On Health for Women

I’m a vaginal ecologist. Say what? Yes, you heard that correctly, a vaginal ecologist.Ecology is the relationship of organisms to one another and to their environment – their ecosystem. And just like any ecosystem in nature, your vagina has its own special ecology. Your overall health affects the health of your vaginal ecology, and your vaginal ecology in turn, affects your overall health - in more ways than you might expect!Join me today as I walk you through all things related to the fascinating world of vaginal flora—the microorganisms that call your vagina home—and together we’ll explore the root causes behind recurrent vaginal infections, bacterial vaginosis, I'll also break down my recommended methods for prevention, and so much more.At the end of the day, there’s no advocacy group out there that’s dedicated to keeping our vaginal ecology healthy! I hope this episode helps you to be an advocate for your own!Thank you for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow along on Instagram @dr.avivaromm to join the conversation.For the accompanying article head over to https://avivaromm.com/vaginal-ecology-down-there/Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

As of 2022, the supplement industry was estimated to be worth $35.6 billion. But all that glitters is not gold. Supplement companies have a history of stepping into murky waters with health claims and products that don’t provide what they say is on the bottle—or sometimes include unlisted ingredients.Further, women are grossly underrepresented in ownership and leadership roles in the supplement industry, though most purchases are made by women. My guest today is defying these odds, paving new pathways, and setting a new standard for quality in this space.In this episode of On Health, Katerina Schneider, the Founder and CEO of Ritual Vitamins, shares her remarkable journey of entrepreneurship. From humble beginnings to creating a multi-million-dollar company and having three babies along the way, she’s proud to be an industry disruptor on every level. In our discussion, we touch on a variety of hot topics, including the critical need for transparency within the supplement industry, from testing to traceable sources, and we dive into the challenges female entrepreneurs face navigating motherhood, marriage dynamics, boundaries, and balance. Katerina and I get into:Growing up as a refugee and how it’s fuelled Kat's drive as an entrepreneurWhat inspired the creation of Ritual and the gaps Kat's on a mission to fill in the supplement spaceKat's experience building a business as a pregnant woman in a male-dominated societyThe presence of heavy metals in supplements and the need for transparency in the supplement industryRaising money and the financial risks Kat's takenHow Kat practices self-care and wellness in her personal lifeNavigating the natural shifts that take place within a long-term partnershipKaterina's insights and experiences inspire, encouraging us to embrace our dreams, reach for excellence, and decide how we define success.Thank you for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow along on Instagram @dr.avivaromm to join the conversation. Follow Katerina @katandkale and visit www.ritual.comLooking for supplements for yourself and your family? Find those - and your 15% discount on every order here: avivaromm.com/supplements

As if hopping onto an (almost always freezing cold) exam table butt-naked wasn't stressful enough, knowing what to do when it comes to Pap tests and pelvic examinations can be super confusing at any age.This week, I’m resharing a timeless episode from the On Health archives that will fill you in on everything you need to know about the Pap test, HPV, and pelvic exams. I cover why we can finally say bye-bye to routine annual pelvic exams (insert cheer here!) and how often a Pap test and HPV screening should be done. I also answer all of your burning questions about the HPV vaccine, overcoming testing fears, negative test results, and cervical cancer prevention. The great news, ladies—you can skip the shave and keep your britches on for your next annual physical exam.Let’s explore this further. For the accompanying article, go to https://avivaromm.com/pelvic-exams/ Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow along on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Looking for supplements for yourself and your family? Find those - and your 15% discount on every order here: avivaromm.com/supplements

When the word "hypnosis" comes to mind, we often associate it with stage performances and peculiar antics, but there’s a deeper and more powerful side to this practice, particularly when it comes to pregnancy and childbirth. This is where hypnobirthing comes in—a powerful therapeutic approach that taps into the transformative power of the subconscious during the birthing process. On today’s episode of On Health, join me as I chat with Kerry Tuschhoff, the founder of Hypnobabies, a program that introduces powerful hypnobirthing techniques, reframing birth as a potentially empowering and joyous event rather than an ordeal. Throughout our conversation, we'll touch on the power of language, affirmations, what to expect from the hypnobirthing process, the success of Hypnobabies, and so much more.I hope today's episode provides a new lens through which you may see birth preparation and a set of techniques that bring you greater ease and confidence on your mama journey. Kerry and I chat about:How Hypnobabies was born and what drew Kerry to the birthing fieldThe importance of reframing the language we use about birthThe power of the subconscious mind and the beliefs we internalize when it comes to birthReframing our mindsets about the birthing processWhat therapeutic hypnosis is and why it isn’t something to be fearedThe difference between hypnosis vs. meditation or visualizationHow hypnosis can prepare you for the unexpected during birthThe importance of advocacy and having birth partners present during labor and deliveryKerry’s insight on how to make pregnancy and birth easier and more joyfulThank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow along on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Hypnobabies on Instagram @hypnobabiesofficial and visit www.hypnobabies.com

Did you know researchers estimate that nearly two-thirds of those living with Alzheimer’s in the United States are women?As this data continues to emerge, conversations surrounding brain health are as important as ever before, which is why I’ve decided to share a beloved episode from the archives where I’m joined by a leading voice in Neuroscience, bestselling author, and one of the most influential scientists of our time, Dr. Lisa Mosconi.Lisa is blowing the lid off of female brain health with her groundbreaking research on cognitive enhancement and Alzheimer's prevention, specifically in women. She provides us with a full access pass into what is truly going on in the female brain as we age and why understanding the unique risks and strengths of the XX brain is so incredibly important, no matter the year you were born. Consider this episode a roadmap to optimal, lifelong brain health.  We discuss:The meaning of “bikini medicine,” why it hinders women’s health research, and how Lisa is confronting this crisis The protective effects of cumulative estrogen exposure and the role of hormone replacement therapy in women’s brain health How risk of memory loss and dementia can be prevented by using an integrative approach including appropriate medical care and lifestyle modifications involving diet, physical and intellectual fitness Testing recommendations to assess brain health, the Women’s Brain Initiative and therapies to prevent, delay, and, minimize the risk of Alzheimer’s disease Dr. Mosconi holds a PhD degree in Neuroscience and Nuclear Medicine and is an associate professor of Neuroscience in Neurology and Radiology at Weill Cornell Medicine/NY-Presbyterian Hospital, where she serves as director of the Alzheimer’s Prevention Program. The program includes the Women’s Brain Initiative, the Alzheimer’s Prevention Clinic, and the Alzheimer’s Prevention Clinical Trials Unit. She is ranked amongst the top 1% of scientists of the past 20 years by official metrics, and was listed as one of the 17 most influential living female scientists by The Times. She is the author of The New York Times, USA Today, Publishers Weekly, and Der Spiegel bestselling book The XX Brain (2020) and of the international bestseller Brain Food (2018).  Find out more about the Women’s Brain Initiative and testing here - neurology.weill.cornell.edu  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow along on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Lisa @dr_mosconi. 

According to a recent survey of over 1300 women, 56% experienced dissatisfaction with their births. Unfortunately, this statistic reveals only a glimpse into a very broken system and the reality for birthing women in our country, where 30% report some form of trauma in their birth experience. So, where do we go from here?On today’s episode of On Health, I'm joined by award-winning journalist Allison Yarrow, who is on a mission to change this. Allison's work centers on exposing how modern maternal healthcare strips women of power, causing harm to not only our physical well-being but also our mental well-being. Together, we break down the complexities of birth, from trauma in the hospital to exploring home birth as an option, the lack of evidence in common obstetric practices, and the importance of postpartum support.Join us as we discuss:How Allison’s home birth opened her eyes to the flawed maternal healthcare systemBirth trauma and the importance of trauma-informed careThe problem with electronic fetal monitoring and how much technological intervention is really needed for birthWhat Allison’s ideal prenatal and postpartum support model would look likeThe benefits of midwifery careThe internalized fear surrounding birth and how to minimize itWhy birthing women are the real expertsDiastasis Recti, pelvic floor therapy, and the pressure to "bounce back"Allison’s mission with her new book, "Birth Control" And moreWhether you’re pregnant and feeling anxious about giving birth or have given birth and experienced trauma, I hope this conversation brings you peace in knowing that you aren’t alone and that it's not your fault, and that gives you confidence to embrace your power, heal, and seek the care you deserve going forward. Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Allison @aliyarrow and get a copy of her new book “Birth Control” here!

Welcome back to the second half of this two-part series, 10 Birth Control Myths and Realities You Should Really Know!In part one, I explored the Pill's connection to blood clots, cancer, depression, and cognitive changes. Through rigorous research and analysis, I shed light on the myths and truths behind these assertions and explored whether there is any validity to them.Today, we continue our mission to separate fact from fiction as we go deeper into this topic.In part two, I uncover whether or how the Pill influences…Autoimmune and inflammatory issuesNutrient statusBone densityWeight gain and blood sugar problemsSex driveMate selection and attractionIn Part 2, I also go over specific risk factors that can be contraindications to hormonal contraception, many of which your medical provider might not discuss with you!As we wrap up this series, my aim is for you to have a thorough understanding of the Pill, equipping you with the knowledge to make informed decisions that align with your body and well-being. This series is a 'must-listen' for anyone currently using the Pill for contraception of hormonal symptoms or considering it as a contraceptive option.Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.

For almost sixty years, the birth control pill has been a symbol of sexual liberation for women, offering relief from symptoms and granting newfound control. For some women, it can be practically miraculous. But the Pill also has side effects and risks that are often dismissed by medical doctors yet exaggerated by the wellness world.So, is the Pill a friend or a foe? It’s time to separate myth from reality, and I’ll be doing just that and more in this juicy two-part miniseries of On Health. I'll be dispelling common myths and providing accurate information about the Pill, shedding light on the real risks that every user should know. Whether you're considering it for yourself or for your daughter, I explore the considerations and concerns that extend beyond the Pill to other forms of hormonal contraception. Over the course of this two-part series, we’ll be examining ten Pill myths and realities, concluding with a discussion on its suitability, who should avoid it, and how to make the best decisions tailored to your unique needs, concerns, preferences, and lifestyle.In part one, I uncover whether the Pill causes:Blood clotsBreast cancerDepressionBrain and cognitive changesBy the end of this series, you'll have a clearer understanding of the Pill's benefits and risks, empowering you to make informed decisions regarding its use for gynecologic symptoms, birth control, or whether it's time to consider alternative options for medical reasons. So, get cozy, tune in, and join us as we navigate the complexities of the Pill together. Your journey to informed decision-making starts now!Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.

Female anatomy is shrouded in misconceptions and limited knowledge. Yet within us lies potential for transformation, healing, and pleasure. On today's episode, I'm thrilled to be joined by distinguished journalist and author of the acclaimed book "Vagina Obscura: An Anatomical Voyage." Rachel E. Gross. Rachel's groundbreaking book sheds light on untold stories and silenced narratives, shaping our understanding of female anatomy. Through her detailed research and heartfelt storytelling, we explore the interconnectedness of physical, emotional, and social aspects of women's health, fostering empowerment and self-discovery. Rachel and I discuss: How bacterial vaginosis inspired Rachel to write this bookThe history of lack of female orgasm in a marriage being grounds for divorce in the US How shame has historically been baked into the language of female anatomy What the 'career women's disease is and how attitudes about women impact our ability to get the care we need The truth about female orgasms and the G spot Radical women who have paved the way for better scientific understanding of the ovaries, uterus, fertility, and more! Join us on a journey as we unravel the mysteries of female anatomy, challenge societal norms, and celebrate our resilience and beauty. We dismantle the barriers of shame and misinformation, embracing and celebrating the magic and intricacies of the female body. Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Rachel Gross on Instagram @gross_out, check out her noteworthy New York Times article here, and grab a copy of her book here!  

Perfectionism, that nagging feeling of never doing enough, of never being good enough, guilt any time you practice a little self-care. Do you ever wonder where these feelings and inner voices that dog us come from? It's a question I've given a lot of thought to and deep-dived into in today's Oh Health podcast with Elise Loehnen, author of her newest release, the NYT Bestseller, "On Our Best Behavior: The 7 Deadly Sins and the Price Women Pay to Be Good."Join me for the latest episode of On Health as we explore the roots of perfectionism, being a "good mom," and being a "good girl," and discuss: Elise’s firsthand experience with high-functioning anxiety and its influence on the content of her new bookThe relentless pursuit of self-improvement and the longing to be "good enough."The idea of "Hungry Ghosts" and how so many of us have narratives and ideas chasing us that make us feel inadequate What it means to be "good" as a woman and mother, and why we deny ourselves certain pleasures that don’t align with this societal mould The meaning and significance behind "The 7 Deadly Sins", and the effect they have on women The art of balance and why it's what Elise hopes her readers will take away from the book Self-inquiry and how Elise is putting this into practice in her everyday life The wellness industry and the dangerous perpetual perfectionism and purity it pushes Changing the narrative to support other women rather than tear them down Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow @eliseloehnen on Instagram and grab a copy of her new book at www.elisloehnen.com   

It’s a startling and unfortunate reality that too many Americans are unable to access the medications they need for their basic healthcare, and that on top of this, billions of dollars' worth of pharmaceuticals go to waste annually, causing environmental pollution as well. Joining me today is none other than a trailblazer who needs no introduction as she embarks on a transformative mission to create a BETR way!After 19 remarkable seasons on one of the most beloved television series of our time, Grey's Anatomy, Ellen Pompeo has stepped away from her on-screen scrubs to advocate for better access to healthcare. In our conversation today, we explore: What Ellen has learned from fans and nurses about just how broken the healthcare system isEllen’s sense of personal social responsibility and her desire to be a role model to her own kidsHow she is using her recognition from playing a doctor-on-TV for good, with a focus on fixing the broken pharmaceutical industry through BETR RemediesWhy health and social equity are so important to EllenEllen’s non-negotiable wellness habits and finding balance as a working motherNavigating menopause, blood sugar, and moreThe confidence and wisdom that come with getting olderJoin me for this insightful, candid, and thought-provoking episode and get ready to experience Ellen Pompeo like never before as we uncover her passion for healthcare, self-care, and her dedication to creating meaningful change. Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Ellen on Instagram @ellenpompeo and visit www.betrremedies.com

Are you concerned about the impact of birth control pills on your fertility? It's only natural to prioritize the well-being of your body and future fertility. And rest assured, you're not alone. A recent study of over 2,000 women who used oral contraceptives (OCs) found that most women had some worries. Fortunately, there's enough reassuring data that should allow you to breathe a major sigh of relief, all of which I'll delve into today with another special "Let’s Chat About That" episode of On Health.Listen in as I respond to a heartfelt voicemail from a listener who's worried that previous birth control pill use has ruined her fertility.In this episode we'll explore:Common myths and misconceptions about how the birth control pill works, and hint, it's not really by regulating your menstrual cycle.Women's biggest fears about how the Pill and other hormonal contraceptives might affect fertility in the long runWhether there's truth to the fear that the Pill, etc., impacts fertility, with an in-depth breakdown of the dataHow long does it take to get your cycle back when coming off the PillHow to plan and time conception when coming off the Pill, while avoiding unnecessary infertility workups, including what you need to know about OCs and ovarian reserveAdolescent pill use and its impact on long-term fertilitySupport for ovarian and hormonal health after coming off hormonal birth controlWhether you should take "Pill" holidays if you're a long-term OC userAnd more!If you've been on the Pill and are hoping to conceive soon, are already trying, or just want answers to alleviate fears, this episode is the most comprehensive review you'll find.Want to be part of the next "Let's Chat About That?" Do it! Just ring me at (413) 889-4549 and leave a voicemail for a chance to have your question featured in the next one!Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.

In a recent development, the US Preventive Services Task Force sounded the alarm about the increasing prevalence of hypertensive disorders among pregnant women. They have advised monitoring blood pressure throughout pregnancy since these disorders have doubled in the last three decades, impacting one in ten pregnancies. Unfortunately, the United States lags in maternal health, bearing a troublingly high maternal mortality rate compared to other countries. While the newly recommended guidelines are undeniably important, it is crucial to delve deeper into the root causes that contribute to this and the growing number of other chronic health problems showing up in pregnancy.On today's episode of On Health, I have the privilege of being joined once again by the remarkable Dr. Neel Shah, a forward-thinking OBGYN and the Chief Medical Officer of Maven Clinic. Together, we delve into the heart of the maternal health crisis, exploring its multifaceted origins, and discuss important new ways of thinking about critical problems. We examine the profound societal challenges that impact maternal health and emphasize the urgent need for and significance of personalized care and the promising role of emerging digital healthcare solutions in supporting pregnant individuals. Furthermore, we address the repercussions of the COVID-19 pandemic, including the impact of forced isolation on maternal health.It is of utmost importance that we continue to raise awareness about maternal health and strive for comprehensive changes that prioritize the well-being of both mothers and babies in this country. By tackling the underlying factors that contribute to these challenges and ensuring access to meaningful care, we can achieve healthier outcomes for all, including the most vulnerable members of society.Dr. Neel and I discuss:COVID-19, lack of labor support, isolation, and other unforeseen obstacles for pregnant peopleSystemic racism and the impact of weathering on maternal mortality ratesDr. Neel’s firsthand experience as a practicing OBGYN during the pandemicThe dangers of generalizing and the importance of working directly with pregnant people on their individual needsA breakdown of what pregnant or aspiring pregnant people deserve from the healthcare systemThe goal of the Maven Clinic app and the potential of digital maternal care optionsDr. Neel’s perspective on the centering pregnancy modelWhy Dr. Neel feels that competence, reliability, and affirmation are required to move the needle in creating systemic change in maternal careThank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Dr. Neel @neel_t_shah, check out the Maven Clinic App and more @mavenclinic

In the ever-changing landscape of trends and choices, it's important to separate the fleeting fads from the timeless practices. Today, we embark on an insightful journey, shining a light on two prominent trends that have taken center stage: Intermittent Fasting (IMF) and Time-Based Eating (TBE) and their profound impact on women's bodies.Join me as I peel back the layers, shedding light on the unique methodologies of IMF and TBE. We’ll explore the known benefits and potential risks and provide you with valuable insights to help you make informed decisions that resonate with your individual needs and aspirations, no matter what stage of life you're in.So, take a moment to settle in and let me guide you through the realms of IMF and TBE. Together, we'll navigate the path to optimal women's health and weight management, offering a nurturing and supportive perspective that honors the journey of womanhood. Get ready to embrace a balanced and empowering approach to well-being that will leave you feeling nourished, rejuvenated, and inspired for years to come. In this episode, I talk about:The main differences between and the science behind both IMF/TBEWhat we know (and don’t know) about the benefits – and risks – for women, specificallyWhy I don’t recommend IMF as robustly as I do TBEHow to avoid having a negative impact on your reproductive hormones while doing TBE, especially if you’re very physically activeMy advice for a moderate TBE approach that’s safe and beneficial for pretty much everyoneWho should not practice TBEMy personal approach to TBE and what I recommend in my practiceThank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. 

Over the course of her twenty-year medical career, my guest today, Dr. Suzanne Gilberg-Lenz, noticed a shocking dearth of information and support for women beginning and experiencing menopause. For too long, this crucial stage in women’s lives has been given perfunctory notice in medical schools and is often either a hidden secret or the punchline to a joke—denying women the information and support they need. This disregard, coupled with the unconscious misogyny and ageism that run rampant in our culture, portrays menopause as something to be afraid of, and worse, adds a patina of shame around the blessing of ageing and the beginnings of a new, normal, and enriching phase in a woman’s life. Dr. Suzanne, as her patients call her, believes that the millions of women entering menopause each year deserve thoughtful, candid, modern, holistic information about the physical and psychological issues that arise in this transitional stage, including changes in libido, metabolism, body image, and fears over genetic age-related illnesses. She contends that menopause is a whole-life condition and deserves a wide-ranging approach that combines meditation, yoga, therapy, herbal supplements, along with the most up-to-date science with conventional medical solutions. And this is all part of her approach in her "Menopause Bootcamp" gatherings and book of that title.In this episode of On Health, Dr. Suzanne shares her insights and advice on how to not only survive menopause but also thrive and embrace this new chapter of life. From the importance of community and self-love to the use of botanicals and so much more, Dr. Suzanne's holistic approach to menopause is a game-changer for women everywhere. So sit back, relax, and join us as we explore and gain the tools necessary to take on this transformative and empowering stage of life with confidence and ease. Suzanne and I get into:What ultimately inspired her to shift her focus on all things menopauseThe Menopause Bootcamp and the importance of community during this transitionTaking a closer look at internalized misogyny as womenNormalizing the grieving process for the loss of who we once wereThe link between the mental health crisis and the menopausal transitionThe common symptoms associated with menopause: sleep, weight gain, brain fog, and more.Botanicals, cannabis-based products, and other recommendations to minimize the mood shifts associated with menopauseMentally and physically navigating weight gain during this hormonal shiftThank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Suzanne at @askdrsuzanne and order her book, The Menopause Bootcamp, here!

Are you overwhelmed by the number of birth control options available and wondering which one is right for you? Are you confused about the safety of various contraceptives? Confused about whether to use the Pill or another contraceptive method for PCOS, endometriosis, acne, or another hormonal condition?  There’s no denying that it can be daunting. With so much confusing and contradictory information out there, how can we separate facts from fiction to make an informed decision?Fear not: In today’s episode, I share my 35+ years of experience and research on birth control methods from my vantage point as a midwife and MD who appreciates the range of options available to us to take control of our reproductive lives. I dive into the pros and cons of common forms of contraception, the safest, most effective, and most convenient methods, and, importantly, how to pick the method that best suits your unique, personal needs at this time in your life. No judgement, no fearmongering—just good, honest information.I jam about:The various methods of birth control available from the Pill to IUDs, condoms, fertility awareness, and more.The pros, cons, safety issues, and comparative efficacy of these various methodsMy thoughts on the Pill as a physician —and when I prescribe itHow to choose birth control based on your current needs—and what to take into considerationThank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.

In this episode of On Health, I dive deep into the science and culture of our menstrual cycles with Kate Clancy, PhD, period researcher and expert in the field of reproductive biology who has dedicated her life’s work to advocating for menstrual health and wellbeing.We explore the myths and misconceptions surrounding menstruation, as well as the social stigma that often accompany it. Kate sheds light on the latest research in menstrual biology, from the role of hormones to the microbiome of the uterus. We also discuss the cultural and historical factors that have shaped our attitudes towards menstruation and how these attitudes impact women's experiences today.But we don't stop there. We also delve into the controversial topic of COVID-19 vaccines and how they may affect our menstrual cycles. Kate shares her insights based on the latest research, her own personal experience, and a survey she did which received 165,000 responses.Kate and I discuss:Why she decided to study and dedicate her life’s work to menstruationIron deficiency and periods: is there a correlation?The nuanced topic of period suppression and the implications of birth control Her infamous tweet about the COVID-19 vaccine, her findings, and her own personal experienceVaccine trials, research, and the dangerous lack of menstrual inclusion and acknowledgementDispelling some of the myths surrounding what is considered "normal" and "abnormal" as it pertains to menstrual cyclesThe importance of paying attention to our bodies while also understanding that levels of variation in our cycles are to be expectedDr. Clancy's work is a reminder that menstrual health is an important and often overlooked aspect of overall health and well-being. By increasing awareness and education surrounding this topic, we can break down the societal stigma and empower individuals to better understand and care for their bodies.Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm to join the conversation. Follow Kate at @clancy_kate and check out her book at www.kateclancy.com

CONTENT WARNING: Sexual assault Did you know that it takes only 3.5 years to sail around the world but up to 10 years to get an endometriosis diagnosis? That three out of four women experience pain during intercourse at some point in their lives? Or that nearly half of all women aged 18 to 35 have trouble reaching orgasm with a partner, and most women don't score their sexual satisfaction as very high? These statistics are just the tip of the iceberg when it comes to the vast spectrum of issues that women face with regards to their reproductive and sexual health. And did you know that women, like myself, who try to talk about this -- and even things like birth and breastfeeding, on social media platforms have been censored while overtly sexual ads for male issues are overtly promoted?Unfortunately, this pervasive culture of censorship silences crucial information from being shared among women and hinders progress towards achieving equity and wellbeing around important women's health issues.  Enter Jackie Rotman, founder and CEO of the Center for Intimacy Justice. Jackie is an inspiring activist and creative whose work on social media equity has been instrumental in changing policies so that women's voices can be heard and women's health needs can be more openly discussed on Meta (Facebook, Instagram). Join me for this latest On Health episode where Jackie and I discuss: The pleasure gap: what it is and why it needs to changeWhy women's reports of sexual satisfaction are so much different than men'sHow internet censorship around women's health affects our knowledge and empowerment The personal experiences that inspired Jackie to focus her substantial intellectual power on internet censorship and sexual health bias How stifling and censoring women's health affects the reach of business by women, for women, and favors the growth of men's businesses into the women's health space. This is a must-listen episode for all of us trying to find health information and thrive in our modern internet world. Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Jackie @jackierotman1 and check out The Center for Intimacy Justice  

As parents, it’s instinctual that our number one priority is to ensure that our daughters grow up as happy and healthy as possible. So with the very real phenomenon of early puberty on the rise, it's understandable that many of us have growing concerns about it.On today’s episode of On Health, we'll be exploring early puberty, including the various environmental and social factors that could be contributing to this trend, what we can do starting at a young age to promote healthy hormonal and reproductive functioning, as well as how to recognize the signs of early puberty and address them in a non-judgmental and supportive way.Whether you're a parent, grandparent, healthcare provider, or just want to know about this important topic, I know you'll find this episode informative and reassuring. In this episode, I talk about:Factors causing or contributing to the rise of early puberty in our girlsWhy we think the COVID-19 pandemic increased the rates of early puberty around the worldEarly puberty as a 6th Vital SignThe signs of early puberty that parents and physicians should know and recognizeBest health and life-style prevention practicesDe-stigmatizing puberty and practicing open communication with our girlsThank you so much for taking the time to tune in to your body, yourself, and this podcast! Together, we can give our girls the support and protection they need to emerge into womanhood with confidence and ease.Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.

Here’s the uncomfortable truth: Ethnicity, gender, sexual orientation, age, body size, and other factors have a significant bearing on whether you will be diagnosed and treated correctly. And health-care bias can mean the difference not just between suffering and relief but between life and death. On today’s episode of On Health, my guest, Angela Marshall MD, a board-certified internist, founder of Comprehensive Women's Health, Inc., and the author of the new book, Dismissed: Tackling the Biases that Undermine Our Health, shares the personal tragedy she experienced as a young mother and medical student that transformed the way she was to practice medicine, brings us front and centre into some of the core biases getting in the way of people getting good healthcare, and offers pragmatic solutions for providers to address and overcome their biases within a broken system. Angela not only explains what so many people feel so profoundly—that the system is working against them. It also reveals what healthcare practitioners, patients, and society in general can do to make it right.For anyone who has ever felt vulnerable while navigating the healthcare system, this episode is a must-listen. Join us as we delve into this vital topic and shed light on the ways in which biases impact patient care. Angela and I discuss:How the death of a dear friend - a black woman MD, due to medical dismissal and the loss of her own infant son, also due to medical dismissal, have now galvanized her approach to being a physician.The deep-rooted indoctrination into biases that continues to exist within medical education and the healthcare system - and what needs to be done to enact real changeFat shaming and the importance of finding a provider you feel comfortable and safe with in a medical settingHow we can better advocate for ourselves when we are in medical settings, and when it's time to break up with your doctorHow we can find grace and compassion for ourselves when we've experienced medical dismissal. Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Angela @angelawmarshall, find her book and learn more about Premedical Explorers at www.angelamarshallmd.com

Have you wondered if you or someone you know has Long COVID? It's VERY possible!As of 2023, the CDC estimates that 1 in 5 people, as many as 1 in 3 college students, and a preponderance of menopausal women who have had COVID still experience symptoms more than 3 months—or more—after being infected. Long COVID continues to impact the everyday lives of countless "long haulers" globally. On today’s episode, I'm joined by journalist Fiona Lowenstein, an early and prominent voice in the Long COVID patient movement, who wrote the New York Times article that first blew the lid open on Long COVID.Fiona's story sheds light on the often-overlooked experiences of long haulers, highlights the need for greater awareness and understanding of the condition, and provides hope that healing can happen over time.We discuss:Fiona's experience as part of the first wave of people who got sick with COVID in NYC and how little the medical community knew how to help themThe major gap between what COVID long-haulers are experiencing and medical testing Medical gaslighting, racism, homophobia, and how these systemic biases affect many people's abilities to get helpThe similarities between Long COVID and chronic fatigue syndrome and the realities of post-viral illnesses The effects of Long COVID from mental health challenges to neurological issues, chronic fatigue, POTS, and more.How Fiona's started their online peer support group and how this group helps other COVID long-haulersWhat Fiona wishes people who don’t have Long COVID knew about living with the illness and the change they wish to see in the medical communityIf you or a loved one is dealing with Long COVID or another invisible illness, I hope that this podcast offers hope, empowerment, and support. Please send this to someone who needs reassurance that they are not alone, or a friend, to help them better understand the realities of chronic invisible disease.Thank you for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Fiona at @fi_lowenstein, check out the Mutual Aid Book Exchange, grab a copy of her book and learn more about The Body Politic at www.fionalowenstein.com

If your teen daughter is struggling with period pain and you're looking for answers - or you're a teen here for yourself - this episode is for you.Period pain, or what’s medically known as dysmenorrhea, has become such a normalized part of the menstrual experience, so much so that regularly taking ibuprofen to numb the discomfort and skipping out on important life obligations is something we’ve come to blindly accept as "normal" - which we owe ourselves more than to believe. Our periods should not be painful!So too, when it comes to our teenage daughters. But if that's the case, what level of discomfort is actually considered "normal?" And when is it time to search for possible underlying causes?On today’s episode of On Health, I’ll be addressing period pain in our teens, the key role our 'hormonal ecosystem' plays and what it means when I say that our menstrual cycle is a 6th Vital Sign. We'll explore conventional and integrative practices to help relieve menstrual pain, how to reframe the way our daughters view their periods from a monthly curse to a useful indicator of overall systemic wellness, and more.After all, given that we have about 400 periods in our lifetime, learning how we can influence and support ourselves throughout our menstrual cycles at an early age can set us up for decades of greater ease and health! In this episode, I talk about:The menstrual cycle as the 6th vital sign and why it’s an important indicator of overall healthThe difference between primary and secondary dysmenorrheaWhy period pain should never be dismissed, especially when it interferes with your lifeProactive lifestyle and dietary approaches to address the root causes of menstrual painHow to determine when it’s appropriate to take NSAIDS like ibuprofen and other medicationsMy herbal and supplement recommendations for menstrual discomfort, including whether there's a role for cannabis in period pain in teensThank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. And remember, you can call in a question, too! Just dial (413) 889-4549 and leave your message!

Imagine opening an email that contains a revelation that rocks your world to the core, forcing you to completely rethink your origin and your identity- this is exactly what happened to my guest on today's On Health Podcast episode, Dani Shapiro.Every family has secrets. Some are buried and never spoken about, some are maturely disclosed, and others are inconveniently discovered. These discoveries have the ability to shake us to the core and shatter our entire world, especially when related to something as serious as our identity. With the most recent advancements in at-home genetic testing kits like 23andMe and Ancestry.com, these earth-shaking stories are becoming the norm, and the reality of anonymous sperm donors and shady fertility clinics of the past are finally being exposed, creating a painful realization for those coming to learn the truth about who they really are.My guest today is no stranger to this particular kind of pain. With 11 critically acclaimed books under her belt and a hit podcast, Dani Shapiro has dedicated her entire adult life to the exploration of family secrets, weaving personal experience into her work and shining a light on what's been left in the dark. After a test result from a random at-home ancestry.com kit revealed the truth about her father, her entire world was turned upside down at the age of 54, and today, she’s sharing her story.Join us as we discuss:The truth of my own family secret and how it affected me as a young girlHow increased access to DNA tests and ancestry kits is unraveling some deep mysteries and secrets for many but few were even looking forThe history of assisted reproductive medicine and the shame around male infertility, especially in the 60sDani's insights on healing and forgiveness, both how they can happen and when it just seems they can’t happenHealing the mother wound - even and especially if we have a rocky relationship with our own mothersAnonymous sperm donors and how it may be essential to our health to know where we come fromThe ultimate question- do family secrets need to be brought to light or can they remain secrets?and so much more!Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Dani @daniwriter and grab a copy of her books at danishapiro.com

TRIGGER WARNING: Miscarriage and pregnancy loss. Both physically and emotionally, there is very little that can prepare a woman for something 1 in 4 of us will experience in our lifetime: miscarriage. Early pregnancy loss is a complex topic that has consistently been high on the list of what many healthcare providers, journalists, and female podcasters consider to be taboo to dive deeply into - or even discuss at all, for fear of being perceived as negative. And in this post-Roe era, it’s all the more complicated as women are being denied not just abortion services - but miscarriage support - even sometimes in emergencies. With the complexities of the current reproductive health landscape, I felt now would be a timely and appropriate moment to share an episode from 2020, where I walk you through the miscarriage process from start to finish. In today’s climate, with strict abortion laws and difficulty accessing the medications needed for at-home miscarriage, it’s all the more important that we, as women, have the knowledge about what to expect and how to safely miscarry, should we or someone we love choose or be forced to, either at home or otherwise.  Join me as I discuss: The signs and symptoms of early pregnancy loss and the different types of miscarriage The options for miscarriage care including watch and wait, medications, and surgical procedures  What to expect in a miscarriage Tips and best practices for an optimal at-home miscarriage experience Herbal recommendations for when the miscarriage begins - Find more information in the accompanying article, here!   How to determine when medical care and attention is needed Miscarriage aftercare and when you can try again If you are living in a state with strict abortion laws where it’s difficult to access the medications needed for a medication miscarriage approach at home, be sure to check out my podcast interview with Imani Wilson-Shabazz of Plan C, an organization dedicated to helping women easily and affordably access the medications used to manage both an abortion and a miscarriage.  I hope that this episode provides you with all you need to know to fell less alone and to know miscarriage isn't your fault, and how to make an informed decision about the miscarriage options that work best for you and your individual situation without shame, how to feel more empowered about this common experience, and how speak up for yourself if necessary to get the care you need. Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. 

From chronic fatigue to Lyme’s disease to COVID to autoimmune conditions, "invisible" illnesses and those who suffer from them are often disbelieved. It's often a struggle to receive a diagnosis, and more often than not, sufferers do not receive the adequate care they need. Lack of knowledge and understanding from medical providers may lead women to remain silent and hide their suffering, live with persistent symptoms, as well as facing isolation, depression, and anxiety. So where does one even start if suffering from an invisible illness and how does one begin the journey towards reclaiming your own life? Tune into today’s episode of On Health to find outMy guest today, Meghan O'Rourke, is the author of the New York Times bestseller and absolute must-read, The Invisible Kingdom: Re-Imagining Chronic Illness. In her twenties, Meghan began suffering from mysterious symptoms ranging from crushing fatigue to rashes to strange neurologic symptoms. The decade long search for a diagnosis led her down a long path of discoveries about conventional, integrative alternative medicine - and herself! Her book and wisdom is a healing balm for anyone struggling with or who loves someone with chronic disease.In this episode, we discuss:What an invisible illness is, and some of the most common known conditions for which women are most commonly dismissedMeghan's journey of seeking a diagnosis and treatment for a constellation of symptoms while redefining her sense of self as someone with an invisible illness.Medical gaslighting, self-gaslighting, and gender as obstacles to women receiving proper medical careThe role online groups and alternative medicine played in finally getting a diagnosisWhy it's so important to deeply trust her your body and learn to discern is -- and isn'tt -- working for you from medical interactions to conventional and alternative therapiesNon-negotiables for living well, and navigating work and motherhood, with a chronic conditionThe impact of long-COVID on raising awareness and changing the cultural and medical narrative about chronic, invisible illnessesHow to advocate for yourself in conventional medicine and integrative wellnessMany of you listening will find yourself in Meghan story. I hope this interview and her book give you a feeling of being less alone and remind you of the need for compassion for yourself or those in your life.Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Megan @meghanor and grab a copy of her book at meghanorourke.com.

An estimated 6,000 women in the U.S. reach menopause every single day—that’s over 2 million each year! And an average of 27 million women between the ages of 45 and 64 experience menopausal symptoms. All this to say, you are not alone if you experience vaginal dryness and/or pain during sex. My goal today is to help you feel comfortable in your body and in your life by sharing what you need to know about the causes of these symptoms, what you can do to soothe and heal your vagina, and how you can make sex comfortable again.    Vaginal dryness also affects women in their 20s and 30s, so even if you're not in menopause, have a listen because you're sure to learn something about your body now—and something for your future self!   In this episode, I talk about: What happens to our hormones leading up to and during menopause and why these changes can lead to vaginal dryness and, in turn, painful sex How to know whether your vaginal symptoms or pain with sex are due to menopausal changes or to another condition Effective, easy, and practical tips that you can use for vaginal dryness and painful sex The differences between lubes, moisturizers, and oils, when and how to use each, and why hyaluronic acid may be a great option My recommendations for herbal remedies and the pros and cons of a variety of supplements The hormonal approaches currently available and which option may be the right choice for your treatment The surprising and sexy tip to help heal vaginal dryness and pain during sex I truly believe this is a phase of our lives that is meant to be filled with empowerment, self-love, and, when desired, self-pleasure.     And remember, you too, can call me at (413) 889-4549 and leave a voicemail with your women’s health-related questions, which may just get featured in a future episode!  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. 

As thoughtful consumers, we try to make the best decisions for ourselves and our families. And the bottom line is that we shouldn't have to twice about the possibility that the everyday products we use, from the cookware in our homes to our cosmetics, could pose any level of danger to our health and wellbeing. We should be able to have confidence in the brands that make these products, as well as in the role of the powers that be — specifically the FDA — in ensuring their safety. However, there are unfortunate realities behind many of these everyday goods; PFAS, better known as "forever chemicals,” being one of them.In today’s episode of On Health, I address the threat of PFAS to our wellbeing as women, and to our children as I talk about the recent controversy that was brought to light from behind the shadows of some very misleading marketing by Thinx, a popular period underwear company. I dive into the long-term impact these chemicals can have on our health, the toxicity of labels like "organic" and "natural" in products that clearly contain PFAS, what products to be aware of, how to limit your exposure, and the importance of advocating for real, systemic change to keep ourselves, our families, and future generations as safe and healthy as possible.Join me as I discuss:The definition and history of PFAS and why they are classified as "forever chemicals"Where menstrual products fall under the FDA's regulatory category and what this ultimately means for their safetyHow much PFAS exposure we are getting from menstrual products and the health risks associated with thisTips and best practices to reduce exposure to PFAS when it comes to both menstrual products and everyday livingWhy the issue of these chemicals present in our products requires systemic change and what needs to be done moving forwardThank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.Resources:For PFAS-free options for menstrual underwear, check out guides from Better Goods and MamavationThe Green Science Policy Institute has lists of PFAS-free consumer products—from rain gear to car seats.The Environmental Working Group’s database can help you to identify cosmetics and body products that do not contain PFAS.Additional Reading:Are Your Menstrual Products Hazardous To Your Health? https://avivaromm.com/menstrual-products/Endocrine Disrupting Chemicals (EDC) Impacting Your Hormone Balance https://avivaromm.com/hormone-disruptors/The Toxins That Could be Tanking Your Thyroid https://avivaromm.com/thyroid-toxins/For an in-depth discussion of the role of endocrine disruptors on our reproductive health - and what you can do - get your copy of my bestselling book, Hormone Intelligence

Sensitivity to light, sounds, and sometimes smells, nausea, vomiting, and sometimes hours spent in darkened rooms. If you suffer from migraines, then you're all too familiar with these symptoms, which may affect you infrequently or as often as several times each week. Migraines are three times more common among women than men, and are worse prematurely and in menopause when women may experience them for the first time. But it's not just the numbers that are different, women are perceived and treated differently.Today I'm sharing the rich and relevant conversation I had with Dr. Joanna Kempner, an associate professor in the Department of Sociology at Rutgers, who is doing important work on gender politics and pain, specifically the striking difference between how men and women with pain are treated by doctors.In this episode, we explore the historical emergence of the 'migraine personality,' hysteria, and further disparities in pain treatment for women of color. We explore the societal factors that lead women to feel guilty for speaking up about their pain, whether it be chronic pain caused by a condition like migraine or acute pain for example, with a heart attack, and the ways that the stigma of pain affects pain research and the implications of this for the current and future treatment of women's pain.Joanna and I discuss:The historical context for the diagnosis previously called ‘hysteria’The stigma women who have migraines might experienceHow people who suffer from migraines take on stereotypesWhat happens when a migraine is not recognized as a disabilityHow the pharmaceutical industry plays on women’s guiltyWhy the medical community so often disbelieve womenThe patient-blaming language of medication overuseThe irrationality of the opioid crisisHow and why women of color remain invisible in medical research and have their pain treated differentlyTune in to learn why these disparities in pain treatment still exist, how they are affecting our care, and how we can address this in our own lives.Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Check out Joanna’s incredible work and grab a copy of her book Not Tonight: Migraine and the Politics of Gender and Health at www.joannakempner.com

Motherhood is a lifelong role, during which there will be no shortage of opportunities to worry. Even before you give birth, your mama-bear radar is engaged, and you’re suddenly motivated to do all you can to protect this precious being growing inside of you. So as hard as it is to manage these worries while we're pregnant, it's also an ideal time to start developing inner practices to help us cope with these worries, both in order to protect ourselves and our little ones. On today’s first official Let’s Chat About That episode of On Health, I’ll be addressing some of these worries head on by answering a voicemail from an expecting mama who is concerned about immunity during pregnancy, currently dealing with the very real feelings of anxiety and fear about getting sick during this time. My goal today is to ease some of these overwhelming worries by providing you with the honest facts so that you can make the most informed decisions to keep yourself and baby healthy now and for the long run. On this episode, I discuss:The likelihood of developing respiratory illness while pregnantNon-respiratory infections to be aware of: herpes, toxoplasmosis, and ListeriaWhat you need to know about the cold, the flu, COVID, and RSV while pregnant, including prevention and what to do about common respiratory symptoms and feverUniversal symptoms that tell you it's time to get medical careHow to minimize exposure and boost immunity safely in pregnancyI hope this episode brings you the peace of mind, reassurance, and ease to carry you through your pregnancy and into your journey through motherhood. I look forward to connecting with you and answering more of your women’s health-related questions in future episodes of this series! Remember, you can call me at (413) 889-4549 and leave a voicemail for a chance to be featured on the next one!Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.

Content Warning: In this episode, we will be talking about maternal mortality, infant mortality, and the impact of racism on maternal health.60% of all maternal deaths are fully preventable, and the complications women experience are not inherent to black or brown bodies. Yet Black and Brown women have been blamed for their "bad outcomes" instead of recognizing that these deaths all too often have to do with failures in the obstetric system. In the US today, a Black woman is 12 times more likely to die of childbirth than a white woman, despite socioeconomic factors.Today on the On Health podcast, I am having a very real and much-needed discussion on the racial disparities in the business of birth, the demand for change, how we can better celebrate Black birthing people, and more, with Kimberly Seals Allers. She is an award-winning journalist, five-time author, international speaker, strategist, and advocate for maternal and infant health. A former senior editor at ESSENCE and writer at FORTUNE magazine, she is also a leading voice on the racial and socio-cultural complexities of birth, breastfeeding, and motherhood. Additionally, she is the founder of Irth, a new "Yelp-like" app for Black and Brown parents to address bias and racism in maternity and infant care. Kimberly also created Birthright, a podcast about joy and healing in Black birth that centres on positive Black birth stories.In this episode, we discuss:How weathering - the phenomenon of being exposed to ongoing racism - impacts Black pregnant and birthing women Kimberly's journey into breastfeeding and birth activism - and how it's a family affair for her The Irth app and how Kimberly is challenging medical bias and shining a light on much needed provider and birth space accountability Black birthing joy and how it is possible to hold both the reality of these statistics and the celebration for Black birthing people How we can push for change despite generations of struggle And so much more! Tune in for an incredibly raw conversation and a very real look into a black woman’s reality as an expecting mother and beyond. Your eyes will be further opened to the injustice that continues to exist in this country and you will feel more inspired than ever to do what you can to take action as an advocate.Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Kimberly @iamksealsallers, get your copy of The Big Letdown: How Medicine, Big Business, and Feminism Undermine Breastfeeding, listen to the Birthright Podcast and check out the Irth App at www.kimberlysealsallers.com

Welcome to the second half of our alcohol miniseries! In part one, I focused on how alcohol metabolizes differently in women than men and how this increases women's alcohol-related health risks. I also talked about how alcohol can effect puberty, our hormones, and menstrual cycles. If you haven’t already listened, it's a perfect prequel to today's episode, where I talk about how alcohol may impact fertility, PCOS, endometriosis, menopause, and breast cancer, giving you food for thought on whether and if so how much drinking is okay for YOU, and also tools for smarter alcohol intake. You’ll walk away from series feeling empowered and equipped with the tools and information necessary to approach alcohol in a way that best matches your lifestyle.   In this episode, I dish on: How alcohol may impact fertility and how to approach drinking while trying to conceive How inflammation caused by alcohol consumption can enhance symptoms of PCOS and endometriosis The role of alcohol in menopause, hot flashes, and sleep struggles Alcohol and breast cancer: risks, susceptibility, genetics, and more How alcohol may impact methylation and DNA The top tips for drinking in a way that mitigates the risks of alcohol, while still being able to enjoy light intake should you want to Whether you're trying to conceive, are currently pregnant, going through menopause, struggling with PCOS or endometriosis, or simply want to learn more about the potential long-term effects of alcohol on your health, - even just light drinking - this series as a must-refer-back-to one for various cycles of your life. So listen, save and share it! Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. 

Alcohol. It's the kind of frenemy that many women have a love-hate relationship with. It may make us feel good in the moment—relaxed, more social, less anxious—but many women find that after a drink or several, they’re moody, irritable, don’t sleep as well, and feel overall kind of not-so-great. Are there reasons for this that are unique to women? And can alcohol have hidden effects on our estrogen? Progesterone? Menstrual cycles? What about your gut? Circadian rhythm? Thyroid?  That’s exactly what we’ll explore together in this two part series on women, alcohol, and our hormones. Whether you’re having a dry January or just hitting the brakes a little now that the holiday parties are behind us, what better time of year is there to do a little self-check-in on this anyway? It can be a perfect time to revaluate your relationship with alcohol altogether as you move into a healthier New Year.  We’ll be diving straight into the research and discussing the direct impact alcohol has on women’s hormonal and long-term health, so you can make the most informed decisions when it comes to alcohol consumption that best fit your lifestyle.   In the first of this two part series on women, alcohol, and our hormones, we'll deep dive into... Why we need to know how much a "drink" really is in terms of alcohol content The differences between how men and women metabolize alcohol and why this is so important The differences between light, moderate, heavy, and binge drinking and why it matters How your personal background can play a role in the way you react to alcohol The truth about red wine consumption and the French Paradox  The dynamic between alcohol, inflammation, leaky gut, blood sugar, and thyroid health How alcohol impacts estrogen, progesterone, testosterone, and our menstrual cycles This episode will give you food for thought and some important information to consider as you intentionally reflect on whether and how much to include alcohol in your lifestyle with zero judgment.   Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Mentioned in this episode:Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

At some point, too many of us internalized the belief that being a woman means complete self-sacrifice, not setting healthy boundaries for our well-being, and not taking care of our fundamental needs – even for sleep, quality food, and relaxation. Further, as moms, we often take on the lioness's share of the household. As partners, we plan the dates and stay in touch with old friends. At work, we pick up the slack of others without so much as a peep of protest. But here's the thing- often, others don't even notice that we are doing all of this extra work because we haven't set healthy boundaries - with ourselves or with them. We've been taught to be the "good girl" (definitely listen to last week's podcast episode ALL about this topic if you haven't yet) and with this, we also believe that boundaries are rude or selfish.  So we give and give and give - at the expense of our well-being and sometimes at the expense of our own passions and fulfillment. Time for a reframe! Not only is having boundaries not selfish - but we are better givers when we practice conscious boundaries.And that's exactly what I'm talking about in this latest On Health episode. Tune in as I dish out my top tips to get you on your way to a boundary-setting queen! And learn all about why it's truly so important, just in time for the new year ahead and beyond.   In this episode I share:What boundaries are, including the types we may overlook  Why we have trouble setting boundaries How to know whether you need better boundaries in your life Exercises to support you in discovering your highest priorities and how to stick to them The boundary-setting practices to get you started and that really work And more - including my weird style tip that relates to boundaries  I KNOW that many of you will have at least a few "aha" moments and maybe even have some tears of understanding. Listen and become your own boundaries badass!  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. 

From a young age, we’re taught to be "good girls." We’re told to be polite, to be nice, not to interrupt, and to say thank you—even when we don't mean it. As little girls, we're best "seen", not heard and told that if you question authority or speak your mind, then you're bossy, too loud, or even a bitch.  And while we know this is all nonsense as adults, so many of us still hold onto these beliefs and habits, which cause us to remain silent at board meetings, apologize to the other person when they cut us off in the checkout line, and remain silent in the doctor's office when we know something is wrong.  It's "good girl syndrome", and it can seriously affect our health and even our safety, as you'll learn in this episode!  In the episode, I share:  An essential lesson in self-advocacy I learned in 3rd grade that has and continues to serve me powerfully in my life and work  The science behind the "fawning" stress response and how so many of us do it without even noticing  "Good Girl Syndrome": what is it, why we develop it, and how it can even be damaging to our health Why it's good for your health to be a "bad patient"  My experience being the "good girl" in medical school and how that led to a major shift  How channeling my inner "bad girl" saved my patient's life  The power of the Wonder Woman pose and the tools necessary for women who are struggling to advocate for themselves    And so much more!    This episode is a MUST for every woman who needs empowerment to finally get her doctors to listen, to speak up to her boss, or to embrace her own inner Wonder Woman, power, and confidence.  And remember to head over to my Instagram page to join in the convo on this episode.  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. 

This week, I'm sharing a replay of my interview with New York Times bestseller, Dr. Emily @Nagoski, author of Come as You Are, because she's so interesting and because as we shift through seasons of our lives (and through pandemic seasons!) our s*xual needs and s*x lives shift and evolve, too. There are certain themes that we hear differently in each phase of our own lives. One of my favorite quotes from this interview is: "The most important factor for women in creating and sustaining a fulfilling s*x life, is not what you do in bed or how you do it, but how you feel about it." It's just one of many pearls Emily drops in this episode! Join me in this episode of Natural MD Radio as I talk with Emily about what we can do to cultivate s*xual wellbeing in our lives and how we learn what's normal and fulfilling for each of us, not externally based norms.  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. 

The thyroid is such a complex part of our endocrine system, involved in hundreds of processes that affect nearly every aspect of our health, so naturally there’s plenty of ground to cover. I’m so thrilled to be picking up where we left off in Part 1 and diving back into all things thyroid. Whether you’re in the midst of thyroid struggles or seeking some general guidance for your overall thyroid wellbeing, I'll be tackling more of your thought provoking questions. I hope you walk away from the conclusion of this series feeling empowered, that much more thyroid literate, and all the wiser. Listen in to learn all about:  All things thyroid antibodies from what they are, what they mean, and whether, when, and what to do if they're elevated  All things about thyroid medications: The pros and cons, testing while taking them, and my go-to recommendations for a variety of situations  The truth about whether Hashimoto's and Grave's disease are 'curable"  How to wisely take an integrative approach to thyroid health: breaking down the pros and cons of multivitamins, iodine, inositol, healthy diet, and more   You'll also learn how to join me for a whole new and really exciting On Health feature: Let's Chat About That - where you can call me directly with the burning questions you’d like answered on the show related to women’s health, hormones, fertility, pregnancy, birth, postpartum, menopause, lifestyle, mental health, or pediatrics. You now have the opportunity to leave me a voicemail and have it played on an upcoming episode - with an answer from me! Call me at 413-889-4549 and ask away. I can’t wait to hear what's on your mind!  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.  

How many times have you sat down to a meal already worried about the calories in the food you’re eating? Or plagued by feelings of guilt and feelings of loss of control instead of the pleasure and nourishment of eating? If you often have an inner food battle, as do so many of us, and if you want to pass a healthy food relationship onto your now or future daughters, today’s episode is for you. Around the holidays specifically, it can be hard to relax and enjoy ourselves when the society we live in is filled with images and ideals of unrealistic body standards.  So join me for a very special episode this week to learn about:The relationship between cortisol and stress eating, and why willpower isn't just about 'you'. The powerful influence of family history culture and society on body image and how this translates into our relationship with food, and what food 'introjects' are The benefits of mindful eating and how this can transform not only your relationship with food, but digestion and metabolism as well Where digestion actually begins, and why this is so important for carbohydrate digestion How to eat to satiety rather than overfullness and ways to let go of the food battle in your mind I'll also be leading you through a special visualization on mindful eating and providing you with tools to help you navigate food healthfully through this holiday season and beyond. I wish you a whole new and loving relationship with food and your body, with no resolutions, no battles, and no struggles needed, starting right now.  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. 

This year, staying well and preventing colds and flu is more important than ever. Not only is it expected to be a worse-than-average flu season, but we’re also entering another COVID winter. But what is it that you can do that really works to boost your immunity? Can you actually rely on herbs and supplements? What else can you do?  In this episode, I answer these questions and more. I share the top tips that really work to prevent colds and flu in adults and kids—from the practical to the pharmaceutical to the nutritional and herbal.   Have a listen to learn: The difference between colds and flu, and what all the fuss about flu is about The role of flu vaccines and Tamiflu in flu prevention Who might be at higher risk with the flu The roles of exercise, diet, and sleep in boosting immunity - and the surprising importance of not over-exercising The best supplements and herbs to boost immunity, including doses, and what you can safely try if you're pregnant or nursing.  I hope this episode brings you food for thought and support for a healthy autumn and winter!  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.  

Blood sugar balance. It's the starting place in my patient care, and it's the one core thread, other than eating 'whole foods,' that runs through how I personally think about what I eat.   Why? As your body’s preferred energy source, glucose is a substantial and essential piece of our biological puzzle. From your hormones, mood, energy, cravings, and overall health, your blood sugar levels can influence so much more than we might even be aware of. And when blood sugar spikes and crashes this rollercoaster creates some of the symptoms we experience daily like cravings, headaches, anxiety, and more. Enter the Glucose Goddess, biochemist Jessie Inchauspé, and my guest on today's episode, where we dive into blood sugar balance, from what it is, why it's important, and how to get it. Join us for a conversation that is pivotal to women’s health and packed full of information to dramatically improve your overall health and wellbeing - and remarkably quickly and easily.  Jessie and I discuss:   The tragic accident that influenced Jessie’s interest in studying glucose  What exactly is glucose, and what does it mean to have a glucose spike  The reality of using CGMs (Continuous Glucose Monitors)  Three main symptoms of a ""glucose rollercoaster"" Concerns surrounding glucose spikes and inflammation  Finding the balance between healthy eating, non-restriction, and pleasure  Jessie’s 9 core principles for achieving glucose balance Jessie Inchauspé is the founder of the Glucose Goddess movement with a community of over 1.2 million followers, and author of Glucose Revolution: The Life Changing Power of Balancing Your Blood Sugar. She is on a mission to help people understand their bodies and blood sugar in an accessible, actionable way!  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Jessie glucosegoddess and find her new book Glucose Revolution: The Life Changing Power of Balancing Your Blood Sugar at www.glucosegoddess.com  

The thyroid is one of the most important and complex glands in our body. And as women, we need to know a thing or two about it because, statistically, 1 in 8 of us will suffer from thyroid issues during our lifetime, with significant impacts on our overall health and well-being. Naturally, we all have questions surrounding this precious anatomy, but the answers don’t always come as easily, leaving many in the dark with no clear direction.  In Part 1 of this episode, I'm going to be answering the real-life questions sent to me by women just like you, diving deep into thyroid health, dispelling some myths while providing guidance and a dose of empowerment that—you’ve got this—should you need it now or later down the road.    In this episode, I discuss:  How the thyroid functions and what role the thyroid plays in women's health  The differences between and the common symptoms of various forms of hypothyroidism and hyperthyroidism  Best practices for lab testing, the types of tests available, and how to understand your results  The various factors that can lead to thyroid problems and affect thyroid health overall  Tips for approaching your doctor to get the answers and tests you need  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. 

Every year, over 5 million parents visit the ER because their child has a fever and they're worried.. Sometimes those visits are necessary. But more often than not, we assume that we unnecessarily fear fever, and assume we have to treat it. As a seasoned physician and mama, my goal is to empower parents to trust their instincts while providing the necessary tools to help you feel more at ease when your child does has a fever - which will happen in most kids at some time or another. And with cold and flu season officially upon us, what better time to tackle this topic and break down some of the fever misconceptions out there. So sit back, relax and trust your own beautiful, mama wisdom as I talk about:  What a fever is, and the science behind why we get them  Misconceptions about fever and whether or not it is something to fear  The risks and benefits of over-the-counter medications and when they are appropriate for use  Best practices when taking a child’s temperature  Physical warning signs and how to assess whether a visit to a doctor or hospital is truly needed  The importance of trusting your maternal instincts and advocating for your child at the doctor’s office  Natural and herbal remedies to help minimize discomfort For the accompanying article, https://avivaromm.com/natural-fever-treatments/. Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.  

What do sleep, mucus, and, plant diversity have in common? They're all important aspects of a healthy gut and immune system, which is what I connect the dots on today with my guest-friend and sister MD, Dr. Robynne Chutkan. In this episode, Robynne and I dive deep into gut health with some very important and actionable takeaways. Right in time for cold and flu season, and all year round. You'll walk away from this episode with so much knowledge and insight into keeping you and your family's microbiome and immune system healthy!   Robynne and I discuss:  Dr. Chutkan's experience in medical school and how she became excited to enter the field of gastroenterology  Dr. Chutkan's experience having a sick baby and finding the root cause of her ailments by digging into her medical history  Advice for mothers wanting to support their children's microbiome  Why sleep is SO important for gut health and immunity  How the gastrointestinal system works and why it is truly the centre of your immune system  Why diet diversity may be one of the most important contributing factors to gut health  6 tips to truly optimize your gut starting today!    Dr. Chutkan is an integrative gastroenterologist and the author of Gutbliss, The Microbiome Solution, The Bloat Cure, and The Anti-Viral Gut. A former chair of the American Society for Gastrointestinal Endoscopy (ASGE), she’s authored dozens of scientific articles and lectured globally on the role of the microbiome in health and disease. She's appeared on The Today Show, CBS This Morning, and other media outlets and is passionate about introducing more dirt, sweat, and vegetables into her patients’ lives!  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Robynne @gutbliss and find her new book The Antiviral Gut at robynnechutkan.com  

Human brains do a lot of thinking - to the tune of about 6200 thoughts per day! Most of these are just passing thoughts, but according to researchers, a lot of those that reach our consciousness can be classified as negative thoughts. This week, I’m sharing the science behind the phenomenon that explains this: negativity bias - because it’s a way of thinking that can affect our health, our well-being, and determine whether we live our lives to the fullest. I talk about: Where these kinds of negative thoughts come from  How they affect our health, relationships, and the choices we make—including whether we take big leaps on our dreams!  How to recognize negativity bias in the form of Automatic Negative Thoughts (or ANTS) And I share how you can transform this thinking so that you can reframe inhibiting, fear-based, unhelpful thought patterns into courageous action in your life. If you want to live your life more optimistically and effectively, check out this episode. For the accompanying article, visit http://avivaromm.com/negativity-bias.  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.  

Every time you're fuelling your car or walking into your home and don’t have to worry about lead exposure, it’s thanks to my guest today, no less than one of my heroes, Dr. Phillip Landrigan. But the question still remains— how can you protect your children from environmental toxins? Chemicals are everywhere in today’s world, and it’s impossible to protect your child completely from the risks that they pose...but don’t panic! Dr. Landrigan and I discuss the 3 biggest hazards to your child’s health and what you, your community, and policymakers can do—starting today—to keep families safe.   Dr. Landrigan and I discuss:  How to detect lead poisoning symptoms in your child and how often they should be screened for lead exposure  The two negative developments in today’s society that threaten to undo all the progress made in lowering lead exposure   How you can test for lead in your home and what you can do to protect your family  The known (and unknown) risks of manufactured chemicals  Pesticides in our food and the truth about GMOs  Keeping your baby safe from toxins during pregnancy  What's it going to take to make changes to public policy across the board  Philip Landrigan is an American epidemiologist and pediatrician and one of the world's leading advocates of children's health. Dr. Landrigan was the first to document the effects of lead poisoning on American children, which led to the US government’s decision to remove lead from paint and gasoline. Dr. Landrigan has published over 500 scientific papers and has written several books for parents, including his latest, co-authored with his wife Mary Landrigan, Children and Environmental Toxins: What Everyone Needs to Know.  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.    

George Floyd, Brianna Taylor, Ahmaud Arbery—these are names you know. I hope. But what about Kira Dixon Johnson, Yolanda Kadima, and Tatia Oden French? These are names that you may not have heard. They are the names of Black women who needlessly died in childbirth, several of whom reported symptoms and concerns to their medical provider prior, but who were dismissed or ignored. My guest today, Tracie Collins, is passionate about changing both the statistics and the narrative surrounding Black birthing people. As the founder of the National Black Doulas Association, she's breaking down racial disparities in the medical system and fighting against America’s unacceptable Black maternal death rate by ensuring Black women know their birthing options. She joins me on the podcast to share more about the realities, challenges, and burdens of Black women, and how change requires changing the medical system. Tracie and I discuss:  How to hold space for both having the data to change the system while not creating more anxiety and stress for black women   The story of Anarcha and how the history of pain tolerance and medical inequalities goes back to slavery     The meaning of full spectrum doula work    How midwifery led Tracie to become more radical in her personal and professional life    Tracie's current projects and sources of creative inspiration  Advice for people looking to work with a doula who may have accessibility barriers    Tracie Collins has been published in Parents, Rolling Stone, and Essence, and is a contributor to Black Love, CNN Health, and NBC Today. In honor of her work in arts and entertainment and calling attention to the human trafficking epidemic in Oakland, the mayor of Oakland deemed March 14th as Tracie Collins Day. Her work also extends beyond the birthing room, exploring women's rights and social injustice as an actor, playwright, and producer, working in television and film.   Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Learn more about the National Black Doula’s Association at blackdoulas.org and follow them on Instagram @nationalblackdoulas.  

Despite years of evidence about the incredible outcomes, safety, and cost-effectiveness of midwives, midwifery care is still not the standard for pregnancy and birth in the US, and access to birthing centers remains limited. Yet, studies show they are associated with a reduction in cesareans, preterm births, increased breastfeeding success, and an overall positive experience of birth. This is why we need birthing centers and why the work of my guests, visionaries Nashira Baril and Katherine Rushfirth, is critical for creating a sea change in how people birth in this country.  Aviva, Nashira, and Katherine discuss: Nashira’s and Katherine’s origin stories into birth work What a birthing center is and how does it differ from home or hospital birth options The advantages of birthing centers and working with a midwife  The fact that the birthing center model remains majority white-led and why this needs to change   The huge financial savings birth centers put back into the healthcare system How birthing centers are important not just for individuals, but also for building community Advice for people interested in the birthing center experience but who don’t have access to a center  Ways you can support the Neighborhood Birth Center as well as other birthing centers  Learn more about the neighborhood birth center and find their video “You Were Welcomed with Love” HERE.  Nashira Baril, MPH, is the daughter and great-granddaughter of midwives, who midwifed her children at home. Nashira is the founder and executive director of Boston’s Neighborhood Birth Center, the city’s first community birth center, poised to open in 2023. She has a master’s degree in Maternal and Child Health from Boston University School of Public Health and nearly 20 years of experience designing and implementing public health strategies. She has worked at the Boston Public Health Commission, Harvard School of Public Health, and most recently, Human Impact Partners.     Katherine Rushfirth is a Certified Nurse Midwife and the Policy Director for the forthcoming Neighborhood Birth Center. Katherine was the Associate Chief of Midwifery at Massachusetts General Hospital and among the first midwives to be named faculty at Harvard Medical School. Katherine is a past-president of the MA Affiliate of the American College of Nurse Midwives (ACNM) and currently serves as the Legislative Co-Chair for MA ACNM. Katherine completed her midwifery education at Yale University and her BA in Women’s Studies/Anthropology at Barnard College. "  Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow the Neighborhood Birth Center @neighborhoodbirthcenter. 

Perfectionism. It's a common relentless inner stress that I know I'm not alone in experiencing. What you might not realize is that it's a common symptom of being stuck in mode of survival mode. In this episode I invite you to reframe Perfectionism, along with being a "Good Girl" and other traits of survival mode that can be causing us stress without our even knowing it, and take a deep dive into how we can understand our Superpowers and Shadow Sides to create a more peaceful, balanced life. Join me as I share: My personal experience with Perfectionism and how one of my patients shifted my perspective The potential health consequences of Perfectionism The meaning behind "hungry ghosts" and why you may be holding on to your past Symptoms that suggest you may be struggling with Perfectionism Seven simple practices to help shift out of Perfectionism For the accompanying article, visit avivaromm.com/perfectionism-adrenal-overdrive/ Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. 

Curious about vaginal seeding and whether it is safe and recommended for you and your baby? To date, more than 20 studies have found that the microbiome in cesarean-born babes is different than that of vaginally born infants. These differences can persist to 4 years of age and may pose lasting health consequences. I know this may sound scary but I have some great news to share: researchers and microbiologists are exploring solutions to help increase the health outcomes for mothers and babies through a technique they named Vaginal Seeding, which can be used following a cesarean. This is ground-breaking and pivotal research as the number of cesareans continues to rise on a global level. Tune in to today’s episode to learn what vaginal seeding is, the current research supporting the technique, the potential benefits and risks of vaginal seeding, and ways you can support the newborn microbiome.Let’s explore this further. For the accompanying article, go to avivaromm.com/vaginal-seeding-after-cesarean/. Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.

We are facing what continues to be a global cesarean section crisis. The overuse of cesarean sections, especially in the United States, is not new, but it has continued to become more prevalent here and globally over the past 30 years. Joining me this week is obstetrician/gynecologist and world leader in women's reproductive rights, Marleen Temmerman, MD. Listen in as we talk about the dual problem of both the overuse and under-access of cesarean sections for women around the world, and the impact of both of these on women’s health and safety. I know you'll be as moved and inspired as I am hearing Dr. Temmerman's story and important research findings.  Aviva and Marleen discuss:  The why's behind the overuse and increase of cesareans  Misconceptions about cesarean sections, natural births, and breeches   The importance and role of midwives and why every birthing person needs one   The various impacts and long-term effects of cesareans on babies  Tools available to reduce the number of cesarean sections  The ways women can advocate for themselves during childbirth and prevent unnecessary cesareans   Dr. Marleen Temmerman has served as a senator in the Belgian parliament, as the director of the World Health Organization's Department of Reproductive Health and Research, and as the founding director of Ghent University's International Centre of Reproductive Health. After retiring from the WHO, she moved to Kenya, where she is now with the Aga Khan University in Nairobi and is Director of their Centre of Excellence in Women and Child Health. Most recently, she has played a pivotal role in bringing attention to the overuse and under-access of cesarean sections to the obstetrics world internationally as senior author of a series of focus articles published in The Lancet, one of the world's oldest and most respected medical journals. " Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. 

"It’s all in your head." "It’s normal for women to suffer." "We just don’t know what causes that." Chances are you’ve heard one of these medical myths before, and it has kept you from receiving important diagnoses and timely treatment. Medicine is, without a doubt, a cultural institution and a power structure, and like other systems, it has perpetuated myths that keep us believing in its power while disbelieving in our own. On today’s episode, I break down eight prominent medical myths that are alive, well, and profoundly—and sometimes dangerously—affecting women’s health. I also share tools to get empowered with your health and why you should stop being so damn polite when you are being ‘doctor-splained’ to. Your health may depend on you being a little bit of a badass. Let’s explore this further. For the accompanying article, go to avivaromm.com/medical-myths Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.