Women's Health (Video)

Gladys (Sandy) Ramos, M.D., is a UC San Diego Health perinatologist and professor who cares for patients with complex pregnancies, including those affected by diabetes. She explains how immigrating from Peru, learning from her grandmother and wanting to serve Spanish-speaking communities shaped her work. Ramos also describes feeling out of place in college and not getting into medical school on her first attempt. Research, mentors, supportive peers and a UC Irvine medical school preparation program helped her strengthen her skills and confidence. Today, she uses her bilingual skills and cultural knowledge to build trust, discuss nutrition and health beliefs, and help patients work toward safe pregnancies and healthy babies. Her experience also shapes the guidance she gives students pursuing medicine.

Series: "Career Channel" [Health and Medicine] [Education] [Show ID: 41599]

Vaginal microbiome research may offer new ways to understand infections, fertility, preterm birth and other areas of women’s health. Pita Navarro, co-founder and chief scientific officer of Evvy, joins Cynthia Gyamfi-Bannerman, M.D., M.S., of UC San Diego Health, to explain how patient-contributed samples and health information can support research and product development. Navarro describes Evvy’s direct-to-consumer testing model, its work to build a large metagenomic data set and the importance of distinguishing established findings from emerging evidence. She also discusses clinical validation, patient trust, academic partnerships and the challenges of bringing scientific discoveries into everyday care. Their conversation shows why successful health startups need more than promising science: they must solve meaningful problems, fit real-world workflows and stay close to the patients they aim to serve.

Series: "UC San Diego Women's Health Symposium" [Health and Medicine] [Show ID: 41657]

Mechanical forces may help the body coordinate pregnancy and labor. Yunxiao Zhang, Ph.D., of Scripps Research Institute, examines how PIEZO1 and PIEZO2, proteins that open in response to stretch, contribute to uterine contractions and the timing of birth. Zhang finds PIEZO1 in uterine smooth muscle and PIEZO2 in sensory nerve fibers around the cervix. In mouse models, removing both channels weakens labor contractions, delays the start of delivery and increases the time between pups. The findings suggest that PIEZO1 helps prepare uterine muscle for stronger contractions, while PIEZO2 helps sensory nerves detect cervical stretch. Zhang also discusses how fats in cell membranes may change PIEZO1 sensitivity and why uterine cells and sensory nerves have connected roles. This research offers a new way to study how physical forces help regulate labor.

Series: "Motherhood Channel" [Health and Medicine] [Show ID: 41642]

Menopause care is changing as more patients seek evidence-based guidance for symptoms, prevention, and long-term health. Kathryn Macaulay, M.D., M.S.C.P., F.A.C.O.G., UC San Diego Health, and Rajita Patil, M.D., M.S.C.P., F.A.C.O.G., UCLA Health, explain why many people still struggle to find trained care, even as menopause affects sleep, mood, work, genitourinary health, and cardiometabolic risk. They connect hormone therapy history with today’s demand for reliable, individualized options, including non-hormonal approaches, and outline the UC Menopause Collaborative’s work to expand training, standardize work flows, support flexible care models, and build research-ready data across UC health centers. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 41634]

Cardiovascular disease is a major threat to maternal health during pregnancy and the peripartum period, particularly for women with preexisting heart conditions. A UC San Diego cardiologist describes the development of a multidisciplinary cardio-obstetrics initiative designed to coordinate care for patients with congenital heart disease, heart failure, arrhythmias and coronary artery disease. The program brings cardiology and maternal-fetal medicine together with other specialties to establish consistent protocols, improve maternal and fetal outcomes, advance research and train future clinicians. As more people born with congenital heart disease survive into adulthood and consider pregnancy, the need for this specialized care continues to grow. Longitudinal surveillance is also helping researchers study outcomes and identify opportunities for better monitoring. Coordinated cardio-obstetrics care can help manage complex cardiovascular risks throughout pregnancy and delivery.

Series: "Motherhood Channel" [Health and Medicine] [Show ID: 41641]

AI-powered cell imaging may help researchers identify biological differences that are difficult or impossible to see by eye. Yu-Hwa Lo, Ph.D., and Louise Laurent, M.D., Ph.D., describe a system that combines high-speed imaging, cell sorting, microfluidics, and artificial intelligence. The technology creates label-free images of cells, uses AI to classify them, and can isolate selected cells for deeper molecular analysis.

Laurent explains how the team is applying the system to human trophoblast stem cells, which give rise to specialized placental cells involved in nutrient transport, hormone production, blood vessel remodeling, and immune regulation. Lo describes how AI can distinguish cell populations and identify features that may not be apparent to human observers.

The researchers ultimately hope to connect imaging features with gene expression, proteins, and metabolism, allowing cell characteristics and behavior to be predicted from images alone. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 41637]

Continuous glucose monitoring and wearable data are changing how researchers study pregnancy and women’s health. Gladys (Sandy) Ramos, M.D., explains why glucose control is difficult during pregnancy and how CGM can reveal patterns that finger-stick testing may miss. She also describes research on CGM use in type 2 and gestational diabetes, labor, and behavior change. Ben Smarr, Ph.D., shows how wearable data can track changes in temperature, heart rate, activity, respiration, menstrual cycles, pregnancy, and aging. Together, the speakers discuss personalized care, participant engagement, patient-driven innovation, and access to these tools. The goal is to learn from continuous data while recognizing limits in evidence, interpretation, and equity. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 41636]

Alzheimer’s disease can begin developing years before memory and thinking problems become noticeable. Iris Broce-Diaz, Ph.D., of UC San Diego is developing accessible, noninvasive, and cost-effective tools to help primary care physicians and neurologists identify people at higher risk earlier. Her models combine information from cognitive assessments, brain imaging, genetics, and PET scans to estimate the likelihood that mild cognitive impairment will progress within five years. Combining multiple measures improves the models’ ability to separate higher- and lower-risk patients. Broce-Diaz also plans to add women-specific factors, including menopause history, hormone therapy, reproductive history, endocrine markers, and symptoms. The goal is to support better referrals, guide monitoring, and help eligible patients consider treatment sooner. Earlier risk assessment could also strengthen clinical trials and make dementia care more useful across different health systems. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 41632]

Men with non-obstructive azoospermia may undergo microscopic testicular sperm extraction, or mTESE, without knowing whether sperm will be found. Kun Tan, Ph.D., of UC San Diego explains how molecular semen analysis could provide a noninvasive way to predict the procedure’s outcome. The assay uses stage-specific germ cell markers identified through single-cell RNA sequencing, then measures those markers in semen with qPCR. Because semen contains germ cells from different stages of sperm development, their molecular signals may reflect what is happening inside the testes. Tan shows how the assay predicts whether sperm retrieval was successful and can identify where sperm development may be blocked. The research could help couples planning IVF or ICSI avoid unnecessary surgery, reduce financial and emotional burdens, and receive more detailed information about male infertility before treatment.

Series: "Motherhood Channel" [Health and Medicine] [Show ID: 41630]

Climate and environmental change affect reproductive health and pregnancy in important ways. Dr. Marya Zlatnik explains how petrochemicals, climate change, and everyday chemical exposures can shape reproductive resilience and pregnancy outcomes. Zlatnik helps clarify how people can protect reproductive well-being in a changing climate with informed, resilience-building choices. Series: "Osher WISE: Well-being and Integrative Science for Everyone" [Health and Medicine] [Show ID: 41547]