The Vagina Doctor Podcast w/ Duncan Turner M.D.

The Vagina Doctor Podcast with Duncan Turner MD

Vaginal Rejuvenation Explained: Estrogen, Lasers, Radiofrequency, and Why You Should See a Gynecologist

This episode explains that “vaginal rejuvenation” generally refers to stimulating the vaginal mucosa to improve collagen, blood supply, and sensation, which can reduce painful intercourse and urinary incontinence often linked to low estrogen during menopause, perimenopause, or after childbirth. Low-dose vaginal estrogen can help repair tissues, and newer technologies such as lasers and radiofrequency can also promote a healing response through controlled micro-damage that increases blood flow and collagen, strengthening tissue and sometimes improving sexual satisfaction and vaginal tightness. Dr. Turner cautions that these treatments are increasingly offered in med spas and should ideally remain in the hands of gynecologists or women’s health practitioners to rule out more serious causes and avoid unnecessary or inappropriate procedures, noting over a decade of use and patient reports of significant symptom relief.

00:00 What Vaginal Rejuvenation Means

00:26 Why Symptoms Happen

00:47 Estrogen and Tissue Repair

01:18 Lasers and Radiofrequency Options

01:47 Med Spa Hype and Safety

02:20 Why a Gynecologist Matters

02:41 Real Patient Results Over Time

03:20 Final Takeaway

The Vagina Doctor Podcast with Duncan Turner MDHysterectomy Options: Open vs Vaginal vs Laparoscopic vs Robotic SurgeryThis episode discusses hysterectomy approaches and how gynecologic surgery has shifted over time. It explains that before 1990 most hysterectomies were done through a large abdominal incision (often like a C-section, and sometimes vertical to the belly button for larger uteri) or vaginally, with the vaginal approach offering quicker recovery but being technically harder and less commonly performed as surgical volumes changed. The conversation covers the rise of laparoscopic surgery in the late 1980s and 1990s using video laparoscopy and several small (under half-inch) incisions, with the uterus (often including cervix) removed through the vagina, and highlights benefits such as less blood loss, less pain, faster recovery, fewer infections, and fewer adhesions—while noting the training difficulty of “straight stick” laparoscopy and suturing/knot-tying. The guest describes early robotic assistance development in Santa Barbara (including scope-holding arms and the Zeus system), the later dominance of the Da Vinci robot after company and patent disputes, and its 2006 clearance for benign gynecology. They argue that for straightforward benign cases (fibroids, endometriosis), robotic surgery offered no proven outcome benefit over conventional laparoscopy, involved higher and larger/more incisions, longer setup, and contributed to loss of straight-stick laparoscopic skills, sometimes leading to use for non-indicated reasons to maintain privileges. The episode also raises safety and control concerns about robotic force/movement, notes that patients are often not offered much choice in approach, and emphasizes the importance of maintaining foundational surgical skills alongside evolving technology.00:00 Hysterectomy Options Intro01:14 Old School Open Surgery02:31 Laparoscopy Breakthrough04:12 Learning Curve and Skills05:09 Robots Enter the OR06:21 Da Vinci Takes Over09:27 Pros Cons and Controversy11:47 Patient Choice and Advocacy13:39 Closing TakeawaysLinks To All Platforms:https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctorFollow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Duncan Turner MD/The Vagina Doctor Podcast discusses how labs being "normal" does not mean they are in fact telling the whole story. Timing on labs plays an important role in getting the right information, treatment and proper diagnosis.

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The Vagina Doctor Podcast with Duncan Turner MD

Understanding Urinary Incontinence and Vaginal Health with Vitone TherapyIn this episode, the 'Vagina Doctor' discusses urinary incontinence and vaginal laxity, addressing common concerns such as stress urinary incontinence, urgency incontinence, and overactive bladders. The conversation covers the factors contributing to these conditions like weight gain, pelvic floor weakness, and estrogen deficiency. Traditional treatments like Kegel exercises and surgery are evaluated alongside new innovative therapies like the Vitone, a non-invasive intravaginal device using bipolar radio frequency for muscle stimulation. The benefits and implementation of the Vitone are explored, emphasizing its effectiveness and safety in improving urinary incontinence and overall vaginal health.

00:00 Introduction and Overview

00:32 Understanding Urinary Incontinence

01:08 Types and Causes of Incontinence

02:05 Impact of Physical Activity and Childbirth

04:20 Traditional Treatments: Kegels and Surgery

05:43 Innovative Treatments: Vitone and Technology

07:20 Patient Experience and Monitoring

10:02 The Role of Estrogen in Treatment

10:52 Conclusion and Final Thoughts

The Vagina Doctor Podcast with Duncan Turner MD

Understanding the OShot: Benefits, Procedure, and Patient Satisfaction

In this episode, we explore the OShot, a procedure aimed at boosting sexual satisfaction, sensitivity, and climax ability in patients. Developed about a decade ago, the OShot involves injecting platelet-rich plasma or more potent growth factors into the clitoris and G-spot. Despite initial reservations about its painful-sounding nature, it's a safe and well-tolerated procedure carried out under local anesthesia in around 15 minutes. The discussion also highlights the effectiveness of combining the OShot with other rejuvenation treatments, like lasers for vaginal dryness and urinary incontinence, especially in menopausal patients suffering from genital urinary syndrome. These combination of treatments have successfully relieved symptoms and allowed patients to resume their sexual activities comfortably.

00:00 Introduction to the OShot

00:18 Procedure and Patient Motivation

00:48 Combination Treatments for Better Results

01:10 Addressing Menopausal Symptoms

01:45 Conclusion and Patient Tolerance

Understanding Osteoporosis: Prevention, Testing & New Innovations

Duncan Turner MD and Sophie Mengele NP

In this episode, we delve into the critical topic of osteoporosis and osteopenia, exploring their severe health impacts, especially for postmenopausal women and those with certain genetic predispositions. We discuss alarming statistics, preventive measures, and the various tests available to evaluate bone health. Notably, we highlight the advancements in bone density testing with the FDA-approved bone score test, which promises more sensitive and quicker results than traditional DEXA scans. We also touch upon ongoing studies and new, cost-free testing opportunities aimed at improving patient outcomes.

00:00 Introduction to Osteoporosis and Osteopenia

00:22 Shocking Statistics on Bone Health

01:37 Risk Factors and Genetic Predispositions

02:35 The Importance of DEXA Scans

03:52 New Advances in Bone Health Testing

04:51 The Bone Score: A Game Changer

06:39 Practical Applications and Patient Experiences

08:13 The Future of Bone Health Testing

13:15 Who Should Get Tested?

15:32 Conclusion and Final Thoughts

Episode Resources

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Duncan Turner MD: The Vagina Doctor Podcast

Debunking Myths About Vaginal Estrogen: Safe and Effective Treatments Explained

In this episode, we explore the topic of vaginal estrogen and dispel common myths and fears associated with its use. We discuss the two different methods of hormone replacement: systemic full-body estrogen and progesterone, and localized vaginal estrogen treatment. The focus is on the benefits and safety of using low-dose vaginal estrogen for treating symptoms like vaginal dryness, painful intercourse, and urinary incontinence. We also address the misinformation that has contributed to the fear surrounding vaginal estrogen and highlight its effectiveness and safety when used correctly.

00:00 Introduction to Vaginal Estrogen

00:14 Methods of Estrogen Replacement

01:16 Vaginal Estrogen: Uses and Benefits

02:03 Safety and Misconceptions

02:27 Vaginal Rejuvenation Procedures

03:01 Conclusion on Vaginal Estrogen

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The Vagina Doctor Podcast with Duncan Turner MD & Sophie Mengele Women's Health Nurse Practitioner

Understanding Compounded Medications: Safety, Quality, and Personalized Care at TMA Explore the world of weight management medications, particularly focusing on the role of compounding pharmacies, with Turner Medical Arts (TMA). We delve into the differences between standard and compounded medications, the importance of sourcing from reputable pharmacies, and the personalized care TMA offers to ensure safe and effective treatments. Learn about the benefits of generic medications, the history and functionality of compounding pharmacies, and safety protocols that mitigate common concerns such as dosing errors and medication quality. If you’re considering weight management options, this episode is a must-watch to understand how TMA can help you achieve your goals with a trustworthy and individualized approach.

00:00 Introduction to Weight Management Medications

00:24 Understanding Compounding Pharmacies

01:43 Quality and Regulation of Compounding Pharmacies

04:30 Generic Medications vs. Brand Names1

0:25 Safety Concerns with Compounded Medications

14:45 Conclusion and Services at Turner Medical Arts
Episode Resources

Links To All Platforms: https://www.thevaginadoctorpodcast.com/

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Kicking Off the New Year: Reflections and Future Plans In this Happy New Year episode, the hosts reflect on the challenges and health issues they faced in the past two months, including surgeries and sickness. They discuss exciting developments and future plans for their practice, focusing on gynecology, women's healthcare, and longevity. The episode highlights new podcast segments featuring Sophie, and touches on the benefits of weight loss and regenerative medicine for their patients. They also acknowledge the contributions of their colleagues and look forward to refocusing their practice in the coming year.

00:00 Introduction and New Year Greetings

00:07 Reflecting on Recent Challenges

00:33 Podcast Updates and Future Plans

01:43 Focus on Women's Healthcare and Longevity

02:17 Exciting Developments in Weight Loss and Regenerative Medicine

02:56 Engagement and Feedback from Patients

03:09 Looking Forward: Practice Direction and Gratitude

04:06 Conclusion and New Year Wishes

In this episode of 'This Might Sting A Little, Dr. Duncan Turner, Dr. Dennis Hughes, and Dr. Orel Swenson discuss the intricacies of modern medication, the cumulative side effects of treatments, and the growing mistrust in the healthcare system. They explore the practice of treating one condition while potentially causing another, the impact of the COVID-19 pandemic on public trust, and the challenges healthcare providers face in balancing treatment benefits and risks with patients. The conversation touches on specific medications and the broader implications of the loss of trust in medical institutions and practices.

00:00 Introduction: The Future of Medicine

00:23 Debating Modern Medications

01:13 Side Effects and Overmedication

01:45 The Vyleesi Discussion

03:30 Patient Perception and Medication Trust

11:04 The COVID-19 Vaccine Controversy

16:14 Personal Experiences with COVID-19

23:14 Conclusion: Reflecting on Trust in Medicine

Episode Resources

Links To All Platforms: https://www.thevaginadoctorpodcast.com/

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