Episode 11: Women's Health & Wellness with Lorna Fedelem MD

https://hercomebackpodcast.com/

Guest Bio: Dr. Lorna Fedelem is a Naples, Florida native who practiced hospital medicine for 13 years before transitioning to private concierge medicine five years ago. She now focuses on preventative care and building long-term patient relationships through her membership medicine model.

Key Topics Discussed

Common Health Issues Women Normalize:

• Pelvic floor dysfunction and urinary incontinence
• Intimacy challenges and relationship impacts
• Both conditions are treatable - women don't have to "just live with it"

Health Changes in Your 50s:

• Increased cardiovascular disease risk
• Higher breast cancer risk
• Hormonal fluctuations affecting sleep and mental clarity
• Changes in cholesterol, thyroid function, weight distribution, and sugar processing

Hormone Replacement Therapy (HRT) Update:

• Original 1990s research used wrong populations and dosing
• New research shows women starting HRT within 10 years of menopause may have 60% lower breast cancer risk
• Low-dose estrogen and progesterone can dramatically improve quality of life
• Individual risk assessment is essential

Essential Health Screenings:

• Pap tests every 3-5 years
• Annual mammograms
• DEXA scans (ages 60-65+)
• Colonoscopies starting at age 45-50

Dr. Fedelem's Practice

Services: Concierge primary care with 2-hour initial consultations, plus wellness center featuring:

• ExoMind for mental clarity
• EMSELLA chair for pelvic floor
• EMSculpt for core strength
• Additional aesthetic treatments

Upcoming Event: Winter Wellness Event - December 10th, 1-4 PM

Contact Information:

• Phone: 239-580-6390
• Email: melissa@lornafedelemmd.com
• Website: lornafedelemmd.com

Key Takeaway

Women deserve comprehensive, compassionate care that addresses all aspects of health - from hormones to intimacy to preventative screenings. Finding a provider who takes time to listen can be life-changing.