<div class="" data-block="true" data-editor="89kak" data-offset-key="fe9cd786-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="fe9cd786-0-0"><span data-offset-key="fe9cd786-0-0"><span data-text="true">Many women face various obstacles when it comes to <strong>experiencing an amazing orgasm</strong>. From struggling to reach orgasm to feeling unsatisfied with the intensity of their orgasms, there are several barriers that can hinder sexual satisfaction. In this episode, we explore:</span></span></div>
</div>
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<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="erbgab83-0-0">
<ul>
<li><span data-offset-key="erbgab83-0-0"><span data-text="true">The analogy of a waterfall, and how boulders get in the way of a fantastic orgasm</span></span></li>
<li>Common challenges to reaching orgasm</li>
<li>Causes of pain during orgasm</li>
<li>Treating dryness and atrophy</li>
<li>High tone pelvic floor disorder</li>
<li>Evaluating for vulvodynia</li>
<li>How low libido diminishes orgasm</li>
<li>When you cannot reach orgasm with penetration alone</li>
<li>Enhancing the sensitivity of the vagina</li>
<li>Strengthening the pelvic floor for intense contractions</li>
<li>Psychosocial factors that interfere with pleasure</li>
</ul>
</div>
</div>
<div class="" data-block="true" data-editor="89kak" data-offset-key="fb7il5a0-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="fb7il5a0-0-0"><span data-offset-key="fb7il5a0-0-0"><span data-text="true">By uncovering and removing these obstacles, women can enhance their sexual satisfaction and experience more fulfilling orgasms.</span></span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="fb7il5a0-0-0"> </div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="fb7il5a0-0-0">
<div class="" data-block="true" data-editor="89kak" data-offset-key="06724c0d-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0"><strong><span data-offset-key="06724c0d-0-0"><span data-text="true">Key moments in this episode are</span></span><span data-offset-key="06724c0d-0-0"><span data-text="true">:</span></span></strong></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0"> 01:05 Understanding the waterfall analogy</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">02:17 Pain during intercourse</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">02:57 Our favorite vaginal lubricant</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">03:55 Treating vaginal atrophy</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">04:58 Hypertonic pelvic floor muscles</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">06:09 Treatment for a tight pelvic floor</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">07:02 Understanding vulvodynia</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">07:47 Causes of deep penetration pain</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">09:54 Lack of libido leading to orgasm issues</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">10:17 Effects of low testosterone</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">11:00 Other medications to improve female libido</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">13:37 Medications that may be zapping your libido</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">13:56 Improving the strength of an orgasm</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">14:50 How to build pelvic floor muscle strength</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">15:53 When clitoral stimulation just isn't doing the job</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">17:10 What if you cannot reach orgasm with vaginal penetration alone?</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">18:37 Using PRP to improve sensitivity</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">20:04 Feeling too loose or desensitized</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">20:41 Building vaginal collagen</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0">22:18 Removing psychosocial barriers to orgasm</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="06724c0d-0-0"> </div>
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<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="3479db46-0-0"><span data-offset-key="3479db46-0-0"><span data-text="true">Loved this episode? Share with a friend.</span></span></div>
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By addressing both physical and psychosocial factors, women can overcome obstacles and enjoy a more satisfying orgasmic experience.

Removing Obstacles to an Amazing Orgasm: A Guide for Women

<div class="" data-block="true" data-editor="6vlgg" data-offset-key="fe9cd786-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="fe9cd786-0-0"><span data-offset-key="fe9cd786-0-0"><span data-text="true"><strong>Vaginal and vulvar itching</strong> can have various causes beyond just yeast infections. Understanding the anatomy of these areas is crucial in determining the source of the irritation. Today's podcast looks at the many causes of itching:</span></span></div>
</div>
<div class="" data-block="true" data-editor="6vlgg" data-offset-key="9sloo3ea-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="9sloo3ea-0-0"><span data-offset-key="9sloo3ea-0-0"> </span></div>
</div>
<div class="" data-block="true" data-editor="6vlgg" data-offset-key="d88diac1-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="d88diac1-0-0">
<ul>
<li><span data-offset-key="d88diac1-0-0"><span data-text="true">Learn the proper anatomy of the vulva and vagina</span></span></li>
<li>Understand both vaginal and vulvar yeast infections and how they present with different symptoms</li>
<li>What's new in the treatment of yeast infections</li>
<li>Atrophy as a cause of vulvar itching</li>
<li>What is lichen sclerosis and how is it managed</li>
<li>How lichen planus presents and is treated</li>
<li>Proper hygiene and care of the vagina and vulva</li>
</ul>
</div>
</div>
<div class="" data-block="true" data-editor="6vlgg" data-offset-key="7lflueba-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="7lflueba-0-0"><span data-offset-key="7lflueba-0-0">D</span><span data-offset-key="dfnvs66f-0-0">elve into the diverse causes of vaginal and vulvar itching; it's NOT just a yeast infection.</span></div>
</div>
<div class="" data-block="true" data-editor="6vlgg" data-offset-key="3smlabed-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="3smlabed-0-0"><span data-offset-key="3smlabed-0-0"> </span></div>
</div>
<div class="" data-block="true" data-editor="6vlgg" data-offset-key="c2927a27-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="c2927a27-0-0"><span data-offset-key="c2927a27-0-0"><span data-text="true"><strong>Key moments in this episode are</strong>:</span></span></div>
</div>
<div class="" data-block="true" data-editor="6vlgg" data-offset-key="dcqbv21b-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">00:30 Where does it itch?  Learning the anatomy</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">02:05 Taking a tour of your own vulva</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">04:23 Vaginal yeast infections</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">05:19 Vulvar yeast infections</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">06:17 Do you always need to treat a yeast infection?</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">06:45 Recurrent yeast infections</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">08:54 New medications for yeast on the market</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">10:00 Can men get genital yeast infections?</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">11:00 Vulvovaginal atrophy</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">12:09 Lichen sclerosis</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">14:43 Medication to treat lichen sclerosis</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">16:20 Procedures to treat lichen sclerosis</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">18:09 Surgery for lichen sclerosis</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">19:34 Vulvar cancer</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">20:58 Lichen planus</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">23:12 Treatment for lichen planus</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">24:34 Vaginal and vulvar self care</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">26:13 Exfoliation of the vulva</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">27:20 Home remedies to alleviate itching</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">28:35 Vulvar care in patient with incontinence</div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0"> </div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">Learn more about microneedling for lichen sclerosis here: <a href="https://www.foundationsfl.com/empower">https://www.foundationsfl.com/empower</a></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0"> </div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0">Find out more about vulvar itching and burning here: <a href="https://www.acog.org/womens-health/faqs/disorders-of-the-vulva-common-causes-of-vulvar-pain-burning-and-itching">https://www.acog.org/womens-health/faqs/disorders-of-the-vulva-common-causes-of-vulvar-pain-burning-and-itching</a></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="dcqbv21b-0-0"> </div>
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<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="5cuehdb8-0-0"> </div>
</div>
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<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="3d0f4c14-0-0"><span data-offset-key="3d0f4c14-0-0"><span data-text="true">Loved this episode? Share with a friend.</span></span></div>
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Explore the myriad causes of vaginal itching; it's NOT just a yeast infection!

The Truth About Vaginal Itching and Irritation

<div class="" data-block="true" data-editor="9ctjn" data-offset-key="1fe28d7a-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="1fe28d7a-0-0"><span data-offset-key="1fe28d7a-0-0"><span data-text="true"><strong>Testosterone</strong> is often misunderstood, and that can create fear about use of this very critical hormone.  It's often wrongly considered a hormone only important for men. In reality, testosterone is crucial for both men and women, with women actually having higher levels of testosterone than estrogen. Women's testosterone levels peak in their 20s and 30s, gradually declining as they age. Optimizing testosterone can alleviate various symptoms such as low libido, difficulty reaching orgasm, brain fog, fatigue, and even improve muscle mass and bone density. Contrary to popular belief, testosterone is not solely responsible for libido but also plays a significant role in many other bodily functions. It affects various organs, including the brain, heart, bladder, uterus, ovaries, vaginal tissue, skin, and bones. Testosterone promotes healthy muscle growth, aids in bone strength, reduces inflammation, and even decreases the risk of dementia. While there are no FDA-approved testosterone products for women, the use of bioidentical testosterone has been deemed safe by numerous studies and reports from patients.</span></span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="1fe28d7a-0-0"> </div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="1fe28d7a-0-0"><strong><span data-offset-key="1fe28d7a-0-0"><span data-text="true">In this episode, you'll be able to:</span></span></strong></div>
</div>
<ul class="public-DraftStyleDefault-ul" data-offset-key="9v9obecc-0-0">
<li class="public-DraftStyleDefault-unorderedListItem public-DraftStyleDefault-reset public-DraftStyleDefault-depth0 public-DraftStyleDefault-listLTR" data-block="true" data-editor="9ctjn" data-offset-key="9v9obecc-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="9v9obecc-0-0"><span data-offset-key="9v9obecc-0-0"><span data-text="true">Find out why testosterone is Dr J's favorite hormone to balance for her patients</span></span></div>
</li>
<li class="public-DraftStyleDefault-unorderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-listLTR" data-block="true" data-editor="9ctjn" data-offset-key="6lgfvca1-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="6lgfvca1-0-0"><span data-offset-key="6lgfvca1-0-0"><span data-text="true">List the common misconceptions surrounding testosterone</span></span></div>
</li>
<li class="public-DraftStyleDefault-unorderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-listLTR" data-block="true" data-editor="9ctjn" data-offset-key="f51me455-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="f51me455-0-0"><span data-offset-key="f51me455-0-0"><span data-text="true">Understand some of the many many benefits of healthy testosterone levels</span></span></div>
</li>
<li class="public-DraftStyleDefault-unorderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-listLTR" data-block="true" data-editor="9ctjn" data-offset-key="nnnnca33-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="nnnnca33-0-0"><span data-offset-key="nnnnca33-0-0"><span data-text="true">Be comfortable with the safety of proper testosterone replacement</span></span></div>
</li>
</ul>
<div class="" data-block="true" data-editor="9ctjn" data-offset-key="adarga3a-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="adarga3a-0-0"><strong><span data-offset-key="adarga3a-0-0"><span data-text="true">Key moments in this episode are:</span></span></strong></div>
</div>
<div class="" data-block="true" data-editor="9ctjn" data-offset-key="apg42555-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="apg42555-0-0"> 00:31 Common symptoms of sub-optimal testosterone</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="apg42555-0-0">00:56 First myth: Testosterone is only important in men</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="apg42555-0-0">01:35 Differences in measurements in testosterone and estradiol</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="apg42555-0-0">02:43 Timeline of testosterone decline as we age</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="apg42555-0-0">03:39 Misinterpretation of symptoms of testosterone loss as "normal aging"</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="apg42555-0-0">04:05 Second myth: Testosterone is only important for libido</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="apg42555-0-0">04:28 Where testosterone receptors are located</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="apg42555-0-0">5:04 Role of testosterone in libido</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="apg42555-0-0">06:29 Role of testosterone in the brain</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="apg42555-0-0">07:29 Role of testosterone in the brain</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">08:00 Role of testosterone in the heart</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">09:58 Role of testosterone in the bones</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">11:18 Long term risks of bone building drugs, like bisphosphonates</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">12:27 Role of testosterone in muscles</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">13:03 Study of testosterone with and without exercise to build muscle</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">14:28 Importance of muscle mass in women as they age</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">14:55 Preventing falls with strong muscles and bones</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">16:56 Role of testosterone in the bladder</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">18:23 What our patients are saying about testosterone replacement</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">19:50 Third myth: Testosterone is not safe for use in women</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">20:16 Road to FDA approval</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">20:32 Natural products like testosterone cannot be patented</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">21:14 Testosterone in the market today</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">21:58 What an off-label use of a drug means</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">23:40 Risk of testosterone during pregnancy</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">26:16 How to properly dose testosterone</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">28:17 Sensitivity of testosterone receptors</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">29:!4 Using an algorithm to dose testosterone</span></div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"> </div>
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="apg42555-0-0"><span data-offset-key="am1v91e2-0-0">Learn more about bioidentical hormone replacement therapy here:</span></div>
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<p> </p>
<p> </p>

There is a huge wealth of medical knowledge about the health and protective benefits of testosterone, but most people only hear myths and fears.  Let's discuss and dispel common myths about this powerhouse of a hormone--testosterone!

Debunking the Top 3 Myths About Testosterone in Women

<p><strong>Hormone replacement therapy (HRT) and breast cancer risk </strong>has long been overestimated. For too long, both patients and providers have overestimate the risk of hormone replacement therapy and undervalued its value. Despite the fear surrounding HRT and breast cancer, the actual risks are relatively low. </p>
<ul>
<li>The Womens' Health Initiative study (WHI), which played a significant role in shaping opinions, has been criticized for its flaws and limitations, resulting in skewed headlines that caused widespread anxiety.</li>
<li>Understanding the study's flaws and limitations is crucial to interpreting its results correctly.</li>
<li>The study's patient population skewed towards older women, which impacted the results and made them less applicable to menopausal women in their 50s.</li>
<li>HRT can offer various benefits, such as reducing heart disease, stroke, and osteoporosis risk. </li>
<li>The results of the study are only applicable to conjugated equine estrogens (CEE) and medroxyprogesterone acetate, a synthetic progestin.</li>
<li>Using bioidentical hormones, particularly micronized progesterone, can be a safer alternative.</li>
<li>The critical window for starting HRT, typically in the perimenopause and early menopause stages, is highlighted as an important factor in determining the benefits and risks of hormone use.</li>
</ul>
<p>By debunking the fear surrounding hormones and breast cancer, the aim is to empower women to make informed decisions and seek guidance from hormone specialists.</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;"><strong>Key moments in this episode are:</strong></p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;">0:00 Intro and facts about breast cancer</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;">1:05 Current screening guidelines for breast cancer</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;">1:53 Looking at how the WHI study was set up</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;">3:35 What the headlines about WHI said</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;">3:59 Behind the headlines</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;">5:23 WHI from a personal perspective</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;">7:18 Understanding the numbers</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;">8:37 Risks of oral estrogens</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;">10:30 What was causing the breast cancer risk?</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;">11:08 Benefits of taking HRT</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;">12:10 Alternates to synthetic progestins</p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;"> </p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;"><strong>Check out Dr Jackson's blog on the WHI here:  </strong></p>
<p style="margin: 0in; font-family: Calibri; font-size: 14.0pt;"><a title="Blog-Getting Rid of WHI Once and For All" href="https://www.foundationsfl.com/post/getting-rid-of-whi-once-and-for-all">https://www.foundationsfl.com/post/getting-rid-of-whi-once-and-for-all</a></p>
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In this episode, we delve into the misconceptions surrounding hormone replacement therapy (HRT) and its perceived link to breast cancer risk.  We aim to empower women to make informed choices and consult hormone specialists during crucial stages like perimenopause and early menopause.

Dispelling Myths about Estrogen and Breast Cancer

<div class="" data-block="true" data-editor="6ibel" data-offset-key="c95eca5e-0-0">
<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="c95eca5e-0-0"><span data-offset-key="c95eca5e-0-0"><span data-text="true"><strong>Hysterectomy</strong> is a common surgery that many women undergo for various reasons, While most women do not experience any change in sexual function post-hysterectomy, it is important to have a conversation with your doctor to address any concerns. Our episode today delves into:</span></span></div>
</div>
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<ul>
<li class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="btljqfe3-0-0"><span data-offset-key="btljqfe3-0-0"><span data-text="true">Reasons for hysterectomy, such as pain, fibroids, heavy bleeding, endometriosis, or cancer</span></span></li>
<li class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="btljqfe3-0-0">The different types of hysterectomy</li>
<li class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="btljqfe3-0-0">The impact of hysterectomy on sexual health and hormones</li>
<li class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="btljqfe3-0-0">The importance of open communication with your surgeon</li>
<li class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="btljqfe3-0-0">Significance of regular pelvic exams even after hysterectomy</li>
<li class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="btljqfe3-0-0">Potential complications like scar tissue formation and pelvic floor spasms</li>
</ul>
</div>
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<div class="public-DraftStyleDefault-block public-DraftStyleDefault-ltr" data-offset-key="20e9gcd0-0-0"><span data-offset-key="20e9gcd0-0-0"><span data-text="true">By providing accurate information and dispelling myths, this episode aims to empower women to make informed decisions and prioritize their sexual wellness after hysterectomy.</span></span></div>
</div>
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</div>
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In this episode, we demystify the impact of various hysterectomy types on sexual health, emphasize the need for open communication with your surgeon, and highlight the importance of pre- and post-hysterectomy pelvic exams.

After the Surgery: Hysterectomy and Sexual Health

<p>Today's episode discusses the changes that occur in the <strong>skin after menopause</strong>. While aging is a factor, the main cause of these changes is the decrease in estrogen levels. Estrogen plays a critical role in maintaining skin health, including collagen production. The loss of estrogen leads to a decline in collagen, resulting in wrinkles, fine lines, and sagging skin. Additionally, estrogen increases skin moisture and improves the skin's barrier function. Sun exposure is another major factor in skin damage, so wearing sunscreen daily is crucial. Good sleep is essential for skin repair and hormone production. Smoking has various negative effects on the skin, including collagen and elastin damage. Medical grade products and procedures can help treat skin damage, but it's important to consult with a skin specialist for the most effective options.</p>
<p> </p>
<p>Key moments in this episode are:</p>
<p>00:28 Estrogen for skin health</p>
<p>00:49 Estrogen's effect on collagen</p>
<p>02:13 Timing of estrogen for skin effect</p>
<p>02:43 Estrogen for skin moisture</p>
<p>04:29 How wrinkles are formed</p>
<p>05:42 Estrogen improves skin blood flow</p>
<p>06:49 Sun exposure to skin</p>
<p>07:56 Sleep for better skin</p>
<p>09:40 Smoking's effects on skin</p>
<p>11:18 Products beneficial to skin</p>
<p> </p>
<p>Read Dr J's blog about medical grade skin care here: <a href="https://www.foundationsfl.com/post/what-is-medical-grade-skincare">https://www.foundationsfl.com/post/what-is-medical-grade-skincare</a></p>
<p>Read more about the science of estrogen in the skin here: <a href="Shah MG, Maibach HI. Estrogen and skin. An overview. Am J Clin Dermatol. 2001;2(3):143-50. doi: 10.2165/00128071-200102030-00003. PMID: 11705091." target="_blank" rel="noopener">Shah MG, Maibach HI. Estrogen and skin. An overview. Am J Clin Dermatol. 2001;2(3):143-50. doi: 10.2165/00128071-200102030-00003. PMID: 11705091.</a></p>
<p>Learn more on how sleep affects our skin here: <a href="Michels KA, Mendola P, Schliep KC, Yeung EH, Ye A, Dunietz GL, Wactawski-Wende J, Kim K, Freeman JR, Schisterman EF, Mumford SL. The influences of sleep duration, chronotype, and nightwork on the ovarian cycle. Chronobiol Int. 2020;37:260–271." target="_blank" rel="noopener">Michels KA, Mendola P, Schliep KC, Yeung EH, Ye A, Dunietz GL, Wactawski-Wende J, Kim K, Freeman JR, Schisterman EF, Mumford SL. The influences of sleep duration, chronotype, and nightwork on the ovarian cycle. Chronobiol Int. 2020;37:260–271.</a></p>
<p>See the benefits of stopping smoking here: <a href="U.S. Department of Health and Human Services. Smoking Cessation: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2020." target="_blank" rel="noopener">U.S. Department of Health and Human Services. Smoking Cessation: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2020.</a></p>
<p> </p>
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Discover how the decline in estrogen levels triggers collagen depletion, leading to wrinkles and sagging skin, and explore expert-backed strategies, from sunscreen to quality sleep, for nurturing your skin through menopause.