How vaginal hormones can transform lives | The Dr Louise Newson Podcast
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- เผยแพร่เมื่อ 20 ก.ย. 2024
- Are you experiencing symptoms like burning and itching around your vulva and vagina, or painful sex? Or perhaps you have the urge to wee more often or are plagued by recurrent urinary tract infections?
Joining Dr Louise this week is trailblazing US urologist and sexual health doctor Dr Rachel Rubin, to address these common menopause symptoms and the relief vaginal hormones - often used alongside systemic HRT - can bring.
Dr Rachel explains why we need to stop using terms like vaginal dryness and vaginal atrophy, which hugely downplay the impact of declining hormones on your whole genitourinary system.
‘When we say women have vaginal dryness, we minimise their symptoms, we minimise that it's no big deal, that you can just use a little lubricant, a little moisturiser,’ says Dr Rachel.
Plus, Dr Rachel and Dr Louise also discuss DHEA - a hormone treatment which converts to estrogen and testosterone in the vagina - and the benefits this can bring to women struggling with genitourinary syndrome of the menopause (GSM), again often alongside systemic HRT.
Dr Rachel’s three tips if you are struggling with GSM:
1. Know that if you have any symptoms that affect your vagina, vulva or urinary system and you’re over the age of 45, you deserve a vaginal hormone product.
2. Talk to your healthcare professional about access to this treatment that can prevent urinary tract infections, decrease your frequency and urgency of needing to urinate, decrease your pain in intercourse and lead to better lubrication, arousal and orgasm.
3. Keep using your localised hormone replacement: it is a safe product, so can be used long term to sustain the benefits.
I just started on a vaginal estrogen & my vagina hasn’t felt this healthy in years. I’ve only been on it a short while but notice a difference already. Also, my mom suffered for years with UTI’s & I never knew it was due to lack of estrogen. She lived on antibiotics for years & after a while, they stopped working. It breaks my heart to think there was help out there for her. She died two years ago & still had a UTI. Thank you for this information. I’m sharing this with all the females in my life.
Yes, isn't it outrageous that our mothers have suffered so much for very preventable things? I am very angry at this, I don't know if I can ever forgive or forget those doctors who didn't treat her. She lived a miserable menaupouse. Angry at what doctors are still doing with millions of women. They are still spreading LIES after LIES after LIES, scaring women with cancer instead of helping them losing excess weight or stop smoking, and other BIGGER causes of cancer. Shocking!
Hi. Are u using Estradiol or Estriol?
Don't know why those doctors aren't being sued for not treating us for the last 20 years.
You speak for all menopausal women who are ignored, discriminated against and gaslighted. Believe in the army of women behind you and ignore the haters and misogynists. Much love and respect.
Thank you - women like you are transforming the lives of women everywhere!
I went through crazy urinary symptoms that would last a few months, go away, come back. I saw so many doctors beginning at age 44 for this problem and not one of the doctors suggested perimenopause as the cause, but it makes so much sense!
Hope U r on the vaginal estrogen now ..I share the same struggle intially but sorted now being on estradiol
My 70 year old sister has been on vaginal estrogen for 15 years. She was diagnosed with cervical cancer a few months ago and her gynecologist said it was most likely from her vaginal estrogen. She had the surgery to remove the cancer and said she will continue to use the estrogen with regular check-ups because she won’t live without it. Interesting.
She is right. And the doctir cant know for sure why she got cervical cancer.
@@KC-kh5dvcervical cancer is almost 100 percent related to Papilloma virus, a common infection we,humans have.It is not related with hormones, so,she is right 👍
Cervical cáncer is due to HPV infection. It has nothing to do with estrogen, as opposed to breast cáncer.
You are absolutely right - UTIs can kill. I suddenly got very sick one morning with chills and high fever, maybe a slight pain in my lower belly, but nothing much. No urgency or frequency. After ibuprofen I still didn't feel well, so we went to the ER and my fever was only down to 103.6. I was in and out of awareness, I heard them say she is in or has sepsis and started thinking, this is it. I might die here. The pumped me full of every antibiotic known to man and I started to feel a bit better. Then they sent me home! Then called me back in in the early next morning because they'd discovered it was a UTI and wanted to focus treatment. I went back in and they kept me in the hospital. If I had just stayed home either of those times, I could have died of sepsis. The doctor asked me to please take the estriadol that had been prescribed to me in the past. I told her I was afraid of cancer. She said, "Your chances of another sneaky UTI killing you are a thousand times higher than you getting cancer from a .01% cream in your vagina."
EVERYTHING you said here is my mother who's in the hospital right now.
@@hischild7070I’m so sorry! I hope they can get her well and home again quickly!
OUCH! how could any sane person "hate" you , Dr. Newson? The nastiness online from hateful souls who are anonymous, or simply invisible, is somehow hurtful even though none of it is earned, and all of it bespeaks the turmoil and hate within the ones who spew it. It takes us a long time to accept this and to refuse to accept the responsibility for deserving any of it. I hope your drive courage, and skills to do so much good will overcome the costs of sometimes being the vulnerable target of those troubled souls. Bravo for your site, Dr. Rubin, on which you tell us about the one star an anonymous left you without any explanation. Your response was elegant,and I hope you were not too bruised! Thank you both, for this interview. I hope you will do more together, perhaps by focusing on specific topics within HRT.
Not only are women lacking this knowledge on hormones and how it affects us, but the MEDICAL PROFESSIONALS we go to see, are lacking this knowledge! THEY need to get trained on this so we are not the ones having to educate and fight them at every appointment.
If only it was only dryness. The burning nearly drives you insane. I have two doctors in my surgery, both men and one is 80. You can imagine what I've faced. I wish you could find a doctor in Scotland. I loved this chat 🙏
You can now buy vaginal oestrogen over the counter. It’s called Gina.
If your GP can't or won't treat you, do ask to be referred to an NHS menopause clinic - they absolutely do exist in Scotland it is just not well publicised, presumably to minimise demand.
Today I have been changed forever by listening to this and other podcast relating to GSM. I have been suffering for 10 years with frequent UTIs and vaginal atrophy! I was prescribed vaginal estrogen years ago, but I was afraid of cancer risk and only used it very sporadically. The light has now come on.
I have an appointment tomorrow with OB/Gyn. Thanks!
🤗
Yes! The term Vaginal Dryness has killed women. Anyone who has cared for an incontinent elderly woman knows this to be true.
This all makes my blood boil!
My mom suffered terribly with GUSM, it caused her early death at 74.😢
Prevention of this has been my no1 reason for using HRT (I take the LOT- oestrogen spray, mirena coil, vagifem AND testogel.)
Menopause awareness is improving but this is the missing piece of the jigsaw…. I’m joining your mission to spread awareness.
Am running a series of posts on my Facebook support page this week on GUSM so 3000+ women on there will be getting this message.
#stayplumpandjuicy is my motto.
You should never take estrogen without progesterone.
@@alexesdohr6485you don’t need progesterone with vaginal oestrogen.
@@alexesdohr6485 well actually you can - vaginal oestrogen doesn’t require progesterone to balance it.
Thank you so much for this extremely educational and enlightning conversation between two brilliant women!
As I am listening here from Germany I'm so delighted that it is possible to learn about latest research both from the US and the UK (which thanks to Dr Newson's hard work starts to spread all over the planet).
I just wish I had found information just a few months earlier so that I would have been able to help my 83-year old mum with her health problems so much better and quicker! She died a year ago and I still miss her so much😢. This generation (who had to live as little children through WWII) suffered so much as teens, in pregnancy and childbirth, but also at the end of their lives with UTIs. I cannot make it up for my mum and my mother in law who died 2 years ago (always having bladder issues too 😢), but I can try to help spread the information in my circle of friends, among peri- & menopausal women and also my doctors.
And even though I have just found your podcast a few days ago, I have already been forwarding your very educational but also entertaining conversations around... THANK YOU so much again!🎉❤
Doctors, THANK YOU for this discussion. My 81-year-old Mom has been in the hospital twice for UTIs in the last few years. The first time required weeks of home physical and occupational therapy when she was released. I finally convinced her to make an appointment with my urogynecologist to ask about vaginal hormones. I know from personal experience you’re not exaggerating when you say this treatment can be lifesaving. I shudder to think what would have happened to my mom if I had not been with her to get her to the ER when these infections happened.
Near the end you actually brought me to tears. You’re truly helping all women on this world. Thank you thank you thank you ❤️
It is outrageous that our mothers have suffered so much for very preventable things! I am very angry at this, I don't know if I can ever forgive or forget those doctors who didn't treat her properly. She lived a miserable menaupouse. Angry at what doctors are still doing with millions of women. They are still spreading LIES after LIES after LIES, scaring women with cancer instead of helping them lose excess weight or stop smoking and other BIGGER causes of cancer. Shocking!
I am telling every woman anywhere close to my age about maintaining bladder health through hormones. I think some people are listening.
Me too…. I’ve said ‘bladder, vagina, vulva’ more in the last 3 years than in my whole life!
#stayplumpandjuicy
How about telling 70-80-90 women, it is often not to late. And how about the teens who need to keep an eye out on national policies and research advantages, And women in their 30s who need to get ready and informed and those who might have early symptoms that need treatment? GO for it!
No information in UK and GPs diagnosis wrong. Thank You for this information. Now to see if GP will even engage with this info.
I had such a negative experience with my GP and then after a 3 month wait to see a gynaecologist. Complete waste of time. Meanwhile I was suffering. Eventually I found a private clinic in Toronto who were trained by Dr Newson. My prayers were answered. Great clinic finally on the right path. Thank you for getting the word out and doing your research.
What clinic in Toronto did you go to?
I would like to know too please.
@@jenniferbellini7130
How did you find the Dr who train with Dr Newson??
Can you please share the clinic information? I’m in search of a menopause specialist and live near Toronto. Thank you.
@@Blueskies1180 yes of course they are on line so easy to make an appointment.
Prosper menopause care
My mum has been suffering with UTI for years with no help. So thankful for this information so I can advise her to demand oestrogen cream.l from her GP.
This was amazing to listen to!
I went looking and knew what I Australia would say about DHEA it’s banned 🤦🏻♀️
I’m going to see my doctor and see what I can do for me because this is definitely what I need as a peri menopausal woman!
This is the best video I ever watched and certainly one of the most important for women’s health! You’re both lovely and I really appreciate so much useful and important information. I also appreciate that you presented it in a pleasant and easy to understand manner. Thank you both so much for making this video and for your continuing work in this field. We need you! Thank you! Thank you! Thank you! God bless you both! Take care.🙏🙏🩷🩷
So much time and money was wasted going back and forth between my GP and urologist for years! Still not much relief just using estradiol cream alone. Now I know What I suffer with is GSM and most notably the vaginal opening is actually bladder tissue. That’s a big deal! It explains so much.
This video was the Eureka moment for me! Thank you. Armed with info from two incredible female doctors, I now have hope again that I can get to not just some relief but “crosses “fingers” actual enjoyment again. 😊
I will be sending this video to any doctor who denies me these hormones before moving on to one who will. Keep up the good fight and I will too.
Wow what a brilliant talk ladies..
Just had a uti and got hospitalised .😢
Thankfully now on hormones and hrt .
I love watching Dr. Newson’s expressions while Dr. Rubin explains All The Things that need saying !
Brilliant - you fabulous women are blazing a much-needed trail on behalf of us all. Amazing listening to you talking about how it's still men who are telling us what we can and can't do with our bodies.
You are amazing! Thank you for all you do for women everywhere!!!!
Ha, ha! Yes, in the loveliest of ways, I think Rachel is even gobbier than you Louise! All I can say is thank goodness for gobby women with brains and determination. They save us all.
Brilliant podcast. I now need to talk to the clinic. I used to see you, then Dr Ashby but she's left and I'm not assigned anyone new yet. I have symptoms you have just talked about that I didn't realise were connected. I need help because always feeling like you need the loo and getting there to not be able to empty my bladder properly leaving me needing to go again too soon is annoying. And I've definitely lost my clitoris/libido despite testosterone. Time for a chat.
This is the most interesting and optimistic talk I have found on these really ground breaking issues for all women.
Thank you so much. More please! I’m sharing it widely.
Dr Rubin and Dr Newson are helping women and both are superwomen in advocating for us. Much thanks for the information and time in putting out the content.
Thank you for trying to bring this fantastic information to the US.
Women need educated Health Care Providers.
Thank you both!
Thank you Louise. I have so many more questions and also sharing feedback as I’ve been on my own HRT journey for the last 2 months after over a decade suffering Menopausal symptoms, resulting in Vaginal atrophy even LS, disrupted sleep etc etc. Going on Estrogen and Progesterone made an instant difference. I am very interested to include Testosterone. So your discussion with Dr Rubin was very interesting. Thank you so much for opening up the conversation and providing information and support. Jo Scott AU
Great interview! Thank you for all the work you do🤗
Just started on vaginal estrogen @ 63. 10 years post menopause. For many years I have told my doctors that I was up 4-8 times a night to urinate. Not one doctor suggested vaginal estrogen. I had to ask my doctor for it after watching doctors on TH-cam. Crazy that is our healthcare in the US. After about a month I am to about 2 times a night up to urinate and I’m getting 5-6 hours of solid sleep. FYI I did try testosterone topical, not vaginal, about 11 years ago for vaginal pain during sex. It was awful. They never got it balanced and I gave up. Doctors never gave me different options.
Great video, thank you! I'm in the US, looks like Amazon carries DHEA cream available in a pump. Is this ok to buy, or is DHEA only available by a prescription? I see a menopause doctor, I'm on HRT and use vaginal estrogen, but this doctor says she does not prescribe testosterone. And my obgyn won't even talk about ANY sort of hormone replacement at all, so all I have is my menopause doctor. So I'm wondering if I can try DHEA over the counter? Thank you for any answer you can provide.
Wow. This is one of the best conversation about the hormonal health of women I think I've come across. Brilliant. Thank you. Am sharing.
I loved seeing the two of you together talking on this topic! Thank you both so much for the work you do. And yes, please know that although you may have detractors, you help so many more than you may ever know! Keep it up!
Can we buy DHEA over the counter?
Thank you! For about 2 years iv not been able to wear my jeans im always in jogging bottoms because i feel so hot down there and uncomfortable. I had an appointment with a menopause specialist today and she has written a letter to my gp for hrt. Im 43 and in perimenopause. My mum has just been diagnosed with a prolapse so much unnecessary suffering im forwarding this video. 😊
Absolutely! Louise thank you so much for all that you do! Please continue to let your voice be heard; this information is life-saving.
INCREDIBLE podcast. Life changing for so many. thank you thank you for helping to change the narrative around menopause care. You are both amazing. 💕
Thank you so much for the knowledge my health issues have just been solved! I’m going to talk to my doctor asap
Thank you from all of us🥰💕
Thanks a lot for this info. My wife is starting to have issues and now we know for sure that this is the cause
Thank you!
Intrarosa is very expensive and not covered by Medicare. Can OTC 50mg DHEA cream work?
Yes and advised saw on a podcast
Great talk, thank you!
It has helped me so much with UTI's and IC,but also pelvic floor ache! I have not been able to find it for $20 though.maybe $45 . through my insurance $97 Rx is weird in The US.
What is a optimal level of testosterone for a post menopausal woman?
Optimal is 2.4 but they say it is ok when
My testosterone level is 9 and my free testosterone is 0.9 do you think that is good?@@KC-kh5dv
Good podcast. Thank you.
You have to however change the pink text on your podcast to white letters in black background. Your text color is too light and is very hard to read. U.S.
Such an eye opener! Brilliant 😊
Fantastic and so helpful.
Great video!!!
I just started applying estrogen cream on my face and vagina.
I totally solved the UTI issue, that's amazing ❤
However, do I have to apply progesterone cream as well ??
Does anyone advise me about it ???
Do you have a dr who prescribes in ny
I’m 55 i have a history of endometriosis fibromyalgia lyme disease
Pain urinary symptoms inflammation
I have tried so many different things over the past thirty years
I really enjoyed this podcast. Great information but I wonder if you can use Vagifem with HRT .Estrogel and progesterone ?
Yes you can use them together
100% yes!
It’s not wether you can….. it’s that you SHOULD!
Where can we get DHEA? Can that be bought over the counter? How much does it cost?
As far as I know, there is only one vaginal DHEA product so far, called Intrarosa, you have to get it prescribed I believe or ask a pharmacist if they keep it behind the counter without prescription.
Don't know where you are but in the USA DHEA can be purchased over the counter in health food stores. Good luck.
I got it from my holistic doctor!
My UK GP refused testosterone for my symptoms due it being for gender transitions were a priority. Maria Caulfield Minster for Women has called for submissions for further studies on testosterone and perhaps the other treatments you mention here (UK Parliament Oct speech 2023) - Could you work with her, prompt companies like Besins Healthcare or other Pharmas what do HRT products?
I really need feedback on the Vivelle Dot patch versus the generic Dotti patch ???
Thanks a lot.
I'm on vagifem 10 and want to know if I should have progesterone too. I have the mirena i.u.d. at the moment which delivers progesterone and want to know if I should carry on this route with both. I feel very well with this treatment. Thank you.
Mirena is NOT progesterone. It is PROGESTINS. Synthetic chemicals that act very differently on the body to bioidentical progesterone. They are not the same.
what would you recommend for those women who can't reach to put a tampon or menstrual cup hence vaginal hormones due to size or other physical impediments, Dr. Newson?
Thank you…the world needs more women like you two! Don’t listen to the miserable minority who want to disempower women!
I cannot find DHEA supplements in canada stores or online...anybody here as a link or online shop to order in canada ( Quebec)
Good afternoon, ladies.I was given the estradiol 10 micrograms vaginal tablet . To take after my hysterectomy. Are they safe to take. I've heard so many different stories.I'm scared to use them.. I'm not too sure what to do .xx
Very safe.
You need to take progesterone as well. Unopposed estrogen is not safe.
@@alexesdohr6485it is safe by itself if you no longer have a uterus. I have taken it for years, no problem.
So true that even the terminology used trivialises women's health issues. Also both the language and treatment are often focused solely around the ability to have penetrative intercourse with a male partner, not the holistic wellbeing of the woman.
I’m on hrt where can I get testosterone from as I think it maybe the missing link?
GP in UK will not prescribe - you have to go private or get referred to a consultant and they’ll only prescribe for low libido.
@@alisonjackson5814 thanks.
Does anyone know how to get a Dr who will prescribe vaginal HRT in the US??
Hi there! I am in state of Georgia and found online hormonal specialist near me. They have it in there office 25$ . Search online and you probably have at least one in your state! Some obgyn also can proscribe but you have to with one is working with hrt . Blessings!
I contacted Alloy online and they have dr that prescribed the cream for me. Very easy questionnaire and they send cream to you
I’ve been on transdermal HRT for over a year and I’m still feeling really bad!😢
You may have to up your patch dosage of Estradiol, and take micronized progesterone orally or as an IUD. And possibly ALSO include a vaginal estradiol cream/gel.
The vaginal treatment is very expensive I can’t no afford it even with insurance I have to pay $450 dls from my pocket 😢
That cant be right estriol cream isn’t as expansive. Are you talking about Vagifem and such?
Hi, talked to your OBGYN and explain to her your issue. She can send the prescription to other pharmacies that make compounds medicines. Also the price they have is more affordable than the Big Business Pharmaceutical. They only care about making more money for them. Blessings 🙏🙏🙏
🙏❤️
will using progesterone vaginaly help with ph and hydration also ?
How long before the vaginal estrogen cream will not cause further irritation. I started two weeks ago and still get irritation reaction next morning. 😢😢😢
Takes awhile to repair the tissue don’t give up .
Use progesterone as well
I took fito estrogens and raw probiotics for women's + estradiol. That really helped me. A naturopath give me foto estrogens and the probiotics.
You lost me at gender affirming care. A bit off-topic.
How does vaginal estrogen affect the male partner? If it is absorbed by the vagina it would be absorbed by a man’s penis during intercourse.
My doctor told 3 times a week to use it and then you have 4 days to have intimacy with your husband
Thanks for being our advocate. I have been told that the window is closed on women after 10 year of menopause. What are your thoughts.
But testosterone thins your hair so many have this issue even on tiny doses !!!!!!