363. Mesh, Vaginal Estrogen, Female Urology and More with Dr. Una Lee

In this episode of You Are Not Broken, I sit down with urologist Dr. Una Lee to talk about what women actually need in midlife care — and why the system still makes it so hard to get.

We dive into the importance of patient-centered research — studying what truly matters to women: quality of life, sexual health, urinary symptoms, and comfort. If we don’t measure those things, we miss the point.

We also discuss the removal of the boxed warning language on vaginal estrogen and how correcting misinformation has already improved prescribing and access. Fear limited care for years. Data changes that.

We cover:

Why education on vaginal estrogen and GSM is essential
The research gap in testosterone therapy for women
The importance of pelvic floor physical therapy as first-line care
Informed consent and nuance in surgical conversations
Ongoing barriers to hormonal access

The big theme? Women are living longer — and our healthcare system needs to evolve with them.

Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Tämä jakso on lisätty Podme-palveluun avoimen RSS-syötteen kautta eikä se ole Podmen omaa tuotantoa. Siksi jakso saattaa sisältää mainontaa.

Jaksot(390)

390. Vulvar Dermatology, Red Angry Vulvas, and Why Exams Matter

In this episode, I sit down with Dr. Melissa Mauskar, a vulvar dermatologist at UT Southwestern, for a wide-ranging conversation about vulvar skin conditions, common misdiagnoses, and why so many pati...

27 Syys 47min

389. Vaginal Estrogen and DHEA: What Works, Who It Helps, and Why the Myths Need to Die

In this episode, I walk through the basics of vaginal estrogen and vaginal DHEA for genitourinary syndrome of menopause, recurrent UTIs, painful sex, urinary urgency, and vulvar tissue changes. I also...

20 Syys 1h

388. Sexuality is How You Exist in the World - with Dr. Lexx

In this episode, I talk with Dr. Lexx about how to have honest conversations about sex with kids, why sexual shame still shapes adult relationships, and how to think more clearly about desire, consent...

13 Syys 37min

387. Beyond the Prescription with Dr. McBride

In this episode 387, I sit down with Dr. Lucy McBride to talk about the widening gap between the traditional medical system and the wellness industry, and how patients can find solid ground in between...

6 Syys 56min

386. Nuances and Myths of Menopause with Dr. Shepherd

The longer we treat menopause as something to survive quietly instead of understanding fully, the more women get left without real answers.Dr. Shepherd is an OB-GYN, and we use menopause as the entry ...

30 Elo 48min

385. 500k on IG Celebration - Ask Me Anything

Half a million of you on Instagram. I still can't quite get over that number.To celebrate, this episode is all you — an open Ask Me Anything where I answer the questions you've actually been sending m...

23 Elo 50min

384. The Myth of Aging with Dr. Gilberg

Age is just a number. We say it all the time. Do we actually believe it?This week I sit down with Dr. Arnold Gilberg, MD, PhD — a psychiatrist with over 60 years of clinical experience and author of T...

16 Elo 44min

383. Burning Up, Frozen Out — Men, Menopause, and the Midlife Marriage

Menopause conversations center on women. For good reason.But what about the guy standing next to her?Joe Warner and Rob Kemp wrote Burning Up, Frozen Out — the first real guide to perimenopause writte...

9 Elo 58min