18. The Discharge Chronicles: The Deep Cuts–When the Swab Lies
Release Date: 11/19/2025
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...
info_outlineLabia Logic
Ever wondered why that mysterious discharge keeps showing up like an uninvited guest? Or why your yeast infection seems to have more comebacks than a ‘90s boy band? In this laugh-out-loud yet educational episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure dive deep into the underworld of vaginitis, the usual suspects of yeast and bacterial vaginosis (BV). With humor, honesty, and a dash of microbiology geekery, they tackle the uncomfortable questions we all secretly want to ask. From “cottage cheese discharge” to the “fishy” aroma of BV, Ashley and Meredith...
info_outlineLabia 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...
info_outlineLabia Logic
Feeling like your libido packed up and left without leaving a note? You’re not alone. In this hilarious and honest episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure pull back the covers on one of the most common yet least-discussed topics in women’s health: low libido. From the stress of midlife chaos to the reality that pain and fatigue are major turn-offs, our favorite vulva experts unpack the messy, multifaceted world of sexual desire. Good (bad?) news, a glass of wine is not the answer. You’ll get a true education on the biopsychosocial model of libido....
info_outlineLabia 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...
info_outlineLabia Logic
The clitoris: tiny but mighty, misunderstood but magnificent. She’s really the MVP of the vulva, so let’s get to know her a little bit! In this episode of Labia Logic, Dr. Ashley Fuller and Dr. Meredith McClure shine the spotlight on the clitoris, the organ that somehow managed to dodge serious medical attention until the early 2000s. Yes, you read that right: we mapped the moon before we mapped the clitoris. Let that sink in. Ashley and Meredith break down why the clitoris has been overlooked in medical training, sex education, and even at the gynecologist’s office. C’mon,...
info_outlineLabia 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...
info_outlineLabia Logic
Ever been told “it’s all in your head” when something’s very much happening in your pants? You’re not alone. In this eye-opening and surprisingly uplifting episode of Labia Logic, hosts Dr. Ashley Fuller and Dr. Meredith McClure peel back the layers (with consent, of course) on two misunderstood vulvar conditions: lichen sclerosis and lichen planus. Together, they explain what these disorders actually are, not just dry skin. Ashley and Meredith also get into the roadblocks to getting a diagnosis, and the crucial role of supportive healthcare providers. Googling your...
info_outlineLabia 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...
info_outlineLabia Logic
Ever feel like your vulva didn’t get the memo that sex is supposed to be enjoyable? You’re not alone—and you’re not imagining things. In this episode of Labia Logic, the doctors shine a (speculum-free) spotlight on vestibulodynia—a condition that sounds like a Harry Potter spell but is actually a very real and very painful cause of sex that feels more “ouch” than “ooh.” Dr. Ashley Fuller and Dr. Meredith McClure are back for part 2 of their Painful Sex series. This part covers what vestibulodynia actually is and explains why the vestibule is the unsung hero (or villain) of...
info_outlineEver 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.
Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist, and Vulvar Specialist in Dallas, TX.
Follow the show on Instagram @labia_logic