209. “The Cervix is Dumb” and I Disagree – April Live
You Are Not Broken30 Huhti 2023

209. “The Cervix is Dumb” and I Disagree – April Live

“The Cervix is Dumb” and I Disagree – April Live

Giovannetti O, Tomalty D, Gilmore S, Pattison A, Komisaruk B, Goldstein S, Hannan J, Goldstein I, Pukall C, Adams MA. The contribution of the cervix to sexual response: an online survey study. J Sex Med. 2023 Jan 14;20(1):49-56. doi: 10.1093/jsxmed/qdac010

Cochrane review on Cranberry for UTI

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001321.pub6/full

Kisspeptin is a protein that is essential for reproductive hormone secretion and fertility

Male kisspeptin study https://pubmed.ncbi.nlm.nih.gov/36735255/

Sexual Tipping Point

https://www.researchgate.net/publication/24001856_The_Sexual_Tipping_PointR_A_MindBody_Model_for_Sexual_Medicine

Oral versus Vaginal DHEA

Vaginal DHEA is awesome – it is a prescription

DHEA oral is a supplement – over the counter

- DHEA oral safety - lack of efficacy good enough reason to not take it?

Dehydroepiandrosterone replacement in women with adrenal insufficiency N Engl J Med 1999 Sep 30;341(14):1013-20. doi: 10.1056/NEJM199909303411401. 50mg oral for 4 months – decreased HDL and total Cholesterol Conclusions: Dehydroepiandrosterone improves well-being and sexuality in women with adrenal insufficiency.

Double-blind treatment of major depression with dehydroepiandrosterone Am J Psychiatry 1999 Apr;156(4):646-9. doi: 10.1176/ajp.156.4.646.

Conclusions: These results suggest that DHEA treatment may have significant antidepressant effects in some patients with major depression. Further, larger-scale trials are warranted.

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Jaksot(390)

390. Vulvar Dermatology, Red Angry Vulvas, and Why Exams Matter

390. Vulvar Dermatology, Red Angry Vulvas, and Why Exams Matter

In this episode, I sit down with Dr. Melissa Mauskar, a vulvar dermatologist at UT Southwestern, for a wide-ranging conversation about vulvar skin conditions, common misdiagnoses, and why so many pati...

27 Syys 47min

389. Vaginal Estrogen and DHEA: What Works, Who It Helps, and Why the Myths Need to Die

389. Vaginal Estrogen and DHEA: What Works, Who It Helps, and Why the Myths Need to Die

In this episode, I walk through the basics of vaginal estrogen and vaginal DHEA for genitourinary syndrome of menopause, recurrent UTIs, painful sex, urinary urgency, and vulvar tissue changes. I also...

20 Syys 1h

388. Sexuality is How You Exist in the World - with Dr. Lexx

388. Sexuality is How You Exist in the World - with Dr. Lexx

In this episode, I talk with Dr. Lexx about how to have honest conversations about sex with kids, why sexual shame still shapes adult relationships, and how to think more clearly about desire, consent...

13 Syys 37min

387. Beyond the Prescription with Dr. McBride

387. Beyond the Prescription with Dr. McBride

In this episode 387, I sit down with Dr. Lucy McBride to talk about the widening gap between the traditional medical system and the wellness industry, and how patients can find solid ground in between...

6 Syys 56min

386. Nuances and Myths of Menopause with Dr. Shepherd

386. Nuances and Myths of Menopause with Dr. Shepherd

The longer we treat menopause as something to survive quietly instead of understanding fully, the more women get left without real answers.Dr. Shepherd is an OB-GYN, and we use menopause as the entry ...

30 Elo 48min

385. 500k on IG Celebration - Ask Me Anything

385. 500k on IG Celebration - Ask Me Anything

Half a million of you on Instagram. I still can't quite get over that number.To celebrate, this episode is all you — an open Ask Me Anything where I answer the questions you've actually been sending m...

23 Elo 50min

384. The Myth of Aging with Dr. Gilberg

384. The Myth of Aging with Dr. Gilberg

Age is just a number. We say it all the time. Do we actually believe it?This week I sit down with Dr. Arnold Gilberg, MD, PhD — a psychiatrist with over 60 years of clinical experience and author of T...

16 Elo 44min

383. Burning Up, Frozen Out — Men, Menopause, and the Midlife Marriage

383. Burning Up, Frozen Out — Men, Menopause, and the Midlife Marriage

Menopause conversations center on women. For good reason.But what about the guy standing next to her?Joe Warner and Rob Kemp wrote Burning Up, Frozen Out — the first real guide to perimenopause writte...

9 Elo 58min

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