Sex, Hormones & Menopause

madman

Super Moderator
2 trailblazers in the field of sexual medicine!





In this episode, I sit down with Dr. Irwin and Sue Goldstein to tackle the taboo around menopause and women’s sexual health. Why is it that we still don’t talk about what’s really happening in our bodies during menopause? It’s not just about hot flashes—there’s so much more going on beneath the surface that impacts everything from our physical health to our sexuality. Sue cuts through the noise about bioidentical hormones, while Dr. Irwin introduces us to a groundbreaking technique—a game-changer for understanding your own body. We’re breaking down the myths around hormone therapy, talking about why patient education and personalized care matter, and challenging the shame that keeps these conversations in the dark.




Timestamps


(00:00) Introduction
(02:05) Meet Dr. Irwin and Dr. Sue
(04:36) Secrets to a long marriage
(07:25) Menopause vs. male counterparts
(10:06) Recognizing menopause symptoms
(12:54) Hormonal support options
(18:08) Navigating perimenopause symptoms
(22:12) Vulvacoscopy
(30:45) Hormonal environment and tissue health
(35:00) Importance of hormonal monitoring
(40:15) Taboo surrounding female anatomy
(42:46) Consequences of untreated menopause
(44:48) Research and misconceptions about hormone therapy




Dr. Irwin Goldstein and Sue Goldstein are trailblazers in the field of sexual medicine. Dr. Irwin Goldstein, a renowned physician and researcher, has authored over 360 publications, making groundbreaking contributions that have shaped the modern understanding of sexual health. Sue Goldstein is a pioneering researcher and educator who has been instrumental in advancing knowledge of female sexual dysfunction. Together, they co-founded the International Society for the Study of Women’s Sexual Health (ISSWSH) in 2000, setting a global standard for research, education, and advocacy in women’s sexual health.. Dr. Irwin Goldstein, a renowned physician and researcher, has authored over 360 publications, making groundbreaking contributions that have shaped the modern understanding of sexual health. Sue Goldstein is a pioneering researcher and educator who has been instrumental in advancing knowledge of female sexual dysfunction. Together, they co-founded the International Society for the Study of Women’s Sexual Health (ISSWSH) in 2000, setting a global standard for research, education, and advocacy in women’s sexual health.
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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