Labia Logic

Perimenopause can feel like your body suddenly changed the rules without sending you the updated handbook. Mood swings, brain fog, sleep problems, weird bleeding, libido changes. And yes, you can still be having perfectly regular periods while all of this is happening. So… WTF is actually going on? In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure are joined by Women's Health Nurse Practitioner Dr. Jaclyn Piasta to talk all about the hormonal chaos of perimenopause. They talk about why perimenopause cannot always be confirmed with a single hormone test but is still a clinical diagnosis. They also cover why symptoms can change from month to month, and how treatment may include birth control pills, IUDs, menopausal hormone therapy, vaginal estrogen, or a mix-and-match approach depending on what your body is doing. The topics of painful sex, vaginal and urinary symptoms, libido, testosterone, mood changes, bleeding, and the very real mental load of midlife all come up too. Here's the hot take: perimenopause is not one-size-fits-all, treatment may need to evolve as your hormones do, and "normal labs" or regular periods do not automatically mean your symptoms should be dismissed. Consider this your permission slip to ask better questions, explore your options, and expect care that actually listens to what your body is telling you. Links: mymonarchhealthco.com @jackiep_gynnp on IG https://ww@monarchhealthclinicianacademy on IG About Our Guest: Dr. Jackie Piasta is a Doctor of Nursing Practice, Women's Health Nurse Practitioner and a nationally recognized expert in perimenopause and menopause care, with a career spanning 16 years in women's health. She is the founder of Monarch Health, a specialty midlife women's health practice, and Monarch Health Clinician Academy, a CME-accredited training program that has educated hundreds of clinicians in evidence-based midlife and menopause care. She serves on the Medical Advisory Committee for the National Menopause Foundation and contributes to national professional organizations, including The Menopause Society, the National Association of Nurse Practitioners in Women's Health, and the International Society for the Study of Women's Sexual Health. She speaks nationally on women's health topics and most recently chaired NPWH's annual Virtual Menopause Summit. She is also adjunct faculty at Vanderbilt University School of Nursing, where she lectures on menopause care for women's health nurse practitioner students. Dr. Piasta was awarded the Excellence in Leadership and Innovation Award from Frontier Nursing University in recognition of her contributions to menopause education and clinical leadership. In 2025, she was inducted into the inaugural Fellow class of the National Association of Nurse Practitioners in Women's Health. Her work bridges advanced clinical practice, clinician education, and national advocacy. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com https://www.ashleyfullermd.com/labia-logic-podcast Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

Water? Green light. Vaginal steaming? Hard red. Boric acid? Well… that depends. The internet has no shortage of products promising to clean, balance, freshen, moisturize, tighten, detox, or otherwise "fix" your vulva and vagina. But which ones are actually helpful? And which ones would your vulva very much like to be excluded from? In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure play a round of Red Light, Green Light: Vulvar Edition, sorting common vulvar and vaginal products and habits into the good, the questionable, and the please-don't. They cover everything from gentle cleansing, lube, moisturizers, vaginal estrogen, and bidets to boric acid, probiotics, period products, wipes, shaving, tight workout clothes, douching, fragranced products, vaginal steaming, Vagisil, and the dreaded one-day Monistat. These docs want you to remember: your vagina is self-cleaning, your vulva doesn't need to smell like a spa, and more products definitely doesn't mean better care. No matter what TikTok tells you. Labia Logic – The Clinical Course – Meredith McClure MD More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

What actually happens to the vulva and vagina after giving birth? How long does it take for swelling, bleeding, dryness, and soreness to improve? And when are postpartum symptoms a normal part of healing versus a reason to call your doctor? In Labia Logic Gets Knocked Up: Postpartum Edition , Dr. Ashley Fuller and Dr. Meredith McClure get candid about what recovery really looks like after a vaginal delivery or C-section. They explain postpartum hormone changes, vaginal tearing and stitches, urinary leakage, pelvic floor trauma, painful sex, breastfeeding-related vaginal dryness, and the many pads, ice packs, and sitz baths involved in welcoming both a baby and a temporarily unfamiliar vulva. Listeners will learn what to expect during the first six weeks postpartum, why vaginal estrogen may help with dryness and discomfort, and how pelvic floor physical therapy can support healing from incontinence, pelvic pain, prolapse, and pubic bone separation. The doctors also discuss granulation tissue, resuming sex, postpartum contraception, mood changes, anxiety, depression, and why asking for help is an essential part of recovery—not a sign that your body has failed. Labia Logic – The Clinical Course – Meredith McClure MD More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

swelling, discharge, pressure, and occasional "lightning crotch"? Is all that extra sensitivity normal? And when should a change actually earn a call to your OB? In the Pregnancy Edition of Labia Logic Gets Knocked Up , Dr. Ashley Fuller and Dr. Meredith McClure explain how pregnancy hormones, increased blood flow, pelvic pressure, and a rapidly changing body can affect the vulva and vagina. From darker or swollen labia and vulvar varicose veins to yeast infections, hemorrhoids, pelvic floor changes, and pregnancy discharge, the hosts share candid answers with their usual mix of medical expertise, reassurance, and zero shame. Ashley and Meredith cover which vulvar and vaginal changes are common during pregnancy, why estrogen and progesterone deserve some of the blame, and what can help ease throbbing, pressure, constipation, and discomfort. They also cover sex during pregnancy, safe treatment options for vaginal infections, herpes management before delivery, and warning signs that should be evaluated by a medical provider. Labia Logic – The Clinical Course – Meredith McClure MD More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

Why do men get decades of sexual-health innovation while women are still told to wait, cope, or buy something vaguely "wellness-adjacent" from their social media feed? And why are conditions that affect quality of life, relationships, pleasure, and reproductive health still treated like optional extras instead of actual healthcare? Sabrina Martucci Johnson, founder and CEO of Daré Bioscience, joins this episode of Labia Logic to talk about the costly, complicated, and long-overdue work of developing better treatments for women. Sabrina explains why she founded Daré, how women's health receives only a fraction of private healthcare investment, and why existing science can often be reformulated into solutions designed specifically for female bodies. Sabrina also shares what Daré is developing next, including a monthly vaginal ring for menopause hormone therapy, a hormone-free contraceptive, and a vaginal antiviral treatment for high-risk HPV. Because women's health is not niche. It is essential, overdue, and worth doing right. Links: darebioscience.com Instagram @darebioscience TikTok @sabrinadareceo LinkedIn @sabrina-martucci-johnson About Our Guest: Sabrina Martucci Johnson doesn't just talk about the gap in women's health – she's working to close it. In 2015 she founded Daré Bioscience on a straightforward thesis: the science exists, the need is real, and the market is massive. What's been missing is execution. Under her leadership, Daré has built a pipeline of first-in-category product candidates spanning contraception, sexual health, menopause, vaginal health, and infectious disease, and is now bringing them to market. Sabrina's edge is the combination of scientific credibility and commercial discipline. She started as a research scientist at Baxter Healthcare, moved through commercial and financial leadership at Cypress Bioscience (NASDAQ:CYPB) and WomanCare Global (as both CFO and COO), and built Daré from the ground up. She understands the biology, controls the financials, and knows how to launch. That trifecta is uncommon in any CEO. In women's health, it's nearly singular. She holds degrees in Biomedical Engineering (Tulane), Biochemical Engineering (University College London), and International Management (Thunderbird). She serves on the boards of AtaiBeckley, Biocom California (as chair), and BIO. Her work has been recognized by Ernst & Young Entrepreneur of the Year (Pacific Southwest), Fierce Pharma's Most Influential People in Biopharma, the Medicine Maker Power List, and Endpoints Women in Biopharma. Women's health has been underfunded, understudied, and underestimated for decades. Sabrina Martucci Johnson is doing something about it. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production.

What even is the vestibule, why does nobody talk about it, and how many people are out here being told their vulvar pain is "just in their head"? On this episode of Labia Logic , Dr. Rachel Rubin joins Dr. Ashley Fuller and Dr. Meredith McClure for a no-filter conversation about hormones, painful sex, vaginal estrogen, menopause care, and the body parts that deserve way better PR. They can't say it enough — the vulva is not just "the vagina," and yes, that matters. Dr. Rubin brings her signature mix of evidence, rage, humor, and big urology energy to the conversation, breaking down why sexual medicine and vulvar health are still so misunderstood in mainstream medicine. These three Docs talk about genitourinary syndrome of menopause, vaginal estrogen, hormone therapy, recurrent UTIs, pelvic pain, vestibulodynia, birth control-related sexual side effects, and why so many clinicians are still missing basic, treatable causes of pain with sex. They also discuss the importance of shared decision-making, informed consent, and actually listening to patients instead of sending them home with yet another shrug. Listeners will learn why vaginal hormones can be life-changing, how the vestibule can be a major source of pain and urinary symptoms, and why better education for both patients and clinicians is urgently needed. Links: www.rachelrubinmd.com @drrachelrubin on Instagram @rachel-rubin on LinkedIn @rachelSrubin on Facebook @drrachelrubi125 on X About Our Guest: Dr. Rachel Rubin is a board-certified urologist and nationally recognized leader in sexual medicine. She is the founder of a patient-centered sexual health practice in Washington, D.C., and Los Angeles; an assistant clinical professor of urology at Georgetown University and a former director-at-large for the International Society for the Study of Women's Sexual Health. She helped shape the 2025 AUA guidelines for Genitourinary Syndrome of Menopause and led national efforts to remove the FDA's boxed warning on menopausal hormone therapy. She is also the founder of SMRT [pronounced SMART] — the Sexual Medicine Research Team , which is pioneering new research and developing the next generation of clinician-researchers. Dr. Rubin is known for her evidence-based, practical approach to sexual health and her commitment to educating clinicians across disciplines. Her expertise has been featured in major media outlets, including The New York Times, The Washington Post, The Economist, Oprah Daily, NPR, and CBS Morning News . More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

Can sex still feel good when pain, aging, chronic illness, or life changes get in the way? What does a sex counselor actually do? And how do you tell your partner that what used to work… doesn't quite work anymore, without making everyone want to crawl under the bed and hide? Sexologist Dr. Heather Howard joins Drs Ashley & Meredith on this episode of Labia Logic to explain how she helps people have more comfortable, connected, and realistic conversations about sex. Dr. Howard explains what sexology and sexuality counseling really look like, especially for people navigating pelvic pain, chronic health conditions, desire differences, cancer, orthopedic issues, Peyronie's disease, aging bodies, and the very common "my libido has left the chat" experience. She also shares her Ergo Erotics Process, which helps individuals and couples rethink intimacy through comfort, creativity, positioning, movement strategies, and communication instead of assuming sex has to follow one very narrow script. There are no "shoulds" in sex, the brain is absolutely part of the sexual response, and pain, low desire, and physical limitations do not mean anyone is broken. This conversation covers how to start hard conversations with a partner, why planning ahead can make sex feel safer, how to create boundaries before things escalate, and why a satisfying sex life often requires a team approach. As these Doctors always say, vulva is a team sport, and sometimes the most intimate thing you can do is stop pretending the old script still fits. Links: www.HeatherHoward.com www.Ergoerotics.com @drheatherhoward on LinkedIn | Facebook | Instagram About Our Guest: Dr. Heather Howard is a sexuality counselor and financial coach who helps individuals and couples navigate challenges at the intersection of intimacy, health, and money. She holds a PhD in Human Sexuality and an MBA in Finance and Accounting, and is the founder of the Center for Sexual Health and Rehabilitation. She has served as faculty for Stanford School of Medicine and the California Institute of Integral Studies Human Sexuality programs. Her work supports clients experiencing sexual concerns related to chronic health conditions, pelvic pain, trauma, life transitions, and relationship stress. She also helps patients address financial stress that contributes to anxiety, relationship conflict, and avoidance of medical or sexual care. Through education, practical skill-building, andvalues-aligned financial systems, she helps clients reduce shame, improve communication around sensitive topics, and build healthier patterns that support emotional intimacy, sexual well-being, and greater relational vitality. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

What happens when culture, religion, shame, and a medical system that loves to say "it's all in your head" collide with sexual health? Dr. Sameena Rahman, the GynoGirl , joins Drs. Ashley Fuller and Meredith McClure for this episode of Labia Logic. These three docs get into the big stuff: pelvic pain, vulvar conditions, vaginismus, period shame, sexual dysfunction, and the very real ways women, especially women of color, are dismissed when they try to get help. They also talk about Dr. Rahman's upcoming book Brown Girls' Disease: A Guide to Sexual Health and Empowerment Through a South Asian Lens, and unpack how cultural expectations, medical bias, religious messaging, and shame can shape the way patients experience their bodies and seek care. Their conversation also covers why clinicians need to listen to the whole story, how vulvar disease can look different across skin tones, and why "just try harder" is not, in fact, a treatment plan. So yes, we're talking about vaginas, vulvas, bias, and Barbie movie pearl-clutching. As one does. Most importantly, this episode is a reminder that your body is not shameful, your pain is not imaginary, and saying the word "vagina" in public will not cause the earth to split open. Probably. Links: thegsmcollective.com @gynogirl on Instagram About our Guest: Dr. Sameena Rahman is a board-certified OB/GYN and certified Menopause Practitioner with over a decade of expertise in midlife care, sexual medicine, and concierge gynecology. After training and practicing at leading institutions including USC, the University of Chicago, and Northwestern, she founded The GSM Collective in downtown Chicago to deliver a more personalized, patient-first model of women's healthcare. She hosts the podcast Gynogirl Presents: Sex, Drugs & Hormones, along with her YouTube series GynoGirl TV, and is the forthcoming author of Brown Girl's Disease?—a bold, culturally grounded guide to sexual health and empowerment through a South Asian lens, launching in 2025. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

Pelvic pain that feels heavy, achy, bloated, or mysteriously worse by the end of the day? Pain after sex that lingers? Vulvar varicose veins, bladder urgency, or "everything looks normal" test results that definitely do not feel normal? Dr. Julie Baron joins this episode of Labia Logic to get into pelvic venous congestion — also called pelvic venous disorders — and why this often-overlooked cause of chronic pelvic pain deserves a much bigger seat at the exam-room table. Julie shares her own experience with years of unexplained pelvic and abdominal pain, how she finally found answers through vascular imaging, and why pelvic venous disorders can overlap with symptoms like bloating, urinary urgency, painful sex, vulvar discomfort, hemorrhoids, varicose veins, POTS, EDS, MCAS, and more. In other words: the pelvis is not a simple neighborhood, and the veins may be causing more drama than anyone realized. Listeners will learn the classic signs of venous pelvic pain, why standard imaging can miss the bigger picture, and why "just do Kegels" is not the answer here. The conversation also covers treatment options, vascular referrals, stents, embolization, and why finding the right provider matters. Most importantly, this episode offers validation for anyone who has been told their pain is incidental, imaginary, or "just motherhood." Your body is not being dramatic. It may just need someone willing to look at the whole picture. Links: drjuliebaron.com @drjuliebaron on Instagram About Our Guest: Dr. Julie Baron is a pelvic floor and orthopedic physical therapist and the Director of the Pelvic Health & Performance Center in Bellevue, Washington. Dr. Baron holds a Doctorate in Physical Therapy from Rutgers University and brings 17 years of clinical experience to her work. She has advanced training in pelvic floor rehabilitation, prenatal and postpartum care, strength and conditioning, and complex orthopedic conditions. Her clinical work is grounded in a holistic, whole-person approach to pelvic health. She is internationally recognized for her work advancing awareness and clinical understanding of Pelvic Venous Disorders (PeVD). Dr. Baron lectures widely to physical therapists and healthcare providers, presenting at major international conferences and educational events. Her work is also being incorporated into the continuing education curriculum for pelvic health clinicians through Herman & Wallace, helping expand education on vascular contributions to pelvic pain for providers across the field. Her professional focus is informed not only by her extensive clinical experience, but also by her own journey navigating chronic pelvic pain and PeVD—an experience that continues to shape her patient-centered approach and her commitment to education, research, and advocacy. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

What if painful sex, tampon pain, or that "something is wrong down there" feeling was not something to quietly tolerate, joke away, or fix with the world's least helpful advice: "just have a glass of wine"? In this episode of Labia Logic , Dr. Ashley Fuller and Dr. Meredith McClure welcome filmmaker and storyteller Bonnie Gross, creator of Lady Parts, a comedy feature inspired by her own experience with vestibulodynia, painful sex, repeated misdiagnoses, and eventually a vestibulectomy. They talk about why vulvar pain is so often misunderstood, why vulvodynia is sometimes more of a starting point than a full answer, and how conditions like recurrent yeast infections and pelvic floor dysfunction can overlap. They also explain why doctors really need to learn the word vulva before your feet go up and they go poking around with a speculum. Vulvar pain deserves real medical attention, a painful exam should never be brushed off, and patients should trust themselves when something feels wrong. These are facts. Non-negotiables. You deserve answers, care, and pleasure without pain. Period. Links: ladypartsfilm.com Lady Parts on IMDB letterboxd.com/film/lady-parts-2024/ rottentomatoes.com/m/lady_parts @ladyparts_film on IG @ladypartsthemovie on Facebook @shake_ur_bonbon on TikTok @ladypartsfilm on YouTube About Our Guest: Bonnie Gross is an award-winning comedy writer, producer, and post-production pro who's never met a taboo topic she couldn't turn into a smart, comical, and relatable story. She has a passion for telling authentic stories that focus on the realities of living with chronic vulvovaginal and pelvic pain, which she believes deserve far more screen time. Originally from Philadelphia and now based in New York City, Bonnie earned her B.A. in Media Production from the University of Alabama and completed the UCLA Professional Program in TV Comedy Writing in 2018. Her most recent film Lady Parts, now streaming on Amazon Prime, is an autobiographical comedy inspired by her own experience navigating the vulvovaginal health care world, which earned the Special Jury Award for Screenwriting at the Florida Film Festival and the Jury Award for Best Comedy Feature at the Austin Film Festival. Bonnie has worked for several years in post-production at Encore Hollywood and Light Iron, working on an array of television shows and films. She now co-owns Brainwomb, a boutique finishing house in NYC where she partners with filmmakers to shape their stories at every stage of the post-production process. She has also written, produced, and edited comedic content for the media brand It's a Southern Thing, and regularly creates her own offbeat comedy videos for social media. In addition to her creative work, Bonnie serves as the social media manager and a campaign team volunteer for Tight Lipped, a grassroots advocacy organization by and for people with chronic vulvovaginal and pelvic pain. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

The docs of Labia Logic are all about women's health! So of course we want to support the 2026 Wholistic Healing Summit. Read on for more information from the Lichen Sclerosus Support Network. Many people with lichen sclerosus know the experience of opening multiple browser tabs late at night, trying to understand if a new symptom is LS progression or just menopause. It is exhausting to piece together care from conflicting advice and short appointments that leave your most sensitive questions unasked. The 2026 Wholistic Healing Summit: The Year of You changes that experience. From May 11–15 , we are bringing together 13+ world-class specialists in dermatology, pelvic health, and sexual medicine to provide the roadmap you have been missing. This isn't just about watching videos; it is about getting personalized answers. If you choose the All-Access Pass , you move from the audience into the room. You gain an exclusive seat in Deep-Dive Q&A Workshops where you can ask experts your specific questions about intimacy, pain loops, and hormonal shifts. You will walk away with a 70+ Page Integrated Care Guide and a lifetime searchable library, so when symptoms change six months from now, you aren't back at square one. Register now, and choose ongoing clarity at lssupportnetwork.org/whs.

Have you ever asked about your vulvar pain and been told… "it's normal," "it's stress," or the deeply unhelpful classic, "just relax"? In this episode, Labia Logic Dr. Adriana Martí joins the conversation to get into the very real, very frustrating world of chronic vulvar pain. Dr. Marti is a clinical health psychologist and she joins Dr. Ashely Fuller and Dr. Meredith McClure to share why treating chronic vulvar pain usually takes more than one magic pill, one procedure, or one awkward appointment where everyone avoids saying the word vulva. They discuss why chronic pain is different from acute pain, how the brain and nervous system can amplify pain signals, why catastrophizing is not a character flaw, and how stress, trauma, loneliness, relationships, and self-criticism can all turn the pain volume way up. This episode covers how pain education, cognitive behavioral therapy, acceptance and commitment therapy, pain reprocessing, and a biopsychosocial approach can help people relate to pain differently and reclaim more of their lives. We're here to offer validation, practical hope, and the much-needed reminder that chronic vulvar pain is complex, treatable, and deserving of care that sees the whole person, not just the body part causing the drama. About our Guest: Dr. Adriana Martí is a Health Psychologist who was born and raised in Havana, Cuba. From an early age Dr. Martí experienced the challenges of poverty and lack of freedom of speech. That's when she realized that she wanted to use her voice and skills to make a profound impact in the world. Dr. Martí left Cuba at the age of 12 and embarked on her journey to make a difference by choosing a career in the healthcare field. Coming from a family of physicians, Dr. Martí learned the importance of addressing physical components to heal the body. She also noticed the weaknesses of the biomedical approaches and recognized the need of integrative models to help individuals shift from disease into ease. Dr. Martí has used her bilingual and bicultural assets to positively influence various medical settings, program development, management, underserved populations, and has mentored a myriad of students and medical personnel on the value of mind body approaches. Dr. Martí is very passionate about making a difference in the community and spends her free time learning about the latest advances in the field of chronic pain and contributing to research. Links: www.martipsychologicalservices.com Connect on IG @martipsychologicalservices Connect on LinkedIn @adriana-marti-psyd Connect on Facebook @martipsychologicalservices More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

Why do we have a hundred nicknames for the vulva, but half of them feel weird, cringey, or downright insulting? Where did these words even come from? And why do so many of them turn into insults? In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure dig into the messy, fascinating, and sometimes uncomfortable world of sex slang. Brace yourself because nothing is off the table. Inspired in part by recent social media, they explore how language shapes stigma, why so many slang terms for women's bodies skew negative, and how even "funny" words can carry harmful undertones. Along the way, they pull from a massive historical slang dictionary, share surprising origins, and call out the cultural patterns that keep shame alive. Words matter. Your body is not the punchline. So let's reframe the conversation around vulvar anatomy with confidence instead of embarrassment. Doesn't that sound cliterific? Links: greensdictofslang.com jonathongreen.substack.com More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

Ever wondered if squirting is something you're supposed to "achieve"? Have you panicked over a rogue queef at the worst possible moment? What about briefly considered a little… clit bling? This episode of Labia Logic gets right in there with all the pop culture noise surrounding vulvas. Expectations are loud, information is questionable, and Google is not always your friend. Dr. Ashley Fuller and Dr. Meredith McClure are myth-busting the squirts, the queefs, and the piercings. They also talk about common misconceptions, from toilet seat paranoia to the idea that bodies should look, smell, or perform a certain way. All their info is grounded in anatomy, science, and real-life patient conversations. Takeaway? Your body isn't broken. It's just not a TikTok highlight reel. Squirting is optional, not a gold medal event; queefs are normal and sometimes just… comedic timing; and clitoral piercings come with more risk than reward. No shame. No stigma. They've got solid info and a reminder that normal spans a very wide range. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

So you've climbed the mountain… but something still isn't quite right. Maybe it takes forever to get there, maybe the fireworks are more like a sparkler, or maybe your brain suddenly decides it's time to think about laundry. This episode of Labia Logic is part 2 of our Orgasm Deep Dive with guest expert Dr. Irwin Goldstein. Dr. Ashley Fuller and Dr. Meredith McClure continue to explain why orgasm isn't always straightforward, and why the answer is often way more complicated than "just relax." During part 2, you'll learn why delayed or muted orgasms are especially common during perimenopause and menopause, how hormones like estrogen and testosterone can influence sensitivity and pleasure, and why some people may need to treat pain, nerve sensitivity, or brain chemistry before things improve. It's nerdy. It's science-heavy. And yes, it includes discussions about espresso, dopamine, and why orgasm might be one of the most fascinating full-body processes we have. Links: www.sdsm.info YouTube @sdsexualmed Facebook @SDSexMed X @SDexualMed isswsh.org prosayla.com About our Guest: Dr. Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 380 publications as well as multiple book chapters and edited seven textbooks in the field. Dr. Goldstein is Director of Sexual Medicine at University of California San Diego East Campus, and sees patients in his private practice, San Diego Sexual Medicine. He is a Clinical Professor of Urology and Voluntary Clinical Professor of Obstetrics, Gynecology, & Reproductive Sciences at University of California San Diego. He is a Past President of the International Society for the Study of Women's Sexual Health (ISSWSH) and of the Sexual Medicine Society of North America (SMSNA). The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field. He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

Picture this: you're doing all the right things, the mood is right, the body is there… and yet pleasure has quietly left the building.Your orgasm has ghosted you! In part one of an Orgasm Deep Dive on Labia Logic, Drs. Ashley Fuller and Meredith McClure are talking all about the very real experience of orgasm going AWOL. They have Dr. Irwin Goldstein as a guest expert to tell us why orgasm problems are almost never "just in your head" or "just hormonal" or "just pelvic." Ashley, Meredith, and Irwin cover the five regions involved in orgasm and explain the orgasm dysfunction categories. This conversation reframes orgasm as a full-body, full-system event, and explains why missing pleasure deserves real medical curiosity, not a shrug. Links: www.sdsm.info YouTube @sdsexualmed Facebook @SDSexMed X @SDexualMed isswsh.org prosayla.com About our Guest: Dr. Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 380 publications as well as multiple book chapters and edited seven textbooks in the field. His interests include surgery for dyspareunia, sexual health management post cancer treatment, persistent genital arousal disorder/genito-pelvic dysesthesia, physiologic investigation of sexual function, and diagnosis and treatment of sexual dysfunction in all genders. Dr. Goldstein is Director of Sexual Medicine at University of California San Diego East Campus, and sees patients in his private practice, San Diego Sexual Medicine. He is a Clinical Professor of Urology and Voluntary Clinical Professor of Obstetrics, Gynecology, & Reproductive Sciences at University of California San Diego. He is past Editor-in-Chief of the International Journal of Impotence Research, The Journal of Sexual Medicine and Sexual Medicine Reviews. He is a Past President of the International Society for the Study of Women's Sexual Health (ISSWSH) and of the Sexual Medicine Society of North America (SMSNA). He holds a degree in engineering from Brown University and received his medical degree from McGill University. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, in 2012 he received the ISSWSH Award for Distinguished Service in Women's Sexual Health, in 2013 he received the Lifetime Achievement Award from the SMSNA, and in 2014 he received the Lifetime Achievement Award from the International Society for Sexual Medicine (ISSM). He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic This episode was produced by Audiotocracy Podcast Production .

If you've ever left an appointment thinking, "Wait…is this all in my head?" then this episode of Labia Logic is your group chat in podcast form. Recorded from a hotel room bed (strictly for lighting reasons), Dr. Ashley Fuller and Dr. Meredith McClure are on the topic of the all-too-common experience of medical gaslighting and why feeling dismissed is way more common than it should be. Ashley and Meredith are broadcasting from the International Society for the Study of Women's Sexual Health (ISSWSH) conference, and the conversation reveals how clinicians learn, collaborate, and (sometimes) unlearn outdated ideas. They are (un)covering it all: vulvar pain, hormones, and libido. Ashley and Meredith emphasize that lack of education, not lack of symptoms, often leads to dismissive care. And they're explaining why a multidisciplinary, whole-person approach is changing the game. Know this: your symptoms are real, patient autonomy matters, and "just relax and have a glass of wine" is not a treatment plan. WE believe YOU! More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Herpes. Yep. We said it out loud. A word that can trigger panic, shame spirals, and frantic Googling… but what if we told you it's also extremely common, very misunderstood, and not the relationship-ending disaster pop culture makes it out to be? In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure tell us why herpes happens. And also why it should come with way less stigma than it does. Ashley and Meredith explain the difference between HSV-1 and HSV-2, how transmission actually works, and why routine herpes screening isn't recommended, even when you're begging your doctor to "test me for everything." You'll learn how herpes is diagnosed correctly, why antivirals like valacyclovir are effective and low-drama, how to reduce outbreaks and transmission, and what to know about dating, disclosure, pregnancy, and newborn safety. Herpes is manageable, common, and absolutely not a moral failing—just a skin virus with a wildly overinflated reputation. From myths to medicine, this episode delivers relief, realism, and a much-needed dose of Labia Logic. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Ever wondered if a vibrator could be your new favorite wellness tool? And which one is the "right" one anyway? In this episode of Labia Logic Dr. Meredith McClure and Dr. Ashley Fuller dive headfirst into the world of pleasure with zero shame, lots of laughs, and a reminder that orgasm is a learned skill, not a magic trick you missed in sex ed. The hosts welcome Elizabeth Leister of Vitality Within , a sexual wellness coach who helps women navigate vibrators, tools, and sexual pleasure with clarity and compassion. Together, they explain why sexual health is health, how pleasure connects to blood flow, hormones, menopause, postpartum changes, and long-term relationships, and why using tools isn't "cheating," it's teamwork. From beginner-friendly vibes to suction tech, rabbits, rings, and the legendary wand, they explain what's out there and who each option might help. Bottom line? Pleasure should be playful, empowering, and fun. Whether you're flying solo, spicing up date night, or just curious, this episode proves that good vibrations really are good medicine. About our Guest: Elizabeth Leister: I began my career as a teacher. At the same time, I was coaching girls in Junior OlympicVolleyball clubs. I moved on from teaching and transitioned into specialty pharmaceutical sales. I continued coaching for many years. After my second child was born, I spent 14 years at home as a stay-at-home mom, where my knowledge and passion for all things fitness and nutrition grew and developed. In this time, I was able to educate and coach many women in nutrition and fitness. After recognizing an unmet need in women's health around sexual wellness, I started Vitality Within to help fill this gap, while at the same time keeping the conversation around nutrition and fitness all tied into sexual health. Links: vitality-within.com @vitalitywithinwellness on Instagram More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

In this episode of Labia Logic , Dr. Ashley Fuller and Dr. Meredith McClure are kicking off January by diving headfirst into orgasms, because women's sexual pleasure still doesn't get nearly enough airtime. From awkward silence to Hollywood myths, they ask the big questions we're all thinking: Why don't we talk about this more? Who do you even ask when something isn't working? And why did no one cover this in OB-GYN residency? The good news: if orgasms are elusive, you're not broken, and you're definitely not alone. This episode covers what orgasms actually are: a full-body, full-brain event involving nerves, blood flow, hormones, pelvic floor muscles, and neurotransmitters. Oh and yes, the brain! The biggest sex organ of all. Ashley and Meredith are talking about common myths like penetration-only orgasms, explaining the infamous orgasm gap, and calling out pop culture for setting wildly unrealistic expectations. They even explain why faking orgasms happens, how it backfires, and why pleasure ≠ performance. This episode lays the groundwork for how to troubleshoot, optimize, and reclaim pleasure. Everyone deserves a sex life that's satisfying, shame-free, and actually enjoyable. Homework encouraged. More about the hosts of Labia Logic: Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. www.ashleyfullermd.com Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic