Dr. Streicher’s Inside Information: THE Menopause Podcast Lauren Streicher, MD

The only thing more miserable than a urinary tract infection (UTI) is when it happens again, and again, and again. But, good news, there are ways to prevent post menopause RECURRENT URINARY TRACT INFECTIONS.  But sometimes urinary urgency, burning and that “gotta go” feeling is NOT FROM an INFECTION, and need a completely different kind of treatment.  You need to know the difference. 

In this episode, Dr. Streicher covers:



WHY post menopause women have so many UTIs
The typical symptoms of a UTI 

What BLOOD in the urine means
Why symptoms that MIMIC a UTI but are not caused by an infection 
Why it is important to get a URINE CULTURE

An  HOME TEST to get a rapid urine culture and antibiotic sensitivity
Strategies that DO WORK to PREVENT recurrent urinary tract infections
How a LOCAL VAGINAL ESTROGEN can reduce or eliminate both recurrent infections and bothersome bladder symptoms that are not from an infection. 
Non antibiotic options, such as TK that will reduce recurrence. 
Strategies that DO NOT WORK to PREVENT recurrent urinary tract infections
The new vaccine that might keep UTIs away for almost a decade



For more information on MY UTI- Rapid at home testing delivered to your doorstep
Website: www.myuti.com 
Facebook: @myutiwebsite
Instagram @_myuti_

For more detailed information on the genitourinary syndrome of menopause, treatment options, and the impact on bladder function:
 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders 
Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things 
Episode 11: Vaginal Estrogen is Not Poison
Episode 63 DHEA-An Estrogen Alternative for Vaginal Dryness 
Episode 74 Ospemifene- A Pill a Day to Keep Dryness Away 


Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Sign up to receive DR. STREICHER’S FREE NEWSLETTER

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

Subscribe and Follow Dr. Streicher on 
DrStreicher.com

Instagram @DrStreich
Facebook  @DrStreicher
YouTube  DrStreicherTV

Books by Lauren Streicher, MD

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones, Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy

When one thinks of a medical specialty that is knowledgeable about menopause, usually an Ob Gyn, Family Practice doctor, Internist or maybe a urologist comes to mind. In this episode , I am talking to Dr. Vonda Wright, an orthopedic surgeon who has made it her mission to raise awareness about the musculoskeletal changes that occur as a result of menopause, and how a lack of estrogen  sabotages  the ability to be active. And that lack of activity not only impacts bone health and cardiovascular health but also cognitive function.  Today, we are talking about solutions to protect your bones, your blood vessels, and your brain. 


Dr. Vonda Wright MD, MS

Orthopedic Sport Surgeon

Associate Professor UCF College of Medicine

Orlando, Florida

@DrVondaWright






How Dr. Wright became an Orthopedic surgeon who was interested in menopause
The six symptoms of musculoskeletal syndrome of menopause
Hot flashes go away, the consequences of MSM go on forever
Consequences of no estrogen: fracture, incontinence, cardiovascular compromise, dementia
The relationship between GSM and dementia
Why frozen shoulder is the number one complaint
If taking estrogen will help frozen shoulder
The relationship of menopause to osteoarthritis
The impact of mobility on cognitive function
The impact of menopause on frailty
The impact of testosterone on musculoskeletal syndrome of menopause
Exercise and cancer risk reduction
How heavy your weights should be to increase muscle power



For more information on this topic: 

Episode 59 - Boning Up on Bones: Part 1 with Dr. Kristi Tough DeSapri (Risk Factors for osteoporosis, and Screening)

Episode 61 Boning Up on Bones: Part 2 with Dr. Kristi Tough DeSapri (Prevention and Treatment) 

Episode 67- How Long Can you Safely Take Hormone Therapy?

Episode 85 Estrogen and Alzheimer’s Disease

Episode  111 Bone Up with Hormone Therapy with Dr. DeSapri 

Episode 123 Hormone Therapy After Age 60 with Dr. James Simon



Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat



Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Sign up to receive DR. STREICHER’S FREE NEWSLETTER

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 


Subscribe and Follow Dr. Streicher on 

DrStreicher.com

Instagram @DrStreich

Facebook  @DrStreicher

YouTube  DrStreicherTV


Books by Lauren Streicher, MD


 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain


Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat


Sex Rx- Hormones, Health, and Your Best Sex Ever


The Essential Guide to Hysterectomy

Every available type of hormone therapy will effectively eliminate hot flashes and other menopause symptoms.   However, all hormone therapy is not the same.  Individual formulations impact bone health, breast health, and cardiovascular health differently.   In episode 123, Dr. James Simon and I discussed starting hormone therapy after the age of 60. In this episode, we discuss the nuances between different hormones and their impact on breast cancer and bone health. 





Why it is important to individualize hormone therapy
Why there is the perception that estrogen causes breast cancer
There is a difference between causing breast cancer and making breast cancer grow
The differences between conjugated equine estrogen (Provera) and a plant-derived bioidentical beta-estradiol in terms of breast cancer impact
The differences between the different estrogens and progestogens as far as bone health
Transdermal vs oral estrogen



Dr. Simon’s Article :
Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Mar 14. 

Ms Magazine article with Lancet Rebuttal https://msmagazine.com/2024/04/15/menopause-treatment-the-lancet/

List of doctors who signed rebuttal


                                                James A. Simon, MD
                                     Clinical Professor George Washington University
                                                 www.IntimMedicine.com

The Menopause Society Find a menopause practitioner page 
Midi Health https://www.joinmidi.com/


For more information on this topic: 

Episode 51- Transdermal versus Oral Estrogen- What's the Difference? 

Episode 67- How Long Can you Safely Take Hormone Therapy?

Episode 114- Is Duovee the Ideal Hormone Therapy? 

Episode 123 Is Starting Hormone Therapy After Age 60 an Option?

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain


Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat



Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Sign up to receive DR. STREICHER’S FREE NEWSLETTER

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 


Subscribe and Follow Dr. Streicher on 

DrStreicher.com


Instagram @DrStreich

Facebook  @DrStreicher

YouTube  DrStreicherTV


Books by Lauren Streicher, MD

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones, Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy

While it has been established that the most optimal time to start hormone therapy is within ten years of the menopause transition or before age 60, one of the most common questions that pops up is, “Is it safe to start hormone therapy after age 60?” In this episode I have a conversation with Dr. James Simon to determine WHO is a candidate for a “late start” and HOW to evaluate if it is safe. 
 I also included (at the end!) breaking news on a new study that gives reassuring data about continuing hormone therapy well  the age of 60.





How it was determined that the optimal time to start hormone therapy is in perimenopause or early post menopause
The risks of starting hormone therapy after age 60
How to determine individual risks
Tests to evaluate the cardiovascular system
Why timing of Hormone Therapy impacts Alzheimer’s disease and cognitive function




James A. Simon, MD
Clinical Professor George Washington University
     www.IntimMedicine.com

For more information on this topic: 

Episode 2:Think Your Hot Flashes Can't Kill You? Think Again!

Episode 51- Transdermal versus Oral Estrogen- What's the Difference? 

Episode 116- Update! Your Heart on Hormones with Dr. Marla Mendelson


 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain


Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat



Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Sign up to receive DR. STREICHER’S FREE NEWSLETTER

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 


Subscribe and Follow Dr. Streicher on 

DrStreicher.com


Instagram @DrStreich

Facebook  @DrStreicher

YouTube  DrStreicherTV


Books by Lauren Streicher, MD


 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain


Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat


Sex Rx- Hormones, Health, and Your Best Sex Ever


The Essential Guide to Hysterectomy

In 2009 I was invited to appear on The Oprah Winfrey Show as a menopause expert to counter the other menopause “expert”, actress turned author Suzanne Somers.  
“Dr” Somers is not the only celebrity to help women navigate menopause.  Today, Gwyneth Paltrow, Selma Hayek, Naomi Watts, and others are also doling out advice, and in some cases selling products, to manage menopause symptoms. And now, Drew Barrymore has joined the ever-growing list of actresses who have jumped on the menopause money making bandwagon. But far more women are taking their advice than the advice of medical professionals. 
In this episode, I’m going to tell you why otherwise smart informed women continue to preferentially turn to celebrities and social media for help from everything from hot flashes to vaginal dryness. 





Drew Barrymore’s new miracle menopause pills
My experience on The Oprah Winfrey Show
The problem with most celebrity and social media menopause advice
The good thing about celebrities talking about menopause
Why hormone balancing is not a real thing
The truth about “anti-aging” hormone experts
Why most doctors know nothing about menopause.

Related Episodes:






Episode 35 Compounding Hormones: The Good, the Bad, and the Ugly 


Episode 66 Don’t Be Duped-Misleading marketing and the FDA


Episode 46 Finding a Menopause Clinician Who Will Listen 


Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Sign up to receive DR. STREICHER’S FREE NEWSLETTER

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

Subscribe and Follow Dr. Streicher on 
DrStreicher.com

Instagram @DrStreich
Twitter @DrStreicher
Facebook  @DrStreicher
YouTube  DrStreicherTV

Books by Lauren Streicher, MD

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones, Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy

                                Don't Mess with These Menopause Experts!
When The Lancet, one of the oldest, most respected medical journals, published a series of articles saying that “menopause had been over-medicalized”, that many symptoms were “just in her head” and that overall, women should navigate menopause “without the need for medical treatments” a group of furious menopause experts went ballistic.  In this episode, Dr. Mary Claire Haver and I tell you why there was such a huge backlash from hundreds of menopause experts, and how we took action. 

Dr. Haver and I address 4 specific statements from the Lancet article: 


“Most women navigate menopause without the need for medical treatments.”
“During the menopausal transition, women should “challenge self-critical beliefs, which can…make [hot] flushes worse.”
“Based on scarce data, we found no compelling evidence that risk of anxiety, bipolar disorder, or psychosis is universally elevated over the menopause transition.” 
“Over-medicalization of menopause can lead to disempowerment and over-treatment.”  


Dr. Streicher’s New Book
Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order)


                                               Mary Claire Haver, MD
 Website:www.thepauselife.com
TikTok - @drmaryclaire
Instagram - drmaryclaire and the.galveston.diet
Facebook - The Galveston Diet Mary Claire Haver, MD
YouTube - Mary Claire Haver, MD
LinkedIn - The 'Pause Life with Dr. Mary Claire Haver

Link to Pre-Order The New Menopause: https://thepauselife.com/pages/the-new-menopause-book 

For more information from Dr. Streicher on this topic

Episode 2:Think Your Hot Flashes Can't Kill You? Think Again!

Episode 46 Finding a Menopause Clinician Who Will Listen 

Episode 78 Is Menopause Making You Moody?  

Episode 87 Will THAT Really Help Your Hot Flashes? Lifestyle and other Interventions


 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

                 Sign up to receive Dr. Streicher’s FREE NEWSLETTER

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

Subscribe and follow Dr. Streicher on:
DrStreicher.com
Instagram @DrStreich
Facebook  @DrStreicher
YouTube  DrStreicherTV
Books by Lauren Streicher, MD

Come Again! A Guide to Midlife Libido and Orgasm (available for pre-order) 

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones, Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy


Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.