Hormones get blamed for everything, but the truth is more interesting and a lot more useful. I’m Robin Black, and I’m joined by my cousin Nikki Rowan, an OB-GYN with nearly two decades of experience, to talk straight about gynecology, pregnancy, perimenopause, Menopause symptoms, and what actually helps when your body feels “off” but your lab work looks “normal.”
We dig into why hormone testing can be misleading, how estrogen and other hormones naturally swing throughout the day and month, and why puberty and perimenopause can feel like emotional whiplash. Nikki also explains how weight changes can affect ovulation and menstrual cycles, why endometrial ablation is a bleeding treatment that may not last forever when done young, and how surprise pregnancies can happen right when you think you’re finally “getting healthy.”
Then we get practical about common issues people suffer with in silence, especially Stress urinary incontinence. Nikki breaks down pelvic floor physical Therapy, what an evaluation looks like, how biofeedback works, and why doing the at-home exercises can be a game changer within weeks. We also talk birth and anesthesia, including hypnobirthing, epidural vs spinal anesthesia, when you can’t safely get one, and a clear explanation of placenta previa and hemorrhage risk. We end with an honest take on prenatal vitamins, pregnancy weight gain, breastfeeding benefits, and why formula is not a moral failing.
If this helped you feel more informed and less alone, subscribe, share the episode with a friend, and leave a review so more people can find it. What topic should we go deeper on next: perimenopause symptoms, pelvic floor therapy, or birth options?
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