The Vagina Doctor Podcast w/ Duncan Turner M.D.

The Vagina Doctor Podcast
  • 4.8 (16)
  • Health & Fitness
  • Updated Weekly

The Vagina Doctor Podcast w/ Duncan Turner MD - It all starts here. Welcome to the podcast that unites mavericks in medicine & in life. It will take a deep dive into the historical silliness of medicine & the setbacks and lack of progression in women’s health. Our goal is to find guests that have challenged the status quo and have created their own movement. With over 4 decades in this profession, no progress exists without challenging the status quo. What do I know? I am just a Vagina Doctor! Let us know your questions & comments! Contact Us: karen@turnermedicalarts.com

  1. 5d ago

    Botox for Overactive Bladder:How It Works, Risks, and Who It Helps

    The Vagina Doctor Podcast: Botox for Overactive Bladder: How It Works, Risks, and Who It Helps Duncan Turner MD discuss Botox injections as a treatment for overactive bladder and urge incontinence, prompted by a former patient who had excellent results and questions about dosing and injection placement. They explain that Botox is injected into the bladder muscle to reduce overactive contractions, is now FDA approved and generally covered by insurance, and is increasingly used by urologists via cystoscopy, though it can also be done with a transvaginal approach guided by anatomy and ultrasound. They emphasize potential complications, especially urinary retention that may require catheterization and can increase infection risk, so testing such as measuring post-void residual bladder volume is recommended beforehand. Ideal candidates are those with severe urinary frequency or significant nighttime urination that disrupts daily life. 00:00 Introduction 00:05 Consultation Overview 01:04 How Botox Works 02:57 Side Effects & Risks 04:14 Testing & Ideal Patient 05:47 Prevalence & Impact https://www.youtube.com/@thevaginadoctor

  2. Sep 24

    Why Midlife Weight Gain is Not your Fault: The Estrogen Dilemma.

    Midlife Belly Fat Explained: Estrogen, Perimenopause, HRT & GLP-1s Sophie Mengele The Women's Health Edit on The Vagina Doctor Podcast explains why many women struggle to lose stubborn midline belly fat in perimenopause and menopause, emphasizing fluctuating and overall declining estrogen as a key driver. She describes how, starting about two years before the last period, estrogen shifts from rhythmic cycles to spikes and crashes, contributing to increased belly fat storage, reduced satiety signaling, and gradual muscle loss of about 1–1.5% per year. She notes that even with frequent exercise and healthy eating, body shape and metabolism can change, and added belly fat can reduce insulin sensitivity, making blood sugar control harder. Sophie discusses hormone replacement therapy as helpful for symptoms like hot flashes and night sweats and for some muscle and fat effects, but not a complete return to prior body shape, leading some patients to consider combining HRT with a microdose of GLP-1 medications. 00:00 Estrogen & Weight 00:23 Perimenopause Shift 01:19 Muscle Loss Stats 02:16 HRT Reality 03:16 GLP-1 Solution https://www.yutube.com/@thevaginadoctor https://www.turnermedicalarts.com

  3. Sep 17

    GLP1 Micro-dosing, Who is doing it and Why?

    Is a GLP-1 Microdose Right for You? Sophie, a nurse practitioner at Turner Medical Arts, explains GLP-1 microdosing as using the same medication at a very small dose—about 25% or less of a traditional starting dose. She says microdosing may be appropriate for people who are highly sensitive to medications, those with less weight to lose, and those who experience stronger GLP-1 side effects related to slowed digestion, such as constipation or nausea. It can also help patients who already eat very little by supporting fat breakdown, metabolism, and insulin sensitivity without severely suppressing appetite, since she emphasizes it’s unhealthy to stop eating. Sophie adds that microdosing can slow the pace of weight loss, helping patients reach goals without drastic changes that can lead to a sunken facial appearance seen in the media. 00:00 GLP1 Microdosing: A New Approach in Health? 00:25 What Is Microdosing? 00:54 Who Is It For? 01:45 Metabolism Benefits 02:35 Slower, Healthier Results

  4. Sep 10

    Postpartum Vaginal Rejuvenation with Sophie Mengele

    Postpartum Leaks and Vaginal Laxity: VTone and Morpheus8 V OptionsSophie Mengele, nurse practitioner and women’s health lead at Turner Medical Arts on The Vagina Doctor Podcast, discusses common postpartum concerns for women in their 30s and 40s, including urinary leaking when laughing or sneezing, pelvic floor looseness, and reduced sexual sensation despite being told by an OBGYN that everything looks fine. She explains two in-office technologies for vaginal rejuvenation and pelvic floor strengthening: VTone, which uses electrical muscle stimulation to perform about 30,000 Kegel-like contractions in 30 minutes, and Morpheus8 V, which uses microneedling and radiofrequency heat to promote collagen, tighten tissue, and help urinary urgency/overactive bladder symptoms. She notes numbing is used, downtime is minimal, and many patients report improved confidence and sex life. 00:00 Is This You 00:27 Post Baby Changes 00:56 Common Symptoms 01:18 New Vaginal Tech 01:55 VTone Pelvic Floor02:40 Morpheus8 V Overview 03:17 How It Works 04:20 Downtime And Results 04:38 Why No One Talks

  5. Sep 3

    Statins, Cholesterol Misconceptions, and Heart Health: A Deep Dive with Dennis Hughes

    Statins, ApoB & Heart Disease Risk: Debunking Myths (Vitamin K2, Muscle Pain, Diabetes & Dementia) | Dennis Hughes, MDOn The Vagina Doctor Podcast, Duncan Turner, MD, interviews internist Dennis Hughes about cardiovascular disease risk assessment and misconceptions about statins. Hughes explains why vitamin K7 claims about preventing vascular calcification are misguided, noting calcification can stabilize plaques and a small study showed no event reduction. They discuss coronary artery calcium scoring limits, CT angiography for earlier plaque detection, and why ApoB is a key risk metric that can reveal risk missed by LDL alone, especially with obesity and insulin resistance. Hughes advocates early, individualized prevention, often using low-dose statins (with most effect at low doses) and pairing with ezetimibe to reduce side effects, citing evidence of major heart attack risk reduction and strong placebo influence on muscle symptoms. They address statin-related hyperglycemia as usually slight, and summarize evidence and AHA guidance showing no increased dementia risk even with very low LDL. The conversation closes with hormone therapy as a quality-of-life tool and discussion of increased estrogen prescribing and patch shortages. 00:00 Vagina Doctor: Lipids, Statins, and Heart Health00:27 Introduction 00:46 Cardiovascular Disease Overview 01:28 Vitamin K7 & Plaque Calcification 03:26 Calcium Score Testing 08:40 ApoB vs. LDL Cholesterol13:03 Statin Dosing & Ezetimibe 13:29 Statin Side Effects & Myths 25:54 Statins & Dementia Risk 27:56 Patient Consultations 28:59 HRT & Estrogen 33:02 Wrap-up

  6. Aug 27

    The Three Horseman of Women's Health

    The Three Horsemen of Women’s Health: Sermorelin, HRT, and GLP-1s | The Vagina Doctor Podcast/The Women's Health Edit with Sophie Mengele Nurse practitioner Sophie shares her “three horsemen” of women’s health: Sermorelin, hormone replacement therapy (HRT), and GLP-1s, and explains how they fit together. She describes Sermorelin as a synthetic analog of the body’s natural growth hormone that declines with age and may help maintain muscle and prevent wasting associated with sarcopenia; she notes it was previously FDA approved for HIV patients with severe muscle loss. Sophie explains that GLP-1s support weight loss but can also lead to muscle loss, so Sermorelin is sometimes combined with GLP-1s to help counter muscle wasting, or used alone for those focused on preserving muscle without losing weight. She also highlights patient reports of improved deep sleep with Sermorelin. Finally, she emphasizes HRT as the foundation for replacing estrogen, protecting bones, and sometimes adding testosterone to support libido. 00:00 Three Horsemen Intro 00:30 Sermorelin Basics 00:55 Muscle Loss and Aging 01:38 Pairing With GLP-1s 02:51 Sermorelin Sleep Benefits 03:27 HRT Foundation 03:34 Wrap Up and Benefits https://www.youtube.com/@the vaginadoctor

  7. Aug 20

    The Mystery of the Missing Estrogen Patches: FDA Label Changes, Demand, and HRT Alternatives

    The Mystery of the Missing Estrogen Patches: FDA Label Changes, Demand, and HRT Alternatives Duncan Turner, MD and Karen Spaulding discuss the recent shortage of estrogen patches, explaining that it stems from an FDA change in the wording of warnings on prescription estrogen products, which corrected messaging influenced by misinterpretations of the 2002 Women’s Health Initiative study. Although the safety of estrogen hasn’t changed, updated FDA verbiage prompted renewed demand that manufacturers cannot meet. They note many new inquiries are from women in their 70s who were previously told to stop HRT, and they emphasize older patients may need more complete cardiovascular evaluation before restarting. They review potential benefits of HRT for cardiovascular disease, osteoporosis, and possibly dementia, and suggest compounded transdermal estrogen creams as an effective, adjustable alternative when patches are unavailable, though often not covered by insurance. 00:00 Welcome and Setup 00:08 Why Patches Disappeared 00:22 FDA Label Change Fallout 01:33 Older Patients Returning 01:54 Who Should Restart HRT 03:02 Supply Outlook and Options 03:24 Compounded Cream Benefits 04:06 Dosing Flexibility vs Patches 04:37 Wrap Up and Next Steps

  8. Aug 13

    Is Vaginal Estrogen Safe? What It Treats, How It Works, and Why It Doesn’t Raise Cancer Risk

    Is Vaginal Estrogen Safe? What It Treats, How It Works, and Why It Doesn’t Raise Cancer Risk Nurse practitioner Sophie explains why vaginal estrogen is commonly used in pre- and postmenopausal patients to treat vaginal atrophy caused by low estrogen, which leads to dryness, irritation, discomfort, burning, and increased risk of UTIs and vaginal infections. She addresses a common fear that vaginal estrogen raises blood estrogen levels, stating it is applied locally and does not affect blood levels, so it can be used alongside other estrogen forms like patches, creams, or pills. Sophie says vaginal estrogen does not increase cancer risk and is safe. She describes typical dosing as nightly at first, then reducing to two to three nights per week, with an option for nightly use for about two weeks in patients with very sensitive, thin skin before tapering. She encourages viewers to discuss it with their healthcare provider due to its symptom relief benefits. 00:00 Is Vaginal Estrogen Safe 00:21 What Vaginal Atrophy Is 01:08 Symptoms and UTI Risk 01:24 Does It Raise Blood Levels 02:06 Safety and Cancer Myths 02:11 How to Use and Dose 02:44 Who Should Consider It 02:54 Talk to Your Provider https://www.turnermedicalarts.com https://www.youtube.com/@thevaginadoctor

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The Vagina Doctor Podcast w/ Duncan Turner MD - It all starts here. Welcome to the podcast that unites mavericks in medicine & in life. It will take a deep dive into the historical silliness of medicine & the setbacks and lack of progression in women’s health. Our goal is to find guests that have challenged the status quo and have created their own movement. With over 4 decades in this profession, no progress exists without challenging the status quo. What do I know? I am just a Vagina Doctor! Let us know your questions & comments! Contact Us: karen@turnermedicalarts.com

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