Dr. Streicher’s Inside Information: Menopause, Midlife, and More – Détails, épisodes et analyse

In a world where women are barraged with information when it comes to how best to manage menopause, it can be overwhelming and confusing. Between having their symptoms dismissed by their regular physician, and then being overwhelmed with information on social media, it’s hard to know what’s fact and hype.  And what do you do when the doctor you trust, tells you that the social media expert you also trust is wrong?
In this episode, I chat with Tamsen Fadal, a menopause advocate who has made it her mission to help perimenopausal and menopausal women navigate through the information and disinformation to get the correct information when it comes to maximizing their health.

• Tamsen’s own experience when she entered menopause
• Why Tamsen switched careers to become a menopause advocate
• How do you know an expert is really an expert?
• The best way to find a menopause expert
• The impact of telehealth on finding a menopause expert
• What to do if your own doctor is not a menopause expert
• Why women put relatability over expertise
• Hot to figure out if a social media expert is an expert
• What to do when a social media expert disagrees with your own doctor
• Do healthcare clinicians need to act professionally in their private lives? 
• What I think when it comes to being strictly evidence-based 

                                                 Tamsen Fadal
                                 https://www.tamsenfadal.com/
                                   Social Media-@tamsenfadal

For more information on this topic: 
Episode 10: Dating After 50- Make it Awesome Not Awful- With Bela Gandhi
Episode 46 Finding a Menopause Clinician Who Will Listen 
Episode 124 All Hormones Are Not Created Equal with Dr. James Simon

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 
Subscribe and Follow Dr. Streicher on 
DrStreicher.com

Instagram @DrStreich
Facebook  @DrStreicher
YouTube  DrStreicherTV

Books by Lauren Streicher, MD

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones, Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy

It can be terrifying to have bleeding when you are post-menopause. It’s not just about making the midnight run for tampons, it’s that stomach-dropping fear that “blood equals cancer” that causes women to spend hours consulting Dr. Google for some reassurance. But, although most women imagine the worst, in most cases, postmenopausal spotting or bleeding is not, is not, an indication of anything serious.

• How to know WHERE the blood is coming from
• The 3 causes of Post Menopause VAGINAL WALL BLEEDING
• What causes Post Menopause CERVICAL BLEEDING
• Causes of UTERINE BLEEDING post menopause
  • Uterine POLYPS
  • Uterine FIBROIDS 
  • Uterine ATROPHY
• Post menopause “PERIODS” 
• Endometrial HYPERPLASIA
• Uterine CANCER and Pre-cancer
• The role of ULTRASOUND and saline ultrasound
• The Why and What to expect of endometrial BIOPSIES
• When and why a D and C /HYSTEROSCOPY is needed

     Link to  newsletter on hormone disrupters:  https://mailchi.mp/drstreicher.com/august-2024-inside-information-newsletter-17984227


For more information on this topic: 
The Essential Guide to Hysterectomy

Episode 1: Is It Menopause or Some Other Pause?
Episode 23: Welcome to Peri-menopause
Episode 57 Uterine Cancer: Reducing Your Risk
Episode 92 Estrogen Cancer Conundrums?
Ep 99 When Bleeding During Perimenopause is the Problem

          

             Sign up to receive DR. STREICHER’S FREE NEWSLETTER
 

Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
 

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of The Menopause Society. 

             
Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 
 
 
                                         Menopause Masterplan

• Dr. Streicher offers one-on-one and group informational and educational Menopause Masterplan sessions. For more information: https://www.drstreicher.com/menopause-master-plan

• DrStreicher.com
  
  
• Instagram @DrStreich
  
  
• Facebook  @DrStreicher
  
  
• YouTube  DrStreicherTV
  
  
• LinkedIn @DrStreicher
    

Books by Lauren Streicher, MD

•  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
  
  
• Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat
  
  
• Sex Rx- Hormones, Health, and Your Best Sex Ever
  
  
• The Essential Guide to Hysterectomy
  
  

                                     To Find a Menopause Clinician

• Episode 46 Finding a Menopause Clinician Who Will Listen
  
  

Midi Health  joinmidi.com

Midi Health is a telehealth company that provides high-level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi’s Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country. 

The Menopause Society- Certified Menopause Practitioner List Menopause.org

• To find a menopause practitioner: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx
• Put in your zip code and designate NCMP or CMSP to get a certified menopause practitioner. While all people on this list have passed a competency examination, Dr. Streicher does not vouch for every one of these clinicians. Most are excellent.
    

Major Medical Centers
It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who have an interest and expertise in menopause. 
 

If you are in the Chicago area, the center founded by Dr. Streicher: 
The Northwestern Medicine Center for Sexual Medicine and Menopause Sexmedmenopause.nm.org
 

There continues to be great confusion regarding the impact of hormone therapy on the breast. And despite the known benefits of hormone therapy, and reassuring data regarding the impact of hormone therapy on breast cancer, most clinicians are still reluctant to prescribe it, and most women are reluctant to take it. Even more so if a woman is high risk for breast cancer or has a breast cancer diagnosis. 

In this episode, I am joined by Dr. Corinne Menn, a board-certified Ob GYN and menopause expert who herself had a breast cancer diagnosis when she was in her 20s. We will be reviewing the latest research on the impact of estrogen on the breast in several different scenarios. 

• PREGNANCY post breast cancer
• Women who have a BREAST CANCER diagnosis 
• Women with a FAMILY HISTORY of breast cancer
• Women with a BRCA MUTATION after prophylactic ovary removal
• The approach to therapy for women with a NEW BREAST CANCER DIAGNOSIS
• The use of local vaginal estrogen in women with a breast cancer diagnosis that are taking TAMOXIFEN or using an AROMOTASE INHIBITOR
• If a LOCAL VAGINAL ESTROGEN needs to  be used at the lowest dose
• What to do if your DOCTOR NOT WILLING to prescribe local or systemic estrogen (list of articles to share is below) 
• If a woman with a breast cancer diagnosis can use TESTOSTERONE for libido and other possible benefits

Dr. Corrine Menn
https://drmenn.com/
@drmennobgyn



For more information:

Episode 124 All Hormones Are Not Created Equal with Dr. James Simon

Episode 65- The Dilemma of Menopause and Breast Cancer

Episode 31 The TRUTH About Hormone Therapy: Does it CAUSE or Does it PREVENT Breast Cancer?

Episode 28: The BEST approach for BREAST Cancer Screening and Risk Reduction with Dr. Lisa Larkin


Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.


Scientific Articles 

Hormone Therapy and Risk of Breast Cancer

1. Bluming AZ, Hodis HN, Langer RD. 'Tis but a scratch: a critical review of the Women's Health Initiative evidence associating menopausal hormone therapy with the risk of breast cancer. Menopause. 2023 Dec 1;30(12):1241-1245. 
2. Bluming AZ. Introduction: Estrogen Reconsidered: Exploring the Evidence for Estrogen's Benefits and Risks. Cancer J. 2022 May-Jun 01;28(3):157-162. 
3. Hodis HN, Sarrel PM. Menopausal hormone therapy and breast cancer: what is the evidence from randomized trials? Climacteric 2018;21:521–8.
4. Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Mar 14. 
5. Chlebowski RT, Aragaki AK, Pan K, Mortimer JE, Johnson KC, Wactawski-Wende J, LeBoff MS, Lavasani S, Lane D, Nelson RA, Manson JE. Randomized trials of estrogen-alone and breast cancer incidence: a meta-analysis. Breast Cancer Res Treat. 2024 Apr 23. doi: 10.1007/s10549-024-07307-9. 
6. Pan K, Lavasani S, Aragaki AK, Chlebowski RT. Estrogen therapy and breast cancer in randomized clinical trials: a narrative review. Menopause. 2022 Sep 1;29(9):1086-1092. 

Use of Hormone Therapy in Women with a Breast Cancer Diagnosis

1. Bluming A. Hormone replacement therapy after breast cancer: it is time. Cancer J 2022;28:183–90. 
2. Bluming AZ. Safety of systemic hormone replacement therapy in breast cancer survivors. Breast Cancer Res Treat. 2022 Feb;191(3):685-686. doi: 10.1007/s10549-021-06479-y. 
3. Fahlén M, Fornander T, Johansson H, Johansson U, Rutqvist LE, Wilking N, von Schoultz E. Hormone replacement therapy after breast cancer: 10 year follow up of the Stockholm randomised trial. Eur J Cancer. 2013 Jan;49(1):52-9.
4. Mikkola TS, Savolainen-Peltonen H, Tuomikoski P, Hoti F, Vattulainen P, Gissler M, et al. Reduced risk of breast cancer mortality in women using postmenopausal hormone therapy: a Finnish nationwide comparative study. Menopause 2016;23:1199–203

Hormone Therapy in Women with BRCA Mutation

Kotsopoulos J, Gronwald J, Karlan BY, Huzarski T, Tung N, Moller P, Armel S, Lynch HT, Senter L, Eisen A, Singer CF, Foulkes WD, Jacobson MR, Sun P, Lubinski J, Narod SA; Hereditary Breast Cancer Clinical Study Group. Hormone Replacement Therapy After Oophorectomy and Breast Cancer Risk Among BRCA1 Mutation Carriers. JAMA Oncol. 2018 Aug 1;4(8):1059-1065..


Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Sign up to receive DR. STREICHER’S FREE NEWSLETTER

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 


Subscribe and Follow Dr. Streicher on 

DrStreicher.com

Instagram @DrStreich

Facebook  @DrStreicher

YouTube  DrStreicherTV


Books by Lauren Streicher, MD

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain


Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat


Sex Rx- Hormones, Health, and Your Best Sex Ever


The Essential Guide to Hysterectomy

Google, “when does menopause start" and you will learn that you are post menopause when you haven't had a period in 12 months. But the 12 months without a period definition is totally MEANINGLESS for the millions of women who DON'T GET PERIODS. 
In this episode, Dr. Streicher discusses:

• Scenarios in which women don’t get periods
  • Hysterectomy
  • Progestin Intrauterine Device 
  • Endometrial Ablation 
  • Hormonal contraception such as birth control pills 
• How to know when to START TREATMENT for menopause symptoms such as hot flashes and vaginal dryness
• When to REMOVE an IUD
• When to STOP birth control pills  

For more information on this topic: 
Episode 1: Is It Menopause or Some Other Pause?
Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders 
Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things 
 Episode 23: Welcome to Peri-menopause

•  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
• Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.

                     Sign up to receive DR. STREICHER’S FREE NEWSLETTER

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGNMorningNews, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr.Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS ThisMorning, ABCNewsNow, NBCNightlyNews,20/20, and WorldNewsTonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

Subscribe and Follow Dr. Streicher on 
DrStreicher.com

Instagram @DrStreich
Twitter @DrStreicher
Facebook  @DrStreicher
YouTube  DrStreicherTV

Books by Lauren Streicher, MD

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones , Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy

It used to be that the term “bioidentical hormone therapy” referred exclusively to compounded hormone products. But today, the term bioidentical includes FDA approved commercial products and compounded products. A legal loophole combined with aggressive marketing has resulted in women believing that compounded hormone creams and pellets not only work better but are safer than commercially produced products. 

In this episode, Dr. Streicher discusses:
The following common MISCONCEPTIONS about compounded hormones:

• Misconception #1 Compounded hormones are NATURAL but all commercial hormones are synthetic or made of horse urine
• Misconception #2 The estrogen in compounded hormones is DIFFERENT from the estrogen in commercial pharmaceutical products
• Misconception #3 Compounded hormones are SAFER than commercial hormones
• Misconception #4 Compounded PROGESTERONE will PROTECT your uterine lining
• Misconception #5 Compounded hormones undergo the same QUALITY CONTROL as commercial products
• Misconception #6 Compounded HT is CUSTOMIZED based on your hormone levels
• Misconception #7 PRESCRIBERS of compounded hormones are hormone experts

The Problem with PELLETS
When it is OK to prescribe a compounded hormone

For more information on this topic: 
 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Episode 21: Say Yes! to Testosterone for Women
Episode 31 The TRUTH About Hormone Therapy: Does it CAUSE or Does it PREVENT Breast Cancer?

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGNMorningNews, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr.Radio,Nightline,Fox and Friends, The Steve Harvey Show, CBS ThisMorning,ABCNewsNow,NBCNightlyNews,20/20, and WorldNewsTonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

Subscribe and Follow Dr. Streicher on 
DrStreicher.com
Instagram @DrStreich
Twitter @DrStreicher
Facebook  @DrStreicher
YouTube  DrStreicherTV

Books by Lauren Streicher, MD
 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones , Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy

How is it that some women are sexier, more productive, more fulfilled, and even more relevant after the age of 50 than then when they were younger? In this episode, Dr. Streicher is joined by Iris Krasnow, a renowned journalist, a New York Times bestselling author of 7 books, and an expert when it comes to smashing stereotypes around aging.  
In this episode, Dr. Streicher and Iris Krasnow discuss:

• Why the first 5 decades are not necessarily your best when it comes to personal and professional fulfillment
• How sex and intimacy change as life changes
• Secrets to maintaining a long-term marriage or relationship
• The power of female friendship

For more information about Iris Krasnow 
IrisKrasnow.com
Books by Iris Krasnow:
https://iriskrasnow.com/_pages/books_by_iris_krasnow.htm

• Sex after…Women Share How Intimacy Changes as Life Changes
• The Secret Lives of Wives: Women Share What it Really Takes to Stay Married
• Camp Girls: Fireside Lessons on Friendship, Courage and Loyalty
• I am My Mother’s Daughter: Making Peace with Mom Before it’s Too Late
• Surrendering to Yourself: You Are Your Own Soul Mate
• Surrendering to Marriage: Husbands, Wives and Other Imperfections
• Surrendering to Motherhood: Losing Your Mind, Finding Your Soul

The ETHEL
http://aarpethel.com/
To subscribe (free!)  to The Ethel
 https://cp.email.aarp.org/TheEthel
To join the Ethel Facebook Community
https://www.facebook.com/aarpethel

Other episodes on this topic: 

Episode 8:When Painful Sex Leads to Problem Relationships  with Dr. Sheryl Kingsberg
Episode 10:Dating After 50- Make it Awesome Not Awful- With Bela Gandhi
Episode 16  Minimizing the Monotony of Monogamy with Dr. Alexandra Solomon
Episode 20: Is non-monogamy having a moment? With Dr. Wednesday Martin

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGNMorningNews, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr.Radio,Nightline,Fox and Friends, The Steve Harvey Show, CBS ThisMorning,ABCNewsNow,NBCNightlyNews,20/20, and WorldNewsTonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

Subscribe and follow Dr. Streicher on 
DrStreicher.com

Instagram @DrStreich
Twitter @DrStreicher
Facebook  @DrStreicher
YouTube  DrStreicherTV
Books by Lauren Streicher, MD
 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones, Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy

If you are peri or post-menopausal and can’t remember the name of your next-door neighbor or why you walked in a room, you are not crazy, you are not heading towards dementia, and you are not alone.  In this episode, Dr. Streicher is joined by Dr. Pauline Maki, a Professor of Psychiatry, Psychology, and Obstetrics & Gynecology. For over 25 years, Dr. Maki has led a program of NIH-funded research on women and cognition, with a focus on cognitive change in menopause. She is THE expert when it comes to what happens to your brain on menopause. 

*Due to a technical problem, there are periodic growling noises in this episode which could not be removed! 
In this episode, Dr. Maki and Dr. Streicher discuss: 

• How common is it for women to be FORGETFUL when they are going through peri menopause 
• WHY this happens
• The relationship between hot flashes and cognition
• How long COGNITIVE CHANGES from hormonal changes last
• If cognitive problems during peri-menopause are predicative of getting ALZHEIMER’S DISEASE
• The impact of MOOD on cognitive changes during the peri-menopause
• Which DIET, VITAMINS, EXERCISE, ALCOHOL and other lifestyle choices help 
• The relationship between ADHD and cognitive changes in peri-menopause 
• Specific things you can do to maintain BRAIN HEALTH
• What the SCIENCE says about the benefit of hormone therapy in terms of cognitive function?
• If women who do NOT HAVE HOT FLASHES BENEFIT from hormone therapy
• If hormone therapy decreases the risk of DEMENTIA down the road
• HOW LONG someone should stay on hormone therapy to get the full cognitive benefit 

For more on this topic:  Episode 17 Menopause in the workplace Episode 22 Dreaming of Sleep with Dr. Faubion Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat
Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGNMorningNews, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr.Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABCNewsNow, NBCNightlyNews, 20/20, and WorldNewsTonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Twitter @DrStreicher Facebook  @DrStreicher YouTube  DrStreicherTV
Books by Lauren Streicher, MD
 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat
Sex Rx- Hormones , Health, and Your Best Sex Ever
The Essential Guide to Hysterectomy

The number one reason women give for not taking estrogen is fear of breast cancer. This fear is based on the 2002 study which has been reevaluated and shown to be flawed in a number of ways. Despite solid proof that estrogen therapy does not cause breast cancer and other serious illness, most doctors continue to exaggerate the risks and undersell the benefits of hormone therapy. The goal of this episode is not to convince you to take estrogen. The goal is to present the data so that you can make an informed decision.  In this episode, Dr. Streicher discusses: 

• The original PURPOSE of the 2002 Women’s Health Initiative (WHI) and how the study was designed. 
• The INITIAL RESULTS of the WHI study
• Why the design of the study was PROBLEMATIC
• Why the results of the WHI were NOT REPRESENTATIVE of the women who take hormone therapy today
• The results of the RE-ANALYSIS of the WHI
• How the age of women in the study, the timing of therapy, and the use of statins altered CARDIOVASCULAR data
• Why the use of PROGESTIN and the kind of progestin in the study changed the results. 
• Why TRANSDERMAL estrogens have less risk and who should use one
• The FACTS about the relationship of estrogen and BREAST CANCER
• The risk of hormone therapy COMPARED to other known risks for breast cancer
• The medical impact of women NOT taking HT
• GUIDELINES for taking hormone therapy safely

For more information on this topic: Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat has a more complete discussion of the results of the WHI and includes pros and cons of every type of estrogen currently on the market. 
Episode 1: Is It Menopause or Some Other Pause? Episode 2:Think Your Hot Flashes Can't Kill You? Think Again! Episode 11: Vaginal Estrogen is Not Poison Episode 28: The BEST approach for BREAST Cancer Screening and Risk Reduction 
Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGNMorningNews, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr.Radio,Nightline, Fox and Friends, The Steve Harvey Show, CBS ThisMorning,ABCNewsNow, NBCNightlyNews,20/20, and WorldNewsTonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

Subscribe and Follow Dr. Streicher on  DrStreicher.com Instagram @DrStreich Twitter @DrStreicher Facebook  @DrStreicher YouTube  DrStreicherTV
Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat
Sex Rx- Hormones , Health, and Your Best Sex Ever
The Essential Guide to Hysterectomy

It used to be so simple. Women were just advised to get a mammogram every year. But now we have not just x-rays, but ultrasound, MRI, digital breast tomosynthesis, screening mammograms, and diagnostic mammograms. Women are confused, and frankly, a lot of doctors are also confused. I am joined by Dr. Lisa Larkin, a board-certified internist, a certified menopause practitioner of the North American Menopause Society, and a nationally recognized expert in breast cancer risk assessment and prevention. 

In this episode, Dr. Streicher and Dr. Larkin discuss: 

• The LIKLIEHOOD of developing breast cancer in different populations
• WHO is getting MISSED when it comes to early detection 
• Who should have genetic screening
• The problem with using over-the-counter testing such as 23 and Me
• When should someone start -and stop- breast cancer screening
• What is TOMOSYNTHESIS
• Who should have an MRI
• Who should have an ULTRASOUND
• Need to know info on DENSE BREASTS and why you should look at your report
• If it matters WHERE someone goes to get their mammogram
• RISK FACTORS for breast cancer that you can’t change
• Risk Assessment models to PREDICT your lifetime risk of breast cancer
• What it means when you are called back for ANOTHER VIEW
• RISK REDUCING drugs many women do not know about
• MODIFIABLE risk factors for breast cancer
• Why ESTROGEN is not a risk factor for breast cancer
• Why a PLANT-BASED DIET is beneficial
• Dr. Larkin’s new model for patient care, MS. Medicine

Breast Cancer Risk Assessment Models

• Gale Model: https://www.mdcalc.com/gail-model-breast-cancer-risk
• Tyrer-Cusick Model: https://ibis-risk-calculator.magview.com/

Twitter: @LisaLarkinMD Facebook: @MsMedicine Instagram: @DrLarkin Website: MsMedicine.com
Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGNMorningNews, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr.Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS ThisMorning, ABCNewsNow, NBCNightlyNews,20/20, and WorldNewsTonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

Subscribe and Follow Dr. Streicher on  DrStreicher.com
Instagram @DrStreich Twitter @DrStreicher Facebook  @DrStreicher YouTube  DrStreicherTV
Books by Lauren Streicher, MD
 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat
Sex Rx- Hormones, Health, and Your Best Sex Ever
The Essential Guide to Hysterectomy

Relatively minimal research is devoted to menopause even though menopause affects literally 100% of women that live past the age of 50. For women of color, the situation is far more dire.. Not only do we know less about the impact of medical conditions or therapies in mid-life black women but it is incredibly challenging for many black women to access appropriate care. My guest is Dr. Fenwa Milhouse, a urologist who is not only a talented surgeon, but uses social media to destigmatize pelvic floor & sexual conditions, as well as demonstrate the importance of representation in medicine. 
Dr. Streicher and Dr. Milhouse discuss:

• DISEASES that disproportionately affect Black women
• How HYSTERECTOMY impacts cardiovascular disease in Black women
• Why Black women are less likely to take HORMONE THERAPY
• BLACK CELEBRITIES and increasing awareness of health conditions
• BARRIERS to health care in Black underserved community
• Micro and Micro AGRESSIONS in the health care system
• The reason for and impact of IMPLICIT BIAS
• The challenges of a BLACK WOMAN UROLOGIST practicing in a white hospital
• The importance of DIVERSITY EQUITY and INCLUSION initiatives in our health system
• What impacts racial disparity and potential action steps to improve health in the Black community
• How SYSTEMIC RACISM impacts on health

Dr Fenwa Famakinwa Milhouse is a fellowship-trained, board certified urologist. Originally born in Nigeria, her family immigrated to the US when she was a young child. She grew up in Texas and ended up at the University of Texas at Houston for medical school. She trained at the University of Chicago for residency and then completed a fellowship in female pelvic medicine and reconstructive surgery.  She is a wife and mother of 3. Dr. Milhouse is passionate about introducing the public to the world of urology, mentoring underrepresented minorities, and diversity and inclusivity in the workplace.  She uses social media to destigmatize pelvic floor & sexual conditions, as well as demonstrate the importance of representation in medicine. 
 IG: @drmilhouse TIKTOK @yourfavoriteurologist Twitter: @FMilhouseMD
Website: www.yourfavoriteurologist.com
The Black Women's Health Imperative- nonprofit organization created by Black women to help advance the health and wellness of Black girls and women. https://bwhi.org/
Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGNMorningNews, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr.Radio,Nightline,Fox and Friends, The Steve Harvey Show, CBS ThisMorning,ABCNewsNow,NBCNightlyNews,20/20, and WorldNewsTonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

Subscribe and Follow Dr. Streicher on  DrStreicher.com
Instagram @DrStreich Twitter @DrStreicher Facebook  @DrStreicher YouTube  DrStreicherTV
Books by Lauren Streicher, MD
 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat
Sex Rx- Hormones , Health, and Your Best Sex Ever
The Essential Guide to Hysterectomy