Dr. Karyn Eilber

And this ties into, I've had some women get this O-shot and they tell me it's the greatest thing since sliced bread, which more power to you, scientifically, medically, I don't understand it.

I'm not sure I believe it medically and scientifically, but hey, if it improved your sexual function, then more power to you.

So testosterone is not considered standard of care when you talk about typical hormone therapy.

And what is interesting and what a lot of people do not realize is our androgen levels do not decrease the same as our estrogen and progesterone levels decrease.

So what is kind of standard in your typical menopause therapy is if someone has complaints, just like for our male patients, decreased libido, decreased muscle mass, those types of things.

And if you check their testosterone level and it's low, make sure you also check other things that are pertinent to that, like your sex hormone binding globulin.

If you give a woman six months of testosterone therapy and she does not improve, there is no point in continuing.

I think there's pretty good evidence to support that.

So while it's not standard, I have no problem if somebody wants to try it if they have a good reason and there's actually like, you know, a show and a decrease.

But yeah, interestingly, our antigen levels really do not decline to the same degree.

They actually stay pretty stable over time.

I think that is something that should be a red flag for us as physicians.

When patients are so willing to go online to get what they are looking for.

Look, if you prescribe a medication to a patient and you said, I'm not going to tell you what's in it.

You know, I'm just going to only give it to you online.

They would think you were a quack.

And yet people are willing to do this.

And the question is why?

And the answer is probably because we're not providing what these women need and or are looking for.

I don't want to get, I want to get us back on our vaginal rejuvenation discussion, but just to your point, Narit, I actually think as urologists, we are probably more well-equipped to do hormone therapy because we are familiar with testosterone and the side effects.