Let's review a powerful new study on how testosterone therapy can improve mood, cognition, and libido in perimenopausal and menopausal women—even those already on hormone replacement therapy. If you've been struggling with brain fog, irritability, or a loss of motivation and joy, this episode offers a science-backed look at one often-overlooked solution.

Here’s what you’ll discover:

• 🧪 The results of a large study tracking 510 women who added testosterone to their HRT
• 🔄 Why common mood and cognitive symptoms may not be “just stress” or “just aging”
• 💥 A 47% improvement in mood and 52% boost in libido after only four months
• 🧠 The surprising link between testosterone and brain function in women
• 🚫 Why the “testosterone is only for men” myth needs to go
• 🧾 What it means when a treatment is off-label—and why that’s more common than you think
• 🩺 How I uses testosterone in her practice and what to consider if your current regimen isn’t working
• 💬 Tools to better describe and track your symptoms, so you can advocate for yourself confidently

Whether you’re already on hormone therapy or just starting to explore options, this episode offers a fresh, practical perspective on what testosterone could do for your quality of life. If you’ve been feeling unlike yourself lately—this conversation might be the missing piece.

Learn more about bioidentical hormone replacement here:

https://www.foundationsfl.com/testosterone-pellet-therapy-orlando

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In this timely episode, I am excited to share the brand-new 2025 clinical guidelines for treating Genitourinary Syndrome of Menopause (GSM)—a long-overdue update that prioritizes shared decision making and patient-centered care. Whether you’re a patient navigating vaginal dryness, bladder issues, or recurrent UTIs, or a clinician looking to stay current, this episode is a must-listen. We'll go over the science, dispel myths about estrogen safety, and learn how these guidelines shift the conversation around midlife women’s health.

What you’ll learn in this episode:

• 💡 Why the new GSM guidelines are revolutionary—and long overdue
• 🧠 What shared decision making really means in patient care
• 🌸 The real truth about vaginal estrogen safety (yes, even for breast cancer survivors)
• 🔍 How low hormones—estrogen AND testosterone—cause GSM symptoms
• 🧴 Treatment options beyond estrogen: DHEA, Ospemifene, and vaginal testosterone
• 🚽 How vaginal estrogen reduces bladder symptoms and cuts recurrent UTIs by 52%
• 🧬 Why package inserts are misleading—and how FDA labeling has confused patients for years
• 📢 A call to action for both providers and patients: know your options and advocate for your quality of life

This episode is a critical listen for both patients and providers alike. Whether you're experiencing GSM symptoms yourself or helping women manage this often-overlooked condition, the insights and updates shared here are essential for making empowered, evidence-based decisions.

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In this episode, I sit down with Dr. Christine Vaccaro to dive into the powerful connection between mindset, hormones, and overall well-being. Dr. Vaccaro shares her approach to integrative medicine, emphasizing how lifestyle choices, stress management, and personalized hormone optimization play a crucial role in longevity and quality of life. We explore how women can take control of their health by addressing both physical and emotional well-being.

Join us as we discuss:

• How stress and mindset directly impact hormonal balance and overall health
• Why personalized hormone therapy can be a game-changer for energy, mood, and longevity
• The critical role of gut health in inflammation and disease prevention
• Why conventional medicine often overlooks lifestyle factors in patient care
• Simple, actionable strategies to improve wellness, from nutrition to mindfulness practices

If you’re ready to take a proactive approach to your health and feel your best at any age, this episode is packed with valuable insights and practical tips! 🎧✨

Dr Christine Vaccaro is a double board certified and fellowship trained urogynecologist and sexual medicine specialist, who has been in practice for over 20 years. She is an associate professor of gynecologic surgery at the Uniformed Services University in Bethesda. She recently retired from the military, and was the Program Director for the Urogynecology Fellowship at Walter Reed, and now practices at the offices of Rachel Rubin, MD, located in Bethesda, MD. 

She is also involved in multiple national medical committees, and has extensively published in medical journals, medical textbooks and online. She is medical advisor for the SHE+ (Sexual Health Education PLUS) Foundation, which is a non-profit organization which supports women's sexual health through research, education, advocacy and grant funding. When not at work she enjoys hot yoga and attending her kid's sporting events.

Social Media & Links: 

Instagram: @drchristinevaccaro

Linktr.ee:  linktr.ee/drchristinevaccaro

Practice website: https://www.rachelrubinmd.com/

YouTube (practice): youtube.com/@DrRachelRubin

Thank you to Dr Vaccaro for this incredible episode!

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In this must-listen episode, I'm speaking with Dr. Amy Killen, a leading expert in hormone optimization and longevity medicine. Dr. Killen shares her journey from emergency medicine to preventive care, driven by the realization that our healthcare system often fails to keep people truly healthy. Together, we unravel the science behind hormone replacement therapy (HRT), debunk common fears surrounding estrogen and breast cancer, and discuss why bioidentical hormones matter.

Join us as we dive into:

• The difference between bioidentical and synthetic hormones—and why it matters
• Why most doctors aren’t trained in menopause medicine and how women can advocate for better care
• The real risks and benefits of hormone therapy, including its impact on heart, brain, and bone health
• How estrogen plays a critical role in everything from skin hydration to preventing osteoporosis
• Why hormone balance is a key factor in longevity and aging well

If you’ve ever had questions about hormone therapy, this episode delivers science-backed answers that every woman needs to hear! 🎧✨

Dr. Amy B. Killen, M.D. is a leading physician in regenerative and hormone optimization medicine, specializing in women's health and helping patients navigate their "Queen Phase™" with evidence-based interventions. A board-certified emergency physician turned longevity specialist, she combines cutting-edge treatments like stem cell therapy, hormone optimization, and peptides with practical lifestyle wisdom at her Utah and Texas clinics while sharing her expertise through international speaking engagements and educational content creation.

As Chief Medical Officer of Humanaut Health and founder of the Human Optimization Project (HOP), Dr. Killen continues to advance the field of longevity medicine with her "(r)Age Against the Mainstream" approach. 

She lives in Salt Lake City with her family of five.

Follow Dr Killen on social:

IG/FB: @dr.amybkillen, @hopboxlife , @humanauthealth

Twitter: KillenMD

Websites: www.dramykillen.com, www.humanauthealth.com, www.hopbox.life

Thank you Dr Killen for your wonderful insights!

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Today I sit down with Dr. Alicia Robbins to discuss the critical need for better education and support for women in perimenopause and menopause. Dr. Robbins shares how her background as a general OB/GYN led her to realize that many women in their late 30s and 40s were struggling with symptoms like sleep disturbances, mood swings, and weight gain—yet traditional training left her without the right tools to help them. Together, they break down the misinformation surrounding hormone therapy and why menopause care needs to be a recognized specialty.

Tune in as we explore:

• The lack of perimenopause education in traditional medical training
• Why hormone therapy is often misunderstood and underutilized
• How women can advocate for themselves when their doctors dismiss menopause symptoms
• The importance of sleep and how hormones impact mood, weight, and long-term health
• Why today’s women are demanding better menopause care compared to previous generations

This episode is essential listening for women of all ages—whether you’re approaching menopause, in the midst of it, or just want to be better prepared for what’s ahead. 🎧🔥

Dr Alicia Robbins is a board-certified OBGYN, menopause practitioner and lifestyle medicine doctor. Originally from southern Arizona, she completed her undergraduate studies at Vanderbilt University and graduated medical school and residency at Mount Sinai Hospital in New York City.

She then worked at Mount Sinai Hospital in New York City as a full-time faculty member and received several teaching awards during her time there. In addition to teaching residents, she sat on the admission committee at Mount Sinai. 

Once she turned 40, she realized there was not a lot of guidance for women in their 40s and 50s on how to optimize health and feel better.

After more than decade in NYC, she and her husband and moved to Greenwich, CT where she has been working for 5 years performing obstetrics and surgery at Greenwich Hospital. She is a certified Peri/Menopause Practitioner and a Lifestyle Medicine physician. She speaks regularly on women's health and has been featured in Allure Magazine, The New York Times, ABC channel 7, Parents magazine and several podcasts. 

She is married to Dr. Tarek Korban, an oral-maxillofacial surgeon in NY and is the mother of 3 young boys. She is an active member of her community and is passionate about supporting the women in her community and especially hte female-founded local businesses. She cherishes spending time with her family and friends and tries to remember that the simple things in life bring the most pleasure. 

Follow Dr Robbins on social:

Intstagram: https://www.instagram.com/aliciarobbinsmd/

Facebook: https://www.facebook.com/people/The-Elm-Greenwich/61552052893831/

Visit Dr Robbins at her practice, The Elm, in Greenwich, CT: https://theelmgreenwich.com/

Thank you Dr Robbins for your amazing information!

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Listen in as Dr. Jackson and Dr. Krapf discuss:

• The lack of education around vulvar and vaginal disorders in traditional OB/GYN training
• What genitourinary syndrome of menopause (GSM) is and why it’s more than just vaginal dryness
• The autoimmune nature of lichen sclerosis and how to manage it properly
• The role of testosterone in female sexual health and how it impacts the vulva
• How to advocate for better vulvar care and find a specialist for chronic pain conditions

This episode is a must-listen for anyone experiencing vaginal discomfort, pain, or hormonal changes—or for those looking to better understand how to optimize their sexual health at any age. 🎧✨

Dr. Jill Krapf is a board-certified Obstetrician Gynecologist specializing in female sexual pain disorders and Director of the Center for Vulvovaginal Disorders Florida in Tampa, Florida, USA.  She is active in research and has published chapters and peer-reviewed articles on vulvodynia and vulvar lichen sclerosus.  She is Associate Editor for the medical journal Sexual Medicine, as well as for the textbook Female Sexual Pain Disorders, 2nd Edition.  She is a Fellow of the International Society for the Study of Vulvovaginal Disease (ISSVD) and a Fellow and Board Member of the International Society for the Study of Women’s Sexual Health (ISSWSH), serving on the Education Committee and Chair of the Social Media Committee.  Dr. Krapf is a co-author on the trade book “When Sex Hurts: Understanding and Healing Pelvic Pain.” She shares educational content on social media @jillkrapfmd.

Jill Krapf MD

Center for Vulvovaginal Disorders Florida

3216 W Azeele St., Suite 2

Tampa, Florida 33609

[email protected]

813-358-7634

When Sex Hurts: Understanding and Healing Pelvic Pain

(sale proceeds go directly to the National Vulvodynia Association to support research)

https://www.hachettebookgroup.com/titles/andrew-goldstein-md/when-sex-hurts/9780306827419/?lens=balance

Female Sexual Pain Disorders: Evaluation and Management

https://onlinelibrary.wiley.com/doi/book/10.1002/9781119482598

ISSWSH 2024-25 Virtual Genitopelvic Pain Course

https://www.isswshcourse.org/genitopelvic-pain-course-2024-25

Thank you to Dr Krapf for sharing her expertise!

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In this powerful episode, Dr. Kristin Jackson sits down with breast surgeon and fitness advocate Dr. Devina McCray. Dr. McCray shares her personal journey from being an overworked physician struggling with her health to becoming a competitive bodybuilder. She dives into how muscle-building is essential for longevity, cancer prevention, and overall health—especially for women.

Tune in as Dr. McCray and Dr. Jackson discuss:

• The rising rates of breast cancer and why it affects even those without risk factors
• How lifestyle choices, including diet and exercise, can dramatically reduce cancer risk
• The connection between strength training, metabolism, and hormone balance
• Why building muscle is the key to aging well and preventing osteoporosis, falls, and frailty
• Practical tips for incorporating strength training into any lifestyle—whether you’re a beginner or looking to push your limits

This episode is a must-listen for anyone looking to take control of their health and age with strength, confidence, and resilience! 🎧💪

Devina McCray, MD, is a breast surgical oncologist who is board certified in general surgery. She specializes in benign and malignant breast disease. Her areas of surgical expertise include breast conservation surgery, sentinel lymph node biopsy, axillary node dissection, skin and nipple sparing mastectomy, oncoplasty, and intraoperative radiation therapy (IORT). Dr. McCray received her medical degree from the University of Colorado Health Sciences Center, School of Medicine. Her residency in general surgery was completed at Florida Hospital Orlando, followed by a fellowship in breast surgical oncology at the Cleveland Clinic in Ohio. She is a member of the American Society of Clinical Oncology, the American Society of Breast Surgeons, and the Society of Surgical Oncology.

Thank you Dr McCray for sharing your insights!

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The podcast discusses challenges of experiencing painful intercourse and how it can be treated effectively. It raises the importance of conversation about sexual health in medical settings and sheds light on genitourinary syndrome of menopause, a common issue affecting post-menopausal women related to the ageing process.

Want to consider non-medication options to improve painful intercourse? Check out the options here: https://www.foundationsfl.com/vaginal-rejuvenation

Or consider options to strengthen and enhance orgasm here: https://www.foundationsfl.com/orgasmenhancement

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Let’s talk about the pelvic floor—one of the most important and misunderstood muscle groups in the body. In this episode, I’m dicussing everything you need to know about your pelvic floor: what it is, what it does, and why it’s crucial to your overall health. Whether you’re dealing with postpartum changes, menopause symptoms, or just want to understand your body better, this episode is for you.

I’ll share insights into common pelvic floor issues, like urinary incontinence, bowel problems, and painful intercourse, and explain how life stages like childbirth and aging impact these muscles. We’ll also talk about practical solutions, including when to seek pelvic floor therapy, how to do Kegels correctly (spoiler: they’re not for everyone!), and the role of lifestyle changes. This episode will empower you to take control of your pelvic health and improve your quality of life.

• What is the pelvic floor? A breakdown of its anatomy and functions.
• Common pelvic floor issues: Including urinary incontinence, bowel dysfunction, painful intercourse, and prolapse.
• The role of life stages: How childbirth, menopause, and aging impact pelvic floor health.
• Pelvic floor dysfunction vs. muscle strength: How to identify weak or tight pelvic floor muscles.
• Pelvic floor therapy: When to seek physical therapy and what it involves.
• Kegels and beyond: A guide to exercises that strengthen (or relax) the pelvic floor.
• Lifestyle factors: The importance of diet, hydration, posture, and stress management.
• Misconceptions about pelvic floor health: Debunking myths and addressing the stigma.

Whether you’re looking to address a specific issue or simply want to stay informed, this episode empowers listeners to prioritize their pelvic floor health for improved quality of life.

Learn more about therapy with the Emsella chair here: https://www.foundationsfl.com/btl-emsella

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In this episode, I’m looking into a topic that’s close to my heart: the safety of testosterone therapy for women. I’ll share the latest research showing how testosterone improves quality of life, libido, cardiovascular health, and even bone and brain health—all without increasing risks like breast cancer or cardiovascular events. If anything, the data points to some surprising benefits that could make a huge difference, especially when therapy starts early.

I’ll also address misconceptions, like the so-called “lack of safety data” often cited by critics, and unpack why the timing of therapy plays such a crucial role in its effectiveness. If you’ve ever wondered whether testosterone therapy might be right for you, or if you’re just curious about the science, this episode has answers you won’t want to miss.

Key Takeaways from This Episode:

• Testosterone therapy is not only safe for women but has proven benefits for libido, heart health, and more.
• Long-term studies show no increased breast cancer risk and even suggest potential reductions.
• Starting hormone replacement therapy earlier leads to better outcomes, supporting the "timing hypothesis."
• Current FDA-approved options for women are limited, but working with a specialist can help you find the best personalized approach.

If you’ve been on the fence about hormone therapy or just want to learn more, this episode is packed with evidence, insights, and a little dose of my usual candor. Let’s break it all down together!

Learn more about testosterone replacement therapy here: https://www.foundationsfl.com/testosterone-pellet-therapy-orlando

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