Dr. Rachel Rubin

And it comes in two doses, 0.05 and 0.1. Then there's an E-string, which is a two milligram localized estrogen ring. You do not need progesterone if you have a uterus because it's just treating the genitourinary syndrome of menopause. So it's not treating your hot flashes. It's not protecting your bones. It's not going to help your night sweats, but it's going to prevent UTIs.

And it comes in two doses, 0.05 and 0.1. Then there's an E-string, which is a two milligram localized estrogen ring. You do not need progesterone if you have a uterus because it's just treating the genitourinary syndrome of menopause. So it's not treating your hot flashes. It's not protecting your bones. It's not going to help your night sweats, but it's going to prevent UTIs.

It's important that you know the difference because the pharmacist sometimes won't and he'll give you the wrong ring, which could be catastrophic if they think they have a systemic ring, but they have a local ring.

It's important that you know the difference because the pharmacist sometimes won't and he'll give you the wrong ring, which could be catastrophic if they think they have a systemic ring, but they have a local ring.

Yeah, they look a little different.

Yeah, they look a little different.

The reason one is systemic is- It's a high dose and one is a low dose.

The reason one is systemic is- It's a high dose and one is a low dose.

Yeah, both three months.

Yeah, both three months.

Both three months. Now, there's a company right now studying a product. I'm not at all affiliated, but it is a one-month ring that has both estrogen and progesterone in it, which is very interesting. And I'm curious to see where the research goes with that. It's a one-month ring. So the issue with the ring, I love the ring.

Both three months. Now, there's a company right now studying a product. I'm not at all affiliated, but it is a one-month ring that has both estrogen and progesterone in it, which is very interesting. And I'm curious to see where the research goes with that. It's a one-month ring. So the issue with the ring, I love the ring.

Now, there are women who you show them and they're like, no, I don't want that. There are women who've used rings for birth control. They love the idea. I will tell you, and we've been hoping to publish on this clinically. Again, I don't know about you, but my patients don't listen to the book. They don't read the book and they don't follow the FDA curves. But my patients, it peters out.

Now, there are women who you show them and they're like, no, I don't want that. There are women who've used rings for birth control. They love the idea. I will tell you, and we've been hoping to publish on this clinically. Again, I don't know about you, but my patients don't listen to the book. They don't read the book and they don't follow the FDA curves. But my patients, it peters out.

It literally stops working that last month. How long? Everyone's a little different, but I have patients where that last month they are dragging. Their hot flashes come back.

It literally stops working that last month. How long? Everyone's a little different, but I have patients where that last month they are dragging. Their hot flashes come back.

It's expensive. So a lot of times insurance doesn't cover the ring. It's about $180 cash price when you use an online pharmacy called Transition. It's expensive. Sometimes they'll slap a patch on or a gel at the time to sort of overlap. So they'll change it early or they'll add a different therapy or they'll stop using the ring altogether. It is perfect for like two months. And we'll check levels.

It's expensive. So a lot of times insurance doesn't cover the ring. It's about $180 cash price when you use an online pharmacy called Transition. It's expensive. Sometimes they'll slap a patch on or a gel at the time to sort of overlap. So they'll change it early or they'll add a different therapy or they'll stop using the ring altogether. It is perfect for like two months. And we'll check levels.

Again, there's the book answer, the Instagram answer, and the Dr. Rubin answer. This is where checking levels is actually helpful.

Again, there's the book answer, the Instagram answer, and the Dr. Rubin answer. This is where checking levels is actually helpful.