How vaginal hormones can transform lives

madman

Super Moderator

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
 

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
For men out there with female spouses or significant others...If your spouse/wife/significant other is in menopause, and has been for some time, she could need some pelvic floor health. My spouse suffered from endometriosis in her early thirties. This ultimately lead to a total hysterectomy. When Premerin was withdrawn from estrogen replacement in women, she became essentially post menopausal in her early 40's. Many years later, getting back to topical and other estrogen replacement, she also needed pelvic floor rehab therapy due to the long term loss of estrogen. I can tell you, if your spouse finds sex painful, it can take more than just some topical estrogen for her to be able to enjoy sex. But the good news, is don't give up, there is help. There are pelvic floor specialists available who know and understand the problems from low estrogen. Pelvid floor therapy can help significantly if they are willing to stick with it. This is not to downplay the role of topical or other estrogen replacement. Just to understand, it may take a little more effort, especially if they have been without estrogen (menopausal) for a long time.
 
IN my wife's case, as soon as Dr. Rubin realized the depth of the problem (long term lack of estrogen) she informed and encouraged seeking a pelvic floor specialist to being the physical therapy and even helped with finding several close to us to choose from. We have both been seeing Dr. Rubin. She is a Godsend. If you are in the DC region or able to visit her perhaps once a year, and video conf with her if needed, she is remarkable. When she says no judgement, and what level of performance do YOU want? She means it.
 

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Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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