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

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

Every available type of hormone therapy will effectively eliminate hot flashes and other menopause symptoms.   However, all hormone therapy is not the same.  Individual formulations impact bone health, breast health, and cardiovascular health differently.   In episode 123, Dr. James Simon and I discussed starting hormone therapy after the age of 60. In this episode, we discuss the nuances between different hormones and their impact on breast cancer and bone health.  Why it is important to individualize hormone therapy Why there is the perception that estrogen causes breast cancer There is a difference between causing breast cancer and making breast cancer grow The differences between conjugated equine estrogen (Provera) and a plant-derived bioidentical beta-estradiol in terms of breast cancer impact The differences between the different estrogens and progestogens as far as bone health Transdermal vs oral estrogen Dr. Simon’s Article : Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Mar 14.  Ms Magazine article with Lancet Rebuttal https://msmagazine.com/2024/04/15/menopause-treatment-the-lancet/ List of doctors who signed rebuttal                                                 James A. Simon, MD                                      Clinical Professor George Washington University                                                  www.IntimMedicine.com The Menopause Society Find a menopause practitioner page  Midi Health https://www.joinmidi.com/ For more information on this topic:  Episode 51- Transdermal versus Oral Estrogen- What's the Difference?  Episode 67- How Long Can you Safely Take Hormone Therapy? Episode 114- Is Duovee the Ideal Hormone Therapy?  Episode 123 Is Starting Hormone Therapy After Age 60 an Option?  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 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 it has been established that the most optimal time to start hormone therapy is within ten years of the menopause transition or before age 60, one of the most common questions that pops up is, “Is it safe to start hormone therapy after age 60?” In this episode I have a conversation with Dr. James Simon to determine WHO is a candidate for a “late start” and HOW to evaluate if it is safe.   I also included (at the end!) breaking news on a new study that gives reassuring data about continuing hormone therapy well  the age of 60. How it was determined that the optimal time to start hormone therapy is in perimenopause or early post menopause The risks of starting hormone therapy after age 60 How to determine individual risks Tests to evaluate the cardiovascular system Why timing of Hormone Therapy impacts Alzheimer’s disease and cognitive function James A. Simon, MD Clinical Professor George Washington University      www.IntimMedicine.com For more information on this topic:  Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 51- Transdermal versus Oral Estrogen- What's the Difference?  Episode 116- Update! Your Heart on Hormones with Dr. Marla Mendelson  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 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

In 2009 I was invited to appear on The Oprah Winfrey Show as a menopause expert to counter the other menopause “expert”, actress turned author Suzanne Somers.   “Dr” Somers is not the only celebrity to help women navigate menopause.  Today, Gwyneth Paltrow, Selma Hayek, Naomi Watts, and others are also doling out advice, and in some cases selling products, to manage menopause symptoms. And now, Drew Barrymore has joined the ever-growing list of actresses who have jumped on the menopause money making bandwagon. But far more women are taking their advice than the advice of medical professionals.  In this episode, I’m going to tell you why otherwise smart informed women continue to preferentially turn to celebrities and social media for help from everything from hot flashes to vaginal dryness.  Drew Barrymore’s new miracle menopause pills My experience on The Oprah Winfrey Show The problem with most celebrity and social media menopause advice The good thing about celebrities talking about menopause Why hormone balancing is not a real thing The truth about “anti-aging” hormone experts Why most doctors know nothing about menopause. Related Episodes: Episode 35 Compounding Hormones: The Good, the Bad, and the Ugly  Episode 66 Don’t Be Duped-Misleading marketing and the FDA 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

                                Don't Mess with These Menopause Experts! When The Lancet, one of the oldest, most respected medical journals, published a series of articles saying that “menopause had been over-medicalized”, that many symptoms were “just in her head” and that overall, women should navigate menopause “without the need for medical treatments” a group of furious menopause experts went ballistic.  In this episode, Dr. Mary Claire Haver and I tell you why there was such a huge backlash from hundreds of menopause experts, and how we took action.  Dr. Haver and I address 4 specific statements from the Lancet article:  “Most women navigate menopause without the need for medical treatments.” “During the menopausal transition, women should “challenge self-critical beliefs, which can…make [hot] flushes worse.” “Based on scarce data, we found no compelling evidence that risk of anxiety, bipolar disorder, or psychosis is universally elevated over the menopause transition.”  “Over-medicalization of menopause can lead to disempowerment and over-treatment.”   Dr. Streicher’s New Book Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order)                                                Mary Claire Haver, MD  Website:www.thepauselife.com TikTok - @drmaryclaire Instagram - drmaryclaire and the.galveston.diet Facebook - The Galveston Diet Mary Claire Haver, MD YouTube - Mary Claire Haver, MD LinkedIn - The 'Pause Life with Dr. Mary Claire Haver Link to Pre-Order The New Menopause: https://thepauselife.com/pages/the-new-menopause-book  For more information from Dr. Streicher on this topic Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 46 Finding a Menopause Clinician Who Will Listen  Episode 78 Is Menopause Making You Moody?   Episode 87 Will THAT Really Help Your Hot Flashes? Lifestyle and other Interventions  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 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 Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order)   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 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.

Dr. Kathleen Jordon and I sat down to discuss the two most commonly prescribed GLP- 1 Inhibitors:  Semaglutide (Ozempic™) and Terzepatide (Mounjaro™)  What are GLP1 Inhibitors? How GLP-1 Inhibitors  Who is a GOOD CANDIDATE to take a GLP-1 Inhibitor Who is NOT a GOOD CANDIDATE based on medical conditions Other HEALTH BENEFITS from taking a GLP1 Inhibitor besides weight loss The COST of the drugs?  INSURANCE coverage? When it is OK to get a GLP 1 inhibitor from a COMPOUNDING pharmacy What are the problems with some compounding pharmacy How well these drugs work Potential side effects What happens with the medicine is stopped The best approach to maintaining a healthy weight once the DRUG is STOPPED What is on the horizon as far as new GLP1 drugs If it is possible to be obese and healthy The differences between the different GLP-1 drugs If any doctor can prescribe these drugs Dr. Kathleen Jordan, Midi’s Chief Medical Officer, is a board certified  internist who spent decades working within the traditional healthcare system before branching out into digital health, leveraging innovative technology to care for patients in a more human way. In addition to treating women with obesity, Dr. Jordon is an expert  in the management of  menopause in women who are complex due to medical problems,  menopause problems.   To learn more about Midi  Health and Dr. Jordon : JoinMidi.com 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

It was news to me that estrogen levels can impact on the likelihood of reflux, your gut microbiome, and even the frequency and consistency of your poop. It’s complicated, and I had a hard time interpreting the data, so I invited gastroenterologist Dr. Michael Ruchim to help me out.  In this episode: How and why GERD is impacted by menopause  If  Hormone Therapy Make GERD worse or better? The impact of hormones on the gut microbiome How frequency of bowel movements correlates with menopause symptoms If an alteration in diet will change the microbiome and influence hot flashes If an alteration in the gut microbiome can impact other serious medical conditions  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 Put the O Back in Mojo: A Guide to Post Menopause Libido and Orgasm (available for pre-order) 

In this episode I am talking to a dermatologist that has over 100 thousand followers on Instagram. And with good reason. She is funny, she tells it like it is, she is a rock star in the world of dermatology and is my go-to when it comes to mid-life skin care, fillers, Botox, not to mention how to have more hair on your head and less hair on your face. Dr. Ellen Gendler is a Clinical Associate Professor of Dermatology at NYU Langone Medical Center, where she was a co-director of the Contact Dermatitis Division for many years. Dr. Gendler is also a fellow of The American Academy of Dermatology and a former trustee of The Dermatology Foundation. She is the author of numerous scientific publications.  We cover :  Sunscreen (Anthelios UVMune400) Facial estrogen Skin products that contain DNA Saggy skin under the eyes and on the neck Changes in facial bone structure Upper lip line strategies Strategies for hair loss Getting rid of facial hair (Dermaflash™)  Tattoo make-up The magic of retinoid                                                      Ellen Gendler MD                                  https://gendlerdermatology.com/                         All of the specific products Dr. Gendler mentioned                                   can be found on her Instagram Page                                         Instagram @ellengendlermd For Information about Midi  Health: JoinMidi.com For Information on Midi Estriol Plus Face Cream: https://www.joinmidi.com/store/estriol-face-cream For More Information on This Topic Episode 7: Hair Today, Gone Tomorrow-Menopause & Hair  Loss Episode 11: Vaginal Estrogen is Not Poison Episode 13: Post Menopause Skin- What! Why? And How to  Make it Better 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 Put the O Back in Mojo: A Guide to Post Menopause Libido and Orgasm (available for pre-order)