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Speaker 1: Confidence comes from knowing your covert literally, whether you're in

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Speaker 1: back to back meetings, out running errands, or finally making

3
00:00:07,080 --> 00:00:10,560
Speaker 1: time for yourself. Tamfax Pearl is designed to keep up.

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00:00:10,880 --> 00:00:13,520
Speaker 1: It offers up to eight hours of comfort and protection

5
00:00:13,880 --> 00:00:17,520
Speaker 1: and features a leak guard braid that helps stop leaks

6
00:00:17,560 --> 00:00:20,720
Speaker 1: before they happen. Because you deserve products that let you

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Speaker 1: focus on what matters, not worry about what doesn't.

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Speaker 2: Hi.

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Speaker 1: Everyone, I'm Kitty Kuric and this is next Question. Today's

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Speaker 1: episode is a little different but really important and we

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Speaker 1: hope informative. We're bringing you a conversation I had as

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Speaker 1: part of a fun live event we recently put on

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Speaker 1: here in New York City at City Winery. I interviewed

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Speaker 1: doctor Karen Tang. She's a board certified gynecologist, minimally invasive

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Speaker 1: gynecologic surgeon, and a trusted voice on women's health. You

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Speaker 1: might know her from social media, where she shares smart,

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Speaker 1: approachable education with millions of followers, or as a contributor

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Speaker 1: to Katie Courict Media. I was so excited to finally

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Speaker 1: meet her in person. Together, we tackled everything from periods

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Speaker 1: and menopause to incontinence, yay, and the stigma surrounding women's health,

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Speaker 1: and we learned a lot in the process. This important

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Speaker 1: conversation was made possible by our friends at Procter and Gamble,

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Speaker 1: who are helping to elevate and support open dialogue around

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Speaker 1: women's health. Let's take a listen. Our next guest is

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Speaker 1: doctor Karen Tang. Before tonight, I have never met her

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Speaker 1: in person, but we were social media pals, and tonight

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Speaker 1: for the first time we got together irl as the

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Speaker 1: kids would say.

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Speaker 2: So.

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Speaker 1: Karen is a board certified gynecologist and minimally invasive gynecologic

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Speaker 1: surgeon who's an internationally recognized leader in reproductive health. She

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Speaker 1: reaches millions of people every month with her educational videos

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Speaker 1: across TikTok, Instagram and YouTube. She's all a contributor for

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Speaker 1: Katie Kuric Media, as is Mary Claire.

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Speaker 2: So please welcome doctor Karen Tang.

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Speaker 1: Okay, this is sort of our segment on how to

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Speaker 1: separate fact from fiction because so much of social media

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Speaker 1: is filled with stuff that isn't accurate. Karen, and so,

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Speaker 1: how did women's health become such a hotbed of misinformation?

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Speaker 3: I was talking about Saint Joe. I was like, I

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Speaker 3: don't know how long you have you could just be

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Speaker 3: like the history of humankind has like led us to

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Speaker 3: this moment. It's definitely a combination of how difficult it

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Speaker 3: is to get reliable information, and that's been sort of

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Speaker 3: the theme of the evenings, just us trying and struggling

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Speaker 3: to get this information in this data and this treatment

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Speaker 3: that we deserve, and the sheer number of people who

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Speaker 3: are suffering every day, and it's not just about perimenopause menopause,

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Speaker 3: but so many other aspects of our health, you know,

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Speaker 3: periods and fertility and like sexual health and all of

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Speaker 3: these things. So all these people suffering a real kind

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Speaker 3: of like you know, lack of easy to access information,

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Speaker 3: and into that sort of vacuum then comes you know,

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Speaker 3: social media misinformation. There's some people who purposely spread disinformation

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Speaker 3: because they you know, like sell detoxes. They're like, you know,

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Speaker 3: we're the only ones who understand, and you know.

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Speaker 2: People are so profit motives, yeah.

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Speaker 3: Exactly, and so and then some of it too, is

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Speaker 3: just people being really scared and confused, and social media

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Speaker 3: tends to promote like strong emotions, like they're not real

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Speaker 3: big on facts, Like the algorithm doesn't care about facts.

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Speaker 3: It's basically like, you know, what response did we get?

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Speaker 3: And if someone is like shocked or like they're really scared,

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Speaker 3: it's it's going to kind of get out to more people.

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Speaker 3: So you know, so the social media misinformation tends to

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Speaker 3: kind of spread like wildfire, you know, doctor getting on

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Speaker 3: there and being like, let me tell you the facts,

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Speaker 3: and the data is definitely not as like algorithm friendly.

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Speaker 2: So and the mythology starts really young.

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Speaker 1: I think the way women are taught sort of culturally

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Speaker 1: condition to treat their bodies and to feel shame actually

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Speaker 1: starts when you get your first period, right.

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Speaker 3: Yeah, or even younger. I was telling Katie backstage. So

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Speaker 3: a nurse that I work with, uh told me her daughter,

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Speaker 3: who was an elementary school got called to the office

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Speaker 3: and they called the parents of the office. So she

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Speaker 3: said a bad word and the nurse was like, oh

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Speaker 3: my god, wash. She swore like what was this? And

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Speaker 3: the word was vagina, Like she had used the word

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Speaker 3: vagina in school, and the teachers were shocked. They were like,

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Speaker 3: how like the mom is going to be so you know, upset.

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Speaker 2: It's insane. By the way, where is this school.

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Speaker 3: No, it's in the suburbs of Philadelphia, like our little

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Speaker 3: blue dot in Pennsylvania. But no, it's true. And like

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Speaker 3: this nurse is like, how how can you teach this

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Speaker 3: to children that like a woman's body part is like,

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Speaker 3: it's so shameful, it's akin to a swear word. But

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Speaker 3: this is what happens like from a very young age,

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Speaker 3: like a periods. Oh, it's embarrassing.

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Speaker 1: And in fact, we asked Karen, we asked chat GPT

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Speaker 1: some of the biggest myths about periods. It said, tampons

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Speaker 1: can get lost inside of you. Menstruating women will spoil food,

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Speaker 1: melt or plants. Menstruating women are impure, unclean. You shouldn't

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Speaker 1: exercise or swim during your period. Obviously they never saw

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Speaker 1: that tampax commercial that came out when I was in

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Speaker 1: seventh grade. But how do these myths kind of impact women?

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Speaker 3: Yeah, I mean we absorb these messages, so, you know,

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Speaker 3: even though we laugh about the spoiling food, but there's

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Speaker 3: definitely this undercurrent of like, you know, it's embarrassing, it's taboo,

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Speaker 3: it's something that you should you know, hide and be

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Speaker 3: ashamed of. And we sort of absorb these messages about

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Speaker 3: our own bodies. And so they were like oh God,

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Speaker 3: Like you know, I'm not gonna want to talk about

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Speaker 3: you know, my like my vatual discharge, my leaking, my

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Speaker 3: horrible periods, because like, oh God, is just me and

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Speaker 3: it makes you feel very alone. And I actually call

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Speaker 3: this like the Emperor's New Clothes a fact where you know,

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Speaker 3: you may feel like you're the only one going through

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Speaker 3: something like a perimenopause, menopause, anything, but once you start

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Speaker 3: sharing about it, you'll be like, all of my friends

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Speaker 3: have had something similar. This happens all the time. So

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Speaker 3: I encourage people to try it. You know, once you

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Speaker 3: start talking about it, you'll be like I thought I

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Speaker 3: was the only person, Like everyone is going to have

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Speaker 3: a similar story. And like I said, just on a

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Speaker 3: cultural level, the absorbing of that message, it trickles down

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Speaker 3: into like, well, you know, no one talks about it.

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Speaker 3: We don't think that many people have this issue, so

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Speaker 3: we don't think as a medical profession that it's worth

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Speaker 3: the research dollars. It's not worth like putting effort into

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Speaker 3: finding like better treatments because we think it's just like

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Speaker 3: ladies dealing with like their hysteria around their periods or

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Speaker 3: around their hormone fluctuations.

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Speaker 1: Do you think there is a sea change happening though,

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Speaker 1: I really astely feel that women whether you know, they're

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Speaker 1: positive and negatives about social media, but I think one

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Speaker 1: of the positives is it does make people feel less alone,

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Speaker 1: people talk about some of these issues, and it can

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Speaker 1: be used, for example, your content as a real educational opportunity.

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Speaker 3: Yeah, I mean, obviously Mary Claire has been huge in this.

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Speaker 3: I think, you know, one of the really really strong

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Speaker 3: good things about social media has been like the sense

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Speaker 3: of community. Like obviously like all of this, like people

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Speaker 3: find other people who can kind of share in that

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Speaker 3: same experience, they can share resources, and then you do

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Speaker 3: have like people like us who are you know, medical professionals, educators,

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Speaker 3: trying to get that good information out there.

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Speaker 1: Confidence comes from knowing your covert literally, whether you're in

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Speaker 1: back to back meetings, out running errands, or finally making

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00:07:48,920 --> 00:07:52,400
Speaker 1: time for yourself. Tampax Pearl is designed to keep up.

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Speaker 1: It offers up to eight hours of comfort and protection

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Speaker 1: and features a leak guard braid that helps stop leaks

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Speaker 1: before they happen. Because you deserve products that let you

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Speaker 1: focus on what matters, not worry about what doesn't. Let's

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Speaker 1: talk about another taboo issue, shall we incontinence? It affects

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Speaker 1: will millions of women worldwide, and I think, honestly, you know,

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Speaker 1: I really believe it's so important.

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Speaker 2: We have to talk about our bodies.

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Speaker 1: You know, you want to take care of your bodies,

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Speaker 1: you have to talk, you know, truthfully about your body.

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Speaker 1: I mean, listen, I got a kolonoscopy on national television people.

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Speaker 1: So I've been doing this for a long time because

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Speaker 1: if you know, knowledge is power, and we have to

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Speaker 1: stop being embarrassed you know about all these things because

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Speaker 1: they can be life threatening. But incontinence is one of

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Speaker 1: those things that I think people just feel very nervous

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Speaker 1: and trepidacious about discussing. But one in three women experience

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Speaker 1: and some kind of incontinence in their lifetime. So what

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Speaker 1: are some of the biggest myths about this? One that

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Speaker 1: it just happens when you're older, right.

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Speaker 3: I was going to be my first answer. So leaking

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Speaker 3: of urine is actually some studies show it's even more

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Speaker 3: than like fifty percent of women at some point will

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Speaker 3: have some sort of leaking of urine. It's incredibly common.

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Speaker 3: And so you know, I don't know if like trampoline

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Speaker 3: birthday parties are as popular in the city as they

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Speaker 3: are in the verbs. But every time I go to

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Speaker 3: a children's trampling birthday party, like the moms and I

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Speaker 3: just like we make eye contact and we're like.

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Speaker 1: Well, my friend, who was my friend who talked about

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Speaker 1: jumping and Peen, Yeah, I.

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Speaker 3: Was just about to say that the first speak.

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Speaker 2: We've got a lot of people who feel you're pain.

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Speaker 3: Right pretty much, not everyone, but like a lot of

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Speaker 3: people in this room.

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Speaker 2: That's amazing, and Peen, that's my special.

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Speaker 3: Oh yeah, exactly, So it's true.

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Speaker 1: And are there any men left in this very I

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Speaker 1: hope they've all left.

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Speaker 3: Yeah, well, I hope they hear because this is again,

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Speaker 3: why should I be embarrass about it? I actually make

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Speaker 3: the point my my husband had like a pinch nerve,

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Speaker 3: and he had no problem telling everyone he was going

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Speaker 3: to the physical therapist. He was going to the doctor.

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Speaker 3: I mean, women go to pelvic physical therapy for urinary incontinence,

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Speaker 3: but everyone will feels so embarrassed to tell. You know,

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Speaker 3: you wouldn't tell your boss, your coworkers. Why not. It's

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Speaker 3: physical therapy, just like any other physical therapy. So I

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Speaker 3: think this is part of you know, we need to

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Speaker 3: raise awareness about how common it is, like it shouldn't

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Speaker 3: be something that we feel like we have to keep

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Speaker 3: very hidden.

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Speaker 1: Well, why does it happen as you get older? It

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Speaker 1: is not exclusively for women who are older, but talk

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Speaker 1: about sort of what happens.

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Speaker 3: Yeah, so anything that weakens your pelvic floor muscle, so

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Speaker 3: we have sort of structures like you know, sphincters and

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Speaker 3: support like you know, fascial structures like inner pelvis that

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Speaker 3: keep the bladder, the urethra, all that kind of under control.

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Speaker 3: As you get older, especially after menopause with like the

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Speaker 3: hormone changes, and especially if you've had a pregnancy. It

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Speaker 3: doesn't even have to have you know, being vaginal delivery,

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Speaker 3: just being pregnant and the pressure it puts on your

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Speaker 3: pelvic floor. But also anything that you know, people who

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Speaker 3: have chronic cough, people who have like eilther stanlows, like

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Speaker 3: connective tissue issues, anything that kind of weakens your support structures.

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Speaker 3: So that's a huge myth is that it's only people

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Speaker 3: who are older who go through it. Lots of younger women,

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Speaker 3: like premenopausal and their thirties all go through this. So

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Speaker 3: the other myths that are probably important to debunk is like, well,

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Speaker 3: there's nothing you can do about it. You have to

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Speaker 3: kind of deal with it. Now. We mentioned pelvic physical

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Speaker 3: therapy really really helpful. That's usually our first you know

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Speaker 3: step that we recommend. It's not always surgical either. People think, oh,

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Speaker 3: I don't want to have like surgery for this, but

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Speaker 3: you know, like I said, you can do physical therapy.

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Speaker 3: There's lots of different things that we can do that

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Speaker 3: don't involve either ignoring it or operating.

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Speaker 1: And it's not as simple as just doing those kegel exercises,

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Speaker 1: is it?

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Speaker 3: Keels is hard? Like who here is like failed key cost?

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Speaker 3: Because like I know, it's hard to do. It's like

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Speaker 3: strength training. You have to do like ten reps, hold

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Speaker 3: for ten seconds, do multiple like reps throughout.

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Speaker 2: The day, and then another fun thing I love.

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Speaker 3: And half the time people are like, I don't know

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Speaker 3: if I'm squeezing the right thing. It's hard to tell,

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Speaker 3: like if you So this is where the physical therapy help.

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Speaker 3: It's like having a trainer. It's like having somebody explain

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Speaker 3: to you, like you hold this muscle. This is where

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Speaker 3: it is like, yes, you're doing it correctly. So it's

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Speaker 3: just like assistance.

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Speaker 1: So how you know, we talked about sort of the

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Speaker 1: shame and the stigma around so much that we go

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Speaker 1: through with our bodies, you know, from the time we're

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Speaker 1: born to really the time we reach adolescents and then

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Speaker 1: childbirth and perimenopause and menopause and postmenopause. So what do

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Speaker 1: you think it will take to really change attitudes about this?

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Speaker 3: I mean, I think things like this and speaking openly,

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Speaker 3: like I've been so moved by everything's happening with perimenopause

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Speaker 3: menopause because like, look at this room. I've done a

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Speaker 3: couple of talks outside of Philly and we've like filled theaters.

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Speaker 3: It's just amazing. Like a few years ago, like I

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Speaker 3: could never have imagined that, like you know, the number

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Speaker 3: of people who would come out and say, yes, we

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Speaker 3: want to learn the science, we want to get the

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Speaker 3: best care, we want to push for more education. And

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Speaker 3: it's just like it just takes people kind of speaking

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Speaker 3: out and raising awareness about it. And you know, I

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Speaker 3: always tell people it doesn't have to be that, Like

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Speaker 3: you know, you're Katie Couric or your Oprah. All of

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Speaker 3: us have a source of influence, like you know, in

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Speaker 3: our communities and our families, with our kids, you know,

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Speaker 3: talking openly about these things to you know, help you know,

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Speaker 3: one say that this is not something shameful, and two

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Speaker 3: that it's an area of healthcare and we deserve to

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Speaker 3: know about it and have really good treatment options.

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Speaker 1: Let's talk about, just in closing, how you separate fact

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Speaker 1: from fiction. And I'm not talking about those ads you

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Speaker 1: know that we're served up about belly fat. I'm talking

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Speaker 1: about like legitimate what seems to be legitimate information that

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Speaker 1: just isn't true. And you have some tips on how everyone,

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Speaker 1: you know you can be sort of a conscious it's

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Speaker 1: conscientious consumer.

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Speaker 2: Yeah.

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Speaker 3: Yeah, So, first of all, if somebody is out there

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Speaker 3: saying something is always horrible or always the answer for

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Speaker 3: every single person, no matter what, don't believe them because

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Speaker 3: nothing in real life and nothing in medicine is so

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Speaker 3: cut and dry. So a lot of times people will

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Speaker 3: use like these terms like this is like always for everyone,

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Speaker 3: like the best thing ever and like my like you know,

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Speaker 3: hormone detox is going to fix your whole life, or

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Speaker 3: like something is always bad, like HRT is always going

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Speaker 3: to give you breast cancer. You know, like if you

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Speaker 3: take birth control, you will have this horrible thing, no

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Speaker 3: matter what so always like look for somebody who's giving nuance,

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Speaker 3: you know, like here's like here's the data I'm giving you,

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Speaker 3: like kind of a measured response. And then also if

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Speaker 3: it seems like someone has a conflict of interest, like

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Speaker 3: if they you know, have some you're just kind of

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Speaker 3: like getting a little sense that there's like this is

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Speaker 3: a commercial, Like I feel like you're trying to sell

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Speaker 3: me something. Oftentimes if you look in their profile, I'll

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Speaker 3: be like, yes, I'm selling you know, like this course

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Speaker 3: where you like hack your bio or whatever. So right,

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Speaker 3: and then also look at people's credentials because obviously you

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Speaker 3: have again like people who legitimately like trained in this

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Speaker 3: are really trying to kind of like give a balanced

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Speaker 3: look at everything, and they have the credentials for it,

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Speaker 3: you know, board certified, but would be Tyn has this

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Speaker 3: many years of experience, so you kind of have a

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Speaker 3: balance all of it, because you know it's not just

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Speaker 3: one or the other. You have to have all of

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Speaker 3: those elements together.

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Speaker 1: Karen Tang, I'm so glad to finally meet you. Thank

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Speaker 1: I'm so excited for your insight.

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Speaker 3: Thank you everybody for being here. Yeah, thank you, thank you.

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Speaker 1: Thanks for listening everyone. If you have a question for me,

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Speaker 1: a subject you want us to cover, or you want

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Speaker 1: to share your thoughts about how you navigate this crazy world,

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Speaker 1: reach out send me a DM on Instagram. I would

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Speaker 1: love to hear from you. Next Question is a production

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Speaker 1: of iHeartMedia and Katie Couric Media. The executive producers are Me,

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Speaker 1: Katie Kuric, and Courtney Ltz. Our supervising producer is Ryan Martz,

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Speaker 1: and our producers are Adriana Fazzio and Meredith Barnes. Julian

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Speaker 1: Weller composed our theme music. For more information about today's episode,

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