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Dr. Streicher’s Inside Information: Menopause, Midlife, and More

Dr. Streicher’s Inside Information: Menopause, Midlife, and More

Auteur(s): Lauren Streicher MD
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 Hot flashes, vaginal dryness, leaky bladders, weight gain, hair loss, inability to orgasm? Nothing is off limits in these fact filled, solution-driven and often surprisingly funny podcasts that address the specific symptoms women face as they navigate perimenopause and post-menopause. Each segment is like having an in-depth consultation with Dr. Lauren Streicher, a nationally recognized menopause expert and the founding Medical Director of the Northwestern Medicine Center for Sexual Medicine and Menopause. Guests will include other experts on all things menopause. So strap in- it’s going to be quite the ride! This is THE podcast for accurate information about menopause but is not meant to be personal medical advice.Lauren Streicher, MD Hygiène et mode de vie sain Troubles et maladies
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  • S4 Ep191: Say Yes to Testosterone? And Why Pellets are a Problem

    S4 Ep191: Say Yes to Testosterone? And Why Pellets are a Problem
    Dec 18 2025
    Come Again: Sexuality and Orgasm, my solution-driven audio Series, for both non-healthcare professionals and healthcare professionals is now available on demand on drstreicher.com. Subscribers get loads of supplementary guides and resources. Health care professionals have an option to purchase additional material on incorporating sexual medicine into their practice.

    For a 25% discount to the COME AGAIN Series, use code PODCAST25. This discount code expires December 21.

    This episode is a free preview from COME AGAIN Episode 19

    When it comes to testosterone, hairy guys with round the clock virility come to mind, thanks to those non-stop ads warning men of the dire consequences of "Low T". Not as well known is that TESTOSTERONE is not just a male hormone but is a HUMAN hormone that is just as important for women.

    In this episode:

    · The ROLE of testosterone in women

    · WHERE testosterone is normally produced

    · The potential BENEFITS of taking testosterone

    · How well testosterone therapy WORKS and why it doesn’t work in everyone

    · How to PREDICT if you will respond to testosterone therapy

    · What TESTS you should have prior to starting testosterone therapy

    · Why is SEX HORMONE BINDING GLOBULIN important?

    · Why someone would have a HIGH SEX HORMONE BINDING GLOBULIN

    · Why the FDA has never approved testosterone for women

    · Why PELLETS are a PROBLEM

    · Why gels are the SAFEST and MOST EFFECTIVE form of testosterone for women

    · The potential SIDE EFFECTS of testosterone therapy
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    41 min
  • S4 Ep190: Ready, Set…. Start!, Stop! Switch! Hormone Therapy with Risa Kagan MD

    S4 Ep190: Ready, Set…. Start!, Stop! Switch! Hormone Therapy with Risa Kagan MD
    Dec 4 2025
    At my monthly Ask Me Anything Webinars, I always get questions about hormone therapy- when to start, when to stop, if the dose should be changed as women get older, and what to do if someone continues to have symptoms or continues to bleed… In this episode, Dr. Risa Kagan and I answer submitted questions. We start by briefly running through the established indications for starting menopausal hormone therapy (MHT), and then Dr. Kagan and I discuss the “what ifs” of hormone therapy. Do you have to wait for 12 months without a period before starting MHT?If someone is taking birth control pills for control of perimenopause symptoms, at what point should they go off? And can they immediately transition to MHT or do they need to take a break and make sure they are no longer making estrogen?A woman with severe hot flashes is having all day, all night hot flashes- how long is it going to take to get some relief? Does it matter if it is oral or transdermal as far as the onset of action? What are the chances of getting 100% relief? If someone has started MHT but is still having flashes, how long should they wait before adjusting it? What is the best starting dose if someone has severe flashes? High or low?A woman wrote in that she has been using a 0.75 patch, but continues to have severe flashes. She got a serum level, and it is 10. Her doctor is reluctant to increase her dose. What would you tell her?A woman has tried four different protocols and has nuisance bleeding with all. She had an ultrasound and biopsy, and it was all normal. She wants to continue MHT, but is tired of the bleeding. She wants to know which protocol is the least likely to cause bleedingAn internist told a woman that after 5 years, it is time to go off her MHT. What about if she is primarily taking it for hot flashes- how likely is it that her hot flashes will return? What about if she is primarily on it for bone health (known osteopenia) and joint pain-?What about if she is primarily taking it for sexual benefits? (Libido, lubrication, orgasm) ?What about if she is primarily taking it because she is worried about dementiaA woman decided to go off HT since she was only taking it for hot flashes and is now 10 years out. Her manicurist told her that she should taper; otherwise, her flashes will come back. Her gyne says, stop. What does Dr. Kagan say?A 60 year old woman started estrogen when she had a hysterectomy and ovary removal. She was told by her internist that there is no way she will still be having hot flashes in her 60s, and therefore no reason to continue her estrogen. Is that correct? What is the likelihood that she will still be having hot flashes in her 60s or 70s? The next question is from a woman who increased her oral estradiol to 2 mg to get rid of her flashes, but is still taking her original Prometrium dose 100 mg. Is that enough to protect the lining of her uterus? When do you increase it?A question from a Substack reader- “I used estradiol gel for 8 years at the start of menopause. I decided to stop it and did so for 3 years; however, my hot flashes (sleep, mood, etc) were relentless and violent. I decided to start again after a 3-years hiatus and at the age of 65. I feel so much better. Is this a problem having stopped and then started again a few years later?” How can you tell the effectiveness of the HRT you're taking (other than no more hot flashes?) I still feel lack of motivation, low libido, joint aches and I'm so much slower running (1 min+/mile). (What this really comes down to, is what are realistic expectations for what HT will do?) How long can a postmenopausal woman stay on testosterone, estrogen and Progesterone? Let’s say a woman has been using a .05 estradiol patch but her skin is really irritated and has decided to try the spray instead. What is the equivalent dose?A woman with a hysterectomy who is taking estrogen alone has been taking a 1 mg estradiol pill. She has decided to switch to conjugated equine estrogen since she would like breast protection. Is that correct thinking? If she is going to make the switch, what is the equivalent dose? A 51 year old is no longer having hot flashes but wants to continue her transdermal estrogen since she has low bone mass and is worried about progression to osteoporosis. What is the minimum dose of estradiol to ensure that she is getting maximum bone protection? Many questions came in about initiating hormone therapy after age 65... Dr. Risa Kagan is a Clinical Professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the University of California, San Francisco, and a consulting gynecologist with Sutter Health. Other episodes with Dr. Kagan Episode 114- Is Duovee the Ideal Hormone Therapy? Episode 175 Your Bones On and Off Estrogen When an IUD is Your Post Menopause Plan
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    1 h et 3 min
  • S4 Ep189: The FDA Removes the Black Box Label for Hormone Therapy

    S4 Ep189: The FDA Removes the Black Box Label for Hormone Therapy
    Nov 20 2025
    In case you missed it, last week was quite the week in the menopause world. The FDA made a landmark decision to remove all black box warnings from estrogen products and to update the labels of individual products. I was in the room where it all happened and in this episode, I’m going to break it all down for you. But here’s the headline- this label change is overall, a good thing, a very good thing. A transcript of this podcast, along with photos and graphics, can be found on DrStreicher.Substack.com In this episode: A historical perspective of how the Black Box label came to be on all estrogen productsA review of the Women’s Health Initiative Study (WHI) that lead to the specific warnings on the label. The fall out from the release of the WHIThe Problems with the Black Box label on estrogen productsClass LabelingThe difference between oral, transdermal and local vaginal estrogen. How the required black box label influenced the likelihood of physicians writing a prescription for estrogen, and the likelihood that women would use hormone therapy. Why I never stopped prescribing estrogenLast week’s announcement from the FDAIf it is medically appropriate to remove the black box warning from local vaginal estrogenIf it is medically appropriate to remove the black box warning from systemic estrogenThe inaccurate messaging during the FDA press conferenceThe POLITICS of WHY the FDA removed the Black Box warnings Related Podcasts: Episode 124 All Hormones Are Not Created Equal with Dr. James SimonEpisode 164 Is Bioidentical Always Best? Episode 181 The FDA Roundtable on Menopausal Hormone Therapy Related Substack Articles Top 20 Questions about Local Vaginal EstrogenIs Bioidentical Always Best?BLOOD CLOTS and ESTROGEN: The FactsCrises at the FDAWhy RFK is a Scary Choice for HHS Dr. Streicher is on SUBSTACK DrStreicher.Substack.com ArticlesMonthly newsletterAll COME AGAIN podcast episodes Monthly News Flash Reports on recent research Monthly Zoom Ask Me Anything Webinar Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. S 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. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology 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 painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from 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.
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    32 min
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