Between Two Docs

Between Two Docs Hi! We are Cat (a gynecologist) and Lauren (a urologist) and we specialize in women’s health. Follow us for all things hormones, midlife and pelvic heath.

09/06/2026

Testosterone levels start to drop in your 20s/30s and continue to lower. Birth control pills also lower available testosterone. Women of almost any age can have their levels checked and consider a trial of therapy to feel better. Studies have shown improvement in mood, energy, cognition and sexual function. It’s not just for libido! Oh, and be careful about “normal” lab values. Experts do not consider a testosterone of 10 normal….Feel great with a level of 40? Awesome! Everyone is different. Some women need to get levels closer to 100 or more to feel their best. And don’t worry, most side effects won’t start until levels of 200 or higher (think pellets). It’s easy and safe to monitor. Not feeling your best? Check your T!





No caption needed. But really. Men wouldn’t suffer and neither should you!
09/05/2026

No caption needed. But really. Men wouldn’t suffer and neither should you!





09/03/2026

Medicine is always changing. If your doctor is telling you no to hormones based on family history, or that estrogen causes cancer, or you have to stop based on age- they might be stuck in 2002. It’s ok to get an opinion from an expert who understands the big picture and the nuances.





So many abbreviations, what does it all mean?! Technically, hormone replacement therapy (HRT) is replacement to natural ...
09/01/2026

So many abbreviations, what does it all mean?! Technically, hormone replacement therapy (HRT) is replacement to natural levels (for example a woman has ovaries removed at age 40 and needs a higher dose of estrogen to help prevent all the illnesses associated with loss of estrogen this early). Menopausal hormone therapy (MHT) or hormone therapy (HT) means supplementing after natural levels have declined. But does it really matter? Get the treatment you need.




08/30/2026

Declining progesterone levels can cause many symptoms- problems with sleep, mood disturbances such as anxiety, irritability and depression, changes in menstrual cycles and many others! You can absolutely (and maybe should…) use progesterone even if you had a hysterectomy and don’t need it specifically to protect the uterus.





If you have s***m in your life and have not gone a full year without a period, then you need contraception unless you ar...
08/29/2026

If you have s***m in your life and have not gone a full year without a period, then you need contraception unless you are ok with becoming pregnant! Menopausal hormone therapy is NOT contraception!




08/28/2026

Hot flashes, night sweats, vaginal dryness, and brain fog are just some of the symptoms you can experience with declining or fluctuating estrogen levels. The list is nearly endless. If you have unexplained symptoms, talk to your doctor!





If your patch isn’t helping and you’ve tried adjusting the dose, have your estradiol level checked! Sometimes labs are i...
08/26/2026

If your patch isn’t helping and you’ve tried adjusting the dose, have your estradiol level checked! Sometimes labs are indicated for clinical decision making. You may be a poor absorber and an alternative product may work better for you.




08/23/2026

There are lots of ways to get vaginal estrogen- creams, tabs, inserts, rings. For some women they are all great options. Sometimes, the least expensive and most effective is a cream, which allows application where you need it both internally and externally. The tablet vaginally can work great for some women. However, if your tissue really dry and has not seen estrogen for years, we sometimes find it helpful to start with a cream. Just know you have options!





Not all women are candidates to take oral estrogen due to their own medical history. The good news is that many of these...
08/22/2026

Not all women are candidates to take oral estrogen due to their own medical history. The good news is that many of these women are able to safely use transdermal estrogen! Talk to an expert to see if you are a candidate. There are a lot of misperceptions around and you want someone who understands the nuances and data!





Address

Sheldon, IA
57108

Telephone

+16053360635

Website

Alerts

Be the first to know and let us send you an email when Between Two Docs posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share

Category