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

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 Outdated data is.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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Avsnitt(151)

Ep. 129 Clinical Hypnotherapy Applications in Women's Health with Dr. Sonia Gupte

Ep. 129 Clinical Hypnotherapy Applications in Women's Health with Dr. Sonia Gupte

Have you ever wondered what role the mind could play in treating women’s health conditions? On this episode of BackTable Women’s Health, host Dr. Nicole Faulkner interviews Dr. Sonia Gupte, a family m...

11 Aug 58min

Ep. 128 Integrating OB Hospitalists in High-Risk Maternity Care with Dr. Katie Fung-Yip

Ep. 128 Integrating OB Hospitalists in High-Risk Maternity Care with Dr. Katie Fung-Yip

Every OBGYN, whether in the hospital or community, may face a high-acuity obstetric emergency. On this episode of BackTable Women’s Health, Dr. Nicole Faulkner interviews OB hospitalist Dr. Katie Fung...

4 Aug 45min

Ep. 127 Approaches to Menopause and Hormone Therapy with Dr. James Simon

Ep. 127 Approaches to Menopause and Hormone Therapy with Dr. James Simon

Hormones aren't the problem. Misunderstanding them is. On this episode of BackTable Women’s Health, Dr. Karen Toubi sits down with Dr. James Simon to discuss menopause, sexual medicine, and his career...

28 Juli 1h 24min

Ep. 126 Personalized IVF: Optimizing Outcomes in Advanced Maternal Age & Low AMH with Dr. Jennifer Makarov

Ep. 126 Personalized IVF: Optimizing Outcomes in Advanced Maternal Age & Low AMH with Dr. Jennifer Makarov

The standard infertility timeline does not apply to every patient. When should infertility counseling begin, and when is it risky to wait? OBGYN Dr. Nicole Faulkner and REI specialist Dr. Jennifer Kul...

21 Juli 45min

Ep. 125 Genetic Carrier Screening Explained: What Every OB/GYN Should Know with Dr. Mary Kate LoPiccolo

Ep. 125 Genetic Carrier Screening Explained: What Every OB/GYN Should Know with Dr. Mary Kate LoPiccolo

How can OBGYNs navigate the complexities of modern prenatal carrier screening? In this episode of BackTable Women’s Health, host Dr. Nicole Faulkner interviews Dr. Mary Kate LoPiccolo, a pediatrician ...

14 Juli 47min

Ep. 124 Continuous Glucose Monitoring in OBGYN: Practical Counseling & Clinical Applications with Dr. Nicholas Canelo

Ep. 124 Continuous Glucose Monitoring in OBGYN: Practical Counseling & Clinical Applications with Dr. Nicholas Canelo

As over-the-counter continuous glucose monitors (CGMs) become more common, clinician guidance matters more than ever. In this episode of BackTable Women’s Health, Dr. Nicole Faulkner welcomes Dr. Nich...

7 Juli 51min

Ep. 123 Entrepreneurship in Medicine: Bridging Healthcare & Business with Dr. Nneka Una

Ep. 123 Entrepreneurship in Medicine: Bridging Healthcare & Business with Dr. Nneka Una

Are you building a business that can thrive without you, or just creating a job you can never leave? In this episode of BackTable Women’s Health, host Dr. Karen Toubi sits down with Dr. Nneka Una (Una...

30 Juni 1h 2min

Ep. 122 Exploring the OB Hospitalist Model in Obstetrics with Dr. Maliha Sayla

Ep. 122 Exploring the OB Hospitalist Model in Obstetrics with Dr. Maliha Sayla

Lower C-section rates, faster deliveries, and less physician burnout: could the OB hospitalist model deliver all three? In this episode of BackTable Women’s Health, host Dr. Nicole Faulkner interviews...

23 Juni 42min

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