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

When women think about the benefits of menopausal hormone therapy, things like hot flashes, insomnia and vaginal dryness come to mind. 
But for many women, bone health is, or should be, at the top of the list.  
In this episode, I speak with Dr. Risa Kagan about the role of estrogen, progesterone, and testosterone in bone health.
Definition of Low Bone Mass (Osteopenia) and Osteoporosis The Difference Between a T score and a Z score  FRAX- Fracture Risk Assessment Tool When Bone Mass Peaks How to Maximize Bone Health Before Menopause Hits Role of Estrogen in You...

Transdermal estrogen in the form of a patch, gel, or cream is often the preferred delivery method for menopausal hormone therapy. Unlike oral estrogen, in addition to other advantages, transdermal estrogen does not increase the risk of blood clots.  But a new study, published in the journal Menopause, indicates that your transdermal estrogen… may not be doing what you think it’s doing. Today, I am speaking with one of the authors of that study, Dr. Louise Newson. 

My Substack post summarizing the study: 
https://drstreicher.substack.com/p/is-your-estrogen-patch-gel-or-spray?r=740mq

Link to article...

I get lots of questions on various platforms. But I never get to all of them. So, today is Q and A day. 
I asked my friend and colleague, Dr. Heidi Flagg to join me because it’s always good to get another point of view. Dr. Flagg is, above all, a clinician. She is in her office in NY city, day in and day out, helping women navigate peri menopause and menopause. And unlike many people out there who are new to the scene, Dr. Flagg brings decades of real-world experience to the table.  

QUESTIONS Do you...

Welcome to COME AGAIN:  Sexuality and Orgasm Podcast

What if suddenly your tried-and-true maneuvers that consistently ended in orgasm no longer worked? Or it took so long and the climax so pathetic it was hardly worth the effort? Along with hot flashes, sandpaper sex, and a loss of libido, add the inability to have an orgasm to the list of post-menopause surprises your mom "forgot" to warn you about.

In this episode you will hear the first two episodes of COME AGAIN-a new podcast series  with science-based information to get your libido to kick in and yo...

As our bodies age, so do our teeth. And, no surprise, menopause also has an impact on dental health. My guest, Whitney Difoggio, AKA Teeth Talk Girl ,knows it all when it comes to dental hygiene ,anti-aging tips and post menopause teeth, gums, and tongues.
Whitney DiFoggio, founder of teethtalkgirl.com, is a passionate dental health communicator and registered dental hygienist, recognized as "Teeth Talk Girl" on social media (@teethtalkgirl). With a bachelor’s degree in biology from the University of Illinois Chicago and a master’s degree in health communication from Arizona State University, she is currently purs...

The vagina is a dark and mysterious place. It is the passage by which most of us enter the world. As an adult, it is the place where our sexuality is housed, hopefully, associated with pleasure, but it can also be a place associated with pain, and sometimes trauma. 
It is impossible to see the vagina without a speculum since the vagina is completely internal. And it was the invention of the speculum that allowed physicians to help women suffering from gynecologic conditions.  But, there is a dark history to the origins of the speculum exam, and ev...

Menopause experts rarely see patients with no medical issues. We see the patient with multiple medical problems and concerns.  In this episode, I bring in menopause expert Dr. Risa Kagan to collaborate on options for the following complex patient.
(Be sure and check out my Substack article that gets into the nuances of bazodoxifene)

Beth is 51 years old.  I’ve been flashing for 2 years with no end in sight.  I really want to try estrogen not just to help my hot flashes, but also because my mom had osteoporosis. I don’t have osteoporosis yet, but I’m worried...

GLP-1 drugs like Ozempic™ and Wegovy™ do a great job at helping folks lose large amounts of weight, but there is emerging evidence that the benefits go well beyond achieving a healthy weight. And then there is the dark side…can they also harm? 
In this episode, Dr. Alexandra Sowa, an internist who is certified in obesity medicine, and the author of the just published book The Ozempic Revolution: A Doctor's Proven Plan for Success to Help You Reverse Obesity, End Yo-Yo Dieting, and Protect Yourself from Disease discusses the impact of the GLP-1 drugs throughout the body. 

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Hot flashes, the hallmark of menopause are experienced by up to 80% of women. And if you are in your late 40s or early 50s and dressing in layers, carrying a fan, and sweating through your pajamas, chances are, it’s menopause. But maybe it’s not. 
In this episode I run through the list of conditions that have nothing to do with menopause, that can cause women to sweat through the day and night.


Dr. Streicher is on SUBSTACK
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The 1950s and 60s were a time of medical paternalism in America. The doctor, who was male in 98 percent of cases, decided what was best for his patient and unilaterally made decisions that were rarely, if ever questioned. In 1969 Dr. Marcus Welby was the TV prototype of this godlike paragon, and he spoke decisively and with authority in countless American households, including my own, on a weekly basis. This paternalistic approach to medical care affected both male and female patients but had a more profound impact on women since they regularly required medical intervention due to childbirth and...