Labia Logic

Dr Ashley Fuller, Dr Meredith McClure

Your vulva has a lot to say, and we're here to translate. When was your last conversation about vulvas? We're guessing it was at your most recent OBGYN appointment, if then. But Dr Meredith McClure and Dr Ashley Fuller talk about vulvas all day, every day. Because just like any other body part, a healthy vulva is important to overall health and well being. So, what would your vulva like you to know? (First message: "I'm not the vagina!") In this podcast you'll learn the proper names of all the down-there areas, how to keep them healthy, what annoyingly persistent myths about your reproductive organs you can ignore, and so much more. Join us every two weeks for fascinating conversations with experts and learn what you should have been taught long ago. It's not about embarrassment, it's about empowerment! Find Labia Logic on Instagram @labia_logic Find Dr. Ashley Fuller at https://www.ashleyfullermd.com/ Find Dr. Meredith McClure at https://meredithmccluremd.com/ Labia Logic podcast is for general informational purposes only and does not constitute the practice of medicine. The content of this podcast should never be considered a substitute for professional medical advice, diagnosis, or treatment.

  1. hace 3 d

    40. Perimenopause: WTF is happening to me?

    Perimenopause can feel like your body suddenly changed the rules without sending you the updated handbook. Mood swings, brain fog, sleep problems, weird bleeding, libido changes. And yes, you can still be having perfectly regular periods while all of this is happening.  So… WTF is actually going on? In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure are joined by Women's Health Nurse Practitioner Dr. Jaclyn Piasta to talk all about the hormonal chaos of perimenopause. They talk about why perimenopause cannot always be confirmed with a single hormone test but is still a clinical diagnosis. They also cover why symptoms can change from month to month, and how treatment may include birth control pills, IUDs, menopausal hormone therapy, vaginal estrogen, or a mix-and-match approach depending on what your body is doing. The topics of painful sex, vaginal and urinary symptoms, libido, testosterone, mood changes, bleeding, and the very real mental load of midlife all come up too.  Here's the hot take: perimenopause is not one-size-fits-all, treatment may need to evolve as your hormones do, and "normal labs" or regular periods do not automatically mean your symptoms should be dismissed.  Consider this your permission slip to ask better questions, explore your options, and expect care that actually listens to what your body is telling you. Links: mymonarchhealthco.com @jackiep_gynnp on IG https://ww@monarchhealthclinicianacademy on IG   About Our Guest: Dr. Jackie Piasta is a Doctor of Nursing Practice, Women's Health Nurse Practitioner and a nationally recognized expert in perimenopause and menopause care, with a career spanning 16 years in women's health. She is the founder of Monarch Health, a specialty midlife women's health practice, and Monarch Health Clinician Academy, a CME-accredited training program that has educated hundreds of clinicians in evidence-based midlife and menopause care. She serves on the Medical Advisory Committee for the National Menopause Foundation and contributes to national professional organizations, including The Menopause Society, the National Association of Nurse Practitioners in Women's Health, and the International Society for the Study of Women's Sexual Health. She speaks nationally on women's health topics and most recently chaired NPWH's annual Virtual Menopause Summit. She is also adjunct faculty at Vanderbilt University School of Nursing, where she lectures on menopause care for women's health nurse practitioner students. Dr. Piasta was awarded the Excellence in Leadership and Innovation Award from Frontier Nursing University in recognition of her contributions to menopause education and clinical leadership. In 2025, she was inducted into the inaugural Fellow class of the National Association of Nurse Practitioners in Women's Health. Her work bridges advanced clinical practice, clinician education, and national advocacy. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com https://www.ashleyfullermd.com/labia-logic-podcast Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic    This episode was produced by Audiotocracy Podcast Production.

    40. Perimenopause:  WTF is happening to me?
  2. 2 sept

    39. Red Light Green Light: Vulvar Edition

    Water? Green light. Vaginal steaming? Hard red. Boric acid? Well… that depends. The internet has no shortage of products promising to clean, balance, freshen, moisturize, tighten, detox, or otherwise "fix" your vulva and vagina.  But which ones are actually helpful? And which ones would your vulva very much like to be excluded from? In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure play a round of Red Light, Green Light: Vulvar Edition, sorting common vulvar and vaginal products and habits into the good, the questionable, and the please-don't. They cover everything from gentle cleansing, lube, moisturizers, vaginal estrogen, and bidets to boric acid, probiotics, period products, wipes, shaving, tight workout clothes, douching, fragranced products, vaginal steaming, Vagisil, and the dreaded one-day Monistat. These docs want you to remember: your vagina is self-cleaning, your vulva doesn't need to smell like a spa, and more products definitely doesn't mean better care. No matter what TikTok tells you. Labia Logic – The Clinical Course – Meredith McClure MD   More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com  Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com   Follow the show on Instagram @labia_logic    This episode was produced by Audiotocracy Podcast Production.

    39. Red Light Green Light: Vulvar Edition
  3. 19 ago

    38. Labia Logic Gets Knocked Up: Postpartum Edition

    What actually happens to the vulva and vagina after giving birth? How long does it take for swelling, bleeding, dryness, and soreness to improve? And when are postpartum symptoms a normal part of healing versus a reason to call your doctor? In Labia Logic Gets Knocked Up: Postpartum Edition, Dr. Ashley Fuller and Dr. Meredith McClure get candid about what recovery really looks like after a vaginal delivery or C-section. They explain postpartum hormone changes, vaginal tearing and stitches, urinary leakage, pelvic floor trauma, painful sex, breastfeeding-related vaginal dryness, and the many pads, ice packs, and sitz baths involved in welcoming both a baby and a temporarily unfamiliar vulva. Listeners will learn what to expect during the first six weeks postpartum, why vaginal estrogen may help with dryness and discomfort, and how pelvic floor physical therapy can support healing from incontinence, pelvic pain, prolapse, and pubic bone separation.  The doctors also discuss granulation tissue, resuming sex, postpartum contraception, mood changes, anxiety, depression, and why asking for help is an essential part of recovery—not a sign that your body has failed. Labia Logic – The Clinical Course – Meredith McClure MD More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com   Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com   Follow the show on Instagram @labia_logic    This episode was produced by Audiotocracy Podcast Production.

    38. Labia Logic Gets Knocked Up: Postpartum Edition
  4. 5 ago

    37. Labia Logic Gets Knocked Up: Pregnancy Edition

    swelling, discharge, pressure, and occasional "lightning crotch"? Is all that extra sensitivity normal? And when should a change actually earn a call to your OB? In the Pregnancy Edition of Labia Logic Gets Knocked Up, Dr. Ashley Fuller and Dr. Meredith McClure explain how pregnancy hormones, increased blood flow, pelvic pressure, and a rapidly changing body can affect the vulva and vagina. From darker or swollen labia and vulvar varicose veins to yeast infections, hemorrhoids, pelvic floor changes, and pregnancy discharge, the hosts share candid answers with their usual mix of medical expertise, reassurance, and zero shame. Ashley and Meredith cover which vulvar and vaginal changes are common during pregnancy, why estrogen and progesterone deserve some of the blame, and what can help ease throbbing, pressure, constipation, and discomfort.  They also cover sex during pregnancy, safe treatment options for vaginal infections, herpes management before delivery, and warning signs that should be evaluated by a medical provider.   Labia Logic – The Clinical Course – Meredith McClure MD More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic  This episode was produced by Audiotocracy Podcast Production.

    37. Labia Logic Gets Knocked Up: Pregnancy Edition
  5. 22 jul

    36. Dare to Care: The Future of Women's Sexual Health

    Why do men get decades of sexual-health innovation while women are still told to wait, cope, or buy something vaguely "wellness-adjacent" from their social media feed? And why are conditions that affect quality of life, relationships, pleasure, and reproductive health still treated like optional extras instead of actual healthcare? Sabrina Martucci Johnson, founder and CEO of Daré Bioscience, joins this episode of Labia Logic to talk about the costly, complicated, and long-overdue work of developing better treatments for women. Sabrina explains why she founded Daré, how women's health receives only a fraction of private healthcare investment, and why existing science can often be reformulated into solutions designed specifically for female bodies. Sabrina also shares what Daré is developing next, including a monthly vaginal ring for menopause hormone therapy, a hormone-free contraceptive, and a vaginal antiviral treatment for high-risk HPV. Because women's health is not niche. It is essential, overdue, and worth doing right. Links: darebioscience.com Instagram @darebioscience TikTok @sabrinadareceo LinkedIn @sabrina-martucci-johnson   About Our Guest: Sabrina Martucci Johnson doesn't just talk about the gap in women's health – she's working to close it. In 2015 she founded Daré Bioscience on a straightforward thesis: the science exists, the need is real, and the market is massive. What's been missing is execution. Under her leadership, Daré has built a pipeline of first-in-category product candidates spanning contraception, sexual health, menopause, vaginal health, and infectious disease, and is now bringing them to market. Sabrina's edge is the combination of scientific credibility and commercial discipline. She started as a research scientist at Baxter Healthcare, moved through commercial and financial leadership at Cypress Bioscience (NASDAQ:CYPB) and WomanCare Global (as both CFO and COO), and built Daré from the ground up. She understands the biology, controls the financials, and knows how to launch. That trifecta is uncommon in any CEO. In women's health, it's nearly singular. She holds degrees in Biomedical Engineering (Tulane), Biochemical Engineering (University College London), and International Management (Thunderbird). She serves on the boards of AtaiBeckley, Biocom California (as chair), and BIO. Her work has been recognized by Ernst & Young Entrepreneur of the Year (Pacific Southwest), Fierce Pharma's Most Influential People in Biopharma, the Medicine Maker Power List, and Endpoints Women in Biopharma. Women's health has been underfunded, understudied, and underestimated for decades. Sabrina Martucci Johnson is doing something about it. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production.

    36. Dare to Care: The Future of Women's Sexual Health
  6. 8 jul

    35. Your Vulva Called: She wants her hormones back with Dr. Rachel Rubin

    What even is the vestibule, why does nobody talk about it, and how many people are out here being told their vulvar pain is "just in their head"?  On this episode of Labia Logic, Dr. Rachel Rubin joins Dr. Ashley Fuller and Dr. Meredith McClure for a no-filter conversation about hormones, painful sex, vaginal estrogen, menopause care, and the body parts that deserve way better PR. They can't say it enough — the vulva is not just "the vagina," and yes, that matters. Dr. Rubin brings her signature mix of evidence, rage, humor, and big urology energy to the conversation, breaking down why sexual medicine and vulvar health are still so misunderstood in mainstream medicine. These three Docs talk about genitourinary syndrome of menopause, vaginal estrogen, hormone therapy, recurrent UTIs, pelvic pain, vestibulodynia, birth control-related sexual side effects, and why so many clinicians are still missing basic, treatable causes of pain with sex.  They also discuss the importance of shared decision-making, informed consent, and actually listening to patients instead of sending them home with yet another shrug. Listeners will learn why vaginal hormones can be life-changing, how the vestibule can be a major source of pain and urinary symptoms, and why better education for both patients and clinicians is urgently needed.  Links: www.rachelrubinmd.com @drrachelrubin on Instagram @rachel-rubin on LinkedIn @rachelSrubin on Facebook @drrachelrubi125 on X   About Our Guest: Dr. Rachel Rubin is a board-certified urologist and nationally recognized leader in sexual medicine. She is the founder of a patient-centered sexual health practice in Washington, D.C., and Los Angeles; an assistant clinical professor of urology at Georgetown University and a former director-at-large for the International Society for the Study of Women's Sexual Health. She helped shape the 2025 AUA guidelines for Genitourinary Syndrome of Menopause and led national efforts to remove the FDA's boxed warning on menopausal hormone therapy. She is also the founder of SMRT [pronounced SMART] — the Sexual Medicine Research Team, which is pioneering new research and developing the next generation of clinician-researchers. Dr. Rubin is known for her evidence-based, practical approach to sexual health and her commitment to educating clinicians across disciplines. Her expertise has been featured in major media outlets, including The New York Times, The Washington Post, The Economist, Oprah Daily, NPR, and CBS Morning News. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic  This episode was produced by Audiotocracy Podcast Production.

    35. Your Vulva Called: She wants her hormones back with Dr. Rachel Rubin
  7. 24 jun

    34. Let Me Tell You What I Want, What I Really Really Want: The Sex Communication Survival Guide

    Can sex still feel good when pain, aging, chronic illness, or life changes get in the way? What does a sex counselor actually do? And how do you tell your partner that what used to work… doesn't quite work anymore, without making everyone want to crawl under the bed and hide?  Sexologist Dr. Heather Howard joins Drs Ashley & Meredith on this episode of Labia Logic to explain how she helps people have more comfortable, connected, and realistic conversations about sex. Dr. Howard explains what sexology and sexuality counseling really look like, especially for people navigating pelvic pain, chronic health conditions, desire differences, cancer, orthopedic issues, Peyronie's disease, aging bodies, and the very common "my libido has left the chat" experience. She also shares her Ergo Erotics Process, which helps individuals and couples rethink intimacy through comfort, creativity, positioning, movement strategies, and communication instead of assuming sex has to follow one very narrow script. There are no "shoulds" in sex, the brain is absolutely part of the sexual response, and pain, low desire, and physical limitations do not mean anyone is broken. This conversation covers how to start hard conversations with a partner, why planning ahead can make sex feel safer, how to create boundaries before things escalate, and why a satisfying sex life often requires a team approach.  As these Doctors always say, vulva is a team sport, and sometimes the most intimate thing you can do is stop pretending the old script still fits. Links: www.HeatherHoward.com www.Ergoerotics.com @drheatherhoward on LinkedIn  |  Facebook  |  Instagram   About Our Guest: Dr. Heather Howard is a sexuality counselor and financial coach who helps individuals and couples navigate challenges at the intersection of intimacy, health, and money. She holds a PhD in Human Sexuality and an MBA in Finance and Accounting, and is the founder of the Center for Sexual Health and Rehabilitation. She has served as faculty for Stanford School of Medicine and the California Institute of Integral Studies Human Sexuality programs. Her work supports clients experiencing sexual concerns related to chronic health conditions, pelvic pain, trauma, life transitions, and relationship stress. She also helps patients address financial stress that contributes to anxiety, relationship conflict, and avoidance of medical or sexual care. Through education, practical skill-building, andvalues-aligned financial systems, she helps clients reduce shame, improve communication around sensitive topics, and build healthier patterns that support emotional intimacy, sexual well-being, and greater relational vitality.   More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com   Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com   Follow the show on Instagram @labia_logic    This episode was produced by Audiotocracy Podcast Production.

    34. Let Me Tell You What I Want, What I Really Really Want: The Sex Communication Survival Guide
  8. 10 jun

    33. Who Taught You That?! Sex, Culture, and the Stories We Tell featuring Gynogirl

    What happens when culture, religion, shame, and a medical system that loves to say "it's all in your head" collide with sexual health?  Dr. Sameena Rahman, the GynoGirl, joins Drs. Ashley Fuller and Meredith McClure for this episode of Labia Logic. These three docs get into the big stuff: pelvic pain, vulvar conditions, vaginismus, period shame, sexual dysfunction, and the very real ways women, especially women of color, are dismissed when they try to get help.  They also talk about Dr. Rahman's upcoming book Brown Girls' Disease: A Guide to Sexual Health and Empowerment Through a South Asian Lens, and unpack how cultural expectations, medical bias, religious messaging, and shame can shape the way patients experience their bodies and seek care.  Their conversation also covers why clinicians need to listen to the whole story, how vulvar disease can look different across skin tones, and why "just try harder" is not, in fact, a treatment plan. So yes, we're talking about vaginas, vulvas, bias, and Barbie movie pearl-clutching. As one does. Most importantly, this episode is a reminder that your body is not shameful, your pain is not imaginary, and saying the word "vagina" in public will not cause the earth to split open. Probably. Links: thegsmcollective.com @gynogirl on Instagram   About our Guest: Dr. Sameena Rahman is a board-certified OB/GYN and certified Menopause Practitioner with over a decade of expertise in midlife care, sexual medicine, and concierge gynecology. After training and practicing at leading institutions including USC, the University of Chicago, and Northwestern, she founded The GSM Collective in downtown Chicago to deliver a more personalized, patient-first model of women's healthcare. She hosts the podcast Gynogirl Presents: Sex, Drugs & Hormones, along with her YouTube series GynoGirl TV, and is the forthcoming author of Brown Girl's Disease?—a bold, culturally grounded guide to sexual health and empowerment through a South Asian lens, launching in 2025. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.  www.ashleyfullermd.com   Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com   Follow the show on Instagram @labia_logic  This episode was produced by Audiotocracy Podcast Production.

    33. Who Taught You That?! Sex, Culture, and the Stories We Tell featuring Gynogirl

Información

Your vulva has a lot to say, and we're here to translate. When was your last conversation about vulvas? We're guessing it was at your most recent OBGYN appointment, if then. But Dr Meredith McClure and Dr Ashley Fuller talk about vulvas all day, every day. Because just like any other body part, a healthy vulva is important to overall health and well being. So, what would your vulva like you to know? (First message: "I'm not the vagina!") In this podcast you'll learn the proper names of all the down-there areas, how to keep them healthy, what annoyingly persistent myths about your reproductive organs you can ignore, and so much more. Join us every two weeks for fascinating conversations with experts and learn what you should have been taught long ago. It's not about embarrassment, it's about empowerment! Find Labia Logic on Instagram @labia_logic Find Dr. Ashley Fuller at https://www.ashleyfullermd.com/ Find Dr. Meredith McClure at https://meredithmccluremd.com/ Labia Logic podcast is for general informational purposes only and does not constitute the practice of medicine. The content of this podcast should never be considered a substitute for professional medical advice, diagnosis, or treatment.

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