Dr. Rachel Rubin

And it may be useful...

in your patients on aromatase inhibitors and things like that where it blocks, right?

The aromatase inhibitors is blocking the estrogen, but you can still get the androgen benefit from the DHEA and that needs to be further studied as well.

And so DHEA, remember the vagina, the vestibule, the clitoris, the bladder has estrogen and testosterone receptors.

DHEA is the precursor to estrogen and testosterone.

So it makes logical sense.

I love logic.

When I don't have data, I use logic.

It's

Shocking.

It makes logical sense that it is a good option for this tissue, especially if estrogen is not doing enough.

We've seen some urgency data where your urinary urgency, if you're still having it on vaginal estrogen, you switch to DHEA and you can actually improve some of that urgency.

The challenge is getting it covered.

So for all you insurance companies listening, it's getting it covered.

We just fought really, really hard to get it covered first line for the Veterans Administration, and it was.

So we've just worked to get it on formulary for veterans, which I'm very proud of.

I fight like hell in that organization to get these products sort of approved for veterans.

A lot of pushback in our older patients who aren't comfortable touching their vaginas, who, you know, and especially nursing staff.

So in these nursing homes, a lot of these women can't do it on their own.

My mother certainly can't do it.