WEBVTT - Menopause w/ Dr. Jackie Walters 0:00:01.680 --> 0:00:05.560 Positively. GAM is sponsored by Basiline. See how they are 0:00:05.600 --> 0:00:13.280 working towards equitable skin care for all at basiline dot com. 0:00:13.280 --> 0:00:17.280 Not all care is created equal. Alaska's care stands wings 0:00:17.280 --> 0:00:19.959 and tails above the rust, and we want people to 0:00:20.000 --> 0:00:21.800 know so that the next time they book a flight, 0:00:22.079 --> 0:00:24.680 they'll book it with the most carrying airline in the sky. 0:00:25.480 --> 0:00:29.240 US to Alaska, every customer is a guest, and every 0:00:29.240 --> 0:00:32.400 guest is a priority. That's why they go the extra mile, 0:00:32.560 --> 0:00:35.280 day after day, flight after flight to treat you right. 0:00:35.800 --> 0:00:38.800 Because Alaska Airline is the only airline that cares about 0:00:38.880 --> 0:00:41.680 you as much as you do. 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You can't anti age You 0:01:14.319 --> 0:01:17.200 know you're gonna write age, but you can manage aging. 0:01:17.319 --> 0:01:20.440 And part of managing menopause is to use everything we 0:01:20.520 --> 0:01:23.760 have out there to make life more comfortable for you. 0:01:27.160 --> 0:01:31.600 What's up, everybody? I'm Gammy and this is positively gam 0:01:31.600 --> 0:01:35.400 Every week I have raw, in depth conversation with inspirational 0:01:35.480 --> 0:01:41.319 people pushing for change on everything from aging, relationships, politics, wellness, 0:01:41.400 --> 0:01:45.840 to the current issues facing the black community. In this episode, 0:01:46.200 --> 0:01:52.440 we're going to be discussing menopause. Joining me today is 0:01:52.560 --> 0:01:58.559 Dr Jackie Walters. She is a philanthropist, health expert, women's advocate, 0:01:58.920 --> 0:02:02.280 t D person anality, and award winning O B G. 0:02:02.520 --> 0:02:07.240 Y N. A two time breast cancer survivor, Dr Jackie 0:02:07.240 --> 0:02:10.400 has turned her pain into a passion for nurturing the 0:02:10.480 --> 0:02:14.280 emotional and physical needs of women and men diagnosed with 0:02:14.360 --> 0:02:18.280 breast cancer. You can catch Dr Jackie on Bravos Married 0:02:18.320 --> 0:02:23.400 to Medicine. Welcome, Dr Jackie, Thank you. We are so 0:02:23.520 --> 0:02:26.120 glad that you took time out of your busy schedule 0:02:26.160 --> 0:02:29.400 to join us. Tell me what you enjoy most, Dr Jackie, 0:02:29.400 --> 0:02:33.280 Being the TV personality or being the doctor The doctor 0:02:33.840 --> 0:02:39.320 I'm sure lots less critics. Absolutely, absolutely, this is such 0:02:39.360 --> 0:02:42.799 an important topic for women at my age in particular, 0:02:43.240 --> 0:02:49.320 We're gonna focus our attention today on menopause. Okay, so 0:02:49.480 --> 0:02:54.720 can you tell me exactly what menopause is. Menopause is 0:02:54.840 --> 0:02:58.320 when a woman has stopped having her period for twelve 0:02:58.480 --> 0:03:03.519 consecutive months. The ovaries have stopped making eggs, so you 0:03:03.520 --> 0:03:06.640 you lack estrogen, pagetstro and all the hormones are just 0:03:06.760 --> 0:03:10.440 in disarray and you're not having a period. Your reproductive 0:03:10.520 --> 0:03:15.079 years have ended. Okay, So in my mind, there's pre 0:03:15.280 --> 0:03:21.160 menopausal menopause and post menopause. Is that correct? So I 0:03:21.200 --> 0:03:24.919 typically say peri menopause when you're aware of menopause, which 0:03:25.240 --> 0:03:29.040 menopause is typically fifty plus a minus five. It can 0:03:29.040 --> 0:03:31.800 be as early as forty five, as late as fifty 0:03:31.840 --> 0:03:35.160 five some women later. On an average in the United 0:03:35.200 --> 0:03:39.440 States it's about fifty one. So if I can remember 0:03:39.440 --> 0:03:41.560 back when I was forty five, and I've been forty 0:03:41.560 --> 0:03:46.320 five about ten times now. So when I was you 0:03:46.360 --> 0:03:49.560 start having the symptoms, hot flashes, and a lot of 0:03:49.560 --> 0:03:53.000 women really think they're going crazy, the brain fog, I 0:03:53.040 --> 0:03:56.720 can't sleep at night, what happened to my libido? So 0:03:56.880 --> 0:04:00.440 they're losing their mind minds, and if you go through it, 0:04:00.480 --> 0:04:05.400 there are so many things hair loss, skin is changing, 0:04:05.640 --> 0:04:08.720 the vagina is changing, There's so many changes you're going 0:04:08.800 --> 0:04:11.440 through before you get to that point where you're not 0:04:11.520 --> 0:04:15.920 having your period. So prep pre menopause or peri menopause 0:04:16.080 --> 0:04:19.040 is about forty five when you start having the symptoms. 0:04:20.440 --> 0:04:23.960 Menopause is that short window where we say, and it's 0:04:24.000 --> 0:04:27.000 about seven years or so before you get to menopause. 0:04:27.320 --> 0:04:30.000 So around fifty one, let's just say you're fifty one 0:04:30.000 --> 0:04:32.599 and you haven't had a period for a whole entire year, 0:04:33.160 --> 0:04:37.640 You're in menopause. Some people you say post menopause is 0:04:37.680 --> 0:04:40.560 I've gone through all the symptoms, I've not had my period, 0:04:40.839 --> 0:04:43.480 and now I'm in this phase. I think I just 0:04:43.520 --> 0:04:47.840 call it menopause. When your period has stopped, you're in menopause. Okay, 0:04:47.839 --> 0:04:50.640 so there is no post menopause, because that was gonna 0:04:50.640 --> 0:04:54.000 be my next question. When does it end? Like when 0:04:54.040 --> 0:04:57.159 do your symptoms end? I'm like sixty seven. I would 0:04:57.160 --> 0:05:07.359 say that I went into medically induced menopause around fifty one. 0:05:08.040 --> 0:05:11.080 I think because I was getting a treatment for I 0:05:11.160 --> 0:05:14.719 hapotit to see with those that would that threw me 0:05:14.800 --> 0:05:18.679 into two menopause, and so I had menopause at forty 0:05:18.880 --> 0:05:22.920 because I did chemo for breast cancer. Yeah, the chemo 0:05:23.000 --> 0:05:27.200 and radiation, especially if you radiate the pelvis ovaries are gone. 0:05:27.720 --> 0:05:31.760 So really, once you kind of stop having the symptoms, 0:05:31.800 --> 0:05:34.679 which I don't know if all women stop having them, 0:05:35.440 --> 0:05:39.400 they are like the post MENOPAUSEI okay, But when like 0:05:40.320 --> 0:05:46.640 I still have hot flashes, particularly at night, I'm still 0:05:46.720 --> 0:05:51.560 doing I guess the body changes like the vaginal atrophy 0:05:51.880 --> 0:05:54.960 and dryness that's never that will never go away. We'll 0:05:54.960 --> 0:05:57.640 I'll always be dealing with that. And I say, we 0:05:57.680 --> 0:06:00.800 have to manage menopause. It's not gonna go away, so 0:06:00.880 --> 0:06:03.039 you have to do things to make it better. We 0:06:03.120 --> 0:06:05.520 have all kinds of lotions and potions to get the 0:06:05.560 --> 0:06:09.120 lucy juicy back. I would think that the hot flashes 0:06:09.240 --> 0:06:14.000 and the night sweats and the baginal issues are the 0:06:14.200 --> 0:06:17.480 major complaints. I know they were for me. They're the 0:06:17.600 --> 0:06:22.440 major complaints. And I took hormones probably longer than I 0:06:22.480 --> 0:06:25.720 should have because I tried to do it naturally, and 0:06:25.800 --> 0:06:28.279 I just I was suffering. I was suffering, and the 0:06:28.360 --> 0:06:31.440 reason why the doctors of course didn't recommend it for me, 0:06:31.560 --> 0:06:34.880 is because I have a very strong history of cancer 0:06:34.920 --> 0:06:37.400 and my family. My mother had breast cancer as well, 0:06:37.800 --> 0:06:42.680 and I'm assuming that she went into medically induced um 0:06:42.800 --> 0:06:47.000 menopause because of it, but she never talked about it. 0:06:47.839 --> 0:06:51.240 I never saw her, I never saw her fanning herself, 0:06:51.400 --> 0:06:54.359 or we didn't talk about it in our family, So 0:06:54.400 --> 0:06:58.240 I have no idea when she went into it, how 0:06:58.279 --> 0:07:01.040 she what that experience was like. And that's one of 0:07:01.080 --> 0:07:03.760 the determining factors as to win a woman will go 0:07:03.800 --> 0:07:07.760 into menopause. We typically inherit that from our mom's and 0:07:07.839 --> 0:07:10.600 so you can and you're right, our almost didn't talk 0:07:10.640 --> 0:07:13.000 about it, and so we never knew. And that's why 0:07:13.040 --> 0:07:15.160 I'm so glad you're talking about it now so that 0:07:15.200 --> 0:07:18.760 women can talk about it. But what I do say 0:07:18.760 --> 0:07:21.480 to women, it's all about quality of life. Like you 0:07:21.560 --> 0:07:24.880 have the granola type who I don't want need hormones. 0:07:25.360 --> 0:07:27.680 I want to eat plants, I wanna eat berries, and 0:07:27.720 --> 0:07:30.920 I want to go through it naturally. That's not me. 0:07:32.040 --> 0:07:36.320 And so I'm like you, I needed something to manage menopause, 0:07:36.520 --> 0:07:39.880 And of course I believe in as many hormones as 0:07:39.920 --> 0:07:44.080 you need safely. But I'm believing by identical hormones. I 0:07:44.120 --> 0:07:48.280 actually put in bioaudentical hormone pellets in my office. And 0:07:48.320 --> 0:07:50.440 it is about quality of life, because think about it. 0:07:50.480 --> 0:07:54.760 If you're in menopause high flashes, you can't sleep at night, 0:07:54.880 --> 0:07:58.440 you're gaining weight, you're not having sex, you're a little 0:07:58.440 --> 0:08:03.600 bit blue, then what what quality of life is there? Exactly? Exactly, 0:08:03.760 --> 0:08:06.000 So talk to me about what some of the modern 0:08:06.320 --> 0:08:09.600 um techniques are to deal with this. Because there were 0:08:09.800 --> 0:08:14.760 a lot of natural stuff that I can remember taking 0:08:15.120 --> 0:08:20.920 black co hash. Yeah, all these things, yes, if they 0:08:20.960 --> 0:08:24.840 if they did absolutely, I had all these supplements lined up. 0:08:24.880 --> 0:08:29.160 They did nothing, I mean, and I shouldn't disparage them 0:08:29.200 --> 0:08:31.640 like that because maybe they do work for some people. 0:08:32.200 --> 0:08:35.760 I was not successful, and I was not successful either, 0:08:36.360 --> 0:08:39.040 and so that's why I took a class and I 0:08:39.120 --> 0:08:41.640 came a big believer and I'm a big provider of 0:08:41.760 --> 0:08:45.760 biodentical hormont pellets. Don't talk to me about that. These 0:08:45.800 --> 0:08:49.760 pellets are made from soy and yams, which are natural 0:08:50.080 --> 0:08:53.160 and there made. The plant is shaped to look like 0:08:53.200 --> 0:08:55.600 an estrogen. It's put into a pellet that is about 0:08:55.640 --> 0:08:58.920 as big as a rice and we implant that into 0:08:59.120 --> 0:09:02.600 the upper part of your buttocks in the under the 0:09:02.640 --> 0:09:08.440 skin subcuticular and the body releases estrogen and testosterone. If 0:09:08.480 --> 0:09:10.280 you have a uterus, you do have to take a 0:09:10.320 --> 0:09:14.400 progesteron to to balance out the the estrogen so that 0:09:14.480 --> 0:09:19.080 you're not getting cancers and unopposed estrogen effects. But it works. 0:09:19.440 --> 0:09:24.040 It creates the best libido in the whole wide world 0:09:24.520 --> 0:09:28.000 because you're getting your testosterone back and the benefits of 0:09:28.040 --> 0:09:33.280 testosterone less belly fat, more energy. Again, there's a spike 0:09:33.360 --> 0:09:36.600 in the libido, so all of the things we're missing 0:09:36.960 --> 0:09:42.800 in menopause, the bioidentical hormos give that back. Okay, So 0:09:43.040 --> 0:09:46.880 I'm not having an issue with my libido, thank god. 0:09:46.920 --> 0:09:50.800 But but it's the vaginal issues that is of the 0:09:50.840 --> 0:09:58.600 most problematic from me. So would bioidenticals be something that 0:09:58.760 --> 0:10:03.200 I should consider with the history of cancer and my family. 0:10:03.800 --> 0:10:07.240 If there's not been a genetic predisposition, did your mom 0:10:07.280 --> 0:10:10.160 have a gene for breast coling are over And if 0:10:10.200 --> 0:10:13.360 she didn't, you can certainly safely go to the doctor 0:10:13.360 --> 0:10:15.920 and make sure it's okay. But you could get estrogen 0:10:16.000 --> 0:10:20.640 back and it's gonna give you more vaginal fluff because 0:10:20.720 --> 0:10:23.600 the vagina has become very thin. That's why sex is 0:10:23.679 --> 0:10:27.640 uncomfortable and there's no slipping slide happening because you don't 0:10:27.679 --> 0:10:30.720 have any estrogen there. Now, I do have products that 0:10:30.840 --> 0:10:34.240 I do recommend to women. If you can't use an 0:10:34.400 --> 0:10:37.840 estrogen that you put in the vagina. It's a hyuronic acid. 0:10:38.240 --> 0:10:41.920 It makes the vagina thicker and more moist. That will 0:10:42.320 --> 0:10:46.360 bypass needing hormones. So there are things out there that 0:10:46.400 --> 0:10:48.320 you can use and not have to use a hormone. 0:10:48.360 --> 0:10:52.439 You just have to use it when you need it. Okay. 0:10:52.480 --> 0:10:54.880 So it's that's a product that I would use right 0:10:54.880 --> 0:10:58.679 before I engage in sexual activity. You can, and you know, 0:10:58.760 --> 0:11:00.440 you can use it twice a week just to make 0:11:00.480 --> 0:11:04.480 the vagina more moist, but right before sex makes it 0:11:04.559 --> 0:11:08.319 even better. Okay, you see how I'm just focused on it. 0:11:09.920 --> 0:11:13.840 We had your friend on doctor Dr Tiffany Henry. We 0:11:13.880 --> 0:11:17.800 had a whole conversation on this. Women like yourself, and 0:11:17.840 --> 0:11:20.680 I call us more mature when you're over fifty five 0:11:20.760 --> 0:11:24.600 year mature. We're not older, we're just mature women. It's 0:11:24.640 --> 0:11:27.760 still having that energy and the wherewithals who want to 0:11:27.800 --> 0:11:31.760 have sex. Yeah. You know how many women I see 0:11:31.800 --> 0:11:34.679 every day and they're thirty five, forty five and they 0:11:34.720 --> 0:11:40.960 don't want to have sex. Wow, But you certainly can 0:11:41.160 --> 0:11:46.360 use bioidentical hormones to give you back your rolls and folds. 0:11:46.440 --> 0:11:48.760 I call in the vagina and make it thicker and 0:11:48.840 --> 0:11:51.800 moist But there are products you can use to just 0:11:51.920 --> 0:12:04.640 give you moisture. What are some of the what are 0:12:04.679 --> 0:12:07.360 some of the changes that that women would feel, not 0:12:07.480 --> 0:12:13.400 just physically but emotionally. Uh, they're depressed. That broken sleep 0:12:13.480 --> 0:12:16.160 at night can lead to depression because it throws those 0:12:16.200 --> 0:12:19.160 hormones off because you wake up, you take the cover off, 0:12:19.600 --> 0:12:21.880 and in about five minutes you're cold, so you put 0:12:21.880 --> 0:12:24.520 the cover back on. And that can happen seven eight 0:12:24.520 --> 0:12:27.280 times a night. So broken sleep can lead to depression 0:12:27.320 --> 0:12:31.320 and sadness and anxiety and the brain fog. I mean, 0:12:31.640 --> 0:12:33.960 at one point, and I can definitely tell you when 0:12:34.040 --> 0:12:36.640 I really noticed it, I lost my dad to Alzheimers, 0:12:36.840 --> 0:12:39.880 and I thought, oh my god, I'm getting Alzheimers. Because 0:12:39.880 --> 0:12:41.960 I would walk in a room and go, what am 0:12:42.000 --> 0:12:47.560 I coming here for? And so to that all the time, Yeah, 0:12:47.760 --> 0:12:51.760 and they get really stressed. Out about not knowing that 0:12:51.840 --> 0:12:54.120 they don't know and it's just the brain fog. I 0:12:54.120 --> 0:12:56.079 mean you can get in the car and you're driving 0:12:56.160 --> 0:13:01.040 sometimes to go okay, where was I going? And crazy 0:13:01.160 --> 0:13:08.800 enough it happens and women don't realize that it's menopause. Yeah. Yeah. 0:13:08.960 --> 0:13:14.280 So the modern treatments then are I mean old school pills. 0:13:14.440 --> 0:13:17.199 You could do an oral tablet where you would take 0:13:17.240 --> 0:13:19.920 an estrogen and progesterone if you have a uterus or 0:13:20.120 --> 0:13:23.720 estrogen if you don't. Uh. New school. We're really into 0:13:24.240 --> 0:13:28.280 bioidenticals and whether we're taking it by mouth or we're 0:13:28.360 --> 0:13:32.120 using a cream or a vaginal suppository. But I'm a 0:13:32.240 --> 0:13:35.160 really big believer in the bioidentical pellets because you put 0:13:35.160 --> 0:13:36.959 it in, you don't have to think about it again 0:13:37.040 --> 0:13:43.120 for six months. Got it? Oh wow? Six months? Okay, 0:13:43.200 --> 0:13:47.080 that's pretty cool. What do you think about these new 0:13:47.440 --> 0:13:49.960 This doesn't necessarily well, yes, it does have to do 0:13:50.120 --> 0:13:54.560 with menopause. It's more of how your vagina changes as 0:13:54.640 --> 0:13:58.000 you age, and a lot of women are getting these 0:13:58.080 --> 0:14:02.400 treatments for their the the outside of their vagina, how 0:14:02.440 --> 0:14:06.800 their vagina looks. What is your feeling about treatments like that? 0:14:06.920 --> 0:14:11.000 I've tried. I think it was Mona Lisa. Yeah, I've 0:14:11.040 --> 0:14:15.040 done the Mona Lisa and I felt like it made 0:14:15.080 --> 0:14:20.120 the lips of my vagina more plump, but it didn't. 0:14:20.240 --> 0:14:25.400 It did not really help me feel more moist I 0:14:25.480 --> 0:14:28.560 still had to use lubricants. Yeah, you're supposed to get 0:14:28.560 --> 0:14:32.120 a regrowth of the collagen, so it makes it plumper, 0:14:32.800 --> 0:14:35.840 it makes it less painful with intercourse. But you're right, 0:14:35.960 --> 0:14:38.000 it should give you some moisture, but you may not 0:14:38.080 --> 0:14:40.480 get a lot. You always have to supplement with a 0:14:40.520 --> 0:14:42.560 little bit of something. We have the J shows now 0:14:42.600 --> 0:14:48.000 where they're doing facials on the vagina. Oh now, what 0:14:48.000 --> 0:14:51.640 what is that? But J show is almost like a 0:14:51.680 --> 0:14:56.440 facial where they go in and remove unwanted hair and 0:14:56.880 --> 0:15:00.680 hair bombs and uh, the sugar and all of the 0:15:00.720 --> 0:15:02.800 stuff that you do to your face. Women are doing 0:15:02.840 --> 0:15:06.280 it to the vagina to give it that look and feel. 0:15:07.280 --> 0:15:10.280 Oh my, that seems like a lot. Yeah, we put it. 0:15:10.520 --> 0:15:13.320 We put in collagen in the volva so that we 0:15:13.360 --> 0:15:16.360 can plump up the volver and make them plumper and 0:15:17.200 --> 0:15:20.560 more comfortable during intercourse. So the same thing we're doing 0:15:20.600 --> 0:15:25.160 with faces now, we're doing with the vagina. I understand, okay, 0:15:25.240 --> 0:15:29.760 and I know you you have talked about this before 0:15:29.800 --> 0:15:32.560 and it's pretty much whatever floats your boat. But you're 0:15:32.600 --> 0:15:38.600 a big proponent of maintaining your your pubic hair. If 0:15:38.640 --> 0:15:43.000 you're asking me personally, not well, I'm saying as from 0:15:43.040 --> 0:15:47.600 not personally, but as a doctor, I always give it. 0:15:47.920 --> 0:15:53.120 There are benefits to pubic hair. Yeah, you know. Public 0:15:53.160 --> 0:15:56.720 hair can release older and can get in the way. 0:15:57.160 --> 0:16:00.920 And so I'm all about what the patient wants. I'm 0:16:00.920 --> 0:16:04.440 super of what they want, whether they wax or shave, 0:16:04.880 --> 0:16:09.120 laser hair removal, or they say grow hair or go there, 0:16:09.520 --> 0:16:12.680 it's up to Yeah, yeah, it's totally up to them. 0:16:13.040 --> 0:16:18.480 But most women are not are going there. Yes, yes, 0:16:19.960 --> 0:16:25.080 which is challenging now that we're going through COVID. It's difficult. Absolutely. 0:16:25.440 --> 0:16:27.240 I put a lot of it. I wrote the Queen 0:16:27.360 --> 0:16:29.520 V I have to tell you about that, and I 0:16:29.560 --> 0:16:32.240 put it in the book that there are different types 0:16:32.280 --> 0:16:36.080 of personalities around the vagina. And I talked about a 0:16:36.120 --> 0:16:40.440 patient and women who are called coochie condriats. Yes, I 0:16:40.480 --> 0:16:44.680 got your books. Yes, they are terrified of their vagina. 0:16:45.080 --> 0:16:47.920 But then you have girls who are notorious v A. G. S. 0:16:48.000 --> 0:16:49.960 They will come in the room. You walk in there 0:16:50.000 --> 0:16:53.000 totally naked, and I'm like, I left your gown. No, 0:16:53.040 --> 0:16:56.000 I don't need it. I don't need it. Yes, and 0:16:56.040 --> 0:16:58.960 they don't mind taking out the vagina, pulling it up, 0:16:59.000 --> 0:17:01.560 showing you exactly what it looks like. So I have 0:17:01.720 --> 0:17:06.600 them from what I call Mary Jane sanctified snatch virgin 0:17:06.640 --> 0:17:09.080 Mary's who don't even want to talk about the vagina 0:17:09.160 --> 0:17:12.040 out loud to the girls who come in there. I 0:17:12.080 --> 0:17:17.320 have girls who would put tattoos on the mind's and yeah, 0:17:17.359 --> 0:17:21.680 it's a GPS. Yes, I've seen it all. So if 0:17:21.720 --> 0:17:24.040 you get the book, there's a test in the book 0:17:24.119 --> 0:17:29.560 that helps you determine which vaginal personality you are. And 0:17:29.680 --> 0:17:33.359 I took the test in the book, and I believe 0:17:33.480 --> 0:17:36.320 that I'm a Mary Jane. But like you said, you 0:17:36.359 --> 0:17:40.600 typically are kind of like a combination of both. Yes, yeah, 0:17:40.720 --> 0:17:44.399 so I would be the Mary Jane and then sank 0:17:44.440 --> 0:17:51.840 the I hate to say it, but yes, definitely not 0:17:51.880 --> 0:17:55.240 the notorious fee. I'm not her. No, you're I'm not her. 0:17:55.560 --> 0:17:58.520 And that's a little bit old school, even though there's 0:17:58.600 --> 0:18:03.920 some really closet notorious vags out there. Oh yeah, oh, yeah, 0:18:04.080 --> 0:18:08.240 my age notorious acutely. I have one in particular who 0:18:08.680 --> 0:18:12.400 describes herself as a general manager. And she's a mature 0:18:12.480 --> 0:18:16.840 woman that's fifteen over. And she had five players on 0:18:16.880 --> 0:18:20.560 her team and you know what I mean, and each 0:18:20.600 --> 0:18:25.600 player served a different purpose, and so she was very 0:18:25.640 --> 0:18:28.440 comfortable talking about this one does this, and this one's 0:18:28.480 --> 0:18:31.080 real good at that. And I'm sitting down and she 0:18:31.200 --> 0:18:36.840 was like, put your hand down. Girl. You're a doctor. Yeah, 0:18:36.880 --> 0:18:39.360 I guess you have to be able to listen to 0:18:39.480 --> 0:18:43.480 all of that. Dr Jackie, Yes, I've heard it all. Now, 0:18:43.800 --> 0:18:49.240 for my girlfriends who indulge in libations from time to time, 0:18:49.960 --> 0:18:53.200 what would you say? White wine, red wine or both 0:18:53.240 --> 0:18:59.480 are okay? Because I heard that doing during menopause one 0:18:59.680 --> 0:19:04.680 is not so good. All alcohol will aggravate some hot flashes, 0:19:05.720 --> 0:19:09.720 got it, And so red wine, I've been told, okay, 0:19:09.840 --> 0:19:13.840 gave me really bad hot flashes. So if I had 0:19:13.840 --> 0:19:16.320 to pick one, I would say drink white wine, got 0:19:16.359 --> 0:19:20.400 you okay? All right? But the thing about hot flashes, 0:19:20.480 --> 0:19:25.880 gam is if you notice, if you're excited, good excitement, 0:19:26.040 --> 0:19:29.040 bad excitement, you may notice a hot flash. Come on. 0:19:30.760 --> 0:19:34.600 So I think there is something. It's a vasomotor response, 0:19:35.000 --> 0:19:39.000 and so anything that triggers that thermoregulatory center, good stuff 0:19:39.119 --> 0:19:42.359 that excites you or if you're frustrated, you may feel 0:19:42.359 --> 0:19:47.640 a hot flash come. And so not only foods, but 0:19:48.200 --> 0:19:51.560 your mental response can trigger more hot flashes. And I'm like, 0:19:51.640 --> 0:19:54.320 am I dreaming at night because I get so many 0:19:54.400 --> 0:19:58.320 hot flashes some nights. But it definitely is one due 0:19:58.320 --> 0:20:00.679 to the lack of estrogen. We know that. But if 0:20:00.720 --> 0:20:03.000 you start noticing when you get a hot flash, if 0:20:03.040 --> 0:20:06.359 you're in a tight if you're rushing or somebody you 0:20:06.400 --> 0:20:10.240 go hi, you may notice a hot flash come. Yeah. 0:20:10.320 --> 0:20:13.639 And you mentioned food too, so it depends on the 0:20:13.720 --> 0:20:16.119 kinds of foods that you're eating. If you're eating really 0:20:16.160 --> 0:20:20.360 spicy foods, maybe exactly that make got more hot flashes. 0:20:20.640 --> 0:20:24.000 And then women who smoke will notice menopause a lot earlier, 0:20:24.119 --> 0:20:26.920 probably two to three years earlier than they normally would 0:20:26.920 --> 0:20:32.320 have had it, because the nicotine destroys the follicles the 0:20:32.400 --> 0:20:35.560 eggs in the ovaries, and so they go through menopause 0:20:35.600 --> 0:20:39.639 a lot earlier. Okay, now I asked this question to 0:20:39.840 --> 0:20:43.439 dr um Tiffany as well. I'm gonna ask you, do 0:20:43.560 --> 0:20:48.840 you have any preference as far as lubricants for lubricating 0:20:48.880 --> 0:20:52.600 the vagina for intercourse, do you have a preference leaning 0:20:52.640 --> 0:20:58.200 towards border based or yes, definitely water based. And again, 0:20:58.240 --> 0:21:01.200 there's a depository that I like, the one I was mentioning, 0:21:01.320 --> 0:21:05.639 and it's a Rivari and it's a small suppository slides 0:21:05.640 --> 0:21:10.720 in the vagina and it just feels like natural vaginal moisture. 0:21:11.000 --> 0:21:14.840 It feels like mucus, and so that's my favorite. It's 0:21:14.840 --> 0:21:17.159 a suppository. You put it in and within ten minutes 0:21:17.200 --> 0:21:20.960 the body tempt will heat it up and your moist Yeah. 0:21:21.160 --> 0:21:24.560 I use a suppository too. It's not Rivari though, it's 0:21:24.560 --> 0:21:27.000 another brand, and I can't think of the name of it, 0:21:27.040 --> 0:21:30.280 but I use a very small suppository and it seems 0:21:30.320 --> 0:21:32.879 to be working for me. But I would be really 0:21:32.920 --> 0:21:35.520 interested in talking to my O B G y N 0:21:35.640 --> 0:21:38.880 about the bioidenticals. That's that sounds like something I might 0:21:38.920 --> 0:21:41.440 be interested in trying. And we'll get some information from 0:21:41.480 --> 0:21:43.680 Foulon and I'll send you some info and we'll send 0:21:43.720 --> 0:21:48.240 you some of those suppositories. Perfect perfect, I see it 0:21:48.320 --> 0:21:52.040 behind you. Dr Jackie talked to us about your new book. 0:21:52.200 --> 0:21:57.080 Absolutely so The Queen the Sex intimacy and down their healthcare. 0:21:57.400 --> 0:21:58.919 I've been in the O. B. G. Y An for 0:21:59.000 --> 0:22:02.399 twenty four plus years. I think I've heard it all, 0:22:02.440 --> 0:22:04.680 and I'll tell you that some of the weirdest things 0:22:04.680 --> 0:22:07.800 I've gotten from a vagina again was a glass base 0:22:09.200 --> 0:22:14.680 and nuts and boats, snicker bars. Wait a minute, well 0:22:14.840 --> 0:22:20.040 in a back up that you say that again. So 0:22:20.119 --> 0:22:23.359 I had a couple who were having a good time 0:22:23.359 --> 0:22:26.200 on a Friday night and they used the little bud 0:22:26.280 --> 0:22:31.119 vase as a toy. And so you think about it. 0:22:31.160 --> 0:22:33.359 They put the opening of the bud vase in the 0:22:33.400 --> 0:22:37.720 vagina in and out, and he created a suction and 0:22:37.760 --> 0:22:41.560 they couldn't get it out, and it's stuck and it's stuck. 0:22:41.680 --> 0:22:45.040 And they added water and they added oil, which only 0:22:45.119 --> 0:22:50.640 made that suction tighter. Oh my god. So by Sunday, 0:22:51.040 --> 0:22:54.280 there in the emergency room and they're calling like, okay, 0:22:54.400 --> 0:22:56.520 you need to come to the ear and here we 0:22:56.560 --> 0:23:01.400 are with a glass base in the vagina. Yes, and 0:23:01.600 --> 0:23:03.840 we have to get it out. I was concerned because 0:23:03.840 --> 0:23:06.600 I'm like, oh, please, don't let this base break because 0:23:06.600 --> 0:23:09.480 now we're sisters. But once we got it out, it 0:23:09.560 --> 0:23:12.320 was like, let's talk about choics. So with that being 0:23:12.400 --> 0:23:14.359 said and all of the stuff I say when I 0:23:14.359 --> 0:23:16.679 say to women is your vagina is not making history. 0:23:16.920 --> 0:23:19.800 Somebody has done it before. So I wanted to write 0:23:19.840 --> 0:23:23.480 a book taking the stories, of course, making the patients anonymous, 0:23:23.520 --> 0:23:27.040 and share the stories with women so you realize you're 0:23:27.080 --> 0:23:29.399 not the only one who's done it. Let's talk about it. 0:23:29.480 --> 0:23:33.159 So it's to educate, inspiring up lift women and to 0:23:33.240 --> 0:23:36.440 make him laugh, to realize some painful situations s t 0:23:36.640 --> 0:23:39.200 I s like her peace. You're not the first person 0:23:39.240 --> 0:23:41.840 to get her peace. It's okay. It's not written on 0:23:41.880 --> 0:23:44.800 your forehead. It is okay. And this is how you 0:23:44.960 --> 0:23:48.320 manage these things with a vagina to get through life, 0:23:48.320 --> 0:23:52.840 because it's for procreation and recreation. Exactly say it again, 0:23:53.000 --> 0:23:56.840 Dr Jackie, only louder. It is for procreation and when 0:23:56.840 --> 0:24:00.400 you're finished with that, a lot of recreation. It again. 0:24:00.480 --> 0:24:03.080 I want the women to I want women to be free. 0:24:03.520 --> 0:24:06.000 Our mom's had us a little embarrassed to talk about 0:24:06.040 --> 0:24:09.639 my goodness. Please. Yeah, you couldn't say sex. And we 0:24:09.760 --> 0:24:11.720 see that girls who come into the office and they 0:24:11.760 --> 0:24:13.600 look around the room to make sure you know it's 0:24:13.600 --> 0:24:16.000 just me and you and God. Baby, and she'd say 0:24:16.240 --> 0:24:20.280 I had sex last night and you're like good, was 0:24:20.320 --> 0:24:22.840 it good? And they don't want to talk about it, 0:24:22.960 --> 0:24:25.359 or they don't want to talk about it being bad sex, 0:24:25.960 --> 0:24:28.520 or they don't even want to come into the appointment 0:24:28.720 --> 0:24:30.879 if they've had us that, if they've had sex to 0:24:30.960 --> 0:24:33.880 day before. That was me. I'm gonna have to cancel 0:24:34.080 --> 0:24:37.280 and reschedule because I had sex lass, Okay, No, you 0:24:37.359 --> 0:24:39.359 can come be And that's what I try to be. 0:24:39.520 --> 0:24:42.200 I want to be a good girlfriend doctor. I want 0:24:42.240 --> 0:24:44.080 you to be able to come in, be open on 0:24:44.280 --> 0:24:47.800 this transparent, tell me those crazy things and I'm like, look, 0:24:47.840 --> 0:24:51.159 good people make bad decisions, and girl, how we're in 0:24:51.240 --> 0:24:53.359 this together. Let me help you figure out how to 0:24:53.400 --> 0:24:56.080 get out of this place. And so that's why I 0:24:56.119 --> 0:24:59.760 have that book, Like I want women to know be free. Yeah, 0:25:00.000 --> 0:25:02.960 and to be able to come and speak with your 0:25:03.720 --> 0:25:09.520 ghanacologists without judgment is so important, so important, absolutely, and 0:25:09.560 --> 0:25:12.040 that's my thing. I'm like, you do know that happened 0:25:12.040 --> 0:25:14.840 to me too, And they're like you've had it, girl, 0:25:15.000 --> 0:25:17.040 you have had b V before and they were like 0:25:17.720 --> 0:25:22.440