『The Laura Dowling Experience』のカバーアート

The Laura Dowling Experience

The Laura Dowling Experience

著者： Laura Dowling
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Conversations about health, science, wellness, life, love, sex and everything in-between. Laura is a Pharmacist who loves to talk to interesting people about their unique life and work experiences. See @fabulouspharmacist on instagram for more information.

Hosted on Acast. See acast.com/privacy for more information.

© 2025 The Laura Dowling Experience 心理学 心理学・心の健康 社会科学 衛生・健康的な生活
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  • Dr Fadi | Why Are So Many Women Living with Incontinence? #173

    Dr Fadi | Why Are So Many Women Living with Incontinence? #173
    2026/06/11
    In this episode, consultant obstetrician and gynaecologist Dr Fadi joins Laura for an open, practical conversation about pelvic floor health, incontinence, prolapse and the realities of modern obstetrics.Dr Fadi explains how childbirth, ageing and menopause affect the pelvic floor, and why so many women end up living with stress incontinence, prolapse and faecal incontinence in silence. He walks through the full range of treatment options — from physiotherapy and pessaries to urethral bulking, Botox, sacral neuromodulation, robotic surgery, and the mesh procedures paused in Ireland since 2018.The conversation also takes in interstitial cystitis, vaginal oestrogen, the impact of long inductions on older mothers, and the trade-offs women now weigh up between a vaginal delivery and a caesarean section. Dr Fadi closes with a reflection on his time working with Syrian refugees, where he met 13-year-old mothers and a 26-year-old grandmother.🔑 Key Points1. Pelvic floor problems are common and treatable — Stress incontinence, prolapse and faecal incontinence are usually linked to childbirth, not an inevitable part of being a woman.2. Mesh for incontinence has been paused in Ireland since 2018 — Ireland is the only country in the world where this procedure is currently unavailable, and patients are being sent to Spain to access it.3. There is no single fix for incontinence — Treatment depends on the type, from physiotherapy and urethral bulking to mesh slings, Botox into the bladder wall, and sacral neuromodulators.4. Prolapse is not just the womb — Bladder, womb and rectum can all prolapse, each with their own grade and treatment pathway.5. Pessaries give women back some control — Different types of pessary can hold a prolapse in place, and many women can learn to manage their own at home.6. Faecal incontinence is more common than women admit — Third and fourth degree tears at delivery can damage the anal sphincter, and primary repair at the time of birth gives the best outcome.7. Vaginal oestrogen is a low-risk, high-impact tool — It can ease overactive bladder, recurrent UTIs, dryness, and slow the progression of prolapse after menopause.8. Older mothers face different trade-offs — Long inductions, instrumental deliveries and unplanned caesareans are more common, which is why some women are now actively asking for a planned section.📚 ResourcesLove Your Vulva — Laura DowlingfabÜ Hello HealingContinence Foundation of Ireland⏱️ Timestamps01:46 — Introducing Dr Fadi and urogynaecology02:49 — Why pelvic floor problems happen04:14 — Assessing pelvis and baby size before delivery05:09 — Robotic surgery and vault prolapse06:34 — Stress incontinence and mesh as the gold standard09:01 — Why mesh has been paused in Ireland12:31 — Sending Irish patients to Spain for mesh14:25 — Botox for overactive bladder and Interstim15:43 — Faecal incontinence and tears at delivery19:17 — Interstitial cystitis and hyaluronic acid21:21 — Types and grades of prolapse24:25 — How a pessary works28:01 — Surgery for prolapse34:18 — Vaginal oestrogen and pelvic floor36:08 — Epidurals and instrumental delivery37:25 — Why more women are asking for caesareans45:00 — Working with Syrian refugees48:32 — Advice for young people and the meaning of lifeThanks for listening! You can watch the full episode on YouTube here. Don’t forget to follow The Laura Dowling Experience podcast on Instagram @lauradowlingexperience for updates and more information. You can also follow our host, Laura Dowling, @fabulouspharmacist for more insights and tips. If you enjoyed this episode, please subscribe and leave a review—it really helps us out! Stay tuned for more great conversations. Hosted on Acast. See acast.com/privacy for more information.
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    50 分
  • Bitesize Moment: "She Wasn't Lazy. She Was Drowning." — Dr Sarah Carty on ADHD in girls

    Bitesize Moment: "She Wasn't Lazy. She Was Drowning." — Dr Sarah Carty on ADHD in girls
    2026/06/09

    In this bitesize moment pulled from the Laura Dowling Experience back catalogue, GP Dr Sarah Carty explains why ADHD looks so different in girls and women — and why so many only recognise it years, sometimes decades, after it first showed up.


    She tells Laura how the "quiet" presentation — daydreaming, internal restlessness, working twice as hard to look fine — slowly turns into anxiety, perfectionism, and a quiet erosion of confidence. It's a clip that gives language to something a lot of women have silently carried for years.


    🔑 Key Points
    • Why girls are diagnosed much later than boys — and what gets missed
    • Masking, and how it shows up as perfectionism, daydreaming, or "just being quiet"
    • The link between unrecognised ADHD and anxiety, panic and exhaustion
    • How girls end up labelling themselves as "stupid", "lazy" or "not academic" — and why that's so far from the truth
    • Why the right diagnosis can change a person's whole self-story


    🎧 Listen to the full episode here.

    Thanks for listening! You can watch the full episode on YouTube here. Don’t forget to follow The Laura Dowling Experience podcast on Instagram @lauradowlingexperience for updates and more information. You can also follow our host, Laura Dowling, @fabulouspharmacist for more insights and tips. If you enjoyed this episode, please subscribe and leave a review—it really helps us out! Stay tuned for more great conversations.

    Hosted on Acast. See acast.com/privacy for more information.
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    7 分
  • Dr Caoimhe Hartley | What Menopause Care Should Really Look Like #172

    Dr Caoimhe Hartley | What Menopause Care Should Really Look Like #172
    2026/06/04
    What does proper midlife care actually look like, and who keeps getting left out of it?In this episode, Laura sits down with Dr Caoimhe Hartley - founder of Menopause Health in Dalkey, clinical lead of the Complex Menopause Clinic in the Rotunda, and clinical lead for women's medicine at the new BlackRock Health Women's Health Centre.They talk about the women being told no - those over 60 who feel they have missed the boat on HRT, and those who have come through breast cancer and are still struggling with symptoms. Caoimhe explains where the evidence actually sits on bones, blood vessels and brain, why so much of what gets repeated still comes from the Women's Health Initiative, and how modern HRT differs from the older oral preparations.The conversation moves through midlife weight gain and changing body shape, the rise in adult ADHD diagnoses, and the link between oestrogen and dopamine. They also dig into osteoporosis screening in Ireland, why there is no national DEXA programme, dietary calcium, and the histamine flare some women notice on HRT.Throughout, Caoimhe keeps coming back to the same point - care should be personal, joined up and built around the woman in front of you.🔑 Key PointsGuidelines are broad, not personalThey are starting points, not prescriptions, and individual risk-benefit has to lead the conversation.Women over 60 are not automatically locked out of HRTThere is no longer evidence that starting later raises heart attack risk, and bone benefit is available at any age.The WHI still shapes the conversationA flawed 1990s study using Premarin and older progestins is still behind fears that do not map onto modern HRT.The brain adapts after menopauseHot flushes, night sweats and brain fog are not designed to last forever, and most women in their 70s and 80s are not symptomatic.Breast cancer survivors deserve a real menopause conversationVaginal oestrogen is generally safe, complex menopause clinics exist for a reason, and non-hormonal options matter.Body shape change is real and largely hormonalCentral weight gain is one of the top three things women raise, and no specific HRT fixes it, though better sleep and mood help.ADHD is being unmasked in midlifeAs oestrogen falls, dopamine regulation shifts and previously well-managed traits can come to the surface.Ireland has no national DEXA screeningDespite international guidance over 65, screening here is opportunistic and goes through your GP.80% of bone density is geneticPeak bone density is in your 30s, with the remaining fifth shaped by vitamin D, calcium, weight-bearing exercise and not smoking.📚 ResourcesMenopause Health Clinic, DalkeyBlackRock Health Women's Health CentreWomen's Health Initiative (WHI)Danish Osteoporosis Prevention Study (DOPS)International Osteoporosis Foundation calcium calculatorBritish Menopause SocietyNational BreastCheck⏱️ Timestamps00:00 — Why joined-up midlife care matters03:20 — Women over 60 and HRT05:10 — Bones, brain and the limits of the 60 cut-off07:50 — Why the WHI still shapes the conversation13:00 — The brain adapts after menopause16:00 — Breast cancer and complex menopause care20:30 — Cardiovascular health and nitric oxide23:00 — Body shape change and central weight gain27:00 — Ozempic and oral progesterone28:30 — ADHD, oestrogen and dopamine33:00 — Osteoporosis and DEXA screening in Ireland41:00 — Histamine, HRT and hay fever43:00 — Later motherhood and perimenopause overlap54:30 — Advice for younger womenThanks for listening! You can watch the full episode on YouTube here. Don’t forget to follow The Laura Dowling Experience podcast on Instagram @lauradowlingexperience for updates and more information. You can also follow our host, Laura Dowling, @fabulouspharmacist for more insights and tips. If you enjoyed this episode, please subscribe and leave a review—it really helps us out! Stay tuned for more great conversations. Hosted on Acast. See acast.com/privacy for more information.
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    58 分
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