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

Managing menopause in the face of cancer can be complicated. Many women are made to think that they should just be grateful to be alive and not complain about their all day all night hot flashes, brain fog and sex that is excruciatingly painful. Many oncologists are not experts when it comes to menopause or sexual function and don’t bring it up or give information that isn’t accurate. Many women aren’t aware that hormone therapy may be safe, and if it’s not, that there are non-hormonal options to solve virtually every problem.  In this Q and A episode I am joined by Dr. Mindy Goldman, the Director of the Gynecology Center for Cancer Survivors and At-Risk Women at UCSF and the Chief Clinical Officer at Midi Health.  • Options to treat vaginal dryness when taking an aromatase inhibitor • Options to prevent bone loss if estrogen is not an option • Using testosterone to help libido with a breast cancer diagnosis • If it is OK to take hormone therapy with an ER negative breast cancer • If it is OK to take hormone therapy with a recent or remote diagnosis of an ER positive breast cancer • Hormone therapy with endometrial (uterine cancer) • Hormone therapy post lung cancer • If estrogen will decrease the risk of colon cancer if there is a genetic pre-disposition such as Lynch syndrome • If someone is at risk of breast cancer, are some forms of hormone therapy better to use than others  • Why you are asked about estrogen use when you have a mammogram • Is it safe to use hormone therapy with a BRCA mutation • Should a hysterectomy be performed along with ovary removal with ovary and tube removal • If radiation from a mammogram increasesthe risk of getting breast cancer?  • If it is safe to use hormone therapy with dense breasts • And much more…                                                         Mindy Goldman MD                                                               JoinMidi.com Dr. Goldman is the Chief Clincial Officer at Midi Health and a Clinical Professor Emeritus in the department of OB/GYN at UCSF, where she is also the Director of the Gynecology Center for Cancer Survivors and At-Risk Women. She has worked with both the American College of Ob/Gyn (ACOG) and the National Comprehensive Cancer Network (NCCN) and is a nationally recognized expert in the management of women’s health issues, including menopause, for women with cancer or at high risk.                                                       Other Episodes of Interest Episode 92 Estrogen Cancer Conundrums? Episode 114- Is Duovee the Ideal Hormone Therapy? Episode 124 All Hormones Are Not Created Equal with Dr. James Simon Episode 133 Best Breast Advice When it Comes to Hormone Therapy with Dr. Corinne Menn 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 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 @DrStreicher • YouTube @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 not intended to replace medical advice and should be used to supplement, not replace, care by 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.

                                                                   Episode149                                             The Menopause Society Meeting                                                       Insights from an Insider Once a year, the Menopause Society holds an annual meeting where thousands of experts gather to present their research and learn from each other. In this episode, I will discuss some of the most interesting research presented at the meeting…and explain why I didn’t attend the meeting.  ·      VOICE as a Predictor of HEALTH ·      The impact of TESTOSTERONE on the VOICE ·      How to find out if you have a GENETIC MUTATION        ·      How ARTIFICIAL INTELLIGENCE is being used to read MAMMOGRAMS ·      How a MAMMOGRAM can predict HEART DISEASE ·      How WORK can make your MENOPAUSE SYMPTOMS worse ·      Delaying OVARIAN AGING ·      The impact of HOT FLASHES on the BRAIN ·      A new approach to detecting ALZHEIMER’S DISEASE early ·      HYPNOSIS to help HOT FLASHES ·      How non-hormonal HOT FLASH DRUGS can help you SLEEP ·      Continuing HORMONE THERAPY past AGE 65 ·      HORMONE THERAPY and DIABETES ·      PLATELET RICH PLASMA INJECTIONS to treat VAGINAL DRYNESS ·      GLP-1 INHIBITORS to combat MENOPAUSE WEIGHT ·      The Best Way to Treat PERIMENOPAUSAL BLEEDING For more information on these topics:  Episode 23:  Welcome to Peri-menopause Episode 85 Estrogen and Alzheimer’s Disease Episode 94 Menopause and Voice  Episode 123 Hormone Therapy After Age 60         Sign up to receive DR. STREICHER’S FREE NEWSLETTER   Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by 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.     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 Menopause Society.            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 Facebook  @DrStreicher YouTube  DrStreicherTV LinkedIn @DrStreicher    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 Episode 46 Finding a Menopause Clinician Who Will Listen Midi Health  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 may also be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who are interested in 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      

You know what a Hack is…something that solves a problem, simplifies a task or reduces frustration.  Who doesn’t love a good hack? This episode is loaded with  GYNECOLOGIC HACKS ...your gyne never told you. Useful tips, tricks and solutions for frustrating gyne problems. Alternative uses for products that are intended to be used on your vulva or in your vagina.   And if this does well, I’ve got plenty more.  ·      How to Easily Remove Your Estring™ Hack ·      Hands-Free Vulvar View Hack ·      Expired Birth Control Pill Hack ·      Ditch Your Vaginal Estrogen Applicator Hack ·      Silicone Lubricant Hacks ·      Electric Toothbrush Vibrator Hack ·      How to Use Silicone Lube with Your Silicone Toy  Hack Head on over to Tick Tock, Youtube or Instagram for a video. https://www.youtube.com/c/drstreichertv https://www.instagram.com/drstreich https://www.facebook.com/DrStreicher/ https://www.linkedIn/DrStreicher https://www.tiktok.com/@drstreicher For more information: o   Erosscia Ceola- toothbrush vibrator extension Episode 89  Faking Orgasm with Rachel Zar Episode 96  Is your Lubricant HELPING or HURTING Your Vagina? Episode 144 Estrogen and Skin? The Facts!   Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by 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.   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 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.                                               Menopause Masterplan   Dr. Streicher offers one-on-one and group informational and educational Menopause Masterplan sessions. For more information: https://www.drstreicher.com/menopause-master-plan DrStreicher.com   Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV LinkedIn @DrStreicher    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   Episode 46 Finding a Menopause Clinician Who Will Listen Midi Health  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      

There is a long history of women not only not knowing nothing about sexual pleasure but being made to feel as if there is something dangerous and wrong with them if they seek it. My guest for this episode is Dr. Laurie Mintz a professor, a therapist, and the author of “Becoming Cliterate: Why Orgasm Equality Matters- and how to get it”, the groundbreaking book that changed not only how millions of women, and men, think about female sexual pleasure, but how women can OWN sexual pleasure. Why, HISTORICALLY, women have not been educated about the clitoris and its role in female pleasure and orgasm Why Dr. Mintz wrote Becoming Cliterate: Why Orgasm Equality Matters Why women often feel SHAME about the appearance of their genitalia Why women still believe that orgasm will occur during intercourse The anthropological explanation for why the clitoris is (biologically) is OUTSIDE the vagina  What is meant by “ORGASM EQUALITY” The POLITICS of orgasm Why it is important to have a SEX SCRIPT Why PORN is problematic MASTURBATION education Why a vibrator is a TOOL, not a TOY What a VIBRATOR and a RAFT have in common MEN and Vibrators The problem with SEX EDUCATION in America Why MINDFULNESS is so important when it comes to sexual pleasure LABIAL diversity The purpose of PUBIC HAIR Laurie Mintz, Ph.D. Emeritus Professor, Department of Psychology, University of Florida Becoming Cliterate: Why Orgasm Equality Matters A Tired Woman’s Guide to Passionate Sex www.drlauriemintz.com  Dr. Mintz’s Tedx Talk: A New Revolution for Orgasm Equality Twitter, Facebook, Instagram @DrLaurieMintz LINKS OMG YES: The Science of Women’s Pleasure The Labia Library Gyno Diversity FOR MORE INFORMATION  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Episode 15: Post Menopause Orgasm- Everybody Come! Episode 29: Has Your Hysterectomy Hijacked Your Sex Life?  Episode 21: Say Yes! to Testosterone for Women

Put a group of menopause experts in a room, and there are certain things everyone will agree on. But there are other topics, that do not result in universal agreement. And, usually, when that happens, it’s the battle of the academic purists vs …everyone else. And in the menopause world right now, there is  no more controversial topic than the use of testosterone as part of the standard hormone therapy cocktail.   So today, Dr. Kelly Casperson, the host of the You Are Not Broken podcast, and I will discuss WHY there is controversy and where that leaves us in advising women on what is in their best interest. Put two opinionated podcasters in the same room…well, all I can say is, strap in.  Kelly Casperson MD https://kellycaspersonmd.com/ You Are NOT Broken: Stop “Shoulding” All Over Your Sex Life You Are Not Broken Podcast ·      Why testosterone is not FDA-approved for women ·      The difference between hormone therapy and hormone replacement ·      Who would most benefit from testosterone therapy ·      Why “off label” does not mean “off limits” ·      Proven benefits of testosterone  ·      Potential benefits of testosterone ·      What is known about the safety of testosterone in women ·      What we have learned from transgender men ·      Appropriate labs to get before initiating testosterone therapy ·      What to do if SHBG is elevated ·      The Problem with Pellets ·      Why it’s important to give women choices ·      If testosterone should ever be applied to the clitoris   Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by 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.   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 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.                                               Menopause Masterplan   Dr. Streicher offers one-on-one and group informational and educational Menopause Masterplan sessions. For more information: https://www.drstreicher.com/menopause-master-plan DrStreicher.com   Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV LinkedIn @DrStreicher    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 Episode 46 Finding a Menopause Clinician Who Will Listen Midi Health  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      

Something happens to skin after your 40th birthday, and that something isn’t good. So is it just a coincidence that wrinkles and sags show up at the same time your periods disappear, or is it just one of those mid-life things? The answer is both.  Post menopause skin without estrogen is dryer, thinner, blotchier, hairier, and wrinklier.  So, is TOPICAL ESTROGEN the answer? And is it safe?  The specific impact of loss of estrogen on skin  Why bone loss impacts the way your face looks Why you get increased facial hair post menopause When estrogen was in over-the-counter facial creams.  Why the FDA stopped allowing the sale of over-the-counter estrogen  Studies that demonstrate that topical facial estrogen cream is safe and effective How systemic estrogen benefits skin Options to get facial estrogen cream How to use it Strategies to remove facial hair For more information: Episode 117 Top Tips for Terrific Skin & Hair with Dr. Ellen Gendler Episode 139 Hair Today -Gone Tomorrow- Part 1  Episode 141 Hair Today -Gone Tomorrow-Part 2 Rzepecki A, et al.  Estrogen-deficient skin: The role of topical therapy International Journal of Women's Dermatology 2019 https://pubmed.ncbi.nlm.nih.gov/30997378/  Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by 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.   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 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.                                               Menopause Masterplan Dr. Streicher offers one-on-one and group informational and educational Menopause Masterplan sessions. For more information: https://www.drstreicher.com/menopause-master-plan DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV LinkedIn @DrStreicher    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 Episode 46 Finding a Menopause Clinician Who Will Listen Midi Health  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  

In a world where women are barraged with information when it comes to how best to manage menopause, it can be overwhelming and confusing. Between having their symptoms dismissed by their regular physician, and then being overwhelmed with information on social media, it’s hard to know what’s fact and hype.  And what do you do when the doctor you trust, tells you that the social media expert you also trust is wrong? In this episode, I chat with Tamsen Fadal, a menopause advocate who has made it her mission to help perimenopausal and menopausal women navigate through the information and disinformation to get the correct information when it comes to maximizing their health. Tamsen’s own experience when she entered menopause Why Tamsen switched careers to become a menopause advocate How do you know an expert is really an expert? The best way to find a menopause expert The impact of telehealth on finding a menopause expert What to do if your own doctor is not a menopause expert Why women put relatability over expertise Hot to figure out if a social media expert is an expert What to do when a social media expert disagrees with your own doctor Do healthcare clinicians need to act professionally in their private lives?  What I think when it comes to being strictly evidence-based                                                   Tamsen Fadal                                  https://www.tamsenfadal.com/                                    Social Media-@tamsenfadal For more information on this topic:  Episode 10: Dating After 50- Make it Awesome Not Awful- With Bela Gandhi Episode 46 Finding a Menopause Clinician Who Will Listen  Episode 124 All Hormones Are Not Created Equal with Dr. James Simon 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.  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 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

It can be terrifying to have bleeding when you are post-menopause. It’s not just about making the midnight run for tampons, it’s that stomach-dropping fear that “blood equals cancer” that causes women to spend hours consulting Dr. Google for some reassurance. But, although most women imagine the worst, in most cases, postmenopausal spotting or bleeding is not, is not, an indication of anything serious. How to know WHERE the blood is coming from The 3 causes of Post Menopause VAGINAL WALL BLEEDING What causes Post Menopause CERVICAL BLEEDING Causes of UTERINE BLEEDING post menopause Uterine POLYPS Uterine FIBROIDS  Uterine ATROPHY Post menopause “PERIODS”  Endometrial HYPERPLASIA Uterine CANCER and Pre-cancer The role of ULTRASOUND and saline ultrasound The Why and What to expect of endometrial BIOPSIES When and why a D and C /HYSTEROSCOPY is needed      Link to  newsletter on hormone disrupters:  https://mailchi.mp/drstreicher.com/august-2024-inside-information-newsletter-17984227 For more information on this topic:  The Essential Guide to Hysterectomy Episode 1: Is It Menopause or Some Other Pause? Episode 23: Welcome to Peri-menopause Episode 57 Uterine Cancer: Reducing Your Risk Episode 92 Estrogen Cancer Conundrums? Ep 99 When Bleeding During Perimenopause is the Problem                         Sign up to receive DR. STREICHER’S FREE NEWSLETTER   Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by 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.   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 Menopause Society.                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.                                               Menopause Masterplan Dr. Streicher offers one-on-one and group informational and educational Menopause Masterplan sessions. For more information: https://www.drstreicher.com/menopause-master-plan DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV LinkedIn @DrStreicher    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 Episode 46 Finding a Menopause Clinician Who Will Listen Midi Health  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  

In Part 1 on Mid-Life Hair Loss,  I covered hair care strategies, vitamins, and supplements. And pretty much every section ended with the equivalent of “Don’t waste your money.” This episode has useful advice to get those follicles to kick in and significantly increase the hair on your head.  TOPICAL minoxidil  ORAL minoxidil FINASTERIDE Dutasteride Platelet-rich plasma  (PRP Injections)  Low Light LASER HORMONE THERAPY Testosterone Estrogen Also of interest:  Episode 139  Hair When Your Hair Today is Gone Tomorrow Episode 117 Top Tips for Terrific Skin & Hair with Dr. Ellen Gendler Episode 122  Navigating Menopause Celebrity Style- Here We Go Again!  Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by 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. 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 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.                                              Menopause Masterplan Dr. Streicher offers one-on-one and group informational and educational Menopause Masterplan sessions. For more information: https://www.drstreicher.com/menopause-master-plan DrStreicher.com Instagram @DrStreich Facebook  @DrStreicher YouTube  DrStreicherTV LinkedIn @DrStreicher   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 Episode 46 Finding a Menopause Clinician Who Will Listen Midi Health  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 clinician. 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

The market for adult diapers in the US is almost as large as the market for baby diapers. Part of this trend is because birth rates have slowed and longevity continues to lengthen. Still, the other reason why almost 50% of adults experience some form of urinary incontinence is due to an increase in risk factors. Today, with my guest, urologist Dr. Rachel Rubin, I am taking on the taboo topic of urinary incontinence- why it happens and how to make it go away. This episode originally aired during Season 1 We discuss: The difference between urge, stress, and mixed incontinence Risk factors for developing stress incontinence Ways to manage incontinence. Diapers and pads  Urine absorbent underwear  Pessaries and other vaginal support devices The impact of local vaginal estrogen on incontinence The impact of systemic estrogen on stress incontinence Why it is important to have an exam when treated for incontinence Strategies to treat a dysfunctional pelvic floor Pelvic floor physical therapy  Kegel exercises- and why they rarely work Over-the-counter devices Why medications for overactive bladder do not work to treat stress incontinence Urethral bulking agents as an option When surgery is appropriate If a hysterectomy increases the risk of incontinence If Botox in the bladder will help How to find an expert in incontinence RachelrubinMD.com Twitter: @DrRachelRubin Insta: @DrRachelRubin                                             Other Episodes of Interest Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things  Episode 6: Your Post Menopause Urethra and Why You Should  Care- with Dr. Kelly   Casperson Episode 15 Need to Know Info About the Penis in Your Bed with Dr. Rachel Rubin Episode 38 Pelvic Organs Dropping? How to STOP the POP! Episode 39 A Personal Trainer for Your Pelvic Floor with Dr. Janelle Howell                                    To find a pelvic floor physical therapist https://pelvicrehab.com/ https://specialization.apta.org/find-a-specialist                                  To find a specialist in urogynecology American Urogynecologic Society (AUGS.org) Society of Urodynamics, female pelvic surgery and urogenital reconstruction -sufuorg.com Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by 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. 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 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.  Menopause Masterplan Sessions. Dr. Streicher offers one one-on-one and group informational and educational Menopause Masterplan sessions. For more information: https://www.drstreicher.com/menopause-master-plan ·      DrStreicher.com ·      Instagram @DrStreich ·      Facebook  @DrStreicher ·      YouTube  DrStreicherTV ·      LinkedIn @DrStreicher 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 Come Again! A Guide to Midlife Libido and Orgasm  (available for pre-order)                                       To Find a Menopause Clinician  Episode 46 Finding a Menopause Clinician Who Will Listen Midi Health  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 that 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     ·