Menopause, Bladder Infections, and Hormone Therapy: What You Need to Know скачать в хорошем качестве

Menopause, Bladder Infections, and Hormone Therapy: What You Need to Know

Menopause, Bladder Infections, and Hormone Therapy: What You Need to Know – With Rural Doc Alan Lindemann In this engaging episode of Rural Doc Alan, Dr. Alan Lindemann is joined by host Neil Haley—and a few adorable newborn chicks—to discuss a serious topic affecting millions of women: untreated bladder infections and hormone deprivation in menopause. Dr. Lindemann explains how genitourinary syndrome of menopause (GSM) can lead to recurrent urinary tract infections (UTIs) and even sepsis, and why hormone therapy, especially estradiol, is an underutilized solution. This episode explores the history, science, and controversy behind hormone replacement therapy, and why the American College of OB-GYN may finally be coming back around to what doctors like Dr. Lindemann have known for decades. 👨‍⚕️ Guest Expert: Dr. Alan Lindemann (Rural Doc Alan) OB-GYN with over 40 years of experience Advocate for women’s health and evidence-based hormone therapy Author of Pregnancy Your Way Website: www.ruraldocalan.com 🧬 What You’ll Learn in This Episode: 💡 What Is GSM (Genitourinary Syndrome of Menopause)? A collection of bladder and vaginal symptoms caused by estrogen deficiency Left untreated, it can lead to serious complications, including sepsis 🧫 Why UTIs Are More Common in Menopause: Loss of estrogen causes bladder and vaginal tissue thinning, which increases susceptibility Symptoms include urgency, frequency, retention, and conditions like interstitial cystitis 💉 Recommended Treatment: Vaginal estrogen (Premarin or estradiol) has been the gold standard for decades Estradiol patch is Dr. Lindemann’s preferred choice 🔁 Is Hormone Therapy Making a Comeback? Once discouraged after the WHI report in 2000, ACOG now supports its use, especially for bladder symptoms This is a return to medical wisdom that dates back as far as the 1940s ⚖️ Should You Measure Hormone Levels? Hotly debated. Dr. Lindemann recommends treating symptoms, not chasing numbers Symptom relief is a better indicator of successful hormone balance than blood tests 🧪 Can Hormone Deficiency Cause Abnormal Pap Smears? Yes. A condition called ASCUS (atypical squamous cells of undetermined significance) is common Often resolved with vaginal estrogen, though the cream is very expensive 📆 When to Stop Pap Smear Screening: Typically after age 65, if there’s no recent HPV or abnormal history 🧠 Fun Insight: Dr. Lindemann shares historical context: the first estrogen treatments came from Canada (Ayerst Labs), later acquired by Wyeth, and now part of Pfizer Dr. Alan Lindemann is an obstetrician with 4 decades of medical practice primarily in North Dakota. He has delivered around 6,000 babies and achieved a maternal mortality rate of zero! Dr. Lindemann has made it his mission to teach women and their families how to create the outcomes they want for their own health and pregnancy. Dr. Lindemann earned his medical degree from the University of North Dakota in 1977, is boarded by the National Board of Physicians and Surgeons and is a member of the American College of Obstetricians and Gynecologists and the American Medical Association. He is the co-author of Modern Medicine: What You’re Dying to Know, a consumer action guide about how to navigate the United States healthcare system. Get Alan's newest book, Pregnancy Your Way: Choose A Safe And Happy Birth: https://a.co/d/69SrHca Follow Rural Doc Alan Podcast on Spotify: https://open.spotify.com/show/03biA9x... Follow DocTales Podcast on Spotify: https://open.spotify.com/show/5qn9NE7... Find Dr. Lindemann across the web: https://www.lindemannmd.com https://www.ruraldocalan.com   / ruraldocalanl     / ruraldocalan     / ruraldocalan     / ruraldocalanl   https://ruraldocalan.substack.com