Dr. Streicher’s Inside Information: THE Menopause Podcast Lauren Streicher, MD

While it has been established that the most optimal time to start hormone therapy is within ten years of the menopause transition or before age 60, one of the most common questions that pops up is, “Is it safe to start hormone therapy after age 60?” In this episode I have a conversation with Dr. James Simon to determine WHO is a candidate for a “late start” and HOW to evaluate if it is safe. 
 I also included (at the end!) breaking news on a new study that gives reassuring data about continuing hormone therapy well  the age of 60.





How it was determined that the optimal time to start hormone therapy is in perimenopause or early post menopause
The risks of starting hormone therapy after age 60
How to determine individual risks
Tests to evaluate the cardiovascular system
Why timing of Hormone Therapy impacts Alzheimer’s disease and cognitive function




James A. Simon, MD
Clinical Professor George Washington University
     www.IntimMedicine.com

For more information on this topic: 

Episode 2:Think Your Hot Flashes Can't Kill You? Think Again!

Episode 51- Transdermal versus Oral Estrogen- What's the Difference? 

Episode 116- Update! Your Heart on Hormones with Dr. Marla Mendelson


 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



Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Sign up to receive DR. STREICHER’S FREE NEWSLETTER

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. 


Subscribe and Follow Dr. Streicher on 

DrStreicher.com


Instagram @DrStreich

Facebook  @DrStreicher

YouTube  DrStreicherTV


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

In 2009 I was invited to appear on The Oprah Winfrey Show as a menopause expert to counter the other menopause “expert”, actress turned author Suzanne Somers.  
“Dr” Somers is not the only celebrity to help women navigate menopause.  Today, Gwyneth Paltrow, Selma Hayek, Naomi Watts, and others are also doling out advice, and in some cases selling products, to manage menopause symptoms. And now, Drew Barrymore has joined the ever-growing list of actresses who have jumped on the menopause money making bandwagon. But far more women are taking their advice than the advice of medical professionals. 
In this episode, I’m going to tell you why otherwise smart informed women continue to preferentially turn to celebrities and social media for help from everything from hot flashes to vaginal dryness. 





Drew Barrymore’s new miracle menopause pills
My experience on The Oprah Winfrey Show
The problem with most celebrity and social media menopause advice
The good thing about celebrities talking about menopause
Why hormone balancing is not a real thing
The truth about “anti-aging” hormone experts
Why most doctors know nothing about menopause.

Related Episodes:






Episode 35 Compounding Hormones: The Good, the Bad, and the Ugly 


Episode 66 Don’t Be Duped-Misleading marketing and the FDA


Episode 46 Finding a Menopause Clinician Who Will Listen 


Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Sign up to receive DR. STREICHER’S FREE NEWSLETTER

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. 

Subscribe and Follow Dr. Streicher on 
DrStreicher.com

Instagram @DrStreich
Twitter @DrStreicher
Facebook  @DrStreicher
YouTube  DrStreicherTV

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

                                Don't Mess with These Menopause Experts!
When The Lancet, one of the oldest, most respected medical journals, published a series of articles saying that “menopause had been over-medicalized”, that many symptoms were “just in her head” and that overall, women should navigate menopause “without the need for medical treatments” a group of furious menopause experts went ballistic.  In this episode, Dr. Mary Claire Haver and I tell you why there was such a huge backlash from hundreds of menopause experts, and how we took action. 

Dr. Haver and I address 4 specific statements from the Lancet article: 


“Most women navigate menopause without the need for medical treatments.”
“During the menopausal transition, women should “challenge self-critical beliefs, which can…make [hot] flushes worse.”
“Based on scarce data, we found no compelling evidence that risk of anxiety, bipolar disorder, or psychosis is universally elevated over the menopause transition.” 
“Over-medicalization of menopause can lead to disempowerment and over-treatment.”  


Dr. Streicher’s New Book
Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order)


                                               Mary Claire Haver, MD
 Website:www.thepauselife.com
TikTok - @drmaryclaire
Instagram - drmaryclaire and the.galveston.diet
Facebook - The Galveston Diet Mary Claire Haver, MD
YouTube - Mary Claire Haver, MD
LinkedIn - The 'Pause Life with Dr. Mary Claire Haver

Link to Pre-Order The New Menopause: https://thepauselife.com/pages/the-new-menopause-book 

For more information from Dr. Streicher on this topic

Episode 2:Think Your Hot Flashes Can't Kill You? Think Again!

Episode 46 Finding a Menopause Clinician Who Will Listen 

Episode 78 Is Menopause Making You Moody?  

Episode 87 Will THAT Really Help Your Hot Flashes? Lifestyle and other Interventions


 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

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

                 Sign up to receive Dr. Streicher’s FREE NEWSLETTER

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. 

Subscribe and follow Dr. Streicher on:
DrStreicher.com
Instagram @DrStreich
Facebook  @DrStreicher
YouTube  DrStreicherTV
Books by Lauren Streicher, MD

Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order) 

 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 not intended to replace medical advice and should be used to supplement, not replace, care by 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.

Up to 50% percent of women who take an antidepressant have sexual problems. By age 60, roughly 1 in 4 women are taking an antidepressant.  This episode is all about the science behind WHY SSRIs and other antidepressants can sabotage your sex life, and what you can do about it.  






Why so many mid-life women take anti-depressants
Why perimenopause hormonal changes trigger mood issues. 
Why anti-depressants impact libido and the ability to orgasm. 
Other things that impact on libido and orgasm in mid-life women. 
If all SSRIs are equally problematic


This is not a do-it-yourself project! Please speak with your personal clinician before making any changes in your medication!






Options
 It may be temporary


 Altering the dose


 Switching to a different prescription


 Drug holidays


 Timing of taking your medication


 Switching to hormone therapy


 Oral PDE5 inhibitors


 Topical sildenafil


 


Selective Serotonin Reuptake Inhibitors 





citalopram 
dapoxetine 
escitalopram 
fluoxetine 
fluvoxamine 
paroxetine 
sertraline 
vortioxetine 
Amitriptyline 
Amoxapine 
Desipramine 

For more information on this topic: 






Episode 78 Is Menopause Making You Moody?  


Episode 113 Viagra! For Women? 



 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain


Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order) 


Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat


Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.


Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Sign up to receive DR. STREICHER’S FREE NEWSLETTER


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. 


Subscribe and Follow Dr. Streicher on  DrStreicher.com


Instagram @DrStreich

Facebook  @DrStreicher

YouTube  DrStreicherTV


Books by Lauren Streicher, MD

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

Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order) 

Dr. Kathleen Jordon and I sat down to discuss the two most commonly prescribed GLP- 1 Inhibitors:  Semaglutide (Ozempic™) and Terzepatide (Mounjaro™) 





What are GLP1 Inhibitors?
How GLP-1 Inhibitors 
Who is a GOOD CANDIDATE to take a GLP-1 Inhibitor
Who is NOT a GOOD CANDIDATE based on medical conditions
Other HEALTH BENEFITS from taking a GLP1 Inhibitor besides weight loss
The COST of the drugs? 
INSURANCE coverage?
When it is OK to get a GLP 1 inhibitor from a COMPOUNDING pharmacy
What are the problems with some compounding pharmacy
How well these drugs work
Potential side effects
What happens with the medicine is stopped
The best approach to maintaining a healthy weight once the DRUG is STOPPED
What is on the horizon as far as new GLP1 drugs
If it is possible to be obese and healthy
The differences between the different GLP-1 drugs
If any doctor can prescribe these drugs

Dr. Kathleen Jordan, Midi’s Chief Medical Officer, is a board certified  internist who spent decades working within the traditional healthcare system before branching out into digital health, leveraging innovative technology to care for patients in a more human way. In addition to treating women with obesity, Dr. Jordon is an expert  in the management of  menopause in women who are complex due to medical problems,  menopause problems.  
To learn more about Midi  Health and Dr. Jordon : JoinMidi.com

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Sign up to receive DR. STREICHER’S FREE NEWSLETTER

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. 


Subscribe and Follow Dr. Streicher on 

DrStreicher.com

Instagram @DrStreich

Facebook  @DrStreicher

YouTube  DrStreicherTV


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

It was news to me that estrogen levels can impact on the likelihood of reflux, your gut microbiome, and even the frequency and consistency of your poop. It’s complicated, and I had a hard time interpreting the data, so I invited gastroenterologist Dr. Michael Ruchim to help me out. 

In this episode:


How and why GERD is impacted by menopause 
If  Hormone Therapy Make GERD worse or better?
The impact of hormones on the gut microbiome
How frequency of bowel movements correlates with menopause symptoms
If an alteration in diet will change the microbiome and influence hot flashes
If an alteration in the gut microbiome can impact other serious medical conditions 



Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Sign up to receive DR. STREICHER’S FREE NEWSLETTER

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. 


Subscribe and Follow Dr. Streicher on 

DrStreicher.com


Instagram @DrStreich

Facebook  @DrStreicher

YouTube  DrStreicherTV


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


Put the O Back in Mojo: A Guide to Post Menopause Libido and Orgasm (available for pre-order)