Ageless and Outrageous – Details, episodes & analysis

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/   Loved this episode? Share with a friend. 

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   Loved this episode? Share with a friend.

Hysterectomy is a common surgery that many women undergo for various reasons, While most women do not experience any change in sexual function post-hysterectomy, it is important to have a conversation with your doctor to address any concerns. Our episode today delves into:

• Reasons for hysterectomy, such as pain, fibroids, heavy bleeding, endometriosis, or cancer
• The different types of hysterectomy
• The impact of hysterectomy on sexual health and hormones
• The importance of open communication with your surgeon
• Significance of regular pelvic exams even after hysterectomy
• Potential complications like scar tissue formation and pelvic floor spasms

By providing accurate information and dispelling myths, this episode aims to empower women to make informed decisions and prioritize their sexual wellness after hysterectomy.   Key moments in this episode are:   Learn more about hysterectomy from ACOG here: https://www.acog.org/   Considering hormone replacement?  See more here: https://www.foundationsfl.com/bioidentical-hormone-optimization   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend

Hormone replacement therapy (HRT) and breast cancer risk has long been overestimated. For too long, both patients and providers have overestimate the risk of hormone replacement therapy and undervalued its value. Despite the fear surrounding HRT and breast cancer, the actual risks are relatively low. 

• The Womens' Health Initiative study (WHI), which played a significant role in shaping opinions, has been criticized for its flaws and limitations, resulting in skewed headlines that caused widespread anxiety.
• Understanding the study's flaws and limitations is crucial to interpreting its results correctly.
• The study's patient population skewed towards older women, which impacted the results and made them less applicable to menopausal women in their 50s.
• HRT can offer various benefits, such as reducing heart disease, stroke, and osteoporosis risk. 
• The results of the study are only applicable to conjugated equine estrogens (CEE) and medroxyprogesterone acetate, a synthetic progestin.
• Using bioidentical hormones, particularly micronized progesterone, can be a safer alternative.
• The critical window for starting HRT, typically in the perimenopause and early menopause stages, is highlighted as an important factor in determining the benefits and risks of hormone use.

By debunking the fear surrounding hormones and breast cancer, the aim is to empower women to make informed decisions and seek guidance from hormone specialists.

Key moments in this episode are:

0:00 Intro and facts about breast cancer

1:05 Current screening guidelines for breast cancer

1:53 Looking at how the WHI study was set up

3:35 What the headlines about WHI said

3:59 Behind the headlines

5:23 WHI from a personal perspective

7:18 Understanding the numbers

8:37 Risks of oral estrogens

10:30 What was causing the breast cancer risk?

11:08 Benefits of taking HRT

12:10 Alternates to synthetic progestins

 

Check out Dr Jackson's blog on the WHI here:  

https://www.foundationsfl.com/post/getting-rid-of-whi-once-and-for-all

 

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Website www.foundationsfl.com

FB https://facebook.com/advancedurogynecology

 

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Testosterone is often misunderstood, and that can create fear about use of this very critical hormone.  It's often wrongly considered a hormone only important for men. In reality, testosterone is crucial for both men and women, with women actually having higher levels of testosterone than estrogen. Women's testosterone levels peak in their 20s and 30s, gradually declining as they age. Optimizing testosterone can alleviate various symptoms such as low libido, difficulty reaching orgasm, brain fog, fatigue, and even improve muscle mass and bone density. Contrary to popular belief, testosterone is not solely responsible for libido but also plays a significant role in many other bodily functions. It affects various organs, including the brain, heart, bladder, uterus, ovaries, vaginal tissue, skin, and bones. Testosterone promotes healthy muscle growth, aids in bone strength, reduces inflammation, and even decreases the risk of dementia. While there are no FDA-approved testosterone products for women, the use of bioidentical testosterone has been deemed safe by numerous studies and reports from patients.   In this episode, you'll be able to:

• Find out why testosterone is Dr J's favorite hormone to balance for her patients
• List the common misconceptions surrounding testosterone
• Understand some of the many many benefits of healthy testosterone levels
• Be comfortable with the safety of proper testosterone replacement

Key moments in this episode are:  00:31 Common symptoms of sub-optimal testosterone 00:56 First myth: Testosterone is only important in men 01:35 Differences in measurements in testosterone and estradiol 02:43 Timeline of testosterone decline as we age 03:39 Misinterpretation of symptoms of testosterone loss as "normal aging" 04:05 Second myth: Testosterone is only important for libido 04:28 Where testosterone receptors are located 5:04 Role of testosterone in libido 06:29 Role of testosterone in the brain 07:29 Role of testosterone in the brain 08:00 Role of testosterone in the heart 09:58 Role of testosterone in the bones 11:18 Long term risks of bone building drugs, like bisphosphonates 12:27 Role of testosterone in muscles 13:03 Study of testosterone with and without exercise to build muscle 14:28 Importance of muscle mass in women as they age 14:55 Preventing falls with strong muscles and bones 16:56 Role of testosterone in the bladder 18:23 What our patients are saying about testosterone replacement 19:50 Third myth: Testosterone is not safe for use in women 20:16 Road to FDA approval 20:32 Natural products like testosterone cannot be patented 21:14 Testosterone in the market today 21:58 What an off-label use of a drug means 23:40 Risk of testosterone during pregnancy 26:16 How to properly dose testosterone 28:17 Sensitivity of testosterone receptors 29:!4 Using an algorithm to dose testosterone   Learn more about bioidentical hormone replacement therapy here: https://www.foundationsfl.com/bioidentical-hormone-optimization   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend. 

 

 

Vaginal and vulvar itching can have various causes beyond just yeast infections. Understanding the anatomy of these areas is crucial in determining the source of the irritation. Today's podcast looks at the many causes of itching:  

• Learn the proper anatomy of the vulva and vagina
• Understand both vaginal and vulvar yeast infections and how they present with different symptoms
• What's new in the treatment of yeast infections
• Atrophy as a cause of vulvar itching
• What is lichen sclerosis and how is it managed
• How lichen planus presents and is treated
• Proper hygiene and care of the vagina and vulva

Delve into the diverse causes of vaginal and vulvar itching; it's NOT just a yeast infection.   Key moments in this episode are: 00:30 Where does it itch?  Learning the anatomy 02:05 Taking a tour of your own vulva 04:23 Vaginal yeast infections 05:19 Vulvar yeast infections 06:17 Do you always need to treat a yeast infection? 06:45 Recurrent yeast infections 08:54 New medications for yeast on the market 10:00 Can men get genital yeast infections? 11:00 Vulvovaginal atrophy 12:09 Lichen sclerosis 14:43 Medication to treat lichen sclerosis 16:20 Procedures to treat lichen sclerosis 18:09 Surgery for lichen sclerosis 19:34 Vulvar cancer 20:58 Lichen planus 23:12 Treatment for lichen planus 24:34 Vaginal and vulvar self care 26:13 Exfoliation of the vulva 27:20 Home remedies to alleviate itching 28:35 Vulvar care in patient with incontinence   Learn more about microneedling for lichen sclerosis here: https://www.foundationsfl.com/empower   Find out more about vulvar itching and burning here: https://www.acog.org/womens-health/faqs/disorders-of-the-vulva-common-causes-of-vulvar-pain-burning-and-itching   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

Many women face various obstacles when it comes to experiencing an amazing orgasm. From struggling to reach orgasm to feeling unsatisfied with the intensity of their orgasms, there are several barriers that can hinder sexual satisfaction. In this episode, we explore:

• The analogy of a waterfall, and how boulders get in the way of a fantastic orgasm
• Common challenges to reaching orgasm
• Causes of pain during orgasm
• Treating dryness and atrophy
• High tone pelvic floor disorder
• Evaluating for vulvodynia
• How low libido diminishes orgasm
• When you cannot reach orgasm with penetration alone
• Enhancing the sensitivity of the vagina
• Strengthening the pelvic floor for intense contractions
• Psychosocial factors that interfere with pleasure

By uncovering and removing these obstacles, women can enhance their sexual satisfaction and experience more fulfilling orgasms.   Key moments in this episode are:  01:05 Understanding the waterfall analogy 02:17 Pain during intercourse 02:57 Our favorite vaginal lubricant 03:55 Treating vaginal atrophy 04:58 Hypertonic pelvic floor muscles 06:09 Treatment for a tight pelvic floor 07:02 Understanding vulvodynia 07:47 Causes of deep penetration pain 09:54 Lack of libido leading to orgasm issues 10:17 Effects of low testosterone 11:00 Other medications to improve female libido 13:37 Medications that may be zapping your libido 13:56 Improving the strength of an orgasm 14:50 How to build pelvic floor muscle strength 15:53 When clitoral stimulation just isn't doing the job 17:10 What if you cannot reach orgasm with vaginal penetration alone? 18:37 Using PRP to improve sensitivity 20:04 Feeling too loose or desensitized 20:41 Building vaginal collagen 22:18 Removing psychosocial barriers to orgasm   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

Obesity has become a pressing issue in the United States, with a significant increase in its prevalence over the past few decades. This episode explores the factors contributing to weight gain,  genetics that may predispose individuals to obesity, and the environment in which we live., highlighting the control we each have over our weight and the potential to modulate genetic influences. We also discuss the impact of obesity on various medical conditions such as heart disease, stroke, hypertension, and diabetes. Obesity needs to be understood as a chronic and relapsing medical condition, rather than solely a cosmetic concern.  Listen in to learn more:

• Plenity; a supplement that expands in the stomach to creates a sensation of fullness
• Cell Press, a similar supplement with celluose, to help control portion size
• Calcium Pyruvate, a substance that enhances the conversion of food into energy
• Orlistat, an over-the-counter medication to block fat absorption
• Hormonal control of weight using Semaglutide and Tirzepatide
• The role of the hypothalamus in eating and hunger
• The role of the mesolimbic reward system in controlling cravings
• Contrave, a prescription medication working in the brain to reset hunger controls
• Qsymia, a prescription medication working in the brain with the hunger and craving centers
• Bariatric surgery as an option

Gain insight to understand obesity's medical complexities to explore various interventions, empowering you to make an informed choice for healthier living and weight management.

    Key moments in this episode are:   00:26 Definition of obesity 00:38 Calculating your BMI 01:06 Rates of obesity in the USA 01:27 Factors related to rise in obesity 03:11 When to begin treating our weight 04:07 Does insurance cover weight loss options? 05:32 Understanding Plenity 06:40 Describing Cell Press 07:08 Calcium Pyruvate supplement 07:40 Orlistat as a fat-blocker 08:20 Hormonal treatment for weight with semaglutide and tirzepatide 11:44 Hypothalamus' role in weight control 12:13 Mesolimbic reward system's role in weight control 13:58 Contrave for weight loss and control of cravings 15:22 Using Qsymia to control hunger and cravings 16:29 Phentermine as an appetite suppressant 17:56 Bariatric surgery for weight loss   Learn more about weight loss options, including Semaglutide and Tirzepatide, here: https://www.foundationsfl.com/weight-loss   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

Today's podcast episode explores the top five things women should know about their male partner's sexual health and provides crucial information for women on how to support their male partners.  Tune in to learn:

• What is erectile dysfunction (ED)
• Vascular causes of ED
• Neurogenic causes of ED
• Hormonal causes of ED
• Treatment options for ED
• Premature ejaculation and treatment strategies
• Impact of prostate cancer on sexual health

Empower yourself with knowledge and discover how you can be a pivotal support system for your partner's sexual well-being by tuning in to this enlightening conversation   Key moments in this episode are: 00:24 Intro to erectile dysfunction 00:49 How an erection happens 01:40 Vascular issues causing ED 02:04 Association of ED with cardiovascular disease 03:27 Nerve issues causing ED 04:03 Parasympathetic nerve stimulation for sexual arousal 05:34 Hormonal causes of ED 06:57 First thing women need to know about mens' sexual health 07:36 Medications that can lead to ED 08:12 Medications to treat ED 09:45 Second thing women need to know about mens' sexual health 10:25 Non-medication options to treat ED 12:20 Premature ejaculation 13:25 Treatment options for premature ejaculation 15:14 Third thing women need to know about mens sexual health 15:26 Fourth thing women need to know about mens' sexual health 15:35 Prostate cancer 16:46 Treatments for sexual dysfunction after prostate cancer 17:27 Fifth thing women need to know about mens' sexual health   Learn more about erectile dysfunction here:  https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction   Learn more about mens' health impacting their sexual life here:  https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/sexual-bladder-problems   And find tons of information at the Sexual Medicine Society of North America here: https://www.smsna.org/patients       Follow us! Instagram @foundationskristinjacksonmd Website. https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

Vaginal rejuvenation, although not a specific medical term, encompasses various restorative procedures for the vagina, vulva, and pelvic floor. In this podcast, we discuss what can happen to the vagina and vulva as we age, and ways to restore vaginal health. Listen in to understand:

• Changes to the vagina related to childbirth, aging, and hormonal fluctuations
• The role of vaginal estrogen in maintaining healthy tissue
• Non-surgical treatments to tighten the labia
• The role of labioplasty to alter labial appearance
• Vaginal lasers for resurfacing and treatment of vaginal dryness
• Surgical tightening of the vagina
• How to choose the best surgeon to perform your procedure
• Therapies to strengthen the pelvic floor muscles

 

By focusing on restoration rather than "rejuvenation", you can help to revive the vagina and vulva back to what they once were!

 

Key moments in this episode are:

00:12 What is vaginal rejuvenation

01:08 Changes that can occur to the vaginal and vulva

02:27 Symptoms associated with damage to pelvic floor

03:58 Bringing this issue to the forefront of discussion

04:44 What women are asking for with vaginal rejuvenation

06:26 Non-surgical treatments to improve labial appearance

07:39 Surgical options to alter labia

08:50 Who should you choose to perform a surgery

12:11 Radiofrequency alone as a treatment

13:32 Role of vaginal estrogen in rejuvenation

14:35 Types of vaginal lasers

16:57 Hybrid vaginal lasers

17:44 Surgical options to tighten vagina

20:30 Strengthening the pelvic floor muscles

 

Learn more about vaginal microneedling and radiofrequency here: https://www.foundationsfl.com/empower   Learn more about vaginal lasers here: https://www.foundationsfl.com/diva-fractional-vaginal-laser   Learn about pelvic floor strengthening here:  https://www.foundationsfl.com/btl-emsella   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology   Loved this episode? Share with a friend.