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 Outdated data is.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(141)

Ep. 119 Single-Gene NIPT Explained: Clinical Applications & Benefits with Dr. Andrei Rebarber

Ep. 119 Single-Gene NIPT Explained: Clinical Applications & Benefits with Dr. Andrei Rebarber

How do you decide which noninvasive prenatal testing option is best for your patient, and when should you reach for single-gene NIPT? In this episode of BackTable Women’s Health, host Dr. Nicole Faulk...

2 Juni 42min

Ep. 118 Comprehensive Bone Health: Diet, Hormones, & Preventative Care with Dr. Pooja Luthra

Ep. 118 Comprehensive Bone Health: Diet, Hormones, & Preventative Care with Dr. Pooja Luthra

Osteoporosis may present after menopause, but prevention starts decades earlier. In this episode of BackTable Women’s Health, Dr. Carla Gunn, guest host and OBGYN, interviews Dr. Pooja Luthra, an endo...

26 Maj 48min

Ep. 117 Radiation Therapy Advances for Gynecologic Cancers with Dr. Andrew Lim

Ep. 117 Radiation Therapy Advances for Gynecologic Cancers with Dr. Andrew Lim

"The treatment of cervical cancer is definitely a team sport." Hear how recent radiation advancements are impacting gynecologic cancer care, and how to partner with your radiation oncologist to tailor...

19 Maj 52min

Ep. 116 Understanding the Birth Crisis: A Structural Collapse Perspective with Dr. Yamicia Connor

Ep. 116 Understanding the Birth Crisis: A Structural Collapse Perspective with Dr. Yamicia Connor

What happens when maternity care deserts stop being just a “rural problem” and start impacting your own labor and delivery unit? On this episode of BackTable Women’s Health, host Dr. Nicole Faulkner i...

12 Maj 36min

Ep. 115 Women’s Health Care Access, Childcare Challenges, & Advances in Adenomyosis with Dr. Kimberly Kho

Ep. 115 Women’s Health Care Access, Childcare Challenges, & Advances in Adenomyosis with Dr. Kimberly Kho

From surgery to systems to access, medicine is shaped as much by barriers to care as it is by innovation and the latest techniques. In this episode of BackTable OBGYN, Dr. Kimberly Kho, a complex beni...

5 Maj 48min

Ep. 114 Endometriosis Surgery Techniques & Challenges with Dr. Laura Ramirez

Ep. 114 Endometriosis Surgery Techniques & Challenges with Dr. Laura Ramirez

Imaging, incisions, and Instagram: Dr. Ramirez on the cutting edge of endometriosis management. In this episode of BackTable OBGYN, host Dr. Mark Hoffman interviews Atlanta-based Complex Benign Gyneco...

28 Apr 54min

Ep. 113 Managing Surgical Complications with Surgical Coaching & Emotional Resilience with Dr. Joseph Chen

Ep. 113 Managing Surgical Complications with Surgical Coaching & Emotional Resilience with Dr. Joseph Chen

What if we trained surgeons to recover from complications, not just avoid them? In this BackTable OBGYN episode, Dr. Joseph Chen, a complex benign gynecologic surgeon at Kaiser Permanente and certifie...

21 Apr 50min

Ep. 112 Overactive Bladder Management: Updates and Guidelines with Dr. Jason Kim

Ep. 112 Overactive Bladder Management: Updates and Guidelines with Dr. Jason Kim

What if we’re waiting too long to offer our OAB patients the treatments that actually work? In this episode of BackTable Urology, Dr. Jason Kim joins host Dr. Anjali Kapur to discuss updates in overac...

14 Apr 44min

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