JUNE: Ask Me Anything Webinar

Content in this webinar is for educational purposes only. This information does not constitute medical advice or medical care. All medical concerns should be discussed with your healthcare professional.

Another lively Ask Me Anything Webinar! We went for the full 60 minutes (26 questions!), but I edited out some of the chit chat, so it’s a little shorter.I also included relevant podcasts and posts for further information.

At the end, I asked for input on future podcast topics or guests. If you would like to weigh in, feel free to put some ideas in the subscriber chat!

The next Ask Me Anything webinar is on July 8 at 6 PM CT/7 PM ET

Questions

1. Can Vagifem cause burning of the penis?

2. What if a perimenopausal woman has hot flashes while they are on birth control pills?

3. What is the difference between the estrogen in menopausal hormone therapy and birth control pills?

4. Which is more potent, birth control pills or menopausal hormone therapy?

5. What options do you have if someone is having hot flashes while taking birth control pills?

6. What other things , besides menopause, cause hot flashes?

Podcast -Episode 167 All Hot Flashes Do Not Mean Menopause

7. What if someone is in perimenopause and having a lot of symptoms, but refuses to take birth control pills?

8. Can you give paroxitene (Brisdelle)?

9. Can fezolinetant be given during perimenopause?

10. Can you give fezolinetant with birth control pills?

11. Why did the FDA cut off the HPV at age 45? Can you give it after the age of 45?

12. How do you convince patients who are opposed to using the vaccine?

13. What if someone had the earlier vaccine? Should they take the updated vaccine?

14. If someone has an elevated risk of breast cancer, can you use just conjugated estrogen, or do you need to use conjugated estrogen and bazodoxifene (Duavee?)

Substack article: https://drstreicher.substack.com/p/can-hormone-therapy-shrink-breast

Podcast episode: The Impact of Hormone Therapy on DCIS with Dr. Swati Kulkarni

15. If someone is using a transdermal estrogen because of a history of blood clots, can you switch them to Duavee?

Substack Article: https://drstreicher.substack.com/p/blood-clots-and-estrogen-the-facts

16. My uterine pelvic floor muscles no longer contract with orgasm. Why and what can be done?

17. Does the progesterone in birth control pills have a “calming effect” like in hormone therapy.

18. As far as a DEXA scan during perimenopause to screen for bone loss- what is more important, the T score or the T score?

Podcast Episode: Episode 175 Your Bones On and Off Estrogen with Dr. Risa Kagan

19. If someone has coronary artery disease and just got stents, does she need to stop her Menopausal Hormone Therapy?

20. Can you use vaginal micronized progesterone for hormone therapy?

21. Is Dutch testing helpful?

22. I started having hot flashes on my FemRing. Do you think I got a bad FemRing?

Podcast Episode:Episode 174: Is Your Transdermal Estrogen Getting Absorbed?

23. Do you ever check progesterone levels?

24. Do you use vaginal estrogen in advance to prevent vaginal dryness and preventing Genitourinary Syndrome of Menopause?

Podcast Episode: https://drstreicher.substack.com/p/episode-12-prescription-rings-creams

25. Dr. Rachel Rubin recommended ultrasensitive assays for estrogen and testosterone? Why?

26. What is known about ADHD during perimenopause?

The next Ask Me Anything webinar is on July 8 at 6 PM CT/7 PM ET