Send us Fan MailLifestyle Education: Dr. Stoehr on MGEN, The STI You Might Not Know You Have | Episode 194In this episode of The Swing Nation Podcast, the top-rated podcast about non-monogamy and swinging, Dan and Lacy sit down with Dr. Stoehr for an important conversation about sexual health in the lifestyle community.They dive into the topic of MGEN (Mycoplasma Genitalium), an increasingly common and often overlooked STI that sexually active people—especially swingers—should be aware of. Dr. Stoehr breaks down what it is, how it spreads, and why early detection and treatment are key.The conversation also turns personal as Lacy shares her recent concerns about a decrease in libido. Dr. Stoehr offers valuable insights into the potential causes and explores how hormonal changes, mental health, and lifestyle factors can all play a role. Plus, she gives practical tips for keeping your vagina healthy and happy during high-activity events like Bliss Cruise.Whether you re new to the lifestyle or a seasoned swinger, this episode is full of essential information, honest reflection, and empowering advice to help you swing smarter and safer!Dr. Stoehr s Website: https://www.swingingsafe.com/- The Swing Nation -Main Website Quick Navigation Website: -- (Find all our social media links more!)- Swinger Society - Our Website to meet, connect events Swinger Society Discord Our Facebook Group- Swinger Websites -Kasadie 90 day free trialUsername: TheSwingNation SDC 14 day free trial Username: TheSwingNation** Use code 36313 for 14 days free! ** SLSUsername: NorthernGuynSouthernGirl- Merch More -Order Your Merch Here!- Lacy’s Fun Links -VIP OnlyFansPREMIUM OnlyFans-- THANK YOU TO OUR SPONSORS --I Know my Status : Get 15% your first test with by using promo code: Lifestyle https://iknowmystatus.com/ Wisp : Making sexual healthcare inclusive, cost-effective, and accessible—for everyoneUse Code SWING at checkout for 15% off your oder!Shameless Care: ED Medication and at home STD testingUse Code TSN at checkout for $30 off your order!Promescent® Make Love Longer, It’s Time for Great SexUse CodeSupport the show- Thank you for the support! -
Transcript
this podcast is intended for adult audiences over the age of 18 it contains adult language and situations the views thoughts and opinions expressed in this podcast belong solidized and not of any employer organization committee or other group or individuals this podcast is not intended to be taken as professional advice. Welcome to the Swing Nation podcast, a podcast by swingers and for swingers, where we look to educate others and push back on the negative stigmas and misconceptions associated with our lifestyle.
Come with us and share our pineapple journey as we travel the globe, interview the activists, learn and grow together. Join the nation. So Lacey, people are asking, how do they get to go to a party or an event with us? They check out swingersociety.net, you create a profile, you sign up for an event, and you come hang out with us. Super easy. That's right. If you want to party with us and the other faces and names that you know from social media and TikTok, head on over to swingersociety.net. Can't wait to see you there.
hey there pineapple people and welcome to the swing nation podcast we are your hosts northern guy and southern girl and today we are back in the studio with dr.
store which I wish you were actually here like we need to make that one of these times you need to come actually to our house and hang out at the studio and do it yeah you know I would love that give us a little time together um and we're here to talk about a few different things so i think the first half of this podcast at least what we'd like to talk about is something called mgen and i'm not going to say what that actually stands for i'll let you do it uh but but this has really come up with us because we just recently partnered um with i know my status slash talent testing and this is a uh sti that they've started testing standard for porn stars for and when we had them on our podcast we were talking about mgen and one of the things they revealed to us is that when they started testing the porn stars it was something like and if i get the numbers exactly wrong um i'm sorry but it was like a third wasn't it yeah but they said it like a third of the porn stars when they started testing them came back positive for mgen and i was like blown away by that we were nervous so we went to get tested and we had never been tested for mgen before and we were like crossing our fingers we actually had a conversation about what happens if we test positive like are we are we open and honest with our fingers.
We actually had a conversation about what happens if we test positive. Are we open and honest with our listeners? We typically keep everything 100 here, but we had never been tested and we were kind of nervous. So it ended up we did not test positive. So we didn't have to worry about it, but we were nervous. All right.
So yeah, mgen is mycoplasma genitalium um it is an sti it's kind of an interesting one though because it it didn't really like quote unquote hit the scene until fairly recently over the last handful of years i mean we didn't learn about it when i was in residency i don't remember it ever popping up or being talked about even um and i can't give you exact date without Googling it as to when it was kind of like, Hey, this is another SDI.
Um, but I, the place I remember hearing about it first was when I was still doing OB and we discovered that it was, um, causing increased risk for stuff like preterm delivery. And it was kind of like, Oh, well we should probably, you know, maybe be looking for this and people who were at risk. And we discovered the people who are at risk were people who were in situations where they had multiple sexual partners or whatnot. And then it was kind of like, is this an STI? This looks like an STI. Maybe we should look into this. So it actually has been labeled as an STI now by the CDC.
And there's like a whole page of recommendations on the CDC specific to mycoplasma genitalium. So there's, there's some quirks about it. And I don't know what you guys specifically want to know, or if you want me to just talk. We don't know a lot about it. I just know that the symptoms kind of mirror UTIs. And I was told that if you're somebody that has frequent UTIs, or maybe they like go away and they come back pretty quickly after an antibiotic, that maybe you should be tested for this because it can kind of look like a UTI? It's actually in men more likely to cause UTI-like symptoms.
So it is like, I want to say it's like maybe 25 to 30% or so, maybe even a little bit higher than that of non-gonococcal urethritis in men. So those common things to cause urethritis in men other than a UTI is gonorrhea. And then if it's not gonorrhea, you got to start looking for M genitalia because it causes symptoms that very much to a male feel like a UTI. In women, it's actually more common to cause like vaginal symptoms. So cervicitis, which can cause spotting, discharge, general vaginal discomfort, cramping, that sort of thing.
It is one of the causes for pelvic inflammatory disease, also known as PID, which is an infection up inside the pelvic cavity, typically affecting the tubes and the ovaries. So that, I mean, it's got some legit issues associated with it. I want to say it's something like 30 or 40% of PID has an association with M genitalium. The problem with PID is once it's kind of like taken root, it becomes a multi-bug organism, kind of like zoo, and we have a really hard time figuring out what caused it in the first place.
But we think probably somewhere between 20% and 40% of PID is actually primarily caused by M genitalium.
So I guess my question is, okay, you're saying this is a fairly new sti came on the scene 10 years ago to for the most part why does it seem like nobody's heard of it like why does it seem like doctors aren't testing for it why does it i mean why did even us who are pretty sex positive and and have talked a lot about stis um we really didn't know we just learned about like six months ago so i guess why is it not more known i think it's possibly because it really didn't make that big of a splash i know that sounds kind of crazy but a lot of stuff that's really well known it made a splash somewhere for instance like um talking about breast cancer wasn't okay until angelina jolie had a bilateral mastectomy it's one of these types of things m genitalium hasn't like made a splash like gonorrhea or chlamydia that everybody knows about.
So it's not like a big star has come out or a porn star has come out and said, hey, I had this infection. You should probably be checked for it. So there wasn't a big like media splash around it. It was kind of like snuck onto the scene. And because of that, people who don't necessarily specialize in this, even gynecologists may not necessarily be aware that it's even an STI. Um, there is a very close cousin to it called urea plasma. Um, and urea plasma ureoliticum is, is like the full term for that. And it's not technically an STI, but it kind of functions like one.
And I think a lot of gynecologists are like, wow, neither one of them is STIs. And they don't really realize that mycoplasma genitalium has indeed been labeled as an STI at this point. So it didn't make a big splash. We don't necessarily talk about it that much. Um, I think one of the biggest reasons, honestly, is that it's hard to test for. Yeah. So it's hard. So they test your urine, right? Is that, that's how they do it, but you're saying it's easier to test for now you can test urine. You can actually test vaginal swabs and urethral swabs and males.
The problem is a lot of stuff used to be cultured. Like we would actually put it in a culture media and grow it. You can grow gonococcus. You can grow chlamydia, et cetera. You cannot grow M genitalium. It won't grow. So the only way to really look for it is something called NAAT or nucleic acid amplification testing. So NAAT is the only testing really that tests easily and quickly for M genitalium because it takes like six months to grow M genitalium on a culture medium. So an NAAT testing only came out a handful of years ago.
So that's, that's how we kind of figured out, oh, there's an STI that we didn't know about. And we found it on this NAAT testing and then we kind of figured out, oh, there's this bug floating around. Is it actually causing symptoms? Yes, it is.
yes it is it's causing symptoms can it be passed from partner to partner yes once you figure out that it is passed typically from partner to partner with sex and is symptomatic especially in ways that can be dangerous i.e pelvic inflammatory disease then um then it's labeled as an sti so like i said it didn't really make a big splash and a lot of i don't even know that a lot of gynecologists even really know that technically it's an STI and should be, should be tested for now. So it can be tested fairly easily now, but originally it was not easy to test for.
That's so scary because I think a lot of people think that they're doing the right thing. They're going to their OBGYN or their family doctor and they're like, I need a STD test.
And that's really just up to their discretion of what they feel like you should be tested for and that's really scary because you could be 100 doing like the right thing and still be falling short so it's i mean even on our panels there's like it's hard to find a panel that has m genitalium on it yeah so like the only sti panel that i run from my office that has M genitalia on it in the panel for STIs is through a secondary company called HealthTracks, which I really like. They have a recurrent vaginitis panel that has ureaplasmin and M genitalium on it.
But like your standard probe that we would normally do at the gynecologist's office, the one that's done with a pap smear just has tests for gonorrhea, chlamydiaydia, trichomonas. And then also the swab, gonorrhea, chlamydia may or may not test for trichomonas, whether or not you ask for it. So it's honestly, it's not as easy as you would think to just be like, yeah, you should be testing for M genitalium, just go get tested. It's very possible that the place that you're getting tested at doesn't have the swabs to do it. Yeah.
We've had friends that say they went to their local doctor and specifically asked for mgen testing and they were told that they didn't have the test for yes that's like so crazy i feel like we hadn't heard about it and then all of a sudden now we are hearing for example we have another friend who is a content creator and she was going to make content with this one individual and they said you could use your scd test from your family doctor but it had to have engine their family doctor was like i have no idea what you're talking about or whatever i don't have it whatever it's so they had to go to like and i know my status or a talent test somewhere that is like really driven like that this is their focus to get that one specific test which is it's kind of crazy yeah that's what and that's one of the other reasons i think that it's not as like out there is because like i said it's hard to find testing for it you have to have a panel that has it i i only have one at my office that has it and that's the panel that i run on all of my um my particularly prolific ls patients you know so the reason they don't have it is because the equipment's equipment hasn't got out there to everybody or the tests?
Not everybody does NAAT testing. So most of the labs have the ability to do NAAT testing now, but it's more expensive. And so it's not necessarily like a standard protocol. So most standard protocol STI panels will have gonorrhea, chlamydia, and trichomonas for the swab part of it. If you want to add M-Gen, you have to do either a secondary swab, which is going to like triple the cost, or you have to have a, find a panel from a particular lab that includes M-Gen. So it's like separate swabbing, different type of swab.
You know, it depends on kind of what you're looking at and the kind of culture medium it has to be in order to be able to pull the NAAT testing off of is different.
Yeah that's crazy so it's not as easy as it sounds i know yeah so we got to go to the um talent testing i know my status lab and they actually walked us through that and it was pretty cool to see i don't really understand what they were doing they had two like big 3d printer looking machines that they put the samples in and then the machine did all the tests and so i don't know exactly i think the images one of them they did by hand it wasn't okay i don't remember you'll have to watch our youtube video at some point but it was pretty interesting to see how like what they pull from each thing and they you know they spun the plasma and we got to see the blood to get the plasma it was super interesting so if you haven't watched that youtube video go check that out but but we learned a lot again and i guess i and i think it's probably what you're saying because multi-partner sex isn't as common you know we're all supposed to be married and only have one partner if you only have one partner you're much less at risk for a lot of these stis but when you're saying this this sti has been around for 10 years and it can cause probably way more than that serious problems around for forever we just didn't know about it right and it can cause serious problems and if you're having sex with multiple partners you're at risk for this and probably should be being in testing for it but there's literally parts of the country it seems like lots of parts of the country where you can't even get access to the testing to me that is mind-boggling yeah yeah no there's you can get access to the testing all over the country you just have to have somebody who's got access to the right kind of lab you just have to advocate for yourself yeah yeah health tracks is who i use health tracks um does work throughout the united states i'm a big fan they've got some panels that are just really helpful especially for for people like me who treat people who are in non-traditional sexual lifestyles, but also for people who have chronic BV that we cannot get rid of.
I cannot tell you how many times we've, you know, I've pulled one of those like big daddy panels or big mama panels, whatever you want to call them. And we found something that was unexpected. And then also found that that something unexpected had resistance to the normal antibiotics, which is actually another big thing about M gen is that's what a lot of antibiotic resistance. Well, that's what my next question was going to be. So, okay, you tested positive. Now what, what happens? I guess, can you go over symptoms again real quick?
I think you touched on it briefly in men, but can you just go over overall symptoms? I know Lacey gave a little bit about it.
It kind of feels like a UTI that won't go away, but just from your, your males, it's often to be um a uti like symptoms um you can have urethritis with it which would cause like discharge um urethral discomfort discomfort with voiding that sort of thing so in a male it's more liable to act like a uti in a female it can but it's more for the males just to yes you said a lot of what sounded like medical terms to me but it hurts when you pee sorry you hurt when you pee and there might be it might be blood yeah i'm gonna make it second grade level for dan so it hurts when you pee and have stuff dripping from your okay blood or like some kind of discharge no like okay all.
So if it hurts when you pee and you have dripping discharge, that could be... For a male, that could be... Yeah, especially if they check you and the gonococcus is negative, you need to be looking for M-gen. Okay, all right. And then for females? For females, more likely to cause vaginal symptoms. So vaginal discharge that won't go away, mild cramping, bleeding, especially post-sex bleeding, vaginal irritation, sensation of dryness or discomfort during sex.
And heaven forbid, if it gets up into the abdomen, then it can cause severe infection, in which case you would have what feels kind of like appendicitis. yikes so is this like almost like immediately after sex or is this like a few weeks later? What are we talking about here? Okay. So remember earlier when I said it takes like six months for MGen to grow? Yeah. It can take a while to show symptoms in humans as well.
It's not quite as slow as it is in culture medium, but, you can be fairly quick or they can take a while weeks okay so i would assume the test would be the same if so if you're getting tested for mgen just because you got a negative test if you went out and had sex and got tested a couple days later and you're you have a negative it might take a while to show up it might take a while to show up in your it might take a little while to show up yeah and it's not uncommon for it to be asymptomatic so you may not have symptoms at all and still have it floating around gotcha okay which is probably where most of the phone stores that had it they didn't know they had it yeah having symptoms right and then okay then the treatment for it okay so this is one of the other big problems um and one of the other reasons I really like HealthTracks.
So the symptoms are what may prompt the testing or the fact that you're in a non-traditional sexual lifestyle. Then the treatment is a big problem. We used to treat it with a single dose of azithromycin, which is what's in a Z-pack. The problem with that is the resistance to that is almost 90% now in some studies. Between 50% and 90% is the most recent data that I've looked at. So that's problematic because that was the drug that we were treating it with.
So now the CDC is actually recommending a dual dose treatment protocol with doxycycline, which is a medication that you would take twice a day. I want to say it's like a week of that. And then you also take three days of azithromycin after that.
The problem with do and azithro both of them is that they cause stomach upset so doxy is often associated with stuff like diarrhea or cramps and then azithro may or may not be well tolerated either so it's not super fun to get treated what the cdc actually recommends if you can pull it off is to do the testing for resistance which is one of the things that i love about health tracks is they will resistance test everything that shows up positive so when i get a patient who gets a positive mgen i've got the resistance testing already and i know what to treat them with and then i don't have to necessarily give them these big protocols of stuff that upset their stomach yeah as somebody that was in the military and had to take doxy from malaria, it's horrible.
Yeah. And most guys in the military just didn't take it because of how upset. Because of how uncomfortable it was. Yeah. Yep. That's a thing. So, yeah, you really best case scenario would be to send off to a lab that's able to do the resistance testing on it. So, you know what you can take. And I will say it's probably about 50% of the time that I get those back and they're resistant to azithromycin, but they're sensitive to doxy and then we can just do doxy. Sometimes I've gotten them back and they're sensitive to something random like Cipro, which is much better tolerated.
It just makes me nervous because like you are so knowledgeable and we've met people that are, but I know just from like personal personal experience dealing with doctors that have no idea what you're talking, like what we're talking about that we know more than them because they're just not, they just don't, they're not exposed to this very often. It just seems like kind of scary if you were to get something like this to find the right doctor who knows all the things kind of like you do. It just seems.
I will say if any of your listeners have ears in anywhere that would be helpful, I've applied several years in a row now to speak at the ACOG National Convention, the American Congress of Obstetricians and Gynecologists, and haven't even heard back. But I would love to educate physicians on this in order to help them with, you us. There are lots of us running around. We know that a lot of physicians aren't aware of how many people are running around in sexually alternative lifestyles.
And it's super important to know what to offer, how to treat, what types of protocols you should be offering these patients. I want to be educating the providers as well. It's just really hard to make an inroad there. Yeah. So a few weeks ago, I had to go to the hospital because I was having some kidney pains and stuff. And they actually, me and Dan were sitting there and the doctor said, I'm sorry, I have to ask you this. Are you sexually active? Well, I know you're with your husband, but with anybody else, is that how she said it, Dan?
Oh dan oh she said are you sexually active and you said yes and she said just with one partner and i said i looked at him and i said well tell her i was like no no i was like no but she took it really she was like i said i said we've we always use condoms and i was just std tested two weeks ago of course they they did std test me again and um so that was fine but she did say you know he'd take a couple days for some of the things to come back but it was just like even me who was super outspoken about being in the lifestyle and in advocating for this i still got nervous having a local doctor that you're yeah and i looked at you and i'm sure she was i could feel her uncomfortableness too it was just like awkward and weird and it shouldn't have to be i know it shouldn't have to be but it is i get it yeah and it's one of the things we're actually trained on in residency that we never really learn very well is how to come across as non-judgmental when we ask questions that can be seemingly judgmental and there's there is ways to ask those questions that make them feel less judgmental.
So I always and I have given this lecture for a handful of different residence programs and at one like national convention. I'm like the way I approach my sexual history, I literally everybody who walks into my office, even if they are wearing a full burqa, they get asked the same questions. Are you sexually active? Great. Do you like men, women, both other, or all of the above? Are you sexually active with anybody other than your primary partner? I ask every single patient in that order, and I ask it in the middle of all of the other things. So I'm like, hey, what surgeries have you had?
Is there any medical problems in the family? Oh, dad's got blood pressure. Great. You're at increased risk for that. Got a history of diabetes. Are you sexually active? Do you like men, women, both, other, all of the above? Are you sexually active with anybody else? Great. Do you have a history of your current UT? I mean, like it just goes into the middle of my spiel and the patients are like, these are just the questions she asks everybody because they are, And it makes me feel less uncomfortable. It makes the patient feel less uncomfortable.
And I mean, patients specifically come to me because they've heard me on this podcast. I had somebody last week who was like, I heard John Dan and Lacey's podcast. I'm here because I know you're not going to judge me. Oh, I love that. You know, so yeah, I do too. Actually, I love that. I'm like jealous. I want to go to you.
Dan, buy me a plane ticket every time i have to i don't know if that would be a conflict of interest i don't know how that it'll be okay we'll be fine you have fucked my husband you had sex with her husband i think that might disqualify you she could just be there with me she could be my support person that somebody else could exactly i don't advocate for you no but we do we hear people that say they go to you and I'm like, I'm so jealous. I think that would be so wonderful.
I also wish that more women had doctors like you that were so easy to talk to and about these things because they're not they're not the easiest thing to talk about. Like I said, I'm trying. I'm trying to educate the providers as well. It's just like I said, you got to find the right inroads. And honestly, like I've been on a national panel with ACOG before in the past, and I still know some people that are higher up in ACOG and even reaching out to them, I've gotten zero interest. I just, I don't know if it's just the.
Well, that is crazy to me because you think, okay, so non-monogamy, you know, they say it's like 5%.
So I can't remember the exact numbers, but it's like 10 million people or something are non-monogamous but then you you know you start 40 percent of people think about it right right and then how many people cheat on their partner or whatever that's like 40 50 percent you know then you think about like the lgbt community you know so you know that's not uncommon in that community to have multiple partners and then you just think about these you, 20-year-old kids that are single and that are just running around having sex with each other.
I mean, I think casual sex nowadays, especially with all these Tinder apps and things like that, it's pretty commonplace. So there's a lot of people in America that are having sex with multiple partners right now that are at risk for things like MGen.
And the fact that testing isn't easily accessible and most people don't even know that you know they know about chlamydia gonorrhea and herpes but you you say mgen to even doctors and they're like huh what's that that is crazy to me that is absolutely crazy to me exactly yeah i think there's still a stigma there you know it just is what it is there is well I guess all we can do is keep talking about it make some more exactly make some more TikToks about it you know I don't know how you how you change things I'm keep working on it yeah yeah uh but we actually talked a little bit before we came on camera you know that now there's a there's a polyamorous um tv show that just came out that seems to be pretty popular um you know it seems to me like this non-monogamy uh there's actually was it in virginia uh somebody that's running for the senate a female um came out as um a swinger uh publicly all right yeah i know and uh we actually we're trying to get her on the podcast so we got an invite you know things like that are crazy to me that you know we've been doing this podcast now for what four years you know we've been saying since the beginning to help kind of try to normalize this community and i'm not going to say it's us but it seems like overall as a community we are heading in that direction where there's more normalization or at least more i don't know acceptance like i think i don't think there's any more awareness right now than there was 10 years ago but there's Definitely more awareness is a good way of saying it.
It's a little bit more open i guess now than it was 10 years ago maybe even two years ago you know i really i really see since coped uh quite a drastic and i think that's when you know tiktok and all this stuff started to take off that or maybe it was just always there and it was just underground nobody saw it maybe you know well no i i think that's true but i think i think part of what has normalized it is all these tiktoks with millions of views and all the people that are talking about it um and now you know tv shows and stuff like that all right so if anybody has concerns you know they've listened to this podcast and they've heard about mgen and they think oh man i've had some of those symptoms um what's the best thing for them to do dr sore well the best thing to do is to present to your gynecologist or your primary care doc and ask for the testing and if they don't have the testing um then request for them to look around for somebody that does and or go through something like you know know my status i think it's like 25 it's not bad not expensive no it's it's pretty because it's just an add-on yeah it's just an add-on you can get just that test you can and if you don't have an i know my status or talent testing location near you you can actually do a draw facility you may need to call ahead and make sure they have the actual test and if they don't they can get it there so you might so you might need a you know a day or two to get it there but 100 they can help you with that yeah and so i think it's absolutely and i think i already know the answer but you would advise people that are in the swingers lifestyle to get mgen tested it should be tested with your regular std testing yeah and and we always get asked how often people should get sti tested and i think that's really depends on the individual and how often they're engaging with multiple partners i know for like the the porn star industry they they do it up every two weeks or at least when you engage they want you to have a test within the last two weeks um i don't mean lacy get tested about once a month we used to do once every three months but now we've been you know a little more active and so we've been doing it once a month um but what would your advice be to people like your average don't know how to get tested how often so it really depends on the person themselves um it depends on whether you're using protection or not what the current data shows is probably every six to 12 months is is sufficient i don't love that because I know there are a lot of people who are going to parties every weekend.
Condoms break. They don't use them, what have you. I typically recommend to my patients every six months, and if they're with a consistent partner, that they take alternating turns. So one of their partners is getting tested every three months. Yeah. That's what we did for a long time. Well, we did every three months, each of us. Yeah. But so it was, yes. Every month and a half-ish, one of us would get tested. Every month and a half for you guys, yeah. So usually for those of us, yeah, who are, you know, not quite as prolific, every six months I think is sufficient.
If you're really just in a poly situation or one partner who's consistently using condoms, probably once a year is enough. Yeah.
Uh you brought up condoms um does condoms protect against the spread of mgen yes so it can't spread orally to your knowledge i'd have to look that up i don't i don't actually can be spread orally um i mean i swab everybody's mouth first and then their vaginas and so if it popped up there i'd have to look that up again i actually don't know the answer to that question okay we'll do a follow-up on that occasionally you guys are gonna stump man well i just curious you know because now i think i think about like you know and all these other things and it's and i know nobody you know not nobody but most people aren't using um protection for oral sex.
So it's probably something we should put out there. But OK, I appreciate all that on MGen. Anything else on MGen that people should know that we haven't mentioned? I think that's most of what I've got. OK, so now we're going to take a little break and hear from the partners and sponsors of the Swing Nation podcast. And then when we get back, Dr. Storr, we've gotten a lot of questions about women and their vaginas breaking and then maybe them not feeling super sexual. I've started to talk a little.
You know, we kind of talked about this on our Bliss Cruise episodes and a lot of people have called in and wrote in and had questions. So we're going to ask you some of those questions on the backside of the break. All right. Bring it on. All right. We'll be right back, guys. Lacey, we don't support brands and companies and things that we don't personally enjoy. Yeah.
We use all of our sponsors, like 100 100 and so we very much enjoyed this one yeah so one of our newer sponsors is shivers yeah and specifically shares intimacy gummies yeah uh if you're listening uh you know if you heard our kinky cabin uh episode we had a little experience with these intimacy gummies and i can 100 guarantee you they work yeah i mean you don't get like really messed up or anything but it just like kind of makes you tingly all over if that makes sense like like i feel goose like when i was coming i almost had like goosebumps on me it just i don't know how to explain it but it just kind of like makes everything very sensitive and it made me feel like i was 18 and needing all to do all of the things yes uh so if you you know are interested in thc based products and would like to try something that maybe would enhance your intimacy we highly recommend going to um shivers dot store and then if you use code tsn saves you 10 yeah right so go check them out shivers uh shivers dot store code tsn check out those intimacy gum yeah get you some take them like at home with your spouse just try it out like maybe go to dinner take it on the way home let it all kind of like you know like soak in and then by Thank you.
with your spouse just to try it out like maybe go to dinner take it on the way home let it all kind of like you know like soak in and then by the time you're ready to hit the bedroom you're going to be like ripping each other's clothes off it's it's really hot right and then once you have that experience i want you to email us at theswingnation at gmail.com and tell us what you think of the intimacy gummies yeah i promise you promise you're going to enjoy them. It was fun.
Lacey, one of the things I make sure I bring to every lifestyle party, every lifestyle event, make sure I stock up before the cruises, before we go to Hedo. I make sure it's really important to me that I have it. I forgot it like one time and I had a small panic attack. He attack, is I need to make sure I have my ED medication. Correct, yes. Performance anxiety is a real thing. 100%. When there's 50 people in a room watching you, and you're trying to perform, that can be sometimes difficult. You can.
So I like to bring what I call my lifestyle insurance, which is that ED medication, and I get mine from from um shameless you do um for a few reasons one you don't have to mess with the pesky um subscriptions right so you're not going to sign up and they send you a bunch of pills every month um and you can't cancel it and you have hundreds of pills around your house that you don't need um if you need medication you just go to shameless um you click on the thing you fill out a couple little question no it's actually easier than that like once you have your prescription they actually email you when it's time like when it like right they'll send you a little reminder says hey we're just checking in do you need any more medication literally just hit reply and say yes i'm ready it's that simple it's very because sometimes i do it for you like to kind of help you like to remember you know you're like yeah i need it go ahead and send the email and so i'll do it for you right and every so often that you have to do a little like check in with your doctor and stuff like that and they you know to make sure everything's good and they send that medication super simple it's very simple so if if you need some i recommend you go to the swing nation dot info go to the recommended apps and products click on the shameless care icon it's going to bring you right over shameless care or you can go shameless care forward slash tsn and get signed up and we got we got discount codes for you yeah to save some on that first uh that first subscription yeah so go check it out guys bye my favorite type of swinger is a safe swinger one that has done all the work before they even get to the club, before they get to the party, and they know that they are STI negative.
They've got it all figured out before they walk in. So that way, when it's time to play, they don't even have to like skip a beat. They're just like, here are our results.
You can look at them on my phone or you can look them up for yourself we were tested everything came back negative we're good to go that's my favorite type of swinger what about you dan um i'm kind of one of those guys if you want to fuck like a porn star you probably should get tested like a porn star if we've learned anything over the last four years of doing this podcast is not all tests are the same the tests you're getting at your doctor might not be all the tests that you need if you're going to be actively participating in this lifestyle yeah if you go to your doctor and say i need a full panel std sti test that's whatever they think a full panel is there's not like a rule book that says you should check for these 10 things or 12 things heck we've been to some doctors and they have no idea what even should be tested for and what shouldn't so your best bet is to use i know my status because they know we're swingers they know what we're up to they've been testing porn stars for years so they know how to get you tested and ready to go and have lots of fun yeah they really are the gold standard in uh sti testing um for the adult industry and swingers we're fucking a lot like uh like porn stars yeah so those are probably the same tests that you need beginning so head on over to i know my status get signed up um if you're in the florida or vegas or orlando area um there's an office you can go in and get tested and you get your results back as soon as the same day if not they have draw labs located across the country yeah where you can go and you can get tested um and same they'll mail your result or your your labs into to the lab and you'll get your results back um i think you know as soon as a day or two, depending on how long the mail takes.
It's worth notating if you go to your family doctor and they're testing for basically everything, but maybe they're missing like a mouth swap or an engine test, some of the newer things that, you know, maybe our family doctors are not. Testing for. Yeah, testing for.
You can go to I Know My Saddest and just purchase purchase those tests you don't have to go and spend you know a lot of money to pay for the whole thing you don't have to do that you can just go and be tested for the things that you need right yeah and you could even you know if you want to you could call them and say hey these are the tests i get from my local doctor what am i missing yeah and i'm sure they they would have a conversation with you about what they think you should be getting tested for and then you can order just those tests and go get those done we had a friend not long ago that somebody that they were engaging with wanted her to be tested for mgen she had they just go to their local doctor they know they're swingers it's not a big deal and so they went to a draw facility in their town and just were tested for that one test and of course it came back negative no issues and they were good to play right so go check out iknowmystatus.com go get tested like a porn star today so that we can play safe at our next event yeah all right guys all right guys welcome back welcome back thank you for listening to our sponsors lacy loves our sponsors i do we actually talked a lot about one of our sponsors just through that podcast well it just comes natural just comes natural all right so when we left you on the front side of the break we talked a little bit about on our most recent bliss cruise podcast lacy actually talked quite a bit on the first episode about how she was struggling a little bit in the beginning of the bliss cruise kind of finding her mojo i just kind of feel like i've been that way for a while um i just feel like i just i don't know i'm just kind of struggling with life and then that kind of carries over into swinging it's you seem very eager to like fuck and i seem like we could fuck we could not fuck i don't care you know like but that's not even true so if we're being honest there are days when lacy wants to do nothing but fuck correct and there are times we go to a swinger's party and she wants to fuck everybody and she wants to be in a big orgy and she wants to do all the dirty things and then there are other days where she could kind of care less and she's just happy just chilling there and she's go with the flow and and so we did that podcast and women came out of the wood i mean we got texts we've got snapchat messages emails calls we were even at tempted last week and so many women came up to me.
I'm like, you validated my feelings by talking about that because nobody really says that. You know, you hear all these podcasts and you talk about all these sexy stories, but nobody really says, sometimes I just didn't feel like it or something felt off. And really people coming up to me and telling me then made me feel validated. So it was like, I scratch your back or you scratch mine, kind of, because I was hesitant to even bring that up on the podcast. I didn't want to come across as like complaining. Does that make sense? Right, yeah. Or negative.
Or negative or naggy or anything like that. But everyone has been so kind and so sweet, and it's meant a lot to me. So I definitely want to touch on that. And then also last week I talked about having UTIs and like just my vagina being sensitive to, I don't know what, is it sperm? Is it condoms? Is it just when we go on long swinger vacations and trips, I feel like by the end of it. You're always broke. I am broke.
I mean, I can do fine on a weekend, but anything past that, I've just, I'm like, I remember walking home on the bliss cruise or like we went to the gas station and I was like, I think my pussy lips are like raw. I'm like, cause we fucked that much. I just, just too much. So we've had a lot of women reach out about that too.
So I just kind of wanted to chit chat a little bit about that all right so let's start with the first the first problem which what lacy is if i'm hearing her right she's saying there's some days and this is from my aspect there's some days where she wants to fuck everybody yeah and she's super horny and then for some unknown reason a week later she could just be like meh and i neither one of us understand what that is or or i don't i don't understand a woman the you know i'd like to try to like as we're going into an event like set it up for success so that everybody has the best time including her and and me and i don't know i don't know where the fork in the road is that makes it go from she wants to party and be wild and get fucked or the road where she's like meh hormones it's hormones you're welcome that was an easy question yeah okay so when we're younger and we're like at peak fertility in our 20s and 30s as vagina owners, the hormones hit their peak for desire middle of the month, right when you're ovulating.
And there's lots of, you know, like questionable data, but data about pheromones as well, which also makes us more attractive when we're around our mid cycle and we're most fertile. So we want to fuck other Other people understand that, read the aura, read the pheromones and want to fuck us as well. If you're right before your period or right after your period, you are much less likely to be in the mood, even as a 20 or 30 year old. Now translate that into getting into your forties.
Now, not only do you have your cycling, which, you know, if you don't have a uterus or you don't bleed anymore because of some other reason like an iud or an ablation now you don't even know when you're cycling and your cycles are off because you get these wild swings and hormones right so for anybody that maybe don't know lacy does not have her or don't you have your uterus cervix fallopian tooth i have my ovaries so she has her ovaries but she's had a hysterectomy so she doesn't have the rest of it so you don't know your cycle to be fair yeah yeah and i've had an ablation i don't know when my cycle is either so um i i still have all my parts but my uterus is non-functional intentionally so um so yeah it's it's hard to know once you get into your early 40s, your hormones start swinging rather wildly.
Instead of this nice little ebb and flow that creates your cycle, you get these wild swings in your estrogen levels and then your progesterone dips. And when your estrogen gets too high and your progesterone dips, you don't feel good. When your estrogen and progesterone are too close to each other, you don't feel good. And those also highly affect your sexual drive. That is like baseline. There's hormone driven problems with it. Women are also very highly sensitive to serotonin levels. Serotonin should be a fairly familiar hormone to most people.
That's the hormone that makes you feel happy or not feel happy. So selective serotonin reaptic inhibitors, also known as SSRIs, are like antidepressants. So basically they're flooding your system with more serotonin because it can't be uptaken. So serotonin levels are highly affected by all sorts of things, including your hormones. They're also affected by your diet. So a lot of us don't necessarily eat very healthy when we're on trips, especially cruises where there's lots of alcohol involved and that upsets your gut flora. Your gut flora is highly associated with regulating serotonin levels.
So, um, it's not uncommon when, you know, you're drinking a lot and eating a lot of sugary foods for you to not feel as much like having sex. So there's, it's more than thing it's not just estrogen progesterone testosterone levels it's also stuff like cortisol levels which is your stress hormone and serotonin so it's hormones is the answer it's just it's a it's a lot more complicated than what it may seem like on the surface yeah well all those things you just listed like i think we – it's a struggle for us in all the ways. Yeah. Yeah. Okay. Me too. I'm older than you are, Lacey, so I got you.
Yeah. I feel you. So I guess the next question is what do you do about that? So if we recognize that maybe her hormones are out of whack, is there a way to dial those in to an optimal range? I love that you're leading this conversation. Is that what I want to say? No, I do. Turn to me on, Diana. No, I think it's sweet. I think it's sweet that you care. So no, keep going. I love it. I'm just commenting. Well, but I mean, I care for, some of this is for my own personal sanity as well. You know what I mean?
Because when I don't know where your hormones are or I can't predict your hormones, you know, that can cause anxiety in our relationship relationship so i think if there was a way to dial your hormones in and optimize them at least the majority of the time i think that would benefit us in our relationship immensely okay absolutely um there's there's several different things that can be done so cortisol can be dialed in in a couple of different ways reducing stress best you can which i know so easy to do yeah especially when you're on social media and everybody hates you but exactly and everybody's like tagging you you know the like hate mail um yeah reducing stress best you can so for lacy staying off social media we talked about this yeah um yeah honestly social media has been associated with nothing but badness in everybody's lives.
So honestly, stuff like deep breathing, meditation, yoga has been specifically studied in cortisol levels. Exercise of any type can be helpful. If you're trying to fiddle around with your serotonin levels, doing things that make you happy. I know that sounds really silly, but if you like to garden, go garden more. Everybody needs to get out in the sunshine a little bit more. Vitamin D is super important for mood and eating a healthy diet, which, again, we don't necessarily always do very well, especially in the United States.
Everybody's bad at it, but trying to limit simple sugars, eating lots of fruits and veggies, eating healthy. We've talked about this before on the show that will significantly improve serotonin levels. Like I said, the gut is very highly important in regulating serotonin and mood symptoms. And then beyond that, as far as like the estrogen, progesterone, testosterone, if you're perimenopausal, go to your gynecologist or find a gynecologist that's comfortable with fiddling around with your hormones. It's not super complicated. We've got lots of different methods and ways to do that.
Sometimes it's just throwing you on some low on some lotus birth control if you qualify for that and adding a little topical testosterone to it when you're getting a little further into perimenopause or if you don't have a uterus or you don't bleed regularly then we can do hormone replacement therapy type protocols where we do everything topically or progesterone orally and estrogen and testosterone topically in order to help with those wild swings. A lot of times in perimenopause, it's the swings that are causing the problem along with lower testosterone levels.
Testosterone has never been FDA approved for women, despite a dearth of knowledge. We have tons of knowledge, lots and lots, lots of data on safety and efficacy. So there's plenty of data to say that it's safe. It's just never been FDA approved for women. So it's not going to be covered by insurance, but there are good safe protocols to use for testosterone in women that will significantly improve sexual drive as well. So you kind of have to tackle all of it.
If you don't get your stress under control and your testosterone levels are high, it's still not, you're still not going to feel like having sex. If your testosterone levels are low, but your cortisol is under control, you're still not going to feel like having sex. You sort of have to throw the kitchen sink at it. There are some supplements that can help with kind of managing hormone levels. You've got to be really careful with supplements. I can't remember if we've ever talked about doing supplements before, but supplements are not regulated by the FDA.
They can literally just put a sugar pill out there and say, hey, this will make you feel better and people will people will buy it right so companies that are a little bit more reputable or are preferable anything that's got the i can't remember the name of the qualifying on it there's a little like gold stamp on it so stuff like multivitamins at costco will have that little gold stamp on i think it's usp if i'm not mistaken of the um the acronym but usP certified is one.
And then a couple of supplement companies that I am comfortable with partially because they're a little bit more open about how they regulate their production, as well as the fact that they're recommended by the Institute for Functional Medicine. And that's Thorne, T-H-O-R-N-E, and then Pure Encapsulations, which is actually owned by Nestle and sells on Amazon. So you can get those online. If you can go through somebody who sells them, they usually will have some type of a discount for that. But there are some fairly good hormonal supplementation medications that do help. Okay.
So if you're looking for hormonal supplements, what do you Google? What are you searching on Amazon to find? What do you search for? Yeah. Okay. So the ones that I like and give most often or recommend most often are from Thorn and those are MetaBalance and Hormone Advantage. And it kind of depends a little bit on your age as to which one you do or if you do both. One of them kind of helps with stuff like PCOS and hormonal dysregulation when you're a little bit younger. The other one's a little bit more for as you're getting into perimenopause.
But I have a lot of patients in their kind of like late 30s to early mid 40s that take both of them. Okay. That's good to know. I didn't know there was hormone supplements. I didn't either. That's interesting. And I guess I'm a little confused. And this is just like I know we have friends that do pellets. And I'm pretty sure like we've talked about that before. And if I remember correctly, you're not crazy about pellets. Is that correct? I'm not. So is pellets the same thing as going to your doctor and saying, I think I'm in perimenopause. Help me. Are those two different things?
I guess I get confused because, again, there's not a lot of knowledge because we're never really taught about this growing up. So I guess I get confused because we do have friends that really stand behind this pellet stuff. Yeah, pellets are a form of hormone replacement therapy. Okay. So yeah, it's just a type of hormone replacement therapy. Yeah, it is. Gotcha. Okay. That's what I thought, but I just was a little confused on that.
So you prefer, and it's testosterone,'s it's testosterone the pellets actually can be all of the hormones so well estrogen progesterone and testosterone are typically all involved in pellet therapy it just kind of depends on what you qualify for and what you're needing but you prefer the creams is that what i'm hearing so the american congress of obstetricians and gynecologists has not and the international society for the study of women's sexual health and the north american menopause society all are not big fans of pellets um i try and go buy something that i'm comfortable with that is recommended in the literature most of the data on the pellets are produced by the companies themselves that make them they're also in my opinion needlessly expensive yeah so if i've got a way to do less expensive that's recommended by the governing bodies that's the route that i go You know what I mean?
them. They're also, in my opinion, needlessly expensive. So if I've got a way to do less expensive that's recommended by the governing bodies, that's the route that I go. It's just as effective. We've got good data on doing topical therapies for estrogen and testosterone. There are some versions of topical progesterone that are okayed by the FDA and okayed by the societies, but a lot of times progesterone needs to be taken orally. But we've got a lot more data on the creams. My other big problem with the pellets is that once you put them in, they're in.
And if we overdosed or underdosed, oh, can't do anything about it for three to six months. And I've seen a lot of patients show up in my office and frankly, the people who put their pellets in just were idiots and didn't know what they were doing.
And they come into my office as a vagina owner with a testosterone of 600 and they've been like yep that's good like nope nope 600 is growing a beard changing the shape of your clitoris and your facial structure that was gonna be my next question because we know people and i'm not gonna name their names and we love them and we support them but they have big clits and they love that they think it's like super sexy and turn i don't personally i don't want to change my body i like the way that i was created and i don't want my clit to change but why does that happen we're taking a different why does that happen yeah what's that's too much testosterone that's too much testosterone yeah testosterone so the little known fact the clitoris and the penis are from the same origin in in utero okay so if you do or do not have the hormone to block testosterone or not block testosterone, it decides whether or not you become a male or a female.
And those basically what happens is the progenitor of the clitoris and the penis either becomes a penis or it becomes a clitoris. So when you give too much testosterone in women, that winds up kind of causing the test,is to grow. And there's like a 50-50 shot in a clitoris that grows like that, that'll become hypersensitive. And that is a permanent effect and cannot be fixed. If it becomes hypersensitive, it hurts. And then you wind up in my office and I'm trying to block your clitoral nerves, which isn't very fun, heads up.
So, yeah, I mean, if it's a thing for them that they're okay with, that's great. The problem is there's other problems that are associated with excess testosterone, like increased risk for heart attack, bone structure changes, permanently changing your voice, growing a beard. Those beards can be lasered off, but a lot of those other things I can't fix. You know, it changes the shape of your hyoid bone. And so you actually wind up starting to get, you know, the bulge that men have in their neck, changing the facial structure and the lowering of the voice. Those aren't fixable.
Those are permanent effects. In my opinion, at least what most of the data says, if you get a testosterone above 120 and a female, and you're not fixing the problem that they came in for, i.e. low libido, it's not the testosterone that's the problem. It's something else. Yeah. I think we also see, it seems like a lot of women that are into weightlifting and gyms and bodybuilding and stuff like that will, will purposely raise their testosterone, I assume for those purposes. Yes, yes, absolutely. Testosterone is actually a controlled substance by the FDA. I have to see patients every six months.
I have to draw labs because it can be abused. It's typically abused by bodybuilders and taken inappropriately.
So, and yes, and some women that are choosing to increase their testosterone levels because they're wanting to increase their metabolic rate and increase their muscle turnover it that's typically bodybuilding they will over overuse and or abuse testosterone for those purposes yeah it sounds like it there's some serious could be some serious consequences for that super interesting yeah which is totally a side totally a side no but But worth because there are a lot of women in the lifestyle that that i think are into bodybuilding well and there's a lot of women that that choose the pellet route because they want to be like overly sexual they want that and they really enjoy that so it's good to know because if you just are sitting at a swingers pool party and you're talking to the girl next to you and she's telling you oh i'm on this and it causes me to have sex all you know five times a day my husband loves it and i love it and you don't actually do the research you could end up in one of these situations without like taking the proper precaution exactly yeah that's that's pretty one other thing and i what do we want to get on to the next problem about your vagina being broken maybe yeah unless this is a quick thing um well are we getting close to the end of time for show 15 minutes we have 15 minutes okay we can tackle this in 15 minutes so yeah perimenopause also causes dry vagina issues so the vagina is a very dependent organ.
Um, it's one of the few things that in menopause doesn't get better. So hot flashes, night sweats, mood swings, irritability, brain fog, all of that stuff gets better over time as your body adjusts to changing hormone levels and menopause, your vagina will shrivel up and die. Yeah. So, and I'm not joking. It actually literally becomes foreshortened, it narrows, it becomes less elastic. Your vagina absolutely requires estrogen in order to be able to function. So the biggest problem is that your vagina needs a lot more estrogen than what it can get systemically.
So if you're taking hormone replacement therapy, either orally or through the skin or, you know, in a pellet, even you're still going to need estrogen directly into the vagina because it's just not enough of what it gets the good news about putting estrogen into the vagina especially for those who don't necessarily qualify for estrogen otherwise like history of breast cancer or what have you estrogen in the vagina what you put in there stays there very little bit gets into the bloodstream because the vagina is very greedy for it so you put estrogen or an estrogen precursor like dhea into the vagina the vagina will absorb it and maintain it there almost none of it gets into the bloodstream just very very small amounts so if your vagina is not happy or having problems um after a couple of days worth of intercourse um number one the vagina is not meant to exactly be used every day multiple times um what it's it's kind of like saying yeah i know right it's it's kind of like would you i see them fucking like three or four five times like how do they do that like i am literally in pain like i don't understand it well some of them enjoy that pain it's kind of like um i wouldn't go to a dom every day for five days straight yeah because it would hurt to sit down right yeah so you know having your vagina pounded on for several hours a day multiple days in a row may cause soreness just because of actual friction and or like hitting yeah when this pubic bone is thlapping up against yours that's it's gonna hurt after a little while so give your give your vagina a little bit of grace maybe every other day on a you know bliss cruise or you know one sexual encounter per day or you know two one day one day however much your vagina will allow yeah well dan dan can like go from person to person well the problem is and i'm sure other life so who and probably you can relate you're in this hypersexual situation and you're swapping and then you're turned on by the swaps and then you go back to your room and then like me and dan are engaging you know even after and then before these other because we're so turned on so if you add all of that sex together it's a lot of fucking sex you know like we're having sex when we wake up it's a lot and then we're having sex right before we get ready because we've been napping and then we have we go to the playroom when we have sex and then we come back to the room and we have sex so he can come it's just like a lot of sex and after a couple days it's like i need an ice pack i'm gonna need an ice pack yeah it's it's gonna start hurting uh and i same thing i you know i was like by the end of bliss cruise like my vagina was just like sore yeah um so that's that's not an uncommon thing and it's to be expected you i think if you were to actually like pull all the women coming off the ship how many sexual encounters they had in the last two to three days of the cruise and it would be significantly lower than at the beginning yeah but having some vaginal estrogen if you're perimenopausal or menopausal can be super helpful and using lubricant lube and more lube we're so bad about that we're really bad about that you need to use lubricant especially when you're having multiple intercourse bouts a day um condoms number one you're yeah and you're using condoms especially because it does really absorb a lot of the lubrication so you need to use lube a lot more readily um because it helps with the friction issues yeah so your labia being sore that's probably from friction yeah um so i would also Dr makes me dry too just like even if i wasn't having everybody dry yeah so you add all of this on top of it it's just a lot the vagina is taking a beating we don't drink enough water when we're drinking alcohol so you're not drinking enough water um natural lubrication is from is literally vagina sweat so the vast majority of lubrication is from the vagina getting engorged and then sweating.
And that was, that's what causes lubrication. So when you're not drinking enough water, you can't sweat enough. And then if you're trying to have sex when you're not sufficiently lubricated, it's going to, it's going to cause more trouble. So, um, the UTI issue, I think we've kind of tackled on before, but increasing your estrogen level in your vagina will reduce your risk for UTIs because your urethra is also estrogen dependent.
So if you've got low levels of estrogen or undependable levels of estrogen, like perimenopause, postmenopause, using vaginal estrogen can significantly improve the urethral symptoms. There is also a supplement that can be bought over the counter called Jolva.
That's J-U-L-a i don't have anything to do with the company yet but i do sell it in my office that is um a topical vulvar like emollient it's like a moisturizer for the vulva but it has dhea in it which is the precursor of estrogen and testosterone and using that topically has been shown to significantly reduced to, um, U well so using that right now no i just wrote it down right well i guess because yeah but to like kind of finish this off my next question was going to be like do you just go to your ob-gyn and just tell them hey i'm having a lot of sex i need estrogen to put in my vagina i'm having a lot of sex and things aren't working the way that they used to and i'm dry and it hurts after a few days i mean like a normal ob-gyn would be like what the hell are you talking about i know you are like an ultimate if you're coming to me and you're like hey i'm going on the bliss cruise next week i'm like let me tuck you in yeah but but your typical ob-gyn is unfortunately not you so like what do we say to them tell us what we do because like all these women like, how do I go to my doctor and be like, I'm a whore.
I need a lot. I need all the things. Like, what do you do? Well, I mean, you can go to your gynecologist and say that they may not necessarily know what to do with you until I educate all of them, which I'm working on. But if you go in and say, hey, look, I think I'm perimenopausal. My vagina is super dry and I'm having trouble making enough lubricant. They should be more than willing to give you vaginal estrogen. Okay. And that's really all you need. Maybe even say, like, I've heard vaginal estrogen can help with that. Is that true? Yeah. Yeah. Nudge, nudge.
I would really like to try some vaginal estrogen. Yeah. Yeah. Because you have to get a prescription for that. Correct. Yeah.
requires a prescription so what's the difference between that and the would you call it did you jilva yeah jilva is jilva is for the vulva not for the vagina okay gotcha okay would it be used in the vagina probably do i have data on that no yeah it also comes like in a tube it would be kind of hard to get it up in there unless you like put it into an applicator of some nature yeah gotcha okay so to prepare your vagina to be regularly fucked if you're having these issues yeah if you're having these issues drink water use lubricants yeah if you're having issues a topical estrogen cream yeah and then maybe try some juva juva jova jova on the vulva on the vulva jova on the vulva it's an easy one to do those four things dan should be able to fuck you on a regular basis more regular basis geez yes theoretically per the literature per the literature i love how she had to add that in yeah um no that's good and you're right we have talked about utis and bv and things like that uh and you go back and listen to that podcast if you haven't because i know there was a lot of good feedback about that too but the bottom line is like wash your hands like clean change your conduct like try to introduce as little extra things to the vagina as you possibly can i'm an expert there's flora there's fauna there's a whole ecosystem down there if you start putting things in there that don't belong there it's going to be a problem yeah right i nailed it right yeah we did do a uti i think i don't remember the name of the episode but something look for doctor store talks about utis or something there's an episode yeah all about all about that and that you know so if you're curious and you want to learn more about that because that's another thing that is very common for women who have a lot of sex to to get utis and things like that uh okay i think we nailed it i think we covered mgen i think we talked about vagina dryness and and vaginas um that just can't hang in the in the long-term swinger events that need a little help and uh dr sore gave us all the answers so that we can have almost more i gotta figure out the oral mgen thing the oral mgen you'reGen.
You're going to follow back with us on that. Follow up, yeah. Okay. All right. Anything else for the Swing Nation listeners, Dr. Storr? Good seeing your beautiful face again. If people want to learn more about you, where do they go to learn more about Dr. Storr?
You can go to my website, thestorrcenter.com, or you can go to my other to my other website swinging safe.com both of those are good places to find out more information i'm also on all the major social medias i i am on them but i am not on them if you know what i mean i i have people who video me and post for me but i do not get on social media so no slide no slide if you slide into her dms it's probably her husband that's answering you it's similar to lazy maybe if my husband even notices it i mean honestly like when stuff starts going viral somebody has to tell me because i have yeah okay and then also if uh if can you only take patients in texas or can you take patients from anywhere as long as you come to me i can practice anywhere in the state of texas so if you show up at my office even if you're from another country i can see you okay so if you are in the state of texas or want to travel to the state of texas for medical um treatments um how would they connect with you for that is it the same website yeah if you go through the store center.com you should be able to find our phone number there and you can absolutely call us cool all right well we appreciate you coming on the podcast again um are we going to see you in houston what's houston colette houston in august oh ah yes most likely i think reagan and i are planning on coming and then are you guys gonna be at naughty this year i don't think so not gonna be at naughty this year i was sad i know i was i i didn't get my stuff in time to do the lectures it was my fault that's that's sad i'll miss you but i'm going on the bliss cruise in the fall we'll see you well hopefully we see in august at houston yeah that's well i'm hoping to see in august for sure yeah okay and then if not there then definitely uh november bliss cruise yeah uh and if you want to book any of those events you can go to swingersociety.net yep and you can come on the uh come to houston and party with us at colette's we're actually having a private pool party at john and jackie's house that there's still some tickets for i know uh which they're the i'm shocked there's still tickets for that yeah i don't think people see i need to go on and get tickets yeah i don't think people realize that john and jackie are like the top yeah like they're kind of on and get tickets.
Yeah. I don't think people realize that John and Jackie are like the top. Yeah. They're kind of our heroes. Yeah. To like Indigo to their house, like in like swim in their pool. It's pretty. They have a, they have a nice little set up there. So I highly recommend it. Yeah. So go to swimmersite.net. Grab those pool party tickets. Cause I think those are going to go fast once people realize what that actually is. Yeah. And we'll, we'll see you there. All right.
I think with that, I'll see you there uh all right i think with that in a world full of apples be the pineapple be the pineapple guys bye everybody if you've enjoyed our podcast and want to support us leave leave a five-star review wherever you're listening. If you want to see more of our content, you can find links to Snapchat, Twitter, Instagram, OnlyFans, and more in the show notes. Come join the conversation with us and other Swinger content creators on our Swinger Society Discord server. If you have questions or feedback, email them to us at theswingnation at gmail.com.
Make sure you head on over to theswingnation.net and keep up to date on all things Swing Nation. We thank you so much for joining us and we'll see you next time. Goodbye.
