Gyno Girl Presents: Sex, Drugs & Hormones

Dr. Lyndsey Harper built Rosy to fill the void medicine left behind this episode dives into how she's reshaping sexual health for women through tech, data, and desire. Rosy isn’t a one size fits all app. It’s a platform built by a variety of clinicians and trained experts in their fields to support women with low libido, arousal issues, and the systemic failures around both. Through erotica, CBT b...

In this candid conversation, Dr. Fenwa Milhouse board-certified urologist and fellowship-trained specialist in female pelvic medicine joins me to talk about conditions that affect so many of our patients but are often dismissed or misunderstood. She also happens to be my urologist, so I know firsthand the impact of her work. We discuss her journey into urology, the importance of representation in...

Could vaginal estrogen be the missing piece for some of your menopause symptoms? Many women find it has been a game-changer for their relief. I often talk about the lack of current information many doctors have about hormones. This is a global issue, which is precisely why I wanted to have a leading UK menopause expert on the show. Have you ever felt like your own body was working against you? Lik...

Midlife isn’t just about hot flashes or forgetting names it’s a time when many women start noticing subtle (and sometimes not-so-subtle) shifts in how they feel, think, and relate to the world around them. For some, it’s frustration they can’t quite name. For others, it’s sleep disruptions, mood changes, or a fading sex drive. These changes aren’t imagined and they’re not always easy to talk about...

What if your health risks weren’t just about what you eat or how you move—but about the history your ancestors survived? As a South Asian woman and gynecologist, I’ve long seen the ripple effects of misunderstood metabolic conditions, especially in women who don’t “look” unhealthy. In this episode, I’m joined by Dr. Mubin Syed—also known as DesiDoc on Instagram—whose new book Healing From Our Hist...

They call her The Vagina Whisperer for a reason Sara’s mission is to make pelvic floor therapy as normal as going to the dentist. And after hearing her story, you’ll understand why it needs to be. Let’s talk about the pelvic floor the part of your body no one teaches you about, yet it’s tied to nearly everything we experience as women. In this conversation with Dr. Sara Reardon, I felt like someon...

We’ve both treated thousands of women and lived through it ourselves. The truth? Perimenopause doesn’t begin in your 40’s. It starts years earlier, and too many are left struggling without answers. If you’ve been told you’re “too young” for perimenopause, you’re not alone—and you’re not too early. In this conversation with Dr. Fatima Khan, an Australian menopause specialist, we dig into what perim...

Everyone thinks hormone therapy is finally getting attention but no one’s really talking about the fact that estrogen can be life-saving. The data is right there: lower mortality, fewer hospitalizations, less sepsis. So why is it still being overlooked? In my practice, I see patients every day who are silently suffering dealing with UTIs, vaginal dryness, painful sex, and bladder issues they think...

Mast cell activation syndrome isn’t widely recognized, but for many women, it may explain years of pain, fatigue, and hormone related chaos no one could solve. I see a lot of patients who are struggling with fatigue, pain, and hormone symptoms that don’t seem to make sense on paper. And I’ve noticed a pattern but I wanted to talk to someone who lives in the complexity of it every day. Dr. Tania De...

You’re doing everything right. You're on hormones, you’ve cut the caffeine, maybe you’ve even bought one of those expensive sleep trackers. So why are you still waking up at 3am, wired and restless? In this episode, I sit down with Dr. Andrea Matsumura—board-certified sleep physician and women’s health specialist—to finally unpack why sleep is such a persistent struggle for women, especially durin...

If you've ever been told "just relax" while in vulvovaginal pain, you're not alone—and you're definitely not crazy. This conversation is about the silent epidemic women keep getting dismissed over. This episode hit me hard. Not because the stories were shocking—but because they weren’t. Dr. Chailee Moss joined me to talk about the groundbreaking study she co-authored, recently published in JAMA, t...

What if the pain isn’t just physical—and what if fixing the body is only half the battle? Sexual pain is one of the most misunderstood issues in medicine. I invited my friend and colleague Dr. Corey Babb to dive into why so many women still struggle with pain, even after their doctors tell them everything looks “normal.” Corey just released his new book A Practical Guide for Female Sexual Medicine...

What if the biggest reason women stop life-saving treatment isn't the medication—but clinicians talk to them about it? In this eye-opening episode, I talk with Dr. Janeane Anderson, a powerhouse researcher and faculty member at the International Society for the Study of Women’s Sexual Health, about the hidden reasons so many women stop taking critical medications like tamoxifen. It’s not just abou...

Is it just mood swings—or something deeper? If you’ve ever felt like a completely different person before your period, you’re not alone—and you’re not crazy. I’m diving into something I see all the time in my practice: mood disruption during perimenopause that goes far beyond PMS. We’re talking about that "I don’t feel like myself" feeling that so many women deal with—and the deeper hormonal patte...

What if your low libido isn’t about hormones at all? What if the mental load you're carrying is quietly draining your desire? So many women come to me wondering what happened to their sex drive. They blame hormones, aging, or even themselves—but rarely do they consider the daily grind of their own lives. In this episode, I'm diving into a topic that sparked massive discussion at a recent sexual he...

When a patient talks about their sexual dysfunction, I always ask: what's going on with the person they're having sex with? You’d be surprised how many providers don’t. Most people don’t think to ask what’s happening on both sides of a sexual relationship. But sexual dysfunction doesn’t happen in a vacuum—it’s a two-way street. In this episode, I’m joined by Dr. Jessica Yih, a urologist who treats...

Why are so many women still faking orgasms—and blaming themselves for sex that doesn’t feel good? I can't even begin to tell you how many women come into my office thinking they’re broken—because sex isn’t working for them the way it “should.” They’re doing all the right things, checking all the boxes, and still feeling disconnected, dry, resentful, or just straight-up bored in the bedroom. But he...

What if your pain, irritation, or sexual discomfort was being dismissed because no one ever taught your doctor how to look for the real cause? There’s a reason vulvar conditions like lichen sclerosus are often missed or misdiagnosed—and it’s not because they’re rare. It's because most doctors aren't trained to recognize the signs. In this episode, I’m joined by Dr. Jill Krapf, a dedicated gynecolo...

Menopause can sneak up on you, turning everyday tasks into overwhelming challenges. One moment you’re thriving, and the next, you’re questioning your memory, your confidence, and your health. When Tamsen  Fadal found herself on the bathroom floor during a live news broadcast, she had no idea menopause was to blame. Brain fog had been chipping away at her confidence for months, and no one had...

We've talked before about how women’s health issues are often overlooked, but new research is challenging what we thought we knew about bacterial vaginosis (BV). What if BV is actually an STI? For years, we've treated bacterial vaginosis as a frustrating yet common vaginal infection. But new research suggests BV may actually be sexually transmitted — and that changes everything. In this episode, I...

We’ve talked many times about how women’s sexual health has been ignored, underfunded, and dismissed—but what’s actually changing? At this year’s ISSWSH conference, the latest research is pushing the field forward in ways we’ve never seen before. If you’ve been following this show, you already know that women’s sexual health has been historically neglected in research and medicine. We’ve talked ab...

What if midlife wasn’t the beginning of the end, but the start of something bigger? Marcella Hill thought she had it all figured out—until she lost herself completely. Midlife has a way of forcing women to wake up. For Marcella Hill, it came in waves—divorce, reinvention, success, then the sudden and unexplained loss of energy, libido, and joy. She was doing everything “right,” yet her body was sh...

Why is half the world’s population walking around with an ignored, misunderstood body part? If the clitoris and penis are made of the same tissue, why is one thoroughly studied and the other barely mentioned in medical training? The clitoris is more than just a pleasure center—yet most doctors barely acknowledge it, let alone know how to examine it properly. Dr. Rachel Rubin joins me to expose the...

Hair loss isn’t just about vanity—it’s about confidence, identity, and health. Yet, despite being a billion-dollar industry, so much misinformation surrounds it. Why do so many treatments fail? Why do some dermatologists avoid it? And most importantly, what actually works? Hair loss is often dismissed as a cosmetic issue, but for millions of people, it’s deeply personal and frustrating to treat. I...

Sexual health is often misunderstood and neglected in medical training. What happens when a passionate student decides to challenge the system and ignite change? The medical field often hesitates to tackle less-explored topics, but Dr. Jen Romanello is breaking new ground as a young advocate for advancing sexual medicine. As a medical student, Jen identified a glaring gap in education on female se...