WEBVTT - Feeling Good At Any Age: From Menstruation to Menopause – A Candid Conversation with Dr. Karen Tang

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<v Speaker 1>Confidence comes from knowing your covert literally, whether you're in

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<v Speaker 1>back to back meetings, out running errands, or finally making

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<v Speaker 1>time for yourself. Tamfax Pearl is designed to keep up.

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<v Speaker 1>It offers up to eight hours of comfort and protection

0:00:13.880 --> 0:00:17.520
<v Speaker 1>and features a leak guard braid that helps stop leaks

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<v Speaker 1>before they happen. Because you deserve products that let you

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<v Speaker 1>focus on what matters, not worry about what doesn't.

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<v Speaker 2>Hi.

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

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<v Speaker 1>episode is a little different but really important and we

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<v Speaker 1>hope informative. We're bringing you a conversation I had as

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<v Speaker 1>part of a fun live event we recently put on

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<v Speaker 1>here in New York City at City Winery. I interviewed

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

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

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<v Speaker 1>might know her from social media, where she shares smart,

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<v Speaker 1>approachable education with millions of followers, or as a contributor

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<v Speaker 1>to Katie Courict Media. I was so excited to finally

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<v Speaker 1>meet her in person. Together, we tackled everything from periods

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<v Speaker 1>and menopause to incontinence, yay, and the stigma surrounding women's health,

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<v Speaker 1>and we learned a lot in the process. This important

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<v Speaker 1>conversation was made possible by our friends at Procter and Gamble,

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<v Speaker 1>who are helping to elevate and support open dialogue around

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<v Speaker 1>women's health. Let's take a listen. Our next guest is

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<v Speaker 1>doctor Karen Tang. Before tonight, I have never met her

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<v Speaker 1>in person, but we were social media pals, and tonight

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<v Speaker 1>for the first time we got together irl as the

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<v Speaker 1>kids would say.

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<v Speaker 2>So.

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<v Speaker 1>Karen is a board certified gynecologist and minimally invasive gynecologic

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<v Speaker 1>surgeon who's an internationally recognized leader in reproductive health. She

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<v Speaker 1>reaches millions of people every month with her educational videos

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

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<v Speaker 1>Katie Kuric Media, as is Mary Claire.

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<v Speaker 2>So please welcome doctor Karen Tang.

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<v Speaker 1>Okay, this is sort of our segment on how to

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<v Speaker 1>separate fact from fiction because so much of social media

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

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<v Speaker 1>how did women's health become such a hotbed of misinformation?

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<v Speaker 3>I was talking about Saint Joe. I was like, I

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<v Speaker 3>don't know how long you have you could just be

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<v Speaker 3>like the history of humankind has like led us to

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<v Speaker 3>this moment. It's definitely a combination of how difficult it

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<v Speaker 3>is to get reliable information, and that's been sort of

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<v Speaker 3>the theme of the evenings, just us trying and struggling

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<v Speaker 3>to get this information in this data and this treatment

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<v Speaker 3>that we deserve, and the sheer number of people who

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

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<v Speaker 3>but so many other aspects of our health, you know,

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<v Speaker 3>periods and fertility and like sexual health and all of

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<v Speaker 3>these things. So all these people suffering a real kind

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<v Speaker 3>of like you know, lack of easy to access information,

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<v Speaker 3>and into that sort of vacuum then comes you know,

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<v Speaker 3>social media misinformation. There's some people who purposely spread disinformation

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<v Speaker 3>because they you know, like sell detoxes. They're like, you know,

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<v Speaker 3>we're the only ones who understand, and you know.

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<v Speaker 2>People are so profit motives, yeah.

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<v Speaker 3>Exactly, and so and then some of it too, is

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<v Speaker 3>just people being really scared and confused, and social media

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<v Speaker 3>tends to promote like strong emotions, like they're not real

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<v Speaker 3>big on facts, Like the algorithm doesn't care about facts.

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

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<v Speaker 3>And if someone is like shocked or like they're really scared,

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<v Speaker 3>it's it's going to kind of get out to more people.

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<v Speaker 3>So you know, so the social media misinformation tends to

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<v Speaker 3>kind of spread like wildfire, you know, doctor getting on

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<v Speaker 3>there and being like, let me tell you the facts,

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<v Speaker 3>and the data is definitely not as like algorithm friendly.

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<v Speaker 2>So and the mythology starts really young.

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<v Speaker 1>I think the way women are taught sort of culturally

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<v Speaker 1>condition to treat their bodies and to feel shame actually

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<v Speaker 1>starts when you get your first period, right.

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<v Speaker 3>Yeah, or even younger. I was telling Katie backstage. So

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<v Speaker 3>a nurse that I work with, uh told me her daughter,

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<v Speaker 3>who was an elementary school got called to the office

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<v Speaker 3>and they called the parents of the office. So she

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<v Speaker 3>said a bad word and the nurse was like, oh

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<v Speaker 3>my god, wash. She swore like what was this? And

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<v Speaker 3>the word was vagina, Like she had used the word

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<v Speaker 3>vagina in school, and the teachers were shocked. They were like,

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

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<v Speaker 2>It's insane. By the way, where is this school.

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<v Speaker 3>No, it's in the suburbs of Philadelphia, like our little

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

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<v Speaker 3>this nurse is like, how how can you teach this

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<v Speaker 3>to children that like a woman's body part is like,

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<v Speaker 3>it's so shameful, it's akin to a swear word. But

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<v Speaker 3>this is what happens like from a very young age,

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<v Speaker 3>like a periods. Oh, it's embarrassing.

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<v Speaker 1>And in fact, we asked Karen, we asked chat GPT

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<v Speaker 1>some of the biggest myths about periods. It said, tampons

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<v Speaker 1>can get lost inside of you. Menstruating women will spoil food,

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

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<v Speaker 1>exercise or swim during your period. Obviously they never saw

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<v Speaker 1>that tampax commercial that came out when I was in

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<v Speaker 1>seventh grade. But how do these myths kind of impact women?

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<v Speaker 3>Yeah, I mean we absorb these messages, so, you know,

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<v Speaker 3>even though we laugh about the spoiling food, but there's

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<v Speaker 3>definitely this undercurrent of like, you know, it's embarrassing, it's taboo,

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<v Speaker 3>it's something that you should you know, hide and be

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<v Speaker 3>ashamed of. And we sort of absorb these messages about

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<v Speaker 3>our own bodies. And so they were like oh God,

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<v Speaker 3>Like you know, I'm not gonna want to talk about

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<v Speaker 3>you know, my like my vatual discharge, my leaking, my

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<v Speaker 3>horrible periods, because like, oh God, is just me and

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<v Speaker 3>it makes you feel very alone. And I actually call

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

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<v Speaker 3>you may feel like you're the only one going through

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<v Speaker 3>something like a perimenopause, menopause, anything, but once you start

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<v Speaker 3>sharing about it, you'll be like, all of my friends

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<v Speaker 3>have had something similar. This happens all the time. So

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<v Speaker 3>I encourage people to try it. You know, once you

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<v Speaker 3>start talking about it, you'll be like I thought I

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<v Speaker 3>was the only person, Like everyone is going to have

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<v Speaker 3>a similar story. And like I said, just on a

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<v Speaker 3>cultural level, the absorbing of that message, it trickles down

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<v Speaker 3>into like, well, you know, no one talks about it.

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<v Speaker 3>We don't think that many people have this issue, so

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<v Speaker 3>we don't think as a medical profession that it's worth

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<v Speaker 3>the research dollars. It's not worth like putting effort into

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<v Speaker 3>finding like better treatments because we think it's just like

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<v Speaker 3>ladies dealing with like their hysteria around their periods or

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<v Speaker 3>around their hormone fluctuations.

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<v Speaker 1>Do you think there is a sea change happening though,

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<v Speaker 1>I really astely feel that women whether you know, they're

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<v Speaker 1>positive and negatives about social media, but I think one

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<v Speaker 1>of the positives is it does make people feel less alone,

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<v Speaker 1>people talk about some of these issues, and it can

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<v Speaker 1>be used, for example, your content as a real educational opportunity.

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<v Speaker 3>Yeah, I mean, obviously Mary Claire has been huge in this.

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<v Speaker 3>I think, you know, one of the really really strong

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<v Speaker 3>good things about social media has been like the sense

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<v Speaker 3>of community. Like obviously like all of this, like people

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<v Speaker 3>find other people who can kind of share in that

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<v Speaker 3>same experience, they can share resources, and then you do

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<v Speaker 3>have like people like us who are you know, medical professionals, educators,

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<v Speaker 3>trying to get that good information out there.

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<v Speaker 1>Confidence comes from knowing your covert literally, whether you're in

0:07:45.920 --> 0:07:48.880
<v Speaker 1>back to back meetings, out running errands, or finally making

0:07:48.920 --> 0:07:52.400
<v Speaker 1>time for yourself. Tampax Pearl is designed to keep up.

0:07:52.720 --> 0:07:55.360
<v Speaker 1>It offers up to eight hours of comfort and protection

0:07:55.720 --> 0:07:59.320
<v Speaker 1>and features a leak guard braid that helps stop leaks

0:07:59.360 --> 0:08:02.520
<v Speaker 1>before they happen. Because you deserve products that let you

0:08:02.560 --> 0:08:12.960
<v Speaker 1>focus on what matters, not worry about what doesn't. Let's

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<v Speaker 1>talk about another taboo issue, shall we incontinence? It affects

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<v Speaker 1>will millions of women worldwide, and I think, honestly, you know,

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<v Speaker 1>I really believe it's so important.

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<v Speaker 2>We have to talk about our bodies.

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<v Speaker 1>You know, you want to take care of your bodies,

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<v Speaker 1>you have to talk, you know, truthfully about your body.

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<v Speaker 1>I mean, listen, I got a kolonoscopy on national television people.

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<v Speaker 1>So I've been doing this for a long time because

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<v Speaker 1>if you know, knowledge is power, and we have to

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<v Speaker 1>stop being embarrassed you know about all these things because

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<v Speaker 1>they can be life threatening. But incontinence is one of

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<v Speaker 1>those things that I think people just feel very nervous

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<v Speaker 1>and trepidacious about discussing. But one in three women experience

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<v Speaker 1>and some kind of incontinence in their lifetime. So what

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<v Speaker 1>are some of the biggest myths about this? One that

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<v Speaker 1>it just happens when you're older, right.

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<v Speaker 3>I was going to be my first answer. So leaking

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<v Speaker 3>of urine is actually some studies show it's even more

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<v Speaker 3>than like fifty percent of women at some point will

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<v Speaker 3>have some sort of leaking of urine. It's incredibly common.

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<v Speaker 3>And so you know, I don't know if like trampoline

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<v Speaker 3>birthday parties are as popular in the city as they

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<v Speaker 3>are in the verbs. But every time I go to

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<v Speaker 3>a children's trampling birthday party, like the moms and I

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<v Speaker 3>just like we make eye contact and we're like.

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<v Speaker 1>Well, my friend, who was my friend who talked about

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<v Speaker 1>jumping and Peen, Yeah, I.

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<v Speaker 3>Was just about to say that the first speak.

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

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<v Speaker 3>Right pretty much, not everyone, but like a lot of

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<v Speaker 3>people in this room.

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<v Speaker 2>That's amazing, and Peen, that's my special.

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<v Speaker 3>Oh yeah, exactly, So it's true.

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<v Speaker 1>And are there any men left in this very I

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<v Speaker 1>hope they've all left.

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<v Speaker 3>Yeah, well, I hope they hear because this is again,

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<v Speaker 3>why should I be embarrass about it? I actually make

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<v Speaker 3>the point my my husband had like a pinch nerve,

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<v Speaker 3>and he had no problem telling everyone he was going

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<v Speaker 3>to the physical therapist. He was going to the doctor.

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<v Speaker 3>I mean, women go to pelvic physical therapy for urinary incontinence,

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<v Speaker 3>but everyone will feels so embarrassed to tell. You know,

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

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<v Speaker 3>physical therapy, just like any other physical therapy. So I

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<v Speaker 3>think this is part of you know, we need to

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<v Speaker 3>raise awareness about how common it is, like it shouldn't

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<v Speaker 3>be something that we feel like we have to keep

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<v Speaker 3>very hidden.

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<v Speaker 1>Well, why does it happen as you get older? It

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<v Speaker 1>is not exclusively for women who are older, but talk

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<v Speaker 1>about sort of what happens.

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<v Speaker 3>Yeah, so anything that weakens your pelvic floor muscle, so

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<v Speaker 3>we have sort of structures like you know, sphincters and

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<v Speaker 3>support like you know, fascial structures like inner pelvis that

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<v Speaker 3>keep the bladder, the urethra, all that kind of under control.

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<v Speaker 3>As you get older, especially after menopause with like the

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

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<v Speaker 3>doesn't even have to have you know, being vaginal delivery,

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<v Speaker 3>just being pregnant and the pressure it puts on your

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<v Speaker 3>pelvic floor. But also anything that you know, people who

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<v Speaker 3>have chronic cough, people who have like eilther stanlows, like

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<v Speaker 3>connective tissue issues, anything that kind of weakens your support structures.

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<v Speaker 3>So that's a huge myth is that it's only people

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<v Speaker 3>who are older who go through it. Lots of younger women,

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<v Speaker 3>like premenopausal and their thirties all go through this. So

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<v Speaker 3>the other myths that are probably important to debunk is like, well,

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<v Speaker 3>there's nothing you can do about it. You have to

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<v Speaker 3>kind of deal with it. Now. We mentioned pelvic physical

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<v Speaker 3>therapy really really helpful. That's usually our first you know

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

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<v Speaker 3>I don't want to have like surgery for this, but

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<v Speaker 3>you know, like I said, you can do physical therapy.

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<v Speaker 3>There's lots of different things that we can do that

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<v Speaker 3>don't involve either ignoring it or operating.

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<v Speaker 1>And it's not as simple as just doing those kegel exercises,

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<v Speaker 1>is it?

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<v Speaker 3>Keels is hard? Like who here is like failed key cost?

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<v Speaker 3>Because like I know, it's hard to do. It's like

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<v Speaker 3>strength training. You have to do like ten reps, hold

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<v Speaker 3>for ten seconds, do multiple like reps throughout.

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<v Speaker 2>The day, and then another fun thing I love.

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<v Speaker 3>And half the time people are like, I don't know

0:12:09.160 --> 0:12:12.200
<v Speaker 3>if I'm squeezing the right thing. It's hard to tell,

0:12:12.200 --> 0:12:16.120
<v Speaker 3>like if you So this is where the physical therapy help.

0:12:16.160 --> 0:12:18.559
<v Speaker 3>It's like having a trainer. It's like having somebody explain

0:12:18.679 --> 0:12:21.320
<v Speaker 3>to you, like you hold this muscle. This is where

0:12:21.320 --> 0:12:24.840
<v Speaker 3>it is like, yes, you're doing it correctly. So it's

0:12:24.880 --> 0:12:25.640
<v Speaker 3>just like assistance.

0:12:25.880 --> 0:12:28.040
<v Speaker 1>So how you know, we talked about sort of the

0:12:28.080 --> 0:12:33.640
<v Speaker 1>shame and the stigma around so much that we go

0:12:33.720 --> 0:12:36.320
<v Speaker 1>through with our bodies, you know, from the time we're

0:12:36.360 --> 0:12:40.080
<v Speaker 1>born to really the time we reach adolescents and then

0:12:40.480 --> 0:12:45.960
<v Speaker 1>childbirth and perimenopause and menopause and postmenopause. So what do

0:12:46.000 --> 0:12:49.520
<v Speaker 1>you think it will take to really change attitudes about this?

0:12:50.320 --> 0:12:53.040
<v Speaker 3>I mean, I think things like this and speaking openly,

0:12:53.160 --> 0:12:56.640
<v Speaker 3>like I've been so moved by everything's happening with perimenopause

0:12:56.679 --> 0:12:59.240
<v Speaker 3>menopause because like, look at this room. I've done a

0:12:59.240 --> 0:13:03.120
<v Speaker 3>couple of talks outside of Philly and we've like filled theaters.

0:13:03.160 --> 0:13:05.560
<v Speaker 3>It's just amazing. Like a few years ago, like I

0:13:05.559 --> 0:13:08.640
<v Speaker 3>could never have imagined that, like you know, the number

0:13:08.679 --> 0:13:10.800
<v Speaker 3>of people who would come out and say, yes, we

0:13:11.040 --> 0:13:13.600
<v Speaker 3>want to learn the science, we want to get the

0:13:13.640 --> 0:13:17.360
<v Speaker 3>best care, we want to push for more education. And

0:13:17.440 --> 0:13:19.400
<v Speaker 3>it's just like it just takes people kind of speaking

0:13:19.400 --> 0:13:21.839
<v Speaker 3>out and raising awareness about it. And you know, I

0:13:21.840 --> 0:13:23.600
<v Speaker 3>always tell people it doesn't have to be that, Like

0:13:23.880 --> 0:13:26.360
<v Speaker 3>you know, you're Katie Couric or your Oprah. All of

0:13:26.440 --> 0:13:28.440
<v Speaker 3>us have a source of influence, like you know, in

0:13:28.440 --> 0:13:31.760
<v Speaker 3>our communities and our families, with our kids, you know,

0:13:31.840 --> 0:13:34.920
<v Speaker 3>talking openly about these things to you know, help you know,

0:13:35.000 --> 0:13:37.720
<v Speaker 3>one say that this is not something shameful, and two

0:13:37.800 --> 0:13:40.240
<v Speaker 3>that it's an area of healthcare and we deserve to

0:13:40.280 --> 0:13:42.480
<v Speaker 3>know about it and have really good treatment options.

0:13:42.840 --> 0:13:46.480
<v Speaker 1>Let's talk about, just in closing, how you separate fact

0:13:46.480 --> 0:13:49.680
<v Speaker 1>from fiction. And I'm not talking about those ads you

0:13:49.720 --> 0:13:52.400
<v Speaker 1>know that we're served up about belly fat. I'm talking

0:13:52.440 --> 0:13:58.280
<v Speaker 1>about like legitimate what seems to be legitimate information that

0:13:58.480 --> 0:14:03.760
<v Speaker 1>just isn't true. And you have some tips on how everyone,

0:14:04.280 --> 0:14:07.199
<v Speaker 1>you know you can be sort of a conscious it's

0:14:07.720 --> 0:14:09.560
<v Speaker 1>conscientious consumer.

0:14:10.160 --> 0:14:10.480
<v Speaker 2>Yeah.

0:14:11.080 --> 0:14:14.160
<v Speaker 3>Yeah, So, first of all, if somebody is out there

0:14:14.160 --> 0:14:17.680
<v Speaker 3>saying something is always horrible or always the answer for

0:14:17.760 --> 0:14:20.920
<v Speaker 3>every single person, no matter what, don't believe them because

0:14:20.960 --> 0:14:23.760
<v Speaker 3>nothing in real life and nothing in medicine is so

0:14:24.000 --> 0:14:26.240
<v Speaker 3>cut and dry. So a lot of times people will

0:14:26.360 --> 0:14:29.200
<v Speaker 3>use like these terms like this is like always for everyone,

0:14:29.320 --> 0:14:31.520
<v Speaker 3>like the best thing ever and like my like you know,

0:14:31.560 --> 0:14:34.480
<v Speaker 3>hormone detox is going to fix your whole life, or

0:14:34.680 --> 0:14:36.960
<v Speaker 3>like something is always bad, like HRT is always going

0:14:37.000 --> 0:14:39.440
<v Speaker 3>to give you breast cancer. You know, like if you

0:14:39.520 --> 0:14:42.040
<v Speaker 3>take birth control, you will have this horrible thing, no

0:14:42.120 --> 0:14:45.640
<v Speaker 3>matter what so always like look for somebody who's giving nuance,

0:14:46.320 --> 0:14:49.760
<v Speaker 3>you know, like here's like here's the data I'm giving you,

0:14:49.800 --> 0:14:53.200
<v Speaker 3>like kind of a measured response. And then also if

0:14:53.240 --> 0:14:55.400
<v Speaker 3>it seems like someone has a conflict of interest, like

0:14:55.480 --> 0:14:57.600
<v Speaker 3>if they you know, have some you're just kind of

0:14:57.600 --> 0:14:59.040
<v Speaker 3>like getting a little sense that there's like this is

0:14:59.040 --> 0:15:01.680
<v Speaker 3>a commercial, Like I feel like you're trying to sell

0:15:01.720 --> 0:15:04.360
<v Speaker 3>me something. Oftentimes if you look in their profile, I'll

0:15:04.360 --> 0:15:07.200
<v Speaker 3>be like, yes, I'm selling you know, like this course

0:15:07.280 --> 0:15:10.800
<v Speaker 3>where you like hack your bio or whatever. So right,

0:15:11.360 --> 0:15:13.680
<v Speaker 3>and then also look at people's credentials because obviously you

0:15:13.760 --> 0:15:17.160
<v Speaker 3>have again like people who legitimately like trained in this

0:15:17.320 --> 0:15:20.280
<v Speaker 3>are really trying to kind of like give a balanced

0:15:20.720 --> 0:15:23.160
<v Speaker 3>look at everything, and they have the credentials for it,

0:15:23.200 --> 0:15:25.440
<v Speaker 3>you know, board certified, but would be Tyn has this

0:15:25.520 --> 0:15:27.800
<v Speaker 3>many years of experience, so you kind of have a

0:15:27.840 --> 0:15:29.840
<v Speaker 3>balance all of it, because you know it's not just

0:15:29.920 --> 0:15:31.640
<v Speaker 3>one or the other. You have to have all of

0:15:31.680 --> 0:15:32.800
<v Speaker 3>those elements together.

0:15:33.280 --> 0:15:35.920
<v Speaker 1>Karen Tang, I'm so glad to finally meet you. Thank

0:15:35.960 --> 0:15:37.560
<v Speaker 1>I'm so excited for your insight.

0:15:37.680 --> 0:15:43.160
<v Speaker 3>Thank you everybody for being here. Yeah, thank you, thank you.

0:15:46.120 --> 0:15:49.320
<v Speaker 1>Thanks for listening everyone. If you have a question for me,

0:15:49.720 --> 0:15:52.200
<v Speaker 1>a subject you want us to cover, or you want

0:15:52.240 --> 0:15:55.600
<v Speaker 1>to share your thoughts about how you navigate this crazy world,

0:15:55.960 --> 0:15:59.160
<v Speaker 1>reach out send me a DM on Instagram. I would

0:15:59.240 --> 0:16:02.280
<v Speaker 1>love to hear from you. Next Question is a production

0:16:02.400 --> 0:16:06.880
<v Speaker 1>of iHeartMedia and Katie Couric Media. The executive producers are Me,

0:16:07.200 --> 0:16:11.880
<v Speaker 1>Katie Kuric, and Courtney Ltz. Our supervising producer is Ryan Martz,

0:16:12.400 --> 0:16:17.200
<v Speaker 1>and our producers are Adriana Fazzio and Meredith Barnes. Julian

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

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<v Speaker 1>or to sign up for my newsletter, wake Up Call,

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<v Speaker 1>go to the description in the podcast app, or visit

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<v Speaker 1>us at Katiecuric dot com. You can also find me

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<v Speaker 1>on Instagram and all my social media channels. For more

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