Ep. 87 Evaluating Hormone Therapy in Menopause Management with Dr. Yahir Santiago-Lastra
BackTable OBGYN1 Juli 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 Outdated data is.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. 109 Hereditary GYN Cancer Syndromes: Practical Screening & Risk‑Reduction Guide with Dr. Marcia Ciccone

Ep. 109 Hereditary GYN Cancer Syndromes: Practical Screening & Risk‑Reduction Guide with Dr. Marcia Ciccone

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24 Mars 1h 5min

Ep. 108 Treating Urogynecologic Frailty: Perioperative Strategies for Surgeons with Dr. Mary Ackenbom

Ep. 108 Treating Urogynecologic Frailty: Perioperative Strategies for Surgeons with Dr. Mary Ackenbom

As our patients' age progresses, so should our definition of 'recovery'. In this episode of BackTable OBGYN, Dr. Mary Ackenbom, associate professor of urogynecology and reconstructive pelvic surgery a...

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Ep. 107 Multidisciplinary Approaches to Pelvic Floor Disorders with Dr. Shannon Wallace and Dr. Anna Spivak

Ep. 107 Multidisciplinary Approaches to Pelvic Floor Disorders with Dr. Shannon Wallace and Dr. Anna Spivak

Trouble with bowel or bladder function? It might be time to partner with a specialist. In this episode of BackTable OBGYN, hosts Dr. Amy Park and Dr. Mark Hoffman are joined by Dr. Shannon Wallace and...

24 Feb 1h 11min

Ep. 106 Hysteroscopy Techniques in Gynecology Care with Dr. Christina Salazar

Ep. 106 Hysteroscopy Techniques in Gynecology Care with Dr. Christina Salazar

From diagnosis to treatment, hysteroscopy plays a pivotal role in modern gynecologic care. In this episode of BackTable OBGYN, Dr. Christina Salazar, a minimally invasive gynecologic surgeon and assoc...

17 Feb 48min

Ep. 105 Strategic Involvement with ACOG & Its Impact with Dr. Sivani Aluru

Ep. 105 Strategic Involvement with ACOG & Its Impact with Dr. Sivani Aluru

Learn how ACOG turns advocacy into action, supports clinicians, and creates community. Plus, get tips on how you can get involved. In this episode of BackTable OBGYN, Dr. Sivani Aluru from Endeavor He...

10 Feb 47min

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 Feb 44min

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 Jan 56min

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

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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 Jan 44min

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