SOLO: Black box warnings, all about HRT (and remembering Dr Burt Webb)

health and wellness
Written By Ann Marie McQueen

On this solo episode of the Hotflash inc Podcast, journalist and founder Ann Marie McQueen breaks down one of the biggest developments in menopause care in years: the FDA’s decision to remove the black box warning on vaginal and topical estrogen. Ann Marie unpacks what this means, what it doesn’t mean, and what we’re not being told in the flurry of headlines and social media excitement. She also shares insight from two menopause certified practitioners who are upcoming guest on the podcast – US ob-gyn Dr. Rachel Pope and Canadian naturopathic doctor Dr. Kirsten Smith – and reflects on the legacy of Dr Burt Webb, a beloved podcast guest and women’s health champion.

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Highlights

  • The FDA’s removal of the black box warning on vaginal and topical estrogen — what it really means

  • The disconnect between science and media messaging

  • Expert insights from Dr. Kirsten Smith and Dr. Rachel Pope on nuance, safety, and responsible communication

  • Why sudden menopause isn’t the same as natural menopause — and why that distinction matters

  • The quiet truth about progestins vs. progesterone

  • Social media, private practice, and the influencer-doctor economy

  • Vaginal options like DHEA and testosterone — and what’s missing from the conversation

  • Three questions to ask yourself before starting hormone therapy

  • Remembering Dr. Burt Webb — one of Ann Marie’s favorite guests

This is a solo episode hosted by Ann Marie McQueen. Additional expert commentary is provided by:

  • Dr. Kirsten Smith, a naturopathic doctor practicing in Canada and Costa Rica with a focus on women’s health and hormone balancing.

  • Dr. Rachel Pope, obstetrician-gynecologist, Menopause Society Certified Practitioner, and associate professor at University Hospitals Cleveland Medical Center.

  • Dr. Burt Webb, late OB/GYN and beloved advocate for women’s vaginal and hormonal health.

This podcast is hosted by Ann Marie McQueen, journalist and founder of Hotflash inc, the world’s only reader-supported, research-based platform covering all aspects of menopause and midlife. With more than 30 years in journalism, Ann Marie provides evidence-based content, expert interviews, and deeply personal conversations to help women around the world navigate this

Disclaimer

The information shared in this podcast is for informational purposes only and should not be considered medical advice. Always consult with your healthcare provider before making any health decisions, especially regarding hormone therapy or new treatments. Full disclaimer at the end of the episode.

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Ann Marie McQueen
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Why self-connection matters most in perimenopause with Dr Leigha Saunders