Beyond “That’s Normal”: Dr. Troy Hailparn on Redefining Women’s Health

Send us Fan MailMost women are told to accept postpartum leakage, bowel changes, reduced sensation, or discomfort as “normal”. We don’t buy that, and neither does Dr Troy Hailparn, a board-certified gynaecologist and pioneer in functional and cosmetic gynaecology. She explains how her work began as a response to patients whose concerns were brushed off, and why a better standard starts with one simple habit: ask about bladder function, bowel function, and sexual function, then examine and name external vulvar anatomy with the same seriousness as internal findings.We talk about procedures that most clinicians never learn in residency, including labioplasty and other vulvar surgeries, and why motivation is often misunderstood as purely aesthetic. Dr Hailparn shares how irritation, pain, hygiene issues, sport discomfort, and trauma history can shape what patients ask for, and why counselling and team-based support matter. We also get practical about pelvic floor myths, when kegels fail, and how “normal after childbirth” can become a dangerous excuse to stop investigating.On the systems side, we dig into informed consent, patient understanding, and the realities of building a cash pay solo clinic that makes time for long consultations. Dr Hailparn also outlines her evidence-led interest in regenerative medicine like PRP and exosomes, plus the bigger goal she wants next: proper training pathways through residency education or fellowship programmes. If women’s health, pelvic floor care, postpartum recovery, menopause counselling, and patient-centred gynaecology matter to you, subscribe, share this conversation with a friend, and leave us a review. What part of women’s care do you think medicine still avoids talking about?Guest BiographyDr. Troy Robbin Hailparn, MD, FACOG, FICS is a board-certified gynecologist with more than 30 years of clinical experience and the founder of the Cosmetic Gynecology Center of San Antonio. A pioneer in cosmetic and functional gynecology, she has spent more than two decades addressing overlooked issues in women’s sexual health, pelvic function, postpartum recovery, and quality of life. Dr. Hailparn authored ACOG’s first labiaplasty training module, teaches other physicians, and is known for her patient-centered, science-based approach to care.Contact DetailsWebsite: https://cosmeticgyn.net/LinkedIn: https://www.linkedin.com/in/drhailparn/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.