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.

04/03/2026

3 Hysterectomy MYTHS That Are Scaring You For No Reason 😱

Think a hysterectomy means instant menopause or the end of your s*x life? Think again. 🛑

In this video, I’m breaking down the 3 biggest assumptions that cause unnecessary fear for women facing surgery. We’re looking at what the scientific evidence actually says about ovarian function, s*xual satisfaction, and why a hysterectomy isn't always your only option. My goal is to give you the data you need to make an informed, confident decision for your body. 🩺✨

In this video, we cover:
• Why "Early" menopause isn't "Instant" menopause.
• The truth about s*xual function after surgery (it’s better than you think!).
• 3 vital questions to ask your surgeon before booking your procedure.

✨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.

04/01/2026

Surgeon’s Timeline vs. Reality

03/30/2026

The Birth Control Hack 🤔

Tired of remembering a daily pill? 💊 In today’s video, we’re diving deep into the birth control patch—a highly effective contraceptive that you only have to think about once a week.

Dr. Rich explains the science behind how it works through the skin (bypassing the liver!), its effectiveness rates (up to 99% with perfect use), and the pro-tips for making sure it stays put. We also touch on a common "off-label" strategy many patients use to skip their periods entirely. 🛑🩸

In this video, you'll learn:
• Where to apply the patch (and where NOT to!) 📍
• The 3-weeks-on, 1-week-off schedule.
• The "Band-Aid" trick for your off week. 🩹
• Who should avoid the patch (smokers, history of clots, etc.).
• Continuous use vs. cyclic use.

Disclaimer: This video is for educational purposes only and does not constitute personal medical advice. Always consult with your healthcare provider.

✨ 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!

.........................................
📹 📽️
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.

03/28/2026

Is Surgical Mesh Actually Dangerous? 🤔

Is "mesh" a dirty word in women’s health? 🛑 In this video, Dr. Rich dives deep into the 70-year history of Sacrocolpopexy and clears up the confusion between "transvaginal mesh" (which was removed from the market) and the safe, effective gold standard used in robotic surgery today.

We’re talking about the real risks, why "no-mesh" isn't "no-risk," and how choosing the right surgeon can prevent you from needing a second operation later on. Don't let medical "baggage" stop you from getting the relief you deserve! ✨

✨ 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!

.........................................
📹 📽️
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.

03/26/2026

The ONE Thing Surgeons Can’t Do: Relax 😅

03/21/2026

The "Secret Script" to Hack Your Doctor Visit

Ever feel like your doctor is halfway out the door before you’ve even finished your first sentence? 🏃‍♂️💨 You aren't alone. The medical system is built on "15-minute slots," but your health is more than a line item on a schedule.

In this video, Dr. Richard Farnam pulls back the curtain on "White Coat Syndrome" and explains why patients often freeze up. More importantly, he gives you the "Secret Script"—three powerful sentences to hack your next visit, ensure you're heard, and walk out with a real plan.

The Script Breakdown:
• Define the Impact: Move past the symptoms and explain how they affect your life.
• Ask for the 'Differential': Force the doctor to share their thought process.
• The Exit Strategy: Know exactly what the next steps are before you leave the room.

✨ 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!

.........................................
📹 📽️
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.

03/19/2026

Robot vs. Laparoscope

When the OR director asks if we can do it "old school," but you’ve already seen the light! 🤖✨ While "straight stick" laparoscopy was a game-changer in its time, robotic surgery offers precision, 3D visualization, and wrist-like dexterity that traditional tools simply can't match.

In this video, we’re having a little fun with the struggle of being a robotic surgeon in a world that sometimes wants to go back to the "straight stick" days. For my patients, the robot means smaller incisions, less pain, and a faster trip back home!

✨ 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!

.........................................
📹 📽️
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.

03/17/2026

Fed Up with OAB? Watch This New 15-Minute Solution

Are you tired of "mapping out" every bathroom in the grocery store? 🚽 For many women, overactive bladder (OAB) feels like a life sentence, but new technology is changing the game.

In this video, Dr. Richard Farnam shares a groundbreaking moment for women's health: the first implantation of a tibial nerve stimulator in West Texas. Watch the KVIA news feature to see Valerie’s journey from "desperate" to finally getting a full night's sleep. This tiny device—the size of a paperclip—uses neuromodulation to calm the bladder and restore your self-esteem.

In this video, you'll learn:
• How neuromodulation "calms" the bladder. 🧠
• Why this new device is a game-changer compared to older, bulkier implants.
• What the recovery looks like (Spoiler: Valerie felt a difference in just 2 weeks!).

✨ 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!

.........................................
📹 📽️
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.

03/13/2026

"Normal" Period Pain Might Be Endometriosis 🩸

If you’ve been told your severe period pain is just "part of being a woman," this video is for you. 🎗️

In this episode, I’m breaking down the 4 critical reasons why Endometriosis is so commonly misdiagnosed or missed entirely—from overlapping symptoms like IBS and interstitial cystitis to the "normal" ultrasound trap. We also discuss why the type of surgery you get matters (Excision vs. Ablation) and the 3 specific questions you MUST ask your doctor to get the care you deserve.

Your pain is real, and it deserves a real workup.

✨ 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!

.........................................
📹 📽️
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.

03/11/2026

The Hidden Danger of 5-Hour Surgeries 🕰️

Thinking about prolapse surgery but terrified of mesh? You aren't alone. In today's video, we tackle the "Mesh vs. No-Mesh" debate head-on. Many patients ask for their own tissue to be used as an alternative (autologous tissue), but there are massive risks that don't make the headlines.

From doubled surgery times to higher infection rates and the risk of blood clots (DVTs), "going natural" isn't always the safest route. We break down the data on Sacrocolpopexy and why a 60-minute procedure is often safer than a 5-hour marathon. Knowledge is power—get the facts before you head into the OR!

✨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://farnammd.com/
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!

.........................................
📹 📽️
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.

03/06/2026

Stop Taking Antibiotics for This! 🛑

Are you struggling with dryness or recurring infections after menopause? 🌸 Most primary care doctors just prescribe "antibiotic after antibiotic," but they might be missing the root cause: lack of blood flow and elastin.

In this video, Dr. Rich discusses why traditional estrogen creams can be messy and hard to stick with, and how modern laser therapies (like the MonaLisa Touch) are showing a 40-70% increase in elastin production under the microscope! 🔬

Better blood flow means better lubrication, healthier pH levels, and a more comfortable life. Stop settling for "65-year-old tissue" and learn how to help your body absorb the treatments it actually needs.

💬 Drop a comment below if you’ve ever felt dismissed by your primary care doctor.

✨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!

.........................................
📹 📽️
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.

03/04/2026

Cervical Cancer is 100% preventable—if you do this.

A Pap smear is a life-saving tool, but it’s not a "catch-all" for your reproductive health. 🩺 In this video, I’m breaking down the major gap between what a Pap smear actually tests for (HPV and cervical cell changes) and what it completely misses—like STIs, Endometriosis, and PCOS.

I want you to feel empowered and heard during your annual visit. 🤝 If you need STI testing or have concerns about pelvic pain, you have to speak up! Knowing the difference can save your life.

In this video, we cover:
• What a Pap smear actually detects (HPV). 🧬
• Common STIs that require a separate blood draw or swab. 💉
• Why a Pap can’t find Fibroids or Ovarian Cysts.
• How to advocate for yourself at your next OBGYN appointment. 🗣️

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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.

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