Fiera Blog

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

10 Symptoms of Menopause and How to Treat Them

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Topics: sex, couples, aging, improving your marriage, relationship, Mind & Body, libido, menopause, health, desire, insomnia, sexual dissatisfaction, hot flashes, sexual heatlh, intimacy

Sexual Compatibility

"What's your secret?” our new friend Jenny asks leaning across the tiny barroom table.

“Sexual compatibility,” my wife says.

“Geeze!” Jenny exclaims, choking and almost spitting in her drink. “Is that really it?” She shows shock and disappointment. “It’s just all about sex?”

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Topics: sex, relationship, Mind & Body, Sex & Relationships, Fiera Experts, sexual heatlh

How Consistency and Intimacy go Hand in Hand

Intimacy, to me, is hard to define. Sure, most people would point to sexual connection as intimacy. Others would value it as a familiarity that is found only in romantic or close platonic relationships. These definitions are true but only illustrate a small portion of the depths of this feeling. If intimacy is viewed through a lens that prioritizes physical connection and emotional closeness, what happens when those things are no longer in the picture? 

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Topics: sex, Mind & Body, sexual heatlh


Self care answers a lot of my midlife questions. How will I survive aging? What should I focus on now that I have the basics locked down? Which lessons did I miss out on while I was partying in my 20s? What's my primary responsibility in a culture dripping with guilt and codependence? What is the most daring challenge I can give myself? What have I still not learned well? 

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Topics: sex, Mind & Body, health, Fiera Experts, sexual heatlh

legalize "vagina"

Why in 2016 is the word “vagina” still taboo? As a practicing gynecologist, I have witnessed first-hand the blushing, giggling, and complete avoidance that goes along with referring to a part of the human anatomy possessed by half of the world’s population. Popular culture has come to refer to the vagina by the following absurd names: “vajayjay”, “hoo-hah”, “down-there”, “privates”, “lady bits”, “kitty”, “bajingo”, “flower”, and the list goes on. Is vagina a shameful or explicit word?

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Topics: Fiera Experts, gender equality, education, womens rights, sexual heatlh
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