Prasterone (DHEA) as first-line vaginal therapy

In this episode, Dr Louise Newson is joined by urologist and sexual medicine specialist Dr Rachel Rubin for a clear look at how hormonal changes can often worsen both urinary and vaginal health. The conversation examines why recurrent urinary tract infections are so common in women, how prevention with vaginal hormones is often overlooked and what current evidence shows about the safety and effectiveness of vaginal hormone treatments.

They also explore the impact of inaccurate hormone labelling, the role of androgens in genitourinary tissues, and the growing push for updated regulatory guidance. Grounded in clinical experience and research, this discussion offers practical insight for anyone seeking to understand menopause care, hormone therapy and the broader health implications that follow when symptoms are dismissed or untreated.

Note: This podcast was recorded before the FDA's announcement that it is removing the black box warnings on estrogen products.

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