Years before estrogen production completely shuts down, hormone levels start to fluctuate wildly during that special time of life known as perimenopause. Perimenopausal hormonal fluctuations result in the same symptoms that many women experience when they are in full menopause, hot flashes, vaginal dryness, and insomnia. But there is a bonus symptom that post-menopausal women don’t experience - irregular and unpredictable bleeding. 

In this episode, I discuss:

WHY perimenopause women have irregular bleeding
How your clinician should evaluate abnormal bleeding
Strategies to manage perimenopausal bleeding

 Progestogen 


Birth Control Pills 
Progestogen IUD 
Endometrial Ablation 
Hysterectomy 
Do nothing! 




What to do if there is HYPERPLASIA



For more information on this topic: 

Episode 23:  Welcome to Peri-menopause

Episode 40 Don’t Go with This Flow- Post Menopause Bleeding

Episode 56 Too Young For Menopause? with Dr. Hannah Short

Episode 57 Uterine Cancer: Reducing Your Risk

Episode 80 When Progesterone is a Problem 



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



                               And, it’s not too late to register for 



                             Mastering Menopause – Get Away!

                 Fabulous Retreats with Real Experts to Get Real Solutions

https://www.drstreicher.com/mastering-menopause-get-away



Meet the Experts

https://www.drstreicher.com/mastering-menopause-get-away#meet-the-experts







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














S2 Ep99: When Perimenopausal BLEEDING is the Problem

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 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.

Sexuality

Health

Medicine

Science & Medicine

Fitness & Nutrition

Health & Fitness

Men have always had the obvious advantage of inspecting their genitalia with essentially no effort on their part. For women, it’s a little more challenging. Combine that with the recommendation that there is no need for women to have a gynecologic exam as they get older, most doctors are also not looking. Today I am joined by Dr.Jill Krapf, a gynecologist whose area of expertise is …the vulva. We will be discussing one of the most maddening, frustrating symptoms in all of gynecology- THE ITCHY VULVA , but just as important, why even if your vulva isn’t itching, why it still needs some attention. 

  

In this episode 

Why it is important to have a VULVAR EXAM

Why VULVAR CANCER numbers are increasing

HOW to inspect your vulva 
What products can IRRITATE the vulva and should be avoided 
When URINE is the culprit 
The difference between a VULVAR YEAST infection and a vaginal yeast infection 
How to get rid of CHRONIC YEAST 
Vulvar itching from LOW ESTROGEN 
How to know if you have a dermatologic condition such as LICHEN SCLEROSUS 
How to get the best results from your lichen sclerosus treatment 
If your vulvar itching could be CANCER 


Why even if your vulva is not itchy, it still needs to get checked regularly

  

                                                     Jill Krapf MD

                                        www.jillkrapfmd.com

  

                                          Dr. Krapf Instagram 

                            https://www.instagram.com/jillkrapfmd/ 


  

Dr. Krapf’s Lichen Sclerosus Webinar on YouTube 

https://www.youtube.com/watch?v=vltY9mr8E68 

  

To find a vulvar specialist: 

Lichen Sclerosus Support Network: https://www.lssupport.net/ 

  

The International Society for the Study of Sexual Medicine: 

 https://www.issm 

  

  

For More info on this topic:   

Episode 93 What’s Up Down There 

Episode 131Why You Need to Keep Seeing a Gyne with Dr. Shieva Ghofrany

Episode 60  Lack of Lubrication Not Always From Lack of Estrogen   

Episode 4: Is Your Lubricant Helping or Hurting Your Vagina?

Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things 



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.



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










S3 Ep132: The Itchy Vulva (and Not So Itchy Vulva) with Dr. Jill Krapf

More likely than not, if you are over 65, your internist has declared everything between your belly button and your thighs to be the “NO NEED” zone. “NO NEED”  for a pap, “NO NEED”  need for a speculum, “NO NEED”  to remove your underpants, and definitely “NO NEED”  to see a gynecologist unless you have a specific problem. But in today’s episode, I am joined by Dr. Shieva Ghofrany to explain the flaw in this reasoning and why “no complaint” is not the same as “No problem”.



We discuss specific issues that are addressed post menopause: 






Pap tests and other screening tests
The reason for a gynecologic exam in non-Pap years
The problem with your internist doing your Pap test
Other reasons the annual exam is important 
Conditions with no symptoms
STI screening
Sexual Health
Menopause issues
Hysterectomy
Insurance issues


Shieva Ghofrany MD

Instagram -@drshievag

Website: Tribecalledv.com



For more information:



Episode 62 Are Current Screening Guidelines Helping Women or Hurting Women? With Dr. Melissa Simon 



Episode 102 An Insider approach to Ovarian Cancer with Dr. Shieva Ghofrany



Episode 130- Are You Ever Done with Menopause? 





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












S3 Ep131: Why You Need to Keep Seeing a Gyne  with Dr. Shieva Ghofrany


… and how to increase longevity with and without hormone therapy



The idea that menopause only lasts for a few years is a common misconception. You may have even been told by a  medical professional that when you no longer have hot flashes, you are done with menopause!  



But menopause means you’re no longer producing estrogen. There are hormone receptors throughout the body and there are lifelong consequences of being without estrogen even if perimenopausal symptoms are in the rear-view mirror.



In this episode: 

Why not every woman has long-term health issues post menopause
The long-term impact of menopause (not aging) on
Bone health
Joints and muscles
Frailty
Cardiovascular System
Diabetes
Brain Function
Vulva and  Vagina
Sexual Function
Urinary Tract



How to increase your longevity without hormones
Nine Secrets of the Blue Zones where women live to 100 (without taking estrogen) 
If you can take hormone therapy for life




For further information on this topic: 

The Menopause Brain by Lisa Mosconi

Netflix: Live to 100: Secrets of the Blue Zones https://www.netflix.com/title/81214929







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


Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders 


Episode 59 - Boning Up on Bones: Part 1 with Dr. Kristi Tough DeSapri (Risk Factors for osteoporosis, and Screening)


Episode 123 Hormone Therapy After Age 60 with Dr. James Simon

Episode125 Musculoskeletal Syndrome of Menopause with Dr. Vonda Wright




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










S3 Ep130: Are You Ever Done with Menopause?

When I first learned about PCOS during my training, I was told that once a woman with PCOS hit menopause, irregular periods, excess hair growth dealing with fertility problems and other manifestations of PCOS were in the rear-view mirror. And that’s true, but we now know that women who had PCOS during the reproductive years, are not entirely off the hook down the road and that PCOS early in life is associated with several health issues later in life.  Today I am having a conversation with reproductive endocrinologist Dr. Alison Rogers, about the impact of PCOS later in life. 








The history of PCOS, AKA Stein Levinthal Syndrome
What Polycystic Ovarian Syndrome is
Health concerns of young women with PCOS
If there is a genetic predisposition to PCOS
Why women with PCOS are at increased risk for cardiovascular disease
What happens to women with PCOS when they go through menopause
Post menopause risks in women with a history of PCOS
If women with PCOS can safely use hormone therapy
Wrap Up! 




                                                 Allison Rogers MD

                            https://www.fcionline.com/doctors/allison-rodgers/

                                   Social Media: @dr.allison.rodgers





For more information on this topic: 

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



Episode 57 Uterine Cancer: Reducing Your Risk



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


















S3 Ep129: PCOS Problems Post Menopause with Dr. Allison Rodgers


While not everyone is necessarily good about regular physical activity, no one questions that it’s good for you. Cardiovascular health, weight management, cognitive function, mood, better sleep and even reducing the risk of many kinds of cancer are all established benefits to moving as opposed to sitting on your butt all day. But, when it comes to the impact of exercise when it comes to reducing hot flashes, the jury is still out. 



Dr. Maria Sophocles is the Medical Director of Women’s Healthcare of Princeton. She is a certified menopause practitioner and has a particular interest in non-hormonal approaches to help with menopause symptoms.  In this episode, we discussed a study that was recently published in the Journal Menopause titled “The influence of habitual physical activity and sedentary behavior on objective and subjective hot flashes at midlife” 



Link to article: Witkowski, Sarah PhD1; White, Quinn BA1; Shreyer, Sofiya MA2; Brown, Daniel E. PhD3; Sievert, Lynnette Leidy PhD2. The influence of habitual physical activity and sedentary behavior on objective and subjective hot flashes at midlife. Menopause






Chat about South by Southwest Panel
Dr. Sophocles Ted Talk
What research shows as far as exercise and hot flashes
The Menopause Society’s statement on exercise and yoga 
How hot flashes are measured in studies
Perceived hot flashes versus actual hot flashes
Findings of this study 
Dr. Sophocles research with EmberWave™






                                                  Maria Sophocles MD

                                                 mariasophoclesmd.com

                                                   @mariasophoclesmd

                                 Ted Talk- https://go.ted.com/rpUSM





For more information on this topic: 



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



Episode 53 Not All Hot Flashes  Mean Menopause 



Episode 82 Journal Club with Mary Jane Minkin



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



Episode 95 Non-hormonal options to treat VMS- Herbs Spices &Wishful; Thinking 





Laurie Mintz



Sheryl Kingsberg



Amanda Thebe





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




























S2 Ep99: When Perimenopausal BLEEDING is the Problem

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