During my hiatus, please join me on Substack for written content and Substack Lives (also available on replay) Go to substack.com and download the APP FREE subscribers get access to most content and Subtack LIVEs PAID subscribers get access to all content, and can attend the monthly ASK ME ANYTHING Webinars. For a FREE subscription, go to https://drstreicher.substack.com/subscribe . If you choose to become a PAID subscriber, use this link to subscribe , and you will get 30% off (Discount can be ...
Apr 23, 2026•53 min•Season 4Ep. 200
As a gynecologist, I help women with the physical, hormonal, and medical aspects of sexual response: eliminate sexual pain, and help women who can’t orgasm due to an SSRI, diabetes or vascular disease. I am not a therapist. I do not treat the psychosocial aspects of sexual difficulties or address the mind-body connection. And that is why the work I do depends on experts like my guest today, Dr. Lori Brotto Dr. Lori Brotto is a registered psychologist, researcher, and global leader in women’s sex...
Apr 09, 2026•52 min•Season 4Ep. 199
Preventing Dementia: Estrogen? Testosterone? Prevogen™? On November 10, 2025, the Secretary of Health and Human Services, Dr. Marty Markary, along with the head of the FDA, RFK Jr, announced that hormone therapy would “reduce Alzheimer’s by 35%." Where does that statistic come from? And should all women take hormone therapy to stave off dementia later in life? In this episode, I take a deep dive into the science of hormone therapy and Prevogen™...and what you can do to decrease the risk of Alzhe...
Mar 25, 2026•23 min•Season 4Ep. 198
In the world of medical influencers, the only thing crazier than the menopause world is the skin world. There are a lot of people who are making millions selling lotions and potions that promise to make your 50-year-old skin look like it did when you were 20. Enter Dr. Ellen Gendler- you know her-the New York dermatologist who is the voice of reason, and wildly entertaining, but most importantly, the voice of science in a sea of skin-fluencers. I asked for your questions, and you delivered! SO s...
Mar 12, 2026•1 hr•Season 4Ep. 197
In this episode, join me in my living room for a conversation between me, Christie Hefner, and the author of a just released book, Intimate Animal by Justin Garcia, an evolutionary biologist and international authority on the science of sex and relationships and the Executive Director of the world-renowned Kinsey Institute. The Intimate Animal explores: Why we love who we love? Why do we stay in unfulfilling relationships and stray from rewarding ones? Is it ever a good idea to open a relationsh...
Feb 26, 2026•54 min•Season 4Ep. 196
Of all of the vulvar conditions out there, two of the most frustrating to treat are VULVODYNIA and LICHEN SCLEROSUS . Even when properly diagnosed, treatment can be challenging. But help is on the way! In this episode, Dr. Andrew Goldstein discusses new cutting-edge research and treatments for both vulvodynia and lichen sclerosus. Dr. Goldstein describes 5 ongoing studies and how you can participate in this groundbreaking research. This is truly one of the most exciting and groundbreaking interv...
Feb 12, 2026•56 min•Season 4Ep. 195
One out of ninety women will develop ovarian cancer in her lifetime. It is the second most common gynecologic cancer and the fifth leading cause of death among women from cancer. Roughly 25% percent of ovarian cancer is hereditary. If a woman is a carrier of one of the gene mutations associated with ovarian cancer, her risk is strikingly higher than the risk of the general population. But most women who carry this genetic mutation…don’t know it. My guest is Dr. Michelle Jacobson, an internationa...
Jan 29, 2026•51 min•Season 4Ep. 194
Women who are in the throes of menopause are never thrilled about having hot flashes, but they aren’t particularly surprised by them. It’s other symptoms that often blindside women, including symptoms that are not often associated with menopause. Esoteric symptoms are different than unusual symptoms. An unusual symptom is something that rarely occurs. An esoteric symptom, on the other hand, is one that occurs commonly, but is rarely discussed and often not well understood. My guest is Makeba Wil...
Jan 15, 2026•1 hr 1 min•Season 4Ep. 193
Dr. Jen Ashton- you know her as the chief medical correspondent for ABC News and Good Morning America, who appeared in your home every morning, explaining the hot topics in health. Today, we talk about her pivot into her passion- fitness and wellness- and how to incorporate into the second half of your life..and love your age. How Dr. Ashton ended up as an anchor on Good Morning America How she has reinvented herself as a wellness and obesity expert We revisit “The Reinvention Convention we part...
Jan 08, 2026•1 hr 3 min•Season 4Ep. 192
Come Again: Sexuality and Orgasm , my solution-driven audio Series, for both non-healthcare professionals and healthcare professionals is now available on demand on drstreicher.com. Subscribers get loads of supplementary guides and resources. Health care professionals have an option to purchase additional material on incorporating sexual medicine into their practice. For a 25% discount to the COME AGAIN Series, use code PODCAST25. This discount code expires December 21. This episode is a free pr...
Dec 18, 2025•41 min•Season 4Ep. 191
At my monthly Ask Me Anything Webinars, I always get questions about hormone therapy- when to start, when to stop, if the dose should be changed as women get older, and what to do if someone continues to have symptoms or continues to bleed… In this episode, Dr. Risa Kagan and I answer submitted questions. We start by briefly running through the established indications for starting menopausal hormone therapy (MHT), and then Dr. Kagan and I discuss the “what ifs” of hormone therapy. Do you have to...
Dec 04, 2025•1 hr 3 min•Season 4Ep. 190
In case you missed it, last week was quite the week in the menopause world. The FDA made a landmark decision to remove all black box warnings from estrogen products and to update the labels of individual products. I was in the room where it all happened and in this episode, I’m going to break it all down for you. But here’s the headline- this label change is overall, a good thing, a very good thing. A transcript of this podcast, along with photos and graphics, can be found on DrStreicher.Substac...
Nov 20, 2025•32 min•Season 4Ep. 189
Human Papillomavirus, or HPV, is responsible for 6 different kinds of cancers…Cervical, anal, oral pharyngeal, vaginal, vulvar, and penile. So, it was a big deal when the HPV vaccine was approved in 2006 females between the ages of 9 and 26. In 2018, the age range was expanded to include adults up to the age of 45. But, what about women over 45? Shouldn’t they have the option of getting a vaccine that prevents 90% of HPV related cancers? My guest is Dr. Vivien Brown, an Assistant Professor at th...
Nov 13, 2025•51 min•Season 4Ep. 188
Selene Yeager is not a doctor; she is a health reporter with an enormous following of women who count on her to provide evidence-based medical information. Recently, we sat down to discuss challenges in prescribing hormone therapy for her podcast, "Hit Play, Not Pause." We had such a good conversation that I asked her if I could share her episode with my audience. 👉Hormone therapy research 👉The cardiovascular implications of hot flashes 👉Why formulations matter 👉Why the route of delivery (tr...
Oct 31, 2025•54 min•Season 4Ep. 187
"The psychological aspects of having obesity are rarely recognized. The psychological burden that people carry outweighs the adipose tissue.” Robyn Pashby PhD This episode is a must-listen for anyone struggling with obesity, or who knows someone with obesity, or a healthcare clinician who has patients with obesity. The complex biology of why some folks have excess weight is just beginning to be fully understood. Having obesity is a complex interplay of biology and psychology, and it is time to s...
Oct 02, 2025•55 min•Season 4Ep. 186
Emotional lability, anxiety, crying jags. Welcome to perimenopause. 70% of women experience depressive symptoms and alterations in mood when estrogen levels plunge or start to fluctuate. While many factors increase the risk, there is no denying that changes in hormone levels have something to do with anxiety, mood, and depression, even in people who never had issues before perimenopause. Dr. Pauline Maki is a world-renowned expert in menopause, mood, cognition, and the impact of menopause on the...
Sep 18, 2025•1 hr 2 min•Season 4Ep. 185
Hot flashes, vaginal dryness, and sleep disturbance are the three most common symptoms of menopause. Currently, there are over 20 FDA-approved products to treat hot flashes. There are roughly 10 FDA-approved products to treat vaginal dryness. There are zero FDA-approved products to treat insomnia due to menopause. Zero. My guest is Dr. James Simon, a clinical professor of Ob-Gyn at George Washington University and an expert on all things menopause. In this episode: How common it is for women to ...
Sep 04, 2025•59 min•Season 4Ep. 184
If you are a menopausal woman and spend any time on social media, you are familiar with Dr. Corinne Menn. She is a trustworthy voice of science and evidence-based medicine in a sea of influencers who don’t always stick to the data. Dr. Menn is one of the authors of a recent study titled Women’s Insights on Sexual Health after a Breast Cancer Diagnosis. This study, published in the Journal of Clinical Oncology, asked 1,463 women with a breast cancer diagnosis about their sexual experience, includ...
Aug 21, 2025•55 min•Season 4Ep. 183
I have written many times about how in the 1800s, vibrators were not sexual items that women bought for themselves, but medical devices used by doctors to treat a medical condition then known as hysteria. The problem is- that’s not true. And be sure to check out my photo gallery of devices discussed in this episode! The popularly accepted history of the vibrator Hysteria, and how it was treated in the early 1900s Dr. Lieberman’s research What medical conditions electric vibrators were used for T...
Aug 07, 2025•52 min•Season 4Ep. 182
I was invited to participate in the FDA roundtable on menopausal hormone therapy. I declined. In this episode, I’m going to tell you why. A brief history of the FDA Why there is a black box warning on all estrogen products Why the black box warning should be removed from all local vaginal estrogen products Prior efforts to get the label removed How product labels and warnings traditionally have been modified or removed at the FDA My concerns and why I did not participate in the roundtable My art...
Jul 24, 2025•26 min•Season 4Ep. 181
Dr. Dawn Mussallem, a board-certified lifestyle medicine physician, was diagnosed with Stage 4 cancer at age 26, followed by a heart transplant. She walks the walk when it comes to healthy lifestyle choices. At the Mayo Clinic Breast Center, Dr. Mussallem is the go-to expert for how healthy choices not just prolong life, but also make life better.. not just for women living with a cancer diagnosis, but all women. Dr. Mussalem’s personal story- and how lifestyle medicine saved her life What Lifes...
Jul 10, 2025•54 min•Season 4Ep. 180
Any mid-life woman knows that once you hit your 40s, 50s, or 60s, things will not go well if you eat the same way you did when you were 20. But it’s confusing to know what to eat, and how much to eat, without downloading multiple APPs and carrying around a calculator My guest, Alexandra Filingeri, holds a doctorate in Clinical Nutrition with a focus on evidence-based nutrition interventions, particularly in mid-life and menopause. In this episode, we cover practical nutrition tips- what to eat a...
Jun 26, 2025•58 min•Season 4Ep. 178
Women are generally told that if they have a breast cancer diagnosis, they should steer clear of estrogen. In this episode, I have a conversation with Dr. Swati Kulkarni, the lead investigator of a new study in which women with a newly diagnosed breast ductal carcinoma in situ, DCIS, were given a month’s worth of hormone therapy before standard treatment to see the impact it would have on developing cancer cells. What DCIS is and how it is typically diagnosed. If DCIS is considered to be a pre-c...
Jun 12, 2025•48 min•Season 4Ep. 178
Do cell phones cause brain cancer? Does using an antiperspirant increase the risk of breast cancer? Does fluoride in the water increase the risk of bone cancer? Is the HPV vaccine lifesaving or dangerous? In this episode, I am joined by Dr. Shikha Jain, an academic hematologist and oncologist. We start by busting cancer myths and then move on to discuss the impact of the “Make America Healthy Again Movement” (MAHA)on cancer care and cancer research, and why the rationale behind the MAHA movement...
May 29, 2025•54 min•Season 4Ep. 177
When it comes to the risk of developing dementia, family history is a factor, but it is far from the only factor. It is well known that physical activity, social isolation, smoking, alcohol, medical conditions like diabetes, heart disease, or being hard of hearing, all impact the risk of developing dementia down the road. In this episode, I explore the relationship between what you eat and brain health with Dr. Annie Fenn, the author of The Brain Health KITCHEN, Preventing Alzheimer’s through Fo...
May 15, 2025•57 min•Season 4Ep. 176
When women think about the benefits of menopausal hormone therapy, things like hot flashes, insomnia and vaginal dryness come to mind. But for many women, bone health is, or should be, at the top of the list. In this episode, I speak with Dr. Risa Kagan about the role of estrogen, progesterone, and testosterone in bone health. Definition of Low Bone Mass (Osteopenia) and Osteoporosis The Difference Between a T score and a Z score FRAX - Fracture Risk Assessment Tool When Bone Mass Peaks How to M...
May 01, 2025•59 min•Season 4Ep. 175
Transdermal estrogen in the form of a patch, gel, or cream is often the preferred delivery method for menopausal hormone therapy. Unlike oral estrogen, in addition to other advantages, transdermal estrogen does not increase the risk of blood clots. But a new study, published in the journal Menopause, indicates that your transdermal estrogen… may not be doing what you think it’s doing. Today, I am speaking with one of the authors of that study, Dr. Louise Newson. My Substack post summarizing the ...
Apr 17, 2025•50 min•Season 4Ep. 174
I get lots of questions on various platforms. But I never get to all of them. So, today is Q and A day. I asked my friend and colleague, Dr. Heidi Flagg to join me because it’s always good to get another point of view. Dr. Flagg is, above all, a clinician. She is in her office in NY city, day in and day out, helping women navigate peri menopause and menopause. And unlike many people out there who are new to the scene, Dr. Flagg brings decades of real-world experience to the table. QUESTIONS Do y...
Apr 03, 2025•49 min•Season 4Ep. 173
Welcome to COME AGAIN: Sexuality and Orgasm Podcast What if suddenly your tried-and-true maneuvers that consistently ended in orgasm no longer worked? Or it took so long and the climax so pathetic it was hardly worth the effort? Along with hot flashes, sandpaper sex, and a loss of libido, add the inability to have an orgasm to the list of post-menopause surprises your mom "forgot" to warn you about. In this episode you will hear the first two episodes of COME AGAIN- a new podcast series with sci...
Mar 20, 2025•31 min•Season 3Ep. 172
As our bodies age, so do our teeth. And, no surprise, menopause also has an impact on dental health. My guest, Whitney Difoggio, AKA Teeth Talk Girl ,knows it all when it comes to dental hygiene ,anti-aging tips and post menopause teeth, gums, and tongues. Whitney DiFoggio, founder of teethtalkgirl.com , is a passionate dental health communicator and registered dental hygienist, recognized as "Teeth Talk Girl" on social media (@teethtalkgirl). With a bachelor’s degree in biology from the Univers...
Mar 13, 2025•52 min•Season 3Ep. 171
