REBOOT: #507 Swinging the Pendulum on Menopause Care With Dr Rachel Rubin
Summary
Hosts Dr. Matthew Frank-Watto and Dr. Paul Nelson-Williams welcome Dr. Rachel Rubin to discuss menopause hormone therapy, addressing outdated fears from the Women’s Health Initiative. They cover the safety of transdermal and vaginal estrogens, the removal of black box warnings, and shared decision-making for patients with cardiovascular risks. The episode provides practical prescribing guidance for primary care providers to improve patient quality of life.
Topics discussed
Intro, sponsor reads, and guest introduction
Guest background, hobbies, and FDA label update
Case study: Rachel's menopause and provider hesitation
Debunking WHI myths and discussing sponsor ads
Transdermal vs. oral estrogen and black box warnings
Shared decision-making and addressing patient fears
Vaginal estrogen: application tips and cost savings
Systemic therapy options and dosing strategies
Perimenopause management and lab testing debates
Testosterone therapy for women: safety and dosing
Complex cases: bleeding, endometriosis, and follow-up
Perimenopause guidelines and long-term therapy
Resources, organizations, and closing remarks
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