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

The Vagina Doctor Podcast

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. 11h ago

    Midlife Women & GLP-1s: Why Weight Loss Gets Harder (and How GLP-1s Can Help)

    Midlife Women & GLP-1s: Why Weight Loss Gets Harder (and How GLP-1s Can Help) Nurse practitioner Sophie Mengele from Turner Medical Arts discusses midlife women’s health and why GLP-1 medications can be especially helpful when weight loss stalls despite healthy habits like walking 10,000 steps, cutting alcohol, and eating well. She explains that changing estrogen levels in midlife can reduce insulin sensitivity and contribute to stubborn fat retention, making weight loss more difficult than it is for men or for women earlier in life. Sophie outlines how GLP-1s can improve insulin sensitivity and curb appetite, reducing constant thoughts about food, and describes GLP-1s as one tool in the toolbox to help midlife women reach their weight and health goals. 00:00 Why GLP1 for menopausal women 00:05 Does This Sound Like You? 00:21 Meet Sophie & Why It's Harder for Midlife Women 00:57 How GLP-1s Help 01:49 Real Patient Stories https://www.turnermedicalarts.com https://www.youtube.com/@thevaginadoctor

  2. Oct 15

    Breaking the Silence: The Unseen Crisis of Pelvic Health

    The Vagina Doctor Podcast: Consult With Me with Duncan Turner MD & Karen Spaulding Pelvic Floor Health After Birth: Therapy, Kegels, and Non-Surgical Options In this episode, the host Dr. Turner & Karen Spaulding discuss common pelvic floor issues inspired by a new patient with four vaginal births who is also doing pelvic floor therapy. Dr. Turner explains the pelvic floor’s role in supporting abdominal organs and how factors like vaginal delivery, chronic coughing, gravity, and even excessive weightlifting can stretch it, leading to problems such as stress urinary incontinence and prolapse. They cover prevention and treatment options, emphasizing pelvic floor physical therapy to teach patients how to properly engage these muscles, along with supportive treatments like vaginal estrogen, electrical muscle stimulation (including VTone), and energy-based therapies. They note that surgery can help but has complications and is best avoided when possible, and highlight postpartum as an important time to address pelvic floor health. 00:00 Breaking the Silence: The Unseen Crisis of Pelvic Health 00:00 Patient Story & Intro 01:31 Pelvic Floor Anatomy & Causes 04:40 Treatment Options 08:06 Postpartum Focus & Wrap-Up https://www.turnermedicalarts.com https://youtube.com/@thevaginadoctor

  3. Oct 8

    Remi Drozd getting us caught up on all that's Happening at Lucid Therapeutics

    Duncan Turner MD & Remi Drozd. Lucid Therapeutics’ New Insurance-Covered Ketamine Model, TMS, and the Coming FDA Shift on Psychedelics | Remi Drozd Remi Drozd returns to the Vagina Doctor podcast to explain how Lucid Therapeutics has evolved after treating thousands of patients, shifting from short, expensive out-of-pocket psychedelic integration to an insurance-covered, co-pay model focused on long-term programs and durability. He describes their patient journey: assessment, trauma- and psychedelic-informed coaching, a workbook-based mindfulness practice, and lower-dose continuous nasal ketamine (often weekly early on, then tapered), with the option to add insurance-covered TMS (36 brief treatments) to further neuromodulate mood pathways. Drozd discusses clinic growth to 10 treatment rooms, expanded staffing, and the operational work required for insurance. He also reviews an FDA hearing on broader psychedelic access, Compass Pathways’ planned psilocybin rollout and monitoring/training considerations, plus adjunct offerings like injectable peptides for sleep and stem cell/MU cell IV therapies that are typically not covered by insurance. 00:00 Remi Drozd getting us caught up on all that's Happening at Lucid Therapeutics 00:30 Welcome Back 00:42 Changes at Lucid Therapeutics 04:44 TMS Treatment Explained 06:57 The Patient Journey 10:40 Practice Expansion 14:31 FDA Psychedelic Hearing 18:26 Compass Pathways & Psilocybin 28:52 Provider Training & Experience 29:57 Stem Cells & Peptides 36:25 Closing & Call to Action

  4. Oct 1

    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

  5. 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

  6. 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

  7. 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

  8. 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

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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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