Doctor Rich

Doctor Rich Doctor Rich He is a certified Center of Excellence surgeon and one of only 25 da Vinci Epicenter program directors in the United States.

Texas Urogynecology & Laser Surgery Center provides expert and compassionate gynecology care to women in all stages of their lives and offers comprehensive diagnostic and treatment services for pelvic floor disorders. Dr. Farnam is board certified in both Obstetrics & Gynecology and Female Pelvic Medicine & Reconstructive Surgery (Urogynecology) and is a leader in the field of Minimally Invasive Gynecology and Laser Surgery.

02/25/2026

Before You Say Yes to Medical Mesh! 🛑 6 Must-Ask Questions

Hearing the word "mesh" can be scary, but don't panic! 🙅‍♀️ In this video, we’re breaking down why context is everything when it comes to your health. 🏥

I’m sharing 6 essential questions you need to ask your surgeon to ensure you’re making the best choice for your body. From non-surgical options like PT to mesh-free surgical alternatives, let's get you informed! 💡✨

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Disclaimer:
This content is for entertainment only, not medical advice. I'm Dr. Richard Farnam, but the character "Doctor Rich’s” comedy is often fictional, satirical, exaggerated— and may not be representative of real-life medical practices. Viewer discretion is advised for satire/humor (e.g. when it touches on sensitive subjects/pop culture) and shouldn’t be interpreted as factual commentary or endorsement. Consult a medical professional for questions.

02/24/2026

Is Your Bladder Actually Falling Out? 🛑

Are you feeling pressure or discomfort? 🔎 Pelvic Organ Prolapse is more common than you think, but you don't have to live with it. In this video, world-renowned urogynecologist Dr. Erinn Myers explains the "Gold Standard" treatment: Sacrocolpopexy.

Think of it like a hernia, but for the va**na. 💡 Learn what's actually happening and why this procedure is the top choice for long-term relief. 🏥

✨ In this video:
• What exactly is Pelvic Organ Prolapse?
• Is it your bladder, uterus, or re**um?
• Why Sacrocolpopexy is the "Gold Standard" fix.

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Disclaimer:
This content is for entertainment only, not medical advice. I'm Dr. Richard Farnam, but the character "Doctor Rich’s” comedy is often fictional, satirical, exaggerated— and may not be representative of real-life medical practices. Viewer discretion is advised for satire/humor (e.g. when it touches on sensitive subjects/pop culture) and shouldn’t be interpreted as factual commentary or endorsement. Consult a medical professional for questions.

02/23/2026

Is Pelvic Mesh Actually Safe? Surgeons Clear the Air.

🎥The Ultimate Guide to Sacrocolpopexy: Risks, Mesh Safety, and Prolapse Recovery

Are you dealing with pelvic organ prolapse (POP) and feeling overwhelmed by conflicting information online? In today’s video, Dr. Richard Farnam welcomes world-renowned urogynecologist Dr. Erinn Myers to answer your most pressing questions about Sacrocolpopexy—the gold standard for prolapse repair.

From the safety of medical-grade polymers (mesh) to the nuances of s*xual function after surgery, we’re breaking down the "scary words" and providing data-driven insights to help you make an informed decision about your pelvic health.

👇In this video, we discuss:
• What is Sacrocolpopexy? Why it’s considered the "gold standard" with a 95% success rate over 10 years.
• The Mesh Debate: Understanding the difference between abdominal sacrocolpopexy mesh and discontinued vaginal mesh kits.
• Risks vs. Benefits: Does using your own tissue (autologous fascia) actually reduce surgical risk? (The answer might surprise you).
• Hysterectomy & Prolapse: Should you keep your uterus during a sacrocolpopexy? Dr. Myers explains the long-term "downstream" effects.
• Sexual Function: Will surgery make things "tighter"? We discuss the difference between anatomic suspension and vaginal narrowing procedures.
• Prolapse in Seniors: Choosing the right path for patients aged 80+, including the "narrowing" procedure known as Colpocleisis.

✨About Our Guest: Dr. Erinn Myers, MD, is a board-certified Urogynecologist based in North Carolina, recognized globally for her expertise in pelvic floor reconstruction.

✨About Your Host: Dr. Richard Farnam, MD, is a pioneer in robotic surgery and patient advocacy, dedicated to providing transparent, expert-level medical education for women everywhere.

🔴Don't forget to LIKE, SUBSCRIBE, and COMMENT below. Your questions drive our content—if you're thinking it, a thousand other people are too!

02/23/2026

🎥The Ultimate Guide to Sacrocolpopexy: Risks, Mesh Safety, and Prolapse Recovery

Are you dealing with pelvic organ prolapse (POP) and feeling overwhelmed by conflicting information online? In today’s video, Dr. Richard Farnam welcomes world-renowned urogynecologist Dr. Erinn Myers to answer your most pressing questions about Sacrocolpopexy—the gold standard for prolapse repair.

From the safety of medical-grade polymers (mesh) to the nuances of s*xual function after surgery, we’re breaking down the "scary words" and providing data-driven insights to help you make an informed decision about your pelvic health.

👇In this video, we discuss:
• What is Sacrocolpopexy? Why it’s considered the "gold standard" with a 95% success rate over 10 years.
• The Mesh Debate: Understanding the difference between abdominal sacrocolpopexy mesh and discontinued vaginal mesh kits.
• Risks vs. Benefits: Does using your own tissue (autologous fascia) actually reduce surgical risk? (The answer might surprise you).
• Hysterectomy & Prolapse: Should you keep your uterus during a sacrocolpopexy? Dr. Myers explains the long-term "downstream" effects.
• Sexual Function: Will surgery make things "tighter"? We discuss the difference between anatomic suspension and vaginal narrowing procedures.
• Prolapse in Seniors: Choosing the right path for patients aged 80+, including the "narrowing" procedure known as Colpocleisis.

✨About Our Guest: Dr. Erinn Myers, MD, is a board-certified Urogynecologist based in North Carolina, recognized globally for her expertise in pelvic floor reconstruction.

✨About Your Host: Dr. Richard Farnam, MD, is a pioneer in robotic surgery and patient advocacy, dedicated to providing transparent, expert-level medical education for women everywhere.

🌐Connect with Dr. Richard Farnam:
Home Page: https://farnammd.com/
Facebook: https://www.facebook.com/farnammd
TikTok: https://www.tiktok.com/?is_from_webapp=1&sender_device=pc
IG: https://www.instagram.com/therealdoctorrich?igsh=dWdqcGtjMXR6eGQ0

🔴Don't forget to LIKE, SUBSCRIBE, and COMMENT below. Your questions drive our content—if you're thinking it, a thousand other people are too!

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📹 📽️ 🔎
Disclaimer:
This content is for entertainment only, not medical advice. I'm Dr. Richard Farnam, but the character "Doctor Rich’s” comedy is often fictional, satirical, exaggerated— and may not be representative of real-life medical practices. Viewer discretion is advised for satire/humor (e.g. when it touches on sensitive subjects/pop culture) and shouldn’t be interpreted as factual commentary or endorsement. Consult a medical professional for questions.

02/18/2026

"I Look 6 Months Pregnant! 😱" | Endo Belly

Is your bloating more than just "gas"? 🎈 In this video, Dr. Rich breaks down the frustrating phenomenon known as "Endo Belly." While not an official medical diagnosis, abdominal distension is one of the most visible and painful symptoms of endometriosis. 🩺

We explore the 4 main reasons why your stomach might go from flat to "looking pregnant" in a single day:
• Chronic Inflammation: How inflammatory chemicals create that tight, tender feeling. 🔥
• Bowel Irritation: Why you don't need deep infiltrating disease to experience GI distress. 📉
• Pelvic Floor Guarding: The "muscle reflex" that makes constipation and bloating worse. 😖
• Visceral Hypersensitivity: Why normal digestion suddenly feels unbearable. ⚡

Dr. Rich also discusses why it’s crucial to rule out other conditions like IBS, Crohn’s, and fibroids. 🧬 Don’t suffer in silence—learn the patterns so you can get the right medical care. 🏥

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📹 📽️
Disclaimer:
This content is for entertainment only, not medical advice. I'm Dr. Richard Farnam, but the character "Doctor Rich’s” comedy is often fictional, satirical, exaggerated— and may not be representative of real-life medical practices. Viewer discretion is advised for satire/humor (e.g. when it touches on sensitive subjects/pop culture) and shouldn’t be interpreted as factual commentary or endorsement. Consult a medical professional for questions.

02/13/2026

Is the vaginal laser a scam or a medical breakthrough? 🧐

In this Short, Dr. Richard Farnam and Dr. Leila Zafaranchi dive deep into the controversial data surrounding vaginal laser treatments vs. estrogen therapy. Why do some clinical trials show "no difference" while real-world patients see phenomenal results?

The answer lies in the "Cookie Cutter" approach. Dr. Zafaranchi explains why the "one-size-fits-all" method in medical studies is failing women and how customizing treatment—from the number of laser passes to proper numbing—changes everything.

What we cover: ✅ Why "Sham Studies" might be getting it wrong. ✅ The truth about vaginal size and anatomy (It's NOT all the same!). ✅ Estrogen vs. Laser: Which is the standard of care? ✅ Why 3 passes are better than 1 for treating dryness and pain.

If you’ve suffered from itching, burning, or pain during s*x, this conversation is a must-watch.

🌐Connect with Dr. Richard Farnam:
Home Page: https://farnammd.com/
TikTok: https://www.tiktok.com/?is_from_webapp=1&sender_device=pc
YouTube: https://youtube.com/?si=_6Fq731IM1gFpfnJ

🌐Connect with Dr. Leila Zafaranchi:
IG:

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📹 📽️
Disclaimer:
This content is for entertainment only, not medical advice. I'm Dr. Richard Farnam, but the character "Doctor Rich’s” comedy is often fictional, satirical, exaggerated— and may not be representative of real-life medical practices. Viewer discretion is advised for satire/humor (e.g. when it touches on sensitive subjects/pop culture) and shouldn’t be interpreted as factual commentary or endorsement. Consult a medical professional for questions.

02/11/2026

DON'T Agree to Surgery Until You Ask These 3 Questions

🚨 Are you prepared for your surgical consultation? Don't let confusion or unexpected complications ruin your recovery! 🏥

Before you go under the knife, you need to be your own best advocate. In this video, we reveal the three critical questions 🔑 every patient must ask their surgeon to ensure total clarity and avoid "medical surprises." Whether you are looking at elective surgery or a necessary procedure, understanding the alternatives to surgery, the natural history of your condition, and the true recovery timeline is essential for patient safety. ✅

In this video, you will learn:
• 🧠 How to define the "Natural History" of your medical condition.
• ⏳ Why "doing nothing" is sometimes a valid treatment option.
• ⚠️ The difference between common complications and rare severe risks.
• 👨‍⚕️ How to vet a surgeon’s experience versus general medical statistics.
• 🏃‍♂️ When it’s time to walk away and get a second opinion.

Don't settle for vague answers. Your health deserves "patient-first" education and plain English explanations. 🗣️✨

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📹 📽️
Disclaimer:
This content is for entertainment only, not medical advice. I'm Dr. Richard Farnam, but the character "Doctor Rich’s” comedy is often fictional, satirical, exaggerated— and may not be representative of real-life medical practices. Viewer discretion is advised for satire/humor (e.g. when it touches on sensitive subjects/pop culture) and shouldn’t be interpreted as factual commentary or endorsement. Consult a medical professional for questions.

02/07/2026

Is Pelvic Mesh Actually Safe? Surgeons Clear the Air.

🌐Connect with Dr. Richard Farnam:
Home Page: https://farnammd.com/
TikTok: https://www.tiktok.com/?is_from_webapp=1&sender_device=pc

🎥The Ultimate Guide to Sacrocolpopexy: Risks, Mesh Safety, and Prolapse Recovery

Are you dealing with pelvic organ prolapse (POP) and feeling overwhelmed by conflicting information online? In today’s video, Dr. Richard Farnam welcomes world-renowned urogynecologist Dr. Erinn Myers to answer your most pressing questions about Sacrocolpopexy—the gold standard for prolapse repair.

From the safety of medical-grade polymers (mesh) to the nuances of s*xual function after surgery, we’re breaking down the "scary words" and providing data-driven insights to help you make an informed decision about your pelvic health.

👇In this video, we discuss:
• What is Sacrocolpopexy? Why it’s considered the "gold standard" with a 95% success rate over 10 years.
• The Mesh Debate: Understanding the difference between abdominal sacrocolpopexy mesh and discontinued vaginal mesh kits.
• Risks vs. Benefits: Does using your own tissue (autologous fascia) actually reduce surgical risk? (The answer might surprise you).
• Hysterectomy & Prolapse: Should you keep your uterus during a sacrocolpopexy? Dr. Myers explains the long-term "downstream" effects.
• Sexual Function: Will surgery make things "tighter"? We discuss the difference between anatomic suspension and vaginal narrowing procedures.
• Prolapse in Seniors: Choosing the right path for patients aged 80+, including the "narrowing" procedure known as Colpocleisis.

✨About Our Guest: Dr. Erinn Myers, MD, is a board-certified Urogynecologist based in North Carolina, recognized globally for her expertise in pelvic floor reconstruction.

✨About Your Host: Dr. Richard Farnam, MD, is a pioneer in robotic surgery and patient advocacy, dedicated to providing transparent, expert-level medical education for women everywhere.

🔴Don't forget to LIKE, SUBSCRIBE, and COMMENT below. Your questions drive our content—if you're thinking it, a thousand other people are too!

02/05/2026

Why the right surgeon matters.

Less risk, more comfort.

In this video, Brenda talks about the emotional side of surgery and why she wouldn't have gone to anyone else. It’s more than just a procedure; it’s a partnership.

Are you nervous about an upcoming surgery? In this patient testimonial, Brenda discusses the importance of the doctor-patient relationship and why she prioritized a minimally invasive approach.

From reducing the risk of hernias to finding a surgeon who provides thorough patient counseling, she shares why feeling 100% sure about your procedure is the most important step in the surgical process. If you are looking for a top-rated surgeon who takes the time to listen, this story is for you.
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📹 📽️
Disclaimer:
This content is for entertainment only, not medical advice. I'm Dr. Richard Farnam, but the character "Doctor Rich’s” comedy is often fictional, satirical, exaggerated— and may not be representative of real-life medical practices. Viewer discretion is advised for satire/humor (e.g. when it touches on sensitive subjects/pop culture) and shouldn’t be interpreted as factual commentary or endorsement. Consult a medical professional for questions.

02/03/2026

Too many women are suffering through painful in*******se, itching, and dryness because they think it's just a "normal" part of aging or cancer recovery.

In this clip from the podcast, Dr. Leila explains how Vaginal Laser Therapy is changing the game for women’s health. Whether it’s menopause, breast cancer recovery, or urogenital atrophy, there are options that don't involve just "living with the pain."

Don't suffer in silence. If this helped you, share it with a friend who needs to hear it. 👉 Subscribe for more expert insights on women's health and wellness.

🌐Connect with Dr. Richard Farnam:
Home Page: https://farnammd.com/
Facebook: https://www.facebook.com/farnammd
TikTok: https://www.tiktok.com/?is_from_webapp=1&sender_device=pc
IG: https://www.instagram.com/therealdoctorrich?igsh=dWdqcGtjMXR6eGQ0

🌐Connect with Dr. Leila Zafaranchi:
IG: https://www.instagram.com/drlzafaranchi?igsh=enhpdzg3aHdlNzll

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📹 📽️
Disclaimer:
This content is for entertainment only, not medical advice. I'm Dr. Richard Farnam, but the character "Doctor Rich’s” comedy is often fictional, satirical, exaggerated— and may not be representative of real-life medical practices. Viewer discretion is advised for satire/humor (e.g. when it touches on sensitive subjects/pop culture) and shouldn’t be interpreted as factual commentary or endorsement. Consult a medical professional for questions.

01/31/2026

Are you suffering from dryness, painful in*******se, or recurrent UTIs? You aren't alone—and you don't have to "just live with it."

In this episode, Dr. Richard Farnam is joined by nationally recognized expert Dr. Leila Zafaranchi to pull back the curtain on Vaginal Laser Therapy (MonaLisa Touch & FemiLift). While some medical societies remain skeptical, Dr. Zafaranchi shares why standardized protocols and expert application are yielding "life-changing" results for her patients.

In this video, we dive deep into:
• The Science vs. The Hype: Why some studies "fail" while clinical results soar (The 3-pass protocol).
• Pain-Free Procedures: How proper numbing makes all the difference.
• The Estrogen Alternative: Why laser is a "lifeline" for breast cancer survivors and those who can’t use hormones.
• Beyond Menopause: Treating chronic infections in younger women and functional issues like labiaplasty.
• Cost & Coverage: Why patients are paying out-of-pocket for a treatment they call "superior."

Stop settling for a diminished quality of life!
Whether you’re dealing with stress incontinence, atrophy, or just want to feel like yourself again, this evidence-based discussion covers everything you need to know about the future of women’s health.

🌐Connect with Dr. Richard Farnam:
Home Page: https://farnammd.com/
Facebook: https://www.facebook.com/farnammd
TikTok: https://www.tiktok.com/?is_from_webapp=1&sender_device=pc
IG: https://www.instagram.com/therealdoctorrich?igsh=dWdqcGtjMXR6eGQ0

🌐Connect with Dr. Leila Zafaranchi:
IG: https://www.instagram.com/drlzafaranchi?igsh=enhpdzg3aHdlNzll

*xualwellness .........................................
📹 📽️
Disclaimer:
This content is for entertainment only, not medical advice. I'm Dr. Richard Farnam, but the character "Doctor Rich’s” comedy is often fictional, satirical, exaggerated— and may not be representative of real-life medical practices. Viewer discretion is advised for satire/humor (e.g. when it touches on sensitive subjects/pop culture) and shouldn’t be interpreted as factual commentary or endorsement. Consult a medical professional for questions.

01/29/2026

When you're prepped for surgery but anesthesia does this

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