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

Today I am talking to Dr. Melissa Simon. Dr. Simon served on the US Preventative Services Task Force Recommendation Committee (USPSTF), the government organization that shapes public policy and sets recommendations followed by doctors all over the country. So, when your doctor says you only need a Pap test every 3 years and that you no longer need a Pap test at all after age 65,  it is based on the recommendation of this committee.  How do they come up with these guidelines? And, are they always right? In this episode I challenge Dr. Simon on some controversial Task Force recommendations that have informed the way your doctor practices medicine, and dictated the health care you receive. And if you listened to Episode 58 Two Experts Two Timely Topics, you know what an amazing guest Dr. Simon is!  We discuss:  The role of the National Institute of Health (NIH)  The role of the National Institute of US Preventative Services Task Force Recommendation Committee (USPSTF) Problems with the current Pap test recommendations If women over 65 should get a pap test, and if so, who would benefit Who should get genetic testing for the BRCA mutation  Why urinary incontinence is a public health issue The public library and public health How you can influence public health policies  US Preventative Services Task Force Recommendation Committee https://www.uspreventiveservicestaskforce.org/uspstf/ Health for All Library Project: https://healthforallproject.org/  To leave a comment on cervical cancer screening: (comments periodically close but often open up again) https://www.uspreventiveservicestaskforce.org/uspstf/draft-update-summary/cervical-cancer-screening-adults-adolescents  Final plan for cervical screening  which will also post for public comment: https://www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/cervical-cancer-screening-adults-adolescents To find out what preventative services you should have: https://www.uspreventiveservicestaskforce.org/apps/                                                   Melissa Simon MD Twitter: @DrMelissa Simon LinkedIn: 2Melissa-simon https://www.feinberg.northwestern.edu/faculty-profiles/az/profile.html?xid=16856 For more information: Episode 26: Diversity, Equity, and Inclusion  in Health Care, and Why it Matters with Dr. Fenwa Milhouse Episode 39 A Personal Trainer for Your Pelvic Floor with Dr. Janelle Howell  Episode 44 A Deep Dive into RECURRENT UTI Episode 58 Two Experts Two Timely Topics 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.   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

In the United States, there are 10 million women with OSTEOPOROSIS and 43 million women with OSTEOPENIA. Most of these women do not know they are at risk for a potential life-changing or even fatal fracture.  My guest is Dr. Kristi Tough DeSapri, an internist with a specialty and expertise in women’s bone health. This topic is in 2 parts. If you haven’t already, please start with Part 1, Episode 59, which focuses on WHY YOU SHOULD CARE about bone health, RISK FACTORS for osteoporosis, and SCREENING RECOMMENDATIONS.  This episode will focus on PREVENTION and TREATMENT including:  What specific kinds of EXERCISE build bone and why CROSS TRAINING is important The importance of BALANCE Why women with INCONTINENCE and osteoporosis are at exceptionally high risk for fracture If YOGA is good for your bones How to get enough CALCIUM  If supplemental calcium is bad for your HEART Why you should test your VITAMIN D and how much you need If you have low bone mass (OSTEOPENIA) how to prevent further bone loss Why ESTROGEN is beneficial for bones The benefit of RELOXIFEN (Evista™) If HEAVY METALS are beneficial? Options to treat OSTEOPOROSIS Who is at highest risk for FRACTURE When a BONE BUILDING medicine is appropriate When medications, such as bisphosphonates, that PREVENT BONE RESORPTON are appropriate If OSTEONECROSIS of the jaw is something to worry about                                          For More Information   Dr. Tough DeSapri's Website https://boneandbodywh.com Bone Health and Osteoporosis Foundation:  https://www.bonehealthandosteoporosis.org/ Buff Bones:  https://buff-bones.com/ Bone Fit Training: https://www.bonehealthandosteoporosis.org/bonefit-find-a-professional/ Osteoporosis Canada  https://osteoporosis.ca/exercise-recommendations/ Calcium calculator:  https://osteoporosis.ca/calcium-calculator/ Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 12: Your Muscles on Menopause with Amanda Thebe  Episode 21:  Say Yes! to Testosterone for Women Episode 31 The TRUTH About Hormone Therapy: Does it CAUSE or Does it PREVENT Breast Cancer? Episode 59- Boning Up on Bones: Part 1 with Dr. Kristi Tough 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.  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

In the United States, there are 10 million women with OSTEOPOROSIS and 43 million women with OSTEOPENIA. Most of these women have no idea that they are at risk for a potentially life-changing or even fatal fracture.  One reason for this lack of concern and lack of awareness is that osteoporosis is usually a “silent disease”. Today, I am going to break that silence. My guest is Dr. Kristi Tough DeSapri, an internist with a specialty and expertise in women’s bone health.This topic is in 2 parts. This episode will focus on WHY YOU SHOULD CARE about bone health, RISK FACTORS for osteoporosis, and SCREENING RECOMMENDATIONS. Episode 61, Part 2 will focus on prevention and treatment. We discuss: Why there is so little awareness of osteoporosis The consequences of osteoporosis Symptoms and early warning signs of bone loss The difference between osteopenia and osteoporosis How common osteoporosis is When someone should get their first screening Risk factors for osteoporosis Why women are more likely to get osteoporosis than men Dr. Kristi Tough DeSapriboneandbodywh.comFor more information: Bone Health and Osteoporosis FoundationHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatLauren 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 NEWSLETTERDr. 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. Instagram @DrStreichTwitter @DrStreicherFacebook  @DrStreicherYouTube  DrStreicherTVBooks 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

This is a rare opportunity to be a fly on the wall of a medical conference and hear two lectures from nationally acclaimed experts!  Melissa A. Simon, MD MPH is an elected member of the National Academy of Medicine and is Vice Chair of Research in the Department of Obstetrics and Gynecology at Northwestern University Feinberg School of Medicine. She is the Founder and Director of the Center for Health Equity Transformation and the Chicago Cancer Health Equity Collaborative. Dr. Simon will be discussing women’s health care in view of the recent Dobb’s decision.  Twitter: @DrMelissa Simon LinkedIn: 2Melissa-simon https://www.feinberg.northwestern.edu/faculty-profiles/az/profile.html?xid=16856 Fenwa Milhouse MD is a Chicago based urologist and pelvic reconstructive surgeon, who uses social media to destigmatize pelvic floor & sexual conditions, as well as demonstrate the importance of representation in medicine. Dr. Milhouse will be speaking about equity in sexual health medicine in underserved populations as well as systemic racism in medical education.  IG: @drmilhouse TIKTOK @yourfavoriteurologist Twitter: @FMilhouseMD Website: www.yourfavoriteurologist.com The Black Women's Health Imperative- nonprofit organization created by Black women to help advance the health and wellness of Black girls and women. https://bwhi.org/ Episode 26: Diversity, Equity, and Inclusion in Health Care, and Why it Matters with Dr. Fenwa Milhouse 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.  Sign Up to receive  Dr. Streicher’s Free Newsletter:   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

Uterine cancer, also known as endometrial cancer, is the fourth most common cancer in women and the most common gynecologic cancer. 66,000  US women that are expected to be  diagnosed in 2023. Over the last fifteen years, while rates for colon, lung and other cancers have decreased, rates for uterine cancer have increased.  In this episode, Dr. Streicher covers: RISK FACTORS for uterine cancer Why women who have obesity are at increased risk  Why young women with PCOS are at increased risk Why perimenopausal women are at increased risk Why compounded hormone therapy and pellets increase risk Other risk factors that are not as well known Why Black women are twice as likely to die from uterine cancer Steps you can take to reduce your risk The #1 sign that you might have uterine cancer or pre-cancer What to know if you have been diagnosed with hyperplasia What to know if you have been diagnosed with uterine cancer For more information on this topic:       Episode 40 Don’t Go with This Flow- Post Menopause Bleeding      Episode 11: Vaginal Estrogen is Not Poison      Episode 31 The TRUTH About Hormone Therapy: Does it CAUSE or Does it          PREVENT Breast Cancer?        Episode 52 Yes, You CAN Reduce Your Cancer Risk By 33% with Selene Yaeger 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

Every day women tell me they were blindsided when they started having perimenopause symptoms in their mid-40’s since they assumed that menopause was years, or even a decade away. And they are pretty much shocked when I tell them that mid-forties is the normal time for estrogen levels to waver, or tank all together. But imagine if you enter menopause when you are in your 20’s or 30’s?  This situation is more common than most people appreciate occuring in up to 3% of women.  In this episode I am joined by Dr. Hannah Short, a graduate of the University of Cambridge and a specialist in premature menopause recognized by the British Menopause Society. She is the author of The Complete Guide to POI and Early Menopause.  We discuss:  The difference between EARLY MENOPAUSE, PREMATURE MENOPAUSE and PREMATURE OVARIAN INSUFFICIENCY, otherwise known as POI  WHY Premature Menopause occurs Why POI occurs The impact of ENVIRONMENTAL factors Why SMOKING increases the risk of premature menopause Why it is so important to DIAGNOSE and TREAT women who enter menopause early If HORMONE THERAPY is prescribed in different doses or in a different amount than for women who go through menopause at a typical time HOW LONG women should take hormone therapy NON-HORMONAL options for women who cannot take hormone therapy                                                     Dr. Hannah Short Website: https://drhannahshort.co.uk/  Twitter: @drhannahshort The Complete Guide to POI and Early Menopause GoodReads: https://www.goodreads.com/book/show/60382898-the-complete-guide-to-poi-and-early-menopause? Amazon: https://www.amazon.com/Complete-Guide-POI-Early-Menopause/dp/1399801244/  The Daisy Network (a charity for women with POI) https://www.daisynetwork.org For more information on this topic:   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 Episode 1: Is It Menopause or Some Other Pause? Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 23: Welcome to Peri-menopause       Episode 29: Has Your Hysterectomy Hijacked Your Sex Life?  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.  Sign Up to receive  Dr. Streicher’s Free Newsletter:   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

Consensual non-monogamy is not only more mainstream than you think but has scientifically proven relationship benefits.  My guest today is Dr. Amy Moors, an Assistant Professor of Psychology at Chapman University and a Research Fellow at The Kinsey Institute at Indiana University. She is an internationally recognized expert on polyamory, swinging, and other forms of consensually non-monogamous relationships.  We discuss: HOW COMMON consensual non-monogamy is in the general population The definition of consensual NON-MONOGAMY, POLYAMORY AND SWINGING The AGE RANGE of people that are openly non-monogamous  FIVE MISCONCEPTIONS regarding consensual non-monogamy Typical MOTIVATIONS behind consensual non-monogamy The difference between CHEATING and consensual non-monogamy PARENTING and open non-monogamy United States data compared to European data The NEGATIVE aspects of consensual non-monogamy How to DISCUSS consensual non-monogamy with a partner or spouse Amy Moors PhD Social Media: @ACMoors  Website: www.amycmoors.com For more information on this topic:  Episode 20: Is non-monogamy having a moment? With Dr. Wednesday Martin Episode 34 Making the Most of Mid-Life and Beyond with Iris Krasnow Episode 37 Having a Positive Sexual Experience Without Testing Positive Episode 47 Orgasm Equality with Dr. Laurie Mintz 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.  Sign Up to receive  Dr. Streicher’s Free Newsletter:   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

If you have ever wondered what it’s like when a gynecologist mother and a sex therapist daughter hang out – you are about to find out! My guest (and daughter) Rachel Zar LMFT, CST, has a master’s degree in Marriage and Family Therapy and is an AASECT-certified sex therapist. We are going to chat about what happens behind the closed doors of a sex therapist. Rachel and I talk about: The WORST and BEST thing about growing up with a gynecologist mom What kind of education and training someone needs to be a CERTIFIED SEX THERAPIST What does NOT HAPPEN during a sex therapy session Who BENEFITS from seeing a sex therapist What ACTUALLY HAPPENS during sex therapy How a therapist approaches couples with sexual medical problems Therapy for DESIRE DISCREPANCY If FANTASY is a red flag that a relationship is in trouble KINK! What it means to be SEX POSITIVE and why is it important as a therapist   The sex therapy approach to ORGASM issues The advantages of VIRTUAL Therapy as opposed to in-person therapy To find a certified sex therapist: American Association of Sexuality Educators, counselors, and Therapists (AASECT) : https://www.aasect.org/referral-directory More about Rachel Zar LMFT, CST Website https://www.rachelzartherapy.com/ Articles https://www.rachelzartherapy.com/#publications Practice Spark Chicago Therapy  https://www.sparkchicagotherapy.com/ Social Media https://www.instagram.com/rachelzartherapy/ https://www.facebook.com/rachelzartherapy Other Episodes on This Topic Episode 8:When Painful Sex Leads to Problem Relationships  with Dr. Sheryl Kingsberg Episode 16  Minimizing the Monotony of Monogamy with Dr. Alexandra Solomon Episode 20: Is non-monogamy having a moment? With Dr. Wednesday Martin Episode 41 Why Men go Missing in Bed with Dr. Stephen Snyder  Episode 42 Out of Practice Does Not Mean Out of Business Episode 47 Orgasm Equality with Dr. Laurie Mintz 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.  Sign Up to receive  Dr. Streicher’s Free Newsletter:   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

According to The American Institute for Cancer Research, 33% of breast cancer is preventable.  I am joined by Selene Yaeger, a health and fitness journalist and major influencer in the menopause world to discuss TEN ACTION STEPS that women can take to significantly DECREASE their personal risk of risk getting not only breast CANCER, but other cancers as well.  We discuss our top 10 tips to reduce your risk: How and why PHYSICAL ACTIVITY decreases cancer risk The relationship between RED MEAT and cancer New approaches to maintaining a HEALTHY WEIGHT and the impact it can have on cancer risk How to incorporate WHOLE GRAINS, fruits, and vegetables in your diet, and why it matters Why PROCESSED FOOD is the devil SUGARY DRINKS and cancer risk Why cutting down on ALCOHOL may prevent breast cancer The importance of FAMILY HISTORY and getting screened for genetic mutations Why cancer preventing SUPPLEMENTS are not helpful, and may even increase the risk of cancer The stats that support taking ESTROGEN to reduce the risk of breast cancer, and the progestogen connection  Selene Yeager Website: seleneyeager.contently.com https://www.feistymenopause.com/ Facebook: FitChick - Selene Yeager Twitter: @FitChick3 Instagram: @FitChick3 https://podcasts.apple.com/us/podcast/hit-play-not-pause/id1533088916 Hit Play Not Pause, Episode 16- Sex Solutions with Dr. Lauren Streicher.  https://music.amazon.com/podcasts/b22d0214-06da-4105-bdd3-2ba92b821b8c/episodes/1d4bd5bd-184e-42d9-be99-efb4f40887ba/hit-play-not-pause-sex-solutions-with-dr-lauren-streicher-episode-16 Also of Interest: Episode 19: Menopause and Muffin Top: why women put on pounds Episode 28: The BEST approach for BREAST Cancer Screening and Risk Reduction with Dr. Lisa Larkin Episode 30: Weight! Weight! Can a Pill Help Take Off the Pounds? With Dr. Kushner Episode 31 The TRUTH About Hormone Therapy: Does it CAUSE or Does it PREVENT Breast Cancer? 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.  Sign Up to receive  Dr. Streicher’s Free Newsletter:   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

Systemic estrogen, unlike local estrogen, affect every single cell in the body which means there is an impact on not only hot flashes but also your bones, your brain, your bladder, and your cardiovascular system along with your vulva and vagina. While there is a long list of benefits with both oral and transdermal systemic estrogen, the potential complications are where the differences come in. So, the decision to take an oral estrogen versus using a patch, spray, or skin gel is not just about personal preference, insurance coverage, and convenience, it’s also about safety. It’s about potential risks. It’s about your personal medical history. In this episode, Dr. Streicher discusses:  The BENEFITS of oral and transdermal systemic estrogen The DIFFERENCE between oral and transdermal estrogen RISKS that are specific to ORAL estrogen products BENEFITS that are specific to ORAL estrogen products BENEFITS that are specific to TRANSDERMAL estrogen products Why the FDA label lists risks for estrogen products that are NOT TRUE TRANSVAGINAL systemic estrogen PROS and CONS of specific transdermal estrogen products Estrogen PATCHES  Estrogen GELS  Estrogen SPRAY  TOP TEN QUESTIONS my patients ask about transdermal estrogen For more information on this topic:  Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Links to other episodes 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 Does it PREVENT Breast Cancer? Episode 21: Say Yes! to Testosterone for Women Episode 35 Compounding Hormones: The Good, the Bad, and the Ugly  https://apple.co/3TLM8s7 Episode 46 Finding a Menopause Clinician Who Will Listen  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