DHEA-A Non-Estrogen Alternative for Vaginal Dryness

Season 1, Episode 63,   Mar 01, 2023, 01:30 AM

DHEA, or dehydroepiandrosterone, (also known as prasterone) is an FDA approved non-estrogen alternative with the brand name Intrarosa™.   These vaginal suppositories are specifically for the treatment of women experiencing moderate to severe pain during sex. The question is, do they work as well as estrogen? And what are the pros and cons? 
In this episode, Dr. Streicher explains:
  • The role of estrogen and testosterone in providing vaginal lubrication
  • Why DHEA is beneficial to vaginal health 
  • The science of intracrinology as opposed to endocrinology
  • What Intrarosa™ is and how it is used
  • The pros and cons of DHEA
  • Why DHEA may boost your libido and help with orgasm in addition to decreasing pain
  • If women with breast cancer can safely use DHEA
  • If dietary DHEA supplements are beneficial
  • Which is better-  vaginal estrogen or DHEA 
For more information on this topic: 

Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders 
Episode 4: Is Your Lubricant Helping or Hurting Your Vagina?
Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things 
Episode 8: When Painful Sex Leads to Problem Relationships  with Dr. Sheryl Kingsberg
Episode 11: Vaginal Estrogen is Not Poison
Episode 21:  Say Yes! to Testosterone for Women
Episode 27:  Using Vaginal Estrogen but Sex Still Hurts Like Hell 
Episode 35 Compounding Hormones: The Good, the Bad, and the Ugly 

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain


Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

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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. 

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Books by Lauren Streicher, MD

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones, Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy