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 Outdated data is.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. 98 Reimbursement Trends in Gynecologic Surgery with Dr. Marisa Dahlman

Ep. 98 Reimbursement Trends in Gynecologic Surgery with Dr. Marisa Dahlman

How economically viable is gynecologic surgery today, and what happens if the system keeps pushing the limits? In this episode of BackTable OBGYN, Dr. Marisa Dahlman from Virginia Mason in Seattle sit...

2 Dec 202556min

Ep. 97 Tubo-Ovarian Abscess Management: Interventions & Outcomes with Dr. Katherine Smith

Ep. 97 Tubo-Ovarian Abscess Management: Interventions & Outcomes with Dr. Katherine Smith

Everything you need to know about tubo-ovarian abscesses (TOAs): breaking the stigma, safer treatment, fertility preservation, and better outcomes. This episode of BackTable OBGYN features Dr. Kather...

25 Nov 202556min

Ep. 96 Reproductive Surgery & Fertility: Endometriosis & Fibroids with Dr. Jim Robinson

Ep. 96 Reproductive Surgery & Fertility: Endometriosis & Fibroids with Dr. Jim Robinson

Endometriosis and fibroids don't have to block your patient’s path to pregnancy. In this episode of BackTable OBGYN, host Dr. Mark Hoffman welcomes Dr. Jim Robinson, Director of Reproductive Surgery a...

11 Nov 20251h 1min

Ep. 95 Gynecology Practice Insights in Australia & New Zealand with Dr. Michael Wynn-Williams

Ep. 95 Gynecology Practice Insights in Australia & New Zealand with Dr. Michael Wynn-Williams

Ever wondered what it’s like to train and practice obstetrics and gynecology across New Zealand and Australia? In this episode of BackTable OBGYN, Dr. Amy Park sits down with Dr. Michael Wynn-Williams...

28 Okt 202556min

Ep. 94 Chronic Pelvic Pain: Evaluation & Treatment Options with Dr. Aakriti R. Carrubba

Ep. 94 Chronic Pelvic Pain: Evaluation & Treatment Options with Dr. Aakriti R. Carrubba

Not all pain is visible and not all solutions are obvious, especially in chronic pelvic pain. In this episode of BackTable OBGYN, host Dr. Mark Hoffman welcomes Dr. Aakriti Carrubba, an expert in mini...

21 Okt 202559min

Ep. 93 How to Optimize RVUs & Billing in Gynecology with Dr. Jon Hathaway

Ep. 93 How to Optimize RVUs & Billing in Gynecology with Dr. Jon Hathaway

No money, no mission. Understanding coding is the key to funding care and making your practice sustainable. In this episode of BackTable OBGYN, host, Dr. Mark Hoffman, chats with Dr. Jon Hathaway, ass...

14 Okt 20251h 2min

Ep. 92 Intrauterine Adhesions & Hysteroscopy: Management & Advancements with Dr. Noam Smorgick

Ep. 92 Intrauterine Adhesions & Hysteroscopy: Management & Advancements with Dr. Noam Smorgick

The future of gynecologic surgery is less invasive, more precise, and closer than you think. In this episode of the BackTable OBGYN podcast, host Dr. Mark Hoffman welcomes Dr. Noam Smorgick, Director ...

7 Okt 202555min

BackTable Brief: Endometriosis Treatment: The Role of MRI & Multidisciplinary Planning with Dr. Wendaline VanBuren and Dr. Tatnai Burnett

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When radiology meets surgery, endometriosis care becomes more precise, personalized, and proactive. In this BackTable OBGYN Brief, host Dr. Mark Hoffman is joined by Dr. Wendaline VanBuren, an associa...

30 Sep 202517min

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