Why are women in midlife left struggling while the healthcare system profits? Let me share my perspective on the frustrations, failures, and how we can fight for better care.

Healthcare in the United States is failing millions of people, but women in midlife are hit the hardest. From denied treatments to dismissive attitudes, the system often prioritizes profits over patients. Women dealing with chronic pain, sexual health issues, and menopause-related symptoms are left with little to no support, and I see this every day in my practice.

In this episode, I dive into the layers of frustration felt by both patients and clinicians. I talk about the systemic issues—like insurance companies denying essential care and the burnout faced by healthcare providers—that make navigating the system a nightmare. Using my own experiences as a menopause and sexual medicine specialist, I explore why midlife women are particularly underserved and what that means for their health.

I also discuss alternative care models, like concierge medicine, and how they might help women who feel lost in the system. My goal is to show you how to advocate for your health, find a trusted provider, and break through the barriers keeping you from the care you deserve.

This isn’t just about highlighting the problems—it’s about empowering you to take control of your healthcare journey. With compassion and actionable advice, I hope to leave you feeling inspired to advocate for yourself and demand better.

• Why midlife women and those with sexual health issues are the most neglected by the healthcare system.
• The shocking challenges clinicians face when working with insurance companies.
• How chronic pain and untreated menopause symptoms are connected to mental health struggles.
• The rise of concierge medicine as a more personalized care option.
• Practical tips on advocating for yourself in a system that often fails to prioritize women.

If this episode resonated with you, please subscribe, like, and leave a comment. Share this conversation to help more women understand how to navigate their health journey.

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Have you ever noticed symptoms like anxiety, memory loss, or fatigue creeping up out of nowhere? With Dr. Aoife O’Sullivan, I’m diving into how perimenopause can take women by surprise and why so many doctors miss the hormonal connection.

Menopause isn’t just a transition—it’s a puzzle that too many clinicians fail to solve. In this episode, Aoife and I go beyond the usual conversations about menopause being dismissed and misunderstood. Together, we uncover the deeper issues behind why symptoms like anxiety, memory loss, and mood shifts are often overlooked—even by experienced doctors.

Aoife opens up about her personal struggles with misdiagnosis, sharing how she questioned her own mental health before discovering the role of hormones in her symptoms. What makes this episode different? We tackle hormonal health, mental health, and the gaps in education that leave both patients and clinicians struggling to connect the dots.

This isn’t just about the challenges—it’s about solutions. Aoife’s experience shows that with better training, advocacy, and small changes in care, we can transform lives. We also discuss the systemic changes needed to ensure midlife women are supported, not sidelined.

If you’ve listened before, this episode will add depth and new insights to the conversation. It’s a call to action for women and clinicians alike: let’s stop dismissing midlife symptoms and start treating them with the attention they deserve.

• Aoife’s personal struggle with misdiagnosis and suicidal thoughts in midlife.
• The impact of perimenopause on mental health, memory, and executive function.
• How the healthcare system fails women by misunderstanding menopause.
• The importance of hormone therapy trials and finding the right provider.
• Steps women can take to advocate for themselves and their healthcare needs.

Dr. O'Sullivan’s Bio:

Dr. Aoife O’Sullivan is a board-certified family physician with training in Ireland and the U.S., specializing in women’s midlife care. Her curiosity about the unique health challenges women face during perimenopause and menopause led her to extensive training with experts like Dr. Heather Hirsch and Dr. Louise Newson. A Menopause Society Certified Practitioner, she is passionate about education and regularly lectures to clinicians and the community on menopause care. Currently, she sees patients through The Heather Hirsch Collaborative, providing expert telemedicine care for midlife women.

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What if trauma from your past is impacting your health today—and no one’s talking about it? Join me and Dr. Heather Quaile as we talk about the essential truths about trauma-informed care and midlife health.

Heather, a seasoned nurse practitioner and sexual medicine expert, shares her journey from traditional healthcare to creating a compassionate, patient-centered approach that addresses the real-life challenges women face, especially in midlife.

We dive into how trauma—whether it’s from childhood, medical experiences, or societal pressures—can manifest in symptoms like severe menopause and chronic pain. Heather breaks down the "big T" and "little t" traumas and explains how acknowledging these experiences can transform patient care. We also discuss the power of the ACE score (Adverse Childhood Experiences) and how it should be a part of every clinician's toolkit.

Heather shares her experience working with trafficking survivors, addressing not just the immediate medical needs but the long-term emotional recovery these patients require. Her work highlights the importance of creating safe, empowering healthcare environments that consider the whole patient—mind, body, and history.

We also discuss why finding the right provider for midlife care is crucial and how to identify clinicians who prioritize evidence-based, patient-centered treatment. From understanding the principles of trauma-informed care to advocating for your health, this episode is packed with practical advice and deep insights.

Join us for an enlightening conversation that challenges the status quo and reminds us all of the importance of compassionate, informed care.

• The connection between trauma and worsening menopause symptoms.
• What trauma-informed care means and why it’s vital in healthcare settings.
• How ACE scores help identify patients at higher risk for chronic health conditions.
• Heather’s work with trafficking survivors and lessons for all healthcare providers.
• Tips for finding the right provider for midlife and sexual health.

Heather’s Bio:

Heather’s Bio:

Dr. Heather Quaile, (she/her) is a renowned clinical and academic leader and

entrepreneur. A double board certified, women’s and gender health nurse practitioner

and advanced forensic nurse specializing in human trafficking and female sexual health.

She is a thought leader and creator of the Just Ask podcast. Dr. Quaile is also trained

and certified as a Menopause Society Certified Practitioner, AASECT sex counselor and

sexual assault nurse examiner providing sexual health education, trauma-informed

care, and information to patients of all ages. She created and implemented a medical

program for emergency stabilization for commercial sexual exploitation of youth in

Georgia. Dr. Quaile has been working in all aspects of women’s healthcare for over 23

years caring for women of all ages across the health-illness continuum and recognized

the lack of sexual health awareness not just in her community but in its providers. She

founded, developed, and implemented her private practice The Sexual Health

Optimization and Wellness (SHOW) Center. Her goal is to help guide patients through

their healthcare journey and provide a range of services that address the

biopsychosocial aspects of health, wellness, optimization, and sexuality.  She is

passionate about changing the systems and beliefs that have stigmatized women’s

health and female sexuality through a non-judgmental, empathic approach grounded in

evidence-based research. She is a Fellow of the International Society for the Study of

Women’s Sexual Health (ISSWSH) and Fellow of the American Academy of Nurse

Practitioners.  She is the chair of the ISSWSH scientific committee and past Treasurer

of the National Association of Nurse Practitioners in Women’s Health. She is on the

National Menopause Foundation medical advisory committee as well as the Governor’s

Task for human trafficking and sex offenders. She is widely published in the field of

women’s health, trauma-informed care, and is a highly sought after speaker for lectures

to international and national audiences.

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How can vibrators play a role in healing and self-discovery? In this episode, I sit down with Lara Pack to explore her transformative journey from personal pain to becoming an advocate for women’s health. Lara’s story began with her struggles with vaginismus and sexual pain, which inspired her to create vibrators designed not only for pleasure but for healing and empowerment.

Lara shares how her experience with endometriosis and the lack of adequate support from healthcare providers drove her to develop her company, Elixir Play. With a focus on ethical, body-positive products, Lara is challenging societal taboos and creating tools that help women reclaim their sexual health. Her products are more than just devices—they’re part of a larger mission to bridge the gap between medical advocacy and personal empowerment.

In this candid conversation, we discuss why vibrators deserve a place in medical settings, their benefits for pelvic floor therapy and sexual pain, and the ways they can aid in rehabilitation. Lara also opens up about balancing her advocacy work with her role as a mother and her vision for creating a more inclusive dialogue around women’s sexual health.

This episode is a powerful reminder of the importance of education, innovation, and breaking down stigmas. Lara’s commitment to advocacy and her drive to empower women will leave you inspired and ready to take charge of your own health journey.

Episode Highlights:

• Lara’s journey through vaginismus and how it shaped her mission in sexual health advocacy.
• The untapped potential of vibrators in promoting healing and pelvic floor health.
• Overcoming stigma and breaking taboos in conversations around sexual wellness.
• The challenges Lara faced in developing ethical and inclusive pleasure products.
• Why advocating for women’s health starts with education and open communication.

If you enjoyed this conversation, don't forget to like, comment, and subscribe to the podcast. Share this episode with anyone who could benefit from Lara’s inspiring story and insights. Let’s keep the conversation going and help create a more supportive, informed dialogue around women’s health. Follow us on your favorite podcast platform and leave a review to support the show!

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Did you know that many menopause myths could be impacting your health choices? Dr. Heather Hirsch joins us to clear the confusion and empower women with the facts.

Menopause is often clouded by myths and misinformation, leaving many women confused about their health options. In this episode, Dr. Sameena Rahman invites Dr. Heather Hirsch, a dedicated expert in women's health, to share her journey into menopause care and the profound insights she's gained over the past decade. 

From the misconceptions surrounding HRT (Hormone Replacement Therapy) to the nuanced challenges of treating perimenopause, Dr. Hirsch discusses her unique "hormone stacking" approach and how it aids in managing side effects effectively. 

This conversation goes beyond surface-level explanations, diving into the realities of balancing treatment, understanding progesterone sensitivities, and how personalized care makes a difference in women's experiences. Listen in for a blend of clinical expertise and relatable advice that champions informed choices and women's health advocacy.

• Dr. Hirsch’s Journey: From OBGYN to menopause specialist—how her path shaped her passion for women’s health.
• Hormone Stacking Insight: Why introducing hormones one at a time can be transformative for treatment.
• Perimenopause Realities: Breaking down misconceptions and exploring why tailored care is essential.
• Progesterone Sensitivities: Understanding the third-rule approach to help patients navigate side effects.
• Brain Health & HRT: The untold story of how hormone therapy impacts cognitive function and mental health.

Enjoyed this discussion? Don't forget to subscribe, like, and leave a comment. Your engagement helps us bring you more expert conversations. What other guest would you like to see on the podcast. Send me a DM on Instagram and let me know!

Dr. Hirsch’s Bio :

HEATHER HIRSCH, M.D., MS, NCMP, is the founder of the Menopause & Midlife Clinic at Brigham and Women’s Hospital and a former Harvard Medical School faculty member. Board certified in Internal Medicine, she completed advanced fellowship training in Women’s Health at the Cleveland Clinic. Her practice specializes in menopausal hormone therapy, perimenopause, breast cancer survivorship, sexual dysfunction, and bone health. Dr. Hirsch is an active member of the North American Menopause Society and the International Society for the Study of Women’s Sexual Health and serves on the medical advisory board of Midi Health. She now sees patients via her private telemedicine practice.

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Trigger Warning: This episode discusses sensitive topics related to cultural practices, sexual health, and trauma that may be triggering for some listeners.

In many cultures, deep-seated traditions shape women's lives in unexpected and profound ways. This episode delves into the intricate world of women's health, sexuality, and the rites of passage that are still practiced today, shedding light on the complex balance between cultural pride and personal empowerment.

This conversation takes you into the lesser-known rituals and beliefs surrounding women's sexual health in North African cultures. Dr. Rahman is joined by Dr. Ons Kaabia, who shares fascinating insights into traditional rites of passage, one practice with roots far beyond modern religion. They discuss the role of matriarchs in maintaining these practices, the dichotomy between preserving cultural heritage and promoting individual empowerment, and the complex experiences of women navigating sexual health in the context of deep cultural expectations. Through empathy and evidence-based knowledge, this episode fosters understanding and builds awareness around sensitive topics often hidden from mainstream discussions.

• The role of the matriarch in traditional protective rituals and their impact on young girls.
• The significance of rituals in preserving family and cultural honor.
• The challenges women face when navigating modern health practices alongside deep-rooted cultural beliefs.
• How comprehensive, culturally aware sexual health education can empower future generations.
• The complex emotions and societal pressures surrounding these traditions.

If you found this episode insightful, please like, subscribe, and share it with others. Your comments and thoughts are always welcome—let’s continue this important conversation!

In many cultures, deep-seated traditions shape women's lives in unexpected and profound ways. This episode delves into the intricate world of women's health, sexuality, and the rites of passage that are still practiced today, shedding light on the complex balance between cultural pride and personal empowerment.

This conversation takes you into the lesser-known rituals and beliefs surrounding women's sexual health in North African cultures. Dr. Rahman is joined by Dr. Ons Kaabia, who shares fascinating insights into traditional rites of passage, one practice with roots far beyond modern religion. They discuss the role of matriarchs in maintaining these practices, the dichotomy between preserving cultural heritage and promoting individual empowerment, and the complex experiences of women navigating sexual health in the context of deep cultural expectations. Through empathy and evidence-based knowledge, this episode fosters understanding and builds awareness around sensitive topics often hidden from mainstream discussions.

• The role of the matriarch in traditional protective rituals and their impact on young girls.
• The significance of rituals in preserving family and cultural honor.
• The challenges women face when navigating modern health practices alongside deep-rooted cultural beliefs.
• How comprehensive, culturally aware sexual health education can empower future generations.
• The complex emotions and societal pressures surrounding these traditions.

If you found this episode insightful, please like, subscribe, and share it with others. Your comments and thoughts are always welcome—let’s continue this important conversation!

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Did you know that spinal health could hold the key to resolving pelvic pain and certain types of sexual dysfunction? Join me as we delve into groundbreaking insights with Dr. Choll Kim, a leading expert bridging the gap between spine health and sexual wellness.

Dr. Choll Kim, a pioneering spine surgeon whose work is challenging the traditional boundaries of pain management and sexual medicine. Dr. Kim shares his journey from orthopedic surgery to collaborating with specialists in sexual health, uncovering the unexpected links between spinal conditions and pelvic pain disorders like PGAD (Persistent Genital Arousal Disorder). 

Together, we discuss how this understanding could reshape treatment options for those who’ve been told their conditions are “all in their heads.” Dr. Kim explains how seemingly routine spinal issues, such as annular tears or Tarlov cysts, may trigger chronic pain that extends beyond the back, affecting intimate areas in ways that are often overlooked by conventional medicine.

He also shares the innovative diagnostic techniques he uses to distinguish spinal-related sexual dysfunction from other causes, which has opened doors to effective, minimally invasive treatments.

In addition, we discuss the challenges of bringing these ideas to the broader medical community. Dr. Kim has faced resistance from peers who view the spine as an unlikely source of sexual pain, yet his patient successes speak volumes. This episode is packed with insights for both patients and practitioners who want to explore a more holistic approach to pain management and sexual health.

Dr. Kim’s dedication to helping patients find relief from life-disrupting symptoms is nothing short of inspiring. By listening, you'll gain a new perspective on the interconnectedness of the body and why keeping an open mind is crucial in healthcare.

Episode Highlights:

• The surprising role of the spine in conditions like PGAD and pelvic pain disorders.
• How Dr. Kim uses targeted spinal injections to identify the source of sexual dysfunction.
• The anatomy of annular tears and why they’re a common cause of persistent pain.
• Challenges and breakthroughs in advocating for spinal evaluations in sexual health cases.
• Practical advice for both patients and clinicians on considering spinal health in treatment plans.

Dr. Kim’s Bio:

Dr. Choll Kim, a Harvard cum laude graduate, completed advanced training in complex spine surgery at the Mayo Clinic. Dr. Kim is a pioneer in minimally invasive spine surgery techniques including Laser Endoscopic Spine Surgery (LESS) which has transformed treatment for herniated discs, radiculopathy,and sciatica.

In addition to spine surgery, Dr. Kim is also recognized for his knowledge in sexual dysfunction related to spinal conditions, such as Tarlov cysts. His integrated approach ensures comprehensive care for patients facing spinal and sexual concerns. 

Dr. Kim is a renowned global educator, training specialists around the world in advanced, computer-assisted minimally invasive techniques such as LESS. As the founder and past president of SMISS and MIS-COE, he has played a pivotal role in the advancement of spine surgery. With over 200 publications and active involvement in organizations such as ISASS, NASS, AAOS, and KASS, Dr. Kim has made significant contributions to the field, shaping the future of minimally invasive spine surgery.Beyond the operating room, he enjoys kickboxing, golfing with his mom, and family vacations.

Don’t miss future episodes! Subscribe now to stay informed on the latest in health insights and patient advocacy. If you found this episode valuable, please take a moment to share, rate, and review—it helps us reach more listeners and spread awareness.

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In this episode, I’m thrilled to talk with award-winning journalist Dawn Hasbrouck. Dawn opens up about her journey from considering entertainment law to becoming a news anchor at Fox 32 Chicago, sharing what it’s like to navigate a career in media as a woman. We dive into some of the pivotal support she received early on, the mentors who helped her, and the reality of managing work-life balance in a field often described as “eating its young.”

We also dig into how her role in media influences public conversations around women’s health topics like menopause, creating a more open dialogue for others to feel informed and empowered. Hearing Dawn’s perspective on breaking down barriers for women in journalism and her advice for those entering the industry is truly inspiring.

Highlights:

• A Surprising Career Path – Dawn’s journey from a budding interest in entertainment law to finding her true calling in journalism.
• Mentorship and Support – The key figures and advice that shaped her career approach.
• Workplace Realities – How she balances family life with a demanding career and the unique pressures of the media industry.
• Normalizing Women’s Health Conversations – Using journalism to tackle traditionally taboo topics, making space for open discussions on reproductive health and menopause.
• Advice for Women in Media – Dawn’s encouragement for women to advocate for themselves, form strong support networks, and continue paving the way for others.

Call to Action:

Be sure to subscribe for more discussions on women’s health and empowerment, and if you enjoyed this episode, share it with friends, rate, and review to help us continue these important conversations.

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Faith, culture, and sexual health: Two leaders share how they’re changing the conversation in Muslim communities.

In this episode, I sit down with Nadiah Mohajir and Sahar Pirzada, leaders from Heart, an organization focused on advancing sexual health and reproductive justice within Muslim communities. Nadiah shares her personal story, growing up in a South Asian Muslim family, and how it led her to start Heart. She talks about the cultural and religious barriers women face regarding sexual health and gender-based violence, and how Heart is working to create safe, open spaces for these crucial conversations.

Sahar, who’s been with the organization for nearly a decade, reflects on her journey from teaching sex education in Singapore to leading grassroots movements at Heart. Together, they dive into the complexities of addressing sexual health in faith-based communities, highlighting the importance of centering marginalized voices, such as queer and trans Muslims.

They also introduce their latest reproductive justice campaign, which aims to provide Muslims with the knowledge and tools needed to make informed decisions about their health, all while staying true to their faith. Tune in for a conversation that blends faith, community, and health in a refreshing and insightful way.

Highlights:

• Nadiah’s upbringing in a traditional South Asian Muslim family and her path to founding Heart.
• Sahar’s experience bringing sex education to Muslim communities and advocating for reproductive justice.
• The unique challenges of tackling gender violence and sexual health in faith-based communities.
• Heart's new reproductive justice campaign and its efforts to empower Muslim women and marginalized groups.
• How the organization blends Islamic values with public health education to offer holistic support.

Nadiah’s Bio:

Nadiah Mohajir is a lifelong Chicagoan, Pakistani-American-Muslim, mother of three, public health professional, reproductive justice activist, and anti-sexual assault advocate.

She is the Co-founder and Executive Director for HEART Women & Girls. For over a decade, she has led the organization to provide reproductive justice, sexual health education and gender-based violence awareness programming and advocacy to thousands of individuals, organizations, and campuses across the country. HEART ultimately aims to dismantle the stigma, silence, and systems that prevent individuals from seeking information, healing, and justice.

Nadiah has worked in public health and reproductive justice for over twenty years in a variety of settings, including, but not limited to research, academics, policy, and community health. Her past work includes projects such as redesigning teen pregnancy programs, improving pregnancy outcomes in low-income communities in Chicago, running sex education programming for vulnerable youth, and evaluating innovative cross-sector partnerships in public health.

She earned her Master’s degree in Public Health in 2009 from the University of Illinois at Chicago and her Bachelor’s degree in Public Policy Studies from the University of Chicago. Nadiah has also participated in a number of fellowships, including the American Muslim Civic Leadership Institute, Germanacos Fellowship, is a recipient of the Women’s Innovation Fund and was selected to participate in Cohort 4 of the NoVo Foundation’s Move to End Violence program. She is also the recipient of numerous awards, including the 2018 Chicago Foundation for Women’s Impact Award and the El Hibri Foundation’s Community Builder award. 

In the past, she served on the executive board of directors for the National Women’s Health Network and currently serves on the advisory board for Third Wave Fund. Most recently, she co-authored the first edition of The Sex Talk: A Muslim’s Guide to Healthy Sex and Relationships.

Sahar’s Bio

Sahar is a Pakistani-American Muslim woman from the Bay Area, currently living in Los Angeles. Her dedication to serving the Muslim community draws from her extensive experience working as an organizer and educator within community spaces.

After graduating from UC Berkeley with a degree in Development Studies, Sahar moved to Singapore where she worked as a Project Coordinator for a UN-funded regional project on promoting gender-equitable interpretations of Islam for the full adoption of CEDAW (pronounced see-dah). Sahar passionately believes Islam is a religion that is sex positive and promotes healthy sexual relationships.

Since moving back in 2015, she has continued her activism by challenging Islamophobia as Co-Chair of #VigilantLOVE where she creatively organizes against the mosque-to-prison pipeline. She is currently the Manager of Movement Building for HEART, where she explores the intersections of islamophobia and gender-based violence and supports survivors of sexual violence in the Muslim community.

Sahar’s work with HEART has been featured in Teen Vogue, NPR, KPCC, Fusion’s Sex Right Now and #GoodMuslimBadMuslim.

If you enjoyed this episode, don’t forget to subscribe, share, and leave a review! Your support helps keep these important conversations going.

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Curious about how cosmetic surgery can restore confidence during midlife? In this episode, we uncover the most popular procedures and what they can do for women navigating the changes of menopause and beyond.

Dr. Sameena Rahman welcomes her longtime friend and renowned plastic surgeon, Dr. Azra Ashraf, for an insightful conversation about cosmetic surgery for midlife women. 

Dr. Ashraf shares her journey as a surgeon and discusses the most common procedures sought by women in their 40s and 50s, from breast lifts to tummy tucks and facial rejuvenation. Together, they explore how hormonal changes, such as the loss of estrogen, impact the body and why cosmetic surgery can often help women feel more like themselves again.

They also talk about the importance of reconstructive procedures for women undergoing mastectomies, including breast reconstruction options that have transformed recovery for cancer survivors. Dr. Ashraf shares her personal experiences of helping women regain their confidence and improve their quality of life.

Episode Highlights:

• The rise in cosmetic procedures among perimenopausal women.
• Breast lifts, tummy tucks, and liposuction as part of the "mommy makeover."
• How hormonal changes during menopause affect body shape.
• The importance of breast reconstruction for women post-mastectomy.
• Why some cosmetic procedures are shifting toward more natural, proportioned results.

Don't forget to subscribe, rate, and review the podcast on your favorite platform! Share this episode with friends who might benefit from learning more about midlife cosmetic procedures and recovery options.

Dr. Ashraf’s Bio:

Dr. Azra Ashraf is a double Board-Certified Plastic Surgeon, boarded by the American Board of Plastic Surgery and American Board of Surgery. She has worked on east and west coasts with over 10 years of cosmetic surgery expertise. Dr. Ashraf was a recognized physician in the Washington DC area, voted a Top Doctor. She is a Californian at heart and loves practicing in her home state.

Dr. Ashraf completed a BA in Public Policy from Brown University, focusing on gender equity in healthcare. This led her to pursue an MPH from Harvard School of Public Health while jointly attending Brown Medical School. She has always loved working with her hands, and knew she wanted to pursue surgery as soon as she started medical school. She is a highly skilled surgeon with an artistic eye for detail.

She trained in general surgery at Saint Elizabeth Medical Center (Boston, MA), an affiliate of Tufts Medical School. She completed her plastic surgery training at Temple University Hospital (Philadelphia, PA). Dr. Ashraf has distinguished herself by completing an additional year in comprehensive breast reconstruction, including microvascular and aesthetic breast surgeries at Beth Israel Deaconess Medical Center, an affiliate of Harvard Medical School.

She is recognized as a beauty expert by both the community and media. Schedule a consultation  and work with Dr. Ashraf to diversify the idea of beauty.

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