Peter Attia· MD
So, this is why 50% of women go off their endocrine therapy for breast cancer because they have urinary symptoms, pelvic pain symptoms, and it is all sourced in a body part that no one taught you in medical school. And I I did that on purpose because I knew you wouldn't know it because no one is taught how to examine it. they put a speculum in and they bypass it completely and they are missing the problem. So my uh back to the DHEA this tissue is has estrogen and testosterone receptors in it. So sometimes estrogen is not enough to help this vulvar vestibule tissue and so DHEA there's some data there's one paper to suggest that DHEA is enough and this is the one time that I will compound a product for a woman otherwise I use FDA approved products in my practice and I compound basically the amount of estrogen and estrogen top vaginal topical cream the 0.01% 01% and I will use a topical testosterone.1% different than the 1% we talked about for libido but a 0.1% they rub it topically on this vulvarvestibule you cure pain with sex you help these UTI symptoms interstitial cyitis goes away in so many patients it's miraculous