Genitourinary Syndrome of Menopause 101.

This is an interview I did with my friend and co-founder of a menopause clinic Alloy, Monica Molenaar.

Why I care about women and sex and hormones

The definition of menopause and how we aren’t educated about what menopause actually is and the symptoms that can arise

Genitourinary Syndrome of Menopause

The types of bladder leakage and how

estrogen can help

The different types of estrogen –

vaginal and systemic

Why we need vaginal estrogen even when we are not sexually active

Why I have a cream bias with vaginal estrogen, and other options.

Vaginal estrogen will not help your hot flashes.

Myths about who can and can’t use

vaginal estrogen.

Biologic changes of the

skin of the vulva after menopause     

How the clitoris works.

Scream Cream – what it is and does it work.

Favorite lubes and I explain why I like what I like

Gen X is the lowest users of vibrators in America

There are many papers showing transdermal estrogen does not increase your clot risk above what it already is.

I explain the Women’s Health Initiative study and how it hurt women by creating fear.

Vaginal estrogen is equivalent in efficacy to the common overactive bladder medications.  Why not restore function instead of taking

the side effects of the overactive bladder medications?

When should you stop using

your seatbelt, sunscreen and vaginal estrogen?

Urinary tract infections put people in the hospital and kill them – this is not a hangnail.

Can estrogen alone help all pain with sex?

What do they new Menopause guidelines say about the window for starting systemic hormones and how long can you take them.

The role of androgens and testosterone in the genitals.

 

ACOG Position Statement of using vaginal estrogen in breast cancer patients

https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2021/12/treatment-of-urogenital-symptoms-in-individuals-with-a-history-of-estrogen-dependent-breast-cancer

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