits beyond weight loss Cardiovascular health Kidney health Brain health Sleep Apnea Liver health Addiction management Cancer Depression? Eye Health Thyroid problems Hair loss Muscle loss Maximizing success Maintenance Compounding pros and cons If any doctor can prescribe a GLP1 The advantage of seeing an obesity specialistAdvocating for insurance coverage MidiHealth provides high-level menopause care and also offers a comprehensive weight management program including access to GLP-1 drugs. www.Joinmidi.com Dr. Alexandra Sowa Dr. Alexandra Sowa is a dual board-certified physician in internal and obesity medicine and author of the groundbreaking book The Ozempic Revolution. With over a decade of clinical experience, Dr. Sowa has become a leading voice in metabolic health, specializing in GLP-1 medications and their transformative role in tackling obesity and chronic illness. 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. Dr. Streicher is on SUBSTACK • Articles • Monthly newsletter • Monthly News Flash Reports on recent research • Monthly Zoom Q and A Webinar • To SUBSCRIBE to Dr. Streicher’s Substack DrStreicher.com Instagram @DrStreich Facebook @DrStreicherYouTube @DrStreicherTV LinkedIn @DrStreicher Sign up to receive DR. STREICHER’S FREE NEWSLETTER 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 everyone on this list has 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 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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