Just between you and me with Dr. MargiE

Just between you and me with Dr. MargiE Just Between You and Me with Dr. MargiE
Focusing on your health questions. Posts are not medical advice.
πŸ“CO

08/10/2026

What if I miss a day of my birth control pill? πŸ’Š

Talking about combination pills here (estrogen + progesterone) β€” here's exactly what to do:

Missed one pill, remember same day? Take it as soon as you remember.

Didn't realize until the next day? Take 2 pills that day β€” the one you missed + the one due that day.

Missed just 1 pill? No backup contraception needed.

Missed more than 1 pill β€” or missed one in week 1 of your pack? Use backup contraception (condoms) for 7 days.

Missed pills in the last week of your pack? Skip the placebo week and start a new pack.

⚠️ Heads up: any of these catch-up methods can cause some irregular bleeding β€” totally normal, not a red flag.

Got a birth control question? Drop it below. πŸ’¬

08/09/2026

Can I have s3x on my period or while pregnant? 🩸🀰

During your period: Generally safe! You typically won't get pregnant, but early ovulation is a thing for some people β€” so never say never. Use condoms: they lower pregnancy risk AND protect against STIs (blood can transmit infections).

During pregnancy: Also totally fine, with some trimester notes:
βœ”οΈ 1st & 2nd trimester β€” typically safe
βœ”οΈ 3rd trimester β€” comfort might mean switching positions, or some couples choose to pause as delivery gets close

When to avoid it:
🚫 Placenta previa
🚫 Preterm labor risk
🚫 Unexplained vaginal bleeding
🚫 Postpartum β€” wait for clearance from your clinician

Questions about your body deserve real answers. πŸ’¬

&A

08/05/2026

Wrapping up: lifestyle & environmental causes of low libido πŸ‘€
πŸ”Ή Alcohol and substance use β€” especially daily, high-dose THC use, which suppresses the same hormone axis and lowers estrogen/testosterone (more common in men)
πŸ”Ή Obesity β€” linked to low testosterone; weight loss is often the first treatment, before testosterone replacement
πŸ”Ή Sedentary lifestyle β€” low energy, reduced sexual interest
πŸ”Ή Sleep disorders β€” obstructive sleep apnea is linked to low libido
πŸ”Ή Chronic conditions β€” heart disease, diabetes, chronic kidney disease
Bottom line: low libido has many possible causes β€” it's not always just testosterone. A full evaluation with your doctor is the best next step.
That wraps this series! Catch up on all parts covering libido in men and women on our page πŸ“Œ
Questions for Dr. Margie? Drop them below πŸ‘‡

**The next few videos will have audio quality issues -- those will be fixed in the future round of questions. Thank you for understanding.**

08/04/2026

More causes of low libido: medications & psychosocial factors πŸ‘€
More medications that can suppress libido:
πŸ”Ή Opioids β€” suppress the hypothalamic-pituitary axis, which regulates estrogen and testosterone
πŸ”Ή Beta blockers (propranolol, metoprolol)
πŸ”Ή Thiazide diuretics (hydrochlorothiazide)
Psychosocial factors matter just as much:
πŸ”Ή Depression and anxiety β€” strongly linked to low libido
πŸ”Ή Relationship issues β€” conflict, poor communication, lack of intimacy
πŸ”Ή Chronic stress and burnout
πŸ”Ή Body image issues β€” can lower sexual confidence and desire
Low libido often has more than one cause β€” worth discussing the full picture with your provider.
Questions for Dr. Margie? Drop them below πŸ‘‡

08/03/2026

What causes low libido in women? A few key factors πŸ‘€

Menopause: Estrogen decline causes vaginal dryness and pain, plus a slight androgen drop β€” both contribute to low libido.

Thyroid issues: Both hypo- and hyperthyroidism reduce libido through fatigue, mood changes, and metabolic effects.
Hyperprolactinemia: A prolactin-secreting tumor raises prolactin levels, which lowers estrogen and libido.
Medications matter too:

πŸ”Ή SSRIs (Prozac, Lexapro, Zoloft, citalopram) β€” common cause of low libido and delayed or**sm
πŸ”Ή Antipsychotics (like Seroquel) β€” block dopamine, raising prolactin and lowering estrogen/testosterone
Talk to your provider if you notice changes β€” there may be an underlying cause worth addressing.
Questions for Dr. Margie? Drop them below πŸ‘‡

07/31/2026

What causes low libido? Starting with men πŸ‘€
Important distinction: libido = desire for s3x. That's different from erectile function β€” two separate issues with different causes.
Major cause in men: testosterone deficiency
Testosterone naturally declines with age, and low libido follows:
πŸ”Ή 20% of men at age 60
πŸ”Ή 30% of men at age 70
πŸ”Ή 50% of men at age 80
Other symptoms of low T: fatigue and mood changes.
Up next: low libido in women πŸ‘€
Questions for Dr. Margie? Drop them below πŸ‘‡

07/30/2026

Wrapping up the PMDD/PMS series: lifestyle strategies that actually help 🌱
Even doctors don't always practice what we preach here β€” but these fundamentals matter:
βœ… Regular exercise
βœ… Good sleep
βœ… Stress management
βœ… Limiting caffeine and alcohol before your period
That last one's tricky β€” chocolate cravings during your cycle often mean more caffeine, right when you should be cutting back. Worth being mindful of if you deal with PMS or PMDD.
That's a wrap on this series! Catch up on Parts 1-4 (the Pepcid/Allegra myth, treatment options, safety warnings, and CBT) on our page πŸ“Œ
Questions for Dr. Margie? Drop them below πŸ‘‡

07/29/2026

Another option for PMDD & PMS: Cognitive Behavioral Therapy 🧠
CBT can help β€” but like SSRIs and low-dose birth control, it takes time. Give any of these approaches at least 3 months before judging their effect on your cycle.
Why these work (and antihistamines don't): PMS and PMDD stem from how your brain responds to normal hormonal changes β€” specifically through the serotonin system (mood) and GABA system (anxiety/calm). It has nothing to do with histamine.
Up next: lifestyle changes you can start making today 🌱
Questions for Dr. Margie? Drop them below πŸ‘‡

07/28/2026

⚠️ Important safety note on the Pepcid + Allegra/Zyrtec trend
If you're still considering trying this combo (even though it won't help PMS/PMDD symptoms), Dr. Margie wants you to know the risks first:
Zyrtec + Pepcid: May increase risk of liver damage β€” Dr. Margie advises against this combination.
Allegra + Pepcid: Pepcid slows Allegra's excretion, causing it to build up in your system. If you try this combo, your Allegra dose should be adjusted to avoid buildup.
Bottom line: talk to your provider before combining any of these.
Up next: other ways to actually manage PMS and PMDD symptoms πŸ‘€
Questions for Dr. Margie? Drop them below πŸ‘‡

07/27/2026

PMDD & PMS treatment options, ranked by Dr. Margie πŸ“‹

First-line: SSRIs (Zoloft, Prozac, Paxil) β€” well-established for mood symptoms.
Second-line (if SSRIs aren't enough): SNRIs β€” moderate mood effect, also help with other PMS/PMDD symptoms like cramping and pain.

For physical symptoms: Low-dose birth control (like Yasmin) can help with cramping and bloating, but has little to no effect on mood.

For severe cases: Combining an SSRI with low-dose birth control may be recommended when both mood and physical symptoms are significant (if no contraindications).

This is general education, not a treatment plan β€” talk to your provider about what's right for you.
Missed Part 1 on why the Pepcid + Allegra trend doesn't hold up? Check our page πŸ“Œ
Questions for Dr. Margie? Drop them below πŸ‘‡

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