The Vagina Doctor Podcast with Duncan Turner MD & Karen Spaulding
In this detailed discussion, the Duncan Turner MD and Karen Spaulding talk about her upcoming hysterectomy and compares different procedures and recovery experiences of friends and family. Key topics include laparoscopic hysterectomy using the da Vinci robot, traditional transabdominal procedures, the advantages of keeping the cervix, and varying incision techniques. The conversation also emphasizes the importance of minimizing incision size for faster recovery and addresses concerns such as pain management and post-operative care. Duncan Turner MD elaborates on the differences between using smaller incisions versus larger ones and offers insights into why surgical decisions are made, focusing on the best approach for this specific situation.
00:00 Introduction and Greetings
00:09 Preparing for the Hysterectomy
00:39 Different Hysterectomy Experiences
03:14 Surgical Methods and Decisions
09:36 Recovery Insights
11:41 Conclusion and Well Wishes
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Understanding Bloating: Causes, Diagnoses, and Treatments with Dr. Dennis Hughes In this episode, Dr. Dennis Hughes and Nurse Practitioner Sophie Mengele & Karen Spaulding discuss the various causes, diagnostic methods, and treatments for bloating. The conversation includes insights into symptoms and potential underlying conditions such as celiac disease, SIBO, and pancreatic exocrine insufficiency. Dr. Hughes also explains diagnostic approaches, including the importance of ruling out severe conditions and details about specific tests like the breath test for bacterial overgrowth and stool tests for enzyme deficiencies. The episode emphasizes the significance of a comprehensive workup and the potential life-changing impact of proper diagnosis and treatment for persistent bloating and related gastrointestinal issues.
00:00 Introduction and Episode Overview
01:00 Meet the Guests: Dr. Dennis Hughes and Sophie Mengel
01:22 Understanding Bloating: Symptoms and Causes
03:00 Diagnostic Approaches to Bloating05:08 The Role of Diet in Bloating
07:04 Celiac Disease vs. Gluten Sensitivity
15:58 Small Intestinal Bacterial Overgrowth (SIBO)20:09 Understanding Pancreatic Exocrine Insufficiency (PEI)21:48 Functional Dyspepsia and IBS: Emotional Connections23:11 The Brain-Gut Connection
23:48 Testing for Bacterial Overgrowth
26:08 H. Pylori: Symptoms and Treatment
31:59 Constipation and Colon Health
35:35 Hydration and Constipation in Older Adults
38:17 Conclusion: Addressing Digestive Issues
The Vagina Doctor Podcast with Duncan Turner MD & Karen Spaulding
In this episode, we delve into the increasing trend of couples attending medical consultations together. The discussion highlights various reasons behind this shift, such as extended consultation times, support from partners, and the validation it provides. The conversation also touches on the differences in how male and female patients respond to medical advice and the benefits and challenges of having partners present during appointments. Tune in to understand the evolving dynamics in medical consultations and the implications for patient care.
00:00 Introduction and Greetings
00:16 Observations on Couples' Appointments
00:40 Discussion on Couples' Dynamics in Consultations
02:13 Validation and Support in Couples' Consultations
03:55 Challenges with Male Patients
04:39 Increase in Male Patients
05:40 Conclusion and Final Thoughts
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The Vagina Doctor Podcast with Duncan Turner MD & Karen Spaulding
Understanding the Symptoms and Feelings Associated with CystoceleThis episode discusses the sensations and symptoms experienced by individuals with cystocele. Patients may feel a sense of pressure, heaviness, or a general feeling that something is awry. In more severe cases, there can be a noticeable bulging through the vaginal opening, leading patients to describe a sensation of 'everything falling out.'
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In this episode of 'This Might Sting a Little,' Dr. Orel Swenson, Dr. Dennis Hughes, and Dr. Duncan Turner dive into the realities of the emergency department (ER) from both patient and physician perspectives. They discuss why ER visits often take so long, the communication challenges between primary care doctors and ER staff, and the unique pressures ER doctors face. They also explore the emergency severity index (ESI) system that determines patient prioritization and the role of ERs as a societal safety net. Tune in for an in-depth look at the intricacies of emergency medical care, filled with professional insights and a healthy dose of humor.
00:00 Introduction to the Podcast
00:08 Meet the Hosts
00:42 Emergency Department Insights
01:10 Patient Experiences and Challenges
02:47 Communication and Coordination
03:58 Efficiency and Trust in ER Visits
05:05 Case Studies and Real-Life Scenarios
11:06 ER Protocols and Procedures
12:12 Challenges in ER Communication
15:22 The Role of ER in Healthcare
15:46 Challenges in ER Patient Management
16:45 Over-Evaluation in the ER
17:24 Malpractice Considerations
18:16 Communication Between Offices and ER
19:12 Cultural Expectations and Wait Times
20:28 Changes in Hospital Practices
22:10 The Role of Hospitalists
25:56 Recap and Takeaways
https://cavalry.health/
https://dennishughesmd.com/
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Understanding Perimenopause: Symptoms, Challenges, and Treatments
In this consult-style episode, Dr. Turner delves into the complexities of perimenopause, highlighting its growing awareness due to social media and the symptoms women experience, such as sleep disturbances, weight gain, mood swings, and depression. The discussion includes the importance of listening to patients, the variability of hormone levels, and the trial-and-error approach to treatment. Dr. Turner also addresses the misinformation and criticism women face and underscores the importance of seeking medical guidance. Whether a women-facing perimenopause or a healthcare professional, this episode provides valuable insights into managing this stage of life effectively.
00:00 Introduction and Episode Overview
00:17 Understanding Perimenopause
00:26 Social Media and Awareness
01:28 Symptoms and Patient Experiences
04:23 Challenges in Diagnosis and Treatment
07:47 Hormonal Testing and Treatment Approaches
12:01 Conclusion and Final Thoughts
Episode Resources
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The Vagina Doctor Podcast with Duncan Turner MD & Karen Spaulding
Understanding Rectocele: Causes, Symptoms, and Treatments
In this episode, we delve into the topic of rectocele, a type of pelvic floor disorder. We explain what rectocele is, common causes such as childbirth and menopause, and how it affects patients. The video covers symptoms, diagnostic methods, and treatment options including surgery and the use of pessaries. Additionally, we discuss related conditions like uterine prolapse and cystocele. This comprehensive overview is aimed at educating patients on recognizing and managing rectocele effectively.
00:00 Introduction and Recap
00:25 Understanding Rectocele
01:58 Causes and Symptoms of Rectocele
04:44 Treatment Options for Rectocele
05:11 Pessaries and Surgical Considerations
07:19 Conclusion and Future Topics
Episode Resources
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The Vagina Doctor Podcast
With Duncan Turner MD & Karen Spaulding
Episode Resources
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The Vagina Doctor Podcast with Duncan Turner MD & Karen Spaulding.
CWM: Urinary symptoms can be helped and often times fixed. When is it time though to go to the next step? Surgery.
Episode Resources
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In Episode 2 of This Might Sting a Little, Duncan Turner, Orel Swenson and Dennis Hughes break down what we know and don't know about GLP-1.
In this episode, we dive deep into GLP-1 agonists, commonly known as semaglutide, a popular weight-loss and diabetes medication. We discuss its natural production, effects on the body, and its impact on insulin production, stomach emptying, and brain receptors. The conversation covers the challenges of processed food, addiction-like behaviors, and the broad effects of GLP-1, including potential benefits for conditions like endometriosis and cancer. We explore the downsides of long-term use, such as muscle loss and desensitization, and the importance of lifestyle changes for sustained weight loss. The discussion also touches on different forms of GLP-1 administration, the growing obesity epidemic, and the critical role of early dietary habits. Join us for a comprehensive look at the pros and cons of GLP-1 agonists and their place in modern healthcare.
00:00 Introduction to GLP-1 Agonists
00:19 Understanding GLP-1 and Its Effects
00:50 The Brain's Role in Appetite and Addiction
02:01 Exploring Broader Effects of GLP-1 Agonists
03:07 Potential Negative Effects and Concerns
03:49 Challenges of Long-Term Use and Dependency
05:11 Lifestyle Changes and Weight Management
11:43 Historical and Societal Factors in Obesity
13:51 Brand Names and Bioavailability of Medications
16:44 Muscle Mass and Weight Loss
18:45 Patient Compliance and Injection Concerns
21:28 Conclusion and Final Thoughts
This isn’t a whine fest—it’s about to get clinical with a twist.
Expect sharp insight, a little rebellion, and honest conversation from three doctors who aren’t afraid to challenge the status quo. Whether you're a curious patient or a health-savvy skeptic, this episode will make you think twice about the rules we blindly follow in medicine.
https://cavalry.health/
https://dennishughesmd.com/
Episode Resources
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The Vagina Doctor Podcast with Duncan Turner MD & Karen Spaulding.
On this short consult with me episode we go over 4 weeks on micro- dosing GLP-1 Semaglutide. If you have been curious about these drugs for treatment of inflammation this is a great episode to listen to!
Enjoy!
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The Vagina Doctor Podcast
With Duncan Turner MD & Karen Spaulding
In this episode Dr. Orel Swenson Breaks down the ins and outs of stem cell and exosome therapy. If you have ever been curious about these treatments and their benefits and warnings, this is a great episode to take in.
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On the Vagina Doctor Podcast with Duncan Turner MD & Karen Spaulding: Real Stories: Riley’s Journey with PCOS
In this candid episode of The Vagina Doctor Podcast, Riley opens up about her personal journey with polycystic ovary syndrome (PCOS) — from the ups and downs of birth control to unexpected weight gain, stubborn breakouts, and the emotional toll of fertility worries. She shares her experience navigating treatment options, including her time on metformin, and what she’s learned about advocating for her health along the way.
Whether you’ve been recently diagnosed or have been living with PCOS for years, Riley’s story offers insight, validation, and hope.
🎧 Listen now for an honest conversation about living with PCOS and finding the path forward.
#PCOS #PCOSAwareness #TheVaginaDoctorPodcast #WomenInMedicine #FertilityHealth #BirthControlJourney #Metformin #HormoneHealth #PCOSCommunity
Episode Resources
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🎙️ This Might Sting a Little – A bold new segment of The Vagina Doctor Podcast featuring GYN Dr. Duncan Turner, Emergency & Regenerative Medicine specialist Dr. Orel Swenson, and Internal Medicine physician Dr. Dennis Hughes.
In this debut episode, the doctors go head-to-head with conventional wisdom as they question the "guidelines" of modern medicine. Who writes them? Who benefits? And are they always in the best interest of the patient?
This isn’t a whine fest—it’s about to get clinical with a twist.
Expect sharp insight, a little rebellion, and honest conversation from three doctors who aren’t afraid to challenge the status quo. Whether you're a curious patient or a health-savvy skeptic, this episode will make you think twice about the rules we blindly follow in medicine.
https://cavalry.health/
https://dennishughesmd.com/
Episode Resources
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The Vagina Doctor Podcast w/ Duncan Turner MD | It All Starts Here Hosted by: Duncan Turner M.D. & Karen Spaulding
In this episode, I discuss my experience with Physiological Hormone Replacement Therapy (PHRT) and the transition back to a static hormone dose. I explain the methodology behind PHRT, which aims to mimic the natural 28-day estrogen ovulation cycle, and share mixed feedback from patients who have tried it. We delve into the complications and potential room for error with PHRT as highlighted by Dr. Patel. I also touch on the challenges I faced and why I ultimately returned to a static dose. Additionally, I mention my return to testosterone therapy and reflect on the overall benefits of finding the right hormone therapy approach. Stay tuned for future updates and feel free to reach out with questions or feedback.
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The Vagina Doctor Podcast
With Duncan Turner MD & Karen Spaulding
In this episode, we discuss the recent FDA panel initiated to reassess the risks associated with hormone replacement therapy (HRT) for women. The panel revisits the longstanding black box warnings on estrogen-containing products, deemed largely incorrect regarding the increased risks of cardiovascular and breast diseases. Experts now emphasize the life-saving potential of HRT, contradicting past misconceptions and advocating for its long-term use. The conversation touches on societal fears, the role of primary care physicians, and the need for widespread re-education on the benefits of HRT.
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The Vagina Doctor Podcast
Hosted by Duncan Turner MD & Karen Spaulding
Transformative Medicine: Dr. Patel on Compounding Pharmacy, HRT, and Glutathione.
In this episode of the Vagina Doctor Podcast, Dr. Patel shares his journey from graduating top of his class at USC to founding Central Drugs Compounding Pharmacy in 1999. With a focus on hormone replacement therapy (HRT) for both men and women, Dr. Patel also delves into his research and development of a topical glutathione product that offers significant anti-aging benefits. He discusses the challenges of the compounding pharmacy industry, from maintaining safety standards to innovating new treatments.
Additionally, there's an in-depth conversation about the complex relationship between doctors and pharmacists, and how they can work together to provide optimum patient care. Dr. Patel also debunks common myths around topical medications and shares insights into his latest advancements. Finally, a lively discussion about the future of compounding pharmacies and the importance of patient compliance wraps up the session.
00:00 Welcome to the Vagina Doctor Podcast
00:53 Dr. Patel's Journey: From USC to Compounding Pharmacy
01:37 The Birth of Customized Medicine
03:20 Hormone Replacement Therapy: A New Frontier
07:26 Challenges and Triumphs in HRT
09:53 The Glutathione Revolution
13:51 Innovations in Glutathione Delivery18:28 Measuring the Impact of Glutathione
24:51 Prescribing Glutathione: Practical Insights
25:49 Medication for MS and Glutathione
27:19 Glutathione Injections and Supplementation
31:24 Challenges in Compounding Pharmacies
36:16 The Role of Pharmacists in Patient Care
39:29 Bioidentical Hormone Replacement Therapy
49:35 Success Stories and Innovative Treatments
53:55 Conclusion and Contact Information
https://aurowellness.com/
https://www.centraldrugsrx.com/meet-the-team
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The Vagina Doctor Podcast w/ Duncan Turner MD | It All Starts Here Hosted by: Duncan Turner M.D. & Karen Spaulding
Dexa Scans are not mentioned most the time with GYN visits why is this and why are Dexa scans so important?
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The Vagina Doctor Podcast
Hosted by Duncan Turner MD & Karen Spaulding
The Impact of Testosterone on Exercise and Muscle Development.T his episode discusses the noticeable effects of testosterone during exercise, highlighting its rapid impact on muscle mass and strength. It also addresses concerns about varying individual responses to testosterone levels and the occasional need for increased dosages in certain patients.
Episode Resources
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The Vagina Doctor Podcast w/ Duncan Turner MD | It All Starts Here Hosted by: Duncan Turner M.D. & Karen Spaulding
Understanding the Rise of Bladder Infections and Antibiotic ResistanceIn this episode, we discuss the rise in bladder infections and the increase in antibiotic-resistant strains. Key contributing factors are explored, including low hormonal levels, dehydration, frequent and aggressive intercourse, and improper bladder hygiene. The importance of accurate diagnosis through urinalysis and culture is emphasized to prevent misuse of antibiotics. The role of diet, specifically sugary drinks, in altering pH levels and potentially causing infections is also considered. The discussion provides insights into the proper interpretation of at-home test results and the significance of white blood cells in diagnosing bladder infections.
Episode Resources
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