And while you are breastfeeding, you are in menopause often that whole time. An estrogen of 3,000 for about nine months. When you are pregnant, your estrogen is 3,000. So you are regularly having these irregular sort of shifts of estrogen in the first half, estrogen and progesterone in the second half. You pop out an egg, the shell makes progesterone, and the second half of your cycle, you've got progesterone in your body. Dr. Rubin is a urologist, sexual health doctor, and researcher on women’s hormones. And if you have any urinary symptoms, frequency, urgency, leakage, any pain with sex, dryness, if you've had a UTI, you should be considered for vaginal hormones. My favorite guideline statement is number 11, which says people on hormone therapy still should be screened and treated for the genitourinary syndrome of menopause, and we should be giving vaginal hormones. Studies suggest that testosterone replacement therapy may improve sexual function, depressive symptoms, bone density, and lean body mass. I have never once in my life had a medical doctor, a gynecologist, a nurse practitioner, or any healthcare professional ever hold up a mirror and show me that part of my body ever. What are the things that a lot of doctors say to women in particular that aren't true or that are wrong in this category of sexual health? Mel sits down with Dr. Rachel Rubin, MD, a leading urologist and sexual health expert, to explain what hormones have to do with pelvic health, libido, and menopause. It’s important to have an open conversation with a healthcare provider about your symptoms and how they affect your quality of life. So if you want to be super precise, you can take a syringe and fill it up with the testosterone and it's half a milliliter. I have my testosterone on a shelf right where I pee. There's lots of ways to give testosterone, but this is the most inexpensive way that we have found. But anyway, we use generic testosterone. Maybe by the time this airs, they'll have made an announcement that they've changed it. So you're bleeding, you're at your low, then it goes higher and higher and it starts to peak at ovulation and your estrogen might get to 150, maybe 300. The first half, when you have your period, your estrogen is low, it's not zero, it's about 50. And so that's fluctuating and sometimes it stabilizes. Throughout the cycle, testosterone is made. KYZATREX® is a controlled substance (CIII) because it contains testosterone. Low testosterone can affect men at any age, including approximately 35% of men older than 45.1 Looking for a doctor who understands Low T and Testosterone Replacement Therapy (TRT)? Have a low sex drive or trouble with erections? If you have bothersome signs of low testosterone, avoid over-the-counter supplements. We offer innovative, minimally invasive treatment that can dramatically improve symptoms in men with benign prostatic hyperplasia (BPH). With proper diagnosis and treatment, most patients with kidney stones pass the stone and recover without surgery. Our Houston urologists help men and women get relief from urinary tract infections and other problems in the urinary tract. Houston Metro Urology has both surgical and non-surgical treatments that bring state-of-the-art technology to you, helping you choose to live the active life you deserve. Men with prostate cancer don’t always need aggressive treatment, but too many struggle with symptoms and never get the help they need to make living with prostate cancer manageable. Conditions affecting the kidneys, bladder, ureters and reproductive organs can present life-altering challenges for both men and women. The good news is, we have effective treatments for virtually all of women’s urological concerns. UTIs are a massive problem for our healthcare system, but we are not effectively using these vaginal hormone products. So that's where we love IUDs and things like that because they don't alter your body's formation of these hormones. I have to do remote work from home because I am so afraid of being in a place with urinary pain and planning my whole life around it.