Episodes
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We’ve talked many times about how women’s sexual health has been ignored, underfunded, and dismissed—but what’s actually changing? At this year’s ISSWSH conference, the latest research is pushing the field forward in ways we’ve never seen before.
If you’ve been following this show, you already know that women’s sexual health has been historically neglected in research and medicine. We’ve talked about the lack of funding, the outdated medical perspectives, and the frustrating gaps in knowledge. But this year’s ISSWSH conference gave us something new—real momentum, new studies, and potential breakthroughs that could finally shift the conversation from what’s missing to what’s next.
From redefining orgasm disorders to new treatments for sexual pain, the field of sexual medicine is evolving. Testosterone in women’s health is still a hot debate, but the latest data challenges many of the old assumptions. We’re also seeing new medications in the pipeline, more discussions about the impact of mental health, and growing recognition that sexual health is far more than just a biological issue—it’s psychological, social, and deeply personal.
So where do we go from here? What does the future of sexual medicine look like? And most importantly, how do we make sure these advancements actually reach the people who need them?
Highlights:We already know women’s sexual health is underfunded—so what’s actually changing?New research from ISSWSH on orgasm disorders, painful sex, and hormone therapy.Why testosterone remains controversial for women—and what the latest data says.The growing role of mental health in understanding sexual dysfunction.What’s next: new treatments in the pipeline and the fight for better access.The conversation is shifting, but there’s still work to do. Subscribe, rate, and leave a review on Apple Podcast to help bring more attention to these critical issues.
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What if midlife wasn’t the beginning of the end, but the start of something bigger? Marcella Hill thought she had it all figured out—until she lost herself completely.
Midlife has a way of forcing women to wake up. For Marcella Hill, it came in waves—divorce, reinvention, success, then the sudden and unexplained loss of energy, libido, and joy. She was doing everything “right,” yet her body was shutting down.
After years of being dismissed by doctors, she took matters into her own hands. From finding the right hormones to breaking free from deeply ingrained sexual shame, Marcella shares how she not only reclaimed her body but also her power.
Her journey didn’t stop with her own awakening. One viral TikTok turned into a movement, leading thousands of women to the resources they desperately needed. Now, she’s on a mission to make sure no woman has to suffer in silence again.
In this episode, Marcella and I get real about everything—hormones, libido, the lies we’ve been told about aging, and how women can rewrite their midlife stories on their own terms.
Episode Highlights:The moment Marcella realized her body was shutting down—and why doctors ignored itHow testosterone completely transformed her energy, mood, and sex driveBreaking free from religious and cultural shame around pleasure and desireWhy women over 40 are feeling invisible—and how to change thatThe rise of midlife awakenings and how Marcella is helping women take controlIf this episode resonated with you, don’t forget to subscribe, like, and comment! And view the show on Apple Podcasts.
Let’s keep the conversation going—share your thoughts and tag a friend who needs to hear this.
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Why is half the world’s population walking around with an ignored, misunderstood body part? If the clitoris and penis are made of the same tissue, why is one thoroughly studied and the other barely mentioned in medical training?
The clitoris is more than just a pleasure center—yet most doctors barely acknowledge it, let alone know how to examine it properly. Dr. Rachel Rubin joins me to expose the medical blind spots surrounding clitoral health, including the shocking lack of education on clitoral adhesions and why so many women suffer in silence.
We also dive into the impact of testosterone in women’s health, how outdated medical biases are keeping life-changing treatments out of reach, and why the FDA’s warning labels on vaginal estrogen are doing more harm than good.
Dr. Rachel Rubin shares her groundbreaking research on sexual medicine, why simple procedures like clitoral lysis can be life-changing, and how she’s fighting to get doctors to start asking the right questions about sexual function.
This episode is packed with critical insights on women’s health, pleasure, and the science that’s been overlooked for far too long.
Episode Highlights:Why the clitoris and penis are made of the same tissue—but only one gets studiedThe hidden problem of clitoral adhesions and how they impact sensationHow testosterone plays a crucial role in women’s health (and why most doctors ignore it)The truth about vaginal estrogen, the FDA’s misleading warning, and the fight to fix itThe urgent need for better education on sexual health in medical schoolsIf you found this episode eye-opening, don’t forget to subscribe, like, and comment! Share your thoughts and help us spread the conversation about women’s sexual health.
Dr. Rubin’s Bio
Dr. Rachel S. Rubin is a board certified urologist with fellowship training in sexual medicine. She is an assistant clinical professor in urology at Georgetown University and owns her own practice in Washington DC. Dr. Rubin provides comprehensive care to all genders. She treats issues such as pelvic pain, menopause, erectile dysfunction, and low libido. Dr. Rubin is the former education chair and current Director-at-Large for the International Society for the Study of Women’s Sexual Health (ISSWSH), and she serves as associate editor for the Journal of Sexual Medicine Review and the Video Journal of Sexual Medicine. Her work has been featured in the NYT, NPR and PBS. She was named a Washingtonian Top Doctor in 2019-2024.
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Hair loss isn’t just about vanity—it’s about confidence, identity, and health. Yet, despite being a billion-dollar industry, so much misinformation surrounds it. Why do so many treatments fail? Why do some dermatologists avoid it? And most importantly, what actually works?
Hair loss is often dismissed as a cosmetic issue, but for millions of people, it’s deeply personal and frustrating to treat. In this episode, this week I talk with Dr. Omer Ibrahim, a leading dermatologist, to break down the real science behind hair loss and hair thinning, especially in women. From postpartum shedding to perimenopausal hair loss and PCOS-related thinning, we explore the complex factors that influence hair health and why most treatments aren’t a one-size-fits-all solution.
Dr. Ibrahim shares why many dermatologists don’t prioritize hair loss treatment, the role of stress and nutritional deficiencies, and why early intervention is key. We also dive into cutting-edge treatments—from oral minoxidil and exosomes to laser therapy and PRP injections—and whether hair transplants are actually worth it.
If you’ve ever felt dismissed or confused about your hair loss, this episode is packed with expert insights that will help you advocate for the right care.
Episode Highlights:
Why hair loss isn’t taken seriously in dermatologyThe biggest myths about hair thinning (and what actually works)How postpartum, perimenopause, and PCOS impact hair healthThe latest treatments, from oral minoxidil to exosomesWhy early intervention is crucial (and when to seek help)Enjoyed this episode? Don’t forget to subscribe, like, and leave a comment! Your support helps us continue bringing expert insights to the conversation.
Dr. Ibrahim’s bio:
Omer Ibrahim, MD FAAD is a board-certified, fellowship trained dermatologist and co-director of research at Chicago Cosmetic Surgery and Dermatology. He completed his residency at Cleveland Clinic, followed by an ASDS-accredited fellowship in cosmetic, laser and dermatologic surgery at SkinCare Physicians in Boston. Dr. Ibrahim serves as adjunct faculty at Cleveland Clinic and Rush University where he teaches residents the fundamentals of cosmetic and surgical dermatology.
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Sexual health is often misunderstood and neglected in medical training. What happens when a passionate student decides to challenge the system and ignite change?
The medical field often hesitates to tackle less-explored topics, but Dr. Jen Romanello is breaking new ground as a young advocate for advancing sexual medicine.As a medical student, Jen identified a glaring gap in education on female sexual health and decided to act. She founded the Medical Student Forum on Female Sexual Medicine, an initiative that has expanded to impact students across the U.S. and beyond.
In this episode, we delve into Jen’s journey from medical student to resident, exploring her mission to tackle the stigma surrounding sexual health in medical education. From collaborating with leading experts like Dr. Rachel Rubin and Dr. Andrew Goldstein to hosting groundbreaking symposiums, Jen has made waves in an underserved area of healthcare.
We also explore the challenges of navigating medical systems that often overlook sexual medicine and how Jen’s leadership is paving the way for students, clinicians, and patients alike. Whether it’s addressing medical trauma or fostering a deeper understanding of patient care, Jen’s work highlights the importance of multidisciplinary collaboration and a patient-first approach.
Her insights go beyond the clinic, offering practical advice for medical students, residents, and professionals interested in bridging gaps in education and care.
Join us for an inspiring conversation that showcases how one person’s determination can spark systemic change and improve countless lives.
Don’t miss this eye-opening episode. If you enjoyed the conversation, please subscribe, leave a review, and share it with your network to spread awareness about the importance of sexual medicine. Your feedback helps us continue these critical discussions!
Dr. Romanello’s Bio:
Jen Romanello MD is an intern physician in internal medicine at NYU and attended medical school at Rush Medical College in Chicago. She is President of the Medical Student Forum on Female Sexual Medicine (The Forum), which she founded in 2020. The Forum is an independent trainee-led organization that has facilitated over 1000 trainees to connect to educational, writing, research, conference, and mentorship opportunities in the field of Female Sexual Medicine (FSM).
Her professional interests include sexual medicine and menopause, reproductive mental health, neuroplastic pain, metabolism and nutrition, and lifestyle medicine. Her clinical research and publications have focused on topics including clitoral adhesions,chronic pelvic pain, and medical education.
She is a member of the International Society for the Study of Women's Sexual Health, the Menopause Society, and the Association for the Treatment of Neuroplastic Symptoms. She loves speaking with medical students who are deciding which specialty to pursue about how there are many great ways to approach this field.
Don’t miss this eye-opening episode. If you enjoyed the conversation, please subscribe, leave a review, and share it with your network to spread awareness about the importance of sexual medicine. Your feedback helps us continue these critical discussions!
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What happens when two menopause experts swap their own stories of brain fog, joint pain, and midlife panic attacks? Spoiler: It’s raw, relatable, and eye-opening.
This episode is like no other. I sit down with my colleague and friend, Dr. Heidi Flagg, for one of the most open and candid conversations I’ve had on the podcast. We don’t just talk about the science of menopause—we share our own symptoms, challenges, and the surprising ways hormones have shaped our journeys.
Dr. Flagg and I explore the lesser-discussed symptoms of menopause, including brain fog, joint pain, and more. I share my own experience with a midlife panic attack and how it opened my eyes to the complexities of this transition. Together, we debunk myths about hormone therapy, dive into the vital connection between estrogen and brain health, and highlight the transformative power of lifestyle changes like weight training and improving sleep. This episode is all about addressing the symptoms no one talks about and empowering you with the knowledge to thrive.
If you’ve ever felt like you’re the only one struggling with menopause symptoms, this episode will show you that even the experts have been there—and we’re here to help. With humor, honesty, and a ton of actionable insights, we explore how to navigate midlife with confidence.
Episode Highlights:
Dr. Flagg and I get real about our own menopause strugglesThe truth about hormone therapy and why it’s not a “one-size-fits-all” solutionHow brain fog and panic attacks are linked to hormonal changesPractical tips for improving cognitive and physical health in midlifeThe power of social connection and breaking the stigma around menopauseEnjoyed this conversation? Don’t keep it to yourself—subscribe, leave a review, and share this episode with someone who needs it. Leave a comment on my Instagram about what you would like to see or what you got out of today’s episode.
Your support helps us reach more listeners!
Dr. Flaggs Bio:
Dr. Heidi Snyder Flagg is a founder and managing partner of Spring ObGyn, a private practice in NYC. Since completing her ObGyn residency at Brown’s Woman & Infant’s Hospital in 1999, Dr. Flagg’s clinical interests have spanned the woman’s reproductive cycle with a current focus, as a certified menopause specialist, on peri menopausal and menopausal issues, challenges and treatments.
Dr. Flagg sits on the Every Mother Counts Founder’s circle as a medical advisor and speaker. She holds positions on the HL Snyder Medical Foundation and The Experimental Science Now boards.
In addition, Dr. Flagg is a medical advisor to Flow Health and Let’s Talk Menopause.
Dr. Flagg lives in New York City with her husband, Chris, and two kids.
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What if the secret to weight loss success lies not just in the medication but in how it transforms your brain? Dr. Alexandra Sowa shares groundbreaking insights into GLP-1 medications and their profound impact on both the body and mind.
In this episode, I talk with Dr. Alexandra Sowa, a leader in obesity medicine and the author of The Ozempic Revolution, to uncover the truths and misconceptions about GLP-1 medications. Drawing on her decade-long journey in treating patients, Dr. Sowa shares how a holistic approach—rooted in education, behavioral shifts, and a deep understanding of the brain-body connection—can lead to sustainable health transformations.
We delve into the transformative impact of GLP-1 medications, not as a magic bullet but as a critical tool within a comprehensive, intentional strategy for achieving long-term health. Dr. Sowa explains the science behind these treatments and how they work to regulate cravings, metabolic function, and even brain pathways linked to food and addiction. She also addresses common misconceptions, including the much-discussed “Ozempic face,” and reveals why slow and steady weight loss is key to preserving muscle and overall well-being.
Beyond the individual level, Dr. Sowa highlights the broader societal implications of these medications, including their role in reducing stigma around obesity and pushing for more accessible, equitable healthcare solutions. Her expertise sheds light on how addressing the cognitive and emotional barriers to weight loss can create lasting, meaningful change—not just for individuals but for the healthcare industry as a whole.
If you’ve ever wondered how medications like GLP-1s can be part of a holistic health journey or how they are reshaping the landscape of weight loss and healthcare, this episode is packed with insights and strategies you won’t want to miss.
Highlights:
The science of GLP-1 medications and their role in holistic weight loss strategiesHow behavioral and cognitive factors impact weight management successDispelling myths about “Ozempic face” and muscle lossThe societal impact of GLP-1s on obesity stigma and healthcare reformKey lessons from The Ozempic Revolution to empower patients and practitioners alikeGet in Touch with Dr. Sowa:
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What’s the silent threat that could derail your independence in midlife? We’re breaking down why bone health is key to your long-term well-being.
In this episode, I’m joined by Jen Lanoff, a nurse practitioner with a passion for women’s health, to explore the critical connection between menopause and bone health. We uncover the rapid decline in bone density during menopause, why early screening with DEXA scans is crucial, and how hormone therapy can make all the difference.
Jen shares her journey from public defender to nurse practitioner and explains why she’s on a mission to empower women with actionable steps to protect their health and quality of life. We also dive into the nuances of osteoporosis treatments, from the benefits of anti-resorptives and anabolics to practical lifestyle modifications.
If you’ve ever wondered how to interpret a DEXA scan, what medications are truly effective, or why bone health impacts everything from mobility to longevity, this conversation is packed with evidence-based insights. Jen’s relatable approach and dedication to patient care make this episode both educational and empowering.
Whether you’re entering menopause, supporting someone in midlife, or just want to better understand your body, you won’t want to miss this deep dive into maintaining health and independence.
HighlightsHow menopause accelerates bone density lossThe essential role of estrogen in preventing osteoporosisWhy early DEXA scans can be life-changingBusting myths about osteoporosis prevention and treatmentProactive steps to maintain health and independenceSubscribe, like, and comment to join the conversation about thriving in midlife. Let’s prioritize your health together!
Jennifers Bio:
Jennifer Lanoff, WHNP-BC, MSCP, JD, is a board-certified Women’s Health and Gender-Related Nurse Practitioner. She currently has a GYN-only practice at Reiter, Hill and Johnson, an Advantia Practice, and sees patients in their Washington, DC, Chevy Chase, MD, and Falls Church, VA offices, where she focuses on menopause, osteoporosis, complex sexual health disorders, pelvic floor dysfunction, incontinence, hypoactive sexual desire disorder, persistent genital arousal disorder, and other vulvovaginal disorders such as vulvodynia, lichen sclerosus, and genitourinary symptoms of menopause (GSM) in addition to well-woman exams and related care.
Jennifer has a passion for gynecological health and well-being at all stages of life. She is a Menopause Society (formerly NAMS) Certified Provider and currently serves as the Chair of the Menopause Society Education Committee, in addition to being on the Trustee Nominating Committee and a peer reviewer for the Menopause Journal. She also serves on Ms. Medicine’s Physician Executive Group, The Body Agency’s Medical Expert Board, and on the National Menopause Foundation’s (NMF) Medical Advisory Committee (MAC). She is a member of The Menopause Society, The International Menopause Society, the International Society for the Study of Women’s Sexual Health (ISSWSH), the International Society for the Study of Vulvovaginal Disease (ISSVD), the Bone Health and Osteoporosis Foundation, the American Urogynecology Society, the American College of Obstetrics and Gynecology (ACOG), and the Society for Family Planning (SFP).
Jennifer completed her undergraduate studies at Stanford University, receiving her MSN at Johns Hopkins School of Nursing, and her Women’s Health Nurse Practitioner degree from Georgetown School of Nursing. Prior to entering the medical field, Jennifer earned a law degree from the University of Michigan Law School and was a trial and appellate attorney for over 20 years at the Public Defender Service...
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Did you know that intrusive thoughts and anxiety could amplify physical pain and discomfort? Let me share how obsessive-compulsive disorder intertwines with one of the most distressing sexual health conditions.
Persistent genital arousal disorder (PGAD) is one of the most misunderstood and challenging conditions I treat. But what happens when the brain is part of the problem? In this episode, I dive into the intriguing and often overlooked connection between obsessive-compulsive disorder (OCD) and PGAD.
From brain hiccups to catastrophic thoughts, I unpack how mental health can fuel this condition and why understanding the mind-body relationship is key to effective treatment. I’ll share my experiences treating patients and offer practical insights on how addressing mental health, pelvic floor therapy, and tailored interventions can provide relief. Whether you’re a patient or a clinician, this episode sheds light on why treating “region five” is just as critical as addressing physical symptoms.
Highlights:My five-region approach to treating PGAD.How OCD symptoms worsen PGAD and affect intimacy.Why exposure response therapy is vital for tackling intrusive thoughts.The role of pelvic floor therapy and medication in managing symptoms.Resources I recommend for finding help and support.If you found this episode helpful, don’t forget to subscribe, leave a review, and share it with someone who might benefit. Follow me on YouTube at Gyno Girl TV and Instagram @GynoGirl for more expert content!
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Life is fleeting, and the lessons it teaches us often come from the most unexpected places. Join me as I reflect on the challenges, triumphs, and goals that have shaped me—and why making an impact matters.
As the year turns, I’m taking a moment to reflect on 2024—the challenges, the growth, and the goals I’ve set for the year ahead. In this deeply personal episode, I’m sharing my journey through loss, the lessons my patients have taught me, and the reasons I continue to fight for better healthcare.
Losing my mother this year was a defining moment for me. Grief has a way of reshaping your perspective, forcing you to pause and reevaluate what really matters. While the pain is still raw, it has also deepened my commitment to my work and my mission: to educate so you can advocate for yourself.
I’ll also take you back to my early days as a burnt-out OB-GYN, navigating the challenges of starting my private practice and finding my calling in sexual medicine and menopause care. These experiences shaped who I am today and taught me the value of persistence, curiosity, and building a strong community.
This episode isn’t just about looking back; it’s about looking forward. I’ll share how I’m planning to make an impact in 2025, both in my personal life and in my practice. If you’ve ever felt stuck, lost, or unsure of your next step, I hope my story reminds you that even in the hardest moments, there’s a path to growth and purpose.
Let’s walk into 2025 together—stronger, more focused, and ready to make a difference.
Highlights:How losing my mother reshaped my perspective and deepened my purpose.Why I left OB-GYN to build a private practice focused on sexual medicine and menopause care.The patients and mentors who inspired my passion for advocacy and education.My reflections on grief, resilience, and building a legacy.How I’m setting my goals for 2025 and why I believe in starting the year with intention.If this episode resonated with you, please subscribe, like, and share it with someone who might benefit from hearing it. Leave a comment about your favorite moment or what inspired you most. Let’s make 2025 a year of growth, connection, and impact together.
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What if the key to fixing your sexual health wasn’t just about you, but your partner too? Discover why treating sexual dysfunction is a team effort—and how we’ve been getting it wrong.
When it comes to sexual health, the focus is often one-sided. But the reality is that sexual dysfunction is rarely an individual issue—it’s a couple’s disease.I talk with Dr. Mohit Khera, renowned urologist and past president of SMSNA, to unpack the disparities in sexual health treatment for men and women and why it’s time to rethink our approach.
Dr. Khera shares personal insights from his career, revealing how focusing on one partner’s libido or function can create unexpected challenges in a relationship. We explore the hidden world of male sexual dysfunction, from erectile dysfunction to Peyronie’s disease, and uncover why women’s sexual health still lags behind in research, funding, and treatment options.
We also tackle the controversial topic of testosterone—its impact on men and women, the myths around its use, and why it’s still inaccessible for women despite clear benefits. Dr. Khera offers actionable advice on lifestyle changes, sleep, and stress management that can dramatically improve sexual function for both partners.
This isn’t just about medicine—it’s about partnership, communication, and the power of addressing sexual health as a team. Join us for a candid discussion that might change the way you think about intimacy, health, and what it means to truly support your partner.
Highlights:Why sexual dysfunction is a “couple’s disease” and how treating one partner impacts the other.The silent epidemic of Peyronie’s disease and its profound emotional toll.The overlooked benefits of testosterone for women and why FDA-approved options remain elusive.How lifestyle changes like the Mediterranean diet, exercise, and sleep can reverse sexual dysfunction.The importance of destigmatizing sexual health concerns and advocating for the right care.If this episode resonated with you, don’t keep it to yourself! Like, subscribe, and leave a comment to help us continue these essential conversations. Share this episode with someone who needs to hear it.
Dr. Khera’s Bio:
Dr. Khera earned his undergraduate degree at Vanderbilt University. He subsequently earned his Masters Degree in Business Administration and his Masters Degree in Public Health from Boston University. He received his Medical Degree from The University of Texas Medical School at San Antonio and completed his Urology residency training in the Scott Department of Urology at Baylor College of Medicine. At Baylor, he completed a one-year general surgery internship and then went on to complete a five-year residency program in Urology. After completing his Urology residency, he went on to complete a one-year fellowship in Male Reproductive Medicine and Surgery at Baylor. Currently, he is a Professor in the Scott Department of Urology at Baylor College of Medicine, and he holds the F. Brantley Scott Chair in Urology. Dr. Khera specializes in male and female sexual dysfunction, Men’s Health, and hormone replacement therapy. Dr. Khera also serves as the Director of the Laboratory for Andrology Research, the Medical Director of the Baylor Executive Health Program, and the Medical Director of the Scott Department of Urology. He also serves as President of the Sexual Medicine Society of North America.
Dr. Khera has dedicated his clinical and research efforts to three main areas: Men’s Health, sexual medicine, and hormone replacement therapy. Soon after completing my fellowship, he started the Laboratory for Andrology Research. His laboratory focuses on basic science research, and he has had the opportunity to train many residents and research fellows over the past 12 years. In addition to his basic science research, he has...
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Why are women in midlife left struggling while the healthcare system profits? Let me share my perspective on the frustrations, failures, and how we can fight for better care.
Healthcare in the United States is failing millions of people, but women in midlife are hit the hardest. From denied treatments to dismissive attitudes, the system often prioritizes profits over patients. Women dealing with chronic pain, sexual health issues, and menopause-related symptoms are left with little to no support, and I see this every day in my practice.
In this episode, I dive into the layers of frustration felt by both patients and clinicians. I talk about the systemic issues—like insurance companies denying essential care and the burnout faced by healthcare providers—that make navigating the system a nightmare. Using my own experiences as a menopause and sexual medicine specialist, I explore why midlife women are particularly underserved and what that means for their health.
I also discuss alternative care models, like concierge medicine, and how they might help women who feel lost in the system. My goal is to show you how to advocate for your health, find a trusted provider, and break through the barriers keeping you from the care you deserve.
This isn’t just about highlighting the problems—it’s about empowering you to take control of your healthcare journey. With compassion and actionable advice, I hope to leave you feeling inspired to advocate for yourself and demand better.
Highlights:Why midlife women and those with sexual health issues are the most neglected by the healthcare system.The shocking challenges clinicians face when working with insurance companies.How chronic pain and untreated menopause symptoms are connected to mental health struggles.The rise of concierge medicine as a more personalized care option.Practical tips on advocating for yourself in a system that often fails to prioritize women.If this episode resonated with you, please subscribe, like, and leave a comment. Share this conversation to help more women understand how to navigate their health journey.
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Have you ever noticed symptoms like anxiety, memory loss, or fatigue creeping up out of nowhere? With Dr. Aoife O’Sullivan, I’m diving into how perimenopause can take women by surprise and why so many doctors miss the hormonal connection.
Menopause isn’t just a transition—it’s a puzzle that too many clinicians fail to solve. In this episode, Aoife and I go beyond the usual conversations about menopause being dismissed and misunderstood. Together, we uncover the deeper issues behind why symptoms like anxiety, memory loss, and mood shifts are often overlooked—even by experienced doctors.
Aoife opens up about her personal struggles with misdiagnosis, sharing how she questioned her own mental health before discovering the role of hormones in her symptoms. What makes this episode different? We tackle hormonal health, mental health, and the gaps in education that leave both patients and clinicians struggling to connect the dots.
This isn’t just about the challenges—it’s about solutions. Aoife’s experience shows that with better training, advocacy, and small changes in care, we can transform lives. We also discuss the systemic changes needed to ensure midlife women are supported, not sidelined.
If you’ve listened before, this episode will add depth and new insights to the conversation. It’s a call to action for women and clinicians alike: let’s stop dismissing midlife symptoms and start treating them with the attention they deserve.
Highlights:Aoife’s personal struggle with misdiagnosis and suicidal thoughts in midlife.The impact of perimenopause on mental health, memory, and executive function.How the healthcare system fails women by misunderstanding menopause.The importance of hormone therapy trials and finding the right provider.Steps women can take to advocate for themselves and their healthcare needs.Dr. O'Sullivan’s Bio:
Dr. Aoife O’Sullivan is a board-certified family physician with training in Ireland and the U.S., specializing in women’s midlife care. Her curiosity about the unique health challenges women face during perimenopause and menopause led her to extensive training with experts like Dr. Heather Hirsch and Dr. Louise Newson. A Menopause Society Certified Practitioner, she is passionate about education and regularly lectures to clinicians and the community on menopause care. Currently, she sees patients through The Heather Hirsch Collaborative, providing expert telemedicine care for midlife women.
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What if trauma from your past is impacting your health today—and no one’s talking about it? Join me and Dr. Heather Quaile as we talk about the essential truths about trauma-informed care and midlife health.
Heather, a seasoned nurse practitioner and sexual medicine expert, shares her journey from traditional healthcare to creating a compassionate, patient-centered approach that addresses the real-life challenges women face, especially in midlife.
We dive into how trauma—whether it’s from childhood, medical experiences, or societal pressures—can manifest in symptoms like severe menopause and chronic pain. Heather breaks down the "big T" and "little t" traumas and explains how acknowledging these experiences can transform patient care. We also discuss the power of the ACE score (Adverse Childhood Experiences) and how it should be a part of every clinician's toolkit.
Heather shares her experience working with trafficking survivors, addressing not just the immediate medical needs but the long-term emotional recovery these patients require. Her work highlights the importance of creating safe, empowering healthcare environments that consider the whole patient—mind, body, and history.
We also discuss why finding the right provider for midlife care is crucial and how to identify clinicians who prioritize evidence-based, patient-centered treatment. From understanding the principles of trauma-informed care to advocating for your health, this episode is packed with practical advice and deep insights.
Join us for an enlightening conversation that challenges the status quo and reminds us all of the importance of compassionate, informed care.
Highlights:The connection between trauma and worsening menopause symptoms.What trauma-informed care means and why it’s vital in healthcare settings.How ACE scores help identify patients at higher risk for chronic health conditions.Heather’s work with trafficking survivors and lessons for all healthcare providers.Tips for finding the right provider for midlife and sexual health.Heather’s Bio:
Heather’s Bio:
Dr. Heather Quaile, (she/her) is a renowned clinical and academic leader and
entrepreneur. A double board certified, women’s and gender health nurse practitioner
and advanced forensic nurse specializing in human trafficking and female sexual health.
She is a thought leader and creator of the Just Ask podcast. Dr. Quaile is also trained
and certified as a Menopause Society Certified Practitioner, AASECT sex counselor and
sexual assault nurse examiner providing sexual health education, trauma-informed
care, and information to patients of all ages. She created and implemented a medical
program for emergency stabilization for commercial sexual exploitation of youth in
Georgia. Dr. Quaile has been working in all aspects of women’s healthcare for over 23
years caring for women of all ages across the health-illness continuum and recognized
the lack of sexual health awareness not just in her community but in its providers. She
founded, developed, and implemented her private practice The Sexual Health
Optimization and Wellness (SHOW) Center. Her goal is to help guide patients through
their healthcare journey and provide a range of services that address the
biopsychosocial aspects of health, wellness, optimization, and sexuality. She is
passionate about changing the systems and beliefs that have stigmatized women’s
health and female sexuality through a non-judgmental, empathic approach grounded in
evidence-based research. She is a Fellow of the International Society for the Study of
Women’s Sexual Health (ISSWSH) and Fellow of the American Academy of Nurse
Practitioners. She is the chair of the ISSWSH scientific committee and past...
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How can vibrators play a role in healing and self-discovery? In this episode, I sit down with Lara Pack to explore her transformative journey from personal pain to becoming an advocate for women’s health. Lara’s story began with her struggles with vaginismus and sexual pain, which inspired her to create vibrators designed not only for pleasure but for healing and empowerment.
Lara shares how her experience with endometriosis and the lack of adequate support from healthcare providers drove her to develop her company, Elixir Play. With a focus on ethical, body-positive products, Lara is challenging societal taboos and creating tools that help women reclaim their sexual health. Her products are more than just devices—they’re part of a larger mission to bridge the gap between medical advocacy and personal empowerment.
In this candid conversation, we discuss why vibrators deserve a place in medical settings, their benefits for pelvic floor therapy and sexual pain, and the ways they can aid in rehabilitation. Lara also opens up about balancing her advocacy work with her role as a mother and her vision for creating a more inclusive dialogue around women’s sexual health.
This episode is a powerful reminder of the importance of education, innovation, and breaking down stigmas. Lara’s commitment to advocacy and her drive to empower women will leave you inspired and ready to take charge of your own health journey.
Episode Highlights:
Lara’s journey through vaginismus and how it shaped her mission in sexual health advocacy.The untapped potential of vibrators in promoting healing and pelvic floor health.Overcoming stigma and breaking taboos in conversations around sexual wellness.The challenges Lara faced in developing ethical and inclusive pleasure products.Why advocating for women’s health starts with education and open communication.If you enjoyed this conversation, don't forget to like, comment, and subscribe to the podcast. Share this episode with anyone who could benefit from Lara’s inspiring story and insights. Let’s keep the conversation going and help create a more supportive, informed dialogue around women’s health. Follow us on your favorite podcast platform and leave a review to support the show!
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Did you know that many menopause myths could be impacting your health choices? Dr. Heather Hirsch joins us to clear the confusion and empower women with the facts.
Menopause is often clouded by myths and misinformation, leaving many women confused about their health options. In this episode, Dr. Sameena Rahman invites Dr. Heather Hirsch, a dedicated expert in women's health, to share her journey into menopause care and the profound insights she's gained over the past decade.
From the misconceptions surrounding HRT (Hormone Replacement Therapy) to the nuanced challenges of treating perimenopause, Dr. Hirsch discusses her unique "hormone stacking" approach and how it aids in managing side effects effectively.
This conversation goes beyond surface-level explanations, diving into the realities of balancing treatment, understanding progesterone sensitivities, and how personalized care makes a difference in women's experiences. Listen in for a blend of clinical expertise and relatable advice that champions informed choices and women's health advocacy.
HighlightsDr. Hirsch’s Journey: From OBGYN to menopause specialist—how her path shaped her passion for women’s health.Hormone Stacking Insight: Why introducing hormones one at a time can be transformative for treatment.Perimenopause Realities: Breaking down misconceptions and exploring why tailored care is essential.Progesterone Sensitivities: Understanding the third-rule approach to help patients navigate side effects.Brain Health & HRT: The untold story of how hormone therapy impacts cognitive function and mental health.Enjoyed this discussion? Don't forget to subscribe, like, and leave a comment. Your engagement helps us bring you more expert conversations. What other guest would you like to see on the podcast. Send me a DM on Instagram and let me know!
Dr. Hirsch’s Bio :
HEATHER HIRSCH, M.D., MS, NCMP, is the founder of the Menopause & Midlife Clinic at Brigham and Women’s Hospital and a former Harvard Medical School faculty member. Board certified in Internal Medicine, she completed advanced fellowship training in Women’s Health at the Cleveland Clinic. Her practice specializes in menopausal hormone therapy, perimenopause, breast cancer survivorship, sexual dysfunction, and bone health. Dr. Hirsch is an active member of the North American Menopause Society and the International Society for the Study of Women’s Sexual Health and serves on the medical advisory board of Midi Health. She now sees patients via her private telemedicine practice.
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Trigger Warning: This episode discusses sensitive topics related to cultural practices, sexual health, and trauma that may be triggering for some listeners.
In many cultures, deep-seated traditions shape women's lives in unexpected and profound ways. This episode delves into the intricate world of women's health, sexuality, and the rites of passage that are still practiced today, shedding light on the complex balance between cultural pride and personal empowerment.
This conversation takes you into the lesser-known rituals and beliefs surrounding women's sexual health in North African cultures. Dr. Rahman is joined by Dr. Ons Kaabia, who shares fascinating insights into traditional rites of passage, one practice with roots far beyond modern religion. They discuss the role of matriarchs in maintaining these practices, the dichotomy between preserving cultural heritage and promoting individual empowerment, and the complex experiences of women navigating sexual health in the context of deep cultural expectations. Through empathy and evidence-based knowledge, this episode fosters understanding and builds awareness around sensitive topics often hidden from mainstream discussions.
HighlightsThe role of the matriarch in traditional protective rituals and their impact on young girls.The significance of rituals in preserving family and cultural honor.The challenges women face when navigating modern health practices alongside deep-rooted cultural beliefs.How comprehensive, culturally aware sexual health education can empower future generations.The complex emotions and societal pressures surrounding these traditions.If you found this episode insightful, please like, subscribe, and share it with others. Your comments and thoughts are always welcome—let’s continue this important conversation!
In many cultures, deep-seated traditions shape women's lives in unexpected and profound ways. This episode delves into the intricate world of women's health, sexuality, and the rites of passage that are still practiced today, shedding light on the complex balance between cultural pride and personal empowerment.
This conversation takes you into the lesser-known rituals and beliefs surrounding women's sexual health in North African cultures. Dr. Rahman is joined by Dr. Ons Kaabia, who shares fascinating insights into traditional rites of passage, one practice with roots far beyond modern religion. They discuss the role of matriarchs in maintaining these practices, the dichotomy between preserving cultural heritage and promoting individual empowerment, and the complex experiences of women navigating sexual health in the context of deep cultural expectations. Through empathy and evidence-based knowledge, this episode fosters understanding and builds awareness around sensitive topics often hidden from mainstream discussions.
HighlightsThe role of the matriarch in traditional protective rituals and their impact on young girls.The significance of rituals in preserving family and cultural honor.The challenges women face when navigating modern health practices alongside deep-rooted cultural beliefs.How comprehensive, culturally aware sexual health education can empower future generations.The complex emotions and societal pressures surrounding these traditions.If you found this episode insightful, please like, subscribe, and share it with others. Your comments and thoughts are always welcome—let’s continue this important conversation!
Get in Touch with Dr. Kaabia:
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Did you know that spinal health could hold the key to resolving pelvic pain and certain types of sexual dysfunction? Join me as we delve into groundbreaking insights with Dr. Choll Kim, a leading expert bridging the gap between spine health and sexual wellness.
Dr. Choll Kim, a pioneering spine surgeon whose work is challenging the traditional boundaries of pain management and sexual medicine. Dr. Kim shares his journey from orthopedic surgery to collaborating with specialists in sexual health, uncovering the unexpected links between spinal conditions and pelvic pain disorders like PGAD (Persistent Genital Arousal Disorder).
Together, we discuss how this understanding could reshape treatment options for those who’ve been told their conditions are “all in their heads.” Dr. Kim explains how seemingly routine spinal issues, such as annular tears or Tarlov cysts, may trigger chronic pain that extends beyond the back, affecting intimate areas in ways that are often overlooked by conventional medicine.
He also shares the innovative diagnostic techniques he uses to distinguish spinal-related sexual dysfunction from other causes, which has opened doors to effective, minimally invasive treatments.
In addition, we discuss the challenges of bringing these ideas to the broader medical community. Dr. Kim has faced resistance from peers who view the spine as an unlikely source of sexual pain, yet his patient successes speak volumes. This episode is packed with insights for both patients and practitioners who want to explore a more holistic approach to pain management and sexual health.
Dr. Kim’s dedication to helping patients find relief from life-disrupting symptoms is nothing short of inspiring. By listening, you'll gain a new perspective on the interconnectedness of the body and why keeping an open mind is crucial in healthcare.
Episode Highlights:
The surprising role of the spine in conditions like PGAD and pelvic pain disorders.How Dr. Kim uses targeted spinal injections to identify the source of sexual dysfunction.The anatomy of annular tears and why they’re a common cause of persistent pain.Challenges and breakthroughs in advocating for spinal evaluations in sexual health cases.Practical advice for both patients and clinicians on considering spinal health in treatment plans.Dr. Kim’s Bio:
Dr. Choll Kim, a Harvard cum laude graduate, completed advanced training in complex spine surgery at the Mayo Clinic. Dr. Kim is a pioneer in minimally invasive spine surgery techniques including Laser Endoscopic Spine Surgery (LESS) which has transformed treatment for herniated discs, radiculopathy,and sciatica.
In addition to spine surgery, Dr. Kim is also recognized for his knowledge in sexual dysfunction related to spinal conditions, such as Tarlov cysts. His integrated approach ensures comprehensive care for patients facing spinal and sexual concerns.
Dr. Kim is a renowned global educator, training specialists around the world in advanced, computer-assisted minimally invasive techniques such as LESS. As the founder and past president of SMISS and MIS-COE, he has played a pivotal role in the advancement of spine surgery. With over 200 publications and active involvement in organizations such as ISASS, NASS, AAOS, and KASS, Dr. Kim has made significant contributions to the field, shaping the future of minimally invasive spine surgery.Beyond the operating room, he enjoys kickboxing, golfing with his mom, and family vacations.
Don’t miss future episodes! Subscribe now to stay informed on the latest in health insights and patient advocacy. If you found this episode valuable, please take a moment to share, rate, and review—it helps us reach more listeners and spread awareness.
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In this episode, I’m thrilled to talk with award-winning journalist Dawn Hasbrouck. Dawn opens up about her journey from considering entertainment law to becoming a news anchor at Fox 32 Chicago, sharing what it’s like to navigate a career in media as a woman. We dive into some of the pivotal support she received early on, the mentors who helped her, and the reality of managing work-life balance in a field often described as “eating its young.”
We also dig into how her role in media influences public conversations around women’s health topics like menopause, creating a more open dialogue for others to feel informed and empowered. Hearing Dawn’s perspective on breaking down barriers for women in journalism and her advice for those entering the industry is truly inspiring.
Highlights:
A Surprising Career Path – Dawn’s journey from a budding interest in entertainment law to finding her true calling in journalism.Mentorship and Support – The key figures and advice that shaped her career approach.Workplace Realities – How she balances family life with a demanding career and the unique pressures of the media industry.Normalizing Women’s Health Conversations – Using journalism to tackle traditionally taboo topics, making space for open discussions on reproductive health and menopause.Advice for Women in Media – Dawn’s encouragement for women to advocate for themselves, form strong support networks, and continue paving the way for others.Call to Action:
Be sure to subscribe for more discussions on women’s health and empowerment, and if you enjoyed this episode, share it with friends, rate, and review to help us continue these important conversations.
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Faith, culture, and sexual health: Two leaders share how they’re changing the conversation in Muslim communities.
In this episode, I sit down with Nadiah Mohajir and Sahar Pirzada, leaders from Heart, an organization focused on advancing sexual health and reproductive justice within Muslim communities. Nadiah shares her personal story, growing up in a South Asian Muslim family, and how it led her to start Heart. She talks about the cultural and religious barriers women face regarding sexual health and gender-based violence, and how Heart is working to create safe, open spaces for these crucial conversations.
Sahar, who’s been with the organization for nearly a decade, reflects on her journey from teaching sex education in Singapore to leading grassroots movements at Heart. Together, they dive into the complexities of addressing sexual health in faith-based communities, highlighting the importance of centering marginalized voices, such as queer and trans Muslims.
They also introduce their latest reproductive justice campaign, which aims to provide Muslims with the knowledge and tools needed to make informed decisions about their health, all while staying true to their faith. Tune in for a conversation that blends faith, community, and health in a refreshing and insightful way.
Highlights:
Nadiah’s upbringing in a traditional South Asian Muslim family and her path to founding Heart.Sahar’s experience bringing sex education to Muslim communities and advocating for reproductive justice.The unique challenges of tackling gender violence and sexual health in faith-based communities.Heart's new reproductive justice campaign and its efforts to empower Muslim women and marginalized groups.How the organization blends Islamic values with public health education to offer holistic support.Nadiah’s Bio:
Nadiah Mohajir is a lifelong Chicagoan, Pakistani-American-Muslim, mother of three, public health professional, reproductive justice activist, and anti-sexual assault advocate.
She is the Co-founder and Executive Director for HEART Women & Girls. For over a decade, she has led the organization to provide reproductive justice, sexual health education and gender-based violence awareness programming and advocacy to thousands of individuals, organizations, and campuses across the country. HEART ultimately aims to dismantle the stigma, silence, and systems that prevent individuals from seeking information, healing, and justice.
Nadiah has worked in public health and reproductive justice for over twenty years in a variety of settings, including, but not limited to research, academics, policy, and community health. Her past work includes projects such as redesigning teen pregnancy programs, improving pregnancy outcomes in low-income communities in Chicago, running sex education programming for vulnerable youth, and evaluating innovative cross-sector partnerships in public health.
She earned her Master’s degree in Public Health in 2009 from the University of Illinois at Chicago and her Bachelor’s degree in Public Policy Studies from the University of Chicago. Nadiah has also participated in a number of fellowships, including the American Muslim Civic Leadership Institute, Germanacos Fellowship, is a recipient of the Women’s Innovation Fund and was selected to...
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