And in fact, you have a printout that you can take to your doctor to explain the guidelines on this and how to prescribe it. So there's a reason your doctor doesn't know anything about this topic. And then there's the fact that we decided not to study women at all in science. They're being told, "This isn't real. This is all in your head." Or because these clinicians, they're not bad people. So if you have any symptoms, so I'll ask, do you have any symptoms of urinary frequency, urgency, leakage, UTIs, dryness, pain, anything like that? So anything you do to manipulate hormones can change the health of this tissue. GSM, genitourinary syndrome of menopause is what happens to the vagina, to the vulva, to the bladder, to the urethra, the tube that you pee through when hormones change. It is marketing that nobody has told doctors this, that has told patients this, which is why we fought to get these guidelines created because you cannot argue with guidelines by the American Urologic Association. And you were just explaining something I never knew, which is GSM and the fact that women of all ages get UTIs because of changes in hormones due to birth control, breastfeeding. And again, not to confuse everybody, and we can go over this in more detail, but up until this last year, there were warning labels on the vaginal hormone products and all hormone products. You stop having sex because every time you have sex, you get a urinary tract infection. And they give you long-acting hormones over a few months. So sometimes oily skin, acne, hair growth, hair loss, but even then that's much higher doses for most people. We don't give 10 times the amount of aspirin to people. The hormones we used today are even safer. So even those hormones were pretty safe. And modern day hormone therapy that really has much lower risk than the hormone therapy that was studied in that big study. And so millions and millions and millions of women who would've benefited, whose quality of life would've improved, were either denied it, not offered it, too scared to ask for 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. There's a big warning alert that said this causes blood clots. "So I'm in Houston and I'm typing out how to write the prescription in their medical record because they have no idea. Well, then the pharmacy calls and they said," Well, we can't dispense this to the ICU. Your doctor, you can do this, but show us how to write the prescription. It doesn't cause blood clots. And as Dr. Rubin just said, you get one life and I really want you to be proactive about advocating for yourself and doing what you need to do to feel good in your life and in your body. Thank you for caring enough about yourself and the other women in your life for listening to this, for sharing this. You're changing medical care for women. And they go on this spiritual journey to learn everything they can about perimenopause and hormones.
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