In this episode, Dr. Rena Malik, MD discusses the significant changes that the vulva undergoes during menopause with her guest, Dr. Mary Claire Haver. They explore the dramatic reduction in estrogen and testosterone levels and how this leads to tissue thinning, loss of collagen, and decreased mucus production in the vaginal area. These changes can result in discomfort, pain during sex, and increased susceptibility to infections. The conversation highlights the positive impact of hormone replacement therapy (HRT) on mitigating these symptoms and improving women's overall health, despite the lingering misconceptions and stigmas surrounding its use.

Dr. Mary Claire Haver emphasizes the benefits of estrogen for heart health, cholesterol management, and even mental wellbeing. They address the flaws and public misconceptions stemming from the Women's Health Initiative (WHI) study, which significantly impacted the perception of HRT. The episode underscores the importance of educating both patients and clinicians about the safe and effective use of hormone therapy to improve the quality of life for women experiencing menopause. By advocating for better healthcare practices and raising awareness, Dr. Haver and Dr. Malik aim to empower women to seek the treatments they need.

Full Episode Here:    • Having Sex with Someone Over 40? This...  

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▶Chapters:
00:00 Menopause effects on vulva
01:32 Vaginal tissue changes
02:49 Testosterone and mood
03:08 Misconceptions about estrogen
06:48 Women's Health Initiative
12:33 SSRI use and alternatives

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Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more.

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▶DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.