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

Lauren Streicher, MD
Dr. Streicher’s Inside Information: Menopause, Midlife, and More
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  • S4 Ep186: Reframing the Obesity Conversation with Dr. Robyn Pashby
    "The psychological aspects of having obesity are rarely recognized. The psychological burden that people carry outweighs the adipose tissue.”                                                                                              Robyn Pashby PhD This episode is a must-listen for anyone struggling with obesity, or who knows someone with obesity, or a healthcare clinician who has patients with obesity.  The complex biology of why some folks have excess weight is just beginning to be fully understood. Having obesity is a complex interplay of biology and psychology, and it is time to stop framing obesity as a personal failure. The solution is not as simple as “Eat less, move more”.  Dr. Robyn Pashby is a health psychologist with expertise in the impact of obesity on mental health and the impact of mental health on obesity. Today, she is joining me for a discussion on why we need to reframe the obesity conversation and how to do it.   The training of a clinical health psychologist with expertise in obesity  The language of obesity as a chronic disease The impact of repeated traumatic experiences and shame Why “dieting” is not obesity treatment  Changing the internal narrative of “food noise” versus “shame noise” Why an underwear upgrade is important Sexual issues related to having obesity Why telehealth obesity drugs can be problematic What a scale represents to someone with obesity Getting weighed in the doctor’s office- do you need to? What to say to someone who has lost a lot of weight How to respond to someone who asks about your weight How to get emotional support when being treated for obesity The New Food Fight book Robyn Pashby, Ph.D. www.healthpsychologypartners.com LinkedIn Atlantic Panel Weight, What?  https://www.youtube.com/watch?v=nzGaetHGnSY What We Carry https://www.youtube.com/watch?v=8jP9puLTXNM BOOK: The New Food Fight  https://a.co/d/fpoanrC Obesity Action Coalition (OAC) https://www.obesityaction.org/ Your Weight Matters free regional conventions https://www.yourweightmatters.com/ Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society.    Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.      LINKS   Subscribe To Dr. Streicher’s Substack Information About the COME AGAIN Podcast Dr. Streicher’s CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD    Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy      Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.          
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  • S4 Ep185: The Science of Menopause and Mental Heath with Dr. Pauline Maki
    Emotional lability, anxiety, crying jags. Welcome to perimenopause. 70% of women experience depressive symptoms and alterations in mood when estrogen levels plunge or start to fluctuate.  While many factors increase the risk, there is no denying that changes in hormone levels have something to do with anxiety, mood, and depression, even in people who never had issues before perimenopause.     Dr. Pauline Maki is a world-renowned expert in menopause, mood, cognition, and the impact of menopause on the brain. She has authored hundreds of scientific articles and leads a National Institutes of Health (NIH) funded research program on women, cognition, mood, and dementia.  In this episode, we take a deep dive into the science of why women have mood alterations and depression when estrogen levels start to fluctuate.   In this episode:  ·      What it was like to participate in Dr. Jill Biden’s  White House Initiative on Women's Health Research ·      The difference between depressive symptoms, mood alteration and depression ·      The risk of recurrence if there is a history of depression during perimenopause ·      The risk of developing depression if there is no history of depression ·      The risk of developing mood alterations if there is no history of depression ·      Windows of vulnerability (pregnancy, post-partum, perimenopause)  ·      What is occurring hormonally in the brain at the level of progesterone and estrogen receptors  ·      The Science Behind Risk Factors for developing depressive symptoms or depression during perimenopause o   Early menopause o   BRCA mutations o   History of major depressive disorder o   Hormone sensitivity in the brain o   Severe menopause symptoms  o   Childhood experiences o   Current life stressors ·      Treatment Options for Perimenopausal Depressive Symptoms o   No treatment- when will it go away? o   Cognitive Behavioral Therapy o   SSRIs o   Hormone Therapy o   NK3 Agonists  o   Progesterone?
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  • S4 Ep184: Sleep and Menopause -A Wake Up Call with Dr. James Simon
    Hot flashes, vaginal dryness, and sleep disturbance are the three most common symptoms of menopause. Currently, there are over 20 FDA-approved products to treat hot flashes. There are roughly 10 FDA-approved products to treat vaginal dryness. There are zero FDA-approved products to treat insomnia due to menopause. Zero.  My guest is Dr. James Simon, a clinical professor of Ob-Gyn at George Washington University and an expert on all things menopause.    In this episode: How common it is for women to have new-onset sleep disturbances due to hormonal changes? Are Insomnia and sleep disturbance the same thing What happens in the brain to induce sleep and maintain sleep How Cognitive Behavioral Therapy works The relationship between hot flashes and insomnia The role of estrogen and sleep How FSH is useful to evaluate sleep issues The role of progesterone on sleep The role of melatonin Non-hormonal sleep disruptors The impact of chronic insomnia Treatments Estrogen Progesterone  Anti-depressants Sleeping pill Sex/Orgasm Advil PM  CBT Sleep hygiene Melatonin  Magnesium L-Threonate Vasopressin PDE-5 Inhibitors NK Inhibitors Dr. James Simon https://intimmedicine.com/ Other episodes with Dr. Simon ·      Ep 98 Live from the Menopause Society Meeting  ·      Episode 123 Hormone Therapy After Age 60 with Dr. James Simon ·      Episode 124 All Hormones Are Not Created Equal with Dr. James Simon Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society.    Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher’s Substack Information About the COME AGAIN Podcast Dr. Streicher’s CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy      Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                        
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  • S4 Ep184: Dr. James Simon
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  • S4 Ep183: Women Have Their Say About Sex After Breast Cancer
     If you are a menopausal woman and spend any time on social media, you are familiar with Dr. Corinne Menn. She is a trustworthy voice of science and evidence-based medicine in a sea of influencers who don’t always stick to the data.   Dr. Menn is one of the authors of a recent study titled Women’s Insights on Sexual Health after a Breast Cancer Diagnosis. This study, published in the Journal of Clinical Oncology, asked 1,463 women with a breast cancer diagnosis about their sexual experience, including how the health care system either helped or, in most cases, failed them by giving misinformation, conflicting information, or no information We discuss study results, including The impact of breast cancer treatment on sexual function in general The most common symptoms The effect of breast cancer on orgasm and pleasure The impact on partners Their interactions with the health care system, including misinformation, conflicting information, and no information Link to Study: (There is a paywall but you can access the abstract)  COME AGAIN, Episode 29 Cancer and Sex,  is all about sexuality, not just after breast cancer, but for women living with any cancer diagnosis. (Release Sept 8, 2025)                                                            Dr. Corinne Menn https://www.drmenn.com/ Insta: @DrMennOBGYN LinkedIn- https://www.linkedin.com/in/drmenn/ Substack- https://drmennobgyn.substack.com/   Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society.  Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher’s Substack Information About the COME AGAIN Podcast Dr. Streicher’s CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy     Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.                        
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About Dr. Streicher’s Inside Information: Menopause, Midlife, and More

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