Dr. Rachel Rubin

or a estrogen cream, which tends to be the cheapest option cash price, a 0.01% estradiol cream, one gram twice a week, rub it into the walls of the vagina till death does she part.

These are not hard prescriptions to write.

And so on our website, we have a free provider's guide of how to write the prescription.

I have free trainings all on my website of how to treat genitourinary syndrome of menopause.

Our guidelines that the American Urologic Association put out, it is a step-by-step handbook

of how to do this as easily as possible because our primary care friends, I need you to do this.

I need you to get your hands, roll up your sleeves, write the prescriptions, and you will save lives.

Talk to me about DHEA and the differences, you know, how is that different and the vaginal DHEA and would you consider systemic DHEA?

Yeah, so from what I understand, the systemic DHEA data is kind of all over the place.

It's meh.

And so when you take a pill of DHEA, I don't have a lot of data to say you definitely should do this for your health.

Because it is the darling of the wellness world.

And I'm not here to just, like, I think it needs more data.

I'm not saying it's,

I think I would love to see more data and more research on it.

Again, your adrenals make lots of DHEA.

But when you put it vaginally, and there is an FDA-approved product of vaginal DHEA, when placed vaginally, it helps with preventing UTIs.

We published on that.

It helps with pain with sex.

It helps with all of the same microbiome issues that vaginal estrogen.