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.

Water? Green light. Vaginal steaming? Hard red. Boric acid? Well… that depends. The internet has no shortage of products promising to clean, balance, freshen, moisturize, tighten, detox, or otherwise "fix" your vulva and vagina.

But which ones are actually helpful? And which ones would your vulva very much like to be excluded from?

In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure play a round of Red Light, Green Light: Vulvar Edition, sorting common vulvar and vaginal products and habits into the good, the questionable, and the please-don't. They cover everything from gentle cleansing, lube, moisturizers, vaginal estrogen, and bidets to boric acid, probiotics, period products, wipes, shaving, tight workout clothes, douching, fragranced products, vaginal steaming, Vagisil, and the dreaded one-day Monistat.

These docs want you to remember: your vagina is self-cleaning, your vulva doesn't need to smell like a spa, and more products definitely doesn't mean better care. No matter what TikTok tells you.

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.

What actually happens to the vulva and vagina after giving birth? How long does it take for swelling, bleeding, dryness, and soreness to improve? And when are postpartum symptoms a normal part of healing versus a reason to call your doctor?

In Labia Logic Gets Knocked Up: Postpartum Edition, Dr. Ashley Fuller and Dr. Meredith McClure get candid about what recovery really looks like after a vaginal delivery or C-section. They explain postpartum hormone changes, vaginal tearing and stitches, urinary leakage, pelvic floor trauma, painful sex, breastfeeding-related vaginal dryness, and the many pads, ice packs, and sitz baths involved in welcoming both a baby and a temporarily unfamiliar vulva.

Listeners will learn what to expect during the first six weeks postpartum, why vaginal estrogen may help with dryness and discomfort, and how pelvic floor physical therapy can support healing from incontinence, pelvic pain, prolapse, and pubic bone separation.

The doctors also discuss granulation tissue, resuming sex, postpartum contraception, mood changes, anxiety, depression, and why asking for help is an essential part of recovery—not a sign that your body has failed.

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.

swelling, discharge, pressure, and occasional "lightning crotch"? Is all that extra sensitivity normal? And when should a change actually earn a call to your OB?

In the Pregnancy Edition of Labia Logic Gets Knocked Up, Dr. Ashley Fuller and Dr. Meredith McClure explain how pregnancy hormones, increased blood flow, pelvic pressure, and a rapidly changing body can affect the vulva and vagina. From darker or swollen labia and vulvar varicose veins to yeast infections, hemorrhoids, pelvic floor changes, and pregnancy discharge, the hosts share candid answers with their usual mix of medical expertise, reassurance, and zero shame.

Ashley and Meredith cover which vulvar and vaginal changes are common during pregnancy, why estrogen and progesterone deserve some of the blame, and what can help ease throbbing, pressure, constipation, and discomfort.

They also cover sex during pregnancy, safe treatment options for vaginal infections, herpes management before delivery, and warning signs that should be evaluated by a medical provider.

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.

Why do men get decades of sexual-health innovation while women are still told to wait, cope, or buy something vaguely "wellness-adjacent" from their social media feed? And why are conditions that affect quality of life, relationships, pleasure, and reproductive health still treated like optional extras instead of actual healthcare?

Sabrina Martucci Johnson, founder and CEO of Daré Bioscience, joins this episode of Labia Logic to talk about the costly, complicated, and long-overdue work of developing better treatments for women. Sabrina explains why she founded Daré, how women's health receives only a fraction of private healthcare investment, and why existing science can often be reformulated into solutions designed specifically for female bodies.

Sabrina also shares what Daré is developing next, including a monthly vaginal ring for menopause hormone therapy, a hormone-free contraceptive, and a vaginal antiviral treatment for high-risk HPV.

Because women's health is not niche. It is essential, overdue, and worth doing right.

Links:

darebioscience.com

Instagram @darebioscience

TikTok @sabrinadareceo

LinkedIn @sabrina-martucci-johnson

About Our Guest:

Sabrina Martucci Johnson doesn't just talk about the gap in women's health – she's working to close it. In 2015 she founded Daré Bioscience on a straightforward thesis: the science exists, the need is real, and the market is massive. What's been missing is execution.

Under her leadership, Daré has built a pipeline of first-in-category product candidates spanning contraception, sexual health, menopause, vaginal health, and infectious disease, and is now bringing them to market.

Sabrina's edge is the combination of scientific credibility and commercial discipline. She started as a research scientist at Baxter Healthcare, moved through commercial and financial leadership at Cypress Bioscience (NASDAQ:CYPB) and WomanCare Global (as both CFO and COO), and built Daré from the ground up.

She understands the biology, controls the financials, and knows how to launch. That trifecta is uncommon in any CEO. In women's health, it's nearly singular. She holds degrees in Biomedical Engineering (Tulane), Biochemical Engineering (University College London), and International Management (Thunderbird). She serves on the boards of AtaiBeckley, Biocom California (as chair), and BIO.

Her work has been recognized by Ernst & Young Entrepreneur of the Year (Pacific Southwest), Fierce Pharma's Most Influential People in Biopharma, the Medicine Maker Power List, and Endpoints Women in Biopharma. Women's health has been underfunded, understudied, and underestimated for decades. Sabrina Martucci Johnson is doing something about it.

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.

What even is the vestibule, why does nobody talk about it, and how many people are out here being told their vulvar pain is "just in their head"?

On this episode of Labia Logic, Dr. Rachel Rubin joins Dr. Ashley Fuller and Dr. Meredith McClure for a no-filter conversation about hormones, painful sex, vaginal estrogen, menopause care, and the body parts that deserve way better PR. They can't say it enough — the vulva is not just "the vagina," and yes, that matters.

Dr. Rubin brings her signature mix of evidence, rage, humor, and big urology energy to the conversation, breaking down why sexual medicine and vulvar health are still so misunderstood in mainstream medicine. These three Docs talk about genitourinary syndrome of menopause, vaginal estrogen, hormone therapy, recurrent UTIs, pelvic pain, vestibulodynia, birth control-related sexual side effects, and why so many clinicians are still missing basic, treatable causes of pain with sex.

They also discuss the importance of shared decision-making, informed consent, and actually listening to patients instead of sending them home with yet another shrug. Listeners will learn why vaginal hormones can be life-changing, how the vestibule can be a major source of pain and urinary symptoms, and why better education for both patients and clinicians is urgently needed.

Links:

www.rachelrubinmd.com

@drrachelrubin on Instagram

@rachel-rubin on LinkedIn

@rachelSrubin on Facebook

@drrachelrubi125 on X

About Our Guest:

Dr. Rachel Rubin is a board-certified urologist and nationally recognized leader in sexual medicine. She is the founder of a patient-centered sexual health practice in Washington, D.C., and Los Angeles; an assistant clinical professor of urology at Georgetown University and a former director-at-large for the International Society for the Study of Women's Sexual Health. She helped shape the 2025 AUA guidelines for Genitourinary Syndrome of Menopause and led national efforts to remove the FDA's boxed warning on menopausal hormone therapy.

She is also the founder of SMRT [pronounced SMART] — the Sexual Medicine Research Team, which is pioneering new research and developing the next generation of clinician-researchers. Dr. Rubin is known for her evidence-based, practical approach to sexual health and her commitment to educating clinicians across disciplines. Her expertise has been featured in major media outlets, including The New York Times, The Washington Post, The Economist, Oprah Daily, NPR, and CBS Morning News.

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.