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Dr. Mary Claire Haver

πŸ‘€ Speaker
14172 total appearances
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Appearances Over Time

Podcast Appearances

unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

Side effects of oxybutynin is usually one of the meds that we use or one of the long acting forms.

2803.704 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

And it can cause dry mouth, dry eyes.

2809.432 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

So again, nuanced conversation with your doctor on how to treat that.

2812.016 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

So if it's just GSM, so general urinary syndrome of menopause, everything kind of acts better, acts more healthy in the presence of estrogen.

2815.881 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

So the first thing we usually do is give your general urinary system estrogen back.

2823.952 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

And then see how the symptoms are.

2828.939 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

And if they persist, then we need further evaluation for stress incontinence.

2830.321 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

How do we treat that?

2833.786 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

Generally surgical, okay?

2834.747 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

Some surgical way to lift that sling back up.

2836.269 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

There's also pessaries and some other things we can do.

2839.394 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

But if you're healthy and young and can tolerate surgery, it's a very minimally invasive procedure to have that sling repaired.

2841.557 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

And most patients do really, really well with it.

2849.147 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

That's typically done by a urogynecologist or a urologist with special training in female anatomy.

2851.15 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

But you should not be leaking.

2856.698 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

We should see no diapers for adults.

2858.42 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

We shouldn't.

2861.343 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

That makes me sad every time I see the diaper aisle because I have to buy them for my mother.

2862.384 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

How do we let this happen?

2869.111 View full episode β†’
unPAUSED with Dr. Mary Claire Haver
Menopause Masterclass: HRT Safety, Patch Absorption, Progesterone Intolerance, and Bone Density

Why are we doing this to women?

2870.412 View full episode β†’