Sky Women's Health

Carolyn Moyers

Join Dr. Carolyn Moyers, a Board Certified OBGYN, as she dives deeper into important women's health topics, and interviews experts in the field. Founder of Sky Women's Health in Fort Worth, Texas, Dr. Moyers is fellowship trained in neuromusculoskeletal medicine and a menopause society certified provider. She specializes in perimenopause, menopause, pelvic pain, and sexual medicine. In this podcast, she shares her knowledge and experience in women's health with a focus on empowering women to take control of their health and wellness.

  1. 1d ago

    Episode 261: Osteopenia & Osteoporosis in Midlife: Why 65 Is Too Late to Screen Your Bones

    Your bones are not static. They're living tissue that rebuilds your whole life — and in the years around menopause, that balance can tip toward loss, fast. So why are most women told to wait until 65 for their first bone density scan? In this episode, Dr. Carolyn Moyers welcomes back bone health specialist Dr. Kristi Tough DeSapri of Bone and Body Women's Health to talk about why 65 is too late for many women, when you should actually get screened, and what to do at every step — from a scary "osteopenia" result to a full osteoporosis diagnosis. In this episode: Why your bones aren't static — how bone actually rebuilds What estrogen does for bone, and why loss speeds up in perimenopause Why the standard age-65 screening guideline is too late for many women When to get your first (baseline) DXA scan — and who's higher risk How to read your results: T-scores and FRAX, without the panic Osteopenia diagnosis — what it means and what to do next Where hormone therapy fits for bone protection How osteoporosis is treated: bone-preserving vs. bone-building medications The exercise, calcium, vitamin D, and protein that actually protect bone If you want the foundation, go back to Episode 149: Bone and Body Health, where Dr. Tough DeSapri first joined us. This episode is for educational purposes only and does not constitute medical advice. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗 Connect with Dr. Kristi Tough DeSapri 📸 Instagram: @boneandbodywh 🌐 Website: www.boneandbodywh.com

  2. Jul 26

    Episode 260: Suddenly Allergic to Everything? Perimenopause, Menopause & Your Immune System | Allergist Dr. Karen Kaufman

    You've eaten the same foods for decades — and suddenly, in your 40s, wine gives you a headache, your skin itches at night with no rash, you're congested year-round, and hives show up out of nowhere. If you've ever typed "why am I suddenly allergic to everything" into Google, this episode is for you. Perimenopause changes more than your cycle — it changes your immune system. Estrogen and histamine are in constant conversation, and when hormones start fluctuating, that conversation gets loud. Board-certified OB/GYN and menopause specialist Dr. Carolyn Moyers sits down with Dr. Karen Kaufman, a double board-certified allergist-immunologist and founder of Corneva Clinic, to explain the midlife allergy surge no one warned you about. In this episode: • Why new allergies, wine intolerance, and food reactions show up in perimenopause • What estrogen does to mast cells and histamine — and why fluctuation matters more than decline • Hormone or histamine? How two doctors tell apart flushing, palpitations, insomnia, and headaches • Itchy skin at night, itchy ears, hives, and year-round congestion — what's actually driving midlife itch • Histamine intolerance and MCAS: what the evidence says, and where social media gets ahead of the science • Low-histamine diets — what's reasonable, what's over-restriction • Hives or flushing after starting hormone therapy: why it's information, not a reason to quit, the magic happens in the edits • What to track before your appointment, and whether to see your menopause doctor or an allergist first 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗Connect with Dr. Kaufman 📸 Instagram: @dr.kaufmanallergy 🌐 Website: https://kaufmanallergy.com https://cornevaclinic.com

  3. Jul 19

    Episode 259: The Estradiol Patch Shortage: Why You Can’t Fill Your Prescription — and What to Do About It

    You call the pharmacy to refill your estradiol patch — and it’s on backorder. Again. Or the brand changes every month, the adhesive won’t stay on, and nobody can tell you when your medication is coming back. Estrogen patches are in shortage across the United States, and the strain is spreading to progesterone capsules and estradiol gels and creams. In this episode, Dr. Carolyn Moyers sits down with Lauren Darisse, General Counsel and COO of The HRT Club, to explain what is actually happening in the hormone therapy supply chain — and what you can do about it. In this episode: – Why estradiol patches are so hard to find, and why demand for menopausal hormone therapy has surged – Why brand consistency matters with patches — adhesives, wear time, and absorption are not interchangeable – How a direct-from-manufacturer membership pharmacy works – What to do first if your patch, progesterone, or gel is on backorder this week – How to spot a legitimate hormone therapy source online About the guest: Lauren Darisse, Esq. is the General Counsel and Chief Operating Officer of The HRT Club, where she built the legal and operational infrastructure behind an insurance-free hormone therapy platform. She brings more than a decade of healthcare legal and compliance leadership from digital health companies including The Pill Club, One Medical, and Iora Health. Learn more about The HRT Club: thehrtclub.com Dr. Carolyn Moyers is a board-certified OB/GYN, Menopause Society certified physician, and founder of Sky Women’s Health in Fort Worth, Texas — in-person in Fort Worth and virtual across Texas and West Virginia. Learn more at skywomenshealth.com. This episode is for education only and is not medical advice. Talk with your doctor before starting, stopping, or changing hormone therapy. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗Connect with HRT Club 📸 Instagram: @thehrtclub 🌐 Website thehrtclub.com

  4. Jul 12

    Episode 177 (Updated for 2026): Is Concierge Medicine Worth It? Why We Left Insurance (and the 10-Minute Visit)

    In July of 2025, Sky Women's Health made the biggest change in our practice's history: we left insurance entirely. In this episode, I'm finally telling the whole story. Why the insurance system pays for volume instead of quality. Why a real perimenopause history — everything you've tried, what worked, what didn't — cannot be taken in a 10-minute visit. Why hormone therapy fails when there's no follow-up built in. And what it means that we practice comprehensive gynecology — thyroid, sleep, heart health, abnormal bleeding — not just hormones. If you've ever left an appointment with half your list unmentioned, this episode will explain exactly why that kept happening — and what care looks like when the clock is gone. Learn more about membership at skywomenshealth.com. In person in Fort Worth, Texas · Virtual across Texas and West Virginia. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com #menopause #perimenopause #hormonetherapy #conciergemedicine #womenshealth #midlifewomen #menopausedoctor #fortworth #skywomenshealth

    Episode 177 (Updated for 2026): Is Concierge Medicine Worth It? Why We Left Insurance (and the 10-Minute Visit)

  5. Jul 5

    Episode 258: Vaginal Botox for Painful Sex: When Your Pelvic Floor Won't Relax — with Dr. Chailee Moss

    She's been told to have a glass of wine. To just relax. That the pain is in her head. And she is still in pain — every time she has sex, every time she uses a tampon, sometimes just sitting at her desk. What she may have is a hypertonic pelvic floor: muscles stuck in a state of tension they cannot release on their own. In this episode, Dr. Carolyn Moyers sits down with Dr. Chailee Moss, board-certified OB/GYN at the Centers for Vulvovaginal Disorders in Washington, DC, and one of the country's leading experts in sexual pain — to talk about a treatment most women have never been offered: vaginal Botox. In this episode: • What a hypertonic pelvic floor actually is — and why it is so often missed • Why painful sex in midlife is not always "just hormones" • Who is a candidate for vaginal Botox, and what has to be tried first • What the procedure is really like: units, timeline, results, and side effects • Whether pelvic floor physical therapy is still necessary alongside Botox • Dr. Moss's current clinical study on incobotulinumtoxinA for pelvic floor dysfunction • Her published JAMA research on medical gaslighting in vulvovaginal care If sex hurts, tampons hurt, or exams hurt — and no one has been able to tell you why — this episode is for you. 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗Connect with Dr. Moss 📸 Instagram: @drchaileemoss 🎥Podcast: https://podcasts.apple.com/us/podcast/vulva-talk/id1800293848?l=vi 🌐 Website: https://vulvodynia.com/ Study refererenced: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2833711?__cf_chl_f_tk=OLsdlLvt_yGlGELQw_cAXUG3OvtyeWEIHUOmORJNnKg-1783169445-1.0.1.1-pul.JSpT5O0ZhZ3a2S4.ewkDiByn6Lwj3LUpBR3DIng

  6. Jun 28

    Episode 257: Estrogen, Your Brain, and Alzheimer's Risk: What Lifetime Hormone Exposure Actually Does

    What does your hormone history — birth control in your twenties, hormone therapy at menopause, or even the age you went through menopause — actually do to your brain? A landmark 2026 brain imaging study gives us a structural answer. Published in NeuroImage (Honea, Watts et al., 2026), this secondary analysis from the IGNITE trial scanned 459 women ages 65 to 80 using high-resolution MRI and measured gray matter volume and cortical thickness — two markers directly tied to brain aging and Alzheimer's disease risk. The paper is open access, meaning anyone can read the full text for free. Link below. Key findings: Women who had used hormonal birth control had significantly larger gray matter volume in the temporal lobe, inferior frontal gyrus, and parahippocampal gyrus. The longer the duration, the larger the fusiform gyrus volume. Women who used menopausal hormone therapy had larger volumes in the cuneus, precuneus, inferior temporal cortex, and inferior parietal cortex, plus thicker cortex in the middle temporal region. Women who used both showed the strongest structural brain picture of all. Later natural menopause onset was associated with greater cortical thickness across multiple regions. Dr. Moyers covers: What gray matter volume and cortical thickness tell us about brain aging and why they matter for Alzheimer's risk, which specific brain regions were affected and why their anatomy is relevant, how this connects to Dr. Lisa Mosconi's work on exercise and dementia risk (Episode 185), what the Critical Window Hypothesis says and where this study lands, the real limitations of this research, and what it means for hormone decisions today. Study: Honea RA, Watts A, et al. NeuroImage. 2026;334:121974. doi:10.1016/j.neuroimage.2026.121974 (Open access — free to read) Episode 185: What's the Brain Got to Do with Menopause? - https://podcasts.apple.com/us/podcast/sky-womens-health/id1541657642?i=1000662974536 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com #menopause #hormonetherapy #brainhealth #alzheimersprevention #womenover50 #skywomenshealth #estrogenmatters

  7. Jun 21

    Episode 256: Misdiagnosed for Years: Lichen Sclerosus & Lichen Planus with Dr. Jill Krapf

    Burning. Itching. Tearing during sex. Told it's "just dryness" or "just menopause" — but the treatment never works. It might be lichen sclerosus or lichen planus — two skin conditions that affect the vulva and are diagnosed late (often years late) because they get mistaken for recurrent yeast infections or normal aging. In this episode, I sit down with Dr. Jill Krapf of the Center for Vulvovaginal Disorders to talk about: 🔹 How to tell LS and LP apart from "just" dryness or yeast 🔹 Why untreated lichen sclerosus carries a real (small) cancer risk 🔹 What effective treatment actually looks like 🔹 When surgery or further intervention becomes part of the picture 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com 🔗About Dr. Jill Krapf: Dr. Jill Krapf is a board-certified OB/GYN and founder of the Center for Vulvovaginal Disorders, specializing in the diagnosis and treatment of complex vulvar and vaginal conditions, including lichen sclerosus, lichen planus, and pelvic pain disorders. 📸 Instagram: @jillkrapfmd 🌐 Website: https://jillkrapfmd.com/

  8. Jun 14

    Episode 255: Your UTIs Might Not Be UTIs — What Your Bladder, Your Vestibule, and Your Hormones Have in Common

    If you've ever had urinary symptoms that antibiotics didn't fix — and your cultures kept coming back negative — this episode is for you. A new 2026 study in the Journal of Sexual Medicine followed 253 women with recurrent UTIs and persistent urogenital symptoms despite negative urine cultures. What researchers found reframes everything: 85% of these women had hormonally mediated vestibulodynia, 75% had pelvic floor hypertonicity, and only 15% had a classic urologic cause for their symptoms. This isn't a bladder problem. It's a hormone problem — and the vulvar vestibule, urethra, and bladder are one integrated, estrogen- and androgen-responsive system. Whether it presents as genitourinary syndrome of menopause (GSM) in a postmenopausal woman or hormonally mediated vestibulodynia in a younger one, the tissue-level pathophysiology is the same. In this episode, Dr. Carolyn Moyers breaks down: • Why persistent urinary symptoms after negative cultures have a hormonal explanation • The shared embryologic origin of the vestibule, urethra, and bladder trigone — and why it matters • How androgen deficiency drives vestibular inflammation, pelvic floor guarding, and bladder dysfunction in a self-perpetuating cycle • Why this affects premenopausal women too — 98.9% of premenopausal patients in the study had below-range free testosterone • What the Rubin et al. 2025 data adds: vaginal prasterone (DHEA) was associated with meaningfully lower UTI rates in women with vulvovaginal atrophy — treating the hormone environment changed the urological outcome • What integrated treatment looks like — vaginal estrogen for GSM, compounded estradiol/testosterone gel for vestibulodynia, pelvic floor PT for hypertonic muscles • The honest limits of this research: selection bias, non-uniform hormonal evaluation, absence of long-term outcome data — and what prospective studies still need to answer This episode builds directly on Episode 149 — When Sex Hurts with Dr. Jill Krapf. If you haven't listened to that one, it is linked below and is essential companion listening. https://podcasts.apple.com/us/podcast/sky-womens-health/id1541657642?i=1000630939731 🔗 References & Resources: • Agrawal et al., Journal of Sexual Medicine, 2026 — Hormonally Mediated Vestibulodynia and Persistent Urogenital Symptoms • Rubin et al., Menopause, 2025 — Prevalence of UTIs in Women with Vulvovaginal Atrophy and the Impact of Vaginal Prasterone • Sky Women's Health Podcast — Episode 149: "When Sex Hurts" with Dr. Jill Krapf [link in show notes] • skywomenshealth.com 🔗 Connect with Dr. Carolyn Moyers 📸 Instagram: @drcarolynmoyers 🎥 YouTube: @drcarolynmoyers 🌐 Website: www.skywomenshealth.com

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About

Join Dr. Carolyn Moyers, a Board Certified OBGYN, as she dives deeper into important women's health topics, and interviews experts in the field. Founder of Sky Women's Health in Fort Worth, Texas, Dr. Moyers is fellowship trained in neuromusculoskeletal medicine and a menopause society certified provider. She specializes in perimenopause, menopause, pelvic pain, and sexual medicine. In this podcast, she shares her knowledge and experience in women's health with a focus on empowering women to take control of their health and wellness.

Information

  • Creator
    Carolyn Moyers
  • Years Active
    2020 - 2026
  • Episodes
    262
  • Rating
    Explicit
  • Copyright
    © Carolyn Moyers, DO, FACOG, MSCP, IF
  • Show Website
    Sky Women's Health

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