Confessions of a Male Gynecologist

Jaksot

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  178: Heart Disease in Women: LDL, Menopause, Statins & Pregnancy with Dr. Abeer Berry 10.09.2026 43min

  Heart disease is often treated like something women need to start thinking about later in life, but what if some of the earliest clues about your cardiovascular risk appeared decades earlier — during pregnancy? In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone sits down with cardiologist Dr. Abeer Berry for a wide-ranging conversation about women's heart health, menopause, cholesterol, cardiovascular risk, and some of the most persistent heart-health misinformation circulating online. One of the most important takeaways: a woman's reproductive history is part of her cardiovascular history. Pregnancy places significant stress on the cardiovascular and metabolic systems. Conditions such as preeclampsia, gestational hypertension, gestational diabetes, and delivering a baby who is small for gestational age can become important pieces of the cardiovascular risk conversation years later. Then comes another major transition: menopause. Dr. Tassone and Dr. Berry discuss how changing estrogen levels intersect with blood pressure, cholesterol, metabolism, and cardiovascular risk and why menopause, hormone therapy, and heart health shouldn't automatically be treated as separate conversations. But the discussion goes much further than hormones. They tackle one of the biggest debates currently happening in the wellness space: Does LDL cholesterol actually cause atherosclerosis — or is cholesterol being unfairly blamed? Dr. Berry breaks down LDL cholesterol, inflammation, ApoB, lipoprotein(a), HDL, triglycerides, and why particle size doesn't necessarily tell the story people on social media claim it does. They also discuss statins and the growing amount of misinformation surrounding cholesterol-lowering medications, including claims that statins barely extend life, cause dementia, or are prescribed simply because pharmaceutical companies want to sell more medication. You'll also hear an important conversation about coronary artery calcium scoring — including why a CAC score of zero doesn't necessarily mean you have zero cardiovascular risk, the difference between calcified and soft plaque, and how calcium scores can influence conversations around treatment. In This Episode, You Will Learn: • Why heart disease risk in women is often underestimated • Pregnancy as a cardiovascular and metabolic "stress test" • Preeclampsia, gestational hypertension, and future heart health • Gestational diabetes and long-term cardiovascular risk • Why reproductive history still matters decades after pregnancy • Menopause, estrogen, and cardiovascular health • Hormone replacement therapy in women with cardiovascular risk factors • Whether LDL cholesterol actually causes atherosclerosis • LDL-C vs. ApoB and what each measurement tells you • What lipoprotein(a), or Lp(a), can reveal about inherited cardiovascular risk • Why extremely high HDL isn't necessarily protective • Triglycerides and metabolic health • Statin myths and misinformation on social media • Why a coronary calcium score of zero doesn't tell the entire story • Soft plaque vs. calcified plaque • When lipid-lowering therapy may involve more than statins • The cardiovascular numbers women should know • Why high blood pressure can go unnoticed • Heart attack symptoms in women • Why women's healthcare needs to look at the whole medical history, not individual systems in isolation This conversation is about more than cholesterol numbers or whether someone should take a statin. It's about understanding cardiovascular risk across a woman's entire lifetime — from pregnancy through menopause and beyond. Because sometimes the information that matters at 50 was already beginning to show itself at 30. Subscribe for weekly conversations about women's health, hormones, menopause, evidence-based medicine, and the topics women deserve to understand more fully. Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Please contact the clinic directly at (512) 956- 0296 with all scheduling inquiries. Purchase Dr. Tassone's Best-Selling Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Discover Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  177: "I Don't Feel Like Myself": Hormones, Stress, Perimenopause & the Invisible Load Women Carry 03.09.2026 37min

  "I don't feel like myself anymore." Dr. Shawn Tassone hears some version of that sentence from women all the time. But what does it actually mean? Is it perimenopause? Low estrogen or progesterone? Testosterone? Thyroid dysfunction? Chronic stress? Burnout? Postpartum changes? A struggling relationship? Loss of identity? Or is it possible that more than one of those things can be true at the same time? In this episode of Confessions of a Male Gynecologist, Dr. Tassone connects three seemingly unrelated conversations — Dolly Parton, the Lindsay Clancy case, and the recent pastor's wife documentary — to explore one much larger issue: What happens when a woman spends years carrying things no one else can see? Women's health is often divided into separate boxes. Hormones go here. Mental health goes there. Libido becomes another problem. Sleep becomes another. Your thyroid gets another doctor. Your relationship is considered completely separate. But the woman experiencing all of those things is still one person. Dr. Tassone breaks down why your hormones do not exist in a vacuum and how chronic stress, relationships, caregiving, motherhood, identity, sleep and hormonal changes can interact. He also explores why perimenopause can become the point where all of these worlds collide. Maybe menopause changed how you feel, but did it create every problem — or did changing hormones, worsening sleep and decreased stress tolerance make an already unsustainable situation harder to tolerate? In This Episode You Will Learn: Why "I don't feel like myself" deserves to be taken seriously How estrogen, progesterone, testosterone and thyroid health can affect how women feel Chronic stress, cortisol and what social media gets wrong about "hormone imbalance" Why relationship stress and emotional safety can affect physical and sexual health The invisible mental and logistical load many women carry Why low libido is not always simply a testosterone problem Motherhood, identity loss and postpartum recovery Postpartum depression, anxiety and postpartum psychiatric illness Why postpartum healthcare needs to extend beyond a single six-week visit How caregiving can gradually push a woman's own needs aside Why perimenopause can magnify problems that were already there The overlap between hormones, sleep, metabolic health, stress, mental health and relationships Why normal-looking labs do not automatically mean a woman feels well What holistic women's healthcare should actually mean The questions Dr. Tassone believes we should ask when a woman says she no longer feels like herself The answer isn't that everything is hormones, but it also isn't that your hormones have nothing to do with what you're experiencing. Good medicine should be capable of holding more than one truth at the same time. Your estrogen may be low and your relationship may be affecting your nervous system. Your thyroid may need treatment and you may be profoundly burned out. You may be experiencing postpartum hormonal changes and need specialized mental-health care. Your testosterone may be low and increasing testosterone may not repair emotional intimacy. You are not an estrogen level. You are not a testosterone level. You are not a TSH, BMI or age on a chart. There is a human being attached to those ovaries. And sometimes the better question isn't simply: "What symptoms are you having?" It's: "What have you been carrying?" If you've found yourself saying, "I haven't felt like myself in years," this conversation is for you. If you enjoyed this episode, subscribe to be notified when a new episode drops and share this episode with a woman who needs to hear it. Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Please contact the clinic directly at (512) 956- 0296 with all scheduling inquiries. Purchase Dr. Tassone's Best-Selling Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Discover Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  176: Postpartum Psychosis, Depression & Intrusive Thoughts: What Women Need to Know with Dr. Kristin Lasseter 27.08.2026 42min

  When does the "baby blues" become postpartum depression? What separates an intrusive thought from an intention to cause harm? And what does postpartum psychosis actually look like? In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone sits down with psychiatrist Dr. Kristin Lasseter for an important conversation about the mental health conditions women can experience during pregnancy, postpartum, and throughout their reproductive lives. They break down the differences between postpartum blues, postpartum depression, postpartum anxiety, and postpartum psychosis — including why these conditions can sometimes be misunderstood, overlooked, or misdiagnosed. Dr. Lasseter explains the relationship between postpartum psychosis and bipolar disorder, why a person experiencing psychosis may still have periods of lucidity, and why intrusive thoughts, although frightening, are not the same thing as wanting to act on those thoughts. The conversation also tackles one of the most complicated parts of psychiatric care: medication. Dr. Tassone and Dr. Lasseter discuss psychiatric medication management, polypharmacy, changing diagnoses, and the importance of understanding the complete clinical picture instead of treating individual symptoms in isolation. But postpartum mental health is only part of the discussion. Dr. Lasseter also shares how the field of reproductive psychiatry has evolved, why there still aren't enough specialists to meet the demand, and why mental health screening should be a more routine part of women's healthcare — not something addressed only after a woman reaches a crisis. They also explore the difference between psychiatrists and psychologists, the role of therapy alongside medication, the connection between mental health and libido, and the stigma that still prevents many women—especially during pregnancy and postpartum — from admitting that they are struggling. Women are routinely monitored physically throughout pregnancy and after delivery. This episode asks an equally important question: Are we paying enough attention to what is happening mentally and emotionally? In This Episode, Dr. Tassone and Dr. Lasseter discuss: The difference between baby blues, postpartum depression, and postpartum psychosis Why postpartum mental health disorders can be difficult to recognize Whether current diagnostic definitions adequately reflect the postpartum experience How bipolar disorder can intersect with postpartum psychosis What intrusive thoughts actually mean and why they should not automatically be confused with intent Why someone experiencing psychosis may still appear completely lucid at times Psychiatric medications during the reproductive and postpartum periods How polypharmacy can complicate symptoms, diagnoses, and treatment Why communication between patients and psychiatrists matters The growing field of reproductive psychiatry and why access still falls short How women are typically referred for reproductive mental health care The difference between a psychiatrist and a psychologist Why psychiatrists may use both medication and psychotherapy How women's mental healthcare has changed over the past several decades The connection between mental health, sexual health, and libido Why better mental health screening is needed during reproductive transitions The stigma that still keeps pregnant and postpartum women from asking for help Key Takeaways Postpartum mental health exists on a spectrum. Temporary emotional changes after delivery are common, but persistent or worsening symptoms deserve evaluation rather than being dismissed as part of becoming a mother. Postpartum depression and postpartum psychosis are not the same condition. Understanding the distinction matters because the symptoms, risks, and level of intervention can be dramatically different. Intrusive thoughts do not automatically equal intent. Unwanted, disturbing thoughts can occur in postpartum mental health disorders and can be terrifying for the person experiencing them. The clinical context matters. Postpartum psychosis can be associated with bipolar disorder. A woman's psychiatric history, symptoms, sleep, behavior, and changes over time can all be important pieces of the diagnostic picture. Psychosis does not always look the way people imagine it does. Someone experiencing severe psychiatric symptoms may still have periods where they appear lucid, organized, or completely like themselves. Medication management requires context. Adding medication after medication without continually reassessing the diagnosis and full clinical picture can make psychiatric care more complicated. Reproductive psychiatry remains an underserved field. Interest and training have grown, but access to clinicians specifically trained in women's reproductive mental health still does not meet the need. Mental healthcare should be part of reproductive healthcare. Pregnancy, postpartum, fertility changes, PMDD, perimenopause, menopause, sexual health, and libido can all intersect with mental wellbeing. Screening needs to happen before a crisis. Mental health should be discussed routinely throughout reproductive transitions instead of waiting until symptoms become severe enough that a woman is forced to ask for help. Stigma still keeps women silent. Fear of judgment—particularly during pregnancy and postpartum—can prevent women from admitting what they are experiencing and seeking appropriate care. Postpartum mental health deserves the same seriousness, attention, and follow-up we give physical recovery after pregnancy. Whether the issue is depression, anxiety, intrusive thoughts, psychosis, medication, libido, or simply feeling unlike yourself, women should not have to reach a breaking point before someone starts asking the right questions. A note from Dr. Lasseter I'm Dr. Kristin Lasseter, a board-certified psychiatrist and the founder of Reproductive Psychiatry & Counseling (RPC). Since starting RPC in 2018, it has grown to be a practice devoted to expert, compassionate care for individuals navigating mental health concerns across the reproductive lifespan—including pregnancy, postpartum, infertility, pregnancy loss, premenstrual mood disorders, and perimenopause. My interest in reproductive mental health began in college, when I took a course in reproductive endocrinology and became fascinated by the powerful influence of sex hormones on both physical and mental well-being. That curiosity—paired with my love of medicine and commitment to improving mental health care—led me to the field of reproductive psychiatry. When I moved to Austin in 2014, I was surprised and disheartened to find a lack of local services for patients experiencing hormone-related psychiatric symptoms. That gap inspired me to build RPC—now one of the leading reproductive psychiatry clinics in Texas. Since founding RPC, I've been committed to increasing access, awareness, and education around reproductive mental health through clinical care, professional training, and community advocacy. My clinical work focuses on helping patients find clarity, relief, and confidence through personalized, evidence-based care. Whether you're navigating perinatal anxiety, postpartum depression, PMDD, pregnancy loss, or medication decisions during pregnancy or lactation, I take time to understand your values, your goals, and your story. My approach is collaborative and nonjudgmental—centered on helping you make informed decisions that feel right for you. I believe the mental health needs of women and birthing people—especially during reproductive transitions—have been historically overlooked. At RPC, we're working to change that. ‍Please help break the stigma: Share a resource, start a conversation, and join us in raising awareness about maternal and reproductive mental health. Connect with Dr Lasseter Instagram | @the.reproductive.psychiatrist Work with Dr Lasseter | rpcaustin.com Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Please contact the clinic directly at (512) 956- 0296 with all scheduling inquiries. Purchase Dr. Tassone's Best-Selling Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Discover Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  175: The Vaccine Conversation We Need to Have: Safety, Trust & Misinformation with Dr. Mike Myers 21.08.2026 49min

  Are vaccines safe? How should patients interpret reports of vaccine injuries and adverse effects? Is natural immunity better than vaccine-induced immunity? And why did trust in vaccines and public health decline so dramatically during the COVID-19 pandemic? In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone sits down with Harvard-trained physician and author, Dr. Michael T. Myers, Jr., MD, MBA, for an in-depth discussion about vaccines, vaccine safety, medical misinformation, public health, and the growing distrust surrounding vaccination. Dr. Myers explains how vaccines are evaluated for safety and effectiveness, why correlation does not necessarily prove that a vaccine caused a reported health problem, and how systems such as the Vaccine Adverse Event Reporting System (VAERS) are actually intended to be used. They also discuss the reality of vaccine injuries, why adverse events deserve careful investigation, and why self-reported vaccine reactions must be interpreted within the larger scientific and clinical context. The conversation examines how communication during the COVID-19 pandemic affected vaccine confidence and contributed to increased vaccine hesitancy. Dr. Tassone and Dr. Myers discuss what public health officials and physicians could have communicated differently, the tension between vaccine mandates and individual autonomy, and why rebuilding trust between patients and healthcare professionals is essential. They also explore the childhood vaccination schedule, herd immunity, natural immunity versus vaccine-induced immunity, and the resurgence of vaccine-preventable diseases such as measles. Dr. Myers explains why the timing of childhood vaccines matters, how widespread vaccination protects both individuals and communities, and what can happen when vaccination rates fall. Rather than dismissing questions about vaccines, this conversation emphasizes the importance of informed discussion, transparent communication, scientific evidence, and allowing patients to ask difficult questions without immediately labeling them as anti-vaccine. For anyone trying to understand vaccine safety, vaccine adverse effects, VAERS, childhood vaccines, vaccine mandates, natural immunity, measles outbreaks, or the lasting impact of COVID-19 on trust in medicine, this episode provides a physician-led discussion of one of the most divisive public health topics of the last several years. In this episode, you will learn: How vaccines have played a major role in reducing serious illness, disability, and death from infectious diseases. Why vaccine misinformation and distrust increased substantially during and after the COVID-19 pandemic. How communication from physicians and public health leaders can have a significant impact on vaccine confidence and patient trust. Why vaccine safety concerns should be taken seriously, but a medical event occurring after vaccination does not automatically mean the vaccine caused that event. VAERS is an important surveillance system designed to identify potential safety signals, but reports submitted to VAERS do not by themselves establish causation. Vaccine injuries and adverse reactions can occur, and those cases deserve careful evaluation within the context of the overall risks and benefits of vaccination. How the childhood vaccination schedule is designed around disease risk, immune response, vaccine effectiveness, and the ages when children are most vulnerable to specific infections. Reasons natural immunity is not automatically safer, stronger, or preferable to vaccine-induced immunity because acquiring natural immunity generally requires experiencing the infection itself. Examples of how vaccinations have dramatically reduced diseases such as measles, but declining vaccination rates can allow previously controlled diseases to return. How herd immunity helps protect individuals who cannot receive certain vaccines or who may not develop a strong immune response. Breaking down vaccine mandates that raise difficult questions involving public health, personal autonomy, individual rights, and responsibility to the broader community. How physicians can address vaccine hesitancy more effectively by listening to patients' concerns rather than immediately dismissing or criticizing them. Why trust between patients and healthcare professionals is essential when discussing vaccination and other controversial medical topics. Reasons clear communication about both the benefits and potential risks of vaccination is critical for informed medical decision-making. Why continued vaccine surveillance and research are necessary because scientific understanding evolves as additional data becomes available. Questions Dr. Mike Myers Answered in This Episode: Are vaccines safe? Dr. Myers discusses how vaccine safety is evaluated, how adverse events are monitored, and why risk must be considered alongside the risks associated with the diseases vaccines are designed to prevent. What does a VAERS report actually mean? VAERS allows healthcare professionals, vaccine manufacturers, patients, and others to report health events occurring after vaccination. These reports can help identify potential safety signals, but a VAERS report alone does not prove that a vaccine caused the reported event. Are vaccine injuries real? Yes. Adverse reactions can occur following vaccination. The challenge is determining whether a specific medical event was actually caused by the vaccine or simply occurred within the same time period. Is natural immunity better than vaccine immunity? Natural infection can produce immunity, but obtaining that immunity requires becoming infected and accepting the potential complications of the disease. Vaccine-induced immunity attempts to create immune protection without requiring someone to experience the full disease. Why do children receive vaccines according to a specific schedule? The childhood vaccination schedule is designed around when children are most vulnerable to certain diseases and when vaccines can provide effective protection. Why is measles returning in some communities? Measles is extremely contagious. When vaccination rates fall below levels needed to maintain community protection, outbreaks become more likely. Did COVID-19 change how people view vaccines? The pandemic significantly altered public trust in healthcare institutions, government agencies, physicians, and vaccines. Dr. Tassone and Dr. Myers discuss how inconsistent messaging and rapidly evolving recommendations contributed to that distrust. Should vaccines be mandated? Vaccine mandates involve a difficult balance between individual autonomy and protecting community health, making them one of the more complicated ethical questions surrounding vaccination policy. About Dr. Mike Myers Dr. Michael T. Myers, Jr., MD, MBA was the Chief of Primary Care, Pediatrics, and Practice Transformation for Summit Health New Jersey, one of the state's largest medical groups, before he retired in 2025. A physician leader with more than 35 years of experience in medical group practice management, public health initiatives, and health care consulting, Dr. Myers has held leadership positions at Partners HealthCare in Boston (now Mass General Brigham), Blue Cross Blue Shield of Massachusetts, and PricewaterhouseCoopers. During the COVID-19 pandemic, he served as COVID-19 scientific consultant to Stonehill College in Easton, Massachusetts, and was appointed Adjunct Lecturer. His first book, COVID-ology: A Field Guide [CRC Press | 2022], an academic title for college health and science majors, was released in December 2022. Dr. Myers completed his primary care residency at Mount Auburn Hospital in Cambridge, Massachusetts, and received his MD from Harvard, BA from Johns Hopkins, and MBA from Northeastern University. Connect with Dr. Mike Myers Visit Dr. Myers Website | Dr.MikeMyers.com Purchase Dr. Mike Myers Latest Book, The Vaccine Bible, on Amazon Purchase Dr. Mike Myers Latest Book, The Vaccine Bible, on Bookshop.org Purchase Dr. Mike Myers Latest Book, The Vaccine Bible, on Audiobook Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Please contact the clinic directly at (512) 956- 0296 with all scheduling inquiries. Purchase Dr. Tassone's Best-Selling Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Discover Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  174: Hormone Imbalance: What TikTok Gets Wrong About Cortisol, PCOS & Estrogen Dominance 13.08.2026 33min

  Spend enough time on TikTok or Instagram and almost every symptom from fatigue and weight gain to anxiety, irregular periods, brain fog, and poor sleep, can suddenly become evidence that your hormones are "out of balance" - but a viral video is not a diagnosis. In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone breaks down some of the most common hormone claims circulating on social media and explains why women's hormonal health is rarely as simple as one symptom, one lab value, one supplement, or one trending diagnosis. Dr. Tassone takes a closer look at hormone imbalance, cortisol, adrenal fatigue, PCOS, estrogen dominance, perimenopause, hormone testing, and supplements, and why context matters before deciding what is actually happening in your body. In this episode, Dr. Tassone discusses: What people actually mean when they say their hormones are imbalanced Why cortisol has become one of the internet's favorite hormones to blame The problem with diagnosing yourself with "adrenal fatigue" from fatigue, stress, or burnout Why symptoms alone aren't enough to diagnose PCOS What should actually be considered during a proper PCOS evaluation Why the term "estrogen dominance" is often oversimplified online How perimenopause symptoms can overlap with thyroid problems, stress, metabolic issues, sleep disorders, and other conditions Why your medical history can matter just as much as a hormone panel The truth about supplements marketed to "balance your hormones" Why a supplement can be useful without every claim made about it being true The difference between educating women about their bodies and convincing women that every symptom means something is hormonally wrong How social media algorithms can reward certainty and sensational claims when good medicine often requires nuance Dr. Tassone isn't arguing that women should stop asking questions about their hormones or that conventional medicine always gets women's health right. Quite the opposite. Women deserve better information, better conversations, and clinicians willing to investigate symptoms instead of dismissing them. But replacing medical dismissal with social-media self-diagnosis isn't the answer either. Your symptoms are real. The diagnosis still matters. If you've ever wondered whether you really have a hormone imbalance, whether cortisol is behind your symptoms, whether you should be taking another "hormone balancing" supplement, or whether TikTok has convinced you that you have three different endocrine disorders, this episode is for you. Listen now, share this episode with someone who has ever fallen down the women's health algorithm rabbit hole, and subscribe to Confessions of A Male Gynecologist to be notified when a new episode drops each week! Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Please contact the clinic directly at (512) 956- 0296 with all scheduling inquiries. Purchase Dr. Tassone's Best-Selling Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Discover Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  173: Breast Cancer, Estrogen & HRT: What Women Need to Know with Dr. Liz O'Riordan 07.08.2026 41min

  Can you use HRT after breast cancer? Is vaginal estrogen safe for breast cancer survivors? Are mammograms dangerous? And is ultrasound a better option? In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone sits down with Dr. Liz O'Riordan, former breast surgeon, breast cancer patient, author, and advocate, for a candid conversation about breast cancer, estrogen, hormone therapy, screening, survivorship, and the realities of becoming the patient after years of being the doctor. Dr. O'Riordan thought she understood breast cancer. Then she was diagnosed herself. Her experience revealed a side of cancer care that medical training often doesn't teach: the fear of diagnosis, the physical and emotional effects of treatment, the impact of medically induced menopause, sexual health concerns, and the difficult decisions patients face when balancing recurrence risk with quality of life. Dr. Tassone and Dr. O'Riordan explore one of the most controversial conversations in women's health today: estrogen and hormone replacement therapy after breast cancer. Together, they discuss why conversations about estrogen and breast cancer are often far more complicated than "estrogen causes cancer" or "HRT is safe," how age, tumor biology, treatment history, individual risk, symptoms, and personal priorities can all influence the conversation, and why informed consent matters when women are making decisions about their health. They also discuss the important distinction between systemic hormone therapy and local vaginal estrogen, particularly for breast cancer survivors struggling with vaginal dryness, painful sex, urinary symptoms, and other consequences of estrogen deprivation. The conversation expands beyond hormones into another growing problem: breast cancer misinformation online. Do mammograms cause breast cancer? Can you replace a mammogram with an ultrasound? Can a biopsy cause cancer to spread? Dr. O'Riordan addresses common fears surrounding breast cancer screening and explains why misinformation can become dangerous when it prevents women from receiving appropriate evaluation or screening. They also discuss the concerning rise of breast cancer diagnoses among younger women, what women should understand about risk and screening, and why breast health cannot be reduced to a single test or universal recommendation. Finally, they examine something that often receives far too little attention during cancer treatment: quality of life. Exercise, nutrition, sexual health, menopause symptoms, mental health, relationships, patient support, and personal autonomy all matter during survivorship. Treating cancer is important, but so is treating the woman living through it. This is a conversation about what breast cancer care looks like from both sides of the exam room and what medicine could do better when physicians truly understand the patient experience. In This Episode, You'll  Learn: Can women take HRT after breast cancer? Estrogen and estrogen-receptor-positive breast cancer Why "estrogen causes breast cancer" is an oversimplification Systemic HRT versus vaginal estrogen after breast cancer Menopause symptoms caused by breast cancer treatment Vaginal dryness, painful sex, and sexual health after cancer Quality of life versus recurrence-risk conversations What doctors may misunderstand about the patient experience Dr. Liz O'Riordan's transition from breast surgeon to breast cancer patient Rising breast cancer diagnoses among younger women Mammograms versus breast ultrasounds Whether mammogram radiation causes breast cancer Misinformation surrounding breast biopsies Exercise and breast cancer survivorship Nutrition and lifestyle after breast cancer Mental health and isolation during cancer treatment Patient autonomy and informed consent How breast cancer care could better support the whole patient About Dr. Liz O'Riordan Dr Liz O'Riordan blends surgical precision with human insight to deliver powerful messages, communication that holds, and resilience through change. A consultant breast surgeon who has faced cancer three times, Liz brings a rare dual perspective on what it means to lead, support others, and stay composed in a world of constant change, burnout risk, and fragile workplace cultures. Drawing on surgical training and her own experience of losing and regaining control, she gives repeatable methods to help people stay calm under pressure, communicate clearly when it counts, and adapt to disruption without falling apart.  Liz speaks globally about how to improve the quality of patient care. Her experience as a cancer surgeon and patient, combined with the voice of over 200k people in her community, enables her to show healthcare professionals what patients really need when they leave the clinic. Alongside her keynotes, Liz delivers interactive workshops where teams practise the core habits behind sustained high performance: structured communication, adaptive leadership, decision-making under pressure, and the ability to stay calm and connected when everything around them is shifting. Her sessions are known for being honest, human, and transformative, not motivational peaks, but lasting changes in how people think and behave when the pressure is real. Dr Liz is also the best-selling author of four books, including The Cancer Roadmap. She hosts her own podcast and dedicates her spare time to creating educational content for her 200k online community. She was awarded an honorary doctorate in 2025 for her contribution to public education and received the Humanitarian of the Year Award from Future Dreams in 2024 for her advocacy, communication, and leadership. Liz is also a regular voice in international broadcast and print media, known for explaining complex ideas with clarity, warmth, and candour. Connect with Dr. Liz O'Reardon: Follow Dr. Liz O'Reardon on Instagram | Instagram Subscribe to Dr. Liz O'Reardon on YouTube | YouTube Channel Complete Guide to Breast Cancer by Liz O'Reardon The Cancer Roadmap by Liz O'Reardon Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Please contact the clinic directly at (512) 956- 0296 with all scheduling inquiries. Purchase Dr. Tassone's Best-Selling Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Discover Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  172: Is BPC-157 FDA Approved? The FDA Peptide Vote Explained 30.07.2026 31min

  Confession: Open-minded medicine must still be evidence-based medicine. Did the FDA just approve BPC-157 and other popular peptides? Not exactly and that distinction matters. Following a closely watched FDA advisory committee meeting, headlines and social media posts began suggesting that peptides such as BPC-157, TB-500, KPV, MOTS-c, Epitalon, and Semax had been "approved" or "unbanned." Let's be clear: An advisory committee recommendation is not the same thing as FDA approval, proven effectiveness, or established long-term safety. In this episode of Confessions of a Male Gynecologist, Americas Holistic Gynecologist, Dr. Shawn Tassone explains what the recent FDA peptide vote actually means, what could happen next, and why patients and practitioners should be careful about confusing expanded compounding access with scientific validation. Peptides are increasingly promoted online for injury recovery, inflammation, gut health, mitochondrial function, metabolism, sleep, longevity, cognitive performance, this list goes on...  Some have interesting biological mechanisms and promising preliminary research, but many of the claims being made online extend far beyond the available human evidence. In this episode Dr. Tassone examines: BPC-157: Why its reputation as a powerful healing peptide has grown faster than the quality of the human research. KPV: Its proposed anti-inflammatory benefits and the lack of meaningful clinical studies in humans. TB-500: Why it is frequently confused with thymosin beta-4 and why the distinction matters when evaluating research. MOTS-c: The growing interest in its potential mitochondrial and metabolic effects and the questions that remain unanswered. Epitalon: Claims involving sleep, longevity, and anti-aging versus the strength of the available evidence. Semax: Why having more reported human exposure does not automatically mean the research meets modern clinical standards. The FDA's 503A Bulk List: What pharmacy compounding access means and what it does not mean. Peptide Marketing: How experimental therapies can begin sounding proven long before adequate safety and effectiveness data exist. Promising mechanisms deserve research, patient experiences can help generate better questions, but neither should be used as a replacement for rigorous human trials, reliable manufacturing standards, appropriate medical oversight, and honest conversations about uncertainty. Before assuming that a favorable committee vote means a peptide is now FDA approved, safe, or clinically proven, listen to this episode for the full context, share this episode with someone considering peptide therapy, and leave a rating or review to help more people find evidence-based conversations about their health and hormones! Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Please contact the clinic directly at (512) 956- 0296 with all scheduling inquiries. Purchase Dr. Tassone's Best-Selling Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Discover Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  171: Are Your Hormones Actually Broken… or Are You Being Sold a Problem? 23.07.2026 32min

  Confession: Just because your doctor ignored you doesn't mean the wellness industry automatically deserves your credit card. Women are finally talking about hormones, perimenopause, menopause, estrogen, progesterone, testosterone, libido, fatigue, weight gain, brain fog, and hormone replacement therapy, and that is a good thing. But now that women's hormones are trending, everyone seems to have something to sell: a test, a pellet, a peptide, a supplement stack, a detox, or a one-size-fits-all "optimization" protocol. In this episode, America's Holistic Gynecologist breaks down one of the biggest questions women are asking right now: Are Your Hormones Actually Broken… or Are You Being Sold a Problem? Dr. Tassone discusses the difference between real hormone dysfunction, normal hormonal transition, medical dismissal, non-hormonal health issues, and wellness marketing disguised as personalized care. He explains why "normal labs" do not always mean everything is fine, why symptoms matter but are not a diagnosis by themselves, and why more testing, more hormones, or more supplements do not always equal better medicine. This episode also dives into some of the most common hormone and wellness traps women are falling into, including testosterone hype, hormone pellets, "bioidentical" marketing, advanced hormone testing, peptides, NAD, supplement stacking, and fear-based wellness messaging. If you have ever been told your labs are normal but still knew something felt off, or if you have felt overwhelmed by conflicting hormone advice online, this episode will help you ask better questions, spot red flags, understand what thoughtful hormone care should actually look like, and separate real hormone care from hormone marketing.  In This Episode, Dr. Tassone Covers: Why women are being caught between medical dismissal and wellness marketing The 4 reasons women may feel "hormonal" Why symptoms matter, but symptoms alone are not always a diagnosis Why normal labs should not automatically end the conversation The difference between real hormone care and a product-based protocol Common red flags in hormone clinics, wellness programs, and online hormone advice Why testosterone can be helpful for some women, but is not a magic fix The problem with overselling hormone pellets as "natural" or universally safer Why a $700 hormone test is not the same thing as a treatment plan How peptides, NAD, longevity trends, and supplement stacks can be overmarketed What informed consent should look like in hormone care How women can tell if they are being educated, dismissed, or sold to What personalized hormone care should actually include Red Flags Dr. Tassone Wants Women to Watch For: Every woman receives the same protocol The answer is always the product, hormone, test, or supplement being sold Fear is used before physiology is explained Risks, side effects, contraindications, and alternatives are not discussed Hormone testing is used to confuse instead of clarify Symptoms are blamed on one single hormone or pathway The provider promises one thing will fix everything There is no thoughtful follow-up or dose adjustment You leave feeling broken, scared, or pressured instead of informed What Dr. Tassone Believes Good Hormone Care Should Include: A detailed medical history A clear symptom timeline Review of medications, supplements, and lifestyle factors Menstrual, perimenopause, menopause, or postmenopause status Thyroid, metabolic, inflammatory, adrenal, and nutritional context Thoughtful lab testing when clinically appropriate A risk-benefit conversation Discussion of alternatives Individualized dosing Ongoing follow-up Adjustments based on symptoms, labs, and response to treatment If this episode helped you understand the difference between real hormone care and wellness marketing, share it with a woman who has been told her labs are normal but still knows something feels off. For more honest conversations about women's health, hormones, perimenopause, menopause, and medical misinformation, subscribe to the podcast and follow Dr. Tassone on social for daily updates! Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Please contact the clinic directly at (512) 956- 0296 with all scheduling inquiries. Purchase Dr. Tassone's Best-Selling Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Discover Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  170: Why Your Gut Changes in Menopause and the Nutrition Mistakes Making It Worse with Cynthia Thurlow 16.07.2026 50min

  What does your gut have to do with your hormones, mood, weight, and menopause symptoms? Potentially more than you realize. In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone sits down with Cynthia Thurlow, NP, to explore the complex relationship between gut health, hormonal changes, nutrition, and weight management during perimenopause, menopause, and beyond. Cynthia shares how a personal health crisis changed the direction of her work and led her to take a deeper look at the gut microbiome. Together, she and Dr. Tassone discuss why digestive symptoms often change during midlife, how chronic stress can disrupt the gut, and why weight-loss resistance is rarely caused by one single issue. They also address some of the most common nutrition mistakes women make, including under-eating protein, relying heavily on processed foods, consuming more carbohydrates than their bodies tolerate well, and overlooking the impact of alcohol on sleep, metabolism, and weight-loss goals. You'll also hear their perspectives on restrictive diets, gut testing, supplements, fermented foods, plant diversity, and the importance of choosing high-quality dietary fats. This conversation is not about following another rigid wellness protocol. It is about understanding how your gut, hormones, nutrition, stress, and lifestyle work together—and making informed choices that support your health during midlife. In this episode, you'll learn: Why gut health can change during perimenopause and menopause How the gut microbiome may influence hormones, mood, and digestion Why chronic stress can affect both digestive and metabolic health The many factors that can contribute to weight-loss resistance Why women need adequate protein to preserve muscle as they age How alcohol can interfere with sleep, metabolism, and weight management Why processed foods can make overeating easier The potential limitations of highly restrictive diets, including carnivore diets How gastrointestinal testing may uncover concerns such as H. pylori Why supplements should be selected based on individual needs The benefits of adding fermented foods to your diet Why Cynthia recommends aiming for 30 different plant varieties each week What to consider when purchasing olive oil How women can feel more empowered, not restricted, by their nutrition choices Gut symptoms, hormonal changes, and weight concerns should not automatically be dismissed as an unavoidable part of aging. By looking at the full picture, women can better understand what their bodies need and make more sustainable decisions for their long-term health. Listen now, share this episode with a woman navigating midlife, and subscribe to Confessions of a Male Gynecologist for honest, evidence-informed conversations about women's health, hormones, menopause, and wellness. About Cynthia Thurlow, NP Cynthia Thurlow is a nurse practitioner, host of the Everyday Wellness podcast, author and international speaker, with over 15 million views for her second TEDx talk (Intermittent Fasting: Transformational Technique). With over 25 years of experience in health and wellness, Cynthia is a globally recognized expert in perimenopause/menopause and intermittent fasting, and has been featured on ABC, FOX5, KTLA, CW, Medium, Entrepreneur, and The Megyn Kelly Show. Her mission is to help empower women to live their most optimal lives in perimenopause and beyond. Connect with Cynthia Thurlow Instagram | @cynthia_thurlow_ Listen to the Everyday Wellness Podcast Purchase The Menopause Gut by Cynthia Thurlow, NP Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Dr. Tassone's Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Learn Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  169: Do I Really Have a Hormone Imbalance? What Every Woman Needs to Know 09.07.2026 14min

  For years, women were told their symptoms were "all in their head." Fatigue, brain fog, irregular periods, hot flashes, vaginal dryness, anxiety, insomnia, weight changes — dismissed, minimized, or blamed on stress. But now the pendulum has swung hard in the opposite direction. Spend five minutes on Instagram or TikTok and you'll likely be told your cortisol is too high, your estrogen is too high, your progesterone is too low, your testosterone needs optimizing, your gut is destroying your hormones, and every symptom you have is proof of a hormone imbalance. So which is it? In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone breaks down the growing trend of "hormone marketing" and why women should be cautious when influencers, health coaches, and even providers outside their scope claim to have the answer after a 30-second reel. Dr. Tassone makes one thing clear: hormones absolutely matter. Hormone imbalance is real. Perimenopause, menopause, thyroid dysfunction, low testosterone, estrogen imbalance, and progesterone issues can deeply affect a woman's quality of life, but not every symptom is automatically hormonal — and women deserve more than fear-based marketing, supplement funnels, cortisol cocktails, and oversimplified protocols. This episode is a reminder that validation should be the beginning of a medical evaluation, not the end. In this episode, you will learn: Why women went from being told "it's all in your head" to "it's all your hormones" How hormone imbalance became one of the biggest wellness marketing buzzwords Why women are especially vulnerable to hormone misinformation online The difference between symptoms and a true diagnosis Why fatigue, insomnia, brain fog, anxiety, and weight gain can have many possible causes Red flags in social media hormone advice Why "what your doctor didn't tell you" and "Big Pharma doesn't want you to know" are often sales hooks How medical gaslighting created space for online hormone scams Why a good doctor starts with questions, not a pre-packaged answer How to think critically before buying into hormone protocols, programs, or supplements Why women deserve both validation and evidence-based care Your symptoms are real — but they deserve a real evaluation. Hormones may be part of the answer, but they are not always the entire answer. The goal is not to convince every woman she needs hormones. The goal is to help women understand their bodies with evidence, compassion, and common sense. Listen if you've ever wondered: Are my symptoms really hormonal? Can social media hormone advice be trusted? How do I know if I'm being helped or marketed to? What should I look for in a hormone expert? Why do normal labs not always tell the full story? How do I avoid scams while still advocating for myself? Work With Dr. Tassone Dr. Tassone is licensed in 48 states and works with women across the country through in-person and virtual care, with the exception of Massachusetts and Alaska. To schedule an appointment, call: 512-956-0296 Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Dr. Tassone's Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Learn Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  168: IBS, Hashimoto's, and the Hidden Gut Triggers Women Are Often Missing with Dr. Izabella Wentz 02.07.2026 39min

  Irritable Bowel Syndrome, or IBS, is one of the most common digestive diagnoses women receive — but what if it's not the full story? In this episode, Dr. Shawn Tassone sits down with Dr. Izabella Wentz to unpack the deeper root causes behind IBS, gut symptoms, food sensitivities, and the connection between digestive health and autoimmune disease. Dr. Wentz shares her own personal journey with IBS and Hashimoto's, including how conventional medicine often stops at symptom management instead of asking why the gut is struggling in the first place. Together, Dr. Tassone and Dr. Wentz explore what "normal" digestion should actually look like, why IBS is frequently diagnosed based on symptoms alone, and why many women are left searching for answers when standard treatments don't work. This conversation dives into the role of dietary triggers like gluten, dairy, and food additives, as well as nutritional deficiencies such as magnesium and zinc that may contribute to bloating, constipation, diarrhea, discomfort, and ongoing digestive issues. Dr. Wentz also explains how intestinal permeability — often referred to as "leaky gut" — may play a role in autoimmune conditions and why infections like SIBO and H. pylori are commonly found in women with IBS symptoms. You'll also hear why medications, environmental toxins, and hidden inflammatory triggers may worsen gut health, plus how functional testing can help uncover what is actually driving symptoms instead of masking them. Whether you've been diagnosed with IBS, struggle with bloating or unpredictable digestion, have Hashimoto's or another autoimmune condition, or feel like your symptoms have been dismissed as "normal," this episode offers a more empowering way to understand your gut. In This Episode, You'll Learn: Why IBS is often diagnosed without strict testing criteria What healthy digestive function should actually look like The most common dietary triggers behind IBS symptoms How gluten, dairy, and food additives may impact gut health Why magnesium, zinc, and other nutritional deficiencies matter The connection between intestinal permeability and autoimmune disease How SIBO, H. pylori, and infections can worsen IBS symptoms Why some medications and environmental toxins may disrupt the gut How functional medicine testing can help identify root causes Why women are more likely to experience IBS and gut-related symptoms The role genetics and family history may play in IBS susceptibility If you've been told your gut symptoms are "just IBS" but you still don't feel better, this episode is for you. Listen now to learn what may be driving your digestive symptoms — and what questions to ask next. About Dr. Izabella Wentz, Pharm.D., FASCP Dr. Izabella Wentz, Pharm.D., FASCP, is a clinical pharmacist, functional medicine expert, and New York Times bestselling author specializing in Hashimoto's, thyroid health, adrenal health, and root-cause approaches to chronic symptoms. After being diagnosed with Hashimoto's Thyroiditis in 2009, Dr. Wentz dedicated her work to helping patients uncover the lifestyle, nutritional, environmental, and functional medicine factors that contribute to autoimmune thyroid disease and related symptoms. She is the author of Hashimoto's Thyroiditis, Hashimoto's Protocol, Hashimoto's Food Pharmacology, and Adrenal Transformation Protocol, and the creator of the documentary series The Thyroid Secret. Her work has been featured in The New York Times, The Wall Street Journal, USA Today, Fox News, and MindBodyGreen. Connect with Dr. Wentz Support your gut health journey with the IBS Book (available now!) Get the Adrenal Transformation Protocol book Learn more about the Hashimoto's Food Pharmacology cookbook Learn more about the Hashimoto's Protocol book Learn more about the Root Cause book Take the Hashimoto's Self-Management Program Learn more about supplements Own your copy of The Thyroid Secret Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Dr. Tassone's Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Learn Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  167: Has Menopause Become The New Wellness Industry 25.06.2026 44min

  In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone takes on one of the most confusing and controversial areas in women's health: hormone therapy. From menopause myths and fear-based medicine to wellness industry scams and influencer-driven misinformation, Dr. Tassone breaks down what women need to know before blindly following advice online — or accepting outdated medical opinions that don't match their symptoms. For decades, women have been told to fear estrogen, ignore symptoms, accept "normal labs," or believe that menopause is simply something they have to suffer through. But the truth is more nuanced. Hormone therapy can be life-changing when it is personalized, monitored, and based on the individual — not just a protocol, a trend, or a sales pitch. Dr. Tassone discusses the lasting impact of the Women's Health Initiative study, the rise of bioidentical hormone marketing, the misuse of testosterone in women, and why both conventional medicine and functional medicine can fall short when they stop treating the person in front of them. This episode is a call for critical thinking in women's health — because women deserve education, not fear. Options, not shame. And care that goes deeper than "your labs are normal." In This Episode, Dr. Tassone Covers: The biggest myths about hormone therapy and menopause care Why estrogen has been unfairly blamed and misunderstood What the Women's Health Initiative got wrong — and why it still impacts care today The difference between evidence-based hormone therapy and marketing-driven hormone trends Why "bioidentical" does not automatically mean better or safer How wellness scams target women who feel ignored by conventional medicine The problem with influencer-led menopause and hormone advice Why testosterone therapy for women needs nuance, context, and proper monitoring How telehealth hormone clinics can oversimplify care Why treating labs alone is not the same as treating the patient How women can identify credible hormone health information online Hormone therapy is not one-size-fits-all. The goal is not to chase perfect lab numbers, follow a trending protocol, or fear estrogen because of outdated headlines. The goal is to treat the individual woman — her symptoms, history, risks, goals, and quality of life. Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Dr. Tassone's Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Learn Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  166: AI, Robotics, and the Future of Gynecologic Surgery with Dr. Sanjeev Kumar 09.06.2026 53min

  Artificial intelligence and robotic surgery are no longer "future medicine" — they're already changing the way physicians diagnose, operate, and care for patients. In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone sits down with Dr. Sanjeev Kumar, a gynecologic oncologist, to discuss how AI, robotics, genetic testing, and personalized medicine are transforming women's healthcare — especially in gynecologic oncology. From the evolution of robotic surgery to the growing role of AI in pathology, diagnostics, and cancer detection, this conversation breaks down what these advancements mean for both physicians and patients. Dr. Tassone and Dr. Kumar explore the benefits, limitations, and future possibilities of technology in medicine, while also asking the bigger question: how do we use innovation without losing the human side of healthcare? This episode is a must-listen for anyone interested in the future of medicine, women's health, cancer care, and how emerging technology may change the patient experience. In This Episode, We Cover: How AI is already impacting healthcare and surgical decision-making The evolution of robotic surgery in gynecology and oncology Why robotics changed the way many gynecologic surgeries are performed The role of AI in diagnostics, pathology, and cancer detection How genetic testing is shaping personalized medicine What patients should understand about technology in modern medicine The benefits and limitations of artificial intelligence in healthcare The future of gynecologic oncology and patient-centered care Why technology should support physicians — not replace them How innovation may improve outcomes, efficiency, and precision in medicine Connect with Dr. Sanjeev Kumar Media Profile | https://www.guestsonair.com/profile/dr-sanjeev-kumar LinkedIn | https://www.linkedin.com/in/sanjeev-kumar-md-34781a84/ Website | https://www.drsanjeevkumarsurgeon.com/ About Dr. Sanjeev Kumar Dr. Sanjeev Kumar is a gynecologic oncologist and robotic pelvic surgeon whose career has been defined by technical excellence, intellectual rigor, and a clear sense of purpose. Born in India, he completed medical school there, went on to train in England and Wales through the MRCS, and later continued his surgical education in the United States, ultimately building a career that placed him among the country's leading figures in robotic pelvic surgery. That path reflects a career shaped by discipline, international training, and an enduring commitment to surgical mastery. His work sits at the intersection of some of the most demanding questions in medicine: women's cancers, advanced pelvic surgery, and the evolving role of robotics and AI in the operating room. He entered robotic surgery in 2006, early enough to help shape the field rather than merely follow it, and in 2017 was reported as the eighth busiest robotic pelvic surgeon in the United States by volume. That distinction matters not as a statistic, but as evidence of depth, repetition, and mastery in one of surgery's most exacting specialties. Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Dr. Tassone's Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Learn Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  165: Reproductive Healthcare Revolution: What Women Need to Know with Nikki Sapiro Vinckier 02.06.2026 49min

  In this insightful interview, Dr. Shawn Tassone is joined by OBGYN PA, Nikki Sapiro Vinckier, to discuss the broken state of reproductive healthcare, its historical roots, and how women can advocate for better care. She shares personal stories, systemic issues, and practical advice for patients and clinicians alike including information about her new book, We Deserve More. Episode Highlights: History of gynecology and systemic disparities Impact of social media on women's health information Gaps in medical training and patient care Systemic issues leading to women's healthcare neglect About Nikki Sapiro Vinckier: Nikki Sapiro Vinckier, PA-C, is an OB/GYN Physician Assistant, reproductive health advocate, and founder of Take Back Trust, a national platform helping people navigate their reproductive healthcare with clarity and confidence. After more than a decade in clinical medicine, she now works at the intersection of medicine, media, and movement, creating tools, education, and storytelling that empower patients to advocate for themselves in a changing healthcare landscape. Her work has reached millions across digital platforms, where she is known for her clear, compassionate, and deeply human approach to reproductive care. We Deserve More is her debut book. Episode Resources: Dr. Tassone's Free Women's Health Journal Club | Dr. T's Evidence Edit Dr. Shawn Tassone's Practice | Tassone Advanced Gynecology Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormonal Archetype Quiz Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  164: The Truth Behind The Pepcid and Zyrtec Brains Fog Claims 19.05.2026 20min

  Can Pepsid Really Help Menopause Brain Fog? | The Science Behind the Viral Claim Women are constantly being flooded with viral health advice online — especially when it comes to menopause symptoms like brain fog, fatigue, anxiety, and inflammation. But how much of it is actually backed by science? In this episode, Dr. Shawn Tassone breaks down the growing social media trend claiming that antihistamines like Pepsid may help relieve menopause brain fog and other hormonal symptoms. Dr. Tassone explores where these claims originated, the role histamines may play in the body, how estrogen can influence mast cells and histamine release, and why women are searching for alternative answers in the first place. You'll also hear an honest conversation about misinformation in women's health, the dangers of turning one case report into medical advice, and why evidence-based medicine still matters — even in the age of TikTok wellness trends. If you've ever struggled with menopause brain fog, felt dismissed by conventional healthcare, or wondered whether viral hormone "hacks" actually work, this episode is for you. In This Episode, Dr. Tassone Discusses: What menopause brain fog actually is Why antihistamines like Pepsid are trending online The connection between estrogen, mast cells, and histamines What histamines do in the body Mast Cell Activation Syndrome (MCAS) and hormone symptoms Why social media health claims spread so quickly The risks of misinformation in women's health The placebo effect and symptom improvement Why one study or case report is not enough evidence How to approach menopause symptoms from an evidence-based perspective Episode Resources: Dr. Tassone's Free Women's Health Journal Club | Dr. T's Evidence Edit Dr. Shawn Tassone's Practice | Tassone Advanced Gynecology Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormonal Archetype Quiz Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  163: The Truth About Hormone Pellets for Women: 10 Reasons I'll Never Recommend Them 07.05.2026 39min

  Confession #163: I can't emotionally, spiritually, psychologically, or physically bring myself to recommend hormone pellets for women. And after years of seeing the complications in clinical practice… I stand by that. Hormone pellets are small implants placed under the skin that release hormones like testosterone or estrogen over the course of 3-6 months. They're often marketed as the "easy," or "best" form of hormone replacement therapy for women, but in my experience, as a Double Board-Certified OBGYN and Integrative Medicine physician, many women are never told the full story before getting them. I've seen patients first-hand struggle with: • Hormone levels that spike too high • Hair loss and acne • Mood changes and anxiety • Irregular absorption • Testosterone side effects that can become permanent • Feeling "stuck" once the pellets are inserted And yes… I tried pellets myself years ago. It was one of the worst experiences I've personally had with hormone therapy. The reality is: there are often more personalized and adjustable ways to use bioidentical hormones, including topical creams, troches, rapid dissolve tablets, and other delivery methods that allow dosing changes without locking someone into months of exposure. In this episode, I break down: • How hormone pellets actually work • Why pellets can create unstable hormone patterns • The biggest risks women are rarely warned about • Why pellet therapy has become such a profitable business model • The problem with protocol-driven hormone care • Why individualized treatment matters in women's health • What to do if you already have pellets and want to transition off safely • Bioidentical hormones vs synthetic hormones explained The truth is: Hormone replacement therapy should never be one-size-fits-all. Women deserve personalized care, informed consent, evidence-based medicine, and treatment plans that can adapt as their bodies change. If you've ever been told pellets are your ONLY option… this episode is for you.
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  162: Erections Are Trying to Tell Us Something And We're Ignoring It with Dr. Elliot Justin 09.04.2026 47min

  In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone sits down with Dr. Elliot Justin, CEO of FirmTech, to break down a topic most men, women, and honestly, most doctors, aren't talking about enough: erectile fitness as a measurable, trackable marker of overall health. We track our steps. We track our sleep. We track our calories. So why aren't we tracking one of the clearest indicators of cardiovascular, neurological, and hormonal health? This conversation dives into how cutting-edge technology is reshaping men's sexual wellness, not just for performance, but for prevention, longevity, and overall health optimization. From smart erection rings to neuromodulation, this episode challenges outdated thinking and introduces a data-driven future for men's health and intimacy. Episode Highlights: Why erections may be an early warning sign for deeper health issues How erectile fitness monitoring works and what it can actually tell us The science behind nocturnal erections and why they matter What neuromodulation is and how it impacts sexual function How wearable tech (like FirmTech's devices) is bringing real data into the bedroom Why guessing about sexual health is outdated and what men can do instead The connection between vascular health, hormones, and performance How this technology could change the future of preventative medicine for men About Dr. Elliot Justin: ELLIOT JUSTIN, MD, FACEP, is the CEO and Founder of FirmTech, the first sex tech company dedicated to improving men's erectile fitness. He has a background in Emergency Medicine and healthcare technology consulting. Dr. Justin is also a serial healthcare entrepreneur, having founded and sold Pegasus Emergency Group and Swift MD. He has provided guidance to various services, telemedicine, and tech startups. Dr. Justin pursued Slavic Studies at Harvard University and studied medicine at Boston University. Happily married for 35 years, and father of three children, Elliot and Ann live in Montana with three energetic mares and a flock of chickens. He is a passionate trail rider who sometimes imagines, to his wife's chagrin, that he's a centaur. Connect with Dr. Elliot Justin on Social: MyFirmTech.com Instagram Youtube TikTok Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Dr. Tassone's Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Learn Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  161: Normal Labs, Real Symptoms: Here's What Your Doctor Is Missing 02.04.2026 12min

  In this episode, Dr. Shawn Tassone breaks down one of the biggest failures in modern women's healthcare: a system that overlooks symptoms, relies on outdated lab ranges, and dismisses what women are actually experiencing. Here's the truth most women are never told: "Normal" does NOT mean optimal. This isn't about one bad doctor. It's about a broken model. And if you've ever felt dismissed, gaslit, or told "everything looks fine" when it clearly doesn't… you're not alone. Episode Highlights: Why "normal labs" don't always reflect how you actually feel The major gaps in traditional hormone testing How symptoms like fatigue, anxiety, weight gain, and poor sleep are often overlooked The pattern of dismissal many women experience in healthcare Why hormones should be viewed as a system The most common mistakes women make when trying to get answers What to actually look for in a provider who understands hormone health How personalized, long-term care is changing the future of medicine If you're ready for a more personalized, in-depth approach to hormone health, you can connect with my team to explore your options and see what working together could look like. For scheduling inquiries, please call (512) 956- 0296. Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Dr. Tassone's Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Learn Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  160: Endometriosis, Nutrition, and a Holistic Path to Healing with Khush Sra 05.03.2026 51min

  March is Endometriosis Awareness Month, a time dedicated to bringing attention to a condition that affects an estimated 1 in 10 women worldwide, yet still takes many years for most women to receive a proper diagnosis. Endometriosis can be debilitating—causing chronic pain, hormonal disruption, inflammation, fertility challenges, and a significant impact on quality of life. Unfortunately, many women are dismissed, misdiagnosed, or offered limited treatment options before they ever receive answers. In this episode, I'm joined by holistic health coach and endometriosis nutritionist Khush Sra. Khush not only works with women suffering from endometriosis, she has lived with it herself. After being diagnosed nearly 20 years ago, she spent years navigating worsening symptoms, surgeries, medications, and the emotional toll of an often misunderstood disease. In my practice, I've found that the most effective approach to endometriosis is multifaceted. Many surgeons are excellent at removing endometrial tissue, but long-term prevention and symptom management often extend beyond surgery and hormonal suppression. This is where practitioners like Khush play an important role—helping women address inflammation, metabolic health, nutrition, and lifestyle factors that can support long-term healing. In this conversation, Khush shares her journey from years of declining health with severe endometriosis to becoming completely symptom-free, along with the strategies she now uses to help other women navigate their own healing process. We also discuss why personalized care matters, the importance of building the right health team, and how women can start advocating for themselves earlier in their journey. This was one of my favorite conversations so far—and one of the most important topics we've covered. If you or someone you love is dealing with endometriosis, there's a lot of insight here. Episode Highlights: • Khush's personal journey with endometriosis and years of worsening health despite multiple surgeries and medications • Recognizing when the traditional medical path isn't providing answers • Navigating fear, guilt, and isolation while dealing with an invisible illness • The four stages of endometriosis and how the condition can progress • The turning point that led Khush to reclaim her health and life • How Khush now helps women as a nutritionist and holistic health coach • Why building a collaborative health team is essential for endometriosis care • What it's like to work with Khush and her approach with patients • Holistic strategies that can support healing with endometriosis • Khush's thoughts on intermittent fasting and endometriosis • How women can start prioritizing their own health and well-being • Why individualized, sustainable programs are critical for long-term success • Khush's message for women who are newly diagnosed or suspect they may have endometriosis   Connect with Khush Sra: Khush Sra's Website https://khushsra.com/ Khush Sra on Instagram https://www.instagram.com/endonutrition/   Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Dr. Tassone's Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Learn Your Hormonal Archetype   Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
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  159: The Men's Health Crisis No One Is Talking About with Dr. Jerry Bailey 26.02.2026 41min

  Just as women can't biohack their way out of their symptoms, neither can men. You have to address the root cause. Where many testosterone clinics are quick to identify low testosterone and start testosterone therapy, it's often a sign of many deeper issues. This is where poly-hormonal adrenal testosterone (PHAT) syndrome comes in. PHAT syndrome presents with a host of symptoms, including lower testosterone levels, insulin resistance, increased body fat, and sexual dysfunction, and it's something today's guest has identified more and more in his patients in the 35 to 60-year-old range. Today's guest, Dr. Jerry Bailey, joins me to talk about something I hardly ever get the chance to discuss: men's health. In our conversation, we talk about globally declining testosterone levels, what PHAT syndrome really is and how it presents, what you can do if you or your partner have symptoms of PHAT syndrome, prostate health and causes of elevated PSA, and more. About Dr. Jerry Bailey Dr. Jerry Bailey practices Precision Performance Medicine utilizing cutting-edge epigenetics, nutrition, injections and IV therapies along with the most cutting-edge performance and lifestyle therapies at Lakeside Holistic Health, PLLC. Dr. Bailey is a prominent expert on men's medicine and leads the world in the emerging science of Poly-Hormonal Adrenal Testosterone Syndrome (PHAT Syndrome). Episode Highlights: What is poly-hormonal adrenal testosterone (PHAT) syndrome? Pan-membrane permeability issues, including leaky testes Common symptoms of PHAT syndrome Dr. Bailey's perspective on aromatase inhibitors for men taking testosterone The markers Dr. Bailey tracks for patients on testosterone Why Dr. Bailey prefers testosterone pellets or injectables for men Diagnosis and treatment of PHAT syndrome Declining testosterone and fertility in men globally Contraindications for testosterone therapy Potential causes of elevated prostate-specific antigen (PSA) levels First steps for men experiencing symptoms of PHAT syndrome The importance of morning erections Connect with Dr. Jerry Bailey Lakeside Holistic's Website https://lakesideholistic.com/ Lakeside Holistic on Instagram https://www.instagram.com/lakesideholistichealth/ Lakeside Holistic on Facebook https://www.facebook.com/lakesideholistic/ Dr. Jerry Bailey's Website https://www.drjerrybailey.com/ Dr. Jerry Bailey on Instagram @drjerrybailey https://www.instagram.com/drjerrybailey/