The Truth About Hormones, Aging, and Sexual Health | Dr. Fenwa Milhouse

The Truth About Hormones, Aging, and Sexual Health | Dr. Fenwa Milhouse

In this episode, host Dr. Pamela Mehta sits down with board-certified urologist and pelvic floor surgeon Dr. Fenwa Milhouse to strip away the awkwardness around pelvic and sexual wellness. They dive deep into how hormonal shifts rewrite the rules of our daily comfort, skeletal strength, and intimate lives as we age. By looking past traditional boundaries, this conversation uncovers how advocating for your own physical health and seeking proper medical representation can radically transform your quality of life. Ultimately, it is a candid roadmap to reclaiming a joyful, pain-free existence through better body literacy and open communication. What You’ll Learn: * The hidden cascade where declining hormone levels alter everything from cognitive clarity to skeletal integrity. * How an often-overlooked muscle group dictates the baseline of both daily physical comfort and sexual pleasure. * The complex navigation of laboratory testing required to access modern hormone replacement therapy. * Why traditional family dynamics and modern digital media create unique hurdles for early sexual health education. * The profound impact of clinical representation on patient trust and breaking down systemic barriers in specialized medicine. Guest Resources: * Instagram: @DrMilhouse [https://www.google.com/search?q=https://www.instagram.com/DrMilhouse] * TikTok: @yourfavoriteurologist [https://www.tiktok.com/@yourfavoriteurologist] * YouTube: Down There Urology [https://www.youtube.com/@downthereurology] Host Resources: * Instagram: @dr.pamelamehta [https://www.google.com/search?q=https://www.instagram.com/dr.pamelamehta] * Tiktok: @dr.pamelamehta [https://www.tiktok.com/@dr.pamelamehta] * Youtube Channel: Pamela Mehta MD [https://www.youtube.com/@Dr.pamelamehta/videos] * Become a Patient: Resilience Orthopedics [https://www.google.com/search?q=https://www.resilienceortho.com] * Earn FREE CE Credit: Learn at Pinnacle App [http://learnatpinnacle.com/education] This episode is brought to you by ⁠The Pinnacle Podcast Network⁠! Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

The Five Pillars of Cognitive Longevity | Dr. Christy Chen

How do you build cognitive resilience? As we age, life presents an ongoing series of challenges, from physical setbacks to cognitive shifts. In this episode of The Resilience Factor, we sit down with Dr. Christie Chen - a geriatrician, internist, and assistant professor of medicine at Mayo Clinic - to reframe how we look at longevity. Instead of focusing solely on extending the number of years we live, Dr. Chen shares why the real mission is expanding our health span so we can age with true independence, vitality, and grace.  What You’ll Learn: * The critical distinction between lifespan and health span that alters how we approach growing older. * The surprising way daily conversation helps uncover hidden signs of systemic neglect in the clinic. * A specific bodily process that acts as the ultimate reset button for brain healing and memory retention. * The five foundational elements of human vitality that dictate our ability to bounce back from hardship. * How addressing persistent physical discomfort can directly prevent the cognitive and physical decline often mistaken for normal aging. Guest Resources: * Instagram: https://www.google.com/search?q=https://www.instagram.com/dr.pamelamehta@grey.edelweiss [https://www.instagram.com/grey.edelweiss/] * Tiktok: @grey.collective [https://www.tiktok.com/@grey.collective] * Podcast: Aging Forward hosted by Dr. Christie Chen [https://mcpress.mayoclinic.org/podcasts/aging-forward/] * Website: https://www.thehopetech.com/about-us [https://www.thehopetech.com/about-us] Host Resources: * Instagram: @dr.pamelamehta [https://www.google.com/search?q=https://www.instagram.com/dr.pamelamehta] * Tiktok: @dr.pamelamehta [https://www.tiktok.com/@dr.pamelamehta] * Youtube Channel: Pamela Mehta MD [https://www.youtube.com/@Dr.pamelamehta/videos] * Become a Patient: Resilience Orthopedics [https://www.google.com/search?q=https://www.resilienceortho.com] * Earn FREE CE Credit: Learn at Pinnacle App [http://learnatpinnacle.com/education] This episode is brought to you by ⁠The Pinnacle Podcast Network⁠! Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

Breaking Down Back Pain | Dr. Betsy Grunch

Dr. Pamela Mehta sits down with board-certified neurosurgeon Dr. Betsy Grunch to talk about what it’s really like to deal with back pain. Dr. Grunch shares her own story of herniating three discs and navigating her personal wellness journey, bringing a uniquely empathetic perspective to a notoriously complex medical topic. Together, they break down the physical and mental resilience it takes to recover, why instant surgical fixes aren't always the answer, and how taking care of your overall health radically impacts your spine. What You’ll Learn: * The counterintuitive biological reason why undergoing a surgical procedure can sometimes accelerate long-term spinal degeneration. * How a specific, common lifestyle habit acts as a hidden vasoconstrictor to permanently disrupt your body’s natural tissue-healing mechanisms. * The multi-quadrant structural framework that defines true core strength far beyond conventional abdominal exercises. * Why the intersection of metabolic health, GLP-1 medications, and structural anatomy dictates your daily chronic pain levels. * The clinical reality behind the success rates of non-invasive therapies for major disc herniations and when to safely avoid the operating room. Guest Resources: * Instagram: https://www.google.com/search?q=https://www.instagram.com/dr.pamelamehta@LadySpineDoc [https://www.instagram.com/ladyspinedoc/] * Tiktok: @LadySpineDoc [https://www.tiktok.com/@ladyspinedoc] * Website: https://www.southernneurosurgery.com/ [https://www.southernneurosurgery.com/] Host Resources: * Instagram: @dr.pamelamehta [https://www.google.com/search?q=https://www.instagram.com/dr.pamelamehta] * Tiktok: @dr.pamelamehta [https://www.tiktok.com/@dr.pamelamehta] * Youtube Channel: Pamela Mehta MD [https://www.youtube.com/@Dr.pamelamehta/videos] * Become a Patient: Resilience Orthopedics [https://www.google.com/search?q=https://www.resilienceortho.com] * Earn FREE CE Credit: Learn at Pinnacle App [http://learnatpinnacle.com/education] This episode is brought to you by ⁠The Pinnacle Podcast Network⁠! Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

Sports Medicine and Mental Health in Female Athletes | Dr. Jessica Gray

On this episode of The Resilience Factor, host Dr. Pamela Mehta sits down with Dr. Jessica Gray, a board-certified family medicine physician, clinical assistant professor, and team physician for Texas Tech women's basketball. Dr. Gray pulls back the curtain on transitioning from a self-proclaimed "band nerd" to managing the high-stakes world of D1 collegiate sports medicine. The conversation dives deep into why treating elite athletes requires looking far beyond the physical injury to address the hidden, complex intersection of body and mind.  What You’ll Learn: * The unique connection between specialized concussion protocols and underlying mood changes that dictates an athlete's timeline for a safe return to play. * How a history of depression or anxiety acts as a critical factor that can significantly delay physical recovery from a mild to moderate head injury. * The specific screening strategy used to uncover hidden signs of eating disorders, body dysmorphia, and restrictive eating behaviors in competitive spaces. * How the relentless pressure of social media platforms like Instagram and TikTok directly impacts the mental resilience of modern collegiate players. * The emerging medical research regarding female athletes that links specific phases of the menstrual cycle to a heightened risk for severe injuries like an ACL tear. Guest Resources: * Instagram: https://www.google.com/search?q=https://www.instagram.com/dr.pamelamehta@drjessicagraymd [https://www.instagram.com/drjessicagraymd/] * Podcast: The Med Edit Podcast [https://www.themededitpodcast.com/]  Host Resources: * Instagram: @dr.pamelamehta [https://www.google.com/search?q=https://www.instagram.com/dr.pamelamehta] * Youtube Channel: Pamela Mehta MD [https://www.youtube.com/@Dr.pamelamehta/videos] * Become a Patient: Resilience Orthopedics [https://www.google.com/search?q=https://www.resilienceortho.com] * Earn FREE CE Credit: Learn at Pinnacle App [http://learnatpinnacle.com/education] This episode is brought to you by ⁠The Pinnacle Podcast Network⁠! Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

The Truth About Strength Training | Shannon Ritchey DPT

Dr. Pamela Mehta sits down with Dr. Shannon Richey, a doctor of physical therapy and founder of Evlo Fitness, to dismantle the exhausting "more is more" philosophy that dominates the fitness world. After a career-stalling back injury forced her to rethink everything, Shannon discovered that many women are inadvertently under-stimulating their muscles while over-stressing their joints. This conversation is a deep dive into the minimum effective dose of exercise and how to stop the cycle of burnout to start building true physiological resilience. What You’ll Learn: * The "sweet spot" of repetition speed that signals you’ve actually reached a potent muscle stimulus. * Why common "combo moves" might be the reason you feel exhausted but aren't seeing real physical changes. * The metabolic secret of muscle mass that fundamentally shifts how your body processes glucose and insulin as you age. * A specific breathing technique that connects the diaphragm to the pelvic floor to safeguard your trunk during heavy lifts. * The counterintuitive reason why "earning your shower" through sweat isn't the best indicator of a successful workout. Guest Resources: * Instagram: https://www.google.com/search?q=https://www.instagram.com/dr.pamelamehta@Dr.Shannon.DPT [https://www.instagram.com/dr.shannon.dpt/] * Website: evlofitness.com [http://evlofitness.com/] (Use code: PINNACLE) * Podcast: The Dr. Shannon Show [https://evlofitness.com/podcast] Host Resources: * Instagram: @dr.pamelamehta [https://www.google.com/search?q=https://www.instagram.com/dr.pamelamehta] * Youtube Channel: Pamela Mehta MD [https://www.youtube.com/@Dr.pamelamehta/videos] * Become a Patient: Resilience Orthopedics [https://www.google.com/search?q=https://www.resilienceortho.com] * Earn FREE CE Credit: Learn at Pinnacle App [http://learnatpinnacle.com/education] This episode is brought to you by ⁠The Pinnacle Podcast Network⁠! Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]