Mentioned 9 times on 1 show. Most recently heard 22/06/2026.
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“That's what we have the most evidence for. And then the fourth thing is vaginal hormones. Now, vaginal hormones are micro doses of estrogen or what we call DHEA vaginally that supports the bladder and the vagina. So it helps with pain with sex, dryness, urinary frequency, urinary urgency, leakage, and it prevents urinary tract infections massively.”
“And this prevents those problems in those people too. And what is this? So vaginal hormones. So this is a really important topic. It's called genitourinary syndrome of menopause or GSM. Say GSM loudly for your listeners. GSM. GSM, genitourinary syndrome of menopause.”
“And so, we know women who are sexually active also have an increased risk of urinary tract infections. So, again, like a plant needing water, vaginal hormones help support the vagina and the bladder to maintain that acidic environment. And research has been clear since the 1990s that using vaginal hormones prevent UTIs, urinary tract infections, by more than half.”
“So, what have we got here in front of me? All right, so there's a bunch of different ways you can give yourself vaginal hormones. The most common way is a cream. Now, this cream is $14 on Mark Cuban's pharmacy, and it lasts about two and a half months.”
“And so, they do make pills, but it's a small, these things are small things that help. Drinking lots of water can help, but vaginal hormones, vaginal estrogen or vaginal DHEA, which we just showed a bunch of, prevent UTIs by more than half. They don't just prevent UTIs, they help with urinary frequency, urgency, leakage, pain with sex.”
“If you've had cancer, blood clot, stroke, any problems at all, vaginal hormones are safe and could save your life. And so, this is such an important topic. My partner's 33 years old now, she's not yet in the perimenopause stage.”
“And so, there's all sorts of hormonal changes that can happen at that time. So, we see a big need for vaginal hormones in this patient population. It's safe for the breast milk, it's safe for the baby, it doesn't cause any problems, but it can really help with all of those symptoms. Now, say she is done having babies, and now she's 38, 39, 40, and she is doing fine and she has regular”
“doesn't feel, it sort of feels like back when it did on birth control pills. That may be an indication where she may benefit from whether it's testosterone or vaginal hormones or some kind of combination. What if she's 43 and her sleep starts to get really bad?”
“I shared data and papers and we did a shared discipline. We just worked with each other. And I wasn't pushing anything on her, but ultimately she started with vaginal hormones. Her orgasms come back. Her arousal gets back and she comes back to see me and says, Ruben, what are you doing here? I'm feeling much better.”