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For Breast Cancer Awareness Month, Dr. Thaïs Aliabadi shares her own breast cancer story and the lessons she wants every woman to take from it. Dr. A explains how an abnormal breast biopsy led her to calculate her lifetime breast cancer risk, why she continued pushing for a preventative double mastectomy despite being repeatedly reassured that she was fine, and the shocking pathology result that revealed breast cancer after surgery. She also breaks down six breast changes women should take seriously, including new or persistent breast lumps, skin dimpling, nipple changes, discharge, persistent flaky or scaly skin and changes in the appearance of the breast skin. Dr. A explains the difference between traditional monthly self-exams and breast awareness, why knowing what is normal for your body matters, and when a breast change should prompt a call to your doctor. Plus, we discuss dense breasts, mammograms and ultrasounds, family history, lifetime breast cancer risk, genetic testing, polygenic risk scores and why being young or having no family history does not mean a breast change should be dismissed. This episode is about knowing your risk, noticing changes and becoming your own health advocate. Sponsors OSEA Malibu: The episode features OSEA Malibu’s Undaria Algae Body Oil, a seaweed-infused body oil designed to moisturize skin and promote a healthy-looking glow. Use code CMD for 10% off your first order. Gusto: Featured in a sponsored segment about simplifying payroll, tax filings, HR, and employee benefits for small businesses. The episode promotes three months of free payroll for eligible new customers. Peloton: Featured in a sponsored segment introducing the Tread Flex treadmill and discussing accessible running, walking, hiking, and at-home fitness. David Protein: Featured in a sponsored segment highlighting the brand's high-protein bars, including its Gold and Bronze product lines. The episode promotes a buy-four-cartons-get-the-fifth-free offer. What You’ll Learn How Dr. Thaïs Aliabadi discovered that her lifetime breast cancer risk was significantly higher than expected, despite having no family history or known major genetic mutations.Why atypical lobular hyperplasia can increase breast cancer risk and why understanding biopsy results matters when evaluating your personal risk.How Dr. Aliabadi's experience with preventive mastectomy ultimately led to an unexpected breast cancer diagnosis.Why breast cancer concerns can be dismissed in healthcare settings and how patients can advocate for further evaluation when something does not feel right.The six breast changes that warrant medical attention: a new or persistent lump, skin dimpling or other skin changes, nipple discharge, newly inverted nipples, persistent crusting or scaling of the nipple, and unusual redness or discoloration.The difference between routine self-breast examinations and breast awareness, including why it is important to recognize what is normal for your own body.How family history, breast density, previous biopsies, hormonal history, and other factors can contribute to an individual's breast cancer risk assessment.What the Tyrer-Cuzick risk assessment tool evaluates and how a lifetime risk estimate can help inform conversations about screening.Why dense breast tissue can both increase breast cancer risk and make abnormalities more difficult to identify on a mammogram.How 3D mammography, breast ultrasound, and breast MRI may be used in screening plans, depending on individual risk and clinical guidance.What genetic testing can reveal about inherited breast cancer risk, including mutations in genes such as BRCA.What polygenic risk scores measure and how numerous genetic variants may contribute to breast cancer risk even when a person does not have a major known genetic mutation.Why breast implants do not eliminate the need for appropriate breast awareness and screening.Why new or persistent breast changes should be evaluated by a healthcare professional, even in younger women or those without a family history of breast cancer.Key Timestamps 00:00 Why women's breast cancer concerns can be dismissed 00:31 Six breast changes every woman should know 01:09 Dr. Thaïs Aliabadi's personal breast cancer journey 01:42 Understanding atypical lobular hyperplasia 04:34 Why Dr. Aliabadi decided to take action 07:55 Searching for a surgeon who would listen 09:58 The complications of preventive surgery 16:10 The unexpected breast cancer diagnosis 18:54 Finding purpose after a life-changing diagnosis 21:50 The six breast changes that warrant medical attention 23:33 Understanding what is normal for your breasts 24:37 Breast self-exams versus breast awareness 27:04 Why every woman should understand her personal risk 28:20 Using the Tyrer-Cuzick tool to estimate lifetime risk 30:22 How family history influences screening recommendations 34:01 Understanding average, intermediate, and high-risk categories 37:04 Why dense breasts can make cancer harder to detect 39:10 Why knowing your lifetime risk matters 40:35 Breast cancer risk factors and early detection 41:37 Genetic testing and polygenic risk scores explained 44:57 When to consider additional genetic risk assessment 46:54 Understanding breast cancer risk when a family member has a BRCA mutation 48:44 Reviewing the six breast changes you should never ignore 49:57 Why younger women should not dismiss breast symptoms 51:14 Advocating for yourself when your concerns are dismissed Key Takeaways Breast cancer risk is not determined by family history alone. Dr. Aliabadi's experience demonstrates why a lack of known family history or a major genetic mutation does not eliminate the possibility of developing breast cancer. Personal risk assessment should consider multiple factors, including previous breast biopsies, breast density, and relevant medical and family history.Know what is normal for your breasts. Breast texture, tenderness, and fullness can change with menstrual cycles and hormonal fluctuations. Becoming familiar with your usual breast appearance and feel can help you recognize new or persistent changes that deserve medical attention.Recognize the six breast changes discussed in the episode. These include a new or persistent lump, skin dimpling or other visible skin changes, nipple discharge, newly inverted nipples, persistent crusting or scaling of the nipple, and unusual skin discoloration. These changes do not automatically indicate cancer, but they should be evaluated by a healthcare professional.Dense breast tissue can complicate cancer detection. Dense breasts contain more glandular and connective tissue relative to fat. Because both dense tissue and many breast cancers appear white on a mammogram, abnormalities can be harder to see. Breast density is also an independent risk factor, making it important to discuss appropriate screening options with a healthcare provider.Personalized risk assessment can help inform screening decisions. Tools such as the Tyrer-Cuzick model use information about family history and other risk factors to estimate lifetime breast cancer risk. Screening recommendations can vary depending on a person's risk profile, age, medical history, and applicable clinical guidelines.Genetic risk involves more than a single mutation. Genetic testing can identify inherited mutations associated with increased breast cancer risk. Polygenic risk scores assess the combined contribution of numerous genetic variants. These approaches provide different types of information and may help clinicians develop a more complete picture of risk when appropriate.Preventive decisions can involve difficult trade-offs. Dr. Aliabadi shares the physical challenges, uncertainty, and emotional weight involved in deciding to undergo preventive surgery. Her story highlights the importance of informed decision-making, individualized medical guidance, and having one's concerns taken seriously.Do not assume you are too young for a breast abnormality to matter. Although most breast changes are not cancerous, symptoms should not be dismissed based on age alone. Persistent or concerning changes warrant timely evaluation, and seeking another medical opinion may be appropriate when concerns remain unresolved.Patient advocacy is an important part of healthcare. Understanding your medical history, asking questions, requesting clarification about screening options, and seeking further evaluation when necessary can help you participate more actively in decisions about your health.Early detection and risk reduction are distinct but complementary goals. No screening strategy can prevent every breast cancer diagnosis. However, understanding personal risk, following an appropriate screening plan, and responding to new symptoms can support earlier detection and more informed care. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Why does sleep suddenly become so much harder for so many women in their 30s, 40s and 50s? Eight Sleep cofounder Alexandra Zatarain joins SheMD to explore how hormones, temperature and the brain’s natural circadian rhythm affect the way women sleep throughout different stages of life. Dr. Thaïs Aliabadi explains why fluctuations in estrogen and progesterone during perimenopause can contribute to night sweats, temperature changes, anxiety, racing thoughts and middle-of-the-night wake-ups. Alexandra shares what years of sleep research and data have taught the Eight Sleep team about deep sleep, REM sleep, temperature regulation, pregnancy, menopause and recovery. We also break down how much sleep adults actually need, why consistency matters and why alcohol, caffeine and late-night exercise may interfere with recovery even when you are technically getting enough hours. Plus, Alexandra shares five practical habits she recommends for better sleep and helps us tackle common sleep myths, including whether you can really catch up on lost sleep over the weekend and whether a nightcap actually helps you sleep. If your sleep has changed and you cannot figure out why, this episode is for you. Sponsors Eight Sleep is featured in this episode through a conversation with co-founder Alexandra Zatarain about sleep science and the company’s sleep technology. No formal sponsorship or promotional offer is mentioned. What You’ll Learn How Alexandra Zatarain's personal experiences inspired the creation of Eight Sleep and its approach to improving sleep through technology.Why perimenopause and menopause can disrupt sleep, including the roles of fluctuating estrogen, declining progesterone, night sweats, and anxiety.How body temperature and circadian rhythms influence when we fall asleep, stay asleep, and wake up.Why pregnancy and postpartum hormonal changes can affect temperature regulation, snoring, and sleep quality.The differences between deep sleep and REM sleep, and why both are essential for physical recovery, memory, and emotional processing.How much sleep adults generally need, why individual sleep requirements vary, and how to recognize whether you're getting enough rest.Why alcohol may make it easier to fall asleep while negatively affecting overnight recovery.Why catching up on sleep over the weekend cannot fully compensate for consistently getting too little sleep during the week.How sleep-tracking technology can help monitor sleep patterns, recovery, temperature preferences, and potential signs of sleep apnea.Five practical ways to improve sleep, including prioritizing sufficient rest, maintaining a consistent schedule, optimizing your sleep environment, adjusting daily habits, and working with your partner.Why women experiencing persistent sleep disruptions should consider underlying factors, including hormonal changes and other health conditions, with guidance from a healthcare provider. Key Takeaways Sleep is a foundational pillar of health. Prioritizing exercise and nutrition while consistently sacrificing sleep can undermine overall well-being. Making enough time for rest is an essential part of supporting long-term health.Hormonal changes can significantly disrupt women's sleep. Fluctuating estrogen and progesterone levels during perimenopause and menopause may contribute to temperature sensitivity, night sweats, anxiety, and nighttime awakenings. Persistent sleep difficulties deserve attention rather than being dismissed as an inevitable part of aging.Temperature plays an important role in sleep. Core body temperature naturally declines as we approach sleep and rises toward morning. A comfortable, cool sleeping environment can support this process, although individual temperature preferences vary.Deep sleep and REM sleep serve different but complementary functions. Deep sleep is associated with physical restoration, while REM sleep supports processes involving memory, learning, and emotional processing. Getting sufficient sleep allows the body to cycle through both.Alcohol can interfere with overnight recovery. Although alcohol may help someone fall asleep more quickly, it can affect recovery metrics, including resting heart rate and heart rate variability. Falling asleep faster does not necessarily mean sleeping well.Consistency matters as much as duration. Maintaining relatively consistent bedtimes and wake-up times can support the body's circadian rhythm. Alexandra recommends aiming for seven to nine hours of sleep for most adults while paying attention to individual needs.Sleep quality can be affected by more than personal habits. Snoring, possible sleep apnea, hormonal changes, stress, and a partner's sleep patterns can all contribute to disrupted rest. Persistent symptoms may warrant evaluation by a healthcare professional.Small, sustainable changes can improve sleep habits. Gradually extending sleep time, keeping the bedroom cool, dark, and quiet, limiting late-day caffeine and alcohol, and avoiding heavy meals close to bedtime are practical starting points.Women's sleep deserves more research and individualized care. Pregnancy, postpartum recovery, perimenopause, and menopause each present different challenges. Understanding these life stages can help inform better research, technology, and healthcare support. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Naomi Watts joins SheMD alongside renowned sexual arousal researcher Dr. Cindy Meston for a candid conversation about sex, desire and what happens to women’s bodies during perimenopause and menopause. Naomi shares her experience learning in her 30s that she was likely entering early menopause, the shame and isolation she initially felt and how opening up about her changing body ultimately transformed her relationship with intimacy. Dr. Meston explains why female sexual desire may work differently than many women have been taught, including why arousal can sometimes come before desire. She also breaks down the physical and psychological factors that can affect sex, from hormones, blood flow and vaginal changes to stress, sleep, body image and relationships. Dr. Thaïs Aliabadi discusses treatment options for women experiencing painful sex, vaginal dryness and changes in libido, including vaginal moisturizers, lubricants, vaginal estrogen and testosterone. Plus, Naomi explains why she believes menopause can be an empowering new chapter rather than the end of pleasure, intimacy or good sex. Sponsors Sarah Pharmaceuticals / The PreTRM Test: Learn more about the PreTRM test at pre-term.com and talk with your healthcare provider about whether it may be appropriate for you. Momentous: Try Momentous Signature Spec Creatine at livemomentous.com and use code GMD or CMD POD for up to 35% off your first order. David Protein: Buy four cartons and get the fifth free at davidprotein.com/cmd. Talkiatry: Visit talkiatry.com/cmd to complete a short assessment and get matched with an in-network psychiatrist. What You’ll Learn Why Naomi Watts' personal experience with early menopause inspired her to help change the conversation around women's health.The lesser-known symptoms of perimenopause and menopause, including brain fog, sleep disruption, dry eyes, vaginal dryness, and painful sex.How hormonal changes can affect vaginal health, lubrication, and urinary symptoms.Why sexual arousal can precede desire for many women, particularly during perimenopause and menopause.How stress, exercise, relationship dynamics, and negative thoughts can influence sexual arousal and intimacy.What treatment options are available for vaginal dryness and painful sex, including moisturizers, lubricants, vaginal estrogen, and other therapies.Why open communication with your partner and a knowledgeable healthcare provider is essential to navigating changes in sexual health.How Naomi's experiences and conversations with women inspired Stripes' sexual wellness products.Why menopause can be a new chapter of confidence, self-advocacy, and sexual fulfillment rather than the end of a satisfying sex life. Key Timestamps 00:00 Naomi Watts on why good sex doesn't have an age limit 04:51 The overlooked symptoms of perimenopause and menopause 07:32 Vaginal dryness, painful sex, and recurring UTIs 12:32 How arousal, body image, and negative thoughts affect intimacy 18:55 Naomi's experience navigating menopause in a new relationship 22:08 The science of arousal, exercise, and blood flow 31:42 Vaginal estrogen and long-term vaginal health 40:31 How stress, sleep, and relationship dynamics affect desire 42:00 Why women should never feel they have to tolerate painful sex 45:24 The connection between psychological arousal, physical response, and communication 51:16 Testosterone therapy and the Mona Lisa laser 56:38 Naomi's menopause tips, favorite Stripes products, and rapid-fire questions 58:05 The language around menopause that needs to change 1:00:38 Dr. Meston's advice for women navigating menopause 1:02:29 Reframing menopause as an empowering new chapter Key Takeaways Menopause affects more than hot flashes. Hormonal changes can influence sleep, mood, cognition, skin, eyes, vaginal health, and sexual comfort, sometimes years before menopause itself.Female desire and arousal don't always follow a linear pattern. For many women, particularly as they age, arousal can come before desire. Understanding this can help women move away from the expectation that sexual desire must always happen spontaneously.Sexual health involves both the mind and the body. Physical changes, stress, fatigue, body image, relationship dynamics, and distracting thoughts can all influence arousal and intimacy.Painful sex should not be accepted as an inevitable part of aging. Vaginal moisturizers, lubricants, vaginal estrogen, and other treatment options may help, depending on individual needs and medical history. Women experiencing persistent pain should seek guidance from a qualified healthcare provider.Communication can transform intimacy. Talking openly with a partner outside the bedroom about changing needs, comfort, and pleasure can help couples adapt and maintain connection throughout different stages of life.Women deserve individualized, evidence-informed care. There is no single approach to sexual health during menopause. Working with a clinician knowledgeable in menopause and sexual medicine can help women understand their options.Menopause is not the end of a fulfilling sex life. Naomi's story underscores the importance of challenging stigma, listening to women's experiences, and giving women the confidence to advocate for their health and pleasure. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

We are revisiting one of our favorite SheMD conversations with SZA. SZA joins her longtime physician Dr. Thaïs Aliabadi and Mary Alice Haney for an intimate conversation about her health, family history and the anxiety that can come with trying to understand what is happening inside your own body. Dr. A walks through SZA’s breast cancer risk assessment, family history, genetic testing and why a negative genetic test does not necessarily mean someone has an average lifetime risk of breast cancer. SZA also talks candidly about health anxiety, therapy, trauma, relationships, creativity and learning to accept the parts of herself that do not fit the traditional idea of being a “nice girl.” She reflects on the drive that helped build her career, why outside validation once mattered so much to her and what she is still learning about trusting herself. Plus, SZA talks about getting off the internet, motherhood, life beyond music and the people who have shaped who she is today. This conversation was originally recorded before SZA went on to win three Grammys following the release of SOS. Subscribe to SHE MD Podcast for expert tips on PCOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being. Sponsors Blueland: Get 15% off your first order at blueland.com/shemd. Ladder: Take the quiz at ladder.fit/shemd to find your perfect plan and get a free 7-day trial plus $10 off your first month. Huel: Get 15% off online with code SheMD at huel.com/shemd. New customers only. Toothpillow: Use code SheMD at toothpillow.com/shemd to unlock a free full video assessment, a $50 value. Sequencing.com: Get up to 10% off your full genome test plus free shipping at sequencing.com with promo code SheMD. What You'll Learn Where the name SZA comes from and what each letter represents.Why every woman should know her lifetime risk of breast cancer, even without a family history.How factors like height, weight, breast density, family history, and genetic testing change a lifetime risk score.Why women with a lifetime risk above 20% should start breast imaging at 30 instead of 40.What a fibroadenoma is and why imaging catches cancers years before a lump can be felt.How a family history of cancer can create lasting health anxiety, and why being your own advocate matters.The story behind SOS and SZA's journey away from trying to be a "nice girl."SZA's advice for young artists on protecting their health and creativity. Key Takeaways The average woman has a 12.5% lifetime risk of breast cancer, and every woman should have her personal risk calculated by her doctor.A negative genetic test does not mean low risk, since family history, breast density, and other factors still affect a woman's lifetime risk.Women with a lifetime risk above 20% should begin breast imaging at 30, not 40, and may be missed if risk is never calculated.By the time a lump can be felt, it has often been there for years, which is why regular imaging is essential.Watching loved ones go through cancer can create real health anxiety, and advocating for yourself is better than assuming something is nothing.Integrating every part of yourself, including your edge, can be a source of strength rather than shame. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Miranda McKeon was only 19 when she noticed a lump in her breast and was diagnosed with stage three, hormone positive, HER2 negative invasive ductal carcinoma.  In honor of Breast Cancer Awareness Month, Miranda joins SheMD to share the full story of her diagnosis, treatment and life after breast cancer. She opens up about the breast dimpling she initially dismissed, learning she carried a CHEK2 mutation despite having no family history of cancer, freezing her eggs before chemotherapy, undergoing a double mastectomy and radiation, and entering medically induced menopause in her early 20s. Miranda also talks candidly about painful sex, vaginal dryness, low libido, dating, body image, fertility and the emotional impact of experiencing cancer during what should have been her college years. Dr. Thaïs Aliabadi explains breast changes women should pay attention to, how genetics and breast density can affect risk, and why knowing your own baseline and speaking up when something changes can matter. This conversation is a powerful reminder that breast cancer does not only affect older women and that knowing your body is an important part of advocating for your health. Subscribe to SHE MD Podcast for expert tips on PCOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being. Sponsors SmileSet: Listeners get an additional 35% off clear aligners at smileset.com/shemd. Arca Wealth: Book a complimentary financial planning call with an Arca advisor at arcawealth.com/shemd. Arca Wealth is a fee-only fiduciary firm. This is a paid endorsement. See arcawealth.com for important disclosures. AG1: For a limited time, get a free immune support bundle (omega-3 fish oil and vitamin D3 K2) with your first AG1 NextGen or AG1 Pro subscription order at drinkag1.com/shemd. Gusto: Get three months free when you run your first payroll at gusto.com/shemd. Larine: Listeners get up to 50% off Larine remineralizing gum at buylarine.com/shemd. What You'll Learn Why breast cancer rates are rising faster in women under 50, and why young women's symptoms are so often dismissed.The early signs of breast cancer beyond a lump, including skin dimpling, nipple changes, discharge, and persistent one-sided flaky skin.How CHEK2 mutations and polygenic risk scores shape breast cancer risk, even without a family history.Why a one-size-fits-all mammogram age misses individual risk, and how breast density, family history, and genetics change the picture.How to calculate your lifetime breast cancer risk with the Tyrer-Cuzick model and when high-risk screening should begin.How chemotherapy can affect fertility, and why egg freezing should come before treatment.What medically induced menopause looks like for a young woman, including hot flashes, low libido, and vaginal dryness.How vaginal estrogen and CO2 laser treatments can help with painful sex.How to cope emotionally with a young-onset diagnosis, from therapy to gratitude lists to a trusted inner circle. Key Takeaways Breast cancer is more common after 50, but rates are rising faster in younger women, and one in six new invasive cases occurs before age 50.Skin dimpling and other changes are symptoms too. A young woman may not recognize them as warning signs, which can delay diagnosis.Most women diagnosed with breast cancer have no family history, so a lack of family history is not a guarantee of low risk.Mammograms starting at 40 treat everyone alike. Breast density, genetics, family history, and polygenic risk can all change when screening should begin.Every woman should know her lifetime breast cancer risk by 30. A risk of 20% or more means earlier imaging, which may include mammogram, ultrasound, and MRI.Egg freezing should be part of the first conversation before chemotherapy, because chemo's effect on ovarian reserve is unpredictable.Medically induced menopause can bring severe symptoms, including painful sex, and women shouldn't feel ashamed to bring them up with their doctors.A double mastectomy leaves some residual breast tissue, so ongoing monitoring is still important.Know what's normal for your breasts and report changes promptly.Therapy, gratitude, and a trusted circle can help you get through a young-onset diagnosis. Guest Bio -  Miranda McKeon Miranda McKeon is a breast cancer survivor, women’s health advocate, and content creator who was diagnosed with stage 3 hormone-positive, HER2-negative invasive ductal carcinoma at just 19 years old. After discovering a lump in her breast while home from college, Miranda underwent chemotherapy, a double mastectomy, radiation, and medically induced menopause. She later learned that she carries a CHEK2 genetic mutation associated with an increased risk of breast cancer.     Since her diagnosis, Miranda has become an outspoken advocate for young women navigating cancer, sexual health, fertility, body image, and life after treatment. She openly shares her experience with intimacy and medically induced menopause and uses her platform to encourage women to understand their bodies and advocate for their health. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This one is a full-circle moment. Our guest isn't just one of Mary Alice's oldest friends (25 years and counting), she's also one of Dr. A's real-life patients, the doctor who actually froze her eggs. Whitney Cummings, comedian, actress, and creator of 2 Broke Girls and Whitney, has built a career saying the things women usually only whisper about. Today she says them out loud, with us. Whitney was talking about freezing her eggs before it was a mainstream conversation (she did it at 33), and she is refreshingly, hilariously honest about getting pregnant at 40, being handed the term "geriatric pregnancy," the postpartum depression that came after her son, and the body image struggles she's carried for years. She and the hosts get into fertility, the real cost of waiting, why "biology is sexist," and the money advice she gives every young woman (skip the designer bag, save it for your eggs). Funny, tender, and the kind of honesty that makes you feel less alone. Subscribe to SHE MD Podcast for expert tips on PCOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being. Sponsors Prolon: For a limited time, get 15% off sitewide plus a $40 bonus gift when you subscribe to the 5-day program. Visit prolonlife.com/shemd. Egglife: Find Egglife egg white wraps in the fridge at Aldi, Whole Foods, Kroger, Target, Walmart, and more. Visit egglifefoods.com to find a retailer near you. OHHO: Get 20% off your first order at ohho.co with code SheMD20. Acely: Get 20% off SAT prep today at acely.com with code SheMD. Osea: Get 10% off your first order sitewide with code SheMD at oseamalibu.com. Skylight: Get $30 off the 15-inch Skylight Calendar at myskylight.com/shemd. What You'll Learn Why Whitney froze her eggs at 33 and how it eased her anxiety about dating and timing.Why Dr. A tells patients never to use all of their frozen eggs to make embryos with a partner.How egg quantity and quality decline with age, and what that means for miscarriage risk.The lifestyle changes Whitney made before conceiving naturally at 40.The testing and monitoring Dr. A recommends for advanced maternal age pregnancies, including preterm birth screening, low-dose aspirin, and growth ultrasounds.Why delivery at 39 weeks is recommended for women over 40.The difference between postpartum blues and postpartum depression, and how long the postpartum period really lasts.Whitney's approach to co-parenting, forgiveness, and choosing a partner. Key Takeaways Egg freezing can reduce the pressure and anxiety around timing, and women should always keep some of their own eggs rather than using them all for embryos with a partner.Both egg quantity and quality decline with age, but many women still have healthy pregnancies in their 40s with the right care and awareness of their personal risk factors.Advanced maternal age pregnancies benefit from closer monitoring, including preterm birth screening, low-dose aspirin, regular growth ultrasounds, and delivery at 39 weeks.Postpartum depression affects about one in seven women, can appear up to a year after birth, and is more likely without strong support at home.Asking for help, leaning on your village, and letting motherhood change you are essential parts of postpartum recovery.Choosing a partner based on respect and integrity, and co-parenting with kindness, creates a healthier environment for your child. Guest Bio - Whitney Cummings Whitney Cummings is a comedian, actress, director, and writer. She is the co-creator of 2 Broke Girls, the creator and star of NBC's Whitney, and the host of the podcast Good for You. Known for her disarmingly honest stand-up specials, Whitney has spoken openly about egg freezing, body image, sobriety, and her recovery from an eating disorder. She became a mom at 40 to her son Henry and has been candid about her pregnancy and postpartum journey. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What does it actually mean to age well as a woman? Dr. Elizabeth Poynor joins SheMD to explore longevity through a female and hormonal lens. Drawing on her background in gynecologic oncology, cancer prevention and women’s health, she explains why midlife can be a critical turning point and what may begin changing in the body years before menopause. Dr. Poynor breaks down the roles of estrogen, progesterone and testosterone, including their connections to sleep, mood, brain fog, body composition, metabolic health and overall well-being. She also discusses hormone therapy, GLP-1s, protein intake, strength training, genetic testing, cancer prevention and why she believes movement is one of the most important habits women can build for long-term health. Plus, Dr. Poynor shares her own experience with BRCA1, why she believes women should take a more proactive approach to prevention, and the mindset shift she wants women to make about aging. Midlife is not just something to get through. It may be one of your greatest opportunities to take control of how you age. Sponsors Midi Health: It's time to get back to feeling like you again. Visit joinmidi.com  right now to book your first visit today. Talkiatry: Head to talkiatry.com/shemd to complete the short assessment and get matched with an in-network psychiatrist in just a few minutes. Gusto: Try Gusto today at gusto.com/shemd and get three months free when you run your first payroll. Blueland: If you're looking to make a small change in your routine, you can get fifteen percent off your first order at blueland.com/shemd David: David is offering our listeners a special deal. Buy four cartons and get the fifth free when you go to davidprotein.com/shemd. What You’ll Learn Why midlife is a critical window for women to take a proactive approach to longevity and healthHow hormonal changes in the late reproductive years can affect sleep, mood, brain health, metabolism, and body compositionThe role of strength training, protein, sleep, nutrition, and stress management in healthy agingWhat women should know about hormone therapy, including estrogen, progesterone, and testosteroneHow GLP-1 medications may fit into midlife health and body composition, and why maintaining muscle is so importantWhy women’s longevity needs to be understood through a hormonal lens—and where more research is still needed Key Timestamps 00:00 Welcome to SHE MD Podcast 00:41 From Oncologist To Longevity Expert 04:04 Why Cancer Rates Are Rising 05:11 Genetic Testing And BRCA Story 07:47 Foundational Pillars For Health 09:42 Protein Intake For Midlife Women 11:44 GLP-1s And Body Composition 19:19 The Midlife Hormonal Turning Point 26:44 When To Start Hormone Therapy 31:46 Oral Vs Transdermal Estrogen 41:07 Progesterone And Testosterone Explained 46:37 Why Midlife Is A Critical Window 50:03 Movement As The Top Longevity Habit 51:12 Peptides: Where The Research Stands 53:10 Women's Longevity Vs Men's Key Takeaways Midlife is a critical opportunity to take a proactive approach to health and longevity.Hormonal changes can impact sleep, mood, brain health, metabolism, and body composition.Strength training and daily movement are foundational for healthy aging.Protein and muscle preservation become increasingly important as women age.Hormone therapy should be personalized and discussed with a knowledgeable healthcare professional.More research is needed on hormones, GLP-1s, peptides, and women’s longevity.Healthy habits built earlier in life can create a stronger foundation for long-term health.Women’s longevity should be studied through a female-specific hormonal lens. Guest Bio - Dr. Elizabeth Poyner Dr. Elizabeth Poynor is a board-certified gynecologic oncologist, pelvic surgeon, and women’s health expert specializing in menopause, hormone health, and complex gynecologic conditions. She is Chair of Women’s Health and Gynecology at the Atria Health and Research Institute and a Clinical Professor at NYU Grossman School of Medicine. She combines her expertise in gynecologic oncology, surgery, and midlife women’s health to help women better understand and navigate their health. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Muscle is having its moment, and the woman leading the charge trains one of the most famous bodies in the world. Senada Greca, Kim Kardashian's trainer, joins Dr. A and Mary Alice to make the case that strength is a woman's birthright, and that lifting heavy will not make you bulky. It will make you powerful, capable, and built to last.  Senada shares how she went from using exercise to punish her body to using it to build herself, and how strength training became a tool that helped her heal. She and the hosts get into why so many of us were taught to fear the weight rack, what strength really does for your bones, your brain, and your longevity as you age, and how to start moving from a place of love instead of punishment.  Her advice for every woman listening: move, move mindfully, and move heavy.  Follow SheMD and share this with a woman who's ready to feel strong. @SheMDPodcast, shemdpodcast.com  Content note: this conversation includes an honest discussion of disordered eating and recovery. If you're struggling, please reach out to someone you trust or a qualified professional.  This podcast is for educational and entertainment purposes only and is not a substitute for medical advice. Some products or services discussed may involve sponsorships or paid advertising.. Sponsors Sera: You can visit PreTRM.com to learn more and talk with your provider about whether the PreTRM test might be right for you. Momentous: If you want to try Momentous Signature Spec Creatine, head to livemomentous.com and use code sheMD for up to 35% off your entire first order. Opill: Preventing pregnancy is as easy as Opill. You can find Opill at most major retailers, in-stores and online. Egglife: Find egglife wraps chillin' in the fridge at Aldi, Whole Foods, Kroger, Target, Walmart & more. Visit www.egglifefoods.com to find a retailer near you. Ladder: If you have an iPhone, head to ladder.fit/shemd and take a quick quiz to find your perfect Ladder plan. You'll get a free seven-day trial, no credit card required, and $10 off your first month when you join. What You’ll Learn Why women shouldn’t be afraid of lifting heavy weights and why strength training won’t automatically make you bulkyHow strength training can support muscle mass, bone health, cognitive health, and longevity as women ageHow to start strength training safely, from mastering basic movements to gradually increasing weightWhy progressive overload and proper form matter more than how much weight you can liftHow protein, carbohydrates, and creatine can support strength, muscle, and overall healthHow to shift your relationship with exercise from punishment to a way of caring for and building your bodyHow strength can translate beyond the gym into greater confidence, capability, and trust in yourself Key Timestamps 00:00 Welcome to SHE MD Podcast 01:29 Her Battle With Anorexia & Binge Eating 03:35 The Shift From Punishment to Strength 07:04 Kim's 5x a Week Heavy Lifting Revealed 07:51 Why Women Are Terrified of Weights 10:14 Progressive Overload Explained 19:01 How Beginners Should Start Lifting 23:18 "Will Lifting Make Me Bulky?" Myth Busted 25:35 Muscle, Bone Density & Alzheimer's Link 25:46 Why Protein Is Non-Negotiable 28:11 Sonata's Daily Protein & Creatine Ritual 40:41 Free Resources for Beginners 47:46 Farmer's Carries, Age & Menopause Key Takeaways Start where you are. Even five minutes of movement can help build a consistent habit.Focus on moving well and mindfully before adding more weight.Strength training is about becoming stronger and more capable, not shrinking yourself.Gradually increasing the challenge, while maintaining good form, is key to building strength.Aim for consistency over perfection. Three intentional strength-training sessions per week can be effective.Protein is an important part of supporting muscle growth and strength, particularly as women get older.Strength training becomes increasingly important for supporting muscle and bone health as we age and move through perimenopause and menopause.Movement can be an act of self-care: move to protect your future self, support your longevity, and build trust in your body.As Senada puts it: move, move mindfully, and move heavy. Guest Bio - Senada Greca Senada Greca is a certified personal trainer, breathwork and meditation teacher, and the strength coach behind Kim Kardashian's viral heavy-lifting transformation. After overcoming her own struggle with anorexia, binge eating, depression, and anxiety, she built her career around helping women reframe fitness as a tool for strength rather than punishment. She holds an MBA and is the founder of We Rise, a fitness and self-development platform and app that combines strength training with mental health support, career development, and community-building for women. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Rhea Seehorn is up for an Emmy this weekend for her extraordinary performance in Pluribus, so we're bringing back one of our most personal, most-loved episodes. Because to Mary Alice, Rhea isn't just an award-winning actress. She's her best friend, and the stepmom to her two boys. In this conversation, Mary Alice and Rhea tell the wild (and very true) story of how they met, and how Mary Alice ended up setting Rhea up with her own ex-husband. They get honest about building a thriving blended family over twelve years, co-parenting after divorce, dating in your 30s, the female friendships that hold everything up, and the health scare a dozen doctors waved off as "probably hormonal" before Rhea pushed for a real answer. She closes with five pieces of hard-won advice every woman needs to hear, starting with "you're already enough." Whatever happens on Emmy night, we could not be prouder of her. A companion to our episode with parenting coach Betsy Brown Braun. Follow SheMD and share this with a woman navigating divorce, dating, or a blended family of her own. @SheMDPodcast ·shemdpodcast.com This podcast is for educational and entertainment purposes only and is not a substitute for medical advice. Some products or services discussed may involve sponsorships or paid advertising. Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being. Sponsors Midi Health: It's time to get back to feeling like you again. Visit joinmidi.com  right now to book your first visit today. Huel: Make healthy eating simple. Get Huel today with our exclusive offer of 15% OFF online with code SheMD at Huel.com/SheMD. Acely: Visit Acely.com and use code SHEMD for 20% off. Toothpillow: For a limited time, SheMD listeners can get a free video assessment. Just head to toothpillow.com/shemdorshemdpod and use code SheMD at checkout Gusto: Try Gusto today at gusto.com/shemd and get three months free when you run your first payroll. Key Timestamps 00:00 Welcome to SHE MD Podcast 04:24 Rhea’s Dating Advice 08:17 Choosing Not to Have Biological Children 11:52 Building a Blended Family 16:45 Friendship, Confidence & Supporting Other Women 18:38 The Hardest Part of a Blended Family 21:37 Missing Moments With Your Kids 23:17 Becoming a “Bonus Mom” 24:52 Balancing Motherhood & a Career 27:09 How Rhea Seehorn Became an Actress 30:00 Building a Career in Hollywood 33:42 Better Call Saul & Career-Defining Roles 37:18 Rhea’s Career, Family & Life Today 40:15 Final Thoughts Key Takeaways  How to co-parent without chaos: Whether biological or step-parent, your love and presence matter.Making a blended family work: boundaries, respect, and lots of grace. Accept that blended families require flexibility and compromise.Women need to stop apologizing for ambition: Working moms can be great role models by pursuing their passions.Speak up at the doctor’s office: Push for proper medical care, especially when facing dismissive responses.Open communication: Express needs and boundaries to strengthen relationships. Guest Bio: Rhea Seehorn Rhea Seehorn is an Emmy-nominated actress and director best known for her acclaimed performance as Kim Wexler in Better Call Saul. She currently stars as Carol Sturka in Pluribus, earning a 2026 Emmy nomination for Outstanding Lead Actress in a Drama Series. Before acting, Rhea studied visual art and discovered theater through an acting elective in college, eventually building a career across theater, comedy, television, and drama. In this episode of SHE MD, Rhea joins her close friend Mary Alice Haney for a deeply personal conversation about dating, becoming a stepmother, building a blended family, choosing not to have biological children, balancing motherhood with a demanding career, and the path that ultimately led her to acting. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

NOTE: PCOS is now called PMOS, or Polycystic Metabolic Ovarian Syndrome. PMOS is about so much more than irregular periods or fertility. In this episode of SheMD, Dr. Thaïs Aliabadi breaks down the four major pillars of PCOS, and explains how they can all be connected. This is a deep dive into why PCOS is so often missed, the symptoms that can look different from woman to woman, the role insulin resistance can play, and why you don’t necessarily need high testosterone or polycystic appearing ovaries to meet the criteria for PCOS. Dr. A also explains how PCOS can affect weight, acne, hair growth, mood, brain fog, ovulation, fertility, and long-term health, plus what women and parents of teenage girls should know about getting properly evaluated. If you’ve ever wondered whether your symptoms could be connected, this episode is your PCOS deep dive. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The frozen shoulder. The 3 a.m. anxiety. The brain fog and the rage that come out of nowhere. For decades, women were told it was "just stress" and sent home with an antidepressant. This week, Dr. A and Mary Alice welcome back the woman changing that — Dr. Mary Claire Haver, the OB-GYN The New York Times calls the "Menopause Queen" — for a full masterclass on perimenopause. It can start in your late 30s, it lasts 7 to 10 years, and almost no one warned us. Dr. Haver explains what's really happening in your body and brain, why so many women are dismissed, and what you can actually do about it — HRT, progesterone, vaginal estrogen, sleep, mood, and the myth that you have to wait until it's "bad enough" to get help. Because suffering isn't the price of admission. Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being. Sponsors Talkiatry: Head to talkiatry.com/shemd to complete the short assessment and get matched with an in-network psychiatrist in just a few minutes. Babbel: Right now, Babbel is offering listeners up to 60% off. Go to Babbel.com/SheMD Egglife: Find Egglife chillin' in the fridge at Aldi, Whole Foods, Kroger, Target, Walmart & more. Visit egglifefoods.com to find a retailer near you. Acely: Visit Acely.com and use code SHE MD for 20% off. Ladder: If you have an iPhone, head to ladder.fit/SHEMD and take a quick quiz to find your perfect Ladder plan. Use our link and get a free 7-day trial with NO credit card, and $10 off your first month if you join. Skylight Frames: Right now, Skylight is offering our listeners $30 off their 15-inch calendars by going to myskylight.com/shemd. What You’ll Learn What perimenopause actually is and how it differs from menopauseWhy perimenopause can begin in your late 30s or 40sWhy brain fog, sleep disruption, anxiety and mood changes can be early symptomsWhen hormone therapy may be considered during perimenopauseThe difference between HRT/MHT, birth control and vaginal estrogenWhat we know, and still don't know, about HRT and cardiovascular and bone healthHow GLP-1 medications can affect muscle and bone healthThe role of protein, resistance training, vitamin D, omega-3s, fiber and creatineWhat declining estrogen can mean for vaginal and urinary healthWhat women should know about HRT and breast cancer riskWhy listening to your symptoms and advocating for yourself mattersKey Timestamps 00:00 Why Every Vagina Needs Estrogen 01:32 Welcome Back Dr. Mary Claire Haver 05:44 What Perimenopause Actually Is 08:44 The "Zone Of Chaos" And Brain Glitching 18:08 How To Evaluate A Perimenopausal Patient 20:01 All Vaginas Need Estrogen 24:50 Why Perimenopause Is The Best Time To Start HRT 32:13 GLP-1s, Muscle Loss, And Bone Health 36:41 Patches, Pellets, Creams: What Actually Works 40:23 Debunking The HRT-Breast Cancer Myth 50:33 Creatine, Vitamin D, And Key Supplements 54:56 The Histamine-Hormone Connection 58:12 Vulvar Changes Nobody Warns You About 1:04:37 Lightning Round: Hormone Myths Busted 1:07:19 Three Takeaways For Every Woman Key Takeaways Perimenopause is a years-long biological transition, not simply the period immediately before menopause.Symptoms can appear before periods become irregular or hot flashes begin.Brain fog, sleep disruption and mental health changes can be among the earliest signs of fluctuating hormones.Hormone therapy does not necessarily have to wait until a woman is fully menopausal; treatment should be individualized based on symptoms, risks and benefits.Bone health, cardiovascular health, muscle mass and metabolic health all deserve attention during the menopause transition.If using GLP-1 medications, Dr. Haver emphasizes adequate protein, resistance training and monitoring body composition rather than focusing solely on the number on the scale.Vaginal and urinary symptoms can be related to declining estrogen and may be treated with local estrogen therapy.The goal of understanding perimenopause is not simply to get through it, but to enter the next stage of life informed, healthy and empowered.Guest Bio: Dr. Mary Claire Haver Dr. Mary Claire Haver is a board-certified OB-GYN and a leading voice in menopause and women's health. She has dedicated her career to helping women better understand the biological changes that happen during midlife and has been called the “Menopause Queen” by The New York Times. She is the author of the bestselling The New Menopause and her newest book, The New Perimenopause, which focuses on the years leading up to menopause. She also hosts the podcast Unpaused and shares women's health education across social media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Mary Alice and Dr. A sit down with reproductive endocrinologist and fertility expert Dr. Natalie Crawford for a deep dive into everything women should know about their fertility before they’re ready to have a baby. They discuss why fertility can be an important reflection of overall health, how inflammation, endometriosis, PCOS/PMOS, and autoimmune conditions can impact reproductive health, and why women shouldn’t have to wait until they’re struggling to conceive before they start asking questions. The conversation also breaks down AMH and ovarian reserve, egg freezing, when it makes sense to see a fertility specialist, and what women should know about long-term birth control and fertility. Dr. Crawford shares why getting more information earlier can give women more choices later, and why understanding your own body is one of the most important parts of advocating for your health. Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being. Sponsors Prolon: For a limited time, Prolon is offering SHE MD listeners 15% off sitewide plus a $40 bonus gift when you subscribe to their 5-Day Program! Just visit ProlonLife.com/SHEMD Olly: Shop Precise Probiotics with Skin, Stress Response or Metabolism Support at a Walmart near you. David: David is offering our listeners a special deal. Buy four cartons and get the fifth free when you go to davidprotein.com/shemd. Gusto: Try Gusto today at gusto.com/SHEMD, and get three months free when you run your first payroll. Hers: Ready to reach your goals? Visit forhers.com/shemd to get personalized, affordable care that gets you. Egglife: Find Egglife chillin' in the fridge at Aldi, Whole Foods, Kroger, Target, Walmart & more. Visit egglifefoods.com to find a retailer near you. What You’ll Learn Why fertility can be an important marker of overall healthHow inflammation can affect reproductive healthWhat AMH measures and what it can tell you about ovarian reserveWhen women should consider fertility testingWhen it may make sense to see a fertility specialistWhat to know about egg freezing and ovarian reserveHow endometriosis, PCOS/PMOS, and autoimmune conditions can affect fertilityWhether long-term birth control can impact fertilityWhat to consider before coming off birth control and trying to conceiveHow to advocate for yourself when you feel dismissed by your doctor Key Timestamps 00:00 Male Fertility Is Half the Puzzle 01:42 The Fertility Formula Meet Dr. Natalie Crawford 02:15 Reproductive Endocrinology: Her Path to Fertility Medicine 05:34 Inflammation: The Hidden Root of Infertility 08:01 Chronic Inflammation vs. Normal Immune Response 10:07 Celiac, Endo, Hashimoto's Medical Causes of Inflammation 11:16 Undiagnosed Infertility 13:02 Anti-Inflammatory Eating Explained 16:09 Gut Microbiome Fiber & Healthy Fats 25:01 AMH:The Ovarian Reserve Test 29:53 Missed Diagnoses Endometriosis & PMOS 30:16 Private Equity and Fertility Medicine 40:28 Endo Test New Blood & Saliva Diagnostics 43:18 Does Birth Control Hurt Fertility? 45:02 IUDs: Thin Linings & Scar Tissue Risk 50:33 When to See a Specialist?  53:05 Pregnancy After 40 Key Takeaways Fertility is about more than getting pregnant. Fertility issues can sometimes point to underlying health conditions that deserve attention.You don't have to wait until you're trying to conceive to learn about your fertility. The conversation explores how earlier testing can give women more information and more choices.AMH is one piece of the fertility puzzle. Understanding ovarian reserve can help women make more informed decisions about their reproductive timeline and options.Birth control does not appear to cause long-term infertility. Dr. Crawford explains that research has not shown a long-term difference in conception rates after stopping the pill, while noting that hormonal birth control can affect how certain fertility markers are interpreted.You can see a fertility specialist before experiencing infertility. Fertility specialists can help women understand ovarian reserve, discuss egg freezing, and identify potential issues before someone begins trying to conceive. Guest Bio: Dr. Natalie Crawford Dr. Natalie Crawford is a reproductive endocrinologist, fertility specialist, educator, podcast host, and author of The Fertility Formula. After completing her OBGYN residency at Parkland Hospital, she completed a three-year fellowship in reproductive endocrinology and infertility. She now practices at Fora Fertility in Austin, Texas, and has spent more than a decade educating women about fertility and reproductive health. She is also the host of the As A Woman podcast, which has reached millions of downloads, and wrote The Fertility Formula to give women the foundational fertility education she believes they should have much earlier in life. Her goal is to help women understand their bodies and fertility before they’re ready to have children, so they can make informed decisions when the time comes. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What if your health is about more than your lab results? In this episode of SHE MD, Mary Alice sits down with Dr. Lucy McBride, physician and author of Beyond the Prescription, to talk about how women can become better advocates for their health while navigating an overwhelming medical system. They discuss HRT and perimenopause, GLP-1s, cortisol, alcohol, health misinformation, vaccines, AI, and how to know which medical information you can actually trust. Dr. McBride shares how to make the most of a 10- or 15-minute doctor’s appointment and why sometimes the most important health question isn’t the one you think you should be asking. Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being. Sponsors Midi Health: Book your first virtual visit today at joinmidi.com. Opill: Opill is birth control in your control. Check out Opill to see if it is right for you. You can find Opill at most major retailers in store and online at opill.com. Olly: Shop Precise Probiotics with Skin, Stress Response, or Metabolism Support at a Walmart near you. Figs: So if you're in healthcare - or know someone who is - get 15% off your first order at wearfigs.com with code FigsRx. Ka'Chavaa: Go to kachava.com and use code SheMD for 15% off your first order. Blueland: If you're looking to make a small change in your routine, you can get 15% off your first order at blueland.com/SheMD. What You’ll Learn Why your health is about more than what shows up on a blood testHow to prepare for a short doctor’s appointment and advocate for yourselfWhat Dr. McBride wants women to understand about HRT and perimenopauseHow she approaches GLP-1 medications and the growing conversation around “microdosing”Why cortisol has become a misleading catch-all explanation for women’s health concernsHow to think about your relationship with alcohol rather than simply how much you drinkHow to identify misinformation and evaluate medical claims onlineHow to use AI tools like ChatGPT or Claude more thoughtfully when researching your healthWhat questions women should ask when thinking about preventive healthWhy finding the right doctor and building an ongoing relationship with them matters Key Timestamps 00:00 Welcome Dr. Lucy McBride 04:02 How to Advocate for Yourself at the Doctor's Office 07:33 What Women Need to Know About HRT 10:58 Testosterone in Women: Benefits, Risks & When to Consider It 12:20 The Truth About the "Cortisol" Wellness Myth 14:19 Alcohol, Women's Health & Your Relationship With Drinking 21:10 What Preventive Health Really Looks Like 23:51 The Pandemic & Why Dr. McBride Wrote Her Book 25:24 How to Navigate Health Information in the Age of AI 27:50 Spotting Misinformation & Finding Trusted Medical Sources 30:23 How to Use AI to Ask Better Health Questions 36:05 How to Read Medical Studies & Spot Misleading Headlines 38:24 Dangerous Wellness Trends & Medical Misinformation 39:39 Vaccines, COVID-19 & What the Data Shows 41:36 Understanding Long COVID 43:27 Dr. Lucy McBride's Three Takeaways for Patients 45:52 Final Thoughts & SHE MD Takeaways Key Takeaways How to advocate for yourself during a short doctor’s appointmentWhy your health is about more than your lab resultsWhat women should know about HRT during perimenopause and menopauseHow to think about GLP-1 medications and who they may be right forThe truth about cortisol and chronic stressHow alcohol can impact women’s physical and mental healthHow to spot health misinformation onlineHow to use AI to ask better questions about your healthWhat preventive health questions women should be asking their doctorsWhy finding the right doctor can make all the difference Guest Bio: Dr. Lucy McBride Dr. Lucy McBride is a physician, author, and medical communicator whose public-facing work grew during the COVID-19 pandemic, when she began sharing evidence-based information and helping people separate medical facts from misinformation. She has written for The Atlantic, appeared regularly on MSNBC, and testified before congressional committees. Her book, Beyond the Prescription, draws on her own experience as a patient and more than 25 years of medical experience to explore a more holistic approach to health. She is also the author of the weekly Substack newsletter Are You Okay?, which focuses on cutting through medical noise and helping people better understand their health. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Kim Kardashian joins Mary Alice Haney and Dr. Thais Aliabadi on SHE MD for an honest conversation about living with psoriasis and psoriatic arthritis. Kim opens up about her first flare, the challenges of managing psoriasis in the public eye, the treatments and lifestyle changes she’s tried, and what finally helped get her symptoms under control.  Alongside Dr. Wallace, Mary Alice and Dr. Thais break down what psoriasis actually is, how it can affect the joints and other parts of the body, how it’s diagnosed, and when it’s time to see a dermatologist or rheumatologist. They also discuss genetics, stress, self-care, and why understanding what’s happening beneath the skin is so important. Kim also shares why she’s chosen to be open about her health and use her platform to bring more awareness to psoriasis and help others feel less alone. Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being. Sponsors Smile Set:  Listeners of our show get an additional 35% off discount when they go to smileset.com/shemd. With this discount, you can get the smile of your dreams for under 1,300 bucks.  Ladder:  If you have an iPhone, head to ladder.fit/shemd. Take the quick quiz and find your plan. You'll get a free seven-day trial, no credit card required, and $10 off your first month when you join. BEAM Minerals: Get 20% off your first order at beamminerals.com/shemd with code SheMD. Gusto:  Try Gusto today at gusto.com/shemd and get three months free when you run your first payroll.  Acely:  If your student is heading into testing season and you wanna help them achieve a life-changing score, go to acey.com and use code SheMD for 20% off today. Skylight Frames:  Go to myskylight.com/shemd for $30 off your 15-inch calendar. What You’ll Learn What psoriasis is and how it affects the skinWhy psoriasis is considered an immune-mediated conditionThe different types of psoriasis and how they can presentHow psoriasis can be connected to psoriatic arthritisWhy diagnosing psoriasis and psoriatic arthritis can sometimes be complicatedWhen topical treatments may be enough and when systemic therapy may be consideredWhy certain topical steroids need to be used carefullyHow stress and the mind-body connection may relate to psoriasisWhat Kim Kardashian experienced throughout her own psoriasis journeyWhy seeking medical care is important instead of relying solely on social media or home remedies Key Timestamps 00:00 Welcome Kim Kardashian & Dr. Daniel J. Wallace 02:25 Kim's First Psoriasis Flare at Age 30 09:04 What Exactly Is Psoriasis? 15:05 When to See a Dermatologist or Rheumatologist 22:25 How Doctors Diagnose & Evaluate Psoriasis 26:22 Topical Steroids & How to Use Them Safely 29:32 Kim's Psoriatic Arthritis & Flare-Up Experience 33:45 Kim's Skincare & Self-Care Routine 35:45 Kim on Living With Psoriasis in the Public Eye 38:13 Kim's Workout, Supplements & Wellness Routine 41:04 Kim's Advice to Her Younger Self 43:48 5 Things to Know If You Think You Have Psoriasis 44:39 Final Thoughts & Goodbye Key Takeaways Psoriasis can look different from person to person and may range from localized skin lesions to more extensive disease.Psoriasis can affect more than the skin, including the joints and potentially other parts of the body.Psoriatic arthritis can develop in people with psoriasis and may cause joint pain and swelling.Treatment depends on the type and severity of psoriasis, and some people may require systemic therapy.Strong topical steroids can be effective but need to be used carefully, particularly on the face.Stress, self-care, exercise, and overall lifestyle can be important parts of managing health, although individual triggers and experiences vary.Medical evaluation is important when psoriasis is suspected, especially when joint symptoms are present. Guest Bio: Kim Kardashian Kim Kardashian is a cultural trailblazer, actress, fashion icon, activist, entrepreneur, and devoted mother of four. She revolutionized the shapewear market with her cult-favorite brand SKIMS and has significantly transformed the beauty industry through her highly successful cosmetic and fragrance lines, KKW Beauty and KKW Fragrance. Beyond her business acumen, Kim is a powerful advocate for criminal justice reform and is currently pursuing a law degree. Her influence on contemporary culture is unparalleled, making her a defining figure of our time. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What if the anxiety, emotional sensitivity, and overwhelm you've experienced for years are actually connected to ADHD? On this episode of SHE MD, Mary Alice sits down with board-certified psychiatrist and ADHD specialist Dr. Sasha Hamdani to unpack why ADHD is so often missed or misdiagnosed in women. They discuss the emotional side of ADHD, rejection sensitive dysphoria (RSD), hormones and ADHD symptoms, ADHD during perimenopause and postpartum, medication options, and why treating ADHD is about so much more than improving focus. Dr. Hamdani also shares the science behind her new book, Too Sensitive: Rejection, Resilience, and the Science of Feeling Deeply. Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being. Sponsors Sera: To learn more you can visit PreTRM.com. Talk with your provider about whether the PreTRM Test might be right for you. Momentus: If you want to try Momentous Signature Spec Creatine, head to livemomentous.com and use code SheMD or SheMDpod for up to 35% off your entire first order. Talkiatry: Head to talkiatry.com/shemd to complete the short assessment and get matched with an in-network psychiatrist in just a few minutes. Larine: Right now, Larinco is offering our listeners up to 50% off at buylarine.com/shemd. DripDrop: Right now, DripDrop is offering podcast listeners 20% off your first order. Go to dripdrop.com and use promo code SheMD. Olly: You can find OLLY Precise Probiotics with skin, stress, or metabolism support at a Walmart near you. What You’ll Learn Why ADHD can look different in women than in menWhy women with ADHD are often diagnosed with anxiety or depression insteadHow estrogen fluctuations can affect ADHD symptoms and dopamine regulationWhat happens to ADHD symptoms during PMS, pregnancy, postpartum, perimenopause, and menopauseThe difference between stimulant and non-stimulant ADHD medicationsHow medication decisions can be personalized for women and childrenWhat rejection sensitive dysphoria (RSD) is and how it can affect relationships and daily lifeWhy emotional dysregulation is an important part of the ADHD conversationWhether supplements can help with ADHD symptomsWhy you can't “give yourself” ADHD by spending too much time on your phoneDr. Hamdani's favorite ADHD sleep hack Key Timestamps 00:00 Welcome Dr. Sasha Hamdani 02:40 Sasha's ADHD Diagnosis & Her Journey Through Medical School 07:28 Why ADHD Looks Different In Women 09:07 Why So Many Women Are Misdiagnosed With Anxiety & Depression 10:20 How Hormones Can Make ADHD Symptoms Worse 16:43 Estrogen, Menopause & ADHD Symptoms 18:50 ADHD Medication vs. HRT: What's The Difference? 20:56 Finding The Right ADHD Medication 23:09 Stimulants Vs. Non-Stimulants & The 80/20 Approach 25:26 ADHD Medication For Children 31:44 Why ADHD Medication Can Stop Working During Perimenopause 32:49 The Long-Term Effects Of ADHD Medication 34:11 Are Medication Holidays Helpful? 36:40 Understanding Rejection Sensitive Dysphoria (RSD) 40:59 How To Regulate Emotional Dysregulation 41:36 Inside "Too Sensitive" & The Science Of Feeling Deeply 44:52 Dating Advice For Women With RSD 47:16 Do Supplements Actually Help ADHD? 48:46 Can Your Phone Make ADHD Worse? 50:16 The Biggest Misconceptions About ADHD 51:05 Sasha's Favorite ADHD Hack For Better Sleep 52:28 Final Thoughts & Takeaways Key Takeaways ADHD is about much more than attention and focus. It can affect emotions, relationships, sleep, eating, executive function, and everyday life.Women are frequently missed because they may present primarily with inattentive symptoms rather than the stereotypical hyperactive presentation.Hormonal changes can worsen ADHD symptoms, particularly when estrogen drops during the menstrual cycle, postpartum period, and perimenopause.Anxiety and depression can coexist with ADHD, but they can also be diagnoses that obscure underlying ADHD.Rejection sensitive dysphoria describes an intense emotional or physical response to real or perceived rejection or criticism and can be particularly disruptive for people with ADHD.Finding the right ADHD treatment is highly individualized. Medication can be one tool alongside behavioral strategies and other forms of support.Dr. Hamdani emphasizes that the goal of ADHD medication isn't to make someone feel “perfect,” but to provide consistent support that allows them to function more like they do on a good day.Emotional sensitivity isn't necessarily something that needs to be eliminated. The goal can be learning to better understand and regulate it. Guest Bio: Dr. Sasha Hamdani Dr. Sasha Hamdani is a board-certified psychiatrist and ADHD specialist who has both personal and professional experience with ADHD. After being diagnosed with ADHD as a child, she went on to become a physician and now specializes in treating ADHD and helping patients better understand the condition beyond traditional symptoms of inattention and hyperactivity. She is also the author of Too Sensitive: Rejection, Resilience, and the Science of Feeling Deeply, which explores the neuroscience of emotional sensitivity, rejection, hormones, and practical tools for managing intense emotions. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.