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 Outdated data is.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. 70 Endometriosis Surgery: Techniques and Lessons Learned with Dr. Tommaso Falcone

Ep. 70 Endometriosis Surgery: Techniques and Lessons Learned with Dr. Tommaso Falcone

Surgical approaches to endometriosis continue to move towards greater levels of precision and efficacy as we learn more about the intricacies of this complex condition. Still, endometriosis continues ...

12 Marras 20241h

Ep. 69 Imaging Protocols to Guide Endometriosis Treatment with Dr. Wendaline VanBuren and Dr. Tatnai Burnett

Ep. 69 Imaging Protocols to Guide Endometriosis Treatment with Dr. Wendaline VanBuren and Dr. Tatnai Burnett

Endometriosis is a very difficult disease to diagnose and manage, but effective imaging can make all of the difference. In this episode of the BackTable OBGYN podcast, Mayo Clinic radiologist Dr. Wend...

5 Marras 202458min

Ep. 68 Single Port Robotics in GYN: Advancing Minimally Invasive Surgery with Dr. Johnny Yi

Ep. 68 Single Port Robotics in GYN: Advancing Minimally Invasive Surgery with Dr. Johnny Yi

Stay up to date on the latest advancements in gynecologic surgery. In this episode of the BackTable OBGYN Podcast, hosts Dr. Amy Park and Dr. Mark Hoffman invite Dr. Johnny Yi, a pioneer in the field ...

29 Loka 202457min

BackTable Brief: Genitourinary Syndrome of Menopause: Mitigating Risks and Enhancing Treatment with Dr. Rachel Rubin

BackTable Brief: Genitourinary Syndrome of Menopause: Mitigating Risks and Enhancing Treatment with Dr. Rachel Rubin

How can we address barriers to care for women with genitourinary syndrome of menopause? In this episode, host Dr. Suzette Sutherland and Dr. Rachel Rubin discuss the challenges and misconceptions arou...

25 Loka 202411min

BackTable Brief: Debunking Estrogen Myths with Dr. Rachel Rubin

BackTable Brief: Debunking Estrogen Myths with Dr. Rachel Rubin

How can we educate women about vaginal estrogen for genitourinary syndrome of menopause, especially given the black box warning? In this Brief, Dr. Rachel Rubin and host Dr. Suzette Sutherland discuss...

22 Loka 202413min

Ep. 67 Non-Opioid Pain Management in GYN Surgery with Dr. Paula Bilica and Dr. Steven McCarus

Ep. 67 Non-Opioid Pain Management in GYN Surgery with Dr. Paula Bilica and Dr. Steven McCarus

Everyone knows about the dangers of opioids, but how can physicians provide quality postoperative pain control without opioids? This episode of the BackTable OBGYN podcast, hosted by Dr. Amy Park, fea...

15 Loka 202445min

BackTable Brief: Managing Genitourinary Syndrome of Menopause with Dr. Rachel Rubin

BackTable Brief: Managing Genitourinary Syndrome of Menopause with Dr. Rachel Rubin

OBGYN Briefs - Managing Genitourinary Syndrome of Menopause Frequent UTIs and vaginal atrophy/dryness are common signs of genitourinary syndrome of menopause (GSM). In this Brief, Dr. Rachel Rubin di...

8 Loka 202412min

Ep. 66 Peripartum Pelvic Floor Disorders Explained with Dr. Lisa Hickman

Ep. 66 Peripartum Pelvic Floor Disorders Explained with Dr. Lisa Hickman

Pregnancy and childbirth have a significant impact on the pelvic floor, often more than patients realize and even more still than most of our current postpartum care models are designed to address. In...

1 Loka 202455min

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