The Vagina Dialogues

Your Unblushing Foray Into Women's Sexual Health
Women’s sexual health deserves straight answers, minus the shame and side-eye. In this episode, we get clear on what’s normal, what’s treatable and what actually helps you feel comfortable and confident in your body.

🌟 Everything We’re Covering:

• OB/Gyn vs. Uro/Gyn vs. Functional Medicine: who is responsible for what & and how the functional medicine approach connects hormones, lifestyle and outcomes.
• Pelvic Floor 101: what it is, how it works, and why it matters for leaks, pleasure, and support.
• Common Concerns, Real Causes: incontinence, UTIs, odor/BV, discharge, yeast infections, low libido and difficulty reaching orgasm.
• Vaginal Atrophy: what drives it (estrogen decline, time, stress) and what actually helps.
• Treatments That Move the Needle: O-Shot/PRP, diVa/Ariessence, vaginal estrogen, hormone replacement therapy (HRT), prescriptions, probiotics, cranberry and when to use each.
• Hormones & Gut Health: why estrogen, progesterone, testosterone and your microbiome shape symptoms.
• Kegel Exercises: what they are, when they help and when you need PT instead.
• Childbirth & Recovery: what changes, what you can do before pregnancy and how to heal afterward.

The Labiaplasty Deep Dive With Dr. Donaldson:
We go deep on what labiaplasty surgery is, who it actually helps and how Dr. Donaldson is able to perform it comfortably in an office vs. having to go to a surgery center. He breaks down our signature wedge technique and how it differs from a trim and what recovery really looks like, including realistic timelines for walking, workouts, tampon use and, of course, sex.

Trends That We Debunk (& Some We Embrace):
✔ Vaginal steaming
✔ Jade eggs/balls
✔ “Private part" deodorants
✔ Refreshing wipes
✔ Toy hygiene
✔ Good lube & bad lube

🌟 Meet Your Experts:
⚕️ Marguerite Weston, MD, IFMCP: Double board-certified functional medicine physician in Columbus, Ohio, who is connecting hormones, metabolism, gut health and sexual wellness to treat root causes (not just symptoms).
⚕️ Courtney Gilbert, PA-C: Renowned physician assistant focused on women’s wellness and aesthetics, guiding patients through pragmatic, personalized plans for comfort, confidence and sexual health.
⚕️ Jeffrey Donaldson, MD: Board-certified plastic surgeon specializing in precise, patient-centered procedures including labiaplasty, with an emphasis on natural form, function and comfort.

This one is for anyone who is seeking validation about their situation and real solutions — isn't afraid to have a little laugh while learning about libido, comfort and vaginal health!