The justASK Podcast Part of The HIVE Collective

New this episode Tara (Pharm D) and I discuss meds for female sexual health this is a recording from the lecture we did at the American Academy of Nurse Practitioners. To Follow Tara Tara-@thesexualhealthpharmacist To Follow US check out: Heather- www.theshowcenter.com Jackie- https://www.mymonarchhealthco.com The podcast- @justaskhive Heather- @showcenterdrq Jackie- @jackiep_gynnp The course is live and available at: the-hive8.teachable.com

Testosterone therapy (TTh) has been shown to improve libido in women with sexual dysfunction, but its utilization has been limited due to concern for cardiovascular events and past studies reporting highly variable results. the goal was to assess the association of TTh in women with major adverse cardiac events (MACEs), including heart attack, stroke, or death, using a large database. The results contribute to safety data on TTh, a therapy for sexual dysfunction in women. And they found a decreased risk of MACE among women with TTh as compared with matched controls and a similar risk of MACE in postmenopausal women while demonstrating a similar or significantly lower risk of breast cancer on age-based subanalysis. Article here: https://pubmed.ncbi.nlm.nih.gov/38459625/ To Follow US check out: Heather- www.theshowcenter.com Jackie- https://www.mymonarchhealthco.com The podcast- @justaskhive Heather- @showcenterdrq Jackie- @jackiep_gynnp The course is live and available at: the-hive8.teachable.com

In this episode we talk about the bias and stigma around women and sexual health and particular what his looks like for Muslim women. We talk about religious, culture and family views as well as societal taboos around sexual health. Dr. Rahman is a board-certified OB/GYN who has tailored her practice to meet the needs of women for gynecologic and cosmetic services. After years of practicing obstetrics and gynecology in a variety of large academic settings and locations, Dr. Rahman started her own practice to focus on her special areas of interest to ensure patients have their best quality of life. Through her research and dedication, she is one of the few physicians nationally to receive the designation of ISSWSH (International Society for the Study of Women’s Sexual Health ) Fellow (IF) and is actively involved with cutting edge approaches to sexual pain and sexual dysfunction. She also is an active member of the IPPS, International Pelvic Pain Society, and specializes in a multidisciplinary approach to chronic pelvic pain. For midlife women, Dr. Rahman is also a specialist in menopause management with the designation of Certified Menopause Physician through the North American Menopause Society (NCMP). Dr. Rahman was raised in the south in North Carolina and as you will see from her rapport, she understands what good ole southern hospitality means. She attended Duke University for her B.S. degree in Biology where she also specialized in Women’s Studies. She then continued in her home state at the University of North Carolina at Chapel Hill for her M.D. As women’s health care and women’s issues have always been on the forefront of concerns for her, she moved up north for her residency in Massachusetts in Obstetrics and Gynecology at the University of Massachusetts. After completing her residency, she made her way out west to Los Angeles, California where she spent four years on the faculty at the University of Southern California, Keck School of Medicine . In L.A., she spent a great deal of her time on resident and medical student education and simulation training in obstetrics and surgery. She also spent her personal time performing medical missions internationally with a variety of international women’s organizations as well as working with at the WHO in Switzerland. She has taken extra time to explore areas of aesthetic medicine with the American Board of Aesthetic Medicine, including anti-aging and laser technology and improving sexual health through additional work in aesthetic vaginal procedures in southern California. Currently, Dr. Rahman is a Clinical Assistant Professor of OB/GYN at the Northwestern Feinberg School of Medicine in downtown Chicago. She previously worked at Northshore University Health Systems and was on the faculty at the University of Chicago. She is a member of the American Congress of Obstetricians and Gynecologists and American College of Aesthetic and Cosmetic Physicians and a Fellow of The American College of Obstetrics and Gynecology. With her experience and expertise, she decided to venture on her own opening the Center for Gynecology and Cosmetics and tailors her practice to your needs! In her spare time, she enjoys spending time with her children and family, running outdoors no matter the season, and traveling with her children in tow. To Follow US check out: Dr. Rahman- @gynogirl https://www.cgcchicago.com/ Heather- www.theshowcenter.com Jackie- https://www.mymonarchhealthco.com The podcast- @justaskhive Heather- @showcenterdrq Jackie- @jackiep_gynnp Menopause and Midlife Course The course is live and available at: the-hive8.teachable.com

Low sexual desire in women partnered with men is typically presumed to be a problem—one that exists in women and encourages a research agenda on causation and treatment targeting women. In this paper, we present a distinct way forward for research on low sexual desire in women partnered with men that attends to a more structural explanation: heteronormativity. A heteronormative worldview assumes that relationships and structures are heterosexual, gender (usually conflated with sex) is binary and complementary, and gender roles fit within narrow bounds including nurturant labor for women. We propose the heteronormativity theory of low sexual desire in women partnered with men, arguing that heteronormative gender inequities are contributing factors. We outline four hypotheses and their predictions related to: inequitable divisions of household labor, blurring of partner and mother roles, objectification of women, and gender norms surrounding sexual initiation. We discuss some mechanisms—social, physiological, and otherwise—for the heteronormativity theory, especially related to stress, objectification, and nurturance. We close by noting some limitations of our paper and the ways that the heteronormativity theory of low sexual desire in women partnered with men provides a rigorous, generative, and empirical way forward....Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382213/ Andrea Martin, DNP, CRNP, WHNP Andrea is a board-certified Women’s Health Nurse Practitioner, which enables her to offer reproductive and sexual health care to all genders. She obtained a bachelor’s degree in Animal Science from Rutgers University as well as a bachelor’s in Nursing Science from William Paterson University. She received her master’s degree in Nursing Science from Rutgers University, and a doctorate degree in Nursing Science from Misericordia University. Her nursing experience includes inpatient medical-surgical and telemetry care, and nurse practitioner expertise has encompassed Family Planning, Gynecology, Urogynecology, and Sexual Medicine. She is an active member of the International Society for the Study of Women’s Sexual Health and currently works at Virtua Sexual Wellness & Pelvic Health in Southern New Jersey. In her free time she enjoys caring for her pets as well as cross-stitching nerdy medical humor designs. You can find her on Instagram @andrea.sexplains.it.all. To Follow US check out: Heather- www.theshowcenter.com Jackie- https://www.mymonarchhealthco.com The podcast- @justaskhive Heather- @showcenterdrq Jackie- @jackiep_gynnp Tara @thesexualhealthpharmacist The Midlife and Menopause seminar series is live and available at: the-hive8.teachable.com

In this episode we are going to •Define Trauma •Discuss the science of neurobiology of trauma •Understand the continuum of the impact of trauma on sexual health This was a Ted Talk done for the NPWH/ISSWSH Conference we wanted to share. To Follow US check out: Heather- www.theshowcenter.com Jackie- https://www.mymonarchhealthco.com The podcast- @justaskhive Heather- @showcenterdrq Jackie- @jackiep_gynnp Tara @thesexualhealthpharmacist The Midlife and Menopause seminar series is live and available at: the-hive8.teachable.com

We took some time to discuss this recent article which is very timely and it compared weight loss response and changes in cardiometabolic risk markers in postmenopausal women using semaglutide with and without menopause hormone therapy (HT) use. In postmenopausal women with overweight or obesity treated with semaglutide, HT use was associated with an improved weight loss response. It was a small study size of 60 women but nonetheless good data. Larger studies should be conducted to confirm these results. Article: https://pubmed.ncbi.nlm.nih.gov/38446869/ To Follow US check out: Heather- www.theshowcenter.com Jackie- https://www.mymonarchhealthco.com The podcast- @justaskhive Heather- @showcenterdrq Jackie- @jackiep_gynnp Tara @thesexualhealthpharmacist The course is live and available at: the-hive8.teachable.com

Launching Today 3/18/2024 The JustAsk! A Menopause + Midlife Seminar Series Course "Feeling unseen, unheard and like no one is listening to your health concerns? Were you told this is normal midlife and nothing you can do about it? This course will arm you with everything you need to talk to your provider about menopause hormone therapy and empower you to be heard!" Are you a woman aged 35-60? then this seminar series is for you! HERE IS WHAT YOU WILL LEARN We have included over 2.5 hours of content as well as a robust toolbox on how to talk to your provider about your menopause and midlife concerns. The program includes 11 modules: 1. Getting to Know Menopause 2. Your Body in Menopause 3. Lifestyle Pearls for Midlife and Menopause 4. The Menopause Work-up: What’s important 5. Hormone Therapy + Non-Hormonal Options 6. Sexual Health in Menopause 7. Menopause & Mental health 8. Menopause & Weight 9. Menopause & Sleep 10. Menopause & Bone health 11. How to Talk About Menopause with Your Healthcare Provider The toolbox includes: Helpful Resources and Articles for Perimenopause an Menopause, A Q and A guide for vaginal estrogen use and Questionnaires and Rating Scales The course is live and available at: the-hive8.teachable.com To Follow US check out: Heather- www.theshowcenter.com Jackie- https://www.mymonarchhealthco.com The podcast- @justaskhive Heather- @showcenterdrq Jackie- @jackiep_gynnp Tara @thesexualhealthpharmacist

Menopause deserves care and attention! Just because it is a normal process of aging doesn’t mean that women should be forced to grin and bear the multitude of symptoms that are associated with menopause not to mention the significant health consequences that are associated with the hormone decline of aging. We are in total agreement that we need to have a balance conversation around menopause and that we should very much reframe the conversation but this does not mean taking us back in time and pulling all the progress that we’ve made over the last 20 years since the WHI (Women's Health Initiative) trial was released, this means pressing forward with a conversation that empowers women to take full control of their menopause journey regardless of their treatment decisions. Here is the Link to the article in the Lancet to make your own informed decisions around care: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)00462-8/fulltext To Follow US check out: Heather- www.theshowcenter.com Jackie- https://www.mymonarchhealthco.com The podcast- @justaskhive Heather- @showcenterdrq Jackie- @jackiep_gynnp Tara @thesexualhealthpharmacist

Your Queen Bees are doing a deep dive today to discuss what is like to navigate as patient and trying to advocate for yourself to get your hormones or at least have an evidence based, shared decision discussion with your provider. Today we interviewed Heather Maurer, the CEO of NPWH (The National Association of Nurse Practitioners in Women's Health), a leading organization for providers who care for women and gender related health concerns. She shares her experience as patient and being denied her hormones at her last visit even after sharing the evidence with her provider. Heather L. Maurer, MA, CAE is the Chief Executive Officer for the National Association of Nurse Practitioners in Women’s Health (NPWH), the national professional association for certified women’s health nurse practitioners (WHNP-BCs) and other certified APRNs who provide women’s and gender-related healthcare. Heather has over 25 years working in healthcare including nonprofit, association, and accreditation organization management. She is one of the co-founding board of directors for Mother Health International, a 501c3 nonprofit organization, who collaborates with traditional midwives and certified midwives in supporting a midwifery model of care, free-standing birth center in Northern Uganda. Heather is passionate about addressing the barriers that prevent people from gaining access to evidence based holistic healthcare. She is a fierce advocate in support of healthcare policies that address health disparities and access to healthcare. At the heart of Heather’s work “is always the patient, the patient, the patient.” Heather Maurer- @heatherlmaurer NPWH -@npwh_official To Follow US check out: Heather- www.theshowcenter.com Jackie- https://www.mymonarchhealthco.com The podcast- @justaskhive Heather- @showcenterdrq Jackie- @jackiep_gynnp Tara @thesexualhealthpharmacist

The International Society for the Study of Women's Sexual Health (ISSWSH) Annual Meeting was this past weekend (February 2024) in Long Beach California. It is one of the absolute best conferences of the year. ISSWSH provides sexual healthcare providers, basic scientists and other sexual health professionals a forum for the communication of current knowledge regarding women’s sexual function and the diagnosis and treatment of women’s sexual dysfunction, as well as education courses before and during the plenary session. The Annual Meeting provides unrivaled scientific content with state-of-the-art lectures and faculty specializing in a variety of areas related to women’s sexual health, incorporating concepts such as: The International Society for the Study of Women's Sexual Health (ISSWSH) https://www.isswsh.org/ To Follow US check out: Heather- www.theshowcenter.com Jackie- https://www.mymonarchhealthco.com The podcast- @justaskhive Heather- @showcenterdrq Jackie- @jackiep_gynnp Tara @thesexualhealthpharmacist

Welcome back to our amazing listeners we have taken a little hiatus and are so excited to be back with you in 2024 for Season 4. We have done some rebranding and have moved the just ask podcast into The HIVE collective which is a digital health platform built to empower women to make educated and informed decisions about their health. I’m your co-host Dr. Heather Quaile a leading Women’s and Gender-related Nurse Practitioner. We started in 2020 with myself and colleague doctor Tara Thompson, pharmacist and now welcome my new cohost and leading women’s health expert and nurse practitioner, Jackie Piasta. She is a huge women’s health advocate on Instagram. So without further ado I want you to meet Jackie- who you all might have remember from our Season 3 episode 7. We wanted to discuss this rebrand and how much thought and advocacy has gone into this collective. We are a space that seeks to equip you to better navigate your health journey. We created everything in this collective with women in mind. The logo has changed to include 4 small hexagons which is the estradiol molecule- we also included 2 Queen Bees We have also updated and rebranded our mission, vision, and initiatives. We have continued to hear in our practices that women are still not being seen or heard in regards to their healthcare and in particular their menopause and midlife journey. We knew it was time to advocate for more women and make a larger impact than we can in our own private practices. As we navigated through the healthcare landscape we needed something that could empower more women that see their healthcare provider than we can care for…hence The HIVE (Health in a Virtual environment) was born! To Follow US check out: Heather- www.theshowcenter.com Jackie- https://www.mymonarchhealthco.com The podcast- @justaskhive Heather- @showcenterdrq Jackie- @jackiep_gynnp Tara @thesexualhealthpharmacist

www.drmenn.com https://linktr.ee/drmenobgyn @drmennobgyn Dr. Corinne Menn is a board-certified OBGYN and Menopause Society Certified Practitioner. Dr. Menn is also a 23-year survivor of breast cancer and premature menopause, is a BRCA carrier, and uses her experience to help women navigate their own health challenges. She has dedicated her medical practice to menopause management, the unique healthcare needs of female cancer survivors, and those at high risk for breast cancer. Now practicing exclusively through telehealth, Dr. Menn provides women’s health consultations throughout the country. She is also a Medical Advisor and prescribing doctor on Alloy, a menopause telehealth platform. Dr. Menn is an active member of the Menopause Society and a fellow of The American College of Obstetrics & Gynecology. She is a dedicated advocate and volunteer for the Young Survival Coalition, serving on their Council of Advisors leading the Provider-Survivor support group, and serves on the Breast Cancer Alliance Research Grant Committee.

Join Heather and Tara on the JustASK Podcast as we talk all things Thyroid and Sexual Health with NP Jackie Piasta! Website: www.mymonarchhealthco.com Instagram: @JACKIEP_GYNNP Jackie Piasta is a Vanderbilt University-trained Women's and Gender Health-related Nurse Practitioner who has been serving women for over 15 years. She currently owns Monarch Health, a holistic telehealth company focused on helping women thrive through midlife and menopause so they can feel confident and empowered as they navigate their wellness journey. Through her time in the medical field, Jackie has seen gaps in the healthcare system, particularly when it comes to women’s health. She believes that women deserve to be seen and heard when voicing their health concerns, and she is on a mission to not only hold that space but also to leave the healthcare system better than she found it. One of the biggests concerns she faced with her patients over the years was their complaints regarding their thyroid. Whether it be a concern of a possible thyroid issue contributing to their symptoms or feeling that their current care was suboptimal, Jackie has met thousands of women struggling with traditional thyroid concerns and feeling like something was missing in their care. This combined with an overall desire to improve people's overall health led Jackie to take a deeper dive into hormones and expand her knowledge through the Academy for Innovative and Preventative Medicine and their Bioidentical Hormone certification. Here, she learned evidence-based strategies for address a wide-range of hormonal concerns, thyroid included and she is here to share her knowledge with us today.

Dr. Anna Cabeca, DO, OBGYN, FACOG, is triple-board certified and a fellow of gynecology and obstetrics, integrative medicine, and anti-aging and regenerative medicine. She has special certifications in functional medicine, sexual health, and bioidentical hormone replacement therapy. For the past 20 years, she’s served 10,000+ women in her private practice— and millions more through her books, online videos and articles. When her own health took a troubling turn during menopause, she sought out the wisdom of healers around the world. She learned that modern medicine and time-tested natural remedies are not at odds. Working together, they create indisputable results and true well being. Using delicious, healing foods and simple lifestyle changes, Dr. Anna reclaimed her health and life. Fueled by her belief that every woman deserves to be empowered and in control of their health and life, she developed the Keto-Green lifestyle, which has helped thousands of women opt out of menopause misery and experience a joyful transition to the next stage of their lives. With her methods, you, too, can breeze through menopause into your “second spring”, feeling the best you ever have.

Listen in as Patient Advocate Aimee Cloutier give a real-life encounter of her sexual health diagnoses through the eyes of a patient. This podcast episode mixes personal experience with clinical evidence as she walks us through her story and a day in the life of a sexual health patient advocate and journey to healing! Follow Aimee on Instagram : @healthyhooha

Dr. Heather Johnson is an award winning, actively practicing gynecologist who, after delivering more than 3,500 babies over 40 years, recently retired as an obstetrician. She is senior partner at Reiter, Hill & Johnson, an Advantia practice, located in the Washington, DC area. Dr. Johnson received her M.D. at Yale University School of Medicine and completed her residency training in Obstetrics and Gynecology at Walter Reed Army Medical Center, then located in Washington, DC. Dr. Johnson is Board Certified in Obstetrics and Gynecology and a Fellow of the American College of Obstetrics and Gynecology. She served in the U.S. Army for eight years prior to going into private practice. Dr. Johnson is the author of two books: “What They Don’t Tell You About Having A Baby: An Obstetrician’s Unofficial Guide to Preconception, Pregnancy and Postpartum Life,” and “What They Don’t Tell You About Menopause: A Gynecologist’s Unofficial Guide to Premenopausal, Perimenopausal and Postmenopausal Life.” In her books she shares what she has learned through her career, fact-filled and up-to-date medical insights humorous anecdotes, and “Dr. J’s Pearls” of bite-sized advice and information. · To learn more about Dr. Johnson, her books and Dr. J’s Pearls of bite-sized advice, please visit her website https://AskDrHeatherJohnson.com, AND follow her on Instagram (@askdrheatherjohnson), Facebook (@askdrheatherjohnson) and Twitter (@askdrjohnson)! · Her books are available in both Paperback and eBook on Amazon.com, BarnesandNoble.com, Walmart.comandGoodreads.com.

We are so excited to announce Dr. James Simon as our guest speaker on the Just Ask! Podcast this month! Dr. Simon brings a wealth of knowledge and insight into hormone replacement therapy, menopause, and myths and taboos surrounding these topics. Dr. Simon is an OBGYN, thoughtleader in the area of sexual medicine, and owns his own medical practice - IntimMedicine Specialists. He believes in the art of blending exceptional skills of listening and the science of medicine to make the proper diagnosis and to develop a corrective plan for healing. Dr. Simon calls this the “You talk…I’ll Listen. We’ll Plan Together,” philosophy. Let's listen as Dr. Simon enlightens us on these topics and encourages patients to "Just ASK!" providers about their sexual health! Link In Bio to full Episode! #podcast #justask #justaskATL #sexualmedicine #hormones #menopause #HRT #hormonereplacementtherapy Your Hosts: @showcenterdrQ and @thesexualhealthpharmacist

In this podcast, hear from psychologist Courtney Raspin and her experience with Body Image, and its effects on Sexuality! Courtney’s PhD work focused on families of women with eating disorders, and over the last 20 years, she has continued to develop her expertise in the area. She has had the advantage of working in an NHS multidisciplinary team specialising in eating disorders, allowing her the opportunity to work closely with allied health professionals to help create comprehensive and unified treatment plans. In addition to working individually, she has run numerous groups for women struggling with Anorexia Nervosa, Bulimia Nervosa, & Binge Eating Disorders

Sexual function and fertility are vital components of a man's overall health; however, many in the LGBTQ community can find it challenging to connect with healthcare providers who understand their needs and experiences. In this episode, we're talking with Dr. Joshua Gonzalez about his work in becoming one of the nations leading experts in urology and his efforts to expand access to quality care for all patient populations. About the Speaker Throughout his career, Joshua Gonzalez, MD has focused on advocating for sexual health and providing improved healthcare to the LGBTQ community. As a board-certified urologist who is fellowship-trained in Sexual Medicine, Dr. Gonzalez specializes in the management of male and female sexual dysfunctions and treats a variety of common urological conditions including benign prostatic disease, voiding dysfunction, and male infertility. Visit his website Follow him on Instagram , Facebook and Tik Tok Additional Resources POPSTAR Labs Men's Supplements About the Podcast #justASK is a healthcare platform that is dedicated to providing evidence-based information by a multidisciplinary team of sexual health experts in order for individuals to make informed and optimal sexual health decisions. By listening to this podcast, you agree not to use this conversation as medical advice to treat any medical condition in either yourself or others, including but not limited to patients that you are treating. Consult a medical professional for any health issues you may be having.

The Institute For Pelvic Health was founded by Melissa Hines, DPT, and Kathy Kates, FNP, as a way to bring a holistic approach to pelvic health in their collaboration and mentoring of clinicians/ PTs and NPs. Today, it is revolutionizing the field of pelvic health by bringing together a community of healthcare providers who are passionate about pelvic health. Listen as Melissa and Kathy share their vision for wellness and how this unique approach to pelvic health education works so beautifully among a digital network of providers. Guest Speaker Bios Melissa is a pelvic floor physical therapist with 8 years of experience and the owner of Wellest Integrative Health. Wellest is the leading interdisciplinary pelvic health clinic in Boston. On her journey to motherhood (she is a new mom!), Melissa saw first hand the disconnect between pelvic health and OBGYN care. Kathy is a family nurse practitioner and pelvic floor therapist. Kathy’s firsthand knowledge about pelvic health comes from her experience being a mom and as a former cancer patient. Her work is enhanced by over 10 years as a nurse practitioner with a wealth of women’s health experience. www.instituteforpelvichealth.com Instagram @instituteforpelvichealth Institute for Pelvic Health (Linktree) #justASK is a healthcare platform that is dedicated to providing evidence-based information by a multidisciplinary team of sexual health experts in order for individuals to make informed and optimal sexual health decisions.