The Skinny Confidential Him & Her Podcast - Dr. Thais Aliabadi & Mary Allice Haney On Infertility Issues Doctors Miss, PCOS, Endometriosis, & Why Women’s Health Is Ignored

Episode Date: May 15, 2025

#842: Join us as we sit down with the hosts of SHE MD  – world renowned OBGYN Dr. Thaïs Aliabadi, “Dr. A,” & women's advocate and influencer, Mary Alice Haney. This powerhouse duo brings unfiltered, impactful conversations to the SHE MD podcast with celebrity guests & today’s top experts, covering essential women’s health topics like menopause, PCOS, endometriosis, & fertility – on a mission to empower women with the knowledge & tools they need to become their own best health advocates. In this episode, Dr. A & Mary Alice take a deep dive into the challenges & implications of PCOS & endometriosis, highlight the importance of early mammogram screenings, & create a roadmap for women struggling with health issues.They also break down the growing conversation around weight loss medications such as ozempic & provide actionable early detection resources for breast cancer & PCOS – continuing their mission to drive awareness, education, & advocacy in women’s health!   To Watch the Show click HERE   For Detailed Show Notes visit TSCPODCAST.COM   To connect with SHE MD click HERE   To connect with Dr. Thaïs Aliabadi click HERE   To connect with Mary Alice Haney click HERE   To connect with Lauryn Bosstick click HERE   To connect with Michael Bosstick click HERE   Read More on The Skinny Confidential HERE   Get your burning questions featured on the show! Leave the Him & Her Show a voicemail at [phone].   This episode is brought to you by The Skinny Confidential   Head to the HIM & HER Show ShopMy page HERE and LTK page HERE to find all of Michael and Lauryn’s favorite products mentioned on their latest episodes.   To learn more about SHE MD and take their risk assessment tests visit shemdpodcast.com.   Join us on May 17th in Los Angeles for The Dear Media Edit, a live wellness experience with your favorite hosts and top voices in health and wellness—tickets available now at DearMedia.com/events.   This episode is sponsored by SmartMouth Find SmartMouth at Walgreens, Walmart, Amazon or visit smartmouth.com/skinny to snag a special discount on your next SmartMouth purchase.   This episode is sponsored by Squarespace Go to Squarespace.com for a free trial, and when you’re ready to launch, squarespace.com/SKINNY to save 10% off your first purchase of a website or domain.   This episode is sponsored by Cymbioktika Go to Cymbiotika.com/TSC to get 20% off plus free shipping.    This episode is sponsored by Just Thrive Go to JustThrive.com and use code TSC for 20% off your first order.   This episode is sponsored by Fatty15 Fatty15 is on a mission to replenish your C15 levels and restore your long-term health. You can get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/SKINNY and using code SKINNY at checkout.   This episode is sponsored by Spritz Society Spritz Society is now available everywhere! Head to spritzsociety.com to find a store near you, and make sure to follow @spritz on Instagram for all their latest announcements and upcoming events. Spritz Society, Summer Starts Here!   Produced by Dear Media

The following podcast is a Dear Media production. Dr. Ali Abadi and Mary Alice Henney are here to talk all different things about women's health. Every woman is going to love this episode. We talk about why women's health is ignored, PCOS, endometriosis, and infertility. And there's a lot of things that Dr. A calls out in this episode about truths that doctors miss. I love their mission to drive awareness and education. You guys have seen Dr. A all over Keeping Up With The Kardashians.

I'm sure you've seen her on Olivia Mums Instagram. She really is the OBGYN to the stars. You may recognize Dr. A from her celebrity clients. She has Rihanna, all of the Kardashians. She also has Hailey Bieber. She's had Halle Berry, Olivia Mum. I feel like even Nicole Kidman, Brooke Shields, everyone has talked about her.

And then she also is joined by Mary Alice Henney. Like I said, she is a woman's advocate and influencer. Now, this is really cool because they host a podcast called SheMD and they host it on Dear Media. So we wanted to have them on to just give you guys all the different information about early detection. We wanted to talk about weight loss medications such as Ozempic. We even wanted to reveal hard truths about PCOS and endometriosis.

So this is a must listen. With that, let's welcome Dr. Ali Abadi and Mary Alice Henney to the Him and Her Show. This is the skinny confidential Him and Her. So excited to have you both here. Can you give our audience a little background each of you? I'll start because I'm closer to y'all and then we'll move to the left. Love it. I started out in the editorial world. I was a West Coast editor of GQ, Allure, Marie Claire, kind of you name it.

I was the Hollywood person. So I decided to help set it on the cover and then I would style them. Then I was the Hollywood person. So I would decide who helped, decide who was on the cover and then I would style them. Then I became, I did television. I did a show called Ambush Makeover where I grab you off the street and give you makeovers. And then I created different TV shows. Then I became a celebrity stylist

and then I became a fashion designer. And I, for 10 years had a, you know, Net-A-Porter launched us, I was at Saks. So COVID hit and I was making red carpet cocktail dresses. And so that was it for my fashion line, which was really sad. And at the same time, my parents got sick with brain disease. And so I just sort of didn't know what I was gonna do.

So my friend Molly Sims was like, come on my podcast, you know, let's, and I said, okay, let me bring doctors on that I really care about, whether it's brain or premenopause or whatever that is. And that's where I met her. She came on and I said, oh my God, this is my next mountain. If I can get your information into the lives and ears of every woman in the world, we'll change the world for healthcare for women because it's so broken.

I'm Dr. Tais Aliabadi. I'm a gynecologist. I've been in private practice for 24 years, around women for 30 years. My biggest passion in life is to change women's health. And I've tried to advocate for it, but now with the platforms, with the podcasts, the reach is bigger. So I feel like I can reach more women

and hopefully help them become their own health advocate and teach them how to navigate our current healthcare system. Out of everything that you've seen, what do you think is the biggest bullshit? If you had to call something out, with all the healthcare going on, you see it behind the scenes, especially with women. What have you seen that you just can't stand? Dismissal. 50% of women when they go to their OBGYN, they leave thinking that their complaint was not addressed. They were dismissed. And I think that number is a lot higher than that.

And that really upsets me. If you spend a day with me in my office, by the end of the day, you'll go home with a broken heart. What do you mean? Why? Because, you know, I see a lot of women who have been dismissed, just because that's my practice. And I see a lot of endometriosis. I see a lot of PCOS patients. PCOS and endometriosis are the top two causes of infertility in women. Top two. Majority of doctors and almost all women, men, they've never heard of these two conditions, which is heartbreaking. And by the time these patients, 75% of PCOS patients are never diagnosed.

Majority of endometriosis patients are never diagnosed. In this country, it takes 9 to 11 years to diagnose endometriosis patients are never diagnosed. In this country, it takes nine to 11 years to diagnose endometriosis. And by the time you diagnose it, these women have no eggs left. I mean, in your waiting area, someone pulled me aside and said, "'Can you help me?

"'Cause no one's helping me. "'I'm getting dismissed.'" And it is- She had endometriosis. And it is absolutely heartbreaking. And this is the story of my life and that's all I see. So one message I have for women is that don't think whatever your doctor says is the truth. As much as I love doctors, they don't have time and a lot of them are not educated on

women's health. You know, when you go through an OBGYN residency, they talk about, you know, you learn how to deliver a baby, how to care for the mom during pregnancy. But we spent a very short amount of time on women's health on the GYN aspect of it, which is from fertility to painful periods to fibroids, polyps, menopause. I mean, look how little people knew about menopause 10 years ago. And any, so, you know, my mission to full circle back, my mission in life is to change women's health and to basically help women to be their own health advocate. And the only way to do that is by educating them.

And that's why we started our podcast, because it was a place for me to go and really teach them. It's not a generalized podcast. We literally take topic by topic. And sometimes I go as detailed as the dosage of the medication that I prescribe. Obviously, I can't treat people over a podcast, but at least I give them a checklist that they can take with them to their appointment. And that's the first start. Why is endometriosis happening more and more and more? Why are we seeing so much of this? I don't think it is.

I think it's because nobody's diagnosed. Right. So you're saying the issue's been there, but nobody diagnosed it. So it's just as prevalent as it's been, but nobody's known they had it. I was in south of France and my husband's, uh, one of my husband's relatives lived there and he's an OB GYN and they could never have a child.

And out of curiosity, I'm like, why did you guys didn't have a child there? Like, well, it didn't work out. And the first thing I asked the wife, I'm like, did you have painful periods? She's like, Oh my God, it was so painful. But I mean, I was sitting, I looked at my husband. I mean, obviously, I didn't say anything. But a wife of an OBGYN many, many, this is many years ago, didn't know to this day why she didn't get pregnant, you know, and I could solve it for her in two seconds. So, but I just want you to know that we talked today at we've, this weekend,

we've been talking about PCOS, endometriosis, and it's the prior fertility. And so many women came up to me. One of them just now came up to me and said, for the past few years, I've seen at least a hundred doctors. I know I have endometriosis. I go in and they tell me, no, you don't. So I am willing to look uneducated as a man on the show. What exactly is endometriosis for the uneducated?

And PCOS, because those are the two causes of infertility. We have talked about PCOS. I'm up to date. What's PCOS? No, no, I want to hear about it. No, no, no. You explain us PCOS. You already know what it is.

You're the one who knows. He doesn't fucking know. No, I know what it is. We're PCOS? No, no, I wanna hear about it. You explain us PCOS. You already know what it is. I'm not gonna explain it. He doesn't fucking know. No, I know what it is. We're staying on endometriosis here. He's like PG-13, you have no idea. Hey, I just said I'm willing to take the fly. We're gonna talk about both of them. Let's stay on endometriosis right now

because we just started there. Let's start with endometriosis. So endometriosis affects 10% of women on the planet. Close your eyes and think of 10%, right? Yet many doctors don't know about it. Don't diagnose it. Patients have never heard of it. Forget about men. They've really never heard of it. Endometriosis is when cells similar to, so from the day we get our period to the day we're menopausal, our ovaries are helping us get pregnant. They secrete a hormone, estrogen

and progesterone. They get the lining of the uterus ready for pregnancy. When we don't get pregnant, the lining sheds as a form of period once a month. Ten percent of women on the planet have cells similar to the lining of the uterus, outside of the uterus, around the tubes and ovaries, in the wall of the uterus, or inside the ovaries. If it's inside the ovary, it's called endometrioma. If it's in the wall of the uterus, we call it adenomyosis, but the condition is endometriosis. Now, once a the wall of the uterus, we call it adenomyosis, but the condition is endometriosis. Now once a month, when the ovaries are

secreting hormones to get the lining of the uterus ready, these implants outside of the uterus gets stimulated and I'm simplifying it. And when we don't get pregnant and the lining breaks down, these cells on the outside break down and bleed. You're not supposed to have blood outside of the uterus. So it gives a lot of pain, painful period, painful

sex. If these implants are on the bladder, these patients get recurrent bladder infections. They keep bouncing into the doctor's office with a prescription for bladder and you know, antibiotic, but they don't get better. They have pain with deep penetration during sex. They get bloated, they get back pain.

And eventually because they get bloated, they get back pain and eventually because they get dismissed, because they go to the doctor and someone says take Motrin, take Advil, here's the heating pad, here's a note from school, or you're you know being dramatic, painful periods are normal, dismissal after dismissal after dismissal until eventually their egg count and quality shoots down and their pelvis scars. Right? Their tubes get blocked. They're at risk for atopic pregnancy outside of the uterus. They can't get pregnant because of that inflammation, that inflammatory response in the pelvis that causes scarring and adhesions and blocks the egg from getting into the fallopian tube. Atopic pregnancy is when it gets stuck and doesn't come into the tube.

It gets stuck in the tube or somewhere, you know, it could be in the ovary, but outside of the uterus. Okay. And then they wait to get this information so long to the point where they're past the age of fertility or they're past, it's, it's okay. And they basically- So I'm just trying to keep up. Yes, absolutely.

And these patients usually, let's say show up at 34. I had a patient, 34 year old, her egg count was zero. This woman had gone to doctors for nine years. Do you understand? We did a podcast, I did a bowel resection because of the adhesion. Sometimes they get adhesions in the bowel and almost like a bowel obstruction. We had to cut someone's bowel valve. She came on our podcast just because she got dismissed. This is so common you guys. But Olivia Culpa episode, she goes deeply into her endometriosis episode and that I mean she's it's if you listen to that you're just and this

is happening to women all over the place. If a woman like Olivia Culpa who has access to everything can't get the right medical care until she found Dr. A, imagine what a woman in Alabama who doesn't have. So you know can I can I say something though I think that where this starts this is going to be weird. Where this starts is when you're a little tiny girl. And what I mean by this is there's a shame around asking questions about your vagina when you're really, really little. I had someone tell me, you know, from the second your daughter's born, use the word vagina, talk to her about her vagina, make an open dialogue so when she comes to me when she's six or she's 10 or she's 13, she can have open conversation.

What happens is that there's a shame around it. And so women don't want to ask questions and then they go to a male gynecologist and they're, to be honest, like that's maybe another layer of shame if they're not used to talking about it when they're little. So it seems to me it starts very young. It starts very young and even when you talk about it at home and you can still take him to female gynecologists too. It's not just male gynecologists. At that age they usually end up in the pediatrician's office, right? Not in a GYN office. And pediatricians don't know how to handle these patients because they don't know, they haven't been trained about it.

Now, I mean, with so many podcasts and I mean, I've done my little share of bringing awareness to this condition now for many years. But luckily that's why, you know, when you invite me to come here, I run because I feel like if I have this mic and I, and your audience can listen to me, I can save a little girl from becoming infertile later in life and suffering from chronic pelvic pain. And these patients, let me tell you, the saddest part is any human on this planet Earth with chronic pain becomes depressed. There's no one that can wake up every morning in pain and be okay, There's no one that can wake up every morning in pain and be okay Especially when you keep going to doctors and they dismiss you and you start thinking you're crazy

Well, let me tell you women are not crazy. We are we have superpowers We are so in tune with our body and when we think something's wrong 99% of the time and I'm not exaggerating, 99% of the time, the patient's right, something is wrong. So if you were to spread the word to women everywhere, what would you have them do to prevent this from happening and to prevent infertility from happening in the future? I would say be your own health advocate. There's no other way around it.

And in order to be your own health advocate, you need to be educated on that topic. I get very irritated when women say, I'm going for my pap smear. It's please don't say, please don't switch your well woman exam or GYN exam that needs to be done annually. Just don't simplify it to a pap smear. Pap smear is one part of that. If you have painful period, it needs to be done annually, just don't simplify it to a pap smear. Pap smear is one part of that.

If you have painful period, it needs to address. If you have heavy period, if you're spotting, if your periods are irregular, if you have acne, if you have hair loss, if you have facial hair, if you have family history of cancer, if all of it, your egg count needs to be tested. So all of it should be part of a well woman exam. So it's not just a pap smear, but in order to advocate for yourself,

you need to educate yourself. Luckily, now we have artificial intelligence. We have Chad GPT. We started this podcast, not because I wanted to have a podcast, cause I work a hundred hour weeks. But because- Don't stop the podcast. I need you to keep doing the podcast.

It's doing well. Poor thing. I'm like, okay, after your five surgeries, you have to come over here and we have to shoot the podcast about PCOS endometriosis. And I do that because I see the pain and I always tell her, my patients with PCOS and endometriosis are so traumatized that over the years of practicing medicine, that trauma has transferred to me. I'm traumatized that over the years of practicing medicine that trauma has transferred to me. I'm traumatized and by coming on these podcasts and speaking

about it I'm healing their trauma or my trauma that I inherited from them. It is really painful to spend and that's all I see. My practice is endo and PCOS. I had a patient last week, she came from Chicago. When I went in, she had her luggage and I'm like, the first thing I told her, I said, I'm sorry. I'm sorry that you have to come from Chicago for me to treat the top cause of infertility in you. You know what the diagnosis is,

but you've been so dismissed that you have to get on a flight and come to see me. I'm embarrassed for me and for this healthcare system that has failed you. Well, and we always say about the podcast, I mean, very few people can fly to LA and go see Dr. A. That's a very small percentage. She says, I don't want you to come see me.

I want to educate you enough so that you can go to any doctor and walk in with a roadmap of what needs to happen. And I don't think you could talk about endo without PCOS, because they're sisters, and both of them together are the top cause of infertility. What is PCOS? Dr. Haney will not be answering that. I play one on TV, but I'm actually going to let her.

So polycystic ovarian syndrome affects 15% of women in this country. Close your eyes and think of 15%. It's one of the top causes of infertility with endometriosis. The two are the top causes, right? Could you have both? So we'll get absolutely. This is what's important about it. Keep up, Michael. I'm keeping up. I'm so proud of you for asking these questions. the top causes, right? Could you have both? So we'll get absolutely so. This is what's important about it.

Keep up, Michael. I'm keeping up. I'm so proud of you for asking these questions. Boys have to be educated too. I have sisters and a daughter, you know. I love this. And a wife. So 40% of PCOS patients have endometriosis.

Yes. So when you diagnose endo, you better not miss PCOS. And when you diagnose PCOS, you better not miss endometriosis. PCOS is a hormonal condition that affects 15% of women in this country. If you go to Middle East, that number could go as high as 23%.

Why? Because at the core of it is insulin resistance. And so the countries where there's diabetes and insulin resistance are more prevalent, you see it more. It has a genetic factor to it. The problem is we don't know why. That's the big problem with PCOS.

We don't know what the cause is, why some people have it. It could be inflammatory. It could be insulin resistant. It could be post birth control, pale PCOS. There are different forms of it. But as at its core, it's a hormonal imbalance. And these women, generally speaking, have irregular periods and they have elevated testosterone symptoms.

What are those symptoms? Facial hair, body hair, acne, hair thinning. Majority of these patients have a mood disorder. They suffer from anxiety and depression. They gain weight, even though they're doing what a skinny person is doing next to them. Gracie Norton came on our podcast and talked about this, remember? Yeah, Gracie is amazing.

She's an amazing advocate for that. So is it, is it, or is it largely led by insulin resistance or that's just a symptom of? No, it's largely led by insulin resistance. Okay. And I was getting, so a lot of these patients have family history of diabetes, insulin resistance, PCOS, or gestational diabetes, or overweight family members. And believe it or not, anytime you combine easy weight gain with anxiety and depression,

the sum of those two equal an eating disorder. So I always say instead of whenever you see a teenage girl with an eating disorder before you put them through a psychiatrist, a therapist, and diagnose them with a mental health disorder, make sure you better make sure you're not missing PCOS. If you want to find PCOS patients, go knock on these eating disorder centers. Their stories are devastating. These are young girls that are eating exactly what that skinny friend is eating at school. They're exercising probably more and they cannot lose one pound.

So eating disorder, very prevalent in PCOS patients. And PCOS as one of the top causes of infertility, polycystic ovarian syndrome does not mean cyst. These people have a lot of follicles in their ovaries. Their ovulation is suboptimal. And there are two reasons why they can't get pregnant and they end up in a fertility clinic at an older age. One is because they're not ovulating regularly. So even if they have regular periods,

their ovulation is suboptimal so they can get pregnant. And the second thing is PCOS patients have a lot of eggs. So they go to the doctor and the doctor does an ultrasound and says, oh my god you have so many eggs in your follicles. Well it's a double-edged sword because they do have a lot of follicles but the quality goes down really fast after 30. So if you have a PCOS patient you better diagnose them early and if they don't have a partner in my office if you can't afford it the problem is paying for egg freezing but I force literally force my patients to freeze between 28 to 30. So if I have a 22 year old PCOS patient

and I've checked their egg count and their egg count is high, I always tell them at 22 I'm like just be ready, start saving because at 20 between 28 and 30 unless you're ready to have a baby, I will ask you to freeze eggs. I would have loved for you to explain that to us since you knew what PCOS is Michael. No, I was figuring out the doctor take that one. Let me ask a question. You kind of mentioned this a little bit. Say there's a 21-year-old or an 18-year-old,

and she finds out she has endometriosis and PCOS. What is the roadmap of you telling her to do between 18 and 40? I love that question. It's such a good question. So first of all, let's start with PCOS, right? So majority of PCOS patients go through life, never get diagnosed. 75%.

And I think that number is probably around 90%. But the studies show 75%. It means it's 90 for sure. It's for sure 90. So because these patients don't get diagnosed, one of the things I did once we started having this reach and it has been, I've been the biggest PCOS advocate all my life, I've dedicated my practice to PCOS and Endo.

I started a platform called OV, OVII. There is an assessment test. It's, and it's free. Anyone can go. Obviously, I can't diagnose you online because you're not my patient. But if you take this assessment, I can tell you whether or not you have the likelihood of having PCOS, which is the biggest step in the right direction. Because once you know that you might have PCOS, you become your own health advocate, right? So you start Googling a PCOS, you become your own health advocate, right?

So you start Googling a PCOS doctor near me. And in addition to that, over the years, I used to treat a lot of these, a lot of patients want A, they don't have access to a doctor. B, when they have access, they get dismissed. So over the years, I used to give multiple supplements to these patients to treat them. So with the help of some of the smartest scientists on the planet, after many years, I created one supplement that they take once a day that will address almost all their symptoms of PCOS.

So that's one thing I've done for PCOS, but my dream is for everyone who thinks to have an PCOS diagnosis or has irregular period, is overweight, has acne, hair loss, facial hair, body hair, infertile, go take the assessment. It's free. Just take it. And if you have it become your own health advocate, go to your doctor, go to a PCOS specialist. So that's one.

Let's go back. What was the, what was the question again? Meaning like what should a 21 year old do until they're 40? Bravo. So on the second hand, painful periods, which we talked about. So here's what I do in my office. If you're 16 years old and you come to my office with your mom and your mom's or the patient says, I skipped school when I have my period, I stay in bed, I can't go to the gym, I can't do sports.

That's endometriosis unto proven otherwise. Treat those patients. Suppress their endometriosis. Don't dismiss them. Number one. Number two is check their egg count. I have 16 year olds who have an egg count of a 40 year old because of endometriosis. So it's never too early to check an egg count. By 18, I want every single girl on this

planet to know her egg count. Genetics play a factor, endometriosis plays a factor, PCOS plays a factor. And then you follow that egg count. The test is AMH, anti-malarion hormone is covered by insurance. Most, I had, we had a AMH, anti-malarion hormone is covered by insurance. We had a little assistant who used to, beautiful young girl who used to work for us. One day she came to me, she's like,

listen, I've been listening to your podcast. I think I have endometriosis. I'm 24. I went to my doctor, my gynecologist last week and I said, can you check my AMH? I want to know what my egg count is because I have really bad periods. And the gynecologist told her in Los Angeles that it would be malpractice for her to order an AMH because 24 was too young. No one has ever told me that in my entire life to check my egg count, ever.

I've never heard that. We had a lot of people on this podcast. I've never heard to get my egg count checked, ever. Well, do you know your lifetime risk of breast cancer? No. Okay, so when she saved Olivia Munn's life, Tyeece had breast cancer. And then very famously, Olivia has now really come out

and changed the world for breast cancer. She saved her life by doing this genetic test, which I'm gonna let her again talk about. But these are basic things that every woman should know. Their lifetime risk of breast cancer, and I'm gonna have her again talk about, but these are basic things that every woman should know. Their lifetime risk of breast cancer, and I'm gonna have her explain that, and their account. I mean, that's what we talk about. It's just being educated.

Women that are educated are fearless and so powerful. We're powerless when we don't know what to do. When we met, I had never heard of PCOS, and she started talking to me, and 15% of all women have it, 75% don't know that they have it. It blew my mind. She told me her breast cancer journey

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they have SEO tools to help you continue to get discovered. So if you've been thinking about creating that brand that side hustle that side hustle, that side project, anything online, make sure you think about having Squarespace help you do it. Of course, we have an incredible offer for our listeners and viewers. Go to Squarespace.com for a free trial, and when you're ready to launch Squarespace.com slash skinny to save 10% off your first purchase of a website or domain. Again, that's Squarespace.com slash skinny. at squarespace.com slash skinny. We have a lot of doctors on this show in different fields. And, you know, a lot of them are now saying,

especially ones that are now out talking and screaming from the rooftops and whatever their respective fields are, that a lot of the medical system was designed for emergencies or tragedies or after something happens. Not preventative. And it's not preventative. And so now a lot of them are leaving and going, you know,

and doing things with content or private practices or things that are kind of outside of the traditional medical field to go and get this information to people. And we had a doctor on here. He started a very prominent company in LA. And he was saying that him as a doctor, he was so traumatized after all these surgeries

and doing all this work, and he was so out of shape and so sick himself, and he realized, like, after all the schooling, he actually didn't even know how to get healthy. And he had to leave and go figure that out. And I think as people that are outside of the medical field, we just assume every doctor knows all this stuff and is going to tell us this stuff. And until you start having these conversations,

you don't realize you really have to be your own advocate. But a woman's health is a different monster. For the number of times one of the moms told me one day, she's like as a woman, when you go to the doctor and you complain about anything, the diagnosis is always between your ears. Which means it doesn't matter what you complain about. They call you anxious. They tell you you're PMSing. They say it's in your head. They tell you you're weak. And that needs to end because it's so far from the truth. And that's why women show up so late with

advanced stage breast cancer. I've been practicing, I've been in my own private practice for 24 years almost, and I've never lost a patient under my care to cancer. You can't tell me that's luck. It's not luck. I'm so vigilant with my patients. I take every symptom they tell me seriously.

I have a story just to bring that home for you. One of our patients who's coming on our podcast, one day young, beautiful influencer, she's living her best life, beautiful daughters at home, loves her husband. She had six months to a year of bloating, bloating, bloating, bloating, bloating, and I had delivered her babies. One day she came to me and she's like, I'm bloated. I've done everything. I've SIBO testing, supplement, I've changed my diet, the list on and

on, I've seen so many GI doctors. And then, you know what she did? She stood up in front of me in the room. She looked at me in the eyes and said, something's wrong with me. Something's wrong. And I'm like, I believe you. Let me put a camera and look inside. That's it.

Do you know how many patients I see for bloating? But this woman looked me into my eyes and said, something's wrong with me. I took her. I did laparoscopy. She had little lesions everywhere. and said, something's wrong with me. I took her, I did laparoscopy. She had little lesions everywhere. They were atypical for endometriosis, but I'm like, maybe it's endo. Regardless, I resected all of it laparoscopically, send it to pathology.

The pathologist called me after a few days. She's like, how did you, why did you take this patient to the operating room? I'm like, why did you take this patient to the operating room? I'm like, why? She's like, this is one step before peritoneal carcinomatosis, it's a cancer of the peritoneum, which can kill you like a blink of an eye. And this woman was, had gone to so many doctors, so many doctors, so that procedure was life-changing for her.

And that's why I say, women, if you're listening to this, if you feel like something's wrong, almost always something is wrong and don't just, you know, if someone's dismissing you, go ask for a second, third, fourth, fifth opinion right now, thanks to Chad GPT, third, fourth, fifth opinion right now. Thanks to Chad GPT, you can just punch in your symptoms and nine out of 10, you're going to get the right diagnosis. What was Olivia mum's story? I know she's come out and talked about you multiple times. I've seen her on her Instagram. So Olivia, young, super healthy, she had just, I had just delivered her baby and she came to me during her pregnancy.

If you're my patient, you know that it doesn't matter where you come from, after, you know, by 30, I have your lifetime risk of breast cancer calculated. Why is that so important? If, you know, just like, you know, your name, your last name, your date of birth, and social security number, as women, you need to know what your lifetime risk of breast cancer is. There's nothing negotiable about that. Why is it so important?

If your lifetime risk is 20% or more, you fall into the high risk category. An average American has a 12.5% chance of getting breast cancer. One out of eight women will get breast cancer, right? 85% of these women don't have family history. So don't tell me I don't want to do imaging because I don't have it in my family. Majority of women with breast cancer don't have a family history.

As an American woman, you have a 12.5% chance of having breast cancer. As an American woman, you have a 12.5% chance of having breast cancer. Now, if you have dense breasts, if you're tall, if you have family history, if you have dense breasts, if you have extremely dense breasts, these things keep adding up. If you're overweight, they start adding up and your lifetime risk can go up. So you can't assume what that number is. You have to calculate it. If that lifetime risk is 20% or more,

you do not wait until 40 to start breast imaging, which is the message every single woman is getting in this country when they go to their gynecologist. Wait till 40 to start a mammogram. How many times have you heard that? That's what all I've heard. Right. If your lifetime risk is high, you can start imaging as early as 30.

And that imaging is not just mammogram and ultrasound. You have to add MRI to it. If you have family history of any cancer, in addition to that, you also have to take a genetic test. In my office, I do the my risk genetic test. I don't know if you've heard of Marriott. They check for 48 cancer causing genes. They calculate your your your tyroccasic risk of breast cancer which is the formula I'm telling you. It's available to everyone, we have it

for free at GMD, you just punch in your information and it tells you your lifetime risk. But what Marriott does is that in addition to those two information, they look in your DNA for tiny little markers. These are markers that individually don't have power, but some women walk around with tons of these markers in their DNA. So their tyroacusic risk score based on just history alone, height, weight, and family history, could be let's say 18%. But when you look for these tiny little markers not the 48 cancer causing genes these are little tiny markers that number that 18 percent could shoot up to 38 percent

that's why it's so important if you have family history to add the genetic test in addition to tyroquusic. Now this Olivia's story she had family history her mammogram and ultrasound were completely negative because she was at the time, I think, 41. She had just delivered, ordered breast imaging, and it was normal. And one day when she came back, and I had done the myrist genetic tests on her, and when her results came back, I told her that she needed an MRI. At first, most women don't know why they would need an MRI. I mean, it's not, usually most doctors don't order it

unless you have family history. At first, you know, most women don't know why they would need an MRI. I mean, it's not, you know, they usually most doctors don't order it unless you have family history. So because of her lifetime risk, I had her lifetime risk at the time was 37%. So I called her. I said, you need to do an MRI. I think she was a little apprehensive because her friends told her, why is your doctor so paranoid? You don't really need it for my patients or people who know me.

I don't negotiate. If you're my patient, I don't negotiate because I'm responsible for keeping you healthy. So she went and did her MRI. They found two lesions on her right and one on her left. All three. She had a very aggressive form of breast cancer, but we caught it so early. She did a double mastectomy, obviously, because it was bilateral and it was super aggressive.

And she had a tiny little baby at home. She came to my office. She's like, what would you do? I'm like, well, I did a double mastectomy for myself. So, you know, that's what I would recommend. And she's so lovely. I don't know if you know her. She's the sweetest, almost amazing human on this planet. And it took her a minute to heal because the trauma of being diagnosed at such a young age

with an aggressive breast cancer is really hard. But it took her, I think maybe a year. And in March or April of last year, I used to tell her in the office, I'm like, I made a documentary because my journey was crazier than her journey, my breast cancer journey and how I had to advocate for myself. And I told her, I'm like, I don't have a voice, but someone like you, you can save millions of women, millions of women.

If you just talk about the Tyroacusic Risk Calculator, and she did it, and on the day she released her post and talked about this risk assessment tool, I think one of the cancer, government's cancer sites crashed, completely crashed because people, I mean even today in an audience of, I don't know, 200 people, I said raise your hand if you know your lifetime risk of breast cancer, five people raised their hands. People have haven't heard of it. Do you know your lifetime risk of breast cancer. Five people raised their hands. People have haven't heard of it. Do you know your lifetime risk of breast cancer?

No. Do you know what I'm saying? That's what's so devastating for me. Every time I hear of a celebrity or a patient dying at a young age, stage four breast cancer, I'm like, right? We were talking, there's no preventative care. Do you have to do all four things that you said to get your lifetime risk? No. So Tyroquizic, we have it on CMD. They can go on CMD and it's a formula.

You punch in, you answer a bunch of questions. They're very basic. In America, you have to put the BiRAT scoring because that's how we score mammograms. And if you want to know whether or not you have the density, your breasts are- Explain what the by RAT score is. So it's the way we score your mammogram findings. So you have to get a mammogram to then put it into your calculation.

So not necessarily. So one of the questions, so the questions are height, weight, age, family history, whether or not you're Ashkenazi, age at first period, age at menopause, whether or not you're Ashkenazi, age at first period, age at menopause, whether or not you've done hormone replacement therapy. So they're very basic question. One question is density of the breast.

If you don't know your density of the breast, don't mark it. It's a density of the breast is in finding on imaging. So you can't touch your breast. Like I have, I go like this, I'm like, Ooh, they're big. Like that is not a dense breast, but you can only find it in a mammogram. So mammogram or MRI, the radiologist usually makes a note. And for women with extremely dense breasts,

these women are at a higher risk of breast cancer. And the problem with extremely dense breasts, which was my case, is the mammogram might not be as accurate. And 2D mammograms, the two-dimensional, is just an x-ray of your breast. People with dense breasts on a 2D mammogram, their breasts, just the area looks white, so the radiologists can't really comment. So they say based on what we see, there are no lesions, but they can't really comment. So they say based on what we see there are no lesions but they can't really evaluate the breast. That's why having a 3D mammogram and adding an ultrasound is crucial for women with dense breasts and 50% of women have dense breast tissue and the younger you are the denser your breasts

the older you get the less dense. But these are basics. I mean, we cover all of this in QMD. But if it was a world, you know, I always say, I would love for women on this planet Earth to give me one hour. If we would pause the world for a second and let me talk to these women for one hour, I would arm them with everything, at least the most important things for them to know from endometriosis to PCOS to breast cancer and how to be their own health advocate to

STDs to all of it. These are very simple topics. This is not rocket science. What was your journey with breast cancer? That's so crazy that you like work in this field and this happened to you. I can't even believe it. You know what? It changed my perspective because I had never been sick prior to that. And once I became a patient in this broken healthcare system, I realized that if a woman in my position had to fight

so hard to save her own life, other women have no chance. Have no chance. How did you even discover that? So I was 48. I went for my mammogram and they did, they found something in my left breast. At the time I was 48, I was a vegetarian for seven years. I had no family history of any cancer, let alone breast cancer. I never 48. I was a vegetarian for seven years. I had no family history of any cancer, let alone breast cancer. I never smoked. I never did drugs. I rarely drink alcohol.

I had never been overweight. I was not on hormones. So I was like the perfect woman who would never get quote unquote breast cancer. So they did a biopsy. They found some atypical lobular cells and they told me there's some atypical cells, let's remove it. Great. I went, they removed it. I went back to my post-op check and my doctor was a breast cancer specialist, said, okay,

go and come back in six months. I said, okay. She's like, we're going to repeat your imaging. Okay. I went to my office and I was sitting in my office having lunch with the myriad drug rep and I had always calculated my patient's lifetime risk of breast cancer. And he looked at me, he's like, I was telling him about my breast cancer, I mean, my breast biopsy, and he said,

did you ever calculate your lifetime risk? I'm like, no, that's a good idea, let me do it. So I started punching my information in, and one of the questions says, have you been diagnosed with atypical hyperplasia? I put a check in front of it. As soon as I put a check in front of it and I hit calculate, this number popped on the screen, 37.5%. I almost fell off my chair, you know, because I'd done it for my patients for years, but it never even crossed

my mind that I would be one of them. And I was like, this can't be right. I logged out, logged in again, 37 and a half percent. I called my doctor. I'm like, wait a minute, you told me to go and come back in six months. I have a 37% chance of getting breast cancer. I have three little kids at home. I love my husband. I love my job. I don't want to get breast cancer. She's like, come see me. I went to see her. She's like listen you're too young. What do you want to do? I'm like remove my breast. She's like you're crazy. You're so young. I'm like no no no I had implants at the time. I'm like I don't care. Just remove my implant. Remove my breast issue and put a new implant. She's like no it's disfiguring. It's such a traumatic

surgery. You don't want to do it. Trust me you're okay. You're gonna be fine. You're so healthy. Look at you. You're why are you so paranoid? Go do it when you're 50. You know, you go home if I always say this, if you had if I had told you you have a you're boarding a plane that has a 37 and a half percent chance of crashing, would you board that plane with your children? So why is it that people called me crazy? I went, I asked so many doctors, they all called me paranoid crazy until one doctor told me, you know what, you should do this. And I pretty much convinced her to do this for me. And

she sent me for an MRI and I went to my hospital to do the MRI and on the day of my MRI, the day before my double mastectomy, the radiologist was like, why are you here? I'm like, oh, I'm having a double mastectomy tomorrow. So they wanted an MRI. She's like, you're having a double mastectomy with a negative mammogram ultrasound and your MRI was benign. I'm like, yeah, because my lifetime risk is high. I never forget that moment. I was sitting, they were starting an IV because you needed a contrast with MRI. As she was walking away from me, she turned around. She's like, you're crazy. And well, I had my double mastectomy. Apparently, I bled a lot. It was a complicated, you know,

because my surgeon at the time was willing to do this, I think had done four mastectomies because no one else wanted to do my mastectomy pretty much. It took 10 hours. I got two units of blood transfusion, but so many people had called me crazy that I hired a videographer to videotape my journey. And I don't remember this, but I saw it on video as soon as they wheeled me out of the operating room, the first thing I said to my husband, I started having tears come down from my eyes and I said, go tell our daughters, mommy will never come home telling them that she has, like I would never come home

telling them I have breast cancer. And I was so happy. And even though I was sick and I was getting blood transfusion, I could fly. I was so proud of myself. I felt like this giant weight was off my shoulder and I could go live my life. A week later, I get a call from my reconstructive surgeon who called me and said,

Taiz, I need to talk to you. And he told me that on my PATH report, not in the left breast where they were digging for years, on my right breast at six o'clock, I had invasive breast cancer. So it was stage one invasive breast cancer. So did you feel an intuition that you had had that or did you just think you were going to get it? Like there must have been more than just 30. I'm a very logical person. 37.5% boarding that plane was a huge risk for me. And I didn't want to board that plane. And my surgeon, the day before my surgery said, I told her, why do you guys argue so much?

I'm a mother of three little children. Why is it so hard for people to do my double mastectomy? This is me. I understand. I take the risk. It's okay for me to, for you to do this. Why is it an uphill battle? You know what she told me?

She said, because we have really good chemo for breast cancer. Oh, and this is one of the top OB-GYNs in the world. And she's having to fight for herself in that way. That's the point of it all. That's the reason we started GMT. So what do most people do? They would just give up? They would just say, be told they will not give up. They would go come back in six months.

And you know, with my cancer, the type of cancer that I had, chemo doesn't really work in advanced stages. That you know, with my cancer, the type of cancer that I had, chemo doesn't really work in advanced stages. That's why people die. Do you understand? That's why women die of breast cancer. I'm not saying we can prevent all of it, but we can catch these high risk women early. And I'm not saying go remove your breasts. I'm not, that's not my message, but you need to know that if you're 20% or more, you need to start imaging as early as 30.

If you have family history, you need genetic testing. If you're high risk, in addition to mammogram and ultrasound, you need an MRI. If your lifetime risk is north of 30%, besides doing imaging every six months, you have two options. One, you can take a medication like Tamoxifen that will block 50% of cancers from coming.

So it can reduce your risk of breast cancer within 10 years by 50%. So it can drop you from 40% to 20%, from 30% to 15%, which is significant. You have to take it one a day for five years. Are there side effects? There are side effects. It can give you hot flashes, vaginal dryness, brain fog.

But you know what? For someone who lost their mom at age 14, 25% might be a high number, right? It's all relative. And if your risk is high, then as a woman, you should have the option of doing a double mastectomy, which is what I did. So when you deal with cancer and you know what the outcome could have been had I not done it, I never get sad about the breast cancer. I only get sad when I think of what could have happened to me and my children had I

not advocated for myself. And you have had a front row seat to seeing what breast cancer does to people's lives. So I'm sure you were even more... Who wants chemo? How can you look a mother in the eyes and say we have good chemo for breast cancer? That's how women get treated in this healthcare system. But it doesn't even... But you know, breast cancer is again, one slice of that well-woman exam,

knowing your lifetime risk, doing the genetic test, then you get to all these other things. So that's why honestly we started GMD and I always say if you told me you can go back five years and not have breast cancer and live that life or which was an amazing life by the way. I was still advocating for women, but my advocacy and my passion for helping women around the world who I've never met, I've never seen or never talked to before is beyond anything I could have imagined. It's my mission in life and I will help change women's health. I can't do it by myself, but together we can, we can, you know, we can do this.

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They're always dropping exciting new flavors and throwing fun events. Spritzsociety, summer starts here. I think you talked about something, you talked about shame with women and we talked about shame, we talk about this a lot, is that our mothers had so much shame in menopause and they weren't allowed to get hormones. They suffered in silence. Our generation were talking more about menopause, a little bit of a PCOS, a little bit of endometriosis and breast cancer, but there is, Olivia and I

talk about this a lot, where she said, the only time she cried, she never cried, not one moment, because her mission was to save her own life. Like she knew from Dr. A what to do, but the first time she had, she looked in the mirror after having, you know, the reconstructive surgery, she cried. Because she said they were misshapen. And then, you know, to see her now and to have her in the Skims campaign, and she showed the scar of her mastectomy, and she came on the podcast and she

talked about it. So, I mean, obviously Dr. A saved her life, but the shame seems to be going away. Women aren't ashamed anymore. We're saying, hey, this is me and I have a mastectomy or with PCOS, I can't lose weight. I have acne, I have facial hair. They're ashamed to talk about it. Women that have endometriosis and can't have sex

because it's so painful, they're ashamed of that. Women in menopause are ashamed to say, like, I'm not fertile anymore. I feel like I'm thrown away at this age. And that's what all of us are doing. That's what you're doing by talking about this on your podcast. If we can take the shame away and make women empowered by, again, the knowledge,

they can do anything. You know, they can save their own life. So I think, again, the knowledge, they can do anything. They can save their own life. So I think getting rid of that shame that you were asking about earlier and saying I think is important. I think it starts at home of just making it not a topic that's shameful. Every woman has a vagina.

We say vagina, vagina, vagina. A vagina, vagina, vagina. And my boys, I love this man sitting here asking these questions. I have all boys. And when they were little, we named it the right thing. And they need to know about menopause and PCOS and endometriosis because they'll have a wife or a mother or a sister who's going to be going through breast cancer, one in eight.

So they need to be armed. You know, Dr. A always says, I like men to come one time to a woman's well visit so that they can sort of look what they're going through when a woman is going through perimenopause and menopause. Menopause, all these things are happening to her. My husband sat me down and thank God I have this podcast. And he literally said to me, I think you have dementia. I think that there's something wrong with you. I'm like, and he literally said to me, I think you have dementia. I think that there's something wrong with you. I'm like, listen to the menopause episode. I have brain fog, and hormones are gonna help,

and my brain's gonna come back, but right now, you can have a conversation that's super important. I'm not gonna remember it next, you know, in an hour. This is what he says when I'm pregnant. He goes, what's wrong with you? I'm like, ha! What's wrong with me?

I'm gonna go. He says, what's wrong with me? I'm like, what's wrong with me? He says, what's wrong with me? I'm like, he's like, you seem a little forgetful. I'm like, because the baby's taking all my fucking vitamins. I'm taking all your brain. I did see literally like it wasn't a bad crash where you crashed the whole side of the car. And I said, did you do this? And she got mad at me for asking if she did it.

I'm like, she goes, I don't know if that was me. I'm like, you're the only person that could be. She's allowed, she's allowed. It's the same thing in menopause, pregnant, same thing. And when I was pregnant, I was like, I can't find my keys. No, it's, it's, it's honestly crazy. I can't remember what I said. It's not, it's like you have had, today you woke up,

you're like, I had to wake up at 4 45 with the dog. I'm like, try being pregnant, bitch. That is early. Exactly. My, listen, I'm like, try being pregnant, bitch. That is early. Exactly. Listen, I have independently things, my own ailments, but I realize I can't talk about them when she's pregnant. I have a question. This is an ignorant question. I'm not making a statement so everyone can calm down. I'm just wondering, is there a correlation between all of the hormones from

IVF and cancer? Because you see it go up. That's such a good question. So to answer your questions, the one thing I worry about with my patients are these patients who've done eight, nine, 10, 12 cycles of IVF. For those patients, they might have a slightly higher chance of ovarian cancer. And when they're menopausal, and definition of menopause is no period for 12 months and the average age of menopause being 51 and a half, when they're completely menopausal,

I might offer prophylactic surgery to remove their ovaries, especially if they have family history of it or obviously any genetic mutations. But other than that, most patients don't have as many. Like my patients worry about two cycles of egg freezing. Absolutely not. They're very, very safe. If you have to freeze eggs, you have to do it. If you have to freeze embryos, you have to do it.

So it's not the freezing, but what about the part where you... But they only get a couple of weeks of it. So it's not... So the freezing is not a big deal. But I'm talking about, and maybe I'm saying this wrong, the part where you- The hormone. But they only get a couple of weeks of it. So it's not- So the freezing is not a big deal, but I'm talking about, and maybe I'm saying this wrong, the part where they like put the egg in you with all the shots. No, no. That's fine. Okay.

That's fine. I think there's a lot of misinformation about that. Those are very, very, very safe. What about, you mentioned this earlier quickly, what about hormone replacement therapy in the correlation to cancer? Because that, you know, men and women, do you worry about that at all? I love this question. So I would say hormone replacement is crucial for most women going through menopause.

We have more data. She mentioned that the women's health initiative, there were a lot of flaws with that study. When I started practicing medicine, we would give hormones to every single woman. Now that was an extreme. If you were 85 years old and you walked to an office, they would start you on hormone replacement. But now we have so much more information than the WHI study came out and boom, everyone stopped hormones.

And I think the women in that generation really, really suffered. And for women who've gone through menopause from hot flashes to night sweats to brain fog, lack of sleep, hair loss, skin thinning, vaginal dryness, painful sex, weight gain, joint pain. I mean, the list goes on and on and on. It's one of the most horrific times for women and hormone replacement really, really eases that transition, especially when prescribed the first 10 years of menopause. How come I know someone that was on hormone replacement that's close to us that they found something in her breasts, like it was not cancerous, but

they found something and they told her to get off hormones because that's could grow. We got to send her to you. So I mean obviously I can't have a comment because I haven't seen the PATH report, but let's say if you have someone with a lifetime risk of 48% for breast cancer, I would say, you know what? I'll be uneasy. Not only she can't be, she shouldn't be on hormones. She should be on something that would block the estrogen

and lower that risk. So those patients can do a double mastectomy and then get hormone replacement. If someone has breast cancer or their biopsy is cancer, sometimes friends don't share all the details, right? If she had an early, early stage one breast cancer that was removed, she won't be a candidate for hormone replacement if her cancer was estrogen receptor positive or progesterone receptor positive.

So, but generally speaking, hormone replacement is extremely safe and it is a game changer for women. I think so for men too. Like people ask me on the show, they're like, are you on hormone replacement? I said, it's not, I'm not right now, but it's a matter not of not, but when.

Like I think at certain points, it's dangerous for your hormone levels, especially- To plummet. To plummet. To plummet, yeah. You both have spoken about Ozempic. What is your feelings on that? So that's why we met. No, I'm not going to talk about it.

I just think it's the most important. I mean, we're learning so much research about how geoprotective it is and how heart protective it is. So is that because it solves insulin resistance? Not really. So let's talk about this. So actually- I'm just wondering, I'm trying to keep up.

No, no, no, it helps. Dr. Bobchak is on the case. It helps, it helps, it helps insulin resistance for sure. But by the way, this is such a good question. This is what I do in the podcast. I ask the questions cause I'm not a doctor. Yeah. So I'm you.

Oh no, I have no shame around it because I know it. Yeah, me either. I'm like, what does that mean? I can say, listen, I was never put to school on this. So I'm you. Oh no, I have no shame around it. Yeah, me either. I'm like, what does that mean? I can say, listen, I was never put to school on this. I'm just, this is my schooling. So in 2014, these medications were introduced to the market. And in 2014, I started using these medications for my PCOS patients.

In 2014, I had patients who would lose 60, 70, 80 pounds. Back then, I was using Trulicity, a different name. And from there I went to using Victoza from Victoza to Saxenda from Saxenda to Wagovia, Wagovia to, I'm sorry, Saxenda, I think to Ozempic, Ozempic to Wagovia and then to Mungiro and Zep-Bound. So the medications have gotten better and better over the years with better weight loss profile and less symptoms. Because these medications have been a game-changer for my patients for almost 11 years now, I actually get

upset when people have negative comments about these meds because for women who suffer from obesity, from insulin resistance, they're overweight, these medications have been life-changing for them and it's easy for a thin woman to sit and judge them and these are women who are always told we'll eat less, exercise more, you're probably eating unhealthy, which is not true. It's not true for these women and it's so unfair to them. And for the first time in the history of the world, for the past 11 years, we've had a medication to treat these patients.

And it's been an absolute game changer. I tell you when it exploded in this country, I was probably one of the handful of people in this country who had so much experience with these meds. Cause I was putting everyone on it because of PCOS. And in all these years, I've never seen a bad, you know, side effect. I've seen side effects, but nothing dangerous from it. The most common side effects being nausea,

heartburn, constipation, fatigue. But if you tell these patients, but you know what it is when you, when you have someone who's 280 pounds, she's already tired. She can't exercise. Her self-esteem is probably affected. She's not feeling well. And as you drop their weight, they get motivated to get up. They get motivated to exercise because for the first time in their life, they're

actually seeing results. This is what our friend was telling us the other day when we were out. She's like, I was 260 pounds. She's like, I was starving myself, trying everything. I couldn't do it. She's like, I got on a Zempik. She got her confidence back. She's working out every day. She's having sex with her husband. I think when we talk about on, I definitely agree with you. I think it could be a tremendous tool, especially for people that are struggling with that kind of weight loss journey. I think where sometimes there's nuance to it is you'll have somebody who's really not struggling but they want to trim off 15, 20 pounds and they're not working with a medical

consultant or not looking at any of their, they're just kind of doing it and they don't really know how to manage how to use it. I think that's where people can get in trouble. But again, if someone's obese and struggling, I think the benefits far outweigh not using the tool. I also use it, you know, sometimes in my peri-menopausal or menopausal woman, it's very hard, you know, as we get older, we become more insulin resistant, especially with history of, let's say you have PCOS and you're going through menopause, it's really difficult to lose even 10 pounds.

So sometimes I use it, let's say I have a 54 year old who cannot lose that 20 pounds with diet and exercise. So you know that, but I agree with you. It needs to be under the supervision of a physician. The way I think about it is like, you'll see a lot of young 20 year old men start getting on hormone replacement therapy because they want to get strong in the gym. And they're not consulting with medical professionals. And then what they don't realize is their fertility plummets and they're, you know,

they have all these things because they're like, oh, I can use this tool. I look at all of those tools in the same light. So you've got to work with someone who knows their shit. And I think it's, it's influencer medicine. That's, that's really dangerous. And that's another reason that we started the podcast, which is you need medically-backed, science-backed, you need to know the newest research,

you need to be aware. And sometimes, and listen, I have tons of friends that are amazing influencers, but when they start talking medicine, it makes me a little scared. And I think that you really have to know, you know, go to medical school, or, you know, we should be getting our medical advice

from people that went to medical school. And I think that what the influencers can do in such a beautiful way is share their own journeys and have other people with their own journeys. And that's what we do in the podcast, too, when we have all these amazing women. And then bring the experts on. And then bring the experts on. And then bring the experts on.

So they're sharing their story. SZA was our first episode, and she shared her PCOS and her endometriosis, but nobody should be taking medical advice from SZA. So you have to be talking to the expert that helped her get to where she was. Kim Kardashian came on, she was talking about psoriasis. We had Dr. Wallace,

who was the number one autoimmune expert. He explained medically what happened to her, how he treated her. She was so open with her journey with it. And that really helps people better. Again, the shame. She was saying, I at the Met Gala had to, you know, I had psoriasis all over my face. She explained her shame in that moment. And you think Kim Kardashian, who's so beautiful and kind of the, the epitome of beauty for a lot of people, her talking about that is really important, but it was also really important to have Dr. Wallace talking about the medicine and the science behind it. I think people were just in, we're an interesting time right now, especially

in the medical field, because to your point earlier, some medical professionals, if they call you crazy or they don't take your symptoms seriously, it's like, well, you maybe don't wanna listen to them, but then others like yourself who are really advocating and getting the word out there, I think people are really just trying to figure out who to listen to and who to trust,

because it's a tragedy when you go to someone and they either deny you care or tell you that you're crazy when you actually have something. But again, like sometimes that happens because these people are like, oh, that my doctor said that so it must be true. We talk about, there's so much nuance in this space, but again, I think it comes down to being your own advocate. Even as a physician, I got a call a couple of weeks ago and a physician called me and

said, you know, there's this doctor in Santa Monica who thinks maybe you're not diagnosing endometriosis. Like I'm over-exaggerating and thank God, because I have a pa- I take a video every time I go in the pelvis, I take a full video, I zoom on the lesions of endometriosis, I have biopsy, pathopore. It's like James Cameron in the Titanic. She is James Cameron. She's in there, man. But she's in that vagina videoing it. It's amazing. It's not vagina, it's in the abdomen. But she's in that vagina, videoing it.

It's amazing. It's not vagina, it's in the abdomen. See that's why I play a doctor on TV instead of really being a doctor. But in reality is even when you want to help women, there are other people who want to take you down. So it's a difficult world for women. Just so you know, this episode of GLOWD on I imagine 95% of people will be very happy and excited. There's about 40 TikTok clips in this one.

We are no strangers to having people like yourself on and getting flack for even having the conversation. I don't care anymore. Let's ask the burning question. If the guy gets his balls clipped. I love this question. Does prostate cancer go up? I really don't want it. Is that true? I think you need to ask a urologist this question. Does prostate cancer go up? I really don't want it.

I think you need to ask a urologist that question. Okay. But as a gynecologist, I will tell you that for up to two months after a vasectomy, you can still ejaculate sperm. And there are couples who get pregnant. No, but once you die. I've had a lot of sperm. This has been a lot of sperm for me.

I am spermed out. I'm trying to avoid the clipping in general... I've had a lot of sperm. This has been a lot of sperm for me. I am sperm'd out. I'm trying to avoid the clipping in general. It scares the hell out of me. Well, let me just tell you the opposite story of this, and I told my boys this story who are leading into the age of being sexually active. I said, listen, when I got married with my second husband, he said, we have five children together. I don't want any more kids.

And I saw, and I was dying. I'm missing a baby. And I was like, okay, totally. I saw and I was dying. I'm missing a baby and I was like, okay totally I said I'm on birth control any any don't tell me you were lying I'm totally lying. I would lie. I get that if I wanted another kid and he would I would lie I don't know how many kids issue. I'm not being honest. I would lie women. Don't listen to them And don't listen. I want to tell you as a man, so finally. Can't you just scoop it up there? Yeah. Put your legs up.

I have patients who come to my office, they're like, can I borrow a syringe? And I'm like, what for? I didn't think of that. You know what they do? I got a turkey baser. They go to the condom and they pull the sperm out and they inject themselves.

But I didn't do that, but my husband had to get a vasectomy finally because I had a baby in a miscarriage and he goes, you're not on the pill. It's still tricking me if we're married. Up until the point he had the miscarriage and two weeks after, he's had more sex than he ever had in his life. I was trying, I was trying, I was trying. I was like, give me that all day. It scares me.

I don't know. I'm going to- I'm in charge of that, bitch. I heard it's more painful than people say. So you don't know. We don't know if prostate cancer goes up. You know what? I don't want to comment on that because I don't treat men. I like it. I just thought I'd ask.

She said not to get one. Thank God I don't treat prostate. She said, she said, so you're saying don't get one. It's OK. We don't have to get one. I don't think that's what she said. Go back to women. Where can everyone find you both? Pimp yourselves out. Your Instagram. We don't have to get one. I don't think that's what she said. Go back to women. Where can everyone find you both? Pimp yourselves out, your Instagram, how do they take the quiz?

Where do they find the podcast that is with Dear Media, which is so exciting? Tell us. The podcast is called SheMD. It's on YouTube. It's everywhere you listen to your podcast. On SheMD, we have the exact genetic test she uses, the lifetime risk, we have a link to ovi.com. OV is launched three months ago. It's ovii.com. You can go on it and take the exact questions for free that she gives every

single patient that comes into her office. You can also get the supplement, the point of it is, which will treat all of yours a lot of those symptoms. Our social media handle is CMT Podcast at CMT Podcast at Dr. Thais Aliabadi, Haney official and it's OV... shit. I don't remember. Well either way we're going to link it all out. Link it, link it, link it. I should know this. This is terrible. Well we'll find it and we'll put it all in the notes. Everybody can find it easily You guys thank you for having us

I think this conversation was so you kind of like condensed all that we do on you know, some of our episodes They want the detail they got to go listen the podcast. Yeah, it's every single episode It's anything you could think about for women's health We've done 53 episodes if you want to know about menopause, if you wanna know PCOS, if you wanna know about endometriosis, HTDs, every single condition that a woman will have from the beginning of her journey to, and I will wanna say, we talked a lot about PCOS.

Greg Renfro, one of my friends that started Beauty Counter, her daughter, the mother-daughter story, what you were kind of asking, that one will break your heart, but for a mother struggling for a daughter not knowing what to do, really listen to that episode. But thank you for having us. Yeah, this was so much fun. And thank you for dear media, honestly.