Sky Women's Health

Listen to learn what's unique about the vestibule of the vagina, why it may hurt and what treatment options are available. Jill Krapf, MD is an OBGYN specializing in female sexual pain disorders. Look out for her new medical practice in Tampa, FL where she will continue research. Dr. Krapf is the co-author of When Sex Hurts: Understanding and Healing Pelvic Pain. Previous episode with Jill Krapf, MD. Episode 48: The Vulva - Female Sexual Pain Disorders **This is not medical advice, just medical education. Please ask your doctor medical questions as they pertain to your specific situation. Educational purposes only. #vulvodynia #vestibulodynia #birthcontrolpill #hormones #postpartum #gsm #vaginaldryness #estrogen #testosterone #painwithsex #vulvarspecialist #jillkrapfmd #painwithsex Dr. Carolyn Moyers, DO is a board certified OBGYN and Neuromusculoskeletal Medicine physician, and founder of Sky Women’s Health, a boutique practice in Fort Worth, Texas. Welcome to the Sky Women community where we are all stronger together. COME SAY HI!!! Instagram: https://www.instagram.com/skywomenshealth https://www.instagram.com/drcarolynmoyers Facebook: https://www.facebook.com/skywomenshealth Email: hello@skywomenshealth.com Sky Women’s Health: Https://www.skywomenshealth.com 1125 S Henderson St, Fort Worth, TX 76104 To become a patient: email hello@skywomenshealth.com or call 817-915-9803. Listen to the SKY WOMEN PODCAST here: ITUNES: https://podcasts.apple.com/us/podcast/sky-women/id1541657642  SPOTIFY: https://open.spotify.com/show/79VnnWYtGJwlB7NrjBck7o?si=qWXpiBtPSS6OVOt0ki8EiQ

Join Dr. Carolyn Moyers as she chat with Tracey Agnese, MD, a pediatrician in NYC for over ten years. She practices clinically in private practice on the Upper West Side. As a Pediatrician and a mom, Dr. Agnese knows how difficult it is to have and care for a newborn baby. She also knows that new moms often neglect taking care of themselves, and wants to change that. You can find Dr. Agnese on social media as @babydocmama where she strives to simplify newborn baby care and help decrease the overwhelm and confusion that is so common after having a baby. traceymd.com pedsny.com IG/FB/YouTube: @babydocmama

Dr. Chrisandra Shufelt joins us today to discuss heart health around the menopause transition. ⁠ Dr. Shufelt is a Professor and Chair of the Division of General Internal Medicine at Mayo Clinic in Jacksonville, Florida, and Associate Director of Women's Health Research Center at Mayo Clinic Enterprise. ⁠ ⁠ She is a women’s health internist with fellowship training in vascular biology and women's health and a certified menopause practitioner. She has several National and International leadership roles in the American College of Physicians, the European Menopause and Andropause Society and the North American Menopause Society where she is the immediate past-President of the Society and on the board of trustees. ⁠ In this episode learn about: - acceleration of heart health risks in menopause transition - preventative measures & treatment - visceral fat - statin use - hormone therapy - non-hormonal therapy . . This is not direct medical advice. This is for information purposes only. Please seek direct medical care with your healthcare provider to discuss your specific needs. . . Want to become a patient of Dr. Moyers, schedule at www.skywomenshealth.com or call 817-915-9803. . . . #SkyWomenPodcast #NewEpisodeAlert #HeartHealthInMidlife #MenopauseTransition #WomensHealth #MayoClinic #CardiovascularHealth #MenopausePractitioner #HealthcareLeadership #HeartHealthRisks #PreventativeMeasures #VisceralFat #StatinUse #HormoneTherapy #NonHormonalTherapy #PodcastEpisode #HealthcareDiscussion

Sky Women’s Health grew.The podcast grew.Women’s health moved forward.And I made some big, scary, values-aligned decisions.In this year-end episode, I’m reflecting on:• Growth without compromise• Advances in menopause & sexual health care• Meeting women where they are• Learning to get help• And asking myself: What would we do if we weren’t scared?🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com#SkyWomensHealth#MenopauseCare#PerimenopauseSupport#SexualHealthMatters#WomenInMedicine

At-home HPV testing has been approved by the FDA and is being widely marketed as a breakthrough in cervical cancer screening—offering convenience, privacy, and accessibility. But as enthusiasm grows, so do important questions.Can at-home HPV testing truly replace the Pap test? What cancers might be missed? And how should women and clinicians thoughtfully integrate this new option into evidence-based care?In this episode of Sky Women’s Health, Dr. Carolyn Moyers talks with Dr. Richard Hopley, pathologist and Director of Clinical Pathology at PathAdvantage, to unpack what the headlines aren’t telling you about FDA-approved at-home HPV tests.We discuss why HPV-only testing sounds appealing, what it does well, and where it falls short—especially when used as a replacement for the Pap test.Why This Matters to You* HPV testing alone can miss some cervical cancers—even with a negative result* Certain at-home tests detect transient infections, increasing anxiety and unnecessary procedures* The Pap test still provides critical information HPV tests cannot* Convenience should never come at the cost of missed or delayed diagnosesWhat You’ll Learn* Who at-home HPV testing may help—and who it may not* Why many experts still recommend Pap + HPV co-testing* How to interpret HPV results without panic* How to make informed screening decisions that prioritize long-term healthBottom line: At-home HPV testing may expand access, but it does not replace comprehensive gynecologic care. Knowing the limits of new technology helps you protect your health—without relying on headlines alone.https://www.pathadvantage.com/at-home-hpv-testing-promise-or-peril/🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

If you felt whiplash reading recent headlines about estrogen and perimenopause—you’re not alone.At the 2025 Menopause Society Annual Meeting, a research poster analyzing data from more than 120 million women unexpectedly ignited a media firestorm. News outlets quickly framed the findings as proof that starting estrogen in perimenopause prevents breast cancer, heart attacks, and stroke—sparking viral conversations that went far beyond what the data can actually support.In this episode of Sky Women’s Health, Dr. Carolyn Moyers is joined by Dr. Rachel Pope, MD, gynecologist, menopause specialist, and mentor on the research team behind the poster, to slow the conversation down and bring clarity back to the science.Together, we unpack what the study really showed, what was lost in translation, and how women should interpret this information when making decisions about hormone therapy.Why This Study Caught Fire* The study used a massive electronic health record database of over 120 million patient records* It compared women who started estrogen: * during perimenopause * after menopause * or never used estrogen* It examined rates of breast cancer, heart attack, and stroke* Media headlines quickly implied causation—despite this being a retrospective, observational studyWhat the Data Actually Showed* Women who used estrogen during perimenopause (within 10 years before menopause) did not have higher rates of breast cancer, heart attack, or stroke compared with the other groups* These findings support the idea that earlier initiation may be safe and potentially beneficial—but do not prove protection or prevention* The results align with the broader timing hypothesis of hormone therapy, but do not settle the debateCritical Limitations That Didn’t Make the Headlines* This study relied on diagnosis codes, not individual chart review* It did not analyze: * type of estrogen * dose or route * type of progestin* There was no breakdown by race, ethnicity, or other demographic factors* Because perimenopausal women are younger, some conditions (like breast cancer or cardiovascular disease) may simply not have occurred yet during the study’s timeframe* Like all retrospective studies, it cannot determine cause and effectWhy This Still Matters for Women* Many women experience significant symptoms during perimenopause, often years before their final period* Hormone therapy can be life-changing for symptoms and quality of life* This study helps normalize thoughtful, earlier conversations—but it does not replace individualized medical decision-making* Observational data like this helps generate hypotheses and funding for future prospective trials, which we still urgently needThe Real TakeawayThis study doesn’t mean everyone should start estrogen in perimenopause—and it doesn’t mean estrogen prevents disease. What it does mean is that earlier use appears reassuringly safe in this dataset, and that women deserve nuanced, evidence-based counseling rather than fear-driven or headline-driven decisions.If you’re navigating perimenopause, the most important factors remain:* your symptoms* your health history* your goals* your personal risk profile* shared decision-making with a menopause-informed clinicianResources Mentioned* The Menopause Society provider directory at Menopause.org for finding evidence-based menopause care🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube:

Can you use vaginal estrogen and systemic hormone therapy?Absolutely — and most women actually need both.If you’re still experiencing:• dryness or burning• painful sex• tearing when you wipe• urinary urgency/frequency• recurrent UTIs…it’s not you, and it’s not that your hormones “aren’t working.”It’s that systemic estrogen doesn’t fully treat Genitourinary Syndrome of Menopause (GSM).Here’s what the research shows:✔ Up to 84% of women experience GSM✔ 20–30% of women on systemic HT still need vaginal estrogen✔ 50–70% benefit from using bothLocal vaginal therapy directly restores the vulvar and vaginal tissue.You deserve comfort, pleasure, and confidence again.Relief is absolutely possible.👉 Listen to this episode to learn the exact treatment options available and why they work.🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

Meet the researcher who brought a room of sexual medicine experts to their feet.This week on Sky Women’s Health, I’m talking with Dr. Janeane Anderson — one of the most compelling voices in sexual health equity, breast cancer survivorship, and patient-clinician communication.We dive into:✨ The sexual symptoms women experience during endocrine therapy✨ Why so many women suffer in silence✨ How communication profoundly affects treatment adherence✨ Racial disparities in quality-of-life and cancer outcomes✨ What clinicians can do TODAY to change the experience for patients✨ How patients can advocate for themselves in the exam roomIf you care about women’s health, survivorship, and truly patient-centered care — this episode will move you.#breastcancersurvivor #sexualhealth #womenshealthmatters #menopausedoctor #patientexperience #shareddecisionmaking #isswsh #oncologycare #womenshealthresearch #skywomenshealth 🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

THE FDA FINALLY REMOVED THE BLACK BOX WARNING on both systemic estrogen and low-dose vaginal estrogen — and it’s one of the biggest wins in women’s health in decades.For years, millions of women avoided hormone therapy because of outdated, frightening warnings that did NOT match the scientific evidence. This led to unnecessary suffering — from painful sex to recurrent UTIs to fear-based avoidance of safe, effective treatments.In this episode, Dr. Carolyn Moyers (Board-Certified OB/GYN + Menopause Specialist) breaks down the NEW FDA labeling, the real data on hormone therapy safety, and why vaginal estrogen is one of the safest and most life-changing treatments in menopause care.🔥 WHAT YOU’LL LEARNWhy the FDA removed the black box warning for vaginal estrogen and systemic estrogenThe real evidence about cancer, heart attack, stroke, and blood clot riskWhy low-dose vaginal estrogen is safe — even for people afraid of hormonesHow vaginal estrogen improves lubrication, painful sex, and satisfactionHow it reduces urinary urgency, frequency, leakage, and prevents UTIs, sepsis, and hospitalizationThe harms caused by fear-based avoidance of hormone therapyPatient stories that illustrate how badly this update was needed🔍 WHO THIS EPISODE FORWomen in perimenopause or postmenopauseAnyone suffering from GSM, vaginal dryness, or recurrent UTIsPartners who want to support their loved oneClinicians seeking clarity on the new estrogen labelingAnyone confused (or scared!) about hormone therapy🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

Premature Ovarian Insufficiency (POI) is more than early menopause—it’s a condition that impacts the heart, bones, brain, and overall wellbeing. In this episode, Dr. Carolyn Moyers sits down with Dr. Esra Shermadou, family medicine and obesity medicine physician, to unpack what POI really means for women’s health.Dr. Shermadou shares her personal journey with POI and how it shaped her mission to help women reclaim their energy and confidence through hormone therapy, lifestyle strategies, and compassionate, root-cause care.They discuss:The difference between POI and natural menopauseKey health risks and why early diagnosis mattersHormone and non-hormonal treatment optionsFertility, emotional health, and empowermentIf you or someone you love has faced POI—or you simply want to understand women’s hormones on a deeper level—this conversation is full of wisdom, hope, and practical tools to help you thrive.🔗 Connect with Dr. Esra ShermadouYouTube: https://youtube.com/@dresrashermadou?si=p9-CL296eS1r59PzFacebook: https://www.facebook.com/share/1BnQxmfsmV/?mibextid=wwXIfrInstagram: @dresra_shermadou_do AND @dresrasgottheironTikTok: @dr_esra_shermadouWebsite: SakinahHealth.comBlog: https://www.drshermadou.com🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

Menopausal hormone therapy (MHT) has evolved dramatically since the early 2000s, yet many women still carry outdated fears and misinformation. In this episode, Dr. Carolyn Moyers breaks down the key insights from Dr. Barbara Levy and Dr. James Simon’s “A Contemporary View of Menopausal Hormone Therapy” — clarifying what today’s evidence really shows about safety, timing, and individualization of care.You’ll learn:Why hormone therapy remains the most effective treatment for hot flashes, sleep disruption, and vaginal symptomsHow the timing of initiation affects risks and benefitsThe differences between oral and transdermal estrogen optionsThe vital role of progestogens for women with a uterusHow modern guidance supports a personalized approach, not a one-size-fits-all modelMentioned in this episode: A Contemporary View of Menopausal Hormone Therapy, Dr. Barbara Levy & Dr. James Simon, Menopause Journal (2025)The Menopause Society — www.menopause.org🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

Progesterone often gets less attention than estrogen, but it plays a powerful role in women’s health — especially during menopause.When we talk about progestogens, that includes both natural progesterone and synthetic forms called progestins. Their main job is to protect the uterine lining when estrogen is used, but progesterone offers additional benefits worth knowing.In this episode, Dr. Carolyn Moyers breaks down:Why progesterone is essential for women with a uterus on estrogen therapyThe difference between natural progesterone and progestinsHow progesterone can support sleep, mood, heart, and bone healthWhy the type and route of hormone therapy matterGet the facts on what progesterone is really good for — and how it fits into a modern, personalized approach to menopause care.🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.comMentioned in this episode: Menopause Journal, October 2025, Liu JH. “Role of progestogens in hormone therapy"

In today’s episode, we’re sharing a special conversation from This Won’t Be Done by 5 — Season 3, Episode 2 — where I joined Beth Lewis and Heather Chandler from Vervewell Counseling to talk about the biopsychosocial aspects of sexual health.We explore how hormonal, psychological, and relational factors intertwine in women’s sexual health — and how mental health providers can better support women through the menopause transition. It’s real, educational, and a whole lot of fun.🎧 Tune in now for insights, laughter, and tools to help you thrive through midlife and menopause.📺 Watch This Won’t Be Done by 5, Season 3 Episode 2 on YouTube: https://youtu.be/EZvrAnY2Q0I?si=04a9KJJ4cjm-t1SL

Mood changes during the menopause transition aren’t “all in your head.” They’re the result of a powerful mix of biology, life stress, and shifting identity. In this episode, Dr. Carolyn Moyers sits down with the therapists at Verve Well Counseling to unpack how hormonal fluctuations, sleep disruption, and the psychological weight of midlife all intersect — and how to find balance again.Together, they explore what the data says about depression in the menopause transition, why women are particularly vulnerable during this time, and how therapy and medical care can work hand in hand for better outcomes.🧠 What We CoverHow hormone fluctuations during the menopause transition affect the brain and moodThe role of sleep, vasomotor symptoms, and neurotransmitters like serotonin and GABACommon life stressors of midlife: aging parents, relationship changes, caregiving, and career pressuresWhat the research tells us about depression risk in perimenopause and menopausePractical, evidence-based tools for managing mood changes — from CBT and mindfulness to hormone therapy and lifestyle shiftsHow therapy and gynecology can partner to support whole-woman care🔬 Key TakeawaysThe menopause transition increases the risk of depression by about 40% compared with premenopausal years.Hormonal fluctuations — not simply “low estrogen” — can affect serotonin, GABA, and circadian rhythms, influencing mood and sleep.Vasomotor symptoms (hot flashes, night sweats) and poor sleep are strongly associated with worsening mood — treating these can improve overall well-being.Life-stage stressors — caregiving, relationship shifts, and identity changes — add layers of emotional load that deserve validation and support.Combining therapy, medical care, and lifestyle interventions yields the best outcomes. You don’t have to “tough it out.”https://vervewell.orghttps://www.youtube.com/@VervewellCounselingPodcast🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers, @skywomenshealth🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

In this episode, Dr. Carolyn Moyers joins Andy from TIMM Medical to talk about the real-life challenges women face with sexual desire and intimacy during perimenopause and menopause—and how partners can be supportive through it all. At TIMM Medical, they support and empower men with effective, non-surgical solutions designed to aid sexual performance—because they believe in helping couples put the spark back in their sex life.We cover:How hormonal, physical, and emotional changes affect desireWhy intimacy isn’t just about sex—and how partners can show love in everyday waysHow to approach intimacy changes as a team instead of a “her” problemWhat role a partner can play in medical care or therapyPractical, pressure-free ways to stay connectedIf you’ve ever wondered how to help your partner understand what you’re going through—or you’re a man who wants to show up better for the woman you love—this is a must-listen.🌐 Learn more about TIMM Medical: https://www.timmmedical.com

In this episode of the Sky Women’s Health Podcast, Dr. Carolyn Moyers is joined by Dr. Stephanie Knuppenburg, a family medicine physician, founder of Eden by WHOLEBODY MD, to break down the myths and realities of perimenopause.👉 Why so many women are misdiagnosed (and told they’re “too young”)👉 The surprising symptoms no one talks about—like frozen shoulder, tinnitus, and new allergies👉 How hormone shifts in midlife affect your heart, bones, and metabolism👉 The role of hormone therapy, strength training, and lifestyle in managing symptoms👉 Why women need to advocate for themselves and push for earlier screening like bone density scansPerimenopause can last up to a decade, but it doesn’t have to derail your life. Tune in to learn how to recognize the signs, explore treatment options, and thrive through this transition.Connect with Dr. Stephanie Knuppenburg:📸 Instagram: @wholebodymd🌐 Website: https://www.wholebody-md.comConnect with Dr. Carolyn Moyers:📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

Sleep is one of the first things to shift in midlife—and it’s often overlooked in women’s health. In this episode, I’m joined by Dr. Maria Paula Guzman, a triple board-certified physician in Sleep Medicine, Obesity Medicine, and Internal Medicine, and founder of DreamLife Medicine & Wellness, to explore how perimenopause impacts women’s sleep and overall health.Dr. Guzman shares her expertise on the mind-body connection, why hormonal changes in midlife disrupt sleep, and what women can do to reclaim restorative rest. Together, we dive into the links between sleep, weight, and long-term health, and highlight the importance of compassionate, whole-person care.We discuss:Why women’s sleep health is uniquely impacted during perimenopause and menopauseThe physiology of sleep disruption and hormonal changes in midlifeInsomnia prevalence and why CBT-I (cognitive behavioral therapy for insomnia) is preferred over medicationsThe underdiagnosis of sleep apnea in women—and why it mattersAdvances in sleep testing, including more accessible at-home optionsNew treatments on the horizon, including Zepbound and an oral medication by Apnimed (pending FDA approval)The powerful connection between sleep and weight health✨ If you’ve been struggling with sleep during perimenopause—or wondering how better rest could transform your health—this episode is for you.🔗 Connect with Dr. Maria Paula Guzman🌐 Website: dreamlifemedical.com📸 Instagram: @dreamlifemedical🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

Persistent Genital Arousal Disorder (PGAD) is a rare and often misunderstood condition that involves unwanted, persistent genital sensations that don’t resolve with one or more orgasms. Left untreated, PGAD can deeply affect mental health, body wellness, and quality of life.On this episode of Sky Women’s Health Podcast, I’m joined by Dr. Sameena Rahman, founder of the GYN and Sexual Medicine Collective and host of Gyno Girl Presents: SEX, DRUGS & HORMONES, to explore:How PGAD is defined and diagnosedThe workup for underlying causesMultidisciplinary treatment optionsHow sexual wellness, hormones, and mental health intersectDr. Sameena Rahman:📸 Instagram: @GYNOGIRL🎥 YouTube GYNOGIRL🌐 Website: https://www.thegsmcollective.comPodcast: Gyno Girl Presents: Sex, Drugs & HormonesConnect with Dr. Carolyn Moyers:📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

Feeling like you're doing it all—succeeding, caring, achieving—but inside you're exhausted, overwhelmed, and wondering, “is this all there is?” In this episode, Dr. Rashmi Schramm—Integrative Physician, Certified Coach, and Meditation Teacher—shares how somatic healing, nervous system regulation, and meditation can help you call your energy back and step into your full power.In this episode, we dive into:• Somatic healing—why our bodies hold the key to deep transformation• Nervous system regulation—critical during midlife transitions• Making meditation & mindfulness practical, evidence-based tools• Calling your energy back to show up with clarity, focus, and presenceIf it feels like you've lost yourself in the busyness of life, this is your invitation back to balance.Connect with Dr. Rashmi Schramm:📸 Instagram: @rashmischrammmd🎥 YouTube: Dr. Rashmi Schramm’s Optimal Wellness🌐 Website: rashmischramm.com Connect with Dr. Carolyn Moyers:📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com

How well do you really know your vulva?This week, I’m joined by Dr. Ashley Fuller and Dr. Meredith McClure, sexual medicine gynecologists, vulvar specialists, and co-hosts of Labia Logic, for a candid and educational walk-through of the vulvar exam.We’re talking about the anatomy you didn’t learn in health class, plus:🔎 What a proper vulvar exam looks like (and why it matters)⚡ Clitoral adhesions — what they are, why they happen, and how they affect sexual health🩺 Skin disorders of the vulva — from lichen sclerosus to dermatologic changes with hormones💬 Why words matter when talking about our bodies🌸 The importance of normalizing self-exam and celebrating body literacyExpect humor, real talk, and practical pearls you can take straight to your mirror moment.Because knowledge is power — and empowered vulvas are happy vulvas.Connect with Dr. Ashley Fuller:Website: ashleyfullermd.comInstagram: @ashleyfuller_mdConnect with Dr. Meredith McClure:Website: meredithmccluremd.comInstagram: @drmeredithmcclureFollow the Labia Logic Podcast:Instagram: @labia_logicListen on Apple Podcasts: Labia LogicListen on Spotify: Labia Logic 🔗 Connect with Dr. Carolyn Moyers📸 Instagram: @drcarolynmoyers🎥 YouTube: @drcarolynmoyers🌐 Website: www.skywomenshealth.com