Mayo Clinic Talks

Obstetric and Gynecologic Health Series: Contraception

Host: Danielle O’Laughlin, PA-C, MS

Guest: Jenna Wygant, APRN, CNP, DNP

Guest, Jenna Wygant, APRN, CNP, DNP, joins us to explore the full spectrum of contraception options - from natural family planning to non-hormonal and hormonal methods. For each type of contraception, an understanding of how each type works, their efficacy, and the potential risks and benefits will be covered. We also break down the different types of emergency contraception and considerations to review when consulting with patients.

By the end of this podcast, listeners will be able to: 

1. Define natural family planning, non-hormonal, and hormonal contraceptives.
2. Understand the use, efficacy, mechanism of action, and risks and benefits for the different types of contraception.
3. Explain the types and uses of emergency contraception.

Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development

Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Menopause and Women's Health Edition | Menopause and Sexual Health

HOST - Dawn Marie R. Davis, M.D.

GUEST - Jennifer Vencill, PhD, LP

Sexual health during menopause is often a forgotten topic for female patients. Dr. Jennifer Vencill joins the podcast to discuss common sexual health concerns normal, what to expect, and how to seek assistance for patients in terms of sexual health during menopause and later life.

This episode is brought to you by: https://www.astellas.com/us/ 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at ce.mayo.edu  or on Twitter @MayoMedEd.  To learn more about this episode:

https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition 

Menopause and Women's Health Edition | Hormones and Sexual Health After Cancer

HOST - Dawn Marie R. Davis, M.D.

GUEST - Carol Kuhle, DO, MPH

Guest, Dr. Carol Kuhle, joins the podcast to discuss the importance of hormones, hormone regulation, sexual health and hormone driven cancers. The needs of women with cancer and cancer survivors are often overlooked when it comes to the effect of hormones and the outcomes for sexual health and relationships for these patients.

This episode is brought to you by: https://www.astellas.com/us/ 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at ce.mayo.edu  or on Twitter @MayoMedEd.  To learn more about this episode:

https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition 

Menopause and Women's Health Edition | Topical and Non-Hormonal Therapies

HOST - Dawn Marie R. Davis, M.D.

GUEST - Hannah C. Nordhues, M.D.

GUEST - Amber Klindworth, P.A.-C.

Menopause symptoms for women not only have a personal impact on the individual, but also a public health impact. Studies have shown an annual economic impact of 1.8 billion dollars in lost workdays and 25 billion dollars in medical costs for women coping with the symptoms of menopause. Hannah C. Nordhues, M.D., and Amber Klindworth, P.A.-C., serve as guests to discuss the impact of menopause on everyday life for women and discuss non-hormonal treatment options for these patients.

This episode is brought to you by: https://www.astellas.com/us/ 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at ce.mayo.edu or on Twitter @MayoMedEd.  To learn more about this episode:

https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition 

 

Menopause & Women's Health Edition | Menopause and Hormonal Therapy

HOST - Dawn Marie R. Davis, M.D.

GUEST - Jewel M. Kling, M.D., M.P.H.

The number of midlife women transitioning into menopause is substantial with more than one million women in the U.S. entering menopause each year. Symptoms such as vasomotor symptoms (VMS), mood and sleep disturbances, and sexual problems are common during the menopause transition, yet often go untreated. Menopausal hormone therapy (HT) is often the preferred and most effective treatment option for menopausal symptoms. Dr. Juliana (Jewel) Kling joins the podcast to discuss this important topic.

This episode is brought to you by: https://www.astellas.com/us/ 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.  Learn more about this episode at:

https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition

*Episode Addendum: terminology “micronized progesterone acetate”; said in error: “medroxyprogesterone acetate” 

Menopause and Women's Health Edition | Menopause and Bone Health

HOST - Dawn Marie R. Davis, M.D.

GUEST - Suneela Vegunta, M.D.

Dr. Suneela Vegunta joins the podcast to discuss the importance of the protecting the musculoskeletal system in patients during the menopause stage of life. Hormonal decline can have a significant impact on bone density, mobility and independence, causing osteopenia and osteoporosis. Topics covered in this episode include the impact of hormones on bone density, risk factors for osteoporosis and strategies to maintain and protect bone health. 

This episode is brought to you by: https://www.astellas.com

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.  To learn more about this episode at:

https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition

Menopause and Women's Health Edition | Introduction to Menopause

HOST - Dawn Marie R. Davis, M.D.

GUEST - Jackie M. Thielen, M.D.

Menopausal concerns in women have been often neglected due to uncertainty and misunderstanding. The goal of this podcast is to offer clarity regarding the basics of menopause. Guest Dr. Jackie Thielen, who is the founding medical director for the Women's Health Specialty Clinic on the Mayo Clinic Florida campus, is the guest speaker kicking off this women’s health mini-series focusing on Menopause.  

This episode is brought to you by: https://www.astellas.com

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.  To learn more about this episode at:

https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition  

Obesity Update in Women

Guest: Ekta Kapoor, M.B.B.S.

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Obesity is becoming a serious epidemic in the United States, and it’s estimated that if current trends continue, by 2030 nearly half of all adults in the U.S. will be obese. Prevalence rates of obesity are steadily increasing in both men and women and some of the highest rates are seen in post-menopausal women. Obesity carries an increased risk for a variety of medical conditions and death rates of several types of cancer increase in obese women. The topic for this podcast is obesity in women and our guest is women’s health expert, Ekta Kapoor, M.B.B.S., from the Mayo Clinic. We’ll discuss reasons women tend to develop obesity in middle age, the risks associated with the type of obesity that occurs following menopause and effective strategies to manage weight gain with aging in women.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Working from the Ground Up to Impact Gender Disparities in COVID-19

Guest: Carol L. Kuhle, D.O., M.P.H. (@clkejd)

Host: Anjali Bhagra, M.D. (@anjalibhagramd)

Anjali Bhagra, M.D., and Carol L. Kuhle, D.O., M.P.H., discuss the narrative they recently published in Mayo Clinic Proceedings, which outlines and highlights the further widening of preexisting gender disparities in response to the COVID-19 pandemic. What can we do to identify and mitigate these issues?

Additional resources:

• Nordhues, HC. Bhagra, A. Stroud, NN. Vencill, JA. Kuhle, CL. COVID-19 gender disparities and mitigation recommendations: a narrative review. Mayo Clin Proc. 2021 April 20; 96(7): 1907-1920. doi: https://doi.org/10.1016/j.mayocp.2021.04.009

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Takes on Hair Loss

Guest: Alison J. Bruce, M.B., Ch.B. & Shane A. Shapiro, M.D. 

Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) 

Androgenic alopecia can have a significant impact on women across a spectrum of age. The psychological and social impact of hair thinning and hair loss can significantly decrease quality of life. Dr. Alison Bruce breaks down different types of hair loss, who’s a candidate, and new therapies on the horizon. Dr. Shane Shapiro will discuss the application of regenerative medicine to this condition and how platelet rich plasma has demonstrated efficacy at regrowing hair. 

Deeper Dive: 

• A Randomized, Controlled Pilot Trial Comparing Platelet-Rich Plasma to Topical Minoxidil Foam for Treatment of Androgenic Alopecia in Women doi: 10.1097/DSS.0000000000002168 

Episode transcript: https://mcdn.podbean.com/mf/web/d545pv/Ep_185-Regenerative_Medicine_Takes_on_Hair_Loss.pdf

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

COVID-19 Miniseries Episode 13: Mayo Clinic Q&A - Pregnancy and COVID-19

This episode is shared from Mayo Clinic Q&A and was recorded in April 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest:  Nipunie S. Rajapakse, M.D., M.P.H. (@nrajapakseMD)

Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)

How is SARS-CoV-2 affecting pregnant women? Is breastfeeding safe? How can a pregnant woman protect herself from the disease? On the Mayo Clinic Q&A podcast, Dr. Nipunie Rajapakse, a pediatric infectious diseases specialist, will discuss COVID-19 and pregnancy.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Sexuality in the Elderly Female

Guest: Carol L. Kuhle, D.O., M.P.H. (@clkejd) 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

A decline in sexual activity and an increase in sexual dysfunction commonly occurs in the elderly, but do you ask you patients about it? What questions should you be asking them? What are the reasons a decrease in function or desire occur? Dr. Carol Kuhle steps through the common causes, questions, and treatments encountered through her work and research at the Mayo Clinic Center for Women's Health (https://www.mayoclinic.org/departments-centers/womens-health/center-for-womens-health/overview or on Twitter @WHMayoClinic). 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

• A Study of Sexuality and Health Among Older Adults in the United States August 23, 2007 N Engl J Med 2007; 357:762-774 DOI: 10.1056/NEJMoa067423

Preventive Therapies for Breast Cancer

Guest: Sandhya Pruthi, M.D. (@DrSandhyaPruthi)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

How can we help women at high risk of breast cancer manage their risk? How do you rank these risks and approach their management? Dr. Pruthi discusses what you can do and tools that you can use to help calculate risk and what to do with the information you have.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

• Breast cancer risk assessment tools:
  • Gail model https://bcrisktool.cancer.gov/
  • IBIS tool http://www.ems-trials.org/riskevaluator/ 

Meeting the Needs of Our Female Veterans

Guest: Ashley Laganiere, CVSO 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

Female veterans can face significant barriers to receiving proper care. As the number of female service members increases, what can we do to help address these barriers and facilitate access to the care they need? What resources exist and how do we identify this population if they do not readily self-identify as veterans? 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Deeper Dive: 

• National Association of County Veterans Service Officers: https://www.nacvso.org/
• Minnesota Association of County Veterans Service Officers: https://www.macvso.org/index.html
• VA Women’s Health Research Network: https://www.hsrd.research.va.gov/for_researchers/womens_health/ 
• Military Health and Health Care https://www.rand.org/topics/military-health-and-health-care.html 

Time’s Up Healthcare: Accelerating a Safe, Equitable, Dignified Workplace

Guest: Sharonne N. Hayes, M.D. (@SharonneHayes) 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

The healthcare system is not immune to bias, harassment, and discrimination. How do we create a climate of mutual respect? How do we empower bystanders to step up? How do we create systems and procedures to ensure consistent messaging and action when these things occur? Listen in as Dr. Sharonne Hayes discusses the Time’s Up Healthcare movement and what you can do to get involved. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Deeper Dive:

• https://www.timesuphealthcare.org 

Breast Cancer: Screening versus Diagnostic Imaging and the Appropriate Utilization of Genetic Testing

Guest: Sandhya Pruthi, M.D. (@DrSandhyaPruthi)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Dr. Sandhya Pruthi, a breast disease specialist in Mayo Clinic’s Breast Diagnostic Clinic, discusses why we don’t use ultrasound as a primary screening test for breast cancer. Listen in for the pros and cons of different types of imaging studies and which are used for screening versus diagnostic testing. Also discussed is the role genetic testing should play in breast cancer screening, who should have testing done, and what tests are available, including when a care plan should include a genetic counselor.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Benefits and Risks of Hormone Therapy in Women

Guest: Ekta Kapoor, M.B.B.S. (@Ektasinghkapoor)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

For years, healthcare providers routinely prescribed hormone therapy for the management of women with postmenopausal symptoms as well as to reduce the risk of cardiovascular disease and the treat osteoporosis. Then, in 2002, the Women’s Health Initiative was published and our views of hormone therapy changed. Parts of the study’s findings were criticized leading to confusion as to whether hormone therapy was as effective as we assumed as well as whether hormone therapy was exposing women to excessive health risks. To help us sort out the benefits and risks of hormone therapy in women, we’re joined by Dr. Ekta Kapoor, a Mayo Clinic internist and specialist in the Menopause and Women’s Sexual Health Clinic.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Hypoactive Sexual Desire Disorder: Approaches from the Menopause & Women’s Sexual Health Clinic

Guest: Jacqueline M. Thielen, M.D. (@JacquelineThie5)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Hypoactive sexual desire in females is one component of sexual dysfunction in women. It’s a sensitive topic and one that doesn’t often get discussed in the clinician’s office. What’s the best way to ask about this problem and how do we manage it once we know it exists in our patients? We’ll discuss these issues with a women’s health specialist Dr. Jacqueline Thielen, a Mayo Clinic general internist in the Menopause & Women’s Sexual Health Clinic at Mayo Clinic in Rochester.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Sexual History Taking--Why Sexual Health Matters

Why is it important to talk about sexual history? What questions should we ask to get a detailed sexual history? Today we’re talking about sexual history taking and why sexual health matters. Presented by Dr. Suneela Vegunta, a physician in the Mayo Clinic Women’s Health Center, today’s special episode is an excerpt from the Mayo Clinic Women’s Health Update held in Scottsdale, Arizona. This annual conference addresses a variety of health issues that are unique to women while highlighting medical conditions that may cause different symptoms in women. The Mayo Clinic 15th Annual Women’s Health Update will be held at The Scott Resort and Spa in Scottsdale, Arizona, February 28 - March 2, 2019. We invite you to network with your colleagues and Mayo Clinic faculty by registering at ce.mayo.edu.

Sexuality in the Aging Female

A review of sexuality changes in woman related to aging and chronic disease. Discussion includes assessment of sexual functioning along with sexual wellness in aging women and what practitioners can do to help patients enhance their sexual wellness.

Menopause Management in 2016

This week’s talk, Menopause Management in 2016, was presented by Dr. Stephanie Faubion at the Clinical Reviews conference held on November 14, 2016 in Rochester, MN. ©2016 Mayo Foundation of Medical Education and Research