Labia Logic

What if painful sex, tampon pain, or that "something is wrong down there" feeling was not something to quietly tolerate, joke away, or fix with the world's least helpful advice: "just have a glass of wine"? In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure welcome filmmaker and storyteller Bonnie Gross, creator of Lady Parts, a comedy feature inspired by her own experience with vestibulodynia, painful sex, repeated misdiagnoses, and eventually a vestibulectomy. They talk about why vulvar pain is so often misunderstood, why vulvodynia is sometimes more of a starting point than a full answer, and how conditions like recurrent yeast infections and pelvic floor dysfunction can overlap. They also explain why doctors really need to learn the word vulva before your feet go up and they go poking around with a speculum. Vulvar pain deserves real medical attention, a painful exam should never be brushed off, and patients should trust themselves when something feels wrong. These are facts. Non-negotiables. You deserve answers, care, and pleasure without pain. Period. Links: ladypartsfilm.com Lady Parts on IMDB letterboxd.com/film/lady-parts-2024/ rottentomatoes.com/m/lady_parts @ladyparts_film on IG @ladypartsthemovie on Facebook @shake_ur_bonbon on TikTok @ladypartsfilm on YouTube About Our Guest: Bonnie Gross is an award-winning comedy writer, producer, and post-production pro who's never met a taboo topic she couldn't turn into a smart, comical, and relatable story. She has a passion for telling authentic stories that focus on the realities of living with chronic vulvovaginal and pelvic pain, which she believes deserve far more screen time. Originally from Philadelphia and now based in New York City, Bonnie earned her B.A. in Media Production from the University of Alabama and completed the UCLA Professional Program in TV Comedy Writing in 2018. Her most recent film Lady Parts, now streaming on Amazon Prime, is an autobiographical comedy inspired by her own experience navigating the vulvovaginal health care world, which earned the Special Jury Award for Screenwriting at the Florida Film Festival and the Jury Award for Best Comedy Feature at the Austin Film Festival. Bonnie has worked for several years in post-production at Encore Hollywood and Light Iron, working on an array of television shows and films. She now co-owns Brainwomb, a boutique finishing house in NYC where she partners with filmmakers to shape their stories at every stage of the post-production process. She has also written, produced, and edited comedic content for the media brand It's a Southern Thing, and regularly creates her own offbeat comedy videos for social media. In addition to her creative work, Bonnie serves as the social media manager and a campaign team volunteer for Tight Lipped, a grassroots advocacy organization by and for people with chronic vulvovaginal and pelvic pain. 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.

Have you ever asked about your vulvar pain and been told… "it's normal," "it's stress," or the deeply unhelpful classic, "just relax"? In this episode, Labia Logic Dr. Adriana Martí joins the conversation to get into the very real, very frustrating world of chronic vulvar pain. Dr. Marti is a clinical health psychologist and she joins Dr. Ashely Fuller and Dr. Meredith McClure to share why treating chronic vulvar pain usually takes more than one magic pill, one procedure, or one awkward appointment where everyone avoids saying the word vulva. They discuss why chronic pain is different from acute pain, how the brain and nervous system can amplify pain signals, why catastrophizing is not a character flaw, and how stress, trauma, loneliness, relationships, and self-criticism can all turn the pain volume way up. This episode covers how pain education, cognitive behavioral therapy, acceptance and commitment therapy, pain reprocessing, and a biopsychosocial approach can help people relate to pain differently and reclaim more of their lives. We're here to offer validation, practical hope, and the much-needed reminder that chronic vulvar pain is complex, treatable, and deserving of care that sees the whole person, not just the body part causing the drama. About our Guest: Dr. Adriana Martí is a Health Psychologist who was born and raised in Havana, Cuba. From an early age Dr. Martí experienced the challenges of poverty and lack of freedom of speech. That's when she realized that she wanted to use her voice and skills to make a profound impact in the world. Dr. Martí left Cuba at the age of 12 and embarked on her journey to make a difference by choosing a career in the healthcare field. Coming from a family of physicians, Dr. Martí learned the importance of addressing physical components to heal the body. She also noticed the weaknesses of the biomedical approaches and recognized the need of integrative models to help individuals shift from disease into ease. Dr. Martí has used her bilingual and bicultural assets to positively influence various medical settings, program development, management, underserved populations, and has mentored a myriad of students and medical personnel on the value of mind body approaches. Dr. Martí is very passionate about making a difference in the community and spends her free time learning about the latest advances in the field of chronic pain and contributing to research. Links: www.martipsychologicalservices.com Connect on IG @martipsychologicalservices Connect on LinkedIn @adriana-marti-psyd Connect on Facebook @martipsychologicalservices 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.

Ever wondered if squirting is something you're supposed to "achieve"? Have you panicked over a rogue queef at the worst possible moment? What about briefly considered a little… clit bling? This episode of Labia Logic gets right in there with all the pop culture noise surrounding vulvas. Expectations are loud, information is questionable, and Google is not always your friend. Dr. Ashley Fuller and Dr. Meredith McClure are myth-busting the squirts, the queefs, and the piercings. They also talk about common misconceptions, from toilet seat paranoia to the idea that bodies should look, smell, or perform a certain way. All their info is grounded in anatomy, science, and real-life patient conversations. Takeaway? Your body isn't broken. It's just not a TikTok highlight reel. Squirting is optional, not a gold medal event; queefs are normal and sometimes just… comedic timing; and clitoral piercings come with more risk than reward. No shame. No stigma. They've got solid info and a reminder that normal spans a very wide range. 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.

Picture this: you're doing all the right things, the mood is right, the body is there… and yet pleasure has quietly left the building.Your orgasm has ghosted you! In part one of an Orgasm Deep Dive on Labia Logic, Drs. Ashley Fuller and Meredith McClure are talking all about the very real experience of orgasm going AWOL. They have Dr. Irwin Goldstein as a guest expert to tell us why orgasm problems are almost never "just in your head" or "just hormonal" or "just pelvic." Ashley, Meredith, and Irwin cover the five regions involved in orgasm and explain the orgasm dysfunction categories. This conversation reframes orgasm as a full-body, full-system event, and explains why missing pleasure deserves real medical curiosity, not a shrug. Links: www.sdsm.info YouTube @sdsexualmed Facebook @SDSexMed X @SDexualMed isswsh.org prosayla.com About our Guest: Dr. Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 380 publications as well as multiple book chapters and edited seven textbooks in the field. His interests include surgery for dyspareunia, sexual health management post cancer treatment, persistent genital arousal disorder/genito-pelvic dysesthesia, physiologic investigation of sexual function, and diagnosis and treatment of sexual dysfunction in all genders. Dr. Goldstein is Director of Sexual Medicine at University of California San Diego East Campus, and sees patients in his private practice, San Diego Sexual Medicine. He is a Clinical Professor of Urology and Voluntary Clinical Professor of Obstetrics, Gynecology, & Reproductive Sciences at University of California San Diego. He is past Editor-in-Chief of the International Journal of Impotence Research, The Journal of Sexual Medicine and Sexual Medicine Reviews. He is a Past President of the International Society for the Study of Women's Sexual Health (ISSWSH) and of the Sexual Medicine Society of North America (SMSNA). He holds a degree in engineering from Brown University and received his medical degree from McGill University. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, in 2012 he received the ISSWSH Award for Distinguished Service in Women's Sexual Health, in 2013 he received the Lifetime Achievement Award from the SMSNA, and in 2014 he received the Lifetime Achievement Award from the International Society for Sexual Medicine (ISSM). He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. 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.

Herpes. Yep. We said it out loud. A word that can trigger panic, shame spirals, and frantic Googling… but what if we told you it's also extremely common, very misunderstood, and not the relationship-ending disaster pop culture makes it out to be? In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure tell us why herpes happens. And also why it should come with way less stigma than it does. Ashley and Meredith explain the difference between HSV-1 and HSV-2, how transmission actually works, and why routine herpes screening isn't recommended, even when you're begging your doctor to "test me for everything." You'll learn how herpes is diagnosed correctly, why antivirals like valacyclovir are effective and low-drama, how to reduce outbreaks and transmission, and what to know about dating, disclosure, pregnancy, and newborn safety. Herpes is manageable, common, and absolutely not a moral failing—just a skin virus with a wildly overinflated reputation. From myths to medicine, this episode delivers relief, realism, and a much-needed dose of Labia Logic. 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

In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure are kicking off January by diving headfirst into orgasms, because women's sexual pleasure still doesn't get nearly enough airtime. From awkward silence to Hollywood myths, they ask the big questions we're all thinking: Why don't we talk about this more? Who do you even ask when something isn't working? And why did no one cover this in OB-GYN residency? The good news: if orgasms are elusive, you're not broken, and you're definitely not alone. This episode covers what orgasms actually are: a full-body, full-brain event involving nerves, blood flow, hormones, pelvic floor muscles, and neurotransmitters. Oh and yes, the brain! The biggest sex organ of all. Ashley and Meredith are talking about common myths like penetration-only orgasms, explaining the infamous orgasm gap, and calling out pop culture for setting wildly unrealistic expectations. They even explain why faking orgasms happens, how it backfires, and why pleasure ≠ performance. This episode lays the groundwork for how to troubleshoot, optimize, and reclaim pleasure. Everyone deserves a sex life that's satisfying, shame-free, and actually enjoyable. Homework encouraged. 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

Have you ever wondered if your labia are supposed to match? Has it crossed your mind that porn might be lying to you? And have you felt personally victimized by spandex leggings or a rogue swimsuit seam? Then buckle up, because this episode of Labia Logic is all about labiaplasty—aka the "labia glow up," "labia makeover," "lady-lip contouring," or as Meredith lovingly calls it: the labia-blasty. In this no-shame, no-pressure, all-facts conversation, Dr. Ashley Fuller and Dr. Meredith McClure explain what labiaplasty actually is, why someone might consider it, and why it's not just a casual spa day for your vulva. They cover the full spectrum, from "I can't ride a bike without pain" to "my swimsuit hates me". They also cover what changes the labia naturally like childbirth, hormones, menopause, and well... gravity. Listeners will hear when surgery makes sense, and the potential risks. The main takeaway? Vulvas are like snowflakes: unique, unpredictable, and occasionally caught in your underwear. 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

Ever had your vagina scream "something is WRONG," but every swab, test, and lab slip smugly insists you're "negative"? In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure walk listeners through the maddening medical mystery of symptoms that don't match the swab, and the uncomfortable truth that sometimes your vagina knows more than the lab. If you've ever wondered why a test can lie while your vulva is very much telling an uncomfortable truth, welcome. Pull up a chair (preferably not the one with the crunchy paper). In the Deep Cuts installment of The Discharge Chronicles, Ashley and Meredith explain the rare, weird, and wildly misunderstood conditions that fall outside "yeast, BV, or trich." They tell you how these tricky diagnoses present, how they differ, and why they so often get missed. A few big takeaways: negative swabs don't mean normal what symptoms point to DIV versus CV pH tells a story (high or low!) overusing antibiotics or probiotics can backfire spectacularly what "zebra" diagnoses to keep on the radar, and most importantly, how to find a clinician who actually knows how to diagnose these conditions. Clinicians, patients, and anyone with a chronically pissed-off vagina will finally get the instruction manual that medical training forgot to include in this episode of Labia Logic. Listen and share! 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

Ever felt like your sex drive went on vacation and forgot to come back? Wondering if your low libido is a hormone issue, a stress issue, or just... life? And what really happens in sex therapy anyway? Candles, couches, or clipboards? In this episode of Labia Logic, Dr. Meredith McClure and Dr. Ashley Fuller are talking all about desire with certified sex therapist and licensed counselor Trista Jones, LPC-S of Sexual Health Experts (SHE). Get ready to laugh, learn, and maybe blush a little as the trio unpacks the many layers of libido including what is biological, emotional, or somewhere in-between. Trista explains how sex therapy helps patients untangle what's really behind a turned-off sex life. She covers trauma, medical pain, perimenopause, and plain old exhaustion. She shares how therapy sessions actually work, why sex is a team sport for your brain and your body, and why mindfulness, communication, and even scheduled intimacy can reignite connection. Listeners will leave this episode knowing how to find a qualified sex therapist, what to expect from therapy, and how to start the conversation about desire, without shame or awkwardness. Whether your libido's MIA or just in need of a little fine-tuning, this episode proves you're not broken. You just might need a new tune-up plan. About our Guest: Trista Jones is the owner of SHE Sexual Health Experts. Among her many credentials; she a licensed Professional Counselor and a certified sex therapist. She specializes in sexual health and wellness. She is also a trauma specialist who helps her clients identify and address underlying issues that can inhibit fulfillment and satisfaction. She is passionate about working with women who are looking to claim, reclaim and or enhance their sexual health. Links: aasect.org shedfw.com www.psychologytoday.com/us/therapists/trista-l-jones-mckinney-tx/178842 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 SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Ever wondered what happens when your clit throws a fit? Really, it's not as fun as it sounds. In this episode of Labia Logic, Drs. Ashley Fuller and Meredith McClure are joined by vulvar specialist Dr. Jill Krapf to talk about the mysterious, often-ignored world of clitoral pain. From awkward anatomy lessons in med school to why no one seems to look at the clitoris during exams, we're pulling back the hood, literally and figuratively. Dr. Krapf walks us through the two main culprits of clitoral pain: structural issues like adhesions and nerve-related drama. She explains why some people can't stand the seam of their jeans brushing "down there," why others can't find their clitoris anymore, and how keratin pearls (yes, pearls) might be the villains causing sand-in-your-eye-level discomfort. Equal parts science and sass, the conversation makes it clear: this is a real medical issue, not something to just grit your teeth through. If your clit is cranky, you deserve answers, not eye-rolls. This topic definitely got skipped in sex-ed class, so make sure you share with anyone who needs a little Labia Logic in their life! More about our guest: Dr. Jill Krapf is a board-certified Obstetrician Gynecologist specializing in female sexual pain disorders at The Center for Vulvovaginal Disorders Florida in Tampa. She is a co-author of the book When Sex Hurts: Understanding and Healing Pelvic Pain. Dr. Krapf is active in research and has published chapters and peer-reviewed articles on vulvodynia and vulvar lichen sclerosus. She is Associate Editor for the textbook Female Sexual Pain Disorders, 2nd Edition. She is a Fellow of the International Society for the Study of Women's Sexual Health (ISSWSH) and a Fellow of the International Society for Vulvovaginal Disorders (ISSVD), serving as Chair of the Social Media Committee for ISSWSH. She shares educational content on her Instagram page @jillkrapfmd and her website jillkrapfmd.com. 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 SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

What happens when you go from being dismissed by doctors to becoming a voice for thousands? In this episode of Labia Logic, our hosts interview two awesome women who are changing the game for people living with lichen sclerosus and lichen planus. If you've ever felt like no one's talking about what you're going through—these guests are here to say, "We see you. We are you." Kathy Ruiz-Carter and Jaclyn Lanthier join Drs. Fuller and McClure on Labia Logic for a glimpse into the real world of getting diagnosed and getting treated with these two vulvar skin conditions. Kathy and Jaclyn are two advocates who know firsthand how confusing, isolating, and frustrating life with these conditions can be. Kathy shares her journey from a confusing diagnosis to creating the Lichen Sclerosus Support Network, where she empowers patients through education, community, and yes, some much-needed validation. Jaclyn, founder of The Lost Labia Chronicles, gets real about the emotional toll of delayed diagnosis and how becoming an advocate helped her take back control—not just of her health, but her voice. Guest Takeaways: Trust your experience: Both Kathy and Jaclyn emphasize that you are the expert on your own body—and that it's okay to seek second, third, or fourth opinions until you're heard. Community matters: Support networks like Kathy's nonprofit help patients feel less alone and more empowered in navigating chronic conditions. Advocacy is powerful: Sharing your story can be healing, and it can spark systemic change in medical education and public awareness. Hope is real: With the right care team, treatment, and support, you can manage these conditions and reclaim quality of life—one conversation at a time. Learn more about the Lichen Sclerosis Support Network: lssupportnetwork.org. Explore The Lost Labia Chronicles at lostlabia.com. Additional Links: Connect with the Lichen Sclerosis Support Network @lichensclerosussupportnetowrk on Facebook | on Instagram | on YouTube | @lssn on LinkedIn 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

Ever been told to "just do your Kegels" and move on? Yeah… no. If sex hurts, it's not all in your head—or your partner's technique. This third and final installment of Labia Logic's Painful Sex series goes beneath the surface (literally) to explore why pelvic pain happens, how to stop it, and why your pelvic floor might be crying out for a little R&R instead of more reps. Dr. Ashley Fuller and Dr. Meredith McClure are joined by Sara K. Sauder PT, DPT an expert Pelvic Floor Physical Therapist. Sara helps us untangle the surprisingly complex, and totally fascinating, world of pelvic health. From misunderstood muscles to the oft-ignored vestibule (she's baaa-aack!), Drs. Fuller and McClure talk anatomy, therapy, and everything your OGBYN forgot to mention. You'll learn why Kegels might not actually be your BFF, how fascia (that sneaky connective tissue) could be making things worse, and what role stress plays in pelvic tension. Labia Logic's 3-part Missionary Impossible series will leave you informed, empowered, and armed with more information than you ever thought possible about your vestibule. Share all three parts with the ladies in your life; you may not even know who is suffering from painful sex when they don't have to! More about our guest: Sara K. Sauder PT, DPT is pelvic floor therapist who has been treating complex issues since 2009. Find her at sauderphysicaltherapy.com. Follow her on Instagram for random pelvic floor facts and her opinions @sauderphysicaltherapy. 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 SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic

Let's talk about sex, baby—specifically the kind that hurts. Oh, not what you expected? Good news, this episode of Labia Logic is telling you what you can actually do about it. Dr. Ashley Fuller and Dr. Meredith McClure are kicking off a three-part series on painful sex. In part one, they explain Genitourinary Syndrome of Menopause (GSM)—a name that's as clinical as the symptoms are common. They'll tell you what's really going on with vaginal tissue and why estrogen (and even testosterone!) might be your new best friend. Expect to learn why your vagina might need its own skin-care routine, the pros and cons of hormone-based treatments like vaginal estrogen and DHEA, and why that bottle of lube deserves a permanent place on your nightstand. Stay tuned for part two, where we dig into nerve pain and pelvic floor therapy. 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 SpecialistSexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. www.meredithmccluremd.com Follow the show on Instagram @labia_logic