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September 3, 2025 58 mins

Hot flashes, vaginal dryness, and sleep disturbance are the three most common symptoms of menopause. Currently, there are over 20 FDA-approved products to treat hot flashes. There are roughly 10 FDA-approved products to treat vaginal dryness. There are zero FDA-approved products to treat insomnia due to menopause. Zero. 

My guest is Dr. James Simon, a clinical professor of Ob-Gyn at George Washington University and an expert on all things menopause.   

In this episode:
  • How common it is for women to have new-onset sleep disturbances due to hormonal changes?
  • Are Insomnia and sleep disturbance the same thing
  • What happens in the brain to induce sleep and maintain sleep
  • How Cognitive Behavioral Therapy works
  • The relationship between hot flashes and insomnia
  • The role of estrogen and sleep
  • How FSH is useful to evaluate sleep issues
  • The role of progesterone on sleep
  • The role of melatonin
  • Non-hormonal sleep disruptors
  • The impact of chronic insomnia
  • Treatments
    • Estrogen
    • Progesterone 
    • Anti-depressants
    • Sleeping pill
    • Sex/Orgasm
    • Advil PM 
    • CBT
    • Sleep hygiene
    • Melatonin 
    • Magnesium
    • L-Threonate
    • Vasopressin
    • PDE-5 Inhibitors
    • NK Inhibitors
Dr. James Simon
https://intimmedicine.com/

Other episodes with Dr. Simon

·      Ep 98 Live from the Menopause Society Meeting 

·      Episode 123 Hormone Therapy After Age 60 with Dr. James Simon

·      Episode 124 All Hormones Are Not Created Equal with Dr. James Simon


Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. 
 

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 
 

LINKS


Books by Lauren Streicher, MD


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