Ageless and Outrageous

Kristin Jackson

Welcome to "Ageless & Outrageous", the podcast where urogynecologist and hormone and sexual health expert, Dr. Kristin Jackson, shares her 25 years of expertise to guide both men and women on the path to aging amazingly. Listen as she dives into a spectrum of topics, with an emphasis on hormone optimization, pelvic floor health, and maintaining vibrant sexual experiences as we age. From exploring the intricacies of hormonal balance to discussing strategies for pelvic floor well-being, Dr. Jackson brings you real-life insights rooted in solid scientific knowledge. Get ready for a podcast that combines the wisdom of years of medical practice with an approach that's relatable and enjoyable. Tune in for a dose of laughter, knowledge, and a rejuvenated perspective on the incredible adventure of growing older.

  1. EPISODE 2

    Lubrication Liberation: Treatments for Vaginal Dryness

    Vaginal dryness is a common issue affecting many women, especially during and after menopause. While it may be a sensitive topic to discuss, it's important to address this discomfort with healthcare providers. The lack of estrogen, a hormone responsible for keeping the vagina lubricated, is the main cause of vaginal dryness in menopause.  We explore different products available for treating vaginal atrophy, such as vaginal estrogen cream, estrogen rings, and tablets. Each product has its advantages and disadvantages in terms of convenience, cost, and coverage. It's crucial for women to be knowledgeable about these options when discussing their symptoms with their provider. Additionally, we emphasize the importance of finding the right solution for each individual, as not all products may work equally well for everyone.  Whether through topical treatments or more systemic approaches, there are various ways to address vaginal dryness effectively and enhance overall comfort and quality of life. Key moments in this episode are: 0:00 Intro to the dry vagina 1:59 Vaginal estradiol cream 2:45 Advantages of vaginal estradiol cream 3:17 Disadvantages of vaginal estradiol cream 3:42 Reducing the messiness 4:14 Vaginal estradiol cream and sex 5:23 Vaginal estradiol ring 5:50 Advantages of vaginal estradiol ring 5:59 Disadvantages of vaginal estradiol ring 6:39 Not all vaginal rings are equal 8:03 Vaginal estradiol ring use with pessaries 8:33 Vaginal estradiol tablets 8:57 Advantages of vaginal estradiol tablets 9:09 Disadvantages of vaginal estradiol tablets 10:05 Not all messiness is bad 10:50 Vaginal Intrarosa 11:30 Advantages of Intrarosa 11:45 Disadvantages of Intrarosa 12:01 What's best? 13:21 Wrap Up   Get a sneak peek into procedures for vaginal rejuventation here: https://www.foundationsfl.com/empower   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend

    15 min
  2. EPISODE 3

    Cracking the Code: Understanding Hormones

    Hormones are critical chemical messengers in our body, constantly relaying signals between organs and maintaining homeostasis. This podcast episode delves into the fascinating world of hormones, explaining their role and the difference between our nervous system and endocrine system. The endocrine system acts as the thermostat, slowly regulating our body's temperature, while the nervous system responds more quickly. Hormones work using a lock and key mechanism, with specific hormones unlocking receptors in organs to initiate various actions. The thyroid hormone is explored as an example of a master hormone that affects multiple organs, including our metabolism, temperature regulation, and gastrointestinal tract. We also touch upon the importance of optimal hormone levels, as many individuals experience symptoms that may be related to hormonal imbalances even if their levels fall within the normal range. The impact of aging, lifestyle factors, and surgical interventions on hormone production is also discussed, emphasizing the need for hormone optimization to maintain overall well-being. In this episode, you'll be able to Learn what exactly a hormone is Understand how hormones create their own unique effects Realize why "normal" ranges on your lab values are not helpful Distinguish between normal aging vs poor hormone balance   Key moments in this episode are: 00:26 What are hormones 00:45 Nervous system vs endocrine system 01:39 Key in the lock analogy 02:29 Understanding the reference range for lab values 04:38 Appreciating symptoms of suboptimal hormones 07:25 Finding a provider who has sought out additional hormone training 08:38 Suboptimal symptoms masking as "aging" 09:02 Why hormones decline as we age 10:20 Personal example of optimizing hormones   Learn more about how to optimize your hormones here: https://www.foundationsfl.com/bioidentical-hormone-optimization   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend

    14 min
  3. EPISODE 4

    More Bang for Your Buck: 7 Surprising Health Benefits of Regular Sex

    Regular, healthy sex has numerous surprising health benefits that are backed by scientific research. It can help reduce stress and anxiety by modulating cortisol responses and increasing the release of endorphins. Libido is improved, by increasing spikes of oxytocin It gives a boost the immune system and increases the release of immunoglobulins It is associated with enhanced cardiovascular health Memory loss is attenuated, by promoting the formation of new neurons in the hippocampus It induces better sleep Sex stimulates and exercises the pelvic floor muscles, leading to stronger pelvic floor contractions and more pleasurable orgasms. Finally it also strengthens the emotional bond and intimacy between couples  Ultimately, open discussions and scheduling can help couples enjoy the mutual benefits of a healthy sex life. Key moments in this episode are: 01:00 Benefit:  reduced stress and anxiety 02:05 Understanding oxytocin and ACTH 03:45 The seven-second hug 05:32 Benefit: improved libido 07:55 Benefit:  boosting immunity 08:49 Sex increasing immunity agains COVID09:40 Benefit: cardiovascular health 11:42 Benefit:  brain health and protection of memory 12:34 Sexercise! 13:27 Benefit:  enhanced sleep 15:29 Benefit: strengthened pelvic floor 16:49 Benefit:  intensify intimacy in your relationship 17:36 Health in blue zones      Learn more about oxytocin reducing stress here: Oxy reduces stress centers in brain Windle RJ, Kershaw YM, Shanks N, Wood SA, Lightman SL, Ingram CD: Oxytocin attenuates stress-induced c-fos mRNA expression in specific forebrain regions associated with modulation of hypothalamo-pituitary-adrenal activity. J Neurosci 2004, 24:2974–2982   Read the study on how a romantic partner's embrace can reduce stress here: Berretz G, Cebula C, Wortelmann BM, Papadopoulou P, Wolf OT, et al. (2022) Romantic partner embraces reduce cortisol release after acute stress induction in women but not in men. PLOS ONE 17(5)   Learn more about sex reducing COVID here: Ramadhan MA, Hashim HT. THE EFFECTS OF SEXUAL FREQUENCY AND IMMUNE BOOSTING MINERAL INTAKE ON IMMUNE STATUS IN COVID-19 SUSCEPTIBLE INDIVIDUALS. Fertil Steril. 2021 Sep;116(3):e113. doi: 10.1016/j.fertnstert.2021.07.316. Epub 2021 Sep 17. PMCID: PMC8446874.   And find out how sex reduces your risk for cardiovascular disease here: Hall SA, Shackelton R, Rosen RC, Araujo AB. Sexual activity, erectile dysfunction, and incident cardiovascular events. Am J Cardiol. 2010 Jan 15;105(2):192-7. doi: 10.1016/j.amjcard.2009.08.671. PMID: 20102917; PMCID: PMC2824175.   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

    21 min
  4. EPISODE 5

    Hanging by a Thread: What's Falling Out of My Vagina?

    Pelvic organ prolapse is a condition that affects many women, with up to 40% experiencing it in their lifetime. This podcast episode provides an in-depth discussion of pelvic organ prolapse, focusing on: The causes, symptoms, and risk factors for pelvic organ prolapse How pregnancy, genetics, and menopause may increase the risk of developing prolapse What lifestyle factors affect prolapse Common myths about sex and pelvic organ prolapse The use of pessaries as a non-surgical treatment option Surgical options, including reconstructive and obliterative surgery, and the considerations involved in choosing the right approach for person The importance of choosing a high-volume surgeon for successful outcomes   Uncover everything about pelvic organ prolapse, from your two pelvic floor experts--Dr Jackson and Rosalind!   Key moments in this episode are: 00:00 What is pelvic organ prolapse 00:46 Vaginal anatomy 01:30 Weakened fascia 02:41 What causes prolapse--pregnancy 03:36 What causes prolapse--genetics 04:10 What causes prolapse--aging and lifestyle 05:50 Symptoms of prolapse 07:10 Sex and prolapse 07:59 Layers of the vagina 09:51 Treatment with observation 10:59 Nonsurgical treatment with pessaries 11:08 Interesting history of pessaries 12:38 Getting the right fit 13:57 Pessary care 14:56 The craziest pessary I ever used 16:23 Can't I just do Kegels? 18:35 Removing the stigma of a pessary 19:52 Mucus with a pessary 21:03 Surgery for prolapse 23:31 The topic of vaginal mesh 27:27 Possible complications with vaginal mesh 29:31 Can mesh be removed? 30:20 Slings vs vaginal mesh 32:15 When to consider surgery for prolapse 33:07 Obliterative vaginal surgeries 36:35 Recurrence of prolapse after surgery 37:38 Non-mesh options for vaginal repair 40:32 Choosing a high volume pelvic surgeon   Learn more about pelvic organ prolapse here: https://www.augs.org/assets/2/6/POP.pdf   Learn about pessaries here:https://www.voicesforpfd.org/   Discover more about vaginal suspension surgery here: https://www.augs.org/Vaginal_Suspension_Surgery.pdf   And learn about vaginal closure surgery (colpocleisis) here:https://www.augs.org/Colpocleisis.pdf   Follow us! Instagram foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB  facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

    43 min
  5. EPISODE 6

    Secrets of the Postmenopausal Orgasm Part 1

    Postmenopausal women can and do experience orgasms! This podcast episode explores the changes and challenges that occur with orgasms after menopause and offers strategies to improve them. It debunks stereotypes that suggest women lose interest in sex after menopause and highlights the importance of addressing sexual concerns for both women and men.  Why are physicians not discussing healthy orgasms with women The 4 main areas to focus on to improve a postmenopausal orgasm Improving arousal with hormone or other prescription medications Off label use of arousal medications Providing proper clitoral stimulation Use of vibrators as a medical device Where to shop for the best vibrator Types of vibrators Having an open conversation with your partner  A happy and fulfilling sex life does not end with menopause!   Key moments in this episode are: 00:26 Do women still desire sex after menopause? 01:18 Many solutions for male sexual issues 02:16 Challenges with the postmenopausal orgasm 03:15 Arousal for orgasm 03:32 Medications that decrease arousal 4:04 Hormone replacement for improving arousal 4:34 Addyi for female sexual dysfuction 05:22 Vylessi for female sexual dysfunction 07:10 Clitoral stimuation for orgasm 07:57 Using a vibrator as a medical device 09:58 Where to get a vibrator 11:19 Types of vibrators 13:01 Vibrators for both partners 13:30 Having an open conversation with your partner 14:36 Stay tuned for part 2 of this conversation!   https://www.lovehoney.com/

    16 min
  6. EPISODE 7

    Secrets of the Postmenopausal Orgasm Part 2

    Menopause doesn't have to mean the end of fulfilling sexual experiences. The post menopausal orgasm is real! You may just need to take some steps to make sure it's in tiptop shape.  In the second part of this podcast, we continue to explore the most common reasons for the decline of the post menopausal orgasm. Maintaining good overall health is the first step to a healthy sex life. Blood flow to the clitoris is paramount; vaginal estrogen and certain vasodilators can help. PRP (platelet-rich plasma) can be used to stimulate nerve and blood vessel growth in the clitoris and vagina. Maintaining a strong pelvic floor is the key to fabulously strong orgasms. Working with your sexual health expert, you should be able to individualized a plan tailor to your needs. Key moments in this episode are: 00:00 Summary of Part 1 of Postmenopausal Orgasms 00:25 Improving clitoral blood flow 01:49 How to improve clitoral blood flow with vaginal estrogen 03:15 Other medications to improve clitoral blood flow 04:57 When blood flow alone is not enough 05:23 Uses of PRP (platelet-rich plasma) 07:09 How PRP is performed 08:22 A strong pelvic floor 09:46 Electrical stimulation vs electromagnetic stimulation 11:22 How electromagnetic stimulation is performed 13:08 Summary   Learn more about platelet-rich plasma here: https://www.foundationsfl.com/prp   Learn more about electrical stimuation to the pelvic floor with vTone here: https://www.foundationsfl.com/empower   Learn more about electromagnetic stimulation to the pelvic floor with BTL Emsella Chair here: https://www.foundationsfl.com/emsculpt-neo   Follow us! Instagram foundationskristinjacksonmd Website www.foundationsfl.com FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend

    15 min
  7. EPISODE 8

    Bladder Battles: Breaking the Cycle of Recurrent UTIs

    Recurrent bladder infections, also known as UTIs, can be a challenging problem for women, especially as they age. Urinary pain, burning, urgency and frequency can have several causes, but today's podcast will focus on those UTIs that just won't go away!   The parts of the urinary tract that can become infected The importance of an accurate diagnosis of infection vs other causes of symptom Proper evaluation of both the upper and lower urinary tract Limitations of the standard urine culture Newer testing to get to the root cause of the infection Treatment options, including non-antibiotic options   Seeking care from a specialist may be essential when you face persistent UTIs despite treatment. We want to improve your awareness about recurrent bladder infections and guide you towards effective treatment strategies.   Key moments in this episode are: 00:29 What is a UTI 02:09 Defining recurrent bladder infections 04:30 Why a pelvic exam is needed 06:54 Evaluation of the entire urinary tract 08:05 Is urine supposed to be sterile? 08:59 Understanding PCR testing 11:15 Biofilm in the bladder 13:41 Treating recurrent infections 14:25 Using suppression antibiotics 17:37 Alternatives to antibiotics 20:23 Supplements for bladder health 21:16 Cranberry for UTIs 22:49 D-mannose for UTIs 25:05 What does NOT cause UTIs 30:46 Using over the counter Azo for bladder pain   Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB https://facebook.com/advancedurogynecology   Loved this episode? Share with a friend.

    35 min

Ratings & Reviews

5
out of 5
8 Ratings

About

Welcome to "Ageless & Outrageous", the podcast where urogynecologist and hormone and sexual health expert, Dr. Kristin Jackson, shares her 25 years of expertise to guide both men and women on the path to aging amazingly. Listen as she dives into a spectrum of topics, with an emphasis on hormone optimization, pelvic floor health, and maintaining vibrant sexual experiences as we age. From exploring the intricacies of hormonal balance to discussing strategies for pelvic floor well-being, Dr. Jackson brings you real-life insights rooted in solid scientific knowledge. Get ready for a podcast that combines the wisdom of years of medical practice with an approach that's relatable and enjoyable. Tune in for a dose of laughter, knowledge, and a rejuvenated perspective on the incredible adventure of growing older.

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