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"So they sent up this tube of estrogen to her hospital room and the nurses look at it and they said," We've never seen that medicine before. I know this better than almost anybody else in the world. It says it causes stroke, blood clots, heart attacks, probable dementia, and your mother is so sick.
So testosterone is a human hormone. That's whole body estrogen. So we have four major buckets when we're talking about hormone therapy. They stopped decades of doctors wanting to do this because how can you prescribe something that is safe, but the box from the FDA says stroke, blood clots, heart attacks, dementia.
This is the life-saving therapy that is going to keep the tissue as healthy and as flourishing as possible. And so this is what vaginal hormones are to this tissue. The reality is adding vaginal hormones has no downside, literally no downside. When we add vaginal hormones to your routine in about two to three months, you're going to send me an email.
So it is such a minuscule amount that it doesn't change what your patch is doing, your estrogen patch, or say someone who's on no hormone therapy. So vaginal hormones are micro dosed amount of hormones, a tiny amount. And so if a patient says she's on vaginal hormones and we look at the pH and it's dark blue, I'm like, wait a minute, are you really using this?
If sex is a high contact sport, right? It may affect your microbiome, which makes you more susceptible to urinary tract infections. Is there testosterone in sperm? And then if you have sex and if your partner ejaculates inside of you, well, remember guys, I'm a urologist. So here's where sex becomes important because now you don't have a strong acidic base. It is a dryness so significant that it affects your quality of life day to day. So when we talk about vaginal dryness, we think of it as a cutesy old lady thing of, oh, a little vaginal dryness.
We get no training, and the data's very clear on this, we get no training in medical school, we get no training in our residencies. Ask any doctor you know. Overnight, hormone prescriptions went to zero. And it's really important, especially if you're not my age or older, to understand that this one incident in the media and in medicine profoundly negatively impacted women's lives for decades.
The more you understand your hormones and where in your lifecycle you are, the more your symptoms start to make sense. So kids have no sex hormones in their body or not significant amounts. We do a lot of this in urology, but women's sexual health has also been historically ignored. Using vaginal hormones prevent urinary tract infections by more than half.
It doesn't add back testosterone. It shuts down your ovaries and it adds back high doses of fake estrogen and a fake progestin. So it doesn't go through your whole body. It's the same treatment. And it's the same treatment, whether you are a 20 something on birth control and having chronic UTIs like I did, or you're a menopausal person or you're a woman in her 80s or 90s in a nursing home. So if you do have an infection, yes, you need to see a doctor, get a culture. Truly, I can't express it enough of how the nursing homes need to get on board with this, how we need to be helping patients with this because this is all preventative.
And in fact, you have a printout that you can take to your doctor to explain the guidelines on this and how to prescribe it. So there's a reason your doctor doesn't know anything about this topic. And then there's the fact that we decided not to study women at all in science. They're being told, "This isn't real. This is all in your head." Or because these clinicians, they're not bad people.
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