Gyno Girl Presents: Sex, Drugs & Hormones

Today, we bring to light a deeply personal journey through pain, healing, and self-discovery. We'll explore the intricate relationship between spinal health and pelvic wellbeing, delving into how issues like persistent genital arousal disorder, or PGAD, are not merely sexual but deeply interconnected with our spinal anatomy.With me is April Patterson, a courageous pelvic floor physical therapist who shares her battle with PGAD. Prepare to be taken on a story that stretches from the trauma of pelvic symptoms to the victories of surgery and physical therapy.As April recalls her years of suffering, reduced work hours, and limited joy, we'll uncover the profound impact of a mysterious injury that intruded on her everyday life, even affecting simple tasks like driving, working, or enjoying meaningful relationships.We'll tackle the complexities of diagnosis and treatment, discussing why it's crucial to seek professionals skilled in both orthopedic and pelvic health. April's story isn't just about struggle; it's a beacon of hope, highlighting the importance of prehabilitation, the value of informed self-advocacy, and the power of trauma-informed therapy.By the end of this episode, you'll understand why the pathway to healing isn't one-size-fits-all and how embracing a holistic approach can pave the way for reclaiming one's life from the grips of PGAD.Highlights:April shares her journey with PGAD, from the onset of symptoms after an orthopedic injury to seeking treatment and undergoing spinal surgery, highlighting the immediate positive results on her neural symptoms.The importance of a tailored physical therapy approach is emphasized, focusing on the need for therapists skilled in both orthopedic and spine rehab, especially given the intertwining nature of the spine, pelvic health, and sexual function.The psychological aspects of living with PGAD are explored, touching upon the trauma and emotional distress caused by the condition and the need for a trauma-informed therapy approach, including the importance of prehabilitation and rehabilitation.Get in touch with April:WebsiteInstagramGet in Touch with Dr. Rahman:PracticeInstagramYoutube

Have you ever encountered the term PGAD? Despite its relative obscurity, it gained some mainstream attention in the early 2000s, even prompting a Saturday Night Live skit that portrayed it as a condition one might desire. Which is far from something that someone would actually want. Today I give you a comprehensive overview what PGAD is discussing its history, prevalence, symptoms, and the significant impact it has on a patient's life. I emphasize the distressing nature of PGAD and how it can often lead to severe impairment of daily living and even suicidal ideation in some cases. This candid discussion addresses the need for awareness and understanding of PGAD and its far-reaching effects.I also delve into the multi-faceted approach to treating PGAD. I outline the different regions of the body that are considered in the diagnosis and treatment of PGAD, including the end organ (genital pelvic region), the pelvic floor, the spinal cord, and the brain. I highlight the importance of a multidisciplinary treatment approach, involving various specialists, therapists, and clinicians, to tailor treatment plans for individual patients.Highlights:- PGAD is a condition associated with persistent and intrusive genital arousal sensations, without corresponding sexual desire or thoughts.- Diagnosis and treatment of PGAD often involve a comprehensive, biopsychosocial approach, with multiple specialists collaborating to address the condition from various angles.- Education and advocacy are crucial in raising awareness and providing support for individuals experiencing PGAD.Resources:ISSWSHGet in Touch with Dr. Rahman:PracticeGynoGirl WebsiteInstagramYoutube

Today, we're diving deep into a critically important and often overlooked topic: the intersection of breast cancer survival and menopause management. We have Dr. Corinne Menn joining us to share her expertise and personal journey as a breast cancer survivor experiencing menopause.In this episode, we're uncovering the impact of menopausal symptoms on cardiac health and metabolic function, the cautious yet potentially life-enhancing role of estrogen therapy in reducing heart disease risk, dementia, and osteoporosis, and how this can fit into the lives of breast cancer survivors—especially those entering menopause prematurely due to treatment.Dr. Menn will be touching on the holistic approach to managing menopause, emphasizing the need for personalized care and advocating for the rights and health of women post-breast cancer treatment.We'll also be discussing the groundbreaking and potentially controversial studies covered in Dr. Avrum Bluming and Dr. Carol Travis’s book "Estrogen Matters," all aimed at shifting the narrative on estrogen use.Furthermore, we delve into the importance of self-advocacy in seeking informed care from healthcare providers and the future initiatives me and Dr. Menn are eager to tackle together to improve women's health.Highlights:The Curious Case of EstrogenDr. Menn and I tackled the fear around hormones causing breast cancer, debunking myths, and highlighting that estrogen receptors are present throughout the body. Understanding this helps in managing menopausal symptoms with minimal risks.HRT After Breast Cancer: A Paradigm ShiftWe delved into the Menopause Society's position allowing for estrogen therapy in severe cases unresponsive to other treatments. Dr. Menn, through her experience and extensive research, stressed the need for shared decision-making based on personalized risks.Beyond Survival: Thriving Post-TreatmentThe discussion also focused on the lack of conversation regarding menopausal symptom management and preventative health measures for breast cancer survivors. Dr. Menn recounted her journey, shedding light on the limited support for managing menopausal symptoms post-treatment.Personalized Medicine & Future CollaborationsDr. Menn and I plan to work collectively on women's health initiatives, extending our knowledge. She also shared her interest in writing a protocol for counseling breast cancer survivors, aiming to enhance sexual health and hormone therapy conversations.Mentioned:BookGet in Touch with Dr. Menn:EmailWebsiteInstagramGet in Touch with me:PracticeGynoGirl WebsiteInstagramYoutube

I delve into the crucial topic of menopause and hormone therapy. With an estimated 2 billion women entering post-menopause by 2030, the impact of menopause cannot be overlooked. I explore the criteria for determining good and bad candidates for hormone therapy, the reasons behind prescribing hormone therapy, and the various formulations I favor. Drawing from the 2022 Hormone Therapy position statement by the now Menopause Society, I present compelling insights backed by extensive research, including the Women's Health Initiative and post hoc analysis. I emphasize that hormone therapy remains the most effective treatment for vasomotor symptoms, such as hot flashes and night sweats, along with managing the genital urinary syndrome of menopause and preventing bone loss and fracture.Prepare to gain valuable knowledge on this fundamental aspect of women's health in today's episode.Highlights-Good and Bad Candidates for Hormone Therapy: insights into the factors that determine whether an individual is a suitable candidate for hormone therapy, as well as those who may not be.- It's not just a one-size-fits-all. Different hormone therapy formulations that I tend to use. Understanding these options empowers women to make informed choices about their health. Knowledge is power, especially when it comes to our bodies. -The Purpose of Prescribing Hormone Therapy: the rationale behind prescribing hormone therapy, emphasizing its effectiveness in addressing vasomotor symptoms such as hot flashes and night sweats, as well as its positive impact on preventing bone loss and fractures.-Different Formulations: The discussion also included an overview of the various formulations of hormone therapy used, shedding light on the diverse options available.Mentioned:Menopause SocietyGet in Touch with Dr. Rahman:PracticeGynoGirl WebsiteInstagramYoutube

When Crystal's severe lower back pain led to an unexpected emergency situation after a yoga class, it marked the beginning of a new chapter in her life.Her personal story illuminates the profound effects spinal health can have on sensory and sexual functions, offering a raw look into the fears and challenges that come with losing sensation in the most intimate parts of oneself. This conversation is a testament to the intricate dance between our physical bodies and our personal identities, and the transformative power of resilience and medical expertise.Together, we walk you through the nuances of her condition, clitorodynia, and the intricate ways in which the central nervous system orchestrates the symphony of sensation and intimacy.Crystal's narrative is a sobering reminder that our bodies hold the keys to mysteries we're still unraveling. But there's hope in the horizon, woven through the fabric of our conversation.Our discussion is not just clinical; it's a journey into the biopsychosocial and multidisciplinary approaches necessary for managing such intimate and complex health issues.Highlights:Crystal explains her entire journey from what she thought was something simple to waking up not being able to feel if she needed to use the bathroom. To eventually seeking out treatment from Dr. Rahman. Dr. Rahman gives deep anatomical explanation of Crystals condition but in a way that non medical professionals can understand. Dr. Rahman and and Crystal discuss the fact that both the patient and doctor need to be open in trying different modalities to healing.Mentioned:ISSWSHGet in Touch with Dr. Rahman:PracticeGynoGirl WebsiteInstagramYoutube

In this vital conversation, we’ll uncover why it's essential that we challenge the status quo and create open, supportive dialogues for women at all stages of life. We're diving deep into the misunderstood topic of navigating menopause.Our courageous guest, Heather Zimmerman a patient of mine, joins us to share her compelling story. Battling migraines, joint pain and other symptoms, she encountered the systemic ignorance and dismissal by the healthcare community. Heather's journey is a wake-up call for self-advocacy and finding a healthcare provider who genuinely supports and understands menopause.We're also tackling the silence that surrounds hormone replacement therapy, the growing array of menopause-related tech tools, and the importance of precision medicine in tailoring treatment. And how can we foster a more open dialogue about menopause in our communities and reduce the stigma surrounding this natural phase of life.We also discuss strategies for women to advocate for themselves when discussing menopause with their healthcare providers. Stay tuned as we explore why it's about more than just surviving menopause – it’s about thriving!Highlights:-Self-Advocacy: It's vital to find a healthcare provider who listens, communicates, and fosters a collaborative approach to your treatment. - Educated Empowerment: Clinician education on menopause is sparse, so informed self-care and proactive seeking of specialized knowledge are crucial.- Menopause medicine faces critical gaps—outdated studies impact hormone therapy, and there's an evident need for precision medicine. Yet, Dr. Rahman emphasizes the potential for change with the rise of menopause-related apps and patient advocacy.- Lean on support systems, whether online or in person, and maintain open dialogue about menopausal experiences to enhance overall well-being.- Creating a Community of Support and Openness: By openly discussing menopause, as Heather illustrates, we pave the way for preventative education and better treatment outcomes. Mentioned:Menopause SocietyGet in Touch with Dr. Rahman:PracticeGynoGirl WebsiteInstagramYoutube

I sit down with Laila, a close family friend and someone who has personally navigated the complexities of vaginismus.Laila shares her intimate struggle, shedding light on a topic many find themselves shrouded in silence due to cultural and personal stigmas.She opens a door to understanding the emotional and physical aspects—offering listeners a chance to learn, relate, and find solace in the shared experience of overcoming such deeply personal challenges.We, venture into the delicate intricacies of sexual health, particularly how Laila battles with vaginismus reshaped her understanding of her own body and relationships. It's a story that strikes at the heart of the shame and stigma surrounding sexual dysfunctions, and one that emphasizes the need for a compassionate and culturally sensitive approach to medical care.Laila's candid recount of confronting vaginismus peels back the layers on a journey fraught with challenges, from the initial shock and guilt to the dawning realization that professional help was essential. Her revelation about the powerful impact of support and conversation underscores the importance of breaking through societal barriers and offers solace to those silently suffering.Laila is a testament to the power of self-advocacy and the transformative effect of therapy on both individual lives and relationships.Her story serves as a beacon of hope, reminding us of the critical role support systems play in the path to recovery, and the importance of honoring each person's unique journey to health and self-discovery.Highlights:Laila discusses the profound impact vaginismus had on her life, including her journey of self-discovery, sexuality, and ultimately, the decision to end her marriage. Laila and Dr. Rahman tackle the shame and stigma associated with sexual dysfunction, particularly around the cultural and religious factors that contribute to the silence around such issues, emphasizing the need for more open conversations and support. We discuss the importance of seeking professional help and the effectiveness of a bio-psychosocial approach to treating vaginismus.During her healing journey, Laila confronts questions about her sexual orientation.  Dr. Rahman and Laila discuss the various treatment options for vaginismus and the importance of personalized medical care. The episode underlines the combination of therapies, including couples therapy, sex therapy, and pelvic therapy, that can lead to recovery and personal growth.Get in Touch with Dr. Rahman:PracticeGynoGirl WebsiteInstagramYoutube

Ever felt like there's a world of women's health issues that remain shrouded in silence, particularly when it comes to the bedroom? Dr. Sameena Rahman, also known as GynoGirl, pulls back the curtain on taboo topics, starting with the often-misunderstood condition of vaginismus. Her candid storytelling not only reveals her own professional and personal battles but also sheds light on the cultural constrictions that compound women's sexual health struggles. Discover how this gynecologist is breaking through cultural barriers and championing the need for comprehensive sexual education within communities where the topic is traditionally avoided.In this episode we cover:-Dr. Rahman talks not only of her own personal battles and triumphs but also of those affected by vaginismus, reinforcing the crucial role of partnership and self-advocacy in navigating this often silent struggle.- The historical context of this condition.-Dr. Rahman shares her journey, from confronting biases in medical training which illuminates the dark corners where cultural taboos and educational deficiencies obscure the understanding of women's sexual health, particularly within the South East Asian community.-We go over the spectrum of treatment options, from botox injections and pain management tactics to the indispensable role of a holistic team approach involving physical therapists and mental health professionals. Get in Touch with Dr. Rahman:PracticeGynoGirl WebsiteInstagramYoutube

Growing up as the daughter of Pakistani immigrants in the South, I was constantly torn between the expectations of my heritage and the opportunities of my future.Through my own journey, from grappling with the dynamics of cultural identity to forging a path in the medical field, I've learned the power of self-advocacy and the importance of destigmatizing women's health.Welcome to my podcast where vulnerability meets education, where I share my struggles with bravery and perceived shamelessness in pursuing a profession cloaked in silence.I am brave or I am shameless. That will one of the themes running through this show.As your host of GynoGirl Presents: Sex, Drugs & Hormones, I invite you on a heartfelt exploration of the challenges and triumphs in retaining cultural identity while breaking new ground in healthcare.Let's create a space for candid conversations that empower and educate, crossing the complex intersection of culture, religion, and women's well-being.Together, we'll discover how to navigate these waters and emerge as advocates for our own health, armed with knowledge and the confidence to use it.Join me, as I share not just my narrative, but also the universal lessons we can all apply to our lives.Get in Touch with Dr. Rahman:PracticeGynoGirl WebsiteInstagramYoutube

Are you ready to challenge the taboos of women's health with unflinching honesty and a touch of rebellion? Join me, Dr. Sameena Rahman (Gynogirl), as we venture into the candid world of women's health and confronting the stigmas head-on. This is not your typical health podcast – here, I promise to intertwine heartfelt patient narratives with expert insights, peeling back the layers of conditions like sexual pain and menopause that too often go whispered behind closed doors or worse ignored. Come for the science, stay for the stories that will change the way you think about intimacy and health.With a lineup of knowledgeable guests, we're tearing down walls and building up understanding, one episode at a time. Whether it's the battle with vulvar itching or the quest for understanding your hormone's, we're addressing it all, with special attention to the cultural complexities that shape our experiences. By sharing these journeys, we aim to arm you with empowerment and knowledge, casting aside biases and lighting the path to personalized care. Let's do this!Get in Touch with Dr. Rahman:PracticeGynoGirl WebsiteInstagramYoutube