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 Outdated data is.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. 75 From Systemic Barriers to Action: OBGYN DEI Efforts with Dr. Teni Brown

Ep. 75 From Systemic Barriers to Action: OBGYN DEI Efforts with Dr. Teni Brown

There are tangible ways to advocate for health equity and address demographic disparities in patient care and the healthcare workforce. In this episode of the BackTable OBGYN Podcast, Dr. Teni Brown, ...

7 Tammi 20251h 1min

BackTable Brief: Bridging the Orgasm Gap: A Dialogue on Female Sexual Wellness with Dr. Kelly Casperson

BackTable Brief: Bridging the Orgasm Gap: A Dialogue on Female Sexual Wellness with Dr. Kelly Casperson

OBGYN Briefs - Bridging the Orgasm Gap Female sexual wellness is a topic that deserves more research, education, and attention, both for our patients and for providers. In this BackTable OBGYN Brief,...

31 Joulu 202412min

BackTable Brief: Effective Strategies for Getting Access to Non-Opioid Analgesics in OBGYN Surgery with Dr. Steven McCarus and Dr. Paula Bilica

BackTable Brief: Effective Strategies for Getting Access to Non-Opioid Analgesics in OBGYN Surgery with Dr. Steven McCarus and Dr. Paula Bilica

Proper pain management after surgery is essential to promote healing and improve patient satisfaction. In this BackTable OBGYN Brief, Dr. Steven McCarus and Dr. Paula Bilica discuss how to advocate fo...

20 Joulu 202416min

Ep. 74 Leadership and Mentorship in OBGYN with Dr. Starr Hampton

Ep. 74 Leadership and Mentorship in OBGYN with Dr. Starr Hampton

Curious about how to leave your mark as a mentor and leader in the field of OBGYN? In this episode of the BackTable OBGYN Podcast, Dr. Starr Hampton, a professor of OBGYN and Senior Associate Dean for...

17 Joulu 20241h 3min

Ep. 73 Robotic Surgery in Pregnancy: Techniques and Challenges with Dr. Jamal Mourad

Ep. 73 Robotic Surgery in Pregnancy: Techniques and Challenges with Dr. Jamal Mourad

Operating on the pregnant patient can be intimidating, but there are many ways to do so safely. In this episode of the BackTable OBGYN podcast Dr. Jamal Mourad, a MIG surgeon at Mayo Clinic, joins hos...

10 Joulu 202458min

BackTable Brief: The Role of Non-Opioid Pain Management in Surgery with Dr. Paula Bilica and Dr. Steven McCarus

BackTable Brief: The Role of Non-Opioid Pain Management in Surgery with Dr. Paula Bilica and Dr. Steven McCarus

Postoperative pain control is an essential aspect of patient recovery and satisfaction. While pain management is important in all surgical settings, C-sections, hysterectomies, and myomectomies are pa...

3 Joulu 202417min

Ep. 72 Transforming Peer Review: From Punitive to Productive with Dr. Maggie Mueller

Ep. 72 Transforming Peer Review: From Punitive to Productive with Dr. Maggie Mueller

Peer review can be a daunting process as a physician, but there are ways to focus the process on constructive feedback and quality improvement rather than criticism and punishment. In this episode of ...

26 Marras 202444min

Ep. 71 Human Trafficking: Red Flags and Clinical Guidance with Dr. Julia Geynisman-Tan

Ep. 71 Human Trafficking: Red Flags and Clinical Guidance with Dr. Julia Geynisman-Tan

Human trafficking is a complex health issue, with many providers unsure how best to detect, counsel, and care for victims and survivors of human trafficking. In this episode of the BackTable OBGYN Pod...

19 Marras 202452min

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