Aug 15, 2021
Dr. Lauren Streicher gives you a deep dive into the menopausal
transition and why many women suffer from hot flash hell when they
don’t need to. Learn how to understand your own body and what it
needs so that you can enjoy your sex life after menopause, reduce
your risk of breast cancer, and how cannabis is fast becoming a
popular way to treat many of the worst menopause
- Sexual health is often an area of life that many women find
uncomfortable to talk about but the experience is fairly similar
for all women. When it comes to menopause, the four most common
challenges that women want to deal with are: hot flashes, getting
more sleep, wanting sex to not hurt, and maintaining a healthy
- These issues are not just about quality of life. Hot flashes
can also contribute to serious medical conditions that can shorten
lifespan. Research has shown that women have a 2.2 times increase
in the risk of cardiovascular disease.
- When someone has a hot flash, in addition to their internal
furnace going out of control there are inflammatory changes
occurring in every cell in the body.
- Hot flashes are associated with insulin resistance, and when
women become more insulin sensitive hot flashes can be reduced or
- One of the biggest challenges as health educators is ensuring
women that estrogen is not dangerous and good for them. For the
overwhelming majority of women, hormone therapy is one of the most
effective and safe treatments there is.
- Data shows that estrogen reduces the risk of breast cancer. For
women who have breast cancer, there are non-estrogen options to
treat your hot flashes.
- There are new treatments that are also coming down the pipe
right now that will be available for women in the next few years.
It takes an average of 20 years for a drug to be developed and
reach the pharmacy’s shelves.
- SSRIs are one of the most common off-label treatments of hot
flashes, but the problem with using these antidepressants is that a
lot of women end up losing their libido, having trouble with
orgasm, or gaining weight.
- It takes more than hormones to fix your hormones. You can make
lifestyle changes like intermittent fasting and Keto Green which
can have a major impact on your hormones and quality of life.
- It matters what you put in your mouth. Healthy eating is
critically important to a healthy weight and lifestyle. You have to
be mindful of how you treat your body long before menopause. When
you’re 13 years old, you are setting the stage for your body in
- We’re given one body and we have to take care of it and treat
it right. We’re living longer and almost half our life is after the
- One of the things that Dr. Streicher is talking about more with
patients is using cannabis to treat menopausal symptoms. Cannabis
may not be taught in medical school but it has been in the medical
literature for a long time.
- One study revealed that 27% of women have tried cannabis at
some point in their life to try to relieve their menopause
symptoms, but that number is probably much higher. The trouble is
that not one is advising these women on how to take cannabis and
are taking the wrong thing to address their symptoms.
- The onus is on medical professionals to help women understand
what they should be doing with cannabis to treat their
- When it comes to hot flashes, you specifically need a cannabis
strain with THC more than CBD and it needs to be Indica rather than
- It’s important to remember that the person at the dispensary is
not a medical professional and their advice is anecdotal. Dr.
Streicher tells her patients to start slow and go low.
- Science has shown that post-menopausal women metabolize
cannabis differently than premenopausal women.
- Nearly all women have reported that their sleep has improved
when they use cannabis to treat their symptoms, which has a
beneficial effect on their other symptoms.
- Sleep has a direct connection to weight loss. If you’re only
sleeping for 4 or 5 hours a night, that is directly sabotaging your
ability to maintain a healthy weight.
- The safest way for women to use cannabis is one of the
tinctures that goes under the tongue. It bypasses the
gastrointestinal tract and lungs and you’ll be able to gauge the
effects much quicker.
- Your cannabis source needs to be reliable and trustworthy. It
matters what you’re getting and that the cannabis is
- Vaginal dryness and pain during intercourse is just one part of
the greater picture. We need to look at the root cause of
decreasing vaginal health.
- You get wrinkles on your face and use products to improve them.
Your vagina can benefit from the same sort of care.
- Many women ignore their vulva in favor of the vagina.
Medicating the vagina is only one piece of the puzzle.
- Everyone will experience atrophy, thinning of the skin, and
pain and discomfort unless we intervene, and the sooner the better.
Using topical creams and making them part of your daily routine is
- The majority of women are not able to label all the parts of
their genitalia. Sometimes it’s as simple as putting estrogen on
the clitoris to increase the blood flow and the health of all the
nerves in the area to make a huge difference in your sex life.
- Many gynecologists just do the basics when it comes to the
examination. Dr. Streicher focuses on teaching the patient about
their own genitals and really understanding where and why they
might be experiencing pain.
- Vaginal pH level is one of the most important indicators of
vaginal health and whether the patient has a healthy
- The most important part of the examination for a woman
experiencing pain is a pelvic floor evaluation. Everyone thinks
that having strong muscles is important, which is true, but equally
important is having muscles that are able to relax. Pelvic floor
pain is often a defense mechanism that needs to be addressed.
- Get the mirror out and take a look at your own genitals to get
comfortable with what’s healthy and what’s not.
- The treatment for your vulva and your vagina is often
different. There are a number of different treatment options
depending on the goal and the area of application.
Mentioned in this Episode:
Dr. Streicher’s books - drstreicher.com/books
Always seek the advice of your own physician or qualified
health professional before starting any treatment or plans.
Information found here and results are provided for informational
purposes only and are not intended to replace a one-on-one
relationship with a qualified healthcare professional and are not
intended as medical advice.