Vaginal Health and Sexual Vitality with Dr. Betsy Greenleaf

In this groundbreaking episode of the Menopause Disruptor Podcast, host Mary Lee welcomes Dr. Betsy Greenleaf—the first woman in the United States to become board certified in urogynecology. Triple board certified in obstetrics and gynecology, female pelvic medicine and reconstructive surgery, and procedural medicine and aesthetics, Dr. Greenleaf is a true pioneer challenging outdated narratives in women's health.With over 20 years of experience, Dr. Greenleaf shares her journey from studying the sports page alongside surgery textbooks to founding the International Pause Institute and the Pelvic Floor Store. This conversation dives deep into the gut-vagina-bladder connection, the commercialization of menopause (yes, menopause toothpaste exists), and why 90% of medical conditions are caused or worsened by poor gut microbiome health.From the vaginal mesh crisis to her "find your bikini moment" philosophy, Dr. Greenleaf delivers practical wisdom on pelvic prolapse, GSM (genitourinary syndrome of menopause), why KY Jelly is terrible for vaginal health, and how one dose of Cipro can disrupt your gut microbiome for an entire year. She also reveals her secret hack: testosterone cream around the eyes for dry eye relief.Key Takeaways90% of medical conditions caused or worsened by poor gut microbiome50% of women experience pelvic prolapse (bladder, uterus, rectum dropping)90% of serotonin made in the gut—mood issues may be microbiome-related and 80% of immune system made in the gutUTI-antibiotic-UTI cycle disrupts gut and perpetuates infectionsVaginal mesh crisis parallels current menopause commercialization fearsSexual stimulation maintains pelvic blood flowResources:GSM Fact SheetWomen’s Pelvic Meditation: https://femversity.com/pelvicmediation-sign-upConnect:The International Pause Institute:   https://pauseinstitute.comThe Pelvic Floor Store: https://pelvicfloorstore.com Use the code Disruptor  for 10% discountIG: https://www.instagram.com/drbetsygreenleafspeaks/Let us know if you're liking the show!I would love it if you could support the show. Go into the show notes and click on the button where you read "support the show." You have the option to donate monthly, $3, 5, 8, 10. Be a loyal supporter for as long as you want with recurring fee as little of three as $3 a month, and opt out at any time. Each investment goes directly back into producing episodes with even better content, improved audio quality, and we'll go a long way in bringing great guests onto the show. Support the showMeet the host, Mary, a certified Menopause Doula and Women’s Coaching Specialist. Mary is also a corporate educator, helping forward-thinking organizations foster a menopause-friendly workplace and design policies and accommodations for employees. Click to learn more https://emmeellecoaching.com/menopauseatworkTurn your menopause transition into a transformation with the Menopause Intelligence Course (MQ), an 8-module, self-paced learning experience, empowering you to take agency over your health and make informed decisions with your healthcare team. Connect: Instagram @menopausedisruptorpodcastLinkedIn linkedin.com/in/maryhelenlee/Subscribe on Substack @emmeellecoachingDisclaimer: Information shared is for educational and entertainment purposes only and does not replace medical advice. Always consult with a healthcare professional.