Gyno Girl Presents: Sex, Drugs & Hormones

Sexual health is often misunderstood and neglected in medical training. What happens when a passionate student decides to challenge the system and ignite change?The medical field often hesitates to tackle less-explored topics, but Dr. Jen Romanello is breaking new ground as a young advocate for advancing sexual medicine.As a medical student, Jen identified a glaring gap in education on female sexual health and decided to act. She founded the Medical Student Forum on Female Sexual Medicine, an initiative that has expanded to impact students across the U.S. and beyond.In this episode, we delve into Jen’s journey from medical student to resident, exploring her mission to tackle the stigma surrounding sexual health in medical education. From collaborating with leading experts like Dr. Rachel Rubin and Dr. Andrew Goldstein to hosting groundbreaking symposiums, Jen has made waves in an underserved area of healthcare.We also explore the challenges of navigating medical systems that often overlook sexual medicine and how Jen’s leadership is paving the way for students, clinicians, and patients alike. Whether it’s addressing medical trauma or fostering a deeper understanding of patient care, Jen’s work highlights the importance of multidisciplinary collaboration and a patient-first approach.Her insights go beyond the clinic, offering practical advice for medical students, residents, and professionals interested in bridging gaps in education and care.Join us for an inspiring conversation that showcases how one person’s determination can spark systemic change and improve countless lives.Don’t miss this eye-opening episode. If you enjoyed the conversation, please subscribe, leave a review, and share it with your network to spread awareness about the importance of sexual medicine. Your feedback helps us continue these critical discussions!Dr. Romanello’s Bio:Jen Romanello MD is an intern physician in internal medicine at NYU and attended medical school at Rush Medical College in Chicago. She is President of the Medical Student Forum on Female Sexual Medicine (The Forum), which she founded in 2020. The Forum is an independent trainee-led organization that has facilitated over 1000 trainees to connect to educational, writing, research, conference, and mentorship opportunities in the field of Female Sexual Medicine (FSM).Her professional interests include sexual medicine and menopause, reproductive mental health, neuroplastic pain, metabolism and nutrition, and lifestyle medicine. Her clinical research and publications have focused on topics including clitoral adhesions,chronic pelvic pain, and medical education.  She is a member of the International Society for the Study of Women's Sexual Health, the Menopause Society, and the Association for the Treatment of Neuroplastic Symptoms. She loves speaking with medical students who are deciding which specialty to pursue about how there are many great ways to approach this field.Don’t miss this eye-opening episode. If you enjoyed the conversation, please subscribe, leave a review, and share it with your network to spread awareness about the importance of sexual medicine. Your feedback helps us continue these critical discussions!Get in Touch with Dr. Romanello:WebsiteInstagramMedical Student ForumAcademic ArticleGet in Touch with Dr. Rahman:WebsiteInstagramYoutube

What happens when two menopause experts swap their own stories of brain fog, joint pain, and midlife panic attacks? Spoiler: It’s raw, relatable, and eye-opening.This episode is like no other. I sit down with my colleague and friend, Dr. Heidi Flagg, for one of the most open and candid conversations I’ve had on the podcast. We don’t just talk about the science of menopause—we share our own symptoms, challenges, and the surprising ways hormones have shaped our journeys.Dr. Flagg and I explore the lesser-discussed symptoms of menopause, including brain fog, joint pain, and more. I share my own experience with a midlife panic attack and how it opened my eyes to the complexities of this transition. Together, we debunk myths about hormone therapy, dive into the vital connection between estrogen and brain health, and highlight the transformative power of lifestyle changes like weight training and improving sleep. This episode is all about addressing the symptoms no one talks about and empowering you with the knowledge to thrive.If you’ve ever felt like you’re the only one struggling with menopause symptoms, this episode will show you that even the experts have been there—and we’re here to help. With humor, honesty, and a ton of actionable insights, we explore how to navigate midlife with confidence.Episode Highlights:Dr. Flagg and I get real about our own menopause strugglesThe truth about hormone therapy and why it’s not a “one-size-fits-all” solutionHow brain fog and panic attacks are linked to hormonal changesPractical tips for improving cognitive and physical health in midlifeThe power of social connection and breaking the stigma around menopauseEnjoyed this conversation? Don’t keep it to yourself—subscribe, leave a review, and share this episode with someone who needs it. Leave a comment on my Instagram about what you would like to see or what you got out of today’s episode. Your support helps us reach more listeners!Dr. Flaggs Bio: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 in 1999, Dr. Flagg’s clinical interests have spanned the woman’s reproductive cycle with a current focus, as a certified menopause specialist, on peri menopausal and menopausal issues, challenges and treatments. Dr. Flagg sits on the Every Mother Counts Founder’s circle as a medical advisor and speaker.  She holds positions on the HL Snyder Medical Foundation and The Experimental Science Now boards. In addition, Dr. Flagg is a medical advisor to Flow Health and Let’s Talk Menopause. Dr. Flagg lives in New York City with her husband, Chris, and two kids.Get in Touch with Dr. Flagg:WebsiteInstagramGet in Touch with Dr. Rahman:WebsiteInstagramYoutube

What if the secret to weight loss success lies not just in the medication but in how it transforms your brain? Dr. Alexandra Sowa shares groundbreaking insights into GLP-1 medications and their profound impact on both the body and mind.In this episode, I talk with Dr. Alexandra Sowa, a leader in obesity medicine and the author of The Ozempic Revolution, to uncover the truths and misconceptions about GLP-1 medications. Drawing on her decade-long journey in treating patients, Dr. Sowa shares how a holistic approach—rooted in education, behavioral shifts, and a deep understanding of the brain-body connection—can lead to sustainable health transformations.We delve into the transformative impact of GLP-1 medications, not as a magic bullet but as a critical tool within a comprehensive, intentional strategy for achieving long-term health. Dr. Sowa explains the science behind these treatments and how they work to regulate cravings, metabolic function, and even brain pathways linked to food and addiction. She also addresses common misconceptions, including the much-discussed “Ozempic face,” and reveals why slow and steady weight loss is key to preserving muscle and overall well-being.Beyond the individual level, Dr. Sowa highlights the broader societal implications of these medications, including their role in reducing stigma around obesity and pushing for more accessible, equitable healthcare solutions. Her expertise sheds light on how addressing the cognitive and emotional barriers to weight loss can create lasting, meaningful change—not just for individuals but for the healthcare industry as a whole.If you’ve ever wondered how medications like GLP-1s can be part of a holistic health journey or how they are reshaping the landscape of weight loss and healthcare, this episode is packed with insights and strategies you won’t want to miss.Highlights:The science of GLP-1 medications and their role in holistic weight loss strategiesHow behavioral and cognitive factors impact weight management successDispelling myths about “Ozempic face” and muscle lossThe societal impact of GLP-1s on obesity stigma and healthcare reformKey lessons from The Ozempic Revolution to empower patients and practitioners alikeGet in Touch with Dr. Sowa:WebsiteInstagramTikTokBuy Ozempic RevolutionGet in Touch with Dr. Rahman:WebsiteInstagramYoutube

What’s the silent threat that could derail your independence in midlife? We’re breaking down why bone health is key to your long-term well-being.In this episode, I’m joined by Jen Lanoff, a nurse practitioner with a passion for women’s health, to explore the critical connection between menopause and bone health. We uncover the rapid decline in bone density during menopause, why early screening with DEXA scans is crucial, and how hormone therapy can make all the difference.Jen shares her journey from public defender to nurse practitioner and explains why she’s on a mission to empower women with actionable steps to protect their health and quality of life. We also dive into the nuances of osteoporosis treatments, from the benefits of anti-resorptives and anabolics to practical lifestyle modifications.If you’ve ever wondered how to interpret a DEXA scan, what medications are truly effective, or why bone health impacts everything from mobility to longevity, this conversation is packed with evidence-based insights. Jen’s relatable approach and dedication to patient care make this episode both educational and empowering.Whether you’re entering menopause, supporting someone in midlife, or just want to better understand your body, you won’t want to miss this deep dive into maintaining health and independence.HighlightsHow menopause accelerates bone density lossThe essential role of estrogen in preventing osteoporosisWhy early DEXA scans can be life-changingBusting myths about osteoporosis prevention and treatmentProactive steps to maintain health and independenceSubscribe, like, and comment to join the conversation about thriving in midlife. Let’s prioritize your health together!Jennifers Bio:Jennifer Lanoff, WHNP-BC, MSCP, JD, is a board-certified Women’s Health and Gender-Related Nurse Practitioner. She currently has a GYN-only practice at Reiter, Hill and Johnson, an Advantia Practice, and sees patients in their Washington, DC, Chevy Chase, MD, and Falls Church, VA offices, where she focuses on menopause, osteoporosis, complex sexual health disorders, pelvic floor dysfunction, incontinence, hypoactive sexual desire disorder, persistent genital arousal disorder, and other vulvovaginal disorders such as vulvodynia, lichen sclerosus, and genitourinary symptoms of menopause (GSM) in addition to well-woman exams and related care. Jennifer has a passion for gynecological health and well-being at all stages of life. She is a Menopause Society (formerly NAMS) Certified Provider and currently serves as the Chair of the Menopause Society Education Committee, in addition to being on the Trustee Nominating Committee and a peer reviewer for the Menopause Journal. She also serves on Ms. Medicine’s Physician Executive Group, The Body Agency’s Medical Expert Board, and on the National Menopause Foundation’s (NMF) Medical Advisory Committee (MAC). She is a member of The Menopause Society, The International Menopause Society, the International Society for the Study of Women’s Sexual Health (ISSWSH), the International Society for the Study of Vulvovaginal Disease (ISSVD), the Bone Health and Osteoporosis Foundation, the American Urogynecology Society, the American College of Obstetrics and Gynecology (ACOG), and the Society for Family Planning (SFP).Jennifer completed her undergraduate studies at Stanford University, receiving her MSN at Johns Hopkins School of Nursing, and her Women’s Health Nurse Practitioner degree from Georgetown School of Nursing. Prior to entering the medical field, Jennifer earned a law degree from the University of Michigan Law School and was a trial and appellate attorney for over 20 years at the Public Defender Service for the District of Columbia. Get in Touch with JenWebsiteInstagramGet in Touch with Dr. Rahman:WebsiteInstagramYoutube

Did you know that intrusive thoughts and anxiety could amplify physical pain and discomfort? Let me share how obsessive-compulsive disorder intertwines with one of the most distressing sexual health conditions.Persistent genital arousal disorder (PGAD) is one of the most misunderstood and challenging conditions I treat. But what happens when the brain is part of the problem? In this episode, I dive into the intriguing and often overlooked connection between obsessive-compulsive disorder (OCD) and PGAD.From brain hiccups to catastrophic thoughts, I unpack how mental health can fuel this condition and why understanding the mind-body relationship is key to effective treatment. I’ll share my experiences treating patients and offer practical insights on how addressing mental health, pelvic floor therapy, and tailored interventions can provide relief. Whether you’re a patient or a clinician, this episode sheds light on why treating “region five” is just as critical as addressing physical symptoms.Highlights:My five-region approach to treating PGAD.How OCD symptoms worsen PGAD and affect intimacy.Why exposure response therapy is vital for tackling intrusive thoughts.The role of pelvic floor therapy and medication in managing symptoms.Resources I recommend for finding help and support.If you found this episode helpful, don’t forget to subscribe, leave a review, and share it with someone who might benefit. Follow me on YouTube at Gyno Girl TV and Instagram @GynoGirl for more expert content!Get in Touch with Dr. Rahman:WebsiteInstagram

Life is fleeting, and the lessons it teaches us often come from the most unexpected places. Join me as I reflect on the challenges, triumphs, and goals that have shaped me—and why making an impact matters.As the year turns, I’m taking a moment to reflect on 2024—the challenges, the growth, and the goals I’ve set for the year ahead. In this deeply personal episode, I’m sharing my journey through loss, the lessons my patients have taught me, and the reasons I continue to fight for better healthcare.Losing my mother this year was a defining moment for me. Grief has a way of reshaping your perspective, forcing you to pause and reevaluate what really matters. While the pain is still raw, it has also deepened my commitment to my work and my mission: to educate so you can advocate for yourself.I’ll also take you back to my early days as a burnt-out OB-GYN, navigating the challenges of starting my private practice and finding my calling in sexual medicine and menopause care. These experiences shaped who I am today and taught me the value of persistence, curiosity, and building a strong community.This episode isn’t just about looking back; it’s about looking forward. I’ll share how I’m planning to make an impact in 2025, both in my personal life and in my practice. If you’ve ever felt stuck, lost, or unsure of your next step, I hope my story reminds you that even in the hardest moments, there’s a path to growth and purpose.Let’s walk into 2025 together—stronger, more focused, and ready to make a difference.Highlights:How losing my mother reshaped my perspective and deepened my purpose.Why I left OB-GYN to build a private practice focused on sexual medicine and menopause care.The patients and mentors who inspired my passion for advocacy and education.My reflections on grief, resilience, and building a legacy.How I’m setting my goals for 2025 and why I believe in starting the year with intention.If this episode resonated with you, please subscribe, like, and share it with someone who might benefit from hearing it. Leave a comment about your favorite moment or what inspired you most. Let’s make 2025 a year of growth, connection, and impact together.Get in Touch with Dr. Rahman:WebsiteInstagramYoutube

What if the key to fixing your sexual health wasn’t just about you, but your partner too? Discover why treating sexual dysfunction is a team effort—and how we’ve been getting it wrong.When it comes to sexual health, the focus is often one-sided. But the reality is that sexual dysfunction is rarely an individual issue—it’s a couple’s disease.I talk with Dr. Mohit Khera, renowned urologist and past president of SMSNA, to unpack the disparities in sexual health treatment for men and women and why it’s time to rethink our approach.Dr. Khera shares personal insights from his career, revealing how focusing on one partner’s libido or function can create unexpected challenges in a relationship. We explore the hidden world of male sexual dysfunction, from erectile dysfunction to Peyronie’s disease, and uncover why women’s sexual health still lags behind in research, funding, and treatment options.We also tackle the controversial topic of testosterone—its impact on men and women, the myths around its use, and why it’s still inaccessible for women despite clear benefits. Dr. Khera offers actionable advice on lifestyle changes, sleep, and stress management that can dramatically improve sexual function for both partners.This isn’t just about medicine—it’s about partnership, communication, and the power of addressing sexual health as a team. Join us for a candid discussion that might change the way you think about intimacy, health, and what it means to truly support your partner.Highlights:Why sexual dysfunction is a “couple’s disease” and how treating one partner impacts the other.The silent epidemic of Peyronie’s disease and its profound emotional toll.The overlooked benefits of testosterone for women and why FDA-approved options remain elusive.How lifestyle changes like the Mediterranean diet, exercise, and sleep can reverse sexual dysfunction.The importance of destigmatizing sexual health concerns and advocating for the right care.If this episode resonated with you, don’t keep it to yourself! Like, subscribe, and leave a comment to help us continue these essential conversations. Share this episode with someone who needs to hear it.Dr. Khera’s Bio:Dr. Khera earned his undergraduate degree at Vanderbilt University. He subsequently earned his Masters Degree in Business Administration and his Masters Degree in Public Health from Boston University. He received his Medical Degree from The University of Texas Medical School at San Antonio and completed his Urology residency training in the Scott Department of Urology at Baylor College of Medicine. At Baylor, he completed a one-year general surgery internship and then went on to complete a five-year residency program in Urology.  After completing his Urology residency, he went on to complete a one-year fellowship in Male Reproductive Medicine and Surgery at Baylor.  Currently, he is a Professor in the Scott Department of Urology at Baylor College of Medicine, and he holds the F. Brantley Scott Chair in Urology. Dr. Khera specializes in male and female sexual dysfunction, Men’s Health, and hormone replacement therapy. Dr. Khera also serves as the Director of the Laboratory for Andrology Research, the Medical Director of the Baylor Executive Health Program, and the Medical Director of the Scott Department of Urology.  He also serves as President of the Sexual Medicine Society of North America.Dr. Khera has dedicated his clinical and research efforts to three main areas:  Men’s Health, sexual medicine, and hormone replacement therapy.  Soon after completing my fellowship, he started the Laboratory for Andrology Research. His laboratory focuses on basic science research, and he has had the opportunity to train many residents and research fellows over the past 12 years.  In addition to his basic science research, he has initiated numerous FDA-approved clinical trials.  His basic science and clinic experiences have allowed him to thus far give over 250 lectures at scientific meetings throughout the world, publish over 120 articles in peer-reviewed journals, complete 15 book chapters, and edit and write two books, all in the field of sexual medicine and Men’s Health.In 2007 he was awarded the American Urologic Association (AUA) Research Scholars Award to study the correlation between ED and BPH.    In 2013 he was elected to serve a 4-year term on the American Urologic Society Examination Committee.  Dr. Khera has also served on the AUA Peyronie’s Disease and Erectile Dysfunction Guidelines Panel.  For the past several years, he has taught numerous course in testosterone therapy and sexual dysfunction nationally and throughout the world.Dr. Khera freely shares his time and knowledge with the general public. He has been voted several times as one of Houston’s Best Doctors by Health and Sport Fitness Magazine and by Houstonia Magazine and is a frequent guest on such TV programs as Fox News’ “Ask the Doctor.” He also writes a blog on Men’s Health for the Houston Chronicle Newspaper.Get in Touch with Dr. KheraWebsiteTwitterInstagram TedXGet in Touch with Dr. Rahman:WebsiteInstagramYoutube

Why are women in midlife left struggling while the healthcare system profits? Let me share my perspective on the frustrations, failures, and how we can fight for better care.Healthcare in the United States is failing millions of people, but women in midlife are hit the hardest. From denied treatments to dismissive attitudes, the system often prioritizes profits over patients. Women dealing with chronic pain, sexual health issues, and menopause-related symptoms are left with little to no support, and I see this every day in my practice.In this episode, I dive into the layers of frustration felt by both patients and clinicians. I talk about the systemic issues—like insurance companies denying essential care and the burnout faced by healthcare providers—that make navigating the system a nightmare. Using my own experiences as a menopause and sexual medicine specialist, I explore why midlife women are particularly underserved and what that means for their health.I also discuss alternative care models, like concierge medicine, and how they might help women who feel lost in the system. My goal is to show you how to advocate for your health, find a trusted provider, and break through the barriers keeping you from the care you deserve.This isn’t just about highlighting the problems—it’s about empowering you to take control of your healthcare journey. With compassion and actionable advice, I hope to leave you feeling inspired to advocate for yourself and demand better.Highlights:Why midlife women and those with sexual health issues are the most neglected by the healthcare system.The shocking challenges clinicians face when working with insurance companies.How chronic pain and untreated menopause symptoms are connected to mental health struggles.The rise of concierge medicine as a more personalized care option.Practical tips on advocating for yourself in a system that often fails to prioritize women.If this episode resonated with you, please subscribe, like, and leave a comment. Share this conversation to help more women understand how to navigate their health journey.Get in Touch with Dr. Rahman:WebsiteInstagramYoutube

Have you ever noticed symptoms like anxiety, memory loss, or fatigue creeping up out of nowhere? With Dr. Aoife O’Sullivan, I’m diving into how perimenopause can take women by surprise and why so many doctors miss the hormonal connection.Menopause isn’t just a transition—it’s a puzzle that too many clinicians fail to solve. In this episode, Aoife and I go beyond the usual conversations about menopause being dismissed and misunderstood. Together, we uncover the deeper issues behind why symptoms like anxiety, memory loss, and mood shifts are often overlooked—even by experienced doctors.Aoife opens up about her personal struggles with misdiagnosis, sharing how she questioned her own mental health before discovering the role of hormones in her symptoms. What makes this episode different? We tackle hormonal health, mental health, and the gaps in education that leave both patients and clinicians struggling to connect the dots.This isn’t just about the challenges—it’s about solutions. Aoife’s experience shows that with better training, advocacy, and small changes in care, we can transform lives. We also discuss the systemic changes needed to ensure midlife women are supported, not sidelined.If you’ve listened before, this episode will add depth and new insights to the conversation. It’s a call to action for women and clinicians alike: let’s stop dismissing midlife symptoms and start treating them with the attention they deserve.Highlights:Aoife’s personal struggle with misdiagnosis and suicidal thoughts in midlife.The impact of perimenopause on mental health, memory, and executive function.How the healthcare system fails women by misunderstanding menopause.The importance of hormone therapy trials and finding the right provider.Steps women can take to advocate for themselves and their healthcare needs.Dr. O'Sullivan’s Bio:Dr. Aoife O’Sullivan is a board-certified family physician with training in Ireland and the U.S., specializing in women’s midlife care. Her curiosity about the unique health challenges women face during perimenopause and menopause led her to extensive training with experts like Dr. Heather Hirsch and Dr. Louise Newson. A Menopause Society Certified Practitioner, she is passionate about education and regularly lectures to clinicians and the community on menopause care. Currently, she sees patients through The Heather Hirsch Collaborative, providing expert telemedicine care for midlife women.Connect with Dr. O'Sullivan:WebsiteInstagram LinkedInGet in Touch with Dr. Rahman:WebsiteInstagramYoutube

What if trauma from your past is impacting your health today—and no one’s talking about it? Join me and Dr. Heather Quaile as we talk about the essential truths about trauma-informed care and midlife health.Heather, a seasoned nurse practitioner and sexual medicine expert, shares her journey from traditional healthcare to creating a compassionate, patient-centered approach that addresses the real-life challenges women face, especially in midlife.We dive into how trauma—whether it’s from childhood, medical experiences, or societal pressures—can manifest in symptoms like severe menopause and chronic pain. Heather breaks down the "big T" and "little t" traumas and explains how acknowledging these experiences can transform patient care. We also discuss the power of the ACE score (Adverse Childhood Experiences) and how it should be a part of every clinician's toolkit.Heather shares her experience working with trafficking survivors, addressing not just the immediate medical needs but the long-term emotional recovery these patients require. Her work highlights the importance of creating safe, empowering healthcare environments that consider the whole patient—mind, body, and history.We also discuss why finding the right provider for midlife care is crucial and how to identify clinicians who prioritize evidence-based, patient-centered treatment. From understanding the principles of trauma-informed care to advocating for your health, this episode is packed with practical advice and deep insights.Join us for an enlightening conversation that challenges the status quo and reminds us all of the importance of compassionate, informed care.Highlights:The connection between trauma and worsening menopause symptoms.What trauma-informed care means and why it’s vital in healthcare settings.How ACE scores help identify patients at higher risk for chronic health conditions.Heather’s work with trafficking survivors and lessons for all healthcare providers.Tips for finding the right provider for midlife and sexual health.Heather’s Bio:Heather’s Bio:Dr. Heather Quaile, (she/her) is a renowned clinical and academic leader andentrepreneur. A double board certified, women’s and gender health nurse practitionerand advanced forensic nurse specializing in human trafficking and female sexual health.She is a thought leader and creator of the Just Ask podcast. Dr. Quaile is also trainedand certified as a Menopause Society Certified Practitioner, AASECT sex counselor andsexual assault nurse examiner providing sexual health education, trauma-informedcare, and information to patients of all ages. She created and implemented a medicalprogram for emergency stabilization for commercial sexual exploitation of youth inGeorgia. Dr. Quaile has been working in all aspects of women’s healthcare for over 23years caring for women of all ages across the health-illness continuum and recognizedthe lack of sexual health awareness not just in her community but in its providers. Shefounded, developed, and implemented her private practice The Sexual HealthOptimization and Wellness (SHOW) Center. Her goal is to help guide patients throughtheir healthcare journey and provide a range of services that address thebiopsychosocial aspects of health, wellness, optimization, and sexuality.  She ispassionate about changing the systems and beliefs that have stigmatized women’shealth and female sexuality through a non-judgmental, empathic approach grounded inevidence-based research. She is a Fellow of the International Society for the Study ofWomen’s Sexual Health (ISSWSH) and Fellow of the American Academy of NursePractitioners.  She is the chair of the ISSWSH scientific committee and past Treasurerof the National Association of Nurse Practitioners in Women’s Health. She is on theNational Menopause Foundation medical advisory committee as well as the Governor’sTask for human trafficking and sex offenders. She is widely published in the field ofwomen’s health, trauma-informed care, and is a highly sought after speaker for lecturesto international and national audiences.Get in Touch with Dr. QuaileWebsiteInstagram Get in Touch with Dr. Rahman:WebsiteInstagramYoutube