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 Outdated data is.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. 11 Appalachian OBGYN: Practicing in a Rural Setting with Dr. Jessica Branham

Ep. 11 Appalachian OBGYN: Practicing in a Rural Setting with Dr. Jessica Branham

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Ep. 10 What is a Surgical Coach, and Why Do I Need One? with Dr. Cara King

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In this episode, Dr. Cara King, the Fellowship Director for Minimally Invasive Gynecologic Surgery at Cleveland Clinic and a member of the Board of Directors of the Academy for Surgical Coaching, disc...

29 Joulu 20221h 2min

Ep. 9 Creating Culture Through Leadership and Mentoring with Dr. Christopher Kane

Ep. 9 Creating Culture Through Leadership and Mentoring with Dr. Christopher Kane

In this episode, Dr. Bagrodia discusses cultivating a healthy culture inside and outside of the operating room with Dr. Chris Kane, Dean of Clinical Affairs at UCSD and CEO of the UCSD Physician Group...

19 Joulu 202256min

Ep. 8 Virtual Reality in Labor with Dr. Melissa Wong

Ep. 8 Virtual Reality in Labor with Dr. Melissa Wong

In episode 8, Dr. Mark Hoffman invites Drs. Melissa Wong of Cedars-Sinai and Tony Shanks of Indiana University to share the mic and talk about the use of virtual reality (VR) in labor. --- EARN CME ...

15 Joulu 202250min

Ep. 7 Advanced Ultrasound for Endometriosis with Dr. Mathew Leonardi

Ep. 7 Advanced Ultrasound for Endometriosis with Dr. Mathew Leonardi

On this episode, Dr. Mathew Leonardi of McMaster University Medical Centre joins Drs. Park and Hoffman at the mic to discuss his experience with advanced ultrasound for endometriosis. --- EARN CME ...

1 Joulu 20221h 12min

Ep. 2 Surgeon Ergonomics with Dr. Amy Park

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On this episode of BackTable OBGYN, we introduce our co-host Dr. Amy Park, the Section Head of Female Pelvic Medicine & Reconstructive Surgery at the Cleveland Clinic. She and Dr. Mark Hoffman raise a...

17 Marras 202256min

Ep. 4 IR/OB Collaboration in Treating Postpartum Hemorrhage with Dr. Roxane Rampersad and Dr. Anthony Shanks

Ep. 4 IR/OB Collaboration in Treating Postpartum Hemorrhage with Dr. Roxane Rampersad and Dr. Anthony Shanks

On this episode, BackTable VI host Dr. Christopher Beck shares the mic with two Maternal Fetal Medicine (MFM) specialists, Drs. Roxane Rampersad at Washington University and Tony Shanks at Indiana Uni...

17 Marras 202250min

Ep. 5 Roe vs. Wade and Reproductive Justice with Dr. Louise P. King

Ep. 5 Roe vs. Wade and Reproductive Justice with Dr. Louise P. King

For this episode of BackTable OBGYN, Drs. Park and Hoffman invite Dr. Louise King, MD, JD of Brigham and Women’s Hospital to talk about the legal perspective of Roe v. Wade. --- EARN CME Reflect on...

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