Ageless and Outrageous

In this inaugural episode of the Ageless and Outrageous Podcast, Dr. Kristin Jackson and Rosalind Arp introduce themselves as the hosts and share their background stories. Learn about each of your hosts, and where they have come from, as well as why they have launched this fun and educational podcast.   In this episode, you'll hear: Dr. Jackson discussing her decision to become an OB/GYN and leaders specialize in urogynecology. Rosalind explaining her transition from nursing care to becoming a nurse practitioner. The growth of their practice, starting with pelvic floor disorders, but expanding into sexual health, medicine, hormone medicine, and anti-aging therapies. The goals they've set for themselves to educate their listeners and empower them to make healthy choices for their lives.   Our emphasis is on patient education and the trust we have built with their patients. Overall, this introductory episode sets the stage for our future conversations on various topics related to health and the goal of improving quality of life.   Read Dr Jackson's and Rosalind's bios here: https://www.foundationsfl.com/about-us   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology/   Loved this episode? Share with a friend. 

Regular, healthy sex has numerous surprising health benefits that are backed by scientific research. It can help reduce stress and anxiety by modulating cortisol responses and increasing the release of endorphins. Libido is improved, by increasing spikes of oxytocin It gives a boost the immune system and increases the release of immunoglobulins It is associated with enhanced cardiovascular health Memory loss is attenuated, by promoting the formation of new neurons in the hippocampus It induces better sleep Sex stimulates and exercises the pelvic floor muscles, leading to stronger pelvic floor contractions and more pleasurable orgasms. Finally it also strengthens the emotional bond and intimacy between couples  Ultimately, open discussions and scheduling can help couples enjoy the mutual benefits of a healthy sex life. Key moments in this episode are: 01:00 Benefit:  reduced stress and anxiety 02:05 Understanding oxytocin and ACTH 03:45 The seven-second hug 05:32 Benefit: improved libido 07:55 Benefit:  boosting immunity 08:49 Sex increasing immunity agains COVID09:40 Benefit: cardiovascular health 11:42 Benefit:  brain health and protection of memory 12:34 Sexercise! 13:27 Benefit:  enhanced sleep 15:29 Benefit: strengthened pelvic floor 16:49 Benefit:  intensify intimacy in your relationship 17:36 Health in blue zones      Learn more about oxytocin reducing stress here: Oxy reduces stress centers in brain Windle RJ, Kershaw YM, Shanks N, Wood SA, Lightman SL, Ingram CD: Oxytocin attenuates stress-induced c-fos mRNA expression in specific forebrain regions associated with modulation of hypothalamo-pituitary-adrenal activity. J Neurosci 2004, 24:2974–2982   Read the study on how a romantic partner's embrace can reduce stress here: Berretz G, Cebula C, Wortelmann BM, Papadopoulou P, Wolf OT, et al. (2022) Romantic partner embraces reduce cortisol release after acute stress induction in women but not in men. PLOS ONE 17(5)   Learn more about sex reducing COVID here: Ramadhan MA, Hashim HT. THE EFFECTS OF SEXUAL FREQUENCY AND IMMUNE BOOSTING MINERAL INTAKE ON IMMUNE STATUS IN COVID-19 SUSCEPTIBLE INDIVIDUALS. Fertil Steril. 2021 Sep;116(3):e113. doi: 10.1016/j.fertnstert.2021.07.316. Epub 2021 Sep 17. PMCID: PMC8446874.   And find out how sex reduces your risk for cardiovascular disease here: Hall SA, Shackelton R, Rosen RC, Araujo AB. Sexual activity, erectile dysfunction, and incident cardiovascular events. Am J Cardiol. 2010 Jan 15;105(2):192-7. doi: 10.1016/j.amjcard.2009.08.671. PMID: 20102917; PMCID: PMC2824175.   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

Vaginal dryness is a common issue affecting many women, especially during and after menopause. While it may be a sensitive topic to discuss, it's important to address this discomfort with healthcare providers. The lack of estrogen, a hormone responsible for keeping the vagina lubricated, is the main cause of vaginal dryness in menopause.  We explore different products available for treating vaginal atrophy, such as vaginal estrogen cream, estrogen rings, and tablets. Each product has its advantages and disadvantages in terms of convenience, cost, and coverage. It's crucial for women to be knowledgeable about these options when discussing their symptoms with their provider. Additionally, we emphasize the importance of finding the right solution for each individual, as not all products may work equally well for everyone.  Whether through topical treatments or more systemic approaches, there are various ways to address vaginal dryness effectively and enhance overall comfort and quality of life. Key moments in this episode are: 0:00 Intro to the dry vagina 1:59 Vaginal estradiol cream 2:45 Advantages of vaginal estradiol cream 3:17 Disadvantages of vaginal estradiol cream 3:42 Reducing the messiness 4:14 Vaginal estradiol cream and sex 5:23 Vaginal estradiol ring 5:50 Advantages of vaginal estradiol ring 5:59 Disadvantages of vaginal estradiol ring 6:39 Not all vaginal rings are equal 8:03 Vaginal estradiol ring use with pessaries 8:33 Vaginal estradiol tablets 8:57 Advantages of vaginal estradiol tablets 9:09 Disadvantages of vaginal estradiol tablets 10:05 Not all messiness is bad 10:50 Vaginal Intrarosa 11:30 Advantages of Intrarosa 11:45 Disadvantages of Intrarosa 12:01 What's best? 13:21 Wrap Up   Get a sneak peek into procedures for vaginal rejuventation here: https://www.foundationsfl.com/empower   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend

Hormones are critical chemical messengers in our body, constantly relaying signals between organs and maintaining homeostasis. This podcast episode delves into the fascinating world of hormones, explaining their role and the difference between our nervous system and endocrine system. The endocrine system acts as the thermostat, slowly regulating our body's temperature, while the nervous system responds more quickly. Hormones work using a lock and key mechanism, with specific hormones unlocking receptors in organs to initiate various actions. The thyroid hormone is explored as an example of a master hormone that affects multiple organs, including our metabolism, temperature regulation, and gastrointestinal tract. We also touch upon the importance of optimal hormone levels, as many individuals experience symptoms that may be related to hormonal imbalances even if their levels fall within the normal range. The impact of aging, lifestyle factors, and surgical interventions on hormone production is also discussed, emphasizing the need for hormone optimization to maintain overall well-being. In this episode, you'll be able to Learn what exactly a hormone is Understand how hormones create their own unique effects Realize why "normal" ranges on your lab values are not helpful Distinguish between normal aging vs poor hormone balance   Key moments in this episode are: 00:26 What are hormones 00:45 Nervous system vs endocrine system 01:39 Key in the lock analogy 02:29 Understanding the reference range for lab values 04:38 Appreciating symptoms of suboptimal hormones 07:25 Finding a provider who has sought out additional hormone training 08:38 Suboptimal symptoms masking as "aging" 09:02 Why hormones decline as we age 10:20 Personal example of optimizing hormones   Learn more about how to optimize your hormones here: https://www.foundationsfl.com/bioidentical-hormone-optimization   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend

Pelvic organ prolapse is a condition that affects many women, with up to 40% experiencing it in their lifetime. This podcast episode provides an in-depth discussion of pelvic organ prolapse, focusing on: The causes, symptoms, and risk factors for pelvic organ prolapse How pregnancy, genetics, and menopause may increase the risk of developing prolapse What lifestyle factors affect prolapse Common myths about sex and pelvic organ prolapse The use of pessaries as a non-surgical treatment option Surgical options, including reconstructive and obliterative surgery, and the considerations involved in choosing the right approach for person The importance of choosing a high-volume surgeon for successful outcomes   Uncover everything about pelvic organ prolapse, from your two pelvic floor experts--Dr Jackson and Rosalind!   Key moments in this episode are: 00:00 What is pelvic organ prolapse 00:46 Vaginal anatomy 01:30 Weakened fascia 02:41 What causes prolapse--pregnancy 03:36 What causes prolapse--genetics 04:10 What causes prolapse--aging and lifestyle 05:50 Symptoms of prolapse 07:10 Sex and prolapse 07:59 Layers of the vagina 09:51 Treatment with observation 10:59 Nonsurgical treatment with pessaries 11:08 Interesting history of pessaries 12:38 Getting the right fit 13:57 Pessary care 14:56 The craziest pessary I ever used 16:23 Can't I just do Kegels? 18:35 Removing the stigma of a pessary 19:52 Mucus with a pessary 21:03 Surgery for prolapse 23:31 The topic of vaginal mesh 27:27 Possible complications with vaginal mesh 29:31 Can mesh be removed? 30:20 Slings vs vaginal mesh 32:15 When to consider surgery for prolapse 33:07 Obliterative vaginal surgeries 36:35 Recurrence of prolapse after surgery 37:38 Non-mesh options for vaginal repair 40:32 Choosing a high volume pelvic surgeon   Learn more about pelvic organ prolapse here: https://www.augs.org/assets/2/6/POP.pdf   Learn about pessaries here:https://www.voicesforpfd.org/   Discover more about vaginal suspension surgery here: https://www.augs.org/Vaginal_Suspension_Surgery.pdf   And learn about vaginal closure surgery (colpocleisis) here:https://www.augs.org/Colpocleisis.pdf   Follow us! Instagram foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB  facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

Postmenopausal women can and do experience orgasms! This podcast episode explores the changes and challenges that occur with orgasms after menopause and offers strategies to improve them. It debunks stereotypes that suggest women lose interest in sex after menopause and highlights the importance of addressing sexual concerns for both women and men.  Why are physicians not discussing healthy orgasms with women The 4 main areas to focus on to improve a postmenopausal orgasm Improving arousal with hormone or other prescription medications Off label use of arousal medications Providing proper clitoral stimulation Use of vibrators as a medical device Where to shop for the best vibrator Types of vibrators Having an open conversation with your partner  A happy and fulfilling sex life does not end with menopause!   Key moments in this episode are: 00:26 Do women still desire sex after menopause? 01:18 Many solutions for male sexual issues 02:16 Challenges with the postmenopausal orgasm 03:15 Arousal for orgasm 03:32 Medications that decrease arousal 4:04 Hormone replacement for improving arousal 4:34 Addyi for female sexual dysfuction 05:22 Vylessi for female sexual dysfunction 07:10 Clitoral stimuation for orgasm 07:57 Using a vibrator as a medical device 09:58 Where to get a vibrator 11:19 Types of vibrators 13:01 Vibrators for both partners 13:30 Having an open conversation with your partner 14:36 Stay tuned for part 2 of this conversation!   https://www.lovehoney.com/

Menopause doesn't have to mean the end of fulfilling sexual experiences. The post menopausal orgasm is real! You may just need to take some steps to make sure it's in tiptop shape.  In the second part of this podcast, we continue to explore the most common reasons for the decline of the post menopausal orgasm. Maintaining good overall health is the first step to a healthy sex life. Blood flow to the clitoris is paramount; vaginal estrogen and certain vasodilators can help. PRP (platelet-rich plasma) can be used to stimulate nerve and blood vessel growth in the clitoris and vagina. Maintaining a strong pelvic floor is the key to fabulously strong orgasms. Working with your sexual health expert, you should be able to individualized a plan tailor to your needs. Key moments in this episode are: 00:00 Summary of Part 1 of Postmenopausal Orgasms 00:25 Improving clitoral blood flow 01:49 How to improve clitoral blood flow with vaginal estrogen 03:15 Other medications to improve clitoral blood flow 04:57 When blood flow alone is not enough 05:23 Uses of PRP (platelet-rich plasma) 07:09 How PRP is performed 08:22 A strong pelvic floor 09:46 Electrical stimulation vs electromagnetic stimulation 11:22 How electromagnetic stimulation is performed 13:08 Summary   Learn more about platelet-rich plasma here: https://www.foundationsfl.com/prp   Learn more about electrical stimuation to the pelvic floor with vTone here: https://www.foundationsfl.com/empower   Learn more about electromagnetic stimulation to the pelvic floor with BTL Emsella Chair here: https://www.foundationsfl.com/emsculpt-neo   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend

Recurrent bladder infections, also known as UTIs, can be a challenging problem for women, especially as they age. Urinary pain, burning, urgency and frequency can have several causes, but today's podcast will focus on those UTIs that just won't go away!   The parts of the urinary tract that can become infected The importance of an accurate diagnosis of infection vs other causes of symptom Proper evaluation of both the upper and lower urinary tract Limitations of the standard urine culture Newer testing to get to the root cause of the infection Treatment options, including non-antibiotic options   Seeking care from a specialist may be essential when you face persistent UTIs despite treatment. We want to improve your awareness about recurrent bladder infections and guide you towards effective treatment strategies.   Key moments in this episode are: 00:29 What is a UTI 02:09 Defining recurrent bladder infections 04:30 Why a pelvic exam is needed 06:54 Evaluation of the entire urinary tract 08:05 Is urine supposed to be sterile? 08:59 Understanding PCR testing 11:15 Biofilm in the bladder 13:41 Treating recurrent infections 14:25 Using suppression antibiotics 17:37 Alternatives to antibiotics 20:23 Supplements for bladder health 21:16 Cranberry for UTIs 22:49 D-mannose for UTIs 25:05 What does NOT cause UTIs 30:46 Using over the counter Azo for bladder pain   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend. 

There are so many long-standing myths about vaginal and vulvar health. You may have heard these myths from movies, your friends, or even you family members.  Today we take a look at 8 common myths about the vaginal and vulvar area to see which ones hold up under scrutiny.  Can a tampon get lost inside your vagina?  Do all sexually transmitted infections given you noticable symptoms?  Can a doctor tell if you're a virgin just by doing an exam?  Listen in to the episode to find out these answers and more!   Key moments in this episode are: 00:15 Myth 1: You need special products to clean the vulva and vagina 01:27 Myth 2: The tampon can get lost inside you 02:25 Myth 3: Every itch means an infection 03:45 Myth 4: All vaginal discharge is unhealthy 05:03 Myth 5: Everyone can orgasm from vaginal penetration 06:22 Myth 6: You can get drunk from an alcohol-soaked tampon 08:14 Myth 7: You'll definitely know if you have a sexually transmitted infection 09:13 Myth 8: An intact hymen means a woman is a virgin   Read the info about alcohol-soaked tampons here: American Journal of Emergency Medicine 32 (2014) 935–942 941   Follow us!   Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

Today's episode discusses the changes that occur in the skin after menopause. 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.   Key moments in this episode are: 00:28 Estrogen for skin health 00:49 Estrogen's effect on collagen 02:13 Timing of estrogen for skin effect 02:43 Estrogen for skin moisture 04:29 How wrinkles are formed 05:42 Estrogen improves skin blood flow 06:49 Sun exposure to skin 07:56 Sleep for better skin 09:40 Smoking's effects on skin 11:18 Products beneficial to skin   Read Dr J's blog about medical grade skin care here: https://www.foundationsfl.com/post/what-is-medical-grade-skincare Read more about the science of estrogen in the skin here: 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. Learn more on how sleep affects our skin here: 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. See the benefits of stopping smoking here: 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.   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/post/what-is-medical-grade-skincare FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend.  

Hysterectomy 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: Reasons for hysterectomy, such as pain, fibroids, heavy bleeding, endometriosis, or cancer The different types of hysterectomy The impact of hysterectomy on sexual health and hormones The importance of open communication with your surgeon Significance of regular pelvic exams even after hysterectomy Potential complications like scar tissue formation and pelvic floor spasms By providing accurate information and dispelling myths, this episode aims to empower women to make informed decisions and prioritize their sexual wellness after hysterectomy.   Key moments in this episode are:   Learn more about hysterectomy from ACOG here: https://www.acog.org/   Considering hormone replacement?  See more here: https://www.foundationsfl.com/bioidentical-hormone-optimization   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend

Hormone replacement therapy (HRT) and breast cancer risk 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.  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. Understanding the study's flaws and limitations is crucial to interpreting its results correctly. The study's patient population skewed towards older women, which impacted the results and made them less applicable to menopausal women in their 50s. HRT can offer various benefits, such as reducing heart disease, stroke, and osteoporosis risk.  The results of the study are only applicable to conjugated equine estrogens (CEE) and medroxyprogesterone acetate, a synthetic progestin. Using bioidentical hormones, particularly micronized progesterone, can be a safer alternative. 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. 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. Key moments in this episode are: 0:00 Intro and facts about breast cancer 1:05 Current screening guidelines for breast cancer 1:53 Looking at how the WHI study was set up 3:35 What the headlines about WHI said 3:59 Behind the headlines 5:23 WHI from a personal perspective 7:18 Understanding the numbers 8:37 Risks of oral estrogens 10:30 What was causing the breast cancer risk? 11:08 Benefits of taking HRT 12:10 Alternates to synthetic progestins   Check out Dr Jackson's blog on the WHI here:   https://www.foundationsfl.com/post/getting-rid-of-whi-once-and-for-all   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend

Testosterone 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.   In this episode, you'll be able to: Find out why testosterone is Dr J's favorite hormone to balance for her patients List the common misconceptions surrounding testosterone Understand some of the many many benefits of healthy testosterone levels Be comfortable with the safety of proper testosterone replacement Key moments in this episode are:  00:31 Common symptoms of sub-optimal testosterone 00:56 First myth: Testosterone is only important in men 01:35 Differences in measurements in testosterone and estradiol 02:43 Timeline of testosterone decline as we age 03:39 Misinterpretation of symptoms of testosterone loss as "normal aging" 04:05 Second myth: Testosterone is only important for libido 04:28 Where testosterone receptors are located 5:04 Role of testosterone in libido 06:29 Role of testosterone in the brain 07:29 Role of testosterone in the brain 08:00 Role of testosterone in the heart 09:58 Role of testosterone in the bones 11:18 Long term risks of bone building drugs, like bisphosphonates 12:27 Role of testosterone in muscles 13:03 Study of testosterone with and without exercise to build muscle 14:28 Importance of muscle mass in women as they age 14:55 Preventing falls with strong muscles and bones 16:56 Role of testosterone in the bladder 18:23 What our patients are saying about testosterone replacement 19:50 Third myth: Testosterone is not safe for use in women 20:16 Road to FDA approval 20:32 Natural products like testosterone cannot be patented 21:14 Testosterone in the market today 21:58 What an off-label use of a drug means 23:40 Risk of testosterone during pregnancy 26:16 How to properly dose testosterone 28:17 Sensitivity of testosterone receptors 29:!4 Using an algorithm to dose testosterone   Learn more about bioidentical hormone replacement therapy here: https://www.foundationsfl.com/bioidentical-hormone-optimization   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend.     

Vaginal and vulvar itching 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:   Learn the proper anatomy of the vulva and vagina Understand both vaginal and vulvar yeast infections and how they present with different symptoms What's new in the treatment of yeast infections Atrophy as a cause of vulvar itching What is lichen sclerosis and how is it managed How lichen planus presents and is treated Proper hygiene and care of the vagina and vulva Delve into the diverse causes of vaginal and vulvar itching; it's NOT just a yeast infection.   Key moments in this episode are: 00:30 Where does it itch?  Learning the anatomy 02:05 Taking a tour of your own vulva 04:23 Vaginal yeast infections 05:19 Vulvar yeast infections 06:17 Do you always need to treat a yeast infection? 06:45 Recurrent yeast infections 08:54 New medications for yeast on the market 10:00 Can men get genital yeast infections? 11:00 Vulvovaginal atrophy 12:09 Lichen sclerosis 14:43 Medication to treat lichen sclerosis 16:20 Procedures to treat lichen sclerosis 18:09 Surgery for lichen sclerosis 19:34 Vulvar cancer 20:58 Lichen planus 23:12 Treatment for lichen planus 24:34 Vaginal and vulvar self care 26:13 Exfoliation of the vulva 27:20 Home remedies to alleviate itching 28:35 Vulvar care in patient with incontinence   Learn more about microneedling for lichen sclerosis here: https://www.foundationsfl.com/empower   Find out more about vulvar itching and burning here: https://www.acog.org/womens-health/faqs/disorders-of-the-vulva-common-causes-of-vulvar-pain-burning-and-itching   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

Many women face various obstacles when it comes to experiencing an amazing orgasm. 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: The analogy of a waterfall, and how boulders get in the way of a fantastic orgasm Common challenges to reaching orgasm Causes of pain during orgasm Treating dryness and atrophy High tone pelvic floor disorder Evaluating for vulvodynia How low libido diminishes orgasm When you cannot reach orgasm with penetration alone Enhancing the sensitivity of the vagina Strengthening the pelvic floor for intense contractions Psychosocial factors that interfere with pleasure By uncovering and removing these obstacles, women can enhance their sexual satisfaction and experience more fulfilling orgasms.   Key moments in this episode are:  01:05 Understanding the waterfall analogy 02:17 Pain during intercourse 02:57 Our favorite vaginal lubricant 03:55 Treating vaginal atrophy 04:58 Hypertonic pelvic floor muscles 06:09 Treatment for a tight pelvic floor 07:02 Understanding vulvodynia 07:47 Causes of deep penetration pain 09:54 Lack of libido leading to orgasm issues 10:17 Effects of low testosterone 11:00 Other medications to improve female libido 13:37 Medications that may be zapping your libido 13:56 Improving the strength of an orgasm 14:50 How to build pelvic floor muscle strength 15:53 When clitoral stimulation just isn't doing the job 17:10 What if you cannot reach orgasm with vaginal penetration alone? 18:37 Using PRP to improve sensitivity 20:04 Feeling too loose or desensitized 20:41 Building vaginal collagen 22:18 Removing psychosocial barriers to orgasm   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

Obesity has become a pressing issue in the United States, with a significant increase in its prevalence over the past few decades. This episode explores the factors contributing to weight gain,  genetics that may predispose individuals to obesity, and the environment in which we live., highlighting the control we each have over our weight and the potential to modulate genetic influences. We also discuss the impact of obesity on various medical conditions such as heart disease, stroke, hypertension, and diabetes. Obesity needs to be understood as a chronic and relapsing medical condition, rather than solely a cosmetic concern.  Listen in to learn more: Plenity; a supplement that expands in the stomach to creates a sensation of fullness Cell Press, a similar supplement with celluose, to help control portion size Calcium Pyruvate, a substance that enhances the conversion of food into energy Orlistat, an over-the-counter medication to block fat absorption Hormonal control of weight using Semaglutide and Tirzepatide The role of the hypothalamus in eating and hunger The role of the mesolimbic reward system in controlling cravings Contrave, a prescription medication working in the brain to reset hunger controls Qsymia, a prescription medication working in the brain with the hunger and craving centers Bariatric surgery as an option Gain insight to understand obesity's medical complexities to explore various interventions, empowering you to make an informed choice for healthier living and weight management.     Key moments in this episode are:   00:26 Definition of obesity 00:38 Calculating your BMI 01:06 Rates of obesity in the USA 01:27 Factors related to rise in obesity 03:11 When to begin treating our weight 04:07 Does insurance cover weight loss options? 05:32 Understanding Plenity 06:40 Describing Cell Press 07:08 Calcium Pyruvate supplement 07:40 Orlistat as a fat-blocker 08:20 Hormonal treatment for weight with semaglutide and tirzepatide 11:44 Hypothalamus' role in weight control 12:13 Mesolimbic reward system's role in weight control 13:58 Contrave for weight loss and control of cravings 15:22 Using Qsymia to control hunger and cravings 16:29 Phentermine as an appetite suppressant 17:56 Bariatric surgery for weight loss   Learn more about weight loss options, including Semaglutide and Tirzepatide, here: https://www.foundationsfl.com/weight-loss   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

Today's podcast episode explores the top five things women should know about their male partner's sexual health and provides crucial information for women on how to support their male partners.  Tune in to learn: What is erectile dysfunction (ED) Vascular causes of ED Neurogenic causes of ED Hormonal causes of ED Treatment options for ED Premature ejaculation and treatment strategies Impact of prostate cancer on sexual health Empower yourself with knowledge and discover how you can be a pivotal support system for your partner's sexual well-being by tuning in to this enlightening conversation   Key moments in this episode are: 00:24 Intro to erectile dysfunction 00:49 How an erection happens 01:40 Vascular issues causing ED 02:04 Association of ED with cardiovascular disease 03:27 Nerve issues causing ED 04:03 Parasympathetic nerve stimulation for sexual arousal 05:34 Hormonal causes of ED 06:57 First thing women need to know about mens' sexual health 07:36 Medications that can lead to ED 08:12 Medications to treat ED 09:45 Second thing women need to know about mens' sexual health 10:25 Non-medication options to treat ED 12:20 Premature ejaculation 13:25 Treatment options for premature ejaculation 15:14 Third thing women need to know about mens sexual health 15:26 Fourth thing women need to know about mens' sexual health 15:35 Prostate cancer 16:46 Treatments for sexual dysfunction after prostate cancer 17:27 Fifth thing women need to know about mens' sexual health   Learn more about erectile dysfunction here:  https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction   Learn more about mens' health impacting their sexual life here:  https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/sexual-bladder-problems   And find tons of information at the Sexual Medicine Society of North America here: https://www.smsna.org/patients       Follow us! Instagram @foundationskristinjacksonmd Website. https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

Vaginal rejuvenation, although not a specific medical term, encompasses various restorative procedures for the vagina, vulva, and pelvic floor. In this podcast, we discuss what can happen to the vagina and vulva as we age, and ways to restore vaginal health. Listen in to understand: Changes to the vagina related to childbirth, aging, and hormonal fluctuations The role of vaginal estrogen in maintaining healthy tissue Non-surgical treatments to tighten the labia The role of labioplasty to alter labial appearance Vaginal lasers for resurfacing and treatment of vaginal dryness Surgical tightening of the vagina How to choose the best surgeon to perform your procedure Therapies to strengthen the pelvic floor muscles   By focusing on restoration rather than "rejuvenation", you can help to revive the vagina and vulva back to what they once were!   Key moments in this episode are: 00:12 What is vaginal rejuvenation 01:08 Changes that can occur to the vaginal and vulva 02:27 Symptoms associated with damage to pelvic floor 03:58 Bringing this issue to the forefront of discussion 04:44 What women are asking for with vaginal rejuvenation 06:26 Non-surgical treatments to improve labial appearance 07:39 Surgical options to alter labia 08:50 Who should you choose to perform a surgery 12:11 Radiofrequency alone as a treatment 13:32 Role of vaginal estrogen in rejuvenation 14:35 Types of vaginal lasers 16:57 Hybrid vaginal lasers 17:44 Surgical options to tighten vagina 20:30 Strengthening the pelvic floor muscles   Learn more about vaginal microneedling and radiofrequency here: https://www.foundationsfl.com/empower   Learn more about vaginal lasers here: https://www.foundationsfl.com/diva-fractional-vaginal-laser   Learn about pelvic floor strengthening here:  https://www.foundationsfl.com/btl-emsella   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend.  

Step into the incredible world of estrogen in our latest podcast episode. We unpack staggering statistics, explore the historical perceptions surrounding menopause, and unravel the intricate changes in women's bodies as they transition through this natural phase. From the gradual decline in egg count to the hormonal shifts that mark this milestone, we delve into the nitty-gritty details of menopause, shedding light on its far-reaching impacts beyond just the cessation of menstrual cycles.  Plus hear the surprising health benefits of estrogen in men as well.  Learn about: The number of women in menopause in the US Menopause from a historical perspective How our eggs are depleted with age Why many aging symptoms are inappropriately labeled as menopause symptoms The effects of estrogen loss on the heart, bones, and brain The specific changes to the vagina and bladder without estrogen How men need proper estrogen levels as well This episode is a holistic exploration of menopause, offering insights that go beyond the surface to empower understanding and discussions about this crucial life stage.   Key moments in this episode are: 00:25 Menopause statistics 01:01 Were women ever expected to enter menopause?? 02:33 How women lose eggs as we age 03:54 What happens to menstrual cycles as we approach menopause 04:28 Hormone changes at menopause 06:26 Overlap of menopause symptoms as aging symptoms 06:49 Vasomotor symptoms 07:27 What happens to the heart without estrogen 10:27 What happens to our bones without estrogen 11:30 At what age women reach maximum bone mass 12:43 It's what happens after a bone fracture that is harmful 14:42 What happens to our brain without estrogen 15:36 Progestins reversing benefits of estrogen 16:36 What happens to the vagina and bladder without estrogen 19:07 What happens to men without estrogen, or with too much estrogen   Learn more about the benefits of hormone optimization in men and women here: https://www.foundationsfl.com/bioidentical-hormone-optimization   Here's the 2014 study showing lower cardiovascular risks in women using ERT vs those taking statins: erglind IA, Andersen M, Citarella A, Linder M, Sundström A, Kieler H. Hormone therapy and risk of cardiovascular outcomes and mortality in women treated with statins. Menopause. 2015 Apr;22(4):369-76. doi: 10.1097/GME.0000000000000345. PMID: 25335101; PMCID: PMC4470525.   Here's the 2012 study showing improved outcomes in women treated with HRT vs no treatment: Schierbeck LL, Rejnmark L, Tofteng CL, Stilgren L, Eiken P, Mosekilde L, Køber L, Jensen JE. Effect of hormone replacement therapy on cardiovascular events in recently postmenopausal women: randomised trial. BMJ. 2012 Oct 9;345:e6409. doi: 10.1136/bmj.e6409. PMID: 23048011.   Here's the 2009 study stratifying men's cardiovascular risk based on their estradiol levels: Jankowska EA, Rozentryt P, Ponikowska B, Hartmann O, Kustrzycka-Kratochwil D, Reczuch K, Nowak J, Borodulin-Nadzieja L, Polonski L, Banasiak W, Poole-Wilson PA, Anker SD, Ponikowski P. Circulating estradiol and mortality in men with systolic chronic heart failure. JAMA. 2009 May 13;301(18):1892-901. doi: 10.1001/jama.2009.639. PMID: 19436016.   And all the other studies I discussed are available as well; please message me to get the links!   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

This episode delves into the fascinating world of botulinum toxin. We take a comprehensive journey through the mechanisms behind how botulinum toxin operates, exploring the fundamental principles of how nerves trigger muscle contractions, and how botulinum toxin works to interfere with that.  We unravel the rich history of the medical discovery of botulinum toxin and its evolution into an FDA-approved product with various therapeutic and cosmetic applications.  Listen in to hear about: Botox treatment for crossed eyes, neck spasm, overactive bladder and more Cosmetic uses of Botox for frown lines, forehead lines, and crow's feet Off-label uses of Botox, for facial slimming, neck slimming, and correction of wrinkles all over the face and neck Promising uses of Botox for depression and premature ejaculation Interesting uses of Botox to treat abnormal heart rhythms and cold hands Touching use of Botox after surgery for cleft lip and palate A unique use of Botox for vaginismus Side effects and safety of Botox injections Join us as we explore not just the sanctioned uses of Botox, but also the intriguing off-label applications, including its surprising potential to address a whole host of symptoms.   Key moments in this episode are: 00:19 How botulinum toxin works 01:04 How a nerve causes a muscle to contract 02:02 Brand names for botulinum toxin 02:23 History of discovery of botulinum toxin for medical use 03:21 FDA categories of use for Botox 03:29 Therapeutic uses for Botox 04:43 FDA-approved cosmetic uses for Botox 05:01 Off-label cosmetic uses for Botox 05:54 Botox for treatment of depression 07:05 Botox for treatment of premature ejaculation 07:15 Botox to prevent abnormal heart rhythms 07:30 Botox for the treatment of very cold hands 08:05 Botox to prevent scarring after surgery for cleft lip 08:55 Botox for treatment of painful intercourse 09:34 Side effects from Botox injections 10:50 Botox migration Learn more about Botox injections here:  https://www.foundationsfl.com/botox Here's the link to the cold hand clinic at University of Chicago: https://www.uchicagomedicine.org/conditions-services/plastic-reconstructive-surgery/cold-hands-syndrome/treatment Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend.