Labia Logic

Picture this: you're doing all the right things, the mood is right, the body is there… and yet pleasure has quietly left the building.Your orgasm has ghosted you! In part one of an Orgasm Deep Dive on Labia Logic, Drs. Ashley Fuller and Meredith McClure are talking all about the very real experience of orgasm going AWOL. They have Dr. Irwin Goldstein as a guest expert to tell us why orgasm problems are almost never "just in your head" or "just hormonal" or "just pelvic."  Ashley, Meredith, and Irwin cover the five regions involved in orgasm and explain the orgasm dysfunction categories. This conversation reframes orgasm as a full-body, full-system event, and explains why missing pleasure deserves real medical curiosity, not a shrug. Links: www.sdsm.info YouTube @sdsexualmed Facebook @SDSexMed X @SDexualMed isswsh.org prosayla.com About our Guest: Dr. Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 380 publications as well as multiple book chapters and edited seven textbooks in the field. His interests include surgery for dyspareunia, sexual health management post cancer treatment, persistent genital arousal disorder/genito-pelvic dysesthesia, physiologic investigation of sexual function, and diagnosis and treatment of sexual dysfunction in all genders. Dr. Goldstein is Director of Sexual Medicine at University of California San Diego East Campus, and sees patients in his private practice, San Diego Sexual Medicine.  He is a Clinical Professor of Urology and Voluntary Clinical Professor of Obstetrics, Gynecology, & Reproductive Sciences at University of California San Diego. He is past Editor-in-Chief of the International Journal of Impotence Research, The Journal of Sexual Medicine and Sexual Medicine Reviews. He is a Past President of the International Society for the Study of Women's Sexual Health (ISSWSH) and of the Sexual Medicine Society of North America (SMSNA). He holds a degree in engineering from Brown University and received his medical degree from McGill University.  The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, in 2012 he received the ISSWSH Award for Distinguished Service in Women's Sexual Health, in 2013 he received the Lifetime Achievement Award from the SMSNA, and in 2014 he received the Lifetime Achievement Award from the International Society for Sexual Medicine (ISSM).  He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com   Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com   Follow the show on Instagram @labia_logic  This episode was produced by Audiotocracy Podcast Production.

If you've ever left an appointment thinking, "Wait…is this all in my head?" then this episode of Labia Logic is your group chat in podcast form. Recorded from a hotel room bed (strictly for lighting reasons), Dr. Ashley Fuller and Dr. Meredith McClure are on the topic of the all-too-common experience of medical gaslighting and why feeling dismissed is way more common than it should be. Ashley and Meredith are broadcasting from the International Society for the Study of Women's Sexual Health (ISSWSH) conference, and the conversation reveals how clinicians learn, collaborate, and (sometimes) unlearn outdated ideas. They are (un)covering it all: vulvar pain, hormones, and libido. Ashley and Meredith emphasize that lack of education, not lack of symptoms, often leads to dismissive care. And they're explaining why a multidisciplinary, whole-person approach is changing the game. Know this: your symptoms are real, patient autonomy matters, and "just relax and have a glass of wine" is not a treatment plan. WE believe YOU! More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com  Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Herpes. Yep. We said it out loud. A word that can trigger panic, shame spirals, and frantic Googling… but what if we told you it's also extremely common, very misunderstood, and not the relationship-ending disaster pop culture makes it out to be?  In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure tell us why herpes happens. And also why it should come with way less stigma than it does. Ashley and Meredith explain the difference between HSV-1 and HSV-2, how transmission actually works, and why routine herpes screening isn't recommended, even when you're begging your doctor to "test me for everything." You'll learn how herpes is diagnosed correctly, why antivirals like valacyclovir are effective and low-drama, how to reduce outbreaks and transmission, and what to know about dating, disclosure, pregnancy, and newborn safety.  Herpes is manageable, common, and absolutely not a moral failing—just a skin virus with a wildly overinflated reputation. From myths to medicine, this episode delivers relief, realism, and a much-needed dose of Labia Logic. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Ever wondered if a vibrator could be your new favorite wellness tool? And which one is the "right" one anyway? In this episode of Labia Logic Dr. Meredith McClure and Dr. Ashley Fuller dive headfirst into the world of pleasure with zero shame, lots of laughs, and a reminder that orgasm is a learned skill, not a magic trick you missed in sex ed. The hosts welcome Elizabeth Leister of Vitality Within, a sexual wellness coach who helps women navigate vibrators, tools, and sexual pleasure with clarity and compassion. Together, they explain why sexual health is health, how pleasure connects to blood flow, hormones, menopause, postpartum changes, and long-term relationships, and why using tools isn't "cheating," it's teamwork.  From beginner-friendly vibes to suction tech, rabbits, rings, and the legendary wand, they explain what's out there and who each option might help. Bottom line? Pleasure should be playful, empowering, and fun. Whether you're flying solo, spicing up date night, or just curious, this episode proves that good vibrations really are good medicine. About our Guest: Elizabeth Leister: I began my career as a teacher. At the same time, I was coaching girls in Junior OlympicVolleyball clubs. I moved on from teaching and transitioned into specialty pharmaceutical sales. I continued coaching for many years. After my second child was born, I spent 14 years at home as a stay-at-home mom, where my knowledge and passion for all things fitness and nutrition grew and developed. In this time, I was able to educate and coach many women in nutrition and fitness. After recognizing an unmet need in women's health around sexual wellness, I started Vitality Within to help fill this gap, while at the same time keeping the conversation around nutrition and fitness all tied into sexual health. Links: vitality-within.com @vitalitywithinwellness on Instagram   More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com   Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure are kicking off January by diving headfirst into orgasms, because women's sexual pleasure still doesn't get nearly enough airtime.  From awkward silence to Hollywood myths, they ask the big questions we're all thinking: Why don't we talk about this more? Who do you even ask when something isn't working? And why did no one cover this in OB-GYN residency?  The good news: if orgasms are elusive, you're not broken, and you're definitely not alone. This episode covers what orgasms actually are: a full-body, full-brain event involving nerves, blood flow, hormones, pelvic floor muscles, and neurotransmitters. Oh and yes, the brain! The biggest sex organ of all.  Ashley and Meredith are talking about common myths like penetration-only orgasms, explaining the infamous orgasm gap, and calling out pop culture for setting wildly unrealistic expectations. They even explain why faking orgasms happens, how it backfires, and why pleasure ≠ performance. This episode lays the groundwork for how to troubleshoot, optimize, and reclaim pleasure. Everyone deserves a sex life that's satisfying, shame-free, and actually enjoyable. Homework encouraged. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic     

Ready for round two of the "Vulva Glow-Up" month? Buckle up, baby! Today we're wading straight into the glittery marketing swamp of vaginal rejuvenation, where promises and pseudoscience hold hands and sprint into your wallet.  Think: lasers to red-light gadgets to things being injected where things should never be injected. This episode of Labia Logic is your myth-busting roadmap so you don't accidentally sign up for a $3,000 "collagen-communication cellular moonbeam therapy" appointment in someone's wellness spa next to a salt lamp.  Now, are there real reasons people look for help with dryness, pain with sex, urinary symptoms, or changes after birth, hormones, or menopause? Yes. Are there actual evidence-based treatments? Also yes. But somewhere between legitimate medical care and "crystal womb steam detox pearls," things went off the rails.  Dr. Ashley Fuller and Dr. Meredith McClure walk through everything being marketed as a vaginal glow-up, and help listeners separate helpful tools from expensive nonsense backed only by vibes and Instagram stories. Your vagina doesn't need to be "reborn," "reactivated," or "youth-ified." She's already magnificent. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic.

Have you ever wondered if your labia are supposed to match? Has it crossed your mind that  porn might be lying to you? And have you felt personally victimized by spandex leggings or a rogue swimsuit seam?  Then buckle up, because this episode of Labia Logic is all about labiaplasty—aka the "labia glow up," "labia makeover," "lady-lip contouring," or as Meredith lovingly calls it: the labia-blasty.  In this no-shame, no-pressure, all-facts conversation, Dr. Ashley Fuller and Dr. Meredith McClure explain what labiaplasty actually is, why someone might consider it, and why it's not just a casual spa day for your vulva.  They cover the full spectrum, from "I can't ride a bike without pain" to "my swimsuit hates me". They also cover what changes the labia naturally like childbirth, hormones, menopause, and well... gravity. Listeners will hear when surgery makes sense, and the potential risks.  The main takeaway? Vulvas are like snowflakes: unique, unpredictable, and occasionally caught in your underwear.   More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

It's the most vulva-ful time of the year! If the holidays have you stressed, exhausted, or quietly plotting to live inside a heated blanket until January, you (and your vulva) might need some seasonal support too.  In this episode of Labia Logic, Dr. Meredith McClure and Dr. Ashley Fuller bring a Santa-level gift guide for everything from barrier balms to bedroom buzzers because your vulva deserves better! Ashley and Meredith are unwrapping stocking stuffers, under-the-tree treats, and big-ticket bedroom upgrades, all designed for vulvar comfort, vaginal health, sexual pleasure, and overall pelvic harmony.  From moisturizers and estrogen support to pelvic floor tools, vibrators, curated erotica, subscription intimacy services, and even a life-changing Japanese bidet, this episode covers thoughtful, science-based recommendations and joyful body-positive encouragement that'll truly ring your bells this holiday season. The doctors remind you: 'tis the season to Love Your Labia. And yourself. Links: lelo.com/sona-2-cruise hellomilli.com/vaginal-dilator Arya.fyi dipseastories.com omgyes.com/join More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com   Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com   Follow the show on Instagram @labia_logic   

Ever had your vagina scream "something is WRONG," but every swab, test, and lab slip smugly insists you're "negative"?  In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure walk listeners through the maddening medical mystery of symptoms that don't match the swab, and the uncomfortable truth that sometimes your vagina knows more than the lab.  If you've ever wondered why a test can lie while your vulva is very much telling an uncomfortable truth, welcome. Pull up a chair (preferably not the one with the crunchy paper). In the Deep Cuts installment of The Discharge Chronicles, Ashley and Meredith explain the rare, weird, and wildly misunderstood conditions that fall outside "yeast, BV, or trich." They tell you how these tricky diagnoses present, how they differ, and why they so often get missed.  A few big takeaways: negative swabs don't mean normal what symptoms point to DIV versus CV pH tells a story (high or low!) overusing antibiotics or probiotics can backfire spectacularly what "zebra" diagnoses to keep on the radar, and most importantly, how to find a clinician who actually knows how to diagnose these conditions.  Clinicians, patients, and anyone with a chronically pissed-off vagina will finally get the instruction manual that medical training forgot to include in this episode of Labia Logic. Listen and share! More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com   Follow the show on Instagram @labia_logic  

Ever wondered why that mysterious discharge keeps showing up like an uninvited guest? Or why your yeast infection seems to have more comebacks than a '90s boy band?  In this laugh-out-loud yet educational episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure dive deep into the underworld of vaginitis, the usual suspects of yeast and bacterial vaginosis (BV). With humor, honesty, and a dash of microbiology geekery, they tackle the uncomfortable questions we all secretly want to ask. From "cottage cheese discharge" to the "fishy" aroma of BV, Ashley and Meredith explain the symptoms, causes, and most common misunderstandings about vaginal health. They share the not-so-sexy truth about what's happening when your microbiome is off-balance, why treating without testing can make things worse, and how certain meds (looking at you, Jardiance) can turn your vagina into a yeast playground.  Along the way, they reveal their favorite tools of the trade, like microscopes for spotting budding yeast, saline slides and KOH preps for quick in-office diagnoses. And they take on myths about sexually transmitted infections and pap smear "surprises." More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist,v and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Ever felt like your sex drive went on vacation and forgot to come back? Wondering if your low libido is a hormone issue, a stress issue, or just... life? And what really happens in sex therapy anyway? Candles, couches, or clipboards?  In this episode of Labia Logic, Dr. Meredith McClure and Dr. Ashley Fuller are talking all about desire with certified sex therapist and licensed counselor Trista Jones, LPC-S of Sexual Health Experts (SHE). Get ready to laugh, learn, and maybe blush a little as the trio unpacks the many layers of libido including what is biological, emotional, or somewhere in-between. Trista explains how sex therapy helps patients untangle what's really behind a turned-off sex life. She covers trauma, medical pain, perimenopause, and plain old exhaustion. She shares how therapy sessions actually work, why sex is a team sport for your brain and your body, and why mindfulness, communication, and even scheduled intimacy can reignite connection. Listeners will leave this episode knowing how to find a qualified sex therapist, what to expect from therapy, and how to start the conversation about desire, without shame or awkwardness.  Whether your libido's MIA or just in need of a little fine-tuning, this episode proves you're not broken. You just might need a new tune-up plan. About our Guest: Trista Jones is the owner of SHE Sexual Health Experts. Among her many credentials; she a licensed Professional Counselor and a certified sex therapist. She specializes in sexual health and wellness. She is also a trauma specialist who helps her clients identify and address underlying issues that can inhibit fulfillment and satisfaction. She is passionate about working with women who are looking to claim, reclaim and or enhance  their sexual health. Links: aasect.org shedfw.com www.psychologytoday.com/us/therapists/trista-l-jones-mckinney-tx/178842 More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Feeling like your libido packed up and left without leaving a note? You're not alone.  In this hilarious and honest episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure pull back the covers on one of the most common yet least-discussed topics in women's health: low libido. From the stress of midlife chaos to the reality that pain and fatigue are major turn-offs, our favorite vulva experts unpack the messy, multifaceted world of sexual desire.  Good (bad?) news, a glass of wine is not the answer. You'll get a true education on the biopsychosocial model of libido. Translation: it's complicated! They explore how hormones, mental load, relationships, and even the state of your kitchen can all hit the brakes on desire.  You'll also hear why the linear "get turned on, have sex, orgasm" model is outdated, and how a more circular, responsive view of desire fits real life (especially if sleep is currently sexier than your partner). Drs. Fuller and McClure also cover the surprisingly empowering world of erotica apps, sex scheduling, and FDA-approved libido meds. Moral of the story: you're not broken. You're complex, human, and deserving of satisfaction. Resources Mentioned: Come As You Are by Emily Nagoski You Are Not Broken by Kelly Casperson She Comes First by Ian Kerner meetrosy.com dipseastories.com   More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com   Dr. Meredith McClure is a Menopause SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Ever wondered what happens when your clit throws a fit? Really, it's not as fun as it sounds.  In this episode of Labia Logic, Drs. Ashley Fuller and Meredith McClure are joined by vulvar specialist Dr. Jill Krapf to talk about the mysterious, often-ignored world of clitoral pain. From awkward anatomy lessons in med school to why no one seems to look at the clitoris during exams, we're pulling back the hood, literally and figuratively. Dr. Krapf walks us through the two main culprits of clitoral pain: structural issues like adhesions and nerve-related drama. She explains why some people can't stand the seam of their jeans brushing "down there," why others can't find their clitoris anymore, and how keratin pearls (yes, pearls) might be the villains causing sand-in-your-eye-level discomfort.  Equal parts science and sass, the conversation makes it clear: this is a real medical issue, not something to just grit your teeth through. If your clit is cranky, you deserve answers, not eye-rolls. This topic definitely got skipped in sex-ed class, so make sure you share with anyone who needs a little Labia Logic in their life! More about our guest: Dr. Jill Krapf is a board-certified Obstetrician Gynecologist specializing in female sexual pain disorders at The Center for Vulvovaginal Disorders Florida in Tampa. She is a co-author of the book When Sex Hurts: Understanding and Healing Pelvic Pain. Dr. Krapf is active in research and has published chapters and peer-reviewed articles on vulvodynia and vulvar lichen sclerosus.  She is Associate Editor for the textbook Female Sexual Pain Disorders, 2nd Edition. She is a Fellow of the International Society for the Study of Women's Sexual Health (ISSWSH) and a Fellow of the International Society for Vulvovaginal Disorders (ISSVD), serving as Chair of the Social Media Committee for ISSWSH.  She shares educational content on her Instagram page @jillkrapfmd and her website jillkrapfmd.com. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic   

The clitoris: tiny but mighty, misunderstood but magnificent. She's really the MVP of the vulva, so let's get to know her a little bit! In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure shine the spotlight on  the clitoris, the organ that somehow managed to dodge serious medical attention until the early 2000s.  Yes, you read that right: we mapped the moon before we mapped the clitoris. Let that sink in. Ashley and Meredith break down why the clitoris has been overlooked in medical training, sex education, and even at the gynecologist's office. C'mon, Docs, it's not that hard to find! They cover its full anatomy, from the visible tip to the hidden structures that wrap around the vagina, and why it deserves the same respect as, say, its male counterpart.  Listeners will walk away knowing why examining the clitoris matters, how Hollywood has been lying about orgasms, and why vibrators deserve a standing ovation. You'll learn about clitoral adhesions, nerve endings galore (more than a cow, actually), and the importance of getting a mirror and saying hello to your own anatomy.  It's the sex ed you should have gotten in the first place! Resources Mentioned: omgyes.com   More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

What happens when you go from being dismissed by doctors to becoming a voice for thousands? In this episode of Labia Logic, our hosts interview two awesome women who are changing the game for people living with lichen sclerosus and lichen planus. If you've ever felt like no one's talking about what you're going through—these guests are here to say, "We see you. We are you." Kathy Ruiz-Carter and Jaclyn Lanthier join Drs. Fuller and McClure on Labia Logic for a glimpse into the real world of getting diagnosed and getting treated with these two vulvar skin conditions. Kathy and Jaclyn are two advocates who know firsthand how confusing, isolating, and frustrating life with these conditions can be.  Kathy shares her journey from a confusing diagnosis to creating the Lichen Sclerosus Support Network, where she empowers patients through education, community, and yes, some much-needed validation.  Jaclyn, founder of The Lost Labia Chronicles, gets real about the emotional toll of delayed diagnosis and how becoming an advocate helped her take back control—not just of her health, but her voice. Guest Takeaways: Trust your experience: Both Kathy and Jaclyn emphasize that you are the expert on your own body—and that it's okay to seek second, third, or fourth opinions until you're heard. Community matters: Support networks like Kathy's nonprofit help patients feel less alone and more empowered in navigating chronic conditions. Advocacy is powerful: Sharing your story can be healing, and it can spark systemic change in medical education and public awareness. Hope is real: With the right care team, treatment, and support, you can manage these conditions and reclaim quality of life—one conversation at a time. Learn more about the Lichen Sclerosis Support Network: lssupportnetwork.org. Explore The Lost Labia Chronicles at lostlabia.com.  Additional Links: Connect with the Lichen Sclerosis Support Network @lichensclerosussupportnetowrk  on Facebook | on Instagram | on YouTube |  @lssn on LinkedIn More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com   Dr. Meredith McClure is a Menopause Specialist Sexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Ever been told "it's all in your head" when something's very much happening in your pants? You're not alone.  In this eye-opening and surprisingly uplifting episode of Labia Logic, hosts Dr. Ashley Fuller and Dr. Meredith McClure peel back the layers (with consent, of course) on two misunderstood vulvar conditions: lichen sclerosis and lichen planus.  Together, they explain what these disorders actually are, not just dry skin. Ashley and Meredith also get into the roadblocks to getting a diagnosis, and the crucial role of supportive healthcare providers. Googling your symptoms is not a treatment plan—but finding a community who gets it just might be. You'll walk away from this episode with a better understanding of lichen sclerosis and lichen planus, the importance of early detection, and why no one should suffer in silence—or without a specialist.  More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com   Dr. Meredith McClure is a Menopause SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic    

Ever been told to "just do your Kegels" and move on? Yeah… no. If sex hurts, it's not all in your head—or your partner's technique.  This third and final installment of Labia Logic's Painful Sex series goes beneath the surface (literally) to explore why pelvic pain happens, how to stop it, and why your pelvic floor might be crying out for a little R&R instead of more reps. Dr. Ashley Fuller and Dr. Meredith McClure are joined by Sara K. Sauder PT, DPT an expert Pelvic Floor Physical Therapist.   Sara helps us untangle the surprisingly complex, and totally fascinating, world of pelvic health. From misunderstood muscles to the oft-ignored vestibule (she's baaa-aack!), Drs. Fuller and McClure talk anatomy, therapy, and everything your OGBYN forgot to mention.  You'll learn why Kegels might not actually be your BFF, how fascia (that sneaky connective tissue) could be making things worse, and what role stress plays in pelvic tension. Labia Logic's 3-part Missionary Impossible series will leave you informed, empowered, and armed with more information than you ever thought possible about your vestibule.  Share all three parts with the ladies in your life; you may not even know who is suffering from painful sex when they don't have to! More about our guest: Sara K. Sauder PT, DPT is pelvic floor therapist who has been treating complex issues since 2009. Find her at sauderphysicaltherapy.com. Follow her on Instagram for random pelvic floor facts and her opinions @sauderphysicaltherapy.   More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Ever feel like your vulva didn't get the memo that sex is supposed to be enjoyable? You're not alone—and you're not imagining things. In this episode of Labia Logic, the doctors shine a (speculum-free) spotlight on vestibulodynia—a condition that sounds like a Harry Potter spell but is actually a very real and very painful cause of sex that feels more "ouch" than "ooh." Dr. Ashley Fuller and Dr. Meredith McClure are back for part 2 of their Painful Sex series. This part covers what vestibulodynia actually is and explains why the vestibule is the unsung hero (or villain) of vaginal anatomy. The docs also take us through how nerves, hormones, and your brain team up to make things uncomfortable—sometimes for years—if left undiagnosed. From practical treatment options like topical creams and pelvic floor physical therapy, to mental health support and even surgery, the docs cover the full range of solutions with zero shame and lots of smarts.  You'll walk away with a deeper understanding of your anatomy, a newfound respect for your nerve endings, and maybe even a better vocabulary for talking about your pain. Because knowledge is power—and so is knowing that your vulva deserves better. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Let's talk about sex, baby—specifically the kind that hurts. Oh, not what you expected? Good news, this episode of Labia Logic is telling you what you can actually do about it.  Dr. Ashley Fuller and Dr. Meredith McClure are kicking off a three-part series on painful sex. In part one, they explain Genitourinary Syndrome of Menopause (GSM)—a name that's as clinical as the symptoms are common. They'll tell you what's really going on with vaginal tissue and why estrogen (and even testosterone!) might be your new best friend. Expect to learn why your vagina might need its own skin-care routine, the pros and cons of hormone-based treatments like vaginal estrogen and DHEA, and why that bottle of lube deserves a permanent place on your nightstand.  Stay tuned for part two, where we dig into nerve pain and pelvic floor therapy.   More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Ever looked down there and thought, "Wait… has that always been there?" You're not alone.  In this no-shame, no-stupid-questions episode of Labia Logic, Drs. Meredith McClure and Ashley Fuller are here to talk bumps on the vulva—from the totally normal to the "maybe-I-should-call-my-doctor" kind. Instead of Googling "tiny bump on vulva," at midnight, listen to this episode instead–you're awake anyway! This episode gives you the power of vulvar knowledge: what's normal, what's not, and when to phone a friend (a.k.a. your healthcare provider). Learn to distinguish herpes from ingrown hairs, papillomas from warts, and why your vulva deserves as much attention as the rest of your body.  Get ready to take your mirror, your courage, and your curiosity into the bathroom—because knowledge is vaginal power. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic