Ep. 87 Evaluating Hormone Therapy in Menopause Management with Dr. Yahir Santiago-Lastra
BackTable OBGYN1 Heinä 2025

Ep. 87 Evaluating Hormone Therapy in Menopause Management with Dr. Yahir Santiago-Lastra

Vaginal estrogen is not the enemy. Outdated data is. In this crossover episode of the BackTable Urology and OBGYN podcasts, Dr. Suzette Sutherland and Dr. Yahir Santiago-Lastra delve into the persistent challenges and ongoing advocacy efforts surrounding the FDA's black box warning on vaginal estrogen. --- SYNPOSIS They explore the historical context and far-reaching influence of the 1990s Women’s Health Initiative (WHI) study, asserting that its misinterpretation continues to shape misconceptions and hinder effective menopause care. The discussion highlights recent data refuting the risks associated with vaginal estrogen therapies and underscores the urgent need for updated, evidence-based guidelines to support women throughout menopause. Dr. Santiago-Lastra also draws attention to gender-based inequities in hormone treatment, the robust evidence contradicting the current black box warning, and the multi-faceted advocacy required to bring about change. This episode is part of a broader series focused on various aspects of menopause. --- TIMESTAMPS 00:00 - Introduction02:01 - Menopause Series Overview03:55 - History of the Black Box Warning on Estrogen07:26 - Understanding the Black Box Warning12:11 - The Citizen's Petition and FDA Process18:11 - Gender Inequity in Medical Treatment22:45 - Factors Resulting in Gender Inequity29:02 - Genital Urinary Syndrome of Menopause (GSM)29:32 - Benefits of Vaginal Estrogen33:33 - Legislative Advocacy and Medicare34:43 - Professional and Patient Advocacy36:35 - Challenges and Progress in Label Change43:35 - Historical Context and Gender Equity45:07 - Recap and Future Directions

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Ep. 104 Medical Device Innovation in OBGYN with Dr. Tess Kim

Ep. 104 Medical Device Innovation in OBGYN with Dr. Tess Kim

Some of the biggest advances in women’s health start with a simple question: why hasn’t this been fixed yet? In this episode of BackTable OBGYN, Dr. Tess Kim, a minimally invasive gynecologic surgeon ...

3 Helmi 43min

Ep. 103 Contemporary Approaches to Fibroid Management with Dr. Arleen Song

Ep. 103 Contemporary Approaches to Fibroid Management with Dr. Arleen Song

Fibroid care: how it was, how it’s changing, and where it’s headed next. In this episode of BackTable OBGYN, hosts Dr. Mark Hoffman and Dr. Amy Park welcome minimally invasive GYN surgeon Dr. Arleen S...

27 Tammi 55min

Ep. 102 Guide to Vaginal Rejuvenation: Myths, Realities, & Medical Insights with Dr. Karyn Eilber and Dr. Ariana Smith

Ep. 102 Guide to Vaginal Rejuvenation: Myths, Realities, & Medical Insights with Dr. Karyn Eilber and Dr. Ariana Smith

Vaginal rejuvenation is often misunderstood, misrepresented, and overdue for honest conversations in medicine. In this crossover episode between BackTable Urology and BackTable OBGYN, Dr. Nirit Rosenb...

20 Tammi 43min

Ep. 101 Fertility Preservation Techniques in Modern OBGYN Practice with Dr. Mindy Christianson

Ep. 101 Fertility Preservation Techniques in Modern OBGYN Practice with Dr. Mindy Christianson

Who should consider fertility preservation, when is the right time, and what are the risks? In this episode of BackTable OBGYN, Dr. Amy Park interviews Dr. Mindy Christianson, the section head of Repr...

13 Tammi 54min

Ep. 100 Exploring Medical-Legal Work in OBGYN with Dr. Elizabeth Moore

Ep. 100 Exploring Medical-Legal Work in OBGYN with Dr. Elizabeth Moore

A physician’s expertise can extend beyond the exam room and into the courtroom. In this episode of BackTable OBGYN, Dr. Elizabeth Moore, a general OBGYN and founder of MooreExperts, joins host Dr. Mar...

30 Joulu 202558min

Ep. 99 Navigating Complex OB Cases with MIGS Approaches with Dr. Sukhbir Singh

Ep. 99 Navigating Complex OB Cases with MIGS Approaches with Dr. Sukhbir Singh

What if the key to improving obstetrical surgery outcomes isn’t a new technology, but rethinking who’s in the operating room? In this episode of BackTable OBGYN, host Dr. Mark Hoffman and co-host Dr. ...

9 Joulu 202558min

Ep. 98 Reimbursement Trends in Gynecologic Surgery with Dr. Marisa Dahlman

Ep. 98 Reimbursement Trends in Gynecologic Surgery with Dr. Marisa Dahlman

How economically viable is gynecologic surgery today, and what happens if the system keeps pushing the limits? In this episode of BackTable OBGYN, Dr. Marisa Dahlman from Virginia Mason in Seattle sit...

2 Joulu 202556min

Ep. 97 Tubo-Ovarian Abscess Management: Interventions & Outcomes with Dr. Katherine Smith

Ep. 97 Tubo-Ovarian Abscess Management: Interventions & Outcomes with Dr. Katherine Smith

Everything you need to know about tubo-ovarian abscesses (TOAs): breaking the stigma, safer treatment, fertility preservation, and better outcomes. This episode of BackTable OBGYN features Dr. Kather...

25 Marras 202556min

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