Dr. Mary Claire Haver

Hey, there's other parts of me, you know, that are important.

So, I mean, what I hope this book, these conversations spark is the realization that the health of women is important at all parts of their lives, not just when they're fertile.

Yeah, so every medication, Tylenol, aspirin, everything has a risk and benefit profile.

And it's very nuanced and very dependent, but I can say with all conviction for the vast majority of women, the benefits are going to outweigh the risks.

So it will be miraculous for your hot flashes.

Nothing works better, okay?

It will always protect your bones.

In the US, it is FDA approved for the prevention of osteoporosis.

So I start my conversations there with patients.

It will always protect your genital urinary system.

You will suffer GSM without it.

So, you know, and for me, that's non-negotiable.

For that, we can do topical local estrogen, which does not absorb systemically.

So even if you have a tumor that has been fed by estrogen, you could still do vaginal estrogen.

So, you know, these are the conversations we need to be having.

And vaginal estrogen is lifesaving.

We will cut postmenopausal UTIs and therefore sepsis by 50%.

So, and if any of your listeners out there are being treated for recurrent UTIs with antibiotics after antibiotics, this is a mistake.

You need to consider some vaginal estrogen and get your, you know, the health of your vagina back.

Perimenopause is like pinning the tail on a moving donkey.