From hormones and metabolism to mood and menopause, corticosteroids can influence far more than the condition they’re prescribed to treat. In this installment of the JDD Podcast’s Corticosteroid Stewardship Series, host Dr. Adam Friedman welcomes Dr. Kamilia Smith, gynecologist, educator, and founder of Charleston House Gynecology, for a conversation that expands the stewardship discussion far beyond the skin. Drawing on more than two decades of experience in women’s health, Dr. Smith explores how corticosteroids intersect with hormonal regulation, reproductive health, metabolism, mental health, sleep, and overall wellness. Together, Drs. Friedman and Smith examine the often overlooked systemic consequences of steroid exposure, discuss how these therapies can uniquely impact women across different stages of life, and highlight why a stewardship mindset requires a truly multidisciplinary perspective. From menstrual health and menopause to metabolic dysfunction and patient communication, this episode challenges clinicians to think beyond immediate treatment goals and consider the broader physiologic ripple effects of corticosteroid use. Tune in for an insightful discussion on the intersection of corticosteroid stewardship and women’s health, because every prescription has a story beyond the skin.
