Dr. Rachel Rubin

So anybody of any age, and I'm talking even perimenopause and premenopause, vaginal estrogen or DHEA is safe and really helpful to prevent UTIs and should be used absolutely everywhere.

So anybody of any age, and I'm talking even perimenopause and premenopause, vaginal estrogen or DHEA is safe and really helpful to prevent UTIs and should be used absolutely everywhere.

Throughout life.

Throughout life.

Definitely not. So that's really, there is no data to suggest stopping it. In fact, stopping it, all of your bone gains go away. They all go away quickly.

Definitely not. So that's really, there is no data to suggest stopping it. In fact, stopping it, all of your bone gains go away. They all go away quickly.

So keep them on. Again, this idea of if it's not broke, don't fix it. By taking a woman off of hormone therapy, you actually potentially could be disrupting any plaques that are there. You could be causing vasospasm. There are all these things that could happen. We really don't want to take women off their hormones. therapy unless there is a reason to.

So keep them on. Again, this idea of if it's not broke, don't fix it. By taking a woman off of hormone therapy, you actually potentially could be disrupting any plaques that are there. You could be causing vasospasm. There are all these things that could happen. We really don't want to take women off their hormones. therapy unless there is a reason to.

And the only reason I honestly see is if a woman has an active cancer that you are going to target hormones as a target for your treatment of cancer. That's not to say the hormones cause the cancer, but we have a target sometimes because all body parts have hormone receptors and we have used hormones as a target for our breast cancer therapies and some other cancer therapies. Is that helpful?

And the only reason I honestly see is if a woman has an active cancer that you are going to target hormones as a target for your treatment of cancer. That's not to say the hormones cause the cancer, but we have a target sometimes because all body parts have hormone receptors and we have used hormones as a target for our breast cancer therapies and some other cancer therapies. Is that helpful?

Does that make sense?

Does that make sense?

So first, we take a long time at my clinic and we get to know each other. And we really try to dive into the data and say, what do we know? What do we not know? And I always tell people, you can't take hormone therapy because Rachel Rubin tells you to take hormone therapy. You have to do your own research, figure out what you're interested.

So first, we take a long time at my clinic and we get to know each other. And we really try to dive into the data and say, what do we know? What do we not know? And I always tell people, you can't take hormone therapy because Rachel Rubin tells you to take hormone therapy. You have to do your own research, figure out what you're interested.

And so I have a lot of colleagues who are talking about this. You had Avram Blooming on your show, and he has a great book called Estrogen Matters. He's an oncologist who's questioning a lot of this research.

And so I have a lot of colleagues who are talking about this. You had Avram Blooming on your show, and he has a great book called Estrogen Matters. He's an oncologist who's questioning a lot of this research.

We have amazing colleagues of mine like Corinne Mann, who is a gynecologist who had breast cancer as a young person in her 20s and now takes hormone therapy and talks a lot about hormone therapy and teaches courses on hormone therapy and breast cancer. So I am always learning. So I don't like fear. I don't like telling women they can't do things with their body.

We have amazing colleagues of mine like Corinne Mann, who is a gynecologist who had breast cancer as a young person in her 20s and now takes hormone therapy and talks a lot about hormone therapy and teaches courses on hormone therapy and breast cancer. So I am always learning. So I don't like fear. I don't like telling women they can't do things with their body.

I like understanding, well, what are we afraid of? So when it comes to the BRCA patients, if you do surgical menopause on someone and they don't have cancer and you do not give them back hormone therapy, you are trading one problem for another.

I like understanding, well, what are we afraid of? So when it comes to the BRCA patients, if you do surgical menopause on someone and they don't have cancer and you do not give them back hormone therapy, you are trading one problem for another.