Ashley Winter MD || Urologist
@AshleyGWinter
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Urologist + sex med doc. Views my own. She/Her. IG/threads: @ashleygwinter
Los Angeles, CA
Joined April 2007
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Pinned Tweet
Organizing my Sex-Med & Urology Tweetorials: 👇
(no particular order)
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The most awkward situation in urology occurs when a patient who is a few years post vasectomy comes in requesting a repeat semen analysis because their partner just got pregnant & the SA shows zero sperm & the patient is like, "wow I guess the child is a miracle." 😬😵💫
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Can we stop the myth that abortion is universally traumatizing? I had abortion. The only traumatic thing about it was dealing with protestors outside Planned Parenthood. I have no regrets. I needed no therapy. Residency & med school were far more traumatic than my abortion.
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Another reason I won't leave this app.
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From now on everyone has to pass their kidney stone naturally even if it might kill them because there were no lasers when God started the universe.
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The whole "queer people are groomers," thing is a lie. It's made up. It's called "scapegoating." It's what Nazi Germany did with Jews. If you believe that shit you are being brainwashed by fascists. End.
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URINE IS NOT STERILE. STOP SAYING THAT PEOPLE. ITS. NOT. STERILE.
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You know who has risked dying because of their job for the last two years? Yeah, healthcare workers.
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I have lost over 50 followers since my anger tweets this AM. I had an abortion. It was a great decision. I have been vocal about it. Not sure why anyone is surprised about my feelings here.
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PEOPLE. Target has Pride baby clothing because queer people have babies. Not because clothing makes babies queer. Sheesh.
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Husband: why are you taking so long to get ready???!!
Later:
-eats the snacks I packed
-drinks my water bottle
-uses my cell phone charger
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Instead of asking, "what if the patient doesn't want pain medication for childbirth," we should be asking, "why is childbirth the only exquisitely painful acute physical process where individuals think success is defined by the omission of pain medication?
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Are federal income taxes in the constitution or can I stop doing that
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I didn't know infants were part of the supply chain.
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At least 500 people have called me a monster or told me I should have my child taken away since I mentioned that I followed my pediatrician's advice & gave my baby the full set of her routine vaccinations. Even more resolute than ever to continue getting her vaccinated, thanks.
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My husband wants our daughter to become a strong, self confident woman so he keeps telling her how much he respects her... she is 5 weeks old.
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As a urologist I believe it is my professional duty to start a mobile vasectomy clinic & park it first outside Kavanaugh's house.
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I'm telling you. Vitamin C and D "MEGADOSING" is causing so many stones right now. I'm tired. Everyone stop it!
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I think I just convinced a guy to get vaccinated while I was doing his vasectomy by explaining to him the negative effects of COVID on the penis and I'm very proud of myself.
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Listened to at least 3 different news outlets talk about the massive # of flight cancellations & not a one mentioned COVID or the problems incurred when noone masks. 😡
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If pride stuff being on shelves offends you because you don't "believe in pride," then we should take away Christmas stuff because I don't believe in Christmas. Don't like the sound of that? Well then. Mind you own damn business.
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Hi
@Gap
. I'm Jewish &
@kanyewest
hates me so I don't really appreciate this advertising in my inbox. Not sure why you are continuing to promote this collaboration. I don't plan on shopping at your stores ever again.
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My 15 month old woke up in a crabby mood & I was about to make her a frozen waffle & she started screaming for it so I handed it to her thinking she would reject it and instead she straight up ate it frozen.
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Actually I'm a urologist debunking crappy myths that hurt people. Btw not a single male urologist I know endorses semen retention either.
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We brought the baby in for her first day at Montessori & another baby was wearing a shirt that said, "my mom is cooler than yours." And I'm like, "that's fucking aggressive." Now I have to figure out what to put my kid in for the second day because some shit has started here
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Just got off the phone with a doc from our hospital transfer center, who said, "There are no beds anywhere. Don't let your family get sick. There is a complete breakdown of the healthcare system. Why is the news not talking about this?"
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Bro. I'm not just "someone named Ashley from LA." I am literally a board certified urine professional. I have been anointed with the urine of 1,000s of humans to develop my deep understanding of urine.
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Ok so the reason I haven't posted outfit selfies in a few months is because I've been keeping some news on the DL... Now 24.5 wks & the spawn is healthy! After almost 2 years of trying & a misscarriage, at the ripe age of 38- Mo & I are completely delighted ♥️👶♥️
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Wellbutrin is an excellent medication.
Sincerely,
An actual medical doctor.
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I have decided to not attend the
@AmerUrological
annual meeting in San Antonio, TX this year. My husband & I are trying for our 2nd child. At 39 yrs old I have a high risk of miscarriage & I don't want to go somewhere my healthcare options are limited should I have an emergency
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Hi all! Please don't "megadose" vitamin C & D for Covid protection. It can cause kidney stones.
-your friendly local Urologist.
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Y'all are gonna get annoyed by all these photos.
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Apple slices with peanut butter are so delicious. Why is this never offered in adult environments? Like instead of just sliders & fried brussel sprouts I would like a plate of various apples and nut butters for happy hour.
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Hi everyone! Me & and the little new human are doing great! Will update when I'm a less exhausted. Wild ride. Most simultaneously wonderful & terrifying experience of my life. ♥️♥️♥️
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Like, I'm not credentialed for that sort of scenario.
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"Well sir, the chance of generating a spontaneous pregnancy with zero sperm on your semen analysis is next to zero." ***Followed by awkward silence and latent gaze**** Something like that.
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People's interpersonal relationships can be extraordinarily complex & as healthcare workers we get a glimpse into deeply personal & often shocking moments- whether or not we are functioning in a mental health role. It's one of the hardest & most unpredictable parts of the job.
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Y'all need to stop this shit because vitamin C doesn't boost your immunity & OF COURSE IT caused you kidney stones.
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Board certified urologist here to tell you that wearing jeans is absolutely never the cause of UTIs.
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These things happen more often than I expected.
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I wish they made tiny little infant bidets like I could hold my babies butt over it during a change instead of wasting all these wipes.
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I am increasingly convinced that we need universal healthcare and universal basic income and if we don't get those things soon this country will be a very very very dark place.
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We had a couch delivered yesterday & one of the delivery guys caught sight of our bookshelf with titles like "When sex isn't good," & "Male Sexual Dysfunction," & my husband exclaimed, "my wife is a urologist!" & the guy looked at him like "yeah sure..." & I was dying.
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In response to feedback- I am not discussing a specific patient but rather a case scenario. Not intended to be mocking but rather highlight a complex situation in terms of counseling & results interpretation. If you don't believe this you probably aren't involved in pt care.
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A few wks ago I made a post about an influencer who was trying to cure her stage 4 cancer w/ vitamin C thereby giving herself kidney stones. I learned that individual has passed away. It's a tragedy that people offering "natural," cures profited off of sending her to her grave..
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People who derive pleasure from urethral stimulation often experience deep shame. I try to talk openly about it & these are the silly responses I get.
1) I have catheterized THOUSANDS of people.
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My abortion did not make me some wanton vestige of a woman. It made me able to live my life the way I wanted to. And that was, in fact, excellent for my mental health.
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Just reminding everyone on international women's day that when started within 10 years of menopause, hormone therapy with estrogen can reduce all cause mortality by up to 30%.
Let's start talking about the risks of NOT offering hormones.
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THERE IS NOT "SO MUCH DATA" ON TESTICLE TANNING. THERE IS ABSOLUTELY NO DATA ON TESTICLE TANNING.
-your friendly local board certified Urologist
In his new special on how to raise testosterone levels in men, Tucker Carlson’s guest suggests “testicle tanning” using infrared light as a “bromeopathic” therapy.
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WARNING: EXTREMELY SENSITIVE CONTENT.
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Less than 7 pounds and yet has me hopelessly immobilized.
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@NICKIMINAJ
I AM A BOARD CERTIFIED UROLOGIST. The vaccine does not cause orchitis (ie swollen balls). Something else caused that. Tons of data that getting COVID does effect semen parameters and might lead to infertility. Vaccines prevent COVID! Misinformation kills.
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My patient told me he couldn't urinate and felt like his bladder was about to explode. I told him to make sure to vote in November.
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Thinking back to when I was in med school & asked my (male) GYN for an IUD. He told me it wasn't for women like me (No kids not married). I knew he was wrong but didn't feel I could argue. If I had been given that IUD I would not have needed an abortion.
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ALSO, why does the erroneous concept of "urine being sterile" make people say it's ok to drink? Bleach is sterile. You shouldn't drink bleach. The apple you picked straight off a tree is not sterile, but you're probably going to be ok eating that.
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Cool. Well bc of going to medical school & doing 6 yrs of residency & a fellowship & 6 years of being an attending I know how to do a motherf*cking PROPER Internet search & then a critical literature review.
Also- I have treated a shit ton of ppl who got stones from supplements.
@AshleyGWinter
Vitamin C doesn’t boost your immunity? And how is a urologist qualified to make that declaration? I’m not a scientist but a quick google search shows that you are most likely wrong. This is why people are losing their faith in science FYI
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To all the men telling me man-spreading on planes is justified because economy seats are not designed to fit your scrotum, I say, the whole world is designed for men. This one, small moment, if you are uncomfortable, imagine what it's like for the rest of us all the time 👇
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A few different pediatricians have now seen our daughter in the hospital & my husband just exclaimed, "are all pediatricians adorable or something?!" And I had to explain to him that yes, in fact, all pediatricians ARE adorable.
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I am not a civil engineer but I took entry level statics (not statistics) in engineering school and got an A so let me tell you everything I know about bridges (1/800)
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At the end of my A&E visit I asked if they needed my credit card (because I am so used to paying for my healthcare) and the doctor laughed and said the A&E doesn't have a billing department and I can tell you how desperately I wish this was the way the US operated.
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The scrub tech referred to the penis as a "wee wee," so I went on a long rant about normalizing accurate wording of genitalia, & the CRNA exclaimed, "OK EVERYONE! SAY PENIS ALL TOGETHER ON THREE." And suddenly everyone in the OR was slow chanting "penis penis penis."
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The joke format, "my pronouns are, ***insert something that is not a pronoun*** " is 1) hateful 2) pathetically unoriginal.
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As a urologist I am happy to see photos of your penile concern via an electronic health record after we have established a therapeutic relationship. My social media DMs do not constitute a place for your penis photos. Thank you for your attention to this matter.
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The funniest thing of this journey to parenthood is filling out applications for childcare & Montessori & they are like, "tell us about your child!?" & I'm like, "Unknown. Kicks uterus. TBD."
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What is the logical extension of this? Are individuals with frozen embryos mandated to implant every single one of them or face murder charges? How does any of this WORK?
The Alabama Supreme Court has ruled that frozen, unimplanted embryos qualify as human children under state law.
IVF has long been in the crosshairs of the anti-abortion movement, and this unprecedented decision immediately imperils all IVF access throughout Alabama.
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RANT: Can we stop calling these feminine products & instead call them menstrual products? I don't feel extra feminine when I'm menstruating. Also- plenty of feminine people don't menstruate. We don't need a euphemism for period products because periods aren't dirty or evil.
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A physician being an anti-vaxxer is the cognitive disconnect akin to a geologist being a flat earther.
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Guys I'm devastated. My in-laws just spent 8 days with us- tirelessly cooking, cleaning, & holding the baby. I could not ask for more bountiful lovingkindness. But on the last day they loaded the toilet paper roll in the wrong direction so can never come back here again.
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I'm up a solid 15 lbs from my pre-pregnancy weight & instead of hating myself till I fit in my old clothes I went and bought myself some new, larger jeans yesterday and I'm proud of myself for doing that.
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I take a SSRI & I have not murdered anyone.
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YOU WANT TO KNOW THE OUTCOME OF THIS STUDY DONT YOU
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Is there a course in nursing school where y'all learn to tell doctors what to do in the form of a question?
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Them: what is your birth plan?
Me: bring the L&D nurses donuts when I get admitted.
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I repeat. My abortion was a great decision. I am deeply saddened by all the Americans losing the basic rights of safety, healthcare access, & bodily autonomy that I was fortunate to have.
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One of the other babies in my daughter's daycare came to her birthday party with a gift & a card that said, "Thank you for being my first friend," and that sentiment is so precious I almost cried reading it.
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It's annoying that calling people a genital organ is an insult (ie. Dick, c-word). Genitals are great. I think we should start calling everyone "lumbar spine" as an insult because most ppl have a terrible relationship with it. Thank you.
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When you get urine in a surgical field it's a wound class 2 (ie. Clean-contaminated) because urine is not sterile. Sorry.
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Hi y'all. Just remember- as a urologist- if you overdose on vitamin C & get a kidney stone - that just gives me one more surgery to bill you for. I have no perverse incentive to tell you to stop over-supplementing other than for your own damn good. Thanks.
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Good morning!
I am 37.5 yrs old.
I did not filter this image.
I did not put on any foundation today.
I think I look pretty good for my age.
I do not drink my own urine.
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I had an abortion. It was the right choice. I can't imagine if I hadn't access to a safe, affordable, local abortion provider. I really can't fathom. This is horrendous. This is not the future I expected to be living in.
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Since I'm on a rampage today I also want everyone to know that pee is not stored in the balls.
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If you know anyone who is going to turn 65 soon remind them to enroll in regular Medicare & not a Medicare advantage plan. A family member recently needed acute rehab & the social workers delight at not needing prior auth bc they had straight Medicare was an excellent reminder.
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@TSwiftFTC
@taylorswift13
As a urologist I can attest that this is not urethral in appearance
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Did some maternity photos at ~37 weeks. Not something I ever thought I would do- but I love them. Cheers to some big uterus energy.
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I don't know what type of Doctor this is but swallowing semen will only help with depression if you were depressed about not swallowing semen. There is no biological basis for any of this.
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Miscarriage. A 🧵;
In June I found out I was pregnant.
I was esctatic.
@momandel
& I had been trying for a while.
I knew it gets harder after 35 (I'm 37 now).
It's also harder when you are stressed.
And some data that female surgeons struggle more than most with fertility.
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OMG PEOPLE stop using "pussy" as an insult of weakness. Vaginas were literally designed for intense contact sports. Your weak-AF body part is a goddamn scrotum.
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Tap water is not sterile. You need to buy sterile water or sterilize tap water to get sterile water. Etc etc.
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Please stop telling me urine is sterile in the bladder and not sterile when it comes out. It's not sterile in the bladder either.
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Why do judges get to make medical decisions? Can I make legal rules? What the hell.
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When you get Botox injected above the eyebrows you must also go laterally to avoid this.
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Rigorous academic newborn program of being passed the fuck out while your dad reads to you.
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Basic question. Do people who police who uses the ladies' rooms understand there are no urinals there? We aren't slinging around our naked vulvas. It's all behind stalls. It literally does not matter.
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The average female has more testosterone than estrogen. Testosterone is not a *male* hormone. Testosterone is an everyone hormone.
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And yes I am the opposite of a trad wife I am a frozen food wife.
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The cognitive dissonance is astounding. Masking doesn't hurt the economy. Everyone being sick all the time does.
If I was an employer I'd want my workers to be healthy, not winning a war against basic safety measures.
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It doesn't matter if you wipe front to back or back to front.
Sincerely,
Your friendly neighborhood urologist.
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My in-laws are staying with us & my MIL asked me to pick up a laxative while I was out & my husband is so grossed out about this & I had to explain to him that when someone over 70 & a doctor team up about 65% of what they talk about on any occasion involves bowel movements.
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