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

Vaginas are not the only part of the body that change mid-life. With age, muscles start to naturally atrophy- a condition called sarcopenia. Women can lose up to 10% of their muscles mass every decade.  In this episode, my guest is fitness expert Amanda Thebe, who addresses the value and importance of exercise, diet, and lifestyle choices to keep your muscles from getting mushy!  Amanda’s PERSONAL JOURNEY as a fitness expert who struggled when she entered menopause The CHANGES that occur in our muscles after menopause Why PROTEIN is so important when it comes to maintaining muscle mass.  Why it is important to MAINTAIN MUSCLE MASS  How much muscle is lost if you are SEDENTARY.  How you can maintain and even INCREASE MUSCLE MASS after menopause-WITHOUT EXERCISE!  Why STRENGTH TRAINING is so important as opposed to CARDIO How to avoid FAILURE with an exercise routine FUELING your body for exercise How much PROTEIN do you need for muscle health The impact of WEIGHT LOSS DRUGS on muscle mass SUPPLEMENTS that are beneficial The role of HORMONES in terms of muscle mass If TESTOSTERONE should be used routinely  What you hear on Social Media vs what Academic Physicians say And much more… Amanda Thebe is a Fitness and Women’s Health Expert with nearly thirty years of experience in the fitness industry, she is the author of the Amazon best-selling book, Menopocalypse: How I Learned to Thrive During Menopause and How You Can Too! She is the co-founder and Chief Branding and Growth Officer at Nyah Health, a complete healthcare solution for menopausal women in Canada. As Canada’s first menopause workplace educator, Amanda provides on-site or virtual educational presentations in the workplace to improve productivity, retention and attendance for female employees through menopause. Amanda is a popular guest on podcasts, radio, tv and online summits, and her health and fitness tips have been featured in media outlets like Oprah, Shape, Prevention, Health Line, CBC Radio, Global News Canada, The Doctors, and many more. She recently spoke at TEDx with a funny, informative and deeply personal talk entitled, Should Men Talk About Menopause? She lives in Toronto, Ontario. SOCIAL: Instagram | www.instagram.com/amanda.thebe   Facebook | https://www.facebook.com/amandathebex   LinkedIn |  https://www.linkedin.com/in/amanda-thebe/ YouTube | https://www.youtube.com/c/AmandaThebex Podcast | www.amandathebe.com/podcast  BOOK: Menopocalypse: How I Learned to Thrive During Menopause and How You Can Too!  www.amandathebe.com/books - all buying options listed here. TEDx: TEDx Hawkesbury, Should Men Talk About Menopause?  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 health care 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.  Subscribe and Follow Dr. Streicher on  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 also 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 Menopause Masterplan Sessions. Dr. Streicher offers one on one and group informational and educational Menopause Masterplan sessions.  For more information: https://www.drstreicher.com/menopause-master-plan

When there is a lack of lust decades into an otherwise loving marriage or relationship, many, if not most, women assume their indifference to sex is a result of declining hormone levels and that a prescription for estrogen, testosterone or a libido enhancing drug will re-light the flame. A plunge in hormones can be part of the problem, and sometimes a trip to the pharmacy will help, but there are a lot of other reasons that have nothing to do with hormones or menopause that impact on keeping that sexual spark alive.  In this episode, I am joined Dr. Alexandra Solomon, the author of Loving Bravely, Taking Sexy Back, and her latest book, Love Every Day- 365 relational self-awareness practices, to help your relationship heal, grow and thrive.  Is the MONOTONY of monogamy inevitable?  What is “RELATIONAL SELF AWARENESS”? What is UNPACKING and why is it important? Tips to CONFLICT RESOLUTION as opposed to conflict escalation?  What if you are in a good place in terms of love and intimacy, but are worried about losing that connection over time?  Why it is important to understand your PARENTS relationship to have better adult relationships LEAVE the relationship or FIX the relationship?  What if you “love them” but are not “In love with them?”   What do you tell women when it comes to LIBIDO DRUGS to reignite the spark? Why women are often resistant to SEX THERAPY? How past sexual TRAUMA can inform current sexual experiences, and how to reclaim pleasure Dr. Alexandra H. Solomon is internationally recognized as one of today’s most trusted voices in the world of relationships, and her framework for Relational Self-Awareness has reached millions of people around the globe. A couples therapist, speaker, author, and professor, Dr. Alexandra is passionate about translating cutting-edge research and clinical wisdom into practical tools people can use to bring awareness, curiosity, and authenticity to their relationships. She is a clinician educator and a frequent contributor to academic journals, and she translates her academic and therapeutic experience to the public through her popular Instagram page, which has garnered over 220k followers. She is on the faculty in the School of Education and Social Policy at Northwestern University and is a licensed clinical psychologist at The Family Institute at Northwestern University. Her hit podcast, Reimagining Love, reaches tens of thousands of listeners across the globe each week and features deep dives into complex relationship dynamics as well as conversations with high-profile guests from the worlds of therapy, academia, and pop culture.  Dr. Alexandra Solomon https://dralexandrasolomon.com/ Dr. Solomon's Instagram https://www.instagram.com/dr.alexandra.solomon/  Loving Bravely by Dr. Alexandra Solomon https://bookshop.org/books/loving-bravely-twenty-lessons-of-self-discovery-to-help-you-get-the-love-you-want/9781626255814 Taking Sexy Back by Dr. Alexandra Solomon https://bookshop.org/books/taking-sexy-back-how-to-own-your-sexuality-and-create-the-relationships-you-want/9781684033461 Reimagining Love, Dr. Solomon's podcast https://podcasts.apple.com/us/podcast/reimagining-love/id1588419386 Love Every Day https://www.amazon.com/Love-Every-Day-Self-Awareness-Relationship/dp/1683736532 For more information on this topic:  Episode 8: When Painful Sex Leads to Problem Relationships  with Dr. Sheryl Kingsberg Episode 10: Dating After 50- Make it Awesome Not Awful- With Bela Gandhi 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 54 What Happens During Sex Therapy with Rachel Zar  Episode 89  Faking Orgasm with Rachel Zar Episode 115 “Do You Have Good Sex? A visit with Dr. Ruth   Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain 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 health care 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.  Subscribe and Follow Dr. Streicher on  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 also 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 Menopause Masterplan Sessions. Dr. Streicher offers one on one and group informational and educational Menopause Masterplan sessions.  For more information: https://www.drstreicher.com/menopause-master-plan

Women who have a history of a blood clot, or a risk factor that makes them at high risk for developing a blood clot are generally told that hormone therapy is not an option. And then there is that terrifying black box warning on every single estrogen product, including local vaginal estrogens, that states, “Using estrogen alone may increase your chances of getting strokes or blood clots” Except nothing in that statement is true when it comes to transdermal or local vaginal estrogens. So, why is it even there? And what is the risk?  In this episode: Why getting a blood clot (DVT) is a problem Non-hormonal factors that increase the risk of blood clots Hormonal factors that increase the risk of a blood clot The likelihood of getting a blood clot while Taking birth control pills  During pregnancy During post-partum  Taking oral hormone therapy  While taking transdermal estrogen  While using a local vaginal estrogen The difference between HRT, HT, and MHT When a transdermal estrogen rather than an oral estrogen is recommended The problem with class labeling For more information Episode 11: Vaginal Estrogen is Not Poison Episode 46 Finding a Menopause Clinician Who Will Listen  Episode 51- Transdermal versus Oral Estrogen- What's the Difference?  Episode 84 Non-Hormonal Prescription Drugs to Treat Hot Flashes Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat *Scroll down for information on finding a menopause clinician 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.     Subscribe and Follow Dr. Streicher on  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 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 Menopause Masterplan Sessions. Dr. Streicher offers one on one and group informational and educational Menopause Masterplan sessions.  For more information: https://www.drstreicher.com/menopause-master-plan

There continues to be great confusion regarding the impact of hormone therapy on the breast. And despite the known benefits of hormone therapy, and reassuring data regarding the impact of hormone therapy on breast cancer, most clinicians are still reluctant to prescribe it, and most women are reluctant to take it. Even more so if a woman is high risk for breast cancer or has a breast cancer diagnosis.  In this episode, I am joined by Dr. Corinne Menn, a board-certified Ob GYN and menopause expert who herself had a breast cancer diagnosis when she was in her 20s. We will be reviewing the latest research on the impact of estrogen on the breast in several different scenarios.  PREGNANCY post breast cancer Women who have a BREAST CANCER diagnosis  Women with a FAMILY HISTORY of breast cancer Women with a BRCA MUTATION after prophylactic ovary removal The approach to therapy for women with a NEW BREAST CANCER DIAGNOSIS The use of local vaginal estrogen in women with a breast cancer diagnosis that are taking TAMOXIFEN or using an AROMOTASE INHIBITOR If a LOCAL VAGINAL ESTROGEN needs to  be used at the lowest dose What to do if your DOCTOR NOT WILLING to prescribe local or systemic estrogen (list of articles to share is below)  If a woman with a breast cancer diagnosis can use TESTOSTERONE for libido and other possible benefits Dr. Corrine Menn https://drmenn.com/ @drmennobgyn For more information: Episode 124 All Hormones Are Not Created Equal with Dr. James Simon Episode 65- The Dilemma of Menopause and Breast Cancer Episode 31 The TRUTH About Hormone Therapy: Does it CAUSE or Does it PREVENT Breast Cancer? Episode 28: The BEST approach for BREAST Cancer Screening and Risk Reduction with Dr. Lisa Larkin 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 health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Scientific Articles  Hormone Therapy and Risk of Breast Cancer Bluming AZ, Hodis HN, Langer RD. 'Tis but a scratch: a critical review of the Women's Health Initiative evidence associating menopausal hormone therapy with the risk of breast cancer. Menopause. 2023 Dec 1;30(12):1241-1245.  Bluming AZ. Introduction: Estrogen Reconsidered: Exploring the Evidence for Estrogen's Benefits and Risks. Cancer J. 2022 May-Jun 01;28(3):157-162.  Hodis HN, Sarrel PM. Menopausal hormone therapy and breast cancer: what is the evidence from randomized trials? Climacteric 2018;21:521–8. Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Mar 14.  Chlebowski RT, Aragaki AK, Pan K, Mortimer JE, Johnson KC, Wactawski-Wende J, LeBoff MS, Lavasani S, Lane D, Nelson RA, Manson JE. Randomized trials of estrogen-alone and breast cancer incidence: a meta-analysis. Breast Cancer Res Treat. 2024 Apr 23. doi: 10.1007/s10549-024-07307-9.  Pan K, Lavasani S, Aragaki AK, Chlebowski RT. Estrogen therapy and breast cancer in randomized clinical trials: a narrative review. Menopause. 2022 Sep 1;29(9):1086-1092.  Use of Hormone Therapy in Women with a Breast Cancer Diagnosis Bluming A. Hormone replacement therapy after breast cancer: it is time. Cancer J 2022;28:183–90.  Bluming AZ. Safety of systemic hormone replacement therapy in breast cancer survivors. Breast Cancer Res Treat. 2022 Feb;191(3):685-686. doi: 10.1007/s10549-021-06479-y.  Fahlén M, Fornander T, Johansson H, Johansson U, Rutqvist LE, Wilking N, von Schoultz E. Hormone replacement therapy after breast cancer: 10 year follow up of the Stockholm randomised trial. Eur J Cancer. 2013 Jan;49(1):52-9. Mikkola TS, Savolainen-Peltonen H, Tuomikoski P, Hoti F, Vattulainen P, Gissler M, et al. Reduced risk of breast cancer mortality in women using postmenopausal hormone therapy: a Finnish nationwide comparative study. Menopause 2016;23:1199–203 Hormone Therapy in Women with BRCA Mutation Kotsopoulos J, Gronwald J, Karlan BY, Huzarski T, Tung N, Moller P, Armel S, Lynch HT, Senter L, Eisen A, Singer CF, Foulkes WD, Jacobson MR, Sun P, Lubinski J, Narod SA; Hereditary Breast Cancer Clinical Study Group. Hormone Replacement Therapy After Oophorectomy and Breast Cancer Risk Among BRCA1 Mutation Carriers. JAMA Oncol. 2018 Aug 1;4(8):1059-1065.. 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 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

Men have always had the obvious advantage of inspecting their genitalia with essentially no effort on their part. For women, it’s a little more challenging. Combine that with the recommendation that there is no need for women to have a gynecologic exam as they get older, most doctors are also not looking. Today I am joined by Dr.Jill Krapf, a gynecologist whose area of expertise is …the vulva. We will be discussing one of the most maddening, frustrating symptoms in all of gynecology- THE ITCHY VULVA , but just as important, why even if your vulva isn’t itching, why it still needs some attention.     In this episode  Why it is important to have a VULVAR EXAM Why VULVAR CANCER numbers are increasing HOW to inspect your vulva  What products can IRRITATE the vulva and should be avoided  When URINE is the culprit  The difference between a VULVAR YEAST infection and a vaginal yeast infection  How to get rid of CHRONIC YEAST  Vulvar itching from LOW ESTROGEN  How to know if you have a dermatologic condition such as LICHEN SCLEROSUS  How to get the best results from your lichen sclerosus treatment  If your vulvar itching could be CANCER  Why even if your vulva is not itchy, it still needs to get checked regularly                                                         Jill Krapf MD                                         www.jillkrapfmd.com                                              Dr. Krapf Instagram                              https://www.instagram.com/jillkrapfmd/     Dr. Krapf’s Lichen Sclerosus Webinar on YouTube  https://www.youtube.com/watch?v=vltY9mr8E68     To find a vulvar specialist:  Lichen Sclerosus Support Network: https://www.lssupport.net/     The International Society for the Study of Sexual Medicine:   https://www.issm        For More info on this topic:    Episode 93 What’s Up Down There  Episode 131Why You Need to Keep Seeing a Gyne with Dr. Shieva Ghofrany Episode 60  Lack of Lubrication Not Always From Lack of Estrogen    Episode 4: Is Your Lubricant Helping or Hurting Your Vagina? Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things  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 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 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

More likely than not, if you are over 65, your internist has declared everything between your belly button and your thighs to be the “NO NEED” zone. “NO NEED”  for a pap, “NO NEED”  need for a speculum, “NO NEED”  to remove your underpants, and definitely “NO NEED”  to see a gynecologist unless you have a specific problem. But in today’s episode, I am joined by Dr. Shieva Ghofrany to explain the flaw in this reasoning and why “no complaint” is not the same as “No problem”. We discuss specific issues that are addressed post menopause:  Pap tests and other screening tests The reason for a gynecologic exam in non-Pap years The problem with your internist doing your Pap test Other reasons the annual exam is important  Conditions with no symptoms STI screening Sexual Health Menopause issues Hysterectomy Insurance issues Shieva Ghofrany MD Instagram -@drshievag Website: Tribecalledv.com For more information: Episode 62 Are Current Screening Guidelines Helping Women or Hurting Women? With Dr. Melissa Simon  Episode 102 An Insider approach to Ovarian Cancer with Dr. Shieva Ghofrany Episode 130- Are You Ever Done with Menopause?  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 health care 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 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 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

… and how to increase longevity with and without hormone therapy The idea that menopause only lasts for a few years is a common misconception. You may have even been told by a  medical professional that when you no longer have hot flashes, you are done with menopause!   But menopause means you’re no longer producing estrogen. There are hormone receptors throughout the body and there are lifelong consequences of being without estrogen even if perimenopausal symptoms are in the rear-view mirror. In this episode:  Why not every woman has long-term health issues post menopause The long-term impact of menopause (not aging) on Bone health Joints and muscles Frailty Cardiovascular System Diabetes Brain Function Vulva and  Vagina Sexual Function Urinary Tract How to increase your longevity without hormones Nine Secrets of the Blue Zones where women live to 100 (without taking estrogen)  If you can take hormone therapy for life For further information on this topic:  The Menopause Brain by Lisa Mosconi Netflix: Live to 100: Secrets of the Blue Zones https://www.netflix.com/title/81214929 Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders  Episode 59 - Boning Up on Bones: Part 1 with Dr. Kristi Tough DeSapri (Risk Factors for osteoporosis, and Screening) Episode 123 Hormone Therapy After Age 60 with Dr. James Simon Episode125 Musculoskeletal Syndrome of Menopause with Dr. Vonda Wright 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 health care 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 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 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

When I first learned about PCOS during my training, I was told that once a woman with PCOS hit menopause, irregular periods, excess hair growth dealing with fertility problems and other manifestations of PCOS were in the rear-view mirror. And that’s true, but we now know that women who had PCOS during the reproductive years, are not entirely off the hook down the road and that PCOS early in life is associated with several health issues later in life.  Today I am having a conversation with reproductive endocrinologist Dr. Alison Rogers, about the impact of PCOS later in life.  The history of PCOS, AKA Stein Levinthal Syndrome What Polycystic Ovarian Syndrome is Health concerns of young women with PCOS If there is a genetic predisposition to PCOS Why women with PCOS are at increased risk for cardiovascular disease What happens to women with PCOS when they go through menopause Post menopause risks in women with a history of PCOS If women with PCOS can safely use hormone therapy Wrap Up!                                                   Allison Rogers MD                             https://www.fcionline.com/doctors/allison-rodgers/                                    Social Media: @dr.allison.rodgers For more information on this topic:  Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 57 Uterine Cancer: Reducing Your Risk 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 health care 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 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 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

While not everyone is necessarily good about regular physical activity, no one questions that it’s good for you. Cardiovascular health, weight management, cognitive function, mood, better sleep and even reducing the risk of many kinds of cancer are all established benefits to moving as opposed to sitting on your butt all day. But, when it comes to the impact of exercise when it comes to reducing hot flashes, the jury is still out.  Dr. Maria Sophocles is the Medical Director of Women’s Healthcare of Princeton. She is a certified menopause practitioner and has a particular interest in non-hormonal approaches to help with menopause symptoms.  In this episode, we discussed a study that was recently published in the Journal Menopause titled “The influence of habitual physical activity and sedentary behavior on objective and subjective hot flashes at midlife”  Link to article: Witkowski, Sarah PhD1; White, Quinn BA1; Shreyer, Sofiya MA2; Brown, Daniel E. PhD3; Sievert, Lynnette Leidy PhD2. The influence of habitual physical activity and sedentary behavior on objective and subjective hot flashes at midlife. Menopause Chat about South by Southwest Panel Dr. Sophocles Ted Talk What research shows as far as exercise and hot flashes The Menopause Society’s statement on exercise and yoga  How hot flashes are measured in studies Perceived hot flashes versus actual hot flashes Findings of this study  Dr. Sophocles research with EmberWave™                                                   Maria Sophocles MD                                                  mariasophoclesmd.com                                                    @mariasophoclesmd                                  Ted Talk- https://go.ted.com/rpUSM For more information on this topic:  Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 53 Not All Hot Flashes  Mean Menopause  Episode 82 Journal Club with Mary Jane Minkin Episode 87 Will THAT Really Help Your Hot Flashes? Lifestyle and other Interventions Episode 95 Non-hormonal options to treat VMS- Herbs Spices &Wishful Thinking  Laurie Mintz Sheryl Kingsberg Amanda Thebe Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat 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 health care 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 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 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

The only thing more miserable than a urinary tract infection (UTI) is when it happens again, and again, and again. But, good news, there are ways to prevent post menopause RECURRENT URINARY TRACT INFECTIONS.  But sometimes urinary urgency, burning and that “gotta go” feeling is NOT FROM an INFECTION, and need a completely different kind of treatment.  You need to know the difference.  In this episode, Dr. Streicher covers: WHY post menopause women have so many UTIs The typical symptoms of a UTI  What BLOOD in the urine means Why symptoms that MIMIC a UTI but are not caused by an infection  Why it is important to get a URINE CULTURE An  HOME TEST to get a rapid urine culture and antibiotic sensitivity Strategies that DO WORK to PREVENT recurrent urinary tract infections How a LOCAL VAGINAL ESTROGEN can reduce or eliminate both recurrent infections and bothersome bladder symptoms that are not from an infection.  Non antibiotic options, such as TK that will reduce recurrence.  Strategies that DO NOT WORK to PREVENT recurrent urinary tract infections The new vaccine that might keep UTIs away for almost a decade For more information on MY UTI- Rapid at home testing delivered to your doorstep Website: www.myuti.com  Facebook: @myutiwebsite Instagram @_myuti_ For more detailed information on the genitourinary syndrome of menopause, treatment options, and the impact on bladder function:  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders  Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things  Episode 11: Vaginal Estrogen is Not Poison Episode 63 DHEA-An Estrogen Alternative for Vaginal Dryness  Episode 74 Ospemifene- A Pill a Day to Keep Dryness Away  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 health care 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 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 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