logo
episode-header-image
Nov 20
32m 3s

S4 Ep189: The FDA Removes the Black Box ...

Lauren Streicher, MD
About this episode
In case you missed it, last week was quite the week in the menopause world. The FDA made a landmark decision to remove all black box warnings from estrogen products and to update the labels of individual products. I was in the room where it all happened and in this episode, I’m going to break it all down for you. But here’s the headline- this label change is overall, a good thing, a very good thing.

A transcript of this podcast, along with photos and graphics, can be found on DrStreicher.Substack.com

In this episode: 
  • A historical perspective of how the Black Box label came to be on all estrogen products
  • A review of the Women’s Health Initiative Study  (WHI) that lead to the specific warnings on the label. 
  • The fall out from the release of the WHI
  • The Problems with the Black Box label on estrogen products
  • Class Labeling
  • The difference between oral, transdermal and local vaginal estrogen. 
  • How the required black box label influenced the likelihood of physicians writing a prescription for estrogen, and the likelihood that women would use hormone therapy. 
  • Why I never stopped prescribing estrogen
  • Last week’s announcement from the FDA
  • If it is medically appropriate to remove the black box warning from local vaginal estrogen
  • If it is medically appropriate to remove the black box warning from systemic estrogen
  • The inaccurate messaging during the FDA press conference
  • The POLITICS  of WHY the FDA removed the Black Box warnings
Related Podcasts: 

Related Substack Articles



Dr. Streicher is on SUBSTACK      DrStreicher.Substack.com

  • Articles
  • Monthly newsletter
  • All COME AGAIN podcast episodes
  • Monthly News Flash Reports on recent research 
  • Monthly Zoom Ask Me Anything Webinar
 
 Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm

 
 

Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. S
 

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 
 

LINKS


Books by Lauren Streicher, MD
 


                                  

 
  Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
 
 
 


 
  
 
 


 
  
 
 


 
  
 
 


 
 










Up next
Nov 13
S4 Ep188: The Case for HPV (and Other) Vaccinations in Women Over 45 with Vivien Brown
<div> <br> <strong>Human Papillomavirus, or HPV, is responsible for 6 different kinds of cancers…Cervical, anal, oral pharyngeal, vaginal,  vulvar,  and penile. So, it was a big deal when the HPV vaccine was approved in 2006 females between the ages of 9 and 26.   In 2018, the ag ... Show More
51m 26s
Oct 31
S4 Ep187: A Nuanced Conversation About Hormone Therapy with Selene Yeager
<div> <br> Selene Yeager is not a doctor; she is a health reporter with an enormous following of women who count on her to provide evidence-based medical information.  <br> <br> Recently, we sat down to discuss challenges in prescribing hormone therapy for her podcast, "Hit Play, ... Show More
54m 17s
Oct 2
S4 Ep186: Reframing the Obesity Conversation with Dr. Robyn Pashby
<div> <br> <em>"The psychological aspects of having obesity are rarely recognized. The psychological burden that people carry outweighs the adipose tissue.”</em><br>                                                                                              Robyn Pashby PhD<br> ... Show More
55m 25s
Recommended Episodes
Sep 9
The Truth About Hormones: Why Every Woman Should Consider Menopause Therapy
Want ad-free episodes, exclusives and access to community Q&As? Subscribe to Forever Strong Insider: https://foreverstrong.supercast.comIn this episode, I sit down with nutritional physiologist and friend Nick Barringer, PhD, to tackle a crucial, yet often misunderstood, topic: w ... Show More
45m 50s
Jan 2025
300. EPISODE THREE HUNDRED!!! AKA: Things I Wish People Knew
EPISODE THREE HUNDRED Y'ALL!!! In this episode of the You're Not Broken podcast, Dr. Kelly Casperson celebrates the milestone of 300 episodes by sharing key insights on women's health, including the importance of vaginal estrogen, testosterone, and the realities of menopause. She ... Show More
36m 42s
Feb 2024
420: Menopause, Mood + Sex With Dr. Nazanin Moali
<p>Welcome back to Therapy Chat! This week we&#39;re talking about a topic that has been relatively taboo until recently - but affects everyone with a uterus in some way. Welcome to a series on menopause! My guest today is Dr. Nazanin Moali, an internationally-recognized AASECT c ... Show More
39m 15s
Aug 20
Your Hormones Aren’t Broken: How To Navigate Perimenopause and Menopause
Perimenopause and menopause can feel like a hormonal rollercoaster without a roadmap. In this episode of Treated, Dr. Sara unpacks what’s really happening behind the hot flashes, mood swings, brain fog, and more than 100 other symptoms women may face during this transition. With ... Show More
29m 32s
Oct 27
Women's Brain Health: Environment, Hormones, Menopause & Neuronal Pruning with Dr. Sarah McKay
Dr. Sarah McKay, a brilliant neuroscientist, takes us on a thrilling adventure into the intricate dance between hormones and the female brain during menopause. She shares her personal quest to unravel how those mischievous hormonal shifts tweak women's brains from 40 onwards, rev ... Show More
1h 36m
Sep 22
How to Truly Age Like a Girl: a live chat with Dr. Mindy Pelz
Did you know that menopause is your body's way of preparing you for something greater? In this LIVE episode at Life Chiropractic College West, Dr. Mindy shares her transformative research on the neurological changes women experience during menopause, exploring its role as a perio ... Show More
51m 19s
May 2025
Perimenopause: A conversation with Dr. Nicole Huffman
Connect with the Guest! Dr. Nicole Huffman Website Instagram Check out our website: https://www.redpillyourhealthcast.com/ On today’s episode of Red Pill Your Healthcast, Dr. Charlie and Nurse Lauren are joined by their friend Dr. Nicole Huffman, a naturopathic doctor, for a real ... Show More
44m 29s
Jul 2024
263 - Dr Corinne Menn: I’m a doctor who’s had breast cancer – here’s what I want you to know
This week on the podcast, Dr Louise is joined by Dr Corinne Menn, a New York-based, board-certified OB-GYN and North American Menopause Society Certified Menopause Practitioner, with more than 20 years of experience caring for women. When she was 28, Corinne was diagnosed with br ... Show More
33 m
Dec 2022
Dr Mindy Pelz | Fast Like a Girl: A Woman's Guide to Using the Healing Power of Fasting to Burn Fat, Boost Energy, and Balance Hormones KKP: 512
Today, I am honored and blessed to have here with me again, Dr Mindy Pelz. She is a holistic health expert, author and speaker who is on a mission to educate men and women about their bodies through her vast experience and expertise in fasting, which can help us take control of o ... Show More
1h 19m
Sep 25
Women's Health Compilation: Leading Experts On All Things Estrogen, Menopause, Fertility, & The Diet That Changes Everything
This Women's Health and Hormones Compilation explores how estrogen regulates brain function, why 86% of mothers lose core strength with no recovery protocol, and the critical timing window for hormone therapy. Featured experts include Dr. Lisa Mosconi (ep. 819), Dr. Robin Berzin ... Show More
1h 3m