Fiera Blog

Leah Millheiser, MD

Leah Millheiser, MD

Dr. Leah Millheiser is the Chief Scientific Officer of Aytu Women's Health, LLC. At Stanford University Medical Center, Dr. Millheiser is a Clinical Assistant Professor in the Department of Obstetrics and Gynecology and Director of the Female Sexual Medicine Program. In addition, she is a Fellow in the American College of Obstetricians and Gynecologists and the International Society for the Study of Women’s Sexual Health. As a sexual medicine expert, Leah devotes her career to treating all aspects of female sexual health. She has a particular interest in the sexual wellness of cancer survivors. In her gynecology practice, she takes care of women across the lifespan, from adolescence to menopause and beyond.

Recent Posts by Leah Millheiser, MD:

“Just Say No” Isn’t The Sex Ed Your Child Needs

In the September issue of the Journal of Adolescent Health, there is a position paper from the Society for Adolescent Health and Medicine on Abstinence-Only-Until Marriage (AOUM) programs that should get every parent thinking about what kind of sex education their kids are receiving in school. Unfortunately, the intention of waiting until marriage to have sex often fails. With the age of marriage rising in the US, most people have sex for the first time as an adolescent or young adult. In fact, research demonstrates that AOUM programs don't delay the first time a young person has sex. In many communities across the US, abstinence-only programs have replaced more comprehensive ones and this is problematic, as we understand that AOUM programs have the following impact[1]:

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Topics: communication, Sex Talk, safe sex, family, education

The HPV Vaccine May Save Your Child’s Life Someday

For many of us, last-minute vacations, school supply shopping, and a visit to the pediatrician herald in the end of our kids' summer. It's also usually around this time when the emails and calls begin to pour in from friends asking whether or not their child should get the Human Papilloma Virus (HPV) vaccine. Sometimes, I can't believe that I am still asked this question, because to me, it's a no-brainer. Unless there is a contraindication, of course your child should get the HPV vaccine! Why wouldn't you protect your child from the most common sexually transmitted infection in the U.S. that causes genital warts as well as various cancers? Well, here are some of the excuses that I am given:

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Topics: sex, Sex Talk, health, sexual heatlh, HPV

Female Sexual Dysunction is a Medical Issue…Period!

The debate over female sexual response has been raging since Masters and Johnson in the 1960's and shows no sign of abating anytime soon. This was made clear during the FDA-approval process of Addyi, a pill for the treatment of Hypoactive Sexual Desire Disorder (HSDD), in 2015. The debate that raged in the media at the time, which included input from political pundits, women's health experts, and HSDD sufferers, both fascinated and infuriated me. For what seemed to be a lifetime, they went back and forth on whether HSDD was a disorder developed by pharmaceutical companies to sell a drug and, even if there was a biological origin, whether it warranted medical therapy. One side of the argument believed that HSDD should only be addressed with cognitive and behavioral therapies rather than drug therapy. The opposing side felt that, due to the multifactorial nature of HSDD, this type of approach wasn't always sufficient and that drug therapy should be one of the tools in a clinician's HSDD treatment arsenal. Unfortunately, the debate in the media took away from the important messages that came out of Addyi's approval - that there was finally an FDA-approved therapy for the most common form of female sexual dysfunction (FSD) and that the FDA pledged to support the development of other safe and effective therapies for FSD.

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Topics: Sex Talk, health, sexual function, sexual dysfunction, sexual heatlh

Don’t Neglect Your Vulva and Vagina This Summer

Vaginal health concerns always seem to peak during the summer months. There are many reasons for this, including longer periods of time spent in a wet bathing suit, exercising in warm weather, and increased sexual activity. Along with these behaviors, we see an increase in various gynecologic conditions, including vulvar eczema/psoriasis, yeast infections, and bacterial vaginosis. There are several preventative measures that a woman can take to try and avoid these pesky annoyances of summer:

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Topics: lubricant, health, vulvodynia, beauty, education

Men Are From Mars and Women Are From Venus When It Comes to Sexual Response

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Topics: sex, arousal, relationship, libido, Sex & Relationships, desire

Do Your Kegels!

I recently had a conversation with a friend who was experiencing some urine loss during exercise, following the birth of her child. Putting on my gynecology hat, I asked her if she'd tried kegel exercises yet. Her response was classic—“I hate working out, so why would my vagina be any different”? Her response intrigued me. As a clinician, recommending a treatment as simple as a kegel squeeze is a no-brainer.

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Topics: aging, Fiera Experts, kegels

How to Introduce Fiera to Your Partner

It’s completely normal for a woman’s level of sexual desire and arousal to fluctuate throughout her life due to many factors, including hormonal changes (e.g. breastfeeding, menopause) and life stressors. In healthy relationships, women with low sexual desire describe that while that initial “spark” that drives them to want sex isn’t always around when they want it to be, they typically enjoy sex once they get going. Fiera® arouser was developed for just this reason.

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Topics: Sex & Relationships, Fiera Experts

Is Your Personality Type Affecting Your Sexual Satisfaction?

The behavior of a human being in sexual matters is often a prototype for the whole of his other modes of reaction in life”—Sigmund Freud, Sexuality and the Psychology of Love

In the past 12 years that I have practiced female sexual medicine, I have had the unique opportunity to observe trends between women's personality types and sexual concerns. To better illustrate this point, I have made up a case of a woman with primary anorgasmia. This is when a woman has never been able to achieve an orgasm, not for a lack of trying.

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Topics: relationship, Sex & Relationships, Fiera Experts, mindfulness

Popsicles Aren't Sex Toys

Between juggling 2 jobs and a young family, it’s a rare day when I get to kick back and watch something on TV that isn’t animated. However, it was on one of these rare nights that I was lucky enough to strike “TV gold”. Lying somewhat comatose on the couch, I was jolted awake when that remote area of my brain that was still awake heard the title of the upcoming show… Sex Sent Me To The ER.

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Topics: Sex & Relationships

4 Facts to Know About Personal Lubricants

For many women, buying a personal lubricant at the drugstore or market can be an embarrassing and bewildering experience. You turn to your left and a man is buying a pack of condoms - you look to your right and a woman is buying a pregnancy test. And who really wants to spend the time perusing the ingredients of each bottle? When I ask women what brand or type of lubricant they use, the majority have no idea. That’s because they leave it up to their partner to buy it or they grab the first thing they see on the shelf and make a mad dash for the cashier. What many people don’t realize is that there are several types of lubricants that a woman can choose from and each one fulfills a different need. Here are some helpful tips to consider when purchasing your next bottle:

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Topics: Fiera Experts
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