Ageless and Outrageous

By Kristin JacksonHealth & Fitness Education Self-Improvement Sexuality

Ageless and Outrageous episodes

June 05, 2024Beyond Wrinkles: Unusual Applications for Botox Injections
This episode delves into the fascinating world of botulinum toxin. We take a comprehensive journey through the mechanisms behind how botulinum toxin operates, exploring the fundamental principles of how nerves trigger muscle contractions, and how botulinum toxin works to interfere with that. We unravel the rich history of the medical discovery of botulinum toxin and its evolution into an FDA-approved product with various therapeutic and cosmetic applications. Listen in to hear about:
Botox treatment for crossed eyes, neck spasm, overactive bladder and more
Cosmetic uses of Botox for frown lines, forehead lines, and crow's feet
Off-label uses of Botox, for facial slimming, neck slimming, and correction of wrinkles all over the face and neck
Promising uses of Botox for depression and premature ejaculation
Interesting uses of Botox to treat abnormal heart rhythms and cold hands
Touching use of Botox after surgery for cleft lip and palate
A unique use of Botox for vaginismus
Side effects and safety of Botox injections
Join us as we explore not just the sanctioned uses of Botox, but also the intriguing off-label applications, including its surprising potential to address a whole host of symptoms.

Key moments in this episode are:
00:19 How botulinum toxin works
01:04 How a nerve causes a muscle to contract
02:02 Brand names for botulinum toxin
02:23 History of discovery of botulinum toxin for medical use
03:21 FDA categories of use for Botox
03:29 Therapeutic uses for Botox
04:43 FDA-approved cosmetic uses for Botox
05:01 Off-label cosmetic uses for Botox
05:54 Botox for treatment of depression
07:05 Botox for treatment of premature ejaculation
07:15 Botox to prevent abnormal heart rhythms
07:30 Botox for the treatment of very cold hands
08:05 Botox to prevent scarring after surgery for cleft lip
08:55 Botox for treatment of painful intercourse
09:34 Side effects from Botox injections
10:50 Botox migration

Learn more about Botox injections here: https://www.foundationsfl.com/botox
Here's the link to the cold hand clinic at University of Chicago: https://www.uchicagomedicine.org/conditions-services/plastic-reconstructive-surgery/cold-hands-syndrome/treatment
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Instagram @foundationskristinjacksonmd
Website https://www.foundationsfl.com/
FB facebook.com/advancedurogynecology

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15 min
May 29, 2024Men Need Estrogen Too??
Step into the incredible world of estrogen in our latest podcast episode. We unpack staggering statistics, explore the historical perceptions surrounding menopause, and unravel the intricate changes in women's bodies as they transition through this natural phase. From the gradual decline in egg count to the hormonal shifts that mark this milestone, we delve into the nitty-gritty details of menopause, shedding light on its far-reaching impacts beyond just the cessation of menstrual cycles. Plus hear the surprising health benefits of estrogen in men as well. Learn about:
The number of women in menopause in the US
Menopause from a historical perspective
How our eggs are depleted with age
Why many aging symptoms are inappropriately labeled as menopause symptoms
The effects of estrogen loss on the heart, bones, and brain
The specific changes to the vagina and bladder without estrogen
How men need proper estrogen levels as well
This episode is a holistic exploration of menopause, offering insights that go beyond the surface to empower understanding and discussions about this crucial life stage.

Key moments in this episode are:
00:25 Menopause statistics
01:01 Were women ever expected to enter menopause??
02:33 How women lose eggs as we age
03:54 What happens to menstrual cycles as we approach menopause
04:28 Hormone changes at menopause
06:26 Overlap of menopause symptoms as aging symptoms
06:49 Vasomotor symptoms
07:27 What happens to the heart without estrogen
10:27 What happens to our bones without estrogen
11:30 At what age women reach maximum bone mass
12:43 It's what happens after a bone fracture that is harmful
14:42 What happens to our brain without estrogen
15:36 Progestins reversing benefits of estrogen
16:36 What happens to the vagina and bladder without estrogen
19:07 What happens to men without estrogen, or with too much estrogen

Learn more about the benefits of hormone optimization in men and women here: https://www.foundationsfl.com/bioidentical-hormone-optimization

Here's the 2014 study showing lower cardiovascular risks in women using ERT vs those taking statins: erglind IA, Andersen M, Citarella A, Linder M, Sundström A, Kieler H. Hormone therapy and risk of cardiovascular outcomes and mortality in women treated with statins. Menopause. 2015 Apr;22(4):369-76. doi: 10.1097/GME.0000000000000345. PMID: 25335101; PMCID: PMC4470525.

Here's the 2012 study showing improved outcomes in women treated with HRT vs no treatment: Schierbeck LL, Rejnmark L, Tofteng CL, Stilgren L, Eiken P, Mosekilde L, Køber L, Jensen JE. Effect of hormone replacement therapy on cardiovascular events in recently postmenopausal women: randomised trial. BMJ. 2012 Oct 9;345:e6409. doi: 10.1136/bmj.e6409. PMID: 23048011.

Here's the 2009 study stratifying men's cardiovascular risk based on their estradiol levels: Jankowska EA, Rozentryt P, Ponikowska B, Hartmann O, Kustrzycka-Kratochwil D, Reczuch K, Nowak J, Borodulin-Nadzieja L, Polonski L, Banasiak W, Poole-Wilson PA, Anker SD, Ponikowski P. Circulating estradiol and mortality in men with systolic chronic heart failure. JAMA. 2009 May 13;301(18):1892-901. doi: 10.1001/jama.2009.639. PMID: 19436016.

And all the other studies I discussed are available as well; please message me to get the links!

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Website https://www.foundationsfl.com/
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24 min
May 22, 2024Beneath the Petals: Understanding Vaginal Rejuvenation
Vaginal rejuvenation, although not a specific medical term, encompasses various restorative procedures for the vagina, vulva, and pelvic floor. In this podcast, we discuss what can happen to the vagina and vulva as we age, and ways to restore vaginal health. Listen in to understand:
Changes to the vagina related to childbirth, aging, and hormonal fluctuations
The role of vaginal estrogen in maintaining healthy tissue
Non-surgical treatments to tighten the labia
The role of labioplasty to alter labial appearance
Vaginal lasers for resurfacing and treatment of vaginal dryness
Surgical tightening of the vagina
How to choose the best surgeon to perform your procedure
Therapies to strengthen the pelvic floor muscles

By focusing on restoration rather than "rejuvenation", you can help to revive the vagina and vulva back to what they once were!

Key moments in this episode are:
00:12 What is vaginal rejuvenation
01:08 Changes that can occur to the vaginal and vulva
02:27 Symptoms associated with damage to pelvic floor
03:58 Bringing this issue to the forefront of discussion
04:44 What women are asking for with vaginal rejuvenation
06:26 Non-surgical treatments to improve labial appearance
07:39 Surgical options to alter labia
08:50 Who should you choose to perform a surgery
12:11 Radiofrequency alone as a treatment
13:32 Role of vaginal estrogen in rejuvenation
14:35 Types of vaginal lasers
16:57 Hybrid vaginal lasers
17:44 Surgical options to tighten vagina
20:30 Strengthening the pelvic floor muscles

Learn more about vaginal microneedling and radiofrequency here: https://www.foundationsfl.com/empower

Learn more about vaginal lasers here: https://www.foundationsfl.com/diva-fractional-vaginal-laser

Learn about pelvic floor strengthening here: https://www.foundationsfl.com/btl-emsella

Follow us!
Instagram @foundationskristinjacksonmd
Website https://www.foundationsfl.com/
FB facebook.com/advancedurogynecology

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24 min
May 15, 2024A Woman's Guide to Male Sexual Health
Today's podcast episode explores the top five things women should know about their male partner's sexual health and provides crucial information for women on how to support their male partners. Tune in to learn:
What is erectile dysfunction (ED)
Vascular causes of ED
Neurogenic causes of ED
Hormonal causes of ED
Treatment options for ED
Premature ejaculation and treatment strategies
Impact of prostate cancer on sexual health
Empower yourself with knowledge and discover how you can be a pivotal support system for your partner's sexual well-being by tuning in to this enlightening conversation

Key moments in this episode are:
00:24 Intro to erectile dysfunction
00:49 How an erection happens
01:40 Vascular issues causing ED
02:04 Association of ED with cardiovascular disease
03:27 Nerve issues causing ED
04:03 Parasympathetic nerve stimulation for sexual arousal
05:34 Hormonal causes of ED
06:57 First thing women need to know about mens' sexual health
07:36 Medications that can lead to ED
08:12 Medications to treat ED
09:45 Second thing women need to know about mens' sexual health
10:25 Non-medication options to treat ED
12:20 Premature ejaculation
13:25 Treatment options for premature ejaculation
15:14 Third thing women need to know about mens sexual health
15:26 Fourth thing women need to know about mens' sexual health
15:35 Prostate cancer
16:46 Treatments for sexual dysfunction after prostate cancer
17:27 Fifth thing women need to know about mens' sexual health

Learn more about erectile dysfunction here: https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction

Learn more about mens' health impacting their sexual life here: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/sexual-bladder-problems

And find tons of information at the Sexual Medicine Society of North America here: https://www.smsna.org/patients

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Instagram @foundationskristinjacksonmd
Website. https://www.foundationsfl.com/
FB facebook.com/advancedurogynecology

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21 min
May 08, 2024The Skinny on Weight Loss Options
Obesity has become a pressing issue in the United States, with a significant increase in its prevalence over the past few decades. This episode explores the factors contributing to weight gain, genetics that may predispose individuals to obesity, and the environment in which we live., highlighting the control we each have over our weight and the potential to modulate genetic influences. We also discuss the impact of obesity on various medical conditions such as heart disease, stroke, hypertension, and diabetes. Obesity needs to be understood as a chronic and relapsing medical condition, rather than solely a cosmetic concern. Listen in to learn more:
Plenity; a supplement that expands in the stomach to creates a sensation of fullness
Cell Press, a similar supplement with celluose, to help control portion size
Calcium Pyruvate, a substance that enhances the conversion of food into energy
Orlistat, an over-the-counter medication to block fat absorption
Hormonal control of weight using Semaglutide and Tirzepatide
The role of the hypothalamus in eating and hunger
The role of the mesolimbic reward system in controlling cravings
Contrave, a prescription medication working in the brain to reset hunger controls
Qsymia, a prescription medication working in the brain with the hunger and craving centers
Bariatric surgery as an option
Gain insight to understand obesity's medical complexities to explore various interventions, empowering you to make an informed choice for healthier living and weight management.

Key moments in this episode are:

00:26 Definition of obesity
00:38 Calculating your BMI
01:06 Rates of obesity in the USA
01:27 Factors related to rise in obesity
03:11 When to begin treating our weight
04:07 Does insurance cover weight loss options?
05:32 Understanding Plenity
06:40 Describing Cell Press
07:08 Calcium Pyruvate supplement
07:40 Orlistat as a fat-blocker
08:20 Hormonal treatment for weight with semaglutide and tirzepatide
11:44 Hypothalamus' role in weight control
12:13 Mesolimbic reward system's role in weight control
13:58 Contrave for weight loss and control of cravings
15:22 Using Qsymia to control hunger and cravings
16:29 Phentermine as an appetite suppressant
17:56 Bariatric surgery for weight loss

Learn more about weight loss options, including Semaglutide and Tirzepatide, here: https://www.foundationsfl.com/weight-loss

Follow us!
Instagram @foundationskristinjacksonmd
Website https://www.foundationsfl.com/
FB facebook.com/advancedurogynecology

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21 min
May 01, 2024Removing Obstacles to an Amazing Orgasm: A Guide for Women
Many women face various obstacles when it comes to experiencing an amazing orgasm. From struggling to reach orgasm to feeling unsatisfied with the intensity of their orgasms, there are several barriers that can hinder sexual satisfaction. In this episode, we explore:
The analogy of a waterfall, and how boulders get in the way of a fantastic orgasm
Common challenges to reaching orgasm
Causes of pain during orgasm
Treating dryness and atrophy
High tone pelvic floor disorder
Evaluating for vulvodynia
How low libido diminishes orgasm
When you cannot reach orgasm with penetration alone
Enhancing the sensitivity of the vagina
Strengthening the pelvic floor for intense contractions
Psychosocial factors that interfere with pleasure
By uncovering and removing these obstacles, women can enhance their sexual satisfaction and experience more fulfilling orgasms.

Key moments in this episode are:
01:05 Understanding the waterfall analogy
02:17 Pain during intercourse
02:57 Our favorite vaginal lubricant
03:55 Treating vaginal atrophy
04:58 Hypertonic pelvic floor muscles
06:09 Treatment for a tight pelvic floor
07:02 Understanding vulvodynia
07:47 Causes of deep penetration pain
09:54 Lack of libido leading to orgasm issues
10:17 Effects of low testosterone
11:00 Other medications to improve female libido
13:37 Medications that may be zapping your libido
13:56 Improving the strength of an orgasm
14:50 How to build pelvic floor muscle strength
15:53 When clitoral stimulation just isn't doing the job
17:10 What if you cannot reach orgasm with vaginal penetration alone?
18:37 Using PRP to improve sensitivity
20:04 Feeling too loose or desensitized
20:41 Building vaginal collagen
22:18 Removing psychosocial barriers to orgasm

Follow us!
Instagram @foundationskristinjacksonmd
Website https://www.foundationsfl.com/
FB https://facebook.com/advancedurogynecology

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25 min
April 24, 2024The Truth About Vaginal Itching and Irritation
Vaginal and vulvar itching can have various causes beyond just yeast infections. Understanding the anatomy of these areas is crucial in determining the source of the irritation. Today's podcast looks at the many causes of itching:
Learn the proper anatomy of the vulva and vagina
Understand both vaginal and vulvar yeast infections and how they present with different symptoms
What's new in the treatment of yeast infections
Atrophy as a cause of vulvar itching
What is lichen sclerosis and how is it managed
How lichen planus presents and is treated
Proper hygiene and care of the vagina and vulva
Delve into the diverse causes of vaginal and vulvar itching; it's NOT just a yeast infection.

Key moments in this episode are:
00:30 Where does it itch? Learning the anatomy
02:05 Taking a tour of your own vulva
04:23 Vaginal yeast infections
05:19 Vulvar yeast infections
06:17 Do you always need to treat a yeast infection?
06:45 Recurrent yeast infections
08:54 New medications for yeast on the market
10:00 Can men get genital yeast infections?
11:00 Vulvovaginal atrophy
12:09 Lichen sclerosis
14:43 Medication to treat lichen sclerosis
16:20 Procedures to treat lichen sclerosis
18:09 Surgery for lichen sclerosis
19:34 Vulvar cancer
20:58 Lichen planus
23:12 Treatment for lichen planus
24:34 Vaginal and vulvar self care
26:13 Exfoliation of the vulva
27:20 Home remedies to alleviate itching
28:35 Vulvar care in patient with incontinence

Learn more about microneedling for lichen sclerosis here: https://www.foundationsfl.com/empower

Find out more about vulvar itching and burning here: https://www.acog.org/womens-health/faqs/disorders-of-the-vulva-common-causes-of-vulvar-pain-burning-and-itching

Follow us!
Instagram @foundationskristinjacksonmd
Website https://www.foundationsfl.com/
FB https://facebook.com/advancedurogynecology

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33 min
April 17, 2024Debunking the Top 3 Myths About Testosterone in Women
Testosterone is often misunderstood, and that can create fear about use of this very critical hormone. It's often wrongly considered a hormone only important for men. In reality, testosterone is crucial for both men and women, with women actually having higher levels of testosterone than estrogen. Women's testosterone levels peak in their 20s and 30s, gradually declining as they age. Optimizing testosterone can alleviate various symptoms such as low libido, difficulty reaching orgasm, brain fog, fatigue, and even improve muscle mass and bone density. Contrary to popular belief, testosterone is not solely responsible for libido but also plays a significant role in many other bodily functions. It affects various organs, including the brain, heart, bladder, uterus, ovaries, vaginal tissue, skin, and bones. Testosterone promotes healthy muscle growth, aids in bone strength, reduces inflammation, and even decreases the risk of dementia. While there are no FDA-approved testosterone products for women, the use of bioidentical testosterone has been deemed safe by numerous studies and reports from patients.

In this episode, you'll be able to:
Find out why testosterone is Dr J's favorite hormone to balance for her patients
List the common misconceptions surrounding testosterone
Understand some of the many many benefits of healthy testosterone levels
Be comfortable with the safety of proper testosterone replacement
Key moments in this episode are:
00:31 Common symptoms of sub-optimal testosterone
00:56 First myth: Testosterone is only important in men
01:35 Differences in measurements in testosterone and estradiol
02:43 Timeline of testosterone decline as we age
03:39 Misinterpretation of symptoms of testosterone loss as "normal aging"
04:05 Second myth: Testosterone is only important for libido
04:28 Where testosterone receptors are located
5:04 Role of testosterone in libido
06:29 Role of testosterone in the brain
07:29 Role of testosterone in the brain
08:00 Role of testosterone in the heart
09:58 Role of testosterone in the bones
11:18 Long term risks of bone building drugs, like bisphosphonates
12:27 Role of testosterone in muscles
13:03 Study of testosterone with and without exercise to build muscle
14:28 Importance of muscle mass in women as they age
14:55 Preventing falls with strong muscles and bones
16:56 Role of testosterone in the bladder
18:23 What our patients are saying about testosterone replacement
19:50 Third myth: Testosterone is not safe for use in women
20:16 Road to FDA approval
20:32 Natural products like testosterone cannot be patented
21:14 Testosterone in the market today
21:58 What an off-label use of a drug means
23:40 Risk of testosterone during pregnancy
26:16 How to properly dose testosterone
28:17 Sensitivity of testosterone receptors
29:!4 Using an algorithm to dose testosterone

Learn more about bioidentical hormone replacement therapy here:
https://www.foundationsfl.com/bioidentical-hormone-optimization

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Website www.foundationsfl.com
FB https://facebook.com/advancedurogynecology

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32 min
April 10, 2024Dispelling Myths about Estrogen and Breast Cancer
Hormone replacement therapy (HRT) and breast cancer risk has long been overestimated. For too long, both patients and providers have overestimate the risk of hormone replacement therapy and undervalued its value. Despite the fear surrounding HRT and breast cancer, the actual risks are relatively low.
The Womens' Health Initiative study (WHI), which played a significant role in shaping opinions, has been criticized for its flaws and limitations, resulting in skewed headlines that caused widespread anxiety.
Understanding the study's flaws and limitations is crucial to interpreting its results correctly.
The study's patient population skewed towards older women, which impacted the results and made them less applicable to menopausal women in their 50s.
HRT can offer various benefits, such as reducing heart disease, stroke, and osteoporosis risk.
The results of the study are only applicable to conjugated equine estrogens (CEE) and medroxyprogesterone acetate, a synthetic progestin.
Using bioidentical hormones, particularly micronized progesterone, can be a safer alternative.
The critical window for starting HRT, typically in the perimenopause and early menopause stages, is highlighted as an important factor in determining the benefits and risks of hormone use.
By debunking the fear surrounding hormones and breast cancer, the aim is to empower women to make informed decisions and seek guidance from hormone specialists.
Key moments in this episode are:
0:00 Intro and facts about breast cancer
1:05 Current screening guidelines for breast cancer
1:53 Looking at how the WHI study was set up
3:35 What the headlines about WHI said
3:59 Behind the headlines
5:23 WHI from a personal perspective
7:18 Understanding the numbers
8:37 Risks of oral estrogens
10:30 What was causing the breast cancer risk?
11:08 Benefits of taking HRT
12:10 Alternates to synthetic progestins

Check out Dr Jackson's blog on the WHI here:
https://www.foundationsfl.com/post/getting-rid-of-whi-once-and-for-all

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Website www.foundationsfl.com
FB https://facebook.com/advancedurogynecology

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23 min
April 03, 2024After the Surgery: Hysterectomy and Sexual Health
Hysterectomy is a common surgery that many women undergo for various reasons, While most women do not experience any change in sexual function post-hysterectomy, it is important to have a conversation with your doctor to address any concerns. Our episode today delves into:
Reasons for hysterectomy, such as pain, fibroids, heavy bleeding, endometriosis, or cancer
The different types of hysterectomy
The impact of hysterectomy on sexual health and hormones
The importance of open communication with your surgeon
Significance of regular pelvic exams even after hysterectomy
Potential complications like scar tissue formation and pelvic floor spasms
By providing accurate information and dispelling myths, this episode aims to empower women to make informed decisions and prioritize their sexual wellness after hysterectomy.

Key moments in this episode are:

Learn more about hysterectomy from ACOG here:
https://www.acog.org/

Considering hormone replacement? See more here:
https://www.foundationsfl.com/bioidentical-hormone-optimization

Follow us!
Instagram @foundationskristinjacksonmd
Website https://www.foundationsfl.com/
FB facebook.com/advancedurogynecology

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30 min

About Ageless and Outrageous

From the publisher's feed

Welcome to "Ageless & Outrageous", the podcast where urogynecologist and hormone and sexual health expert, Dr. Kristin Jackson, shares her 25 years of expertise to guide both men and women on the path to aging amazingly.