Dr. Karyn Eilber

And for many years, that's what my favorite responses are as well.

Prolapse repair is vaginal rejuvenation with a medical indication.

I always find it fascinating being a urologist and doing what we do.

Has there ever been controversy about, or as much, how should I say, public controversy about penile lengthening, injections to make the penis wider?

That's just kind of a fact of life.

Like if you want it, you do it.

No one would be judging about it.

But yet if a woman wants to make her vagina more sexual, whether it's appearance or functional, we're like, what are you doing?

Why are you doing vaginal rejuvenation?

And I do think we need to...

Stop having so much of a double, no, listen, we're opening a whole other like podcast or book, but society, but there is a double standard.

And I think that being urologists who practice urogynecology, I'm sure you too have seen a

how much there is such an inequity, whether it is hormone therapy.

Men with prostate cancer, we give them testosterone all the time.

No, that's an eyelash.

But you want to give a woman some vaginal estrogen, even though the data shows that it doesn't get absorbed systemically because there's a black box warning on it.

There's a black box warning on the quinolones, I think.

And that doesn't stop us from prescribing them.

So I think we need to be a little more open-minded about

I think we have to also help our female patients understand that there are many things that are done in medicine off-label.