Ageless and Outrageous

By Kristin JacksonHealth & Fitness Education Self-Improvement Sexuality

Ageless and Outrageous episodes

March 27, 2024 Skin Deep: Menopausal Skin Changes
Today's episode discusses the changes that occur in the skin after menopause. While aging is a factor, the main cause of these changes is the decrease in estrogen levels. Estrogen plays a critical role in maintaining skin health, including collagen production. The loss of estrogen leads to a decline in collagen, resulting in wrinkles, fine lines, and sagging skin. Additionally, estrogen increases skin moisture and improves the skin's barrier function. Sun exposure is another major factor in skin damage, so wearing sunscreen daily is crucial. Good sleep is essential for skin repair and hormone production. Smoking has various negative effects on the skin, including collagen and elastin damage. Medical grade products and procedures can help treat skin damage, but it's important to consult with a skin specialist for the most effective options.

Key moments in this episode are:
00:28 Estrogen for skin health
00:49 Estrogen's effect on collagen
02:13 Timing of estrogen for skin effect
02:43 Estrogen for skin moisture
04:29 How wrinkles are formed
05:42 Estrogen improves skin blood flow
06:49 Sun exposure to skin
07:56 Sleep for better skin
09:40 Smoking's effects on skin
11:18 Products beneficial to skin

Read Dr J's blog about medical grade skin care here: https://www.foundationsfl.com/post/what-is-medical-grade-skincare
Read more about the science of estrogen in the skin here: Shah MG, Maibach HI. Estrogen and skin. An overview. Am J Clin Dermatol. 2001;2(3):143-50. doi: 10.2165/00128071-200102030-00003. PMID: 11705091.
Learn more on how sleep affects our skin here: Michels KA, Mendola P, Schliep KC, Yeung EH, Ye A, Dunietz GL, Wactawski-Wende J, Kim K, Freeman JR, Schisterman EF, Mumford SL. The influences of sleep duration, chronotype, and nightwork on the ovarian cycle. Chronobiol Int. 2020;37:260–271.
See the benefits of stopping smoking here: U.S. Department of Health and Human Services. Smoking Cessation: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2020.

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Instagram @foundationskristinjacksonmd
Website https://www.foundationsfl.com/post/what-is-medical-grade-skincare
FB facebook.com/advancedurogynecology

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15 min
March 20, 2024 Do You Believe These Vaginal Myths?
There are so many long-standing myths about vaginal and vulvar health. You may have heard these myths from movies, your friends, or even you family members. Today we take a look at 8 common myths about the vaginal and vulvar area to see which ones hold up under scrutiny. Can a tampon get lost inside your vagina? Do all sexually transmitted infections given you noticable symptoms? Can a doctor tell if you're a virgin just by doing an exam? Listen in to the episode to find out these answers and more!

Key moments in this episode are:
00:15 Myth 1: You need special products to clean the vulva and vagina
01:27 Myth 2: The tampon can get lost inside you
02:25 Myth 3: Every itch means an infection
03:45 Myth 4: All vaginal discharge is unhealthy
05:03 Myth 5: Everyone can orgasm from vaginal penetration
06:22 Myth 6: You can get drunk from an alcohol-soaked tampon
08:14 Myth 7: You'll definitely know if you have a sexually transmitted infection
09:13 Myth 8: An intact hymen means a woman is a virgin

Read the info about alcohol-soaked tampons here: American Journal of Emergency Medicine 32 (2014) 935–942 941

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

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14 min
March 13, 2024Bladder Battles: Breaking the Cycle of Recurrent UTIs
Recurrent bladder infections, also known as UTIs, can be a challenging problem for women, especially as they age. Urinary pain, burning, urgency and frequency can have several causes, but today's podcast will focus on those UTIs that just won't go away!
The parts of the urinary tract that can become infected
The importance of an accurate diagnosis of infection vs other causes of symptom
Proper evaluation of both the upper and lower urinary tract
Limitations of the standard urine culture
Newer testing to get to the root cause of the infection
Treatment options, including non-antibiotic options

Seeking care from a specialist may be essential when you face persistent UTIs despite treatment. We want to improve your awareness about recurrent bladder infections and guide you towards effective treatment strategies.

Key moments in this episode are:
00:29 What is a UTI
02:09 Defining recurrent bladder infections
04:30 Why a pelvic exam is needed
06:54 Evaluation of the entire urinary tract
08:05 Is urine supposed to be sterile?
08:59 Understanding PCR testing
11:15 Biofilm in the bladder
13:41 Treating recurrent infections
14:25 Using suppression antibiotics
17:37 Alternatives to antibiotics
20:23 Supplements for bladder health
21:16 Cranberry for UTIs
22:49 D-mannose for UTIs
25:05 What does NOT cause UTIs
30:46 Using over the counter Azo for bladder pain

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

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35 min
March 06, 2024Secrets of the Postmenopausal Orgasm Part 2
Menopause doesn't have to mean the end of fulfilling sexual experiences. The post menopausal orgasm is real! You may just need to take some steps to make sure it's in tiptop shape. In the second part of this podcast, we continue to explore the most common reasons for the decline of the post menopausal orgasm.
Maintaining good overall health is the first step to a healthy sex life.
Blood flow to the clitoris is paramount; vaginal estrogen and certain vasodilators can help.
PRP (platelet-rich plasma) can be used to stimulate nerve and blood vessel growth in the clitoris and vagina.
Maintaining a strong pelvic floor is the key to fabulously strong orgasms.
Working with your sexual health expert, you should be able to individualized a plan tailor to your needs.
Key moments in this episode are:
00:00 Summary of Part 1 of Postmenopausal Orgasms
00:25 Improving clitoral blood flow
01:49 How to improve clitoral blood flow with vaginal estrogen
03:15 Other medications to improve clitoral blood flow
04:57 When blood flow alone is not enough
05:23 Uses of PRP (platelet-rich plasma)
07:09 How PRP is performed
08:22 A strong pelvic floor
09:46 Electrical stimulation vs electromagnetic stimulation
11:22 How electromagnetic stimulation is performed
13:08 Summary

Learn more about platelet-rich plasma here:
https://www.foundationsfl.com/prp

Learn more about electrical stimuation to the pelvic floor with vTone here:
https://www.foundationsfl.com/empower

Learn more about electromagnetic stimulation to the pelvic floor with BTL Emsella Chair here:
https://www.foundationsfl.com/emsculpt-neo

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

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15 min
February 28, 2024Secrets of the Postmenopausal Orgasm Part 1
Postmenopausal women can and do experience orgasms! This podcast episode explores the changes and challenges that occur with orgasms after menopause and offers strategies to improve them. It debunks stereotypes that suggest women lose interest in sex after menopause and highlights the importance of addressing sexual concerns for both women and men.
Why are physicians not discussing healthy orgasms with women
The 4 main areas to focus on to improve a postmenopausal orgasm
Improving arousal with hormone or other prescription medications
Off label use of arousal medications
Providing proper clitoral stimulation
Use of vibrators as a medical device
Where to shop for the best vibrator
Types of vibrators
Having an open conversation with your partner
A happy and fulfilling sex life does not end with menopause!

Key moments in this episode are:
00:26 Do women still desire sex after menopause?
01:18 Many solutions for male sexual issues
02:16 Challenges with the postmenopausal orgasm
03:15 Arousal for orgasm
03:32 Medications that decrease arousal
4:04 Hormone replacement for improving arousal
4:34 Addyi for female sexual dysfuction
05:22 Vylessi for female sexual dysfunction
07:10 Clitoral stimuation for orgasm
07:57 Using a vibrator as a medical device
09:58 Where to get a vibrator
11:19 Types of vibrators
13:01 Vibrators for both partners
13:30 Having an open conversation with your partner
14:36 Stay tuned for part 2 of this conversation!

https://www.lovehoney.com/
17 min
February 21, 2024Hanging by a Thread: What's Falling Out of My Vagina?
Pelvic organ prolapse is a condition that affects many women, with up to 40% experiencing it in their lifetime. This podcast episode provides an in-depth discussion of pelvic organ prolapse, focusing on:
The causes, symptoms, and risk factors for pelvic organ prolapse
How pregnancy, genetics, and menopause may increase the risk of developing prolapse
What lifestyle factors affect prolapse
Common myths about sex and pelvic organ prolapse
The use of pessaries as a non-surgical treatment option
Surgical options, including reconstructive and obliterative surgery, and the considerations involved in choosing the right approach for person
The importance of choosing a high-volume surgeon for successful outcomes

Uncover everything about pelvic organ prolapse, from your two pelvic floor experts--Dr Jackson and Rosalind!

Key moments in this episode are:
00:00 What is pelvic organ prolapse
00:46 Vaginal anatomy
01:30 Weakened fascia
02:41 What causes prolapse--pregnancy
03:36 What causes prolapse--genetics
04:10 What causes prolapse--aging and lifestyle
05:50 Symptoms of prolapse
07:10 Sex and prolapse
07:59 Layers of the vagina
09:51 Treatment with observation
10:59 Nonsurgical treatment with pessaries
11:08 Interesting history of pessaries
12:38 Getting the right fit
13:57 Pessary care
14:56 The craziest pessary I ever used
16:23 Can't I just do Kegels?
18:35 Removing the stigma of a pessary
19:52 Mucus with a pessary
21:03 Surgery for prolapse
23:31 The topic of vaginal mesh
27:27 Possible complications with vaginal mesh
29:31 Can mesh be removed?
30:20 Slings vs vaginal mesh
32:15 When to consider surgery for prolapse
33:07 Obliterative vaginal surgeries
36:35 Recurrence of prolapse after surgery
37:38 Non-mesh options for vaginal repair
40:32 Choosing a high volume pelvic surgeon

Learn more about pelvic organ prolapse here:
https://www.augs.org/assets/2/6/POP.pdf

Learn about pessaries here:
https://www.voicesforpfd.org/

Discover more about vaginal suspension surgery here:
https://www.augs.org/Vaginal_Suspension_Surgery.pdf

And learn about vaginal closure surgery (colpocleisis) here:
https://www.augs.org/Colpocleisis.pdf

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

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44 min
February 14, 2024Cracking the Code: Understanding Hormones
Hormones are critical chemical messengers in our body, constantly relaying signals between organs and maintaining homeostasis. This podcast episode delves into the fascinating world of hormones, explaining their role and the difference between our nervous system and endocrine system.
The endocrine system acts as the thermostat, slowly regulating our body's temperature, while the nervous system responds more quickly.
Hormones work using a lock and key mechanism, with specific hormones unlocking receptors in organs to initiate various actions.
The thyroid hormone is explored as an example of a master hormone that affects multiple organs, including our metabolism, temperature regulation, and gastrointestinal tract.
We also touch upon the importance of optimal hormone levels, as many individuals experience symptoms that may be related to hormonal imbalances even if their levels fall within the normal range.
The impact of aging, lifestyle factors, and surgical interventions on hormone production is also discussed, emphasizing the need for hormone optimization to maintain overall well-being.
In this episode, you'll be able to
Learn what exactly a hormone is
Understand how hormones create their own unique effects
Realize why "normal" ranges on your lab values are not helpful
Distinguish between normal aging vs poor hormone balance

Key moments in this episode are:
00:26 What are hormones
00:45 Nervous system vs endocrine system
01:39 Key in the lock analogy
02:29 Understanding the reference range for lab values
04:38 Appreciating symptoms of suboptimal hormones
07:25 Finding a provider who has sought out additional hormone training
08:38 Suboptimal symptoms masking as "aging"
09:02 Why hormones decline as we age
10:20 Personal example of optimizing hormones

Learn more about how to optimize your hormones here: https://www.foundationsfl.com/bioidentical-hormone-optimization

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

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14 min
February 14, 2024More Bang for Your Buck: 7 Surprising Health Benefits of Regular Sex
Regular, healthy sex has numerous surprising health benefits that are backed by scientific research.
It can help reduce stress and anxiety by modulating cortisol responses and increasing the release of endorphins.
Libido is improved, by increasing spikes of oxytocin
It gives a boost the immune system and increases the release of immunoglobulins
It is associated with enhanced cardiovascular health
Memory loss is attenuated, by promoting the formation of new neurons in the hippocampus
It induces better sleep
Sex stimulates and exercises the pelvic floor muscles, leading to stronger pelvic floor contractions and more pleasurable orgasms.
Finally it also strengthens the emotional bond and intimacy between couples
Ultimately, open discussions and scheduling can help couples enjoy the mutual benefits of a healthy sex life.
Key moments in this episode are:
01:00 Benefit: reduced stress and anxiety
02:05 Understanding oxytocin and ACTH
03:45 The seven-second hug
05:32 Benefit: improved libido
07:55 Benefit: boosting immunity
08:49 Sex increasing immunity agains COVID
09:40 Benefit: cardiovascular health
11:42 Benefit: brain health and protection of memory
12:34 Sexercise!
13:27 Benefit: enhanced sleep
15:29 Benefit: strengthened pelvic floor
16:49 Benefit: intensify intimacy in your relationship
17:36 Health in blue zones

Learn more about oxytocin reducing stress here: Oxy reduces stress centers in brain Windle RJ, Kershaw YM, Shanks N, Wood SA, Lightman SL, Ingram CD: Oxytocin attenuates stress-induced c-fos mRNA expression in specific forebrain regions associated with modulation of hypothalamo-pituitary-adrenal activity. J Neurosci 2004, 24:2974–2982

Read the study on how a romantic partner's embrace can reduce stress here: Berretz G, Cebula C, Wortelmann BM, Papadopoulou P, Wolf OT, et al. (2022) Romantic partner embraces reduce cortisol release after acute stress induction in women but not in men. PLOS ONE 17(5)

Learn more about sex reducing COVID here: Ramadhan MA, Hashim HT. THE EFFECTS OF SEXUAL FREQUENCY AND IMMUNE BOOSTING MINERAL INTAKE ON IMMUNE STATUS IN COVID-19 SUSCEPTIBLE INDIVIDUALS. Fertil Steril. 2021 Sep;116(3):e113. doi: 10.1016/j.fertnstert.2021.07.316. Epub 2021 Sep 17. PMCID: PMC8446874.

And find out how sex reduces your risk for cardiovascular disease here: Hall SA, Shackelton R, Rosen RC, Araujo AB. Sexual activity, erectile dysfunction, and incident cardiovascular events. Am J Cardiol. 2010 Jan 15;105(2):192-7. doi: 10.1016/j.amjcard.2009.08.671. PMID: 20102917; PMCID: PMC2824175.

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

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22 min
February 14, 2024Lubrication Liberation: Treatments for Vaginal Dryness
Vaginal dryness is a common issue affecting many women, especially during and after menopause. While it may be a sensitive topic to discuss, it's important to address this discomfort with healthcare providers.
The lack of estrogen, a hormone responsible for keeping the vagina lubricated, is the main cause of vaginal dryness in menopause.
We explore different products available for treating vaginal atrophy, such as vaginal estrogen cream, estrogen rings, and tablets. Each product has its advantages and disadvantages in terms of convenience, cost, and coverage.
It's crucial for women to be knowledgeable about these options when discussing their symptoms with their provider.
Additionally, we emphasize the importance of finding the right solution for each individual, as not all products may work equally well for everyone.
Whether through topical treatments or more systemic approaches, there are various ways to address vaginal dryness effectively and enhance overall comfort and quality of life.
Key moments in this episode are:
0:00 Intro to the dry vagina
1:59 Vaginal estradiol cream
2:45 Advantages of vaginal estradiol cream
3:17 Disadvantages of vaginal estradiol cream
3:42 Reducing the messiness
4:14 Vaginal estradiol cream and sex
5:23 Vaginal estradiol ring
5:50 Advantages of vaginal estradiol ring
5:59 Disadvantages of vaginal estradiol ring
6:39 Not all vaginal rings are equal
8:03 Vaginal estradiol ring use with pessaries
8:33 Vaginal estradiol tablets
8:57 Advantages of vaginal estradiol tablets
9:09 Disadvantages of vaginal estradiol tablets
10:05 Not all messiness is bad
10:50 Vaginal Intrarosa
11:30 Advantages of Intrarosa
11:45 Disadvantages of Intrarosa
12:01 What's best?
13:21 Wrap Up

Get a sneak peek into procedures for vaginal rejuventation here:
https://www.foundationsfl.com/empower

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

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16 min
January 12, 2024Unveiling the Ageless and Outrageous Podcast: Meet the Hosts
In this inaugural episode of the Ageless and Outrageous Podcast, Dr. Kristin Jackson and Rosalind Arp introduce themselves as the hosts and share their background stories. Learn about each of your hosts, and where they have come from, as well as why they have launched this fun and educational podcast.

In this episode, you'll hear:
Dr. Jackson discussing her decision to become an OB/GYN and leaders specialize in urogynecology.
Rosalind explaining her transition from nursing care to becoming a nurse practitioner.
The growth of their practice, starting with pelvic floor disorders, but expanding into sexual health, medicine, hormone medicine, and anti-aging therapies.
The goals they've set for themselves to educate their listeners and empower them to make healthy choices for their lives.

Our emphasis is on patient education and the trust we have built with their patients. Overall, this introductory episode sets the stage for our future conversations on various topics related to health and the goal of improving quality of life.

Read Dr Jackson's and Rosalind's bios here:
https://www.foundationsfl.com/about-us

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

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20 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.