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Let’s Talk About Birth — Health & Fitness
Let’s Talk About Birth

Let’s Talk About Birth is a limited podcast series hosted by board-certified OB-GYN Dr. Jennifer Lincoln, returning to the mic to keep the conversation going, this time with a focus on birth. In a space filled with noise, from unsolicited “helpful” advice to the overwhelming and often inaccurate information online, coupled with a medical system that is not meeting the needs of pregnant people, this series cuts through the chaos to talk about what truly matters. With a refreshingly honest, myth-busting approach to pregnancy, labor, and postpartum, Dr. Jen brings evidence-based insight, compassion, humor, and relatability to inspiring conversations with a wide range of guests, unpacking the beautiful, the messy, and everything in between. You may recognize her voice from her previous podcast Let’s Talk About Down There or from her presence as a reproductive health advocate to more than 4 million followers, and now she’s back with a series designed to inform, support, and empower. She’s also the author of her latest book, The Birth Book: An OBGYN’s Guide to Demystifying Labor and Delivery, which aims to pull back the curtain on labor and delivery so every pregnant person can have the birth they want and deserve. So whether you’re expecting, have been through it, are supporting someone you love, or are simply curious… let’s talk about birth!

Latest Episodes:

Burning Questions about Yeast Infections Feb 13, 2023

Show notes

If you have a vagina, the chances that you’ve experienced a yeast infection are more than likely, and let’s face it, they’re annoying AF (IYKYK). Today, Dr. Jen is answering two burning (no pun intended) questions about yeast infections, addressing what they are, why you get them, how to treat them, and so much more. We also dive into this week’s teachable moment and bust some ridiculous myths along the way. Don’t miss it!

What's going down:

What yeast infections are exactly, and what is the most common strain
Common symptoms associated with a yeast infection, the ideal diagnosis, and why self-diagnosis isn’t ideal
The difference between an uncomplicated and complicated yeast infection and treatment options for each
Boric acid: what it is, the dangers of using it incorrectly, and best practices for usage
Why using natural remedies to treat a yeast infection isn’t always in your best interest
The down low on douching, which vaginal cleansers to avoid, and what’s actually safe to use down there
Antibiotics and why you shouldn’t jump to conclusions about causing yeast infections
Why the jury is still out on whether probiotics help prevent yeast infections and which ones to use if you do decide to take them
Clitorally cannot believe this was a real ad. Find out why Summer’s Eve can kiss my as* here.

Thank you for continuing the conversation and calling into the Viva la Vulva Voicemail at (503) 893-2016! Please be sure to rate, follow, review, and remember that nothing is considered TMI around here.

Social & Website

TikTok: @drjenniferlincoln

Instagram: @drjenniferlincoln

YouTube: @drjenniferlincoln

Website: www.drjenniferlincoln.com

Resources

Grab a copy of my book HERE!

Obstetricians For Reproductive Justice

References

1. The American College of Obstetricians and Gynecologists. Practice Bulletin #125: Vaginitis in nonpregnant patients. https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2020/01/vaginitis-in-nonpregnant-patients

2. http://npic.orst.edu/factsheets/boricgen.html

3. https://www.nytimes.com/2022/04/27/well/vagina-probiotics-supplements.html

4. To find a vulvovaginal specialist: https://www.nva.org/for-patients/health-care-provider-list/

5. My YouTube video on products I recommend for cleaning down there: What to use to clean *down there* **UPDATED** | Dr. Jennifer Lincoln

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Tampon Trouble and Painful Sex Feb 06, 2023

Show notes

Content warning: Sexual abuse

What's going down:

Defining conditions that could be contributing to painful sex and tampon insertion, including vaginismus and generalized vulvodynia
An in depth breakdown of vaginismus: what it is, what it feels like, and how it’s diagnosed and treated
Everything you ever needed to know about pelvic floor physical therapists and the wonders they can do to help minimize discomfort
The various factors that can ultimately lead to conditions like vaginismus
The advice I clitorally cannot stand that doctors give about any pain associated with painful tampon insertion and what to do if your doctor isn’t taking you seriously
Why this TikTok about mindfulness practices and sexuality is something I actually support - Watch here

Thank you for continuing the conversation and calling into the Viva la Vulva Voicemail at (503) 893-2016! Please be sure to rate, follow, review, and remember that nothing is considered TMI around here.

Social & Website

Tiktok: @drjenniferlincoln

Instagram: @drjenniferlincoln

YouTube: @drjenniferlincoln

Website: www.drjenniferlincoln.com

Resources

Grab a copy of my book HERE!

Obstetricians For Reproductive Justice

References

When sex hurts: understanding and healing pelvic pain: https://www.amazon.com/When-Sex-Hurts-Understanding-Healing/dp/0306827425

Dr. Jill Krapf on Instagram: https://www.instagram.com/jillkrapfmd/?hl=en\

International Pelvic Pain Society (www.pelvicpain.org)

International Society for the study of Womens’ sexual health: www.ISSWSH.org

American College of Obstetricians and Gynecologists FAQ: When Sex is Painful

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Is My Birth Control Making Me Crazy? Jan 30, 2023

Show notes

Content Warning: Mental health and suicide

What's going down:

An in-depth analysis of hormonal birth control usage in the United States
A close look at the limited data on hormonal birth control use in people who have previously been diagnosed with mental health struggles
Exposing whether starting hormonal birth control will jump-start mental health issues
Clitorally STOP making content based on studies that are dated and inaccurate - Find out why "they" call birth control the divorce pill here.
Breaking down why we even think birth control could affect our mental health
Understanding the difference between correlation and causation
The reason birth control can actually minimize anxiety and increase your mood
Revealing the most (surprisingly) popular form of birth control in the United States

Thank you for continuing the conversation and calling into the Viva la Vulva Voicemail at (503) 893-2016! Please be sure to rate, follow, review, and remember that nothing is considered TMI around here.

Social & Website

Tiktok: @drjenniferlincoln

Instagram: @drjenniferlincoln

YouTube: @drjenniferlincoln

Website: www.drjenniferlincoln.com

Resources

Grab a copy of my book HERE!

Obstetricians For Reproductive Justice

References

https://www.guttmacher.org/fact-sheet/contraceptive-method-use-united-states

https://www.mhanational.org/depression-women

Pagano HP, Zapata LB, Berry-Bibee EN, Nanda K, Curtis KM. Safety of hormonal contraception and intrauterine devices among women with depressive and bipolar disorders: a systematic review. Contraception. 2016 Dec;94(6):641-649. doi: 10.1016/j.contraception.2016.06.012. Epub 2016 Jun 27. PMID: 27364100.

McCloskey LR, Wisner KL, Cattan MK, Betcher HK, Stika CS, Kiley JW. Contraception for Women With Psychiatric Disorders. Am J Psychiatry. 2021 Mar 1;178(3):247-255. doi: 10.1176/appi.ajp.2020.20020154. Epub 2020 Nov 10. PMID: 33167674.

https://ideas.ted.com/how-the-birth-control-pill-affects-your-mood/

Mu E, Kulkarni J. Hormonal contraception and mood disorders. Aust Prescr. 2022 Jun;45(3):75-79. doi: 10.18773/austprescr.2022.025. Epub 2022 Jun 1. Erratum in: Aust Prescr. 2022 Aug;45(4):147. PMID: 35755988; PMCID: PMC9218393.

Roberts S.C., Gosling L.M., Carter V., Petrie M.: MHC-correlated odour preferences in humans and the use of oral contraceptives. Proc. R. Soc. Lond. B: Biol. Sci. 2008; 275: pp. 2715-2722.

Jones, B. C., Hahn, A. C., Fisher, C. I., Wang, H., Kandrik, M., Han, C., Fasolt, V., Morrison, D., Lee, A. J., Holzleitner, I. J., O’Shea, K. J., Roberts, S. C., Little, A. C., & DeBruine, L. M. (2018). No Compelling Evidence that Preferences for Facial Masculinity Track Changes in Women’s Hormonal Status. Psychological Science, 29(6), 996–1005. https://doi.org/10.1177/0956797618760197

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Fibroid Facts & Yoni Pearl Yikes Jan 23, 2023

Show notes

What's going down:

A deep dive into fibroids: what they are, why we get them, potential risks, and who is most likely to develop them
The diagnosis process for fibroids and what to expect if you are diagnosed
Treatment options: non-surgical vs. surgical treatments and how to determine the best option for your body
Why Black women and fibroid care is the perfect example of racism in healthcare
Clitorally disgusted that Yoni Pearls exist at all - Find out why I say "no Yoni pearls in your Yoni" and watch this TikTok here.

Thank you for continuing the conversation and calling into the Viva la Vulva Voicemail at (503) 893-2016! Please be sure to rate, follow, review, and remember that nothing is considered TMI around here.

Social & Website

Tiktok: @drjenniferlincoln

Instagram: @drjenniferlincoln

YouTube: @drjenniferlincoln

Website: www.drjenniferlincoln.com

Resources

Grab a copy of my book HERE!

Obstetricians For Reproductive Justice

References

https://www.acog.org/womens-health/faqs/uterine-fibroids

https://www.acog.org/womens-health/faqs/uterine-artery-embolization

https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2021/06/management-of-symptomatic-uterine-leiomyomas

Sengoba KS, Ghant MS, Okeigwe I, Mendoza G, Marsh EE. Racial/Ethnic Differences in Women's Experiences with Symptomatic Uterine Fibroids: a Qualitative Assessment. J Racial Ethn Health Disparities. 2017 Apr;4(2):178-183. doi: 10.1007/s40615-016-0216-1. Epub 2016 Apr 11. PMID: 27068661; PMCID: PMC5064808.

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C-Sections: Risks, Repeats, And... Does It Really Count as Giving Birth? Jan 16, 2023

Show notes

**CONTENT WARNING: Birth Trauma

What's going down:

Defining birth trauma and what it means to experience obstetric violence
Discussing if it's *really* OK to not want to have a vaginal birth
Everything you need to know about C-sections: the risks associated, what to expect, what to consider, and how to make an informed decision
An in-depth history of the terms "cesarian" and "c-section"
How to approach your second birth if you’ve already had a c-section
Understanding your options and eligibility for a TOLAC and a VBAC (trial of labor after cesarian and a vaginal birth after cesarian)
Clitorally so OVER the trolls telling people who have had c-sections that they didn’t actually give birth - See the full TikTok here!

Thank you for continuing the conversation and calling into the Viva la Vulva Voicemail at (503) 893-2016! Please be sure to rate, follow, review, and remember that nothing is considered TMI around here.

Social & Website

Tiktok: @drjenniferlincoln

Instagram: @drjenniferlincoln

YouTube: @drjenniferlincoln

Website: www.drjenniferlincoln.com

Resources

Grab a copy of my book HERE!

Obstetricians For Reproductive Justice

References

http://apps.who.int/iris/bitstream/handle/10665/134588/WHO_RHR_14.23_eng.pdf;jsessionid=8E5A99EF961C01DF6B76DCC0D80B798E?sequence=1

https://www.pregnancybirthbaby.org.au/birth-trauma-emotional#:~:text=It's%20been%20estimated%20that%20up,birth%20may%20experience%20birth%20trauma.

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Is Teenage Birth Control a Free Pass for Sex? Jan 09, 2023

Show notes

What's going down:

Debunking the theory that teens taking birth control are more likely to do the deed
The ridiculous history and current reality of abstinence only education in the U.S.
Benefits of comprehensive risk reduction programs and why sexual health education needs to go beyond pregnancy prevention
Breaking down what it means for teens to have an IUD, how it impacts hormones, and what it all *really* means when your child has one -- refer back to this episode for a full deep dive into IUDs!
Tips and tricks on how to approach discussions about sex with your kids and why it’s okay to NOT have all the answers
Discussing clitorally the most horrifying stats and numbers on sexual health amongst adolescents in the U.S and why Mississippi, in particular, is on the struggle bus

Thank you for continuing the conversation and calling into the Viva la Vulva Voicemail at (503) 893-2016! Please be sure to rate, follow, review, and remember that nothing is considered TMI around here.

Social & Website

Tiktok: @drjenniferlincoln

Instagram: @drjenniferlincoln

YouTube: @drjenniferlincoln

Website: www.drjenniferlincoln.com

Resources

Grab a copy of my book HERE!

Obstetricians For Reproductive Justice

Resources for talking to teens!

https://www.amazon.com/Lets-Talk-About-Down-There/dp/1524865761

https://sexpositivefamilies.com/

https://powertodecide.org/sexual-health/your-sexual-health/find-your-method

www.bedsider.org

References

https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/05/adolescents-and-long-acting-reversible-contraception-implants-and-intrauterine-devices#:~:text=Adolescents%20have%20high%20continuation%20rates,84%25%20for%20LARC%20methods%2011

https://www.guttmacher.org/state-policy/explore/sex-and-hiv-education#

https://www.guttmacher.org/gpr/2017/03/looming-threat-sex-education-resurgence-federal-funding-abstinence-only-programs

https://www.jahonline.org/article/S1054-139X(17)30260-4/fulltext

https://www.cdc.gov/nchs/pressroom/sosmap/teen-births/teenbirths.htm

https://www.cdc.gov/std/statistics/2020/tables/2020-std-surveillance-state-ranking-tables.pdf

https://www.innerbody.com/abstinence-only-states-have-highest-rates-teen-pregnancy-stds

https://sexeducationcollaborative.org/

https://www.guttmacher.org/fact-sheet/adolescents-teens-receipt-sex-education-united-states

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The Real Reason Your Birth Control Failed Jan 02, 2023

Show notes

What's going down:

Addressing the high volume of misinformation that exists surrounding what makes birth control less effective
The truth about mixing antibiotics and birth control
Why you shouldn’t stop taking Melatonin after listening to this clitorally ridiculous TikTok - Watch here!
What to be aware of if you’re taking an emergency contraceptive while on birth control
Breaking down Plan B vs. Ella
Highlighting the effectiveness and invincibility of IUDs when it comes to taking antibiotics and most other medications
This week’s teachable moment: Not all that affects your uterus is in your pelvis and why seizure disorders are a great example of this

Thank you for continuing the conversation and calling into the Viva la Vulva Voicemail at (503) 893-2016! Please be sure to rate, follow, review, and remember that nothing is considered TMI around here.

Social & Website

Tiktok: @drjenniferlincoln

Instagram: @drjenniferlincoln

YouTube: @drjenniferlincoln

Website: www.drjenniferlincoln.com

Resources

Grab a copy of my book HERE!

Obstetricians For Reproductive Justice

References:

Aronson JK, Ferner RE. Analysis of reports of unintended pregnancies associated with the combined use of non-enzyme-inducing antibiotics and hormonal contraceptives. BMJ Evidence-Based Medicine 2021;26:112-113.

Johanna S.M. Archer, David F. Archer. Oral contraceptive efficacy and antibiotic interaction: A myth debunked. Journal of the American Academy of Dermatology, Volume 46, Issue 6, 2002, Pages 917-923, https://doi.org/10.1067/mjd.2002.120448.

The American College of Obstetricians and Gynecologists. Clinical Updates in Women’s Care: Seizures. January 2021.

https://www.pharmacytimes.com/view/oral-contraceptives-and-st-johns-wort

https://www.ella-now.com/faqs/do-i-need-to-continue-taking-my-contraceptive-pill-after-taking-ella/

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The ABCs of IUDs...And is P for Pain? Dec 26, 2022

Show notes

What's going down:

All about IUD insertions: what to know prior, how to mentally prepare, and the best ways to treat the pain if need be
The many uses of an IUD beyond preventing pregnancy
The 2 different types of IUDs: Hormonal vs. Copper, and what to expect from each
Discussing anxiety surrounding IUDs: uterine perforation, string placement, and hormonal concerns
The importance of doing your own research, speaking with your healthcare provider, and avoiding misinformation on social media
Clitorally, we can’t believe how confused (some) men are about IUDs. Watch full TikTok here!

Thank you for continuing the conversation and calling into the Viva la Vulva Voicemail at (503) 893-2016! Please be sure to rate, follow, review, and remember that nothing is considered TMI around here.

Social & Website

Tiktok: @drjenniferlincoln

Instagram: @drjenniferlincoln

YouTube: @drjenniferlincoln

Website: www.drjenniferlincoln.com

Resources

Grab a copy of my book HERE!

Obstetricians For Reproductive Justice

References

1. Whitworth K, Neher J, Safranek S. Effective analgesic options for intrauterine device placement pain. Can Fam Physician. 2020;66(8):580 581.

2. Gemzell-Danielsson K, Mansour D, Fiala C, Kaunitz AM, Bahamondes L. Management of pain associated with the insertion of intrauterine contraceptives. Hum Reprod Update. 2013;19(4):419-427. doi:10.1093/humupd/dmt022.

3. Laura Nguyen, Larkin Lamarche, Robin Lennox, Amanda Ramdyal, Tejal Patel, Morgan Black, Dee Mangin. Strategies to Mitigate Anxiety and Pain in Intrauterine Device Insertion: A Systematic Review. Journal of Obstetrics and Gynaecology Canada, Volume 42, Issue 9, 2020, Pages 1138-1146.e2, ISSN 1701-2163.

4. Lopez LM, Bernholc A, Zeng Y, Allen RH, Bartz D, O'Brien PA, Hubacher D. Interventions for pain with intrauterine device insertion. Cochrane Database Syst Rev. 2015 Jul 29;(7):CD007373. doi: 10.1002/14651858.CD007373.pub3. PMID: 26222246.

5. Karabayirli S, Ayrim AA, Muslu B. Comparison of the analgesic effects of oral tramadol and naproxen sodium on pain relief during IUD insertion. J Minim Invasive Gynecol. 2012 Sep-Oct;19(5):581-4. doi: 10.1016/j.jmig.2012.04.004. Epub 2012 Jul 4. PMID: 22766124.

6. Ngo LL, Ward KK, Mody SK. Ketorolac for Pain Control With Intrauterine Device Placement: A Randomized Controlled Trial. Obstet Gynecol. 2015 Jul;126(1):29-36. doi: 10.1097/AOG.0000000000000912. PMID: 26241253; PMCID: PMC4527080.

7. Mody SK, Farala JP, Jimenez B, Nishikawa M, Ngo LL. Paracervical Block for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial. Obstet Gynecol. 2018 Sep;132(3):575-582. doi: 10.1097/AOG.0000000000002790. PMID: 30095776; PMCID: PMC6438819.

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Lube is a Vagina’s Best Friend Dec 19, 2022

Show notes

What's going down:

Discussing the overwhelmingly negative societal outlook on menopause and why we need to do better
Diving into the definition of menopause and what exactly can transpire before and after
Breaking down genitourinary syndrome of menopause (GSM), vaginal atrophy, the symptoms associated, and the power of lube
Hormonal treatments and the differences between local vs. systemic
Benefits and risks of non-hormonal treatment options
Clitorally the most disturbing TikTok on the internet promoting vaginal rejuvenation. Find out why the "Mona Lisa" laser can kiss my a$$ here!

Thank you for continuing the conversation and calling into the Viva la Vulva Voicemail at (503) 893-2016! Please be sure to rate, follow, review, and remember that nothing is considered TMI around here.

Social & Website

Tiktok: @drjenniferlincoln

Instagram: @drjenniferlincoln

YouTube: @drjenniferlincoln

Website: www.drjenniferlincoln.com

Resources

Grab a copy of my book HERE!

Obstetricians For Reproductive Justice

References:

The American College of Obstetricians and Gynecologists. Practice Bulletin #141: Management of menopausal symptoms. July 2014.

The American College of Obstetricians and Gynecologists. FAQ Vaginal rejuvenation, labiaplasty, and other female genital cosmetic surgery.

NAMS Position Statement: The 2020 genitourinary syndrome of menopause position statement of The North American Menopause Society. Menopause: The Journal of The North American Menopause Society Vol. 27, No. 9, pp. 976-992 DOI: 10.1097/GME.0000000000001609

https://www.nytimes.com/2018/07/30/health/vaginal-laser-fda.html

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The Truth About Medication Abortion...in All 50 States Dec 12, 2022

Show notes

What's going down:

Addressing what exactly abortion medication is, its effectiveness, and the different types available
What side effects to expect when taking these medications at home; what is normal and when to be concerned
The brutal history of accessing abortion pills in the United States and the REMS criteria
Breaking down how and where to safely access abortion medication while minimizing legal risk
Clitorally cannot handle the dangerous misinformation that exists out there surrounding reverse abortion medication. Watch TikTok here.

Thank you for continuing the conversation and calling into the Viva la Vulva Voicemail at (503) 893-2016! Please be sure to rate, follow, review, and remember that nothing is considered TMI around here.

Social & Website

TikTok: @drjenniferlincoln

Instagram: @drjenniferlincoln

YouTube: @drjenniferlincoln

Website: www.drjenniferlincoln.com

Resources

Grab a copy of my book HERE!

Obstetricians For Reproductive Justice

https://www.reprolegalhelpline.org/

https://safe2choose.org/

https://choixhealth.com/advance-provision/

https://www.womenonweb.org/en/survey/21244/advance-provision-of-abortion-pills

https://aidaccess.org/en/

https://www.plancpills.org/

Digital Defense Fund: Abortion privacy

References

1. The American College of Obstetricians and Gynecologists. Practice Bulletin #225: Medication abortion up to 70 days of gestation.

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