Pharmacist Kate Thomas interviews Dr Sarah Farrell, GP and principal of Sydney Women’s Wellness, about two major midlife health topics: breast awareness and genitourinary syndrome of menopause (GSM).

We break down:

• What “breast awareness” means today

• How breast self-exams differ from formal breast cancer screening

• When to see your GP about a breast lump

• Breast density and mammograms

• Why midlife breast changes can feel alarming

We also explore genitourinary syndrome of menopause (GSM), including:

• Vaginal dryness in menopause

• Pain with sex 

• Recurrent UTIs after menopause

• Bladder symptoms and estrogen decline

• Why GSM is common but under-treated

We discuss the full treatment ladder:

• Vaginal moisturisers vs lubricants

• Vaginal estrogen

• Prasterone

• When hormonal treatment is appropriate

• Where non-hormonal options like hyaluronic acid vaginal preparations may fit

This evidence-based conversation helps women understand the difference between normal hormonal changes and symptoms that need review — without panic or misinformation.

If you’re searching for answers about menopause, vaginal dryness, breast checks, or GSM treatment options, this episode provides practical, medically grounded guidance.