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    Health & Fitness

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

    Hot flashes, vaginal dryness, leaky bladders, weight gain, hair loss, inability to orgasm? Nothing is off limits in these fact filled, solution-driven and often surprisingly funny podcasts that address the specific symptoms women face as they navigate perimenopause and post-menopause. Each segment is like having an in-depth consultation with Dr. Lauren Streicher, a nationally recognized menopause expert and the founding Medical Director of the Northwestern Medicine Center for Sexual Medicine and Menopause. Guests will include other experts on all things menopause.  So strap in- it’s going to be quite the ride! This is THE podcast for accurate information about menopause but is not meant to be personal medical advice.
    Advertise

    Copyright: © Lauren Streicher, MD

    • Apple Podcasts
    • Google Play
    • Spotify

    Latest Episodes:
    S4 Ep180: The Six Pillars of Lifestyle Medicine with Dr. Dawn Mussallem Jul 10, 2025
    Show notes
    Dr. Dawn Mussallem, a board-certified lifestyle medicine physician, was diagnosed with Stage 4 cancer at age 26, followed by a heart transplant. She walks the walk when it comes to healthy lifestyle choices. At the Mayo Clinic Breast Center, Dr. Mussallem is the go-to expert for how healthy choices not just prolong life, but also make life better.. not just for women living with a cancer diagnosis, but all women.
    • Dr. Mussalem’s personal story- and how lifestyle medicine saved her life
    • What Lifestyle Medicine is
    • The six pillars of lifestyle medicine that impact longevity and quality of life:
    Stress Management
    Physical Activity-and is there such a thing as overdoing it?
    Avoidance of Risky Substances
    Nutrition and the importance of maintaining a specific BMI vs body composition
    Restorative Sleep
    Positive Social Connections

    American College of Lifestyle Medicine- https://lifestylemedicine.org/
    The Ethel Circle Facebook Group https://www.facebook.com/groups/theethelcircle/
    Dr. Streicher is on SUBSTACK DrStreicher.Substack.com

    • Articles
    • Monthly newsletter
    • All COME AGAIN podcast episodes
    • Monthly News Flash Reports on recent research
    • Monthly Zoom Ask Me Anything Webinar

    Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm

    Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
    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.
    LINKS
    • Subscribe To Dr. Streicher’s Substack
    • Information About the COME AGAIN Podcast
    • Dr. Streicher’s CV and additional bio information
    • To Find a Menopause Clinician and Other Resources
    • Glossary Of Medical Terminology

    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

    Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.



    S4 Ep178: Mid-life Nutrition: Tips and Tricks From a Dietician with Dr. Alexandra Filingeri Jun 26, 2025
    Show notes Any mid-life woman knows that once you hit your 40s, 50s, or 60s, things will not go well if you eat the same way you did when you were 20. But it’s confusing to know what to eat, and how much to eat, without downloading multiple APPs and carrying around a calculator
    My guest, Alexandra Filingeri, holds a doctorate in Clinical Nutrition with a focus on evidence-based nutrition interventions, particularly in mid-life and menopause. In this episode, we cover practical nutrition tips- what to eat and how much to eat to maximize health aging. Dr. Filingeri also answered questions that came in from my Substack readers.
    By the way, my favorite frozen vegetables that I couldn’t remember the name of? Puravida Fire Roasted Vegetable Melange
    • What changes post menopause
    • Obesity, hot flashes and weight loss
    • The impact of insomnia on weight
    • Individual energy requirements
    • Macronutrients vs micronutrients
    • Protein supplements- yay or nay
    • Glycemic index
    • Sugar and belly fat
    • Grocery store strategies
    Dr. Alexandra Filingeri is a Registered Dietitian with a Doctorate degree in Clinical Nutrition. During her doctoral studies, Dr. Filingeri focused on metabolic disorders, nutritional biochemistry, and clinical research methodologies, equipping herself to deliver evidence-based nutrition interventions. Her clinical expertise focuses on midlife nutrition and hormone-related health.
    Website: Nutrition by Dr. Alexandra – Beauty From The Inside Out
    Instagram: Dr. Alexandra Filingeri DCN RDN (@nutritionby_dralexandra) • Instagram photos and videos
    Linkedln: Alexandra Filingeri, DCN RDN - Registered Dietitian in Private Practice - Nutrition By Dr Alexandra | LinkedIn
    Dr. Streicher is on SUBSTACK DrStreicher.Substack.com

    • Articles
    • Monthly newsletter
    • All COME AGAIN podcast episodes
    • Monthly News Flash Reports on recent research
    • Monthly Zoom Ask Me Anything Webinar

    Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm

    Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
    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.
    LINKS
    • Subscribe To Dr. Streicher’s Substack
    • Information About the COME AGAIN Podcast
    • Dr. Streicher’s CV and additional bio information
    • To Find a Menopause Clinician and Other Resources
    • Glossary Of Medical Terminology
    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

    Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.

    S4 Ep178: The Impact of Hormone Therapy on DCIS with Dr. Swati Kulkarni Jun 12, 2025
    Show notes Women are generally told that if they have a breast cancer diagnosis, they should steer clear of estrogen. In this episode, I have a conversation with Dr. Swati Kulkarni, the lead investigator of a new study in which women with a newly diagnosed breast ductal carcinoma in situ, DCIS, were given a month’s worth of hormone therapy before standard treatment to see the impact it would have on developing cancer cells.
    • What DCIS is and how it is typically diagnosed.
    • If DCIS is considered to be a pre-cancer or a cancer
    • If DCIS is untreated, how often it will progress to invasive cancer
    • If treated, how often women with DCIS go on to develop invasive cancer?
    • Why this particular form of hormone therapy, conjugated estrogens and bazodoxifene (Duovee™) was used in the study
    • The details of the study
    • The results of the study
    The Promise Study: A presurgical randomized clinical trial of CE/BZA vs placebo in postmenopausal women with ductal carcinoma in situ.
    Link to Abstract
    My summary of the study on Substack
    https://drstreicher.substack.com/p/can-hormone-therapy-shrink-breast

    Link to Kagan episode on Duovee with Dr. Kagan
    Episode 124 All Hormones Are Not Created Equal with Dr. James Simon

    Dr. Streicher is on SUBSTACK DrStreicher.Substack.com
    • Articles
    • Monthly newsletter
    • All COME AGAIN podcast episodes
    • Monthly News Flash Reports on recent research
    • Monthly Zoom Ask Me Anything Webinar
    Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm
    https://drstreicher.substack.com/p/all-about-come-again

    Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
    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.
    LINKS
    • Subscribe To Dr. Streicher’s Substack
    • Information About the COME AGAIN Podcast
    • Dr. Streicher’s CV and additional bio information
    • To Find a Menopause Clinician and Other Resources
    • Glossary Of Medical Terminology
    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

    Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.



    S4 Ep177: CANCER: Misinformation and Misleading "Science" with Shikha Jain MD May 29, 2025
    Show notes Do cell phones cause brain cancer? Does using an antiperspirant increase the risk of breast cancer? Does fluoride in the water increase the risk of bone cancer? Is the HPV vaccine lifesaving or dangerous?
    In this episode, I am joined by Dr. Shikha Jain, an academic hematologist and oncologist. We start by busting cancer myths and then move on to discuss the impact of the “Make America Healthy Again Movement” (MAHA)on cancer care and cancer research, and why the rationale behind the MAHA movement is FLAWED and DANGEROUS.
    Which of the following is associated with getting cancer or spreading cancer
    • Biopsies
    • Specific viruses
    • Consuming sugar
    • Mammograms
    • Living near a Power line
    • Cell phones
    • Deodorant and antiperspirants
    • Microplastics
    • Microwaving
    • If surgery to remove a cancerous growth spreads the cancer?
    • Estrogen- birth control pills, local estrogen, systemic estrogen
    The impact of current political policies on cancer treatment and research
    • Obesity
    • Processed food
    • HPV vaccine
    • Fluoride in the water
    • The financial incentive behind the MAHA movement
    • Why placebo-controlled trials are not always used in research, and would be dangerous
    • Defunding of NIH Cancer Research, including labs and clinical trials
    • The US Brain Drain

    Over 9.5 billion dollars, representing over 2000 NIH grants, have been terminated.
    In the links below, expand the abstract column to see the details of the research.

    List of NIH grants that have been defunded
    https://airtable.com/appjhyo9NTvJLocRy/shrNto1NNp9eJlgpA? Ffj6Q%3Aview=plasNjSudszRmPvEo&Ffj6Q=allRecords

    List of NIH Cancer Research that Has Been Defunded
    https://airtable.com/appjhyo9NTvJLocRy/shrNto1NNp9eJlgpA?Ffj6Q=sfsqqf7AYxKbZi37s&Ffj6Q%3Aview=plasNjSudszRmPvEo
    Dr. Shikha Jain, MD, FACP, is a board-certified oncologist, national health media contributor, and founder of Women in Medicine®. She’s a tenured associate professor at the University of Illinois and was named Illinois Physician Leader of the Year, one of Modern Healthcare’s Top 25 Emerging Leaders, and a Medscape Rising Star in Medicine. Through her clinical work, national advocacy, and powerful storytelling, Dr. Jain is transforming how we think about medicine, leadership, and the future of healthcare.
    https://www.wimedicine.org/
    https://www.wimedicine.org/wim-summit
    https://shikhajainmd.com/

    How to Know an Expert is an Expert

    Episode 157: How to Find a Clinician that’s Not Clueless
    Substack Posts
    A Guide to Finding a Menopause Clinician That’s Not Clueless
    Let’s Play…Is Your Doctor Really a Menopause Expert?

    Dr. Streicher is on SUBSTACK
    DrStreicher.Substack.com
    • Articles
    • Monthly newsletter
    • All COME AGAIN podcast episodes
    • Monthly News Flash Reports on recent research
    • Monthly Zoom Ask Me Anything Webinar
      Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm

    Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
    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.
    LINKS
    • Subscribe To Dr. Streicher’s Substack
    • Information About the COME AGAIN Podcast
    • Dr. Streicher’s CV and additional bio information
    • To Find a Menopause Clinician and Other Resources
    • Glossary Of Medical Terminology

    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

    Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.

    S4 Ep176: FOOD and BRAIN Health with Dr. Annie Fenn May 15, 2025
    Show notes
    When it comes to the risk of developing dementia, family history is a factor, but it is far from the only factor. It is well known that physical activity, social isolation, smoking, alcohol, medical conditions like diabetes, heart disease, or being hard of hearing, all impact the risk of developing dementia down the road.
    In this episode, I explore the relationship between what you eat and brain health with Dr. Annie Fenn, the author of The Brain Health KITCHEN, Preventing Alzheimer’s through Food.
    • WHY food impacts the brain
    • What foods should be avoided
    • What foods are neuroprotective
    Annie Fenn, MD
    • Dr. Fenn’s Substack: Brain Health Kitchen. Dr. Fenn is offering a 25% discount on annual subscriptions to her Substack until June 1 with this link-25% off BHK
    • The Brain Health Kitchen: Preventing Alzheimer's Through Food by Annie Fenn, MD @Artisan Books 2023.
    • Dr. Fenn’s Brain Health Retreats Brain Health Kitchen Retreats
    • Link to the cookie recipe we discussed: Chunky Whole Grain Chocolate Chip Cookie. It can also be found in the Whole Grain chapter of the Brain Health Kitchen
    • Dr. Fenn’s information on supplements with discount codes (Dr. Fenn has no financial relationship with these companies.)
    • The BHK Guide To Brain Health Supplements
    • Magnesium Supplements A To Z
    • Relevate, the brain health multi Dr. Fenn recommends-Use ANNIE25 for 25% off
    Dr. Streicher's retreat in Sardinia- Sept 7-14, 2025
    https://www.hermedicine.org/her-travel-club-sardinia-invite (Very limited spots left)
    Dr. Streicher is on SUBSTACK DrStreicher.Substack.com
    • Articles
    • Monthly newsletter
    • All COME AGAIN podcast episodes
    • Monthly News Flash Reports on recent research
    • Monthly Zoom Ask Me Anything Webinar
      Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm

    Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
    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.
    LINKS
    • Subscribe To Dr. Streicher’s Substack
    • Information About the COME AGAIN Podcast
    • Dr. Streicher’s CV and additional bio information
    • To Find a Menopause Clinician and Other Resources
    • Glossary Of Medical Terminology

    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

    Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.



    S4 Ep175: Your BONES On and Off ESTROGEN May 01, 2025
    Show notes
    When women think about the benefits of menopausal hormone therapy, things like hot flashes, insomnia and vaginal dryness come to mind.
    But for many women, bone health is, or should be, at the top of the list.
    In this episode, I speak with Dr. Risa Kagan about the role of estrogen, progesterone, and testosterone in bone health.
    • Definition of Low Bone Mass (Osteopenia) and Osteoporosis
    • The Difference Between a T score and a Z score
    • FRAX- Fracture Risk Assessment Tool
    • When Bone Mass Peaks
    • How to Maximize Bone Health Before Menopause Hits
    • Role of Estrogen in Young Women
    • The Danger Zone- When Most Women Lose the Majority of Their Bone Mass
    • The Role of Birth Control Pills and Prevention of Bone Loss
    • If Exercise is Enough
    • The Relationship Between Hot Flashes and Osteoporosis
    • Bone Loss Post Menopause
    • Impact of Menopausal Estrogen Therapy on Bones
    • Taking Menopausal Hormone Therapy (MHT) in the Absence of Hot Flashes to Protect Bones
    • The Difference Between Bone Density and Bone Quality
    • When it is Appropriate to Take an Anabolic Agent
    • If the TYPE of Estrogen you take matters (Conjugated, Synthetic, Bioidentical)
    • What DOSE of Estrogen is Needed to Prevent Fractures
    • If it is Appropriate to Monitor Estradiol Blood Levels When Taking Transdermal MHT
    • The Target Estradiol Level for Bone Health
    • What Happens to Bone Density When MHT is Discontinued
    • If MHT Should Be Taken Forever
    • If Progestogens Plays a Role in Bone Health
    • The Role of Bazodoxifene (Duovee™) in Bone Health
    • The Role of TESTOSTERONE therapy in Bone Health
    Another Podcast with Dr. Kagan: When Progesterone is a Problem

    Dr. Risa Kagan is a Clinical Professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the University of California San Francisco, and a consulting gynecologist with Sutter Health. Dr. Kagan has published over 100 scientific papers on post menopause bone health and hormone therapy.
    Dr. Streicher is on SUBSTACK DrStreicher.Substack.com
    • Articles
    • Monthly newsletter
    • All COME AGAIN podcast episodes
    • Monthly News Flash Reports on recent research
    • Monthly Zoom Ask Me Anything Webinar

    Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm

    Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
    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.
    LINKS
    • Subscribe To Dr. Streicher’s Substack
    • Information About the COME AGAIN Podcast
    • Dr. Streicher’s CV and additional bio information
    • To Find a Menopause Clinician and Other Resources
    • Glossary Of Medical Terminology

    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

    Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.

    S4 Ep174: Is Your Transdermal ESTROGEN... Getting ABSORBED? Apr 17, 2025
    Show notes
    Transdermal estrogen in the form of a patch, gel, or cream is often the preferred delivery method for menopausal hormone therapy. Unlike oral estrogen, in addition to other advantages, transdermal estrogen does not increase the risk of blood clots. But a new study, published in the journal Menopause, indicates that your transdermal estrogen… may not be doing what you think it’s doing. Today, I am speaking with one of the authors of that study, Dr. Louise Newson.
    My Substack post summarizing the study:
    https://drstreicher.substack.com/p/is-your-estrogen-patch-gel-or-spray?r=740mq

    Link to article: https://pubmed.ncbi.nlm.nih.gov/39689249/

    We discuss:
    • The advantages of transdermal estrogen
    • The realization that blood levels of transdermal estrogen may be below what is expected
    • What the study looked at
    • Results of the study
    • What factors may cause decreased absorption of transdermal estrogen
    • Why decreased levels of estrogen are problematic
    • Ways to maximize absorption
    • Options if serum estrogen levels are low on standard doses of transdermal estrogen
    • Concerns of using a higher than standard dose
    • The pushback in the UK regarding Dr. Newson’s work
    • If it should be routine to measure blood levels of estrogen if using a transdermal product

    For more information on Dr. Newson, visit DrLouise Newson.com
    Dr. Streicher is on SUBSTACK DrStreicher.Substack.com

    • Articles
    • Monthly newsletter
    • All COME AGAIN podcast episodes
    • Monthly News Flash Reports on recent research
    • Monthly Zoom Ask Me Anything Webinar

    Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
    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.
    Links:
    Subscribe To Dr. Streicher’s Substack

    Information About the COME AGAIN Podcast

    Dr. Streicher’s CV and additional bio information
    Glossary Of Medical Terminology
    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

    To Find a Menopause Clinician

    Midi Health www.Joinmidi.com
    Midi Health is a telehealth company that provides high-level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi’s Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country.
    The Menopause Society- Certified Menopause Practitioner List Menopause.org

    • To find a menopause practitioner: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx
    • Put in your zip code and designate NCMP or CMSP to get a certified menopause practitioner. While all people on this list have passed a competency examination, Dr. Streicher does not vouch for every one of these clinicians. Most are excellent.
    Major Medical Centers

    It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who have an interest and expertise in menopause.
    Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.

    S4 Ep173: Two Clinicians- Twelve Questions Apr 03, 2025
    Show notes I get lots of questions on various platforms. But I never get to all of them. So, today is Q and A day.
    I asked my friend and colleague, Dr. Heidi Flagg to join me because it’s always good to get another point of view. Dr. Flagg is, above all, a clinician. She is in her office in NY city, day in and day out, helping women navigate peri menopause and menopause. And unlike many people out there who are new to the scene, Dr. Flagg brings decades of real-world experience to the table.
    QUESTIONS
    • Do you need to be 12 months without a period to start hormone therapy?
    • I am getting a period every 3-4 months, so I assume I am in perimenopause. I am having a lot of symptoms, so I went to my doctor, and she suggested I go on birth control pills. I’m not even having sex. I don’t need birth control.
    • I am 48 years old. I had a hysterectomy 5 years ago because of fibroids. I am now having hot flashes, brain fog, and mood swings. What hormone levels should I check to see if I am ready for hormone therapy?
    • I started using an estrogen patch around 3 months ago. I am still having hot flashes. Do I need to give it more time or do I need more estrogen?
    • Is it OK to substitute a brand name patch with a generic patch?
    • I am 62. My last period was 13 years ago. Is it too late for me to state hormone therapy?
    • Since I started using local vaginal estrogen, I have an accumulation under my clitoral hood. How best to clean it?
    • Is it OK to put vaginal lubricant inside the vagina?
    • Will hormone therapy trigger the recurrence of endometriosis?
    • I have high cholesterol and want to know if Duovee™ is a good product for someone with high cholesterol. Would it be better to use a transdermal estrogen?
    • Is it safe to use systemic estrogen and local estrogen at the same time?
    • I had a hysterectomy last year because of uterine cancer. Can I take estrogen?
    • I am taking low doses of testosterone, and I am pretty sure my voice is getting lower. My doctor said my levels are fine. I thought that only happened with high doses. If I go off, will it go back to how it was?
    • I am 45 years old and scheduled for a hysterectomy because of fibroids that bleed a lot. Is my sex life going to change?
    • A menopause coach who wants to know how to help women getting conflicting information on social media.

    Heidi Flagg MD
    IG @m_pause
    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 Dr. Flagg’s clinical interests have spanned the woman’s reproductive cycle with a current focus on peri menopausal and menopause.Dr. Flagg is a medical advisor to Flow Health and Let’s Talk Menopause.
    Information on COME AGAIN-Sexuality and Orgasm

    Ways to Ask a Question

    I am not able to answer individual questions directly, but if you submit a question, I will do my best to get it answered during a podcast episode, Ask Me Anything Webinar, or a future Substack Article. The least likely place for me to see a question is on social media. (Instagram/Facebook) I do not check regularly.

    1. Record a Question-Use this link to record your question.
    2. Ask Me Anything Webinars
    Paid Substack subscribers can attend or submit a question in advance. The replays are available on my Substack platform.
    For more information or to become a subscriber, DrStreicher.Substack.com/subscribe.
    3. Substack Chat Subscribers can submit a question on my Substack chat.
    Dr. Streicher is on SUBSTACK DrStreicher.Substack.com

    • Articles
    • Monthly newsletter
    • All COME AGAIN podcast episodes
    • Monthly News Flash Reports on recent research
    • Monthly Zoom Ask Me Anything Webinar

    Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
    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.
    Links:
    To receive Dr. Streicher’s FREE Insider Newsletter

    Glossary Of Medical Terminology

    Subscribe To Dr. Streicher’s Substack

    Information About COME AGAIN Podcast

    Dr. Streicher’s CV and additional bio information

    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

    To Find a Menopause Clinician

    Midi Health www.Joinmidi.com
    Midi Health is a telehealth company that provides high-level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi’s Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country.
    The Menopause Society- Certified Menopause Practitioner List Menopause.org
    • To find a menopause practitioner: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx
    • Put in your zip code and designate NCMP or CMSP to get a certified menopause practitioner. While all people on this list have passed a competency examination, Dr. Streicher does not vouch for every one of these clinicians. Most are excellent.
    Major Medical Centers
    It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who have an interest and expertise in menopause.
    Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.

    S3 Ep172: COME AGAIN! Mar 20, 2025
    Show notes Welcome to COME AGAIN: Sexuality and Orgasm Podcast

    What if suddenly your tried-and-true maneuvers that consistently ended in orgasm no longer worked? Or it took so long and the climax so pathetic it was hardly worth the effort? Along with hot flashes, sandpaper sex, and a loss of libido, add the inability to have an orgasm to the list of post-menopause surprises your mom "forgot" to warn you about.

    In this episode you will hear the first two episodes of COME AGAIN-a new podcast series with science-based information to get your libido to kick in and your clitoral nerve endings to wake up while also being wildly entertaining
    For more INFORMATION and to SUBSCRIBE
    COME AGAIN: Sexuality and Orgasm is a limited podcast series

    Part One- Sexual Function and Obstacles to Orgasm

    § An overview of female sexuality, arousal and obstacles to orgasm.
    § What it takes for an orgasm to occur
    § What can happen as a consequence of menopause, aging, medications and medical conditions such as diabetes, heart disease, cancer
    Part Two - Everyone Come!
    Part Two focuses on hormonal and non-hormonal solutions to
    • eliminate pain
    • boost arousal
    • wake up your clitoris

    COME AGAIN
    is intended for both healthcare professionals and the general public.
    For more INFORMATION and to SUBSCRIBE

    Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
    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.
    • DrStreicher.com
    • Instagram @DrStreich
    • Facebook @DrStreicher
    • YouTube @DrStreicherTV
    • LinkedIn @DrStreicher

    Sign up to receive DR. STREICHER’S FREE NEWSLETTER

    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
    To Find a Menopause Clinician

    Midi Health www.Joinmidi.com
    Midi Health is a telehealth company that provides high-level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi’s Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country.
    The Menopause Society- Certified Menopause Practitioner List Menopause.org

    • To find a menopause practitioner: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx
    • Put in your zip code and designate NCMP or CMSP to get a certified menopause practitioner. While all people on this list have passed a competency examination, Dr. Streicher does not vouch for every one of these clinicians. Most are excellent.
    Major Medical Centers
    It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who have an interest and expertise in menopause.
    If you are in the Chicago area, the center founded by Dr. Streicher:
    The Northwestern Medicine Center for Sexual Medicine and Menopause Sexmedmenopause.nm.org
    Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.

    S3 Ep171: TEETH TALK with Whitney DiFoggio MA, RDH Mar 13, 2025
    Show notes
    As our bodies age, so do our teeth. And, no surprise, menopause also has an impact on dental health. My guest, Whitney Difoggio, AKA Teeth Talk Girl ,knows it all when it comes to dental hygiene ,anti-aging tips and post menopause teeth, gums, and tongues.
    Whitney DiFoggio, founder of teethtalkgirl.com, is a passionate dental health communicator and registered dental hygienist, recognized as "Teeth Talk Girl" on social media (@teethtalkgirl). With a bachelor’s degree in biology from the University of Illinois Chicago and a master’s degree in health communication from Arizona State University, she is currently pursuing her doctorate in health science at Eastern Virginia Medical School.
    • Whitening
    • Dentures
    • Dry mouth
    • Burning mouth
    • Fluoride
    • Flossing (and other uses for dental floss!)
    • Electric toothbrushes
    • Losing teeth
    Website: teethtalkgirl.com
    YouTube: YouTube.com/TeethTalk
    Instagram: @teethtalkgirl
    TikTok: @teethtalkgirl
    Facebook: @teethtalkgirl
    Please take my survey about the relationship between vaginal dryness and dry mouth. It will take no more than 3 minutes to fill out. As a thank you, I am giving away 10 free subscriptions to my paid substack for the year! DrStreicher.Substack.com
    If you are willing to give me your e-mail at the end, I will enter you. If you prefer to take it anonymously, known you are making a major contribution to menopause research!
    https://www.surveymonkey.com/r/HOWDRYIAM
    Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
    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.
    • DrStreicher.com
    • Instagram @DrStreich
    • Facebook @DrStreicher
    • YouTube @DrStreicherTV
    • LinkedIn @DrStreicher

    Sign up to receive DR. STREICHER’S FREE NEWSLETTER

    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

    To Find a Menopause Clinician

    Midi Health www.Joinmidi.com
    Midi Health is a telehealth company that provides high-level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi’s Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country.
    The Menopause Society- Certified Menopause Practitioner List Menopause.org

    • To find a menopause practitioner: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx
    • Put in your zip code and designate NCMP or CMSP to get a certified menopause practitioner. While all people on this list have passed a competency examination, Dr. Streicher does not vouch for every one of these clinicians. Most are excellent.
    Major Medical Centers

    It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who have an interest and expertise in menopause.
    If you are in the Chicago area, the center founded by Dr. Streicher:
    The Northwestern Medicine Center for Sexual Medicine and Menopause Sexmedmenopause.nm.org
    Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.

    Previous 1 2 3 4 5 16 Next

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