02/12/2026
True story
Ok I embellished the Malaria and Ebola bit
But this was a real story of a real patient who presented with significant hot flashes, va**nal dryness and recurrent urinary treats infections
She also has an elevated BMI, sleep apnea, was prediabetic and had borderline high blood pressure. All of these increase ris for frequency and severity of VMS (vasomotor symptoms - hot flashes and night sweats).
Instead of estrogen, she was referred to internal medicine, rheumatology and infectious disease - because that’s a great use of publicly funded healthcare
She came to see me about her “fevers” saying she had multiple fevers in a day and had to track her temperature to see how high they were getting
I gave her estrogen and her “fevers” resolved within 3 days
She cancelled her infectious disease consult
Estrogen is standard of care for VMS.
Estrogen is standard of care for va**na dryness.
Vaginal dryness and loss of estrogen increases risk and susceptibility for UTIs.
Estrogen is standard of care.
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