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Not in the mood? Why sexual desire can dwindle

From CBS News, September 25, 2013

While people often reminisce about their youthful romps, the bedroom door can slam shut...

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Our Mission

Pass The Pearls is a non-profit organization dedicated to changing the world of women's healthcare, spreading the word about state of the art surgical care for women and improving access to minimally invasive surgery.

Our Vision

We are devoted to passing on health information to women so that they can be proactive about their treatment options. With education women will be empowered to seek out those surgeons who can provide minimally invasive surgery.

It requires an investment in time and resources for surgeons to acquire the skills that are necessary to perform minimally invasive surgery. Pass the Pearls highlights the "String of Surgeons" which is a growing list of physicians who are dedicated to providing the least invasive procedures to their patients.

*Are you a surgeon who is providing minimally invasive surgery to your patients? Join the Pass the Pearls String of Surgeons! We want to list you on our resource page.Use the button below to Join our String of Surgeons.

Join our String of Surgeons Join our String of Surgeons

Promoting Our Brand

Pass the Pearls will promote its brand through the sales of jewelry incorporating the ring and pearls as symbols. The ring represents small-incision surgery and the pearl represents the passing of knowledge for the advancement of women's healthcare. Earrings, pendants and bracelets will be among the products offered.

A Letter From Dr. Warren

Several years ago I became aware that the specialty of gynecologic surgery was not keeping up with advancements in surgical techniques and technologies. I don't know of a surgical speciality where there as much disparity in care as there is in gynecologic surgery. In 2008, I had the opportunity to be featured during the hysterectomy segment on the CBS Evening News with Dr. Jon LaPook and Katie Couric. I wish that I had had a simple way to explain and "brand " minimally invasive surgery much like the pink ribbon brand helped open up the conversation and education about breast cancer. During my media interviews I thought that laparoscopic and minimally invasive surgery were difficult terms to understand for the non-medical person. In 2011, I thought of Pass the Pearls to help make information about women's healthcare and specifically, gynecologic surgical care easier to understand and access.

In 2013, the numbers of minimally invasive surgeries for women have improved, but not fast enough for those who are still undergoing more invasive surgery than is necessary. There are over 600,000 hysterectomies performed in the United States every year and about 50 percent of cases are still done with a large "open" incision that require longer hospital stays, increased pain and suffering, and higher costs.

The mission of Pass the Pearls is to help educate communities and grow awareness about minimally invasive surgery for women. We want to help women gain access to the best care. Recently, we have expanded to including information about healthcare for women. On our new site you will find information about hormones, supplements, weight control, and breast health just to name a few important topics.

The logo of Pass the Pearls and the jewelry design was inspired by the ancient symbol for female. The ring represents the small-incision surgery done with minimally invasive techniques, and the pearl represents the wisdom that is passed along among healthcare providers and among women. Pass the Pearls encourages women to share information about healthcare and minimally invasive surgery.

Proceeds from the donations go to Pass the Pearls educational outreach and to help woman gain access to minimally invasive surgery.

Pass the Pearls is a call to action to share important health information with each other so that women who need gynecologic and surgical care will be able to ask for the least invasive option. We want all women to know about gynecologic surgery just like we ALL know that if we had to have our gallbladder surgery that it would be accomplished with small incisions and on an outpatient basis.

Thank you for your help in passing the pearls to the women you know!

Lori L. Warren, MD

About Dr. Warren, Founder of Pass the Pearls

Dr. Lori Warren was born in Ithaca, NY. She received both her Bachelor's degree and Medical degree at the University of Kentucky, and completed her residency training at Tufts University, Boston, MA. She is board certified in Obstetrics and Gynecology.

She is a gynecologist and a partner with Women First of Louisville. As a Minimally Invasive Gynecologic Surgeon, Dr. Warren has worked to train other surgeons in less invasive surgical procedures. She is an Assistant Clinical Professor at the University of Louisville, Dept. of Obstetrics and Gynecology. Dr. Warren is the Co-director for the AAGL Minimally Invasive Gynecologic Surgery Fellowship with the University of Louisville. She is passionately devoted to reducing the large number of unnecessary abdominal "open" hysterectomies performed in the United States. Dr. Warren's goal is to inform women about their surgical options and to help women gain access to the best and least invasive procedures.

Meet Our Board

Lori Warren, MD


Lori Warren

Dr. Lori Warren

Louisville, KY


Dr. Lori Warren was born in Ithaca, NY. She received both her Bachelor's degree and Medical degree at the University of Kentucky, and completed her residency training at Tufts University, Boston, MA. She is board certified in Obstetrics and Gynecology.

She is a gynecologist and a partner with Women First of Louisville. As a Minimally Invasive Gynecologic Surgeon, Dr. Warren has worked to train other surgeons in less invasive surgical procedures. She is an Assistant Clinical Professor at the University of Louisville, Dept. of Obstetrics and Gynecology. Dr. Warren is the Co-director for the AAGL Minimally Invasive Gynecologic Surgery Fellowship with the University of Louisville. She is passionately devoted to reducing the large number of unnecessary abdominal "open" hysterectomies performed in the United States. Dr. Warren's goal is to inform women about their surgical options and to help women gain access to the best and least invasive procedures.

Louisville, KY President
H. Lee Warren Louisville, KY Vice President
Herbert L. Warren Louisville, KY Secretary
Martin N. McClelland Louisville, KY Treasurer
Kim Statler Louisville, KY Executive Director
Jessica Shepherd, MD


Jessica Shepherd MD

Jessica Shepherd, MD

Chicago, IL


Dr. Shepherd is a new addition to Pass the Pearls as the Public Affairs and Minority Advocacy Chair on the Executive Board. In 2011, Dr. Shepherd completed a fellowship in Gynecologic Endoscopy and Minimally Invasive Surgery at the University of Louisville where she also completed her Masters of Business Administration. She currently is at the University of Illinois at Chicago as the Director in Minimally Invasive Gynecology. She has created a following among the community in offering patients laparoscopic surgical procedures that may not have been offered in their past.

Chicago, IL PR & Minority Advocacy Chair
Kenneth C. Plotnik Louisville, KY General Counsel
Cindy Borders, DMD


Cindy Borders DMD

Cindy Borders, DMD

Louisville, KY


  • Jewelry Designer

Cindy Borders followed her creative muse and began designing jewelry in 2002. Her work synthesizes her lifelong interest in design, her fascination with color and the attention to fine detail that she developed during a successful career in aesthetic dentistry.

Cindy lives in Louisville, Kentucky with her husband and the three children who are her most beautiful creations by far.

Louisville, KY Jewelry Designer
Roger Brecheen, MD Jackson Hole, WY  
Terry Ely, RN Louisville, KY  
Kathy Kelley


Kathy Kelley

Kathy Kelley

Dallas, TX


  • Founder, Chief Executive Officer HysterSisters

Kathy Kelley is the founder and CEO of HysterSisters, an online community providing woman-to-woman support for GYN medical and emotional issues surrounding the hysterectomy experience. Every day thousands of women use HysterSisters to find and share information about hysterectomy procedures, alternative treatments, hormone replacement therapy, and about personal experiences with gynecological illnesses.

Dallas, TX  
Lady Booth Olson Great Falls, VA  
Ann Sarnoff New York, NY  
Rebecca Booth, MD


Rebecca Booth MD

Dr. Rebecca Booth

Louisville, KY


  • Specializing in Gynecologic Hormonal Wellness

Rebecca Booth, M.D. is a board-certified obstetrician and gynecologist and has been practicing medicine for over twenty years. Named one of Louisville, Kentucky's most cutting edge doctors, she is a senior partner in one of the region's largest OB/GYN practices, Women First of Louisville. Dr. Booth is the author of The Venus Week: Discover the Powerful Secret of Your Cycle...At Any Age (Da Capo Lifelong Books, 2008).

Recognized as a leader in women's health, Dr. Booth has appeared on The Today Show,, and numerous radio and local affiliate television shows to discuss the Venus Week and has been quoted in magazines and newspaper articles including: O: The Oprah Magazine, Shape, Redbook, Seventeen, Natural Health, the Chicago Tribune, and the Dallas Morning News. She has also been published in leading medical journals on topics that include preventative health care for women, menopause and hormonal wellness.

Dr. Booth lives in Louisville, Kentucky with her husband and her two children.

Louisville, KY  
Andrew Brill, MD


Andrew Brill

Andrew Brill, MD

San Francisco, CA


Dr. Andrew I. Brill is a gynecologist specializing in minimally invasive gynecology with Sutter Pacific Medical Foundation. He practices at the Center for Advanced Surgical Options in Gynecology at California Pacific Medical Center, San Francisco.

San Francisco, CA  
Joy Brotherton, MD


Joy Brotherton MD

Dr. Joy Brotherton

Los Angelas, CA


The majority of my patients are uninsured and underserved. They have to work to feed their families and keep a roof over their heads. If I can do their surgery in a minimally invasive fashion that means that they can get back to work and caring for their families a lot faster. My patients are caretakers. When they come to us for surgery, it is our opportunity to take care of them and get them back to their lives as soon as possible.

Most of my patients don't speak English and even if they do, they often don't know what options are available to them. I love to explain to patients that there are options that don't always involve big incisions and lots of pain.

There are a lot of misconceptions regarding hysterectomies. Often, all it takes is a few minutes, a pen, and a piece of paper to draw out what the patient's options are. To my underserved patients, a little time and understanding makes a huge difference. Most are very comfortable with their decision to pursue a hysterectomy after this education. And the majority are very pleased once they can get back to their daily lives and caring for their families.

Los Angeles, CA  
Vincent Lucente, MD Allentown, PA  
Thomas Lyons, MD


Thomas Lyons

Thomas Lyons, MD, MS, FACOG

Louisville, KY


Dr. Lyons has practiced gynecological medicine since 1980. During his practice he has developed these surgical procedures and has trained other surgeons around the world.

  • Laparoscopic Burch procedure for Urinary Stress Incontinence, in addition to other procedures for pelvic relaxation, vault prolapse, rectocele and enterocele.
  • Supracervical Laparoscopic Hysterectomywhich leaves more of the woman intact for better sexual function post-operatively, with no increased risk of cervical cancer. Dr. Lyons has done more of these procedures than any other surgeon in the world and has successfully treated more women with very large fibroids using LHS as well as laparoscopic myomectomy than any other surgeon in the US.
  • Endometriosis removal: Dr. Lyons' use of video laparoscopic laser excisional surgery has been shown to be far more effective than just laser removal of the disease visible on the surface. His objective is to remove all endometriosis while preserving a woman's organs.
He also has a global base of patients who have sought him out for his expertise.
Atlanta, GA  
Steven McCarus, MD


Steven McCarus MD

Steven McCarus, MD FA

Orlando, FL


  • Chief, Division of Gynecologic Surgery
  • Florida Hospital Celebration of Health
  • Assistant Professor, Department of OB/GYN, University of Central Florida
  • Founder and Director of the McCarus Surgical Specialists for Women

From Marshall University School of Medicine in Huntington, West Virginia. His OB/GYN residency training was completed at the Greater Baltimore Medical Center, Baltimore, Maryland. He has since trained thousands of gynecologists and general surgeons on minimally invasive procedures. A board certified gynecologist, Dr. McCarus has published several articles and has performed surgery all over. Committed to women's health the American Institute for Minimally Invasive Surgery (AMIS) was founded by Dr. McCarus in 2009. With over 300 members and 40 gynecological centers of excellence this institute s finding expert surgeons in the MIS field.

Orlando, FL  
Resad Pasic, MD, Ph.D.


Resad Pasic

Resad Pasic, MD, PhD

Louisville, KY


"Educating women about healthcare choices is important since many women are not aware that we can treat almost any female condition with less invasive surgery, which yields great results, quicker recovery and better cosmetics." Dr. Resad Pasic

Dr. Pasic is a Professor of Obstetrics and Gynecology, the Director of the Section of Operative Gynecologic Endoscopy and Director of the Fellowship in Laparoscopy and Minimally Invasive Surgery at the Department of Obstetrics and Gynecology and Women's Health at the University of Louisville. He is also the Director of the Postgraduate Course on Anatomy, Dissection and Reparative Pelvic Surgery on Unembalmed Female Cadavers, which is administered annually in Louisville, Kentucky.

Dr. Pasic was the recipient of the Jefferson County Medical Society Award for Outstanding Contributions to the Medical Profession and to the Community at Large in 1993. He was also selected by his peers and awarded a "Best Doctors in America Award" for 2006-07, 2007-08 and 2009-10. In 2008, Dr. Pasic received the MOSAIC award from a local non-profit organization recognizing immigrants who have made significant contributions in their profession and in the community. He received The Best Surgeons in Louisville award in 2010.

Dr. Pasic is internationally recognized leader in advanced laparoscopy and hysteroscopy. He has published three textbooks on Laparoscopy, Hysteroscopy, and Minimally invasive surgery, respectively. He has published a 38 Peer reviewed articles,16 non peer-reviewed articles, 68 abstracts, 22 Book Chapters, 3 Textbooks and 23 educational videos. He serves on the editorial board and is an ad- hock reviewer for several scientific journals. He has been a demanded speaker at conferences and courses and he has performed numerous live tele-surgeries world-wide. He has authored many laparoscopic surgery films and has obtained several awards for publications, presentations and educational films.

Dr. Pasic has served as a member of the Board of Trustees of the American Association of Gynecologic Laparoscopists - AAGL - from 2003-2005, 2006-2010 and in 2009 he served as its President. He has also served as the fellowship Board Director for Minimally Invasive Gynecology at 2011.

Louisville, KY  
Linda Shiber, MD


Linda Shiber

Linda Shiber, MD

Louisville, KY


Dr. Linda Shiber was born in Natick, MA but grew up in the mountains of Appalachia. She received a BA in Biology at Transylvania University in Lexington, KY and went on to complete medical school at the University of Louisville School of Medicine. She then traveled to Cleveland, OH, completing a residency in OB/GYN at Metrohealth/Cleveland Clinic.

Currently, Dr. Shiber is pursuing her interests in gynecologic surgery in Louisville, KY, where she is doing a 2 year fellowship in Minimally Invasive Gynecologic Surgery. She is fortunate to work with mentor extraordinaire, Dr Lori Warren! Dr. Shiber feels very strongly that all women, regardless of socioeconomic background, should have access to minimally invasive procedures when surgery becomes indicated and should be equipped by their physician to make an informed decision about their care. In addition, she is passionate about teaching the valuable surgical skills she has learned to residents and medical students the gynecologic surgeons of the future.

Louisville, KY  
Rebecca Terry, MD


Rebecca Terry

Dr. Rebecca Terry

Louisville, KY


A Kentucky native, Dr. Rebecca Terry was born in Cadiz, KY, and grew up in northern Indiana. She graduated from Transylvania University in 1976 and then attended and graduated from the University of Louisville School of Medicine in 1980. Her residency training was at the University of Oregon in Portland, OR, which she completed in 1984.

Dr. Terry was one of the founding partners of Women First of Louisville PLLC in 1988. Her current practice focuses on gynecology. She is a Fellow of the American College of Obstetricians and Gynecologists. Dr. Terry has been named in Louisville Magazine as one of Louisville's "Top Docs." In 2010 Dr. Terry was named by Louisville Magazine as one of Louisville's "Top Surgeons."

Her special interests include laparoscopic surgical procedures, conservative management of uterine bleeding problems, diagnosis and treatment of abnormal pap smears, management of menopause and perimenopause, treatment and prevention of osteoporosis and preventive health care services.

Louisville, KY  
Caroline Johnson


Caroline Johnson

Lexington, KY


Caroline was born in Corpus Christi, Texas and moved to Louisville, Kentucky in 1997. She is the oldest of three children, and has a younger brother and sister. She attended Sacred Heart Academy in Louisville, KY and is now a junior at the University of Kentucky and majoring in Biology with the hopes of one day attending medical school. She enjoys cooking, exercising, and spending time with her family and friends. Caroline has always had an interest in medicine and health education for women. She hopes that through this blog she can research and find answers to topics that young woman can relate to!

"I believe that health education for women is so important because it helps empower women with the skills they need in order to have a positive attitude not only about their health, but also their entire well-being. Women need to learn from an early age how making their personal health a priority can help them feel beautiful and comfortable in their own skin."

Lexington, KY Student Editor

Corporate Sponsors

US World Meds
Women First of Louisville Staff
Rodeo Drive
Julene B. Samuels, MD PLLC

Individual Donors

Terri Bass
Mitchell Dong
Dr. Kimberly Stigers
Lady Booth Olson
Lindsey Miller

Supporting Professionals

Physicians and other healthcare professionals from many different specialties support the message of Pass The Pearls. We appreciate their encouragement and contributions to the cause.

David Stigers, MD
Lexington, KY

Heather McLennan, APRN
Women's Health Nurse Practitioner
Women First of Louisville
Louisville, KY
Jonathan LaPook, MD
Medical Correspondent
CBS Evening News with Scott Pelley
Professor of Medicine
NYU Langone Medical Center
Julene B. Samuels, MD
Plastic Surgery
Louisville, KY
Kimberly B. Stigers, MD
Lexington, KY
Nechol Allen, MD
Colon and Rectal Surgery
3950 Kresge Way
Suite 201
Louisville, KY 40207
Robert M. Blumm, MA, PA-C, DFAAPA
National PA Consultant and Conference Speaker
Amityville, NY

Ask Our Experts

Ask Our Experts

Dr. McCarus, why do you...

I am thrilled with the purpose of Pass the Pearls as there is so much...
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Pearl Shop
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Dr. Warren

Question of the Month

I had my hysterectomy and ovaries removed last year and I’m not taking HRT - as I’m 50 years old. I’ve noticed that fine lines have begun to appear on my face and the texture of my skin has changed. Is this something that is related to my HRT? Menop

Dr. Warren's Answer:

Hormonal aging begins with the decline in...
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