HPV: Three little letters that can cause a whole lot of panic. Does a positive HPV test mean you have cancer? Or will, in future? Are genital warts something to worry about? And does an HPV diagnosis mean your partner has been unfaithful?

Before you spiral down a Google rabbit hole, let's clear a few things up about this incredibly common virus.

In this episode of Labia Logic, Ashley & Meredith explain human papillomavirus (HPV). They're talking about everything from genital warts and abnormal Pap smears to cervical and vulvar cancer risks.

They also discuss treatment options, HPV testing, and why keeping an eye on your vulva matters just as much as keeping up with cervical cancer screenings. You'll also learn how the HPV vaccine works, why regular screenings and follow-up care matter, and what to do if your results come back abnormal.

HPV is common, shame is unnecessary, and taking care of your vulva (and cervix!) is always a good idea.

Links:

Labia Logic – The Clinical Course – Meredith McClure MD

More about the hosts of Labia Logic:
Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.

www.ashleyfullermd.com

Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX.

www.meredithmccluremd.com

Follow the show on Instagram @labia_logic

This episode was produced by Audiotocracy Podcast Production.

Vulvar cancer probably isn't topping anyone's list of fun conversation starters, but that's exactly why it needs one. What does vulvar cancer actually look like? Which changes are worth getting checked? And how do you know when a stubborn "yeast infection" might be something else entirely?

In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure are talking about vulvar cancer, including the different types, the HPV-dependent and HPV-independent pathways, and why conditions like lichen sclerosus can increase risk.

They go over warning signs like persistent itching, burning, sores, bumps, bleeding, and skin changes, plus when a vulvar biopsy may be needed. And yes, they are once again asking you to actually look at your vulva. Know your baseline. Your mirror is not the enemy.

You'll also hear what happens during a vulvar biopsy, how vulvar cancer is typically treated, and why sexual health, pelvic floor therapy, mental health, and quality of life all deserve attention during cancer recovery.

Most importantly: persistent vulvar symptoms deserve an actual exam, not an endless parade of treatments that aren't working. Know your vulva, notice changes, and don't be afraid to advocate for someone to take a look.

Links:

lssupportnetwork.org

lostlabia.com

Labia Logic – The Clinical Course – Meredith McClure MD

More about the hosts of Labia Logic:
Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.

www.ashleyfullermd.com

Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX.

www.meredithmccluremd.com

Follow the show on Instagram @labia_logic

This episode was produced by Audiotocracy Podcast Production.

Perimenopause can feel like your body suddenly changed the rules without sending you the updated handbook. Mood swings, brain fog, sleep problems, weird bleeding, libido changes. And yes, you can still be having perfectly regular periods while all of this is happening.

So… WTF is actually going on?

In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure are joined by Women's Health Nurse Practitioner Dr. Jaclyn Piasta to talk all about the hormonal chaos of perimenopause. They talk about why perimenopause cannot always be confirmed with a single hormone test but is still a clinical diagnosis. They also cover why symptoms can change from month to month, and how treatment may include birth control pills, IUDs, menopausal hormone therapy, vaginal estrogen, or a mix-and-match approach depending on what your body is doing.

The topics of painful sex, vaginal and urinary symptoms, libido, testosterone, mood changes, bleeding, and the very real mental load of midlife all come up too.

Here's the hot take: perimenopause is not one-size-fits-all, treatment may need to evolve as your hormones do, and "normal labs" or regular periods do not automatically mean your symptoms should be dismissed.

Consider this your permission slip to ask better questions, explore your options, and expect care that actually listens to what your body is telling you.

Links:

mymonarchhealthco.com

@jackiep_gynnp on IG

https://ww@monarchhealthclinicianacademy on IG

About Our Guest:

Dr. Jackie Piasta is a Doctor of Nursing Practice, Women's Health Nurse Practitioner and a nationally recognized expert in perimenopause and menopause care, with a career spanning 16 years in women's health. She is the founder of Monarch Health, a specialty midlife women's health practice, and Monarch Health Clinician Academy, a CME-accredited training program that has educated hundreds of clinicians in evidence-based midlife and menopause care.

She serves on the Medical Advisory Committee for the National Menopause Foundation

and contributes to national professional organizations, including The Menopause Society, the National Association of Nurse Practitioners in Women's Health, and the International Society for the Study of Women's Sexual Health. She speaks nationally on women's health topics and most recently chaired NPWH's annual Virtual Menopause Summit. She is also adjunct faculty at Vanderbilt University School of Nursing, where she lectures on menopause care for women's health nurse practitioner students.

Dr. Piasta was awarded the Excellence in Leadership and Innovation Award from Frontier Nursing University in recognition of her contributions to menopause education and clinical leadership. In 2025, she was inducted into the inaugural Fellow class of the National Association of Nurse Practitioners in Women's Health. Her work bridges advanced clinical practice, clinician education, and national advocacy.

More about the hosts of Labia Logic:
Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA.

www.ashleyfullermd.com

https://www.ashleyfullermd.com/labia-logic-podcast

Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX.

www.meredithmccluremd.com

Follow the show on Instagram @labia_logic

This episode was produced by Audiotocracy Podcast Production.