# 221. Genitourinary Syndrome Of Menopause 101

An episode of [You Are Not Broken](https://invisiblenetwork.ai/podcast/1495710329), 23 Jul 2023, 55 min.

Audio: https://rss.art19.com/episodes/b5ca8c97-8b90-4871-8839-ed95844ef8cc.mp3?rss_browser=BAhJIhVJbnZpc2libGVOZXR3b3JrBjoGRVQ%3D--0761ee75eb25694efc17849092f8583c07f6c68b

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 Vagina Obscura by Rachel Gross https://amzn.to/46XHChX https://www.myalloy.com/ CASPERSON25 for $25 off https://www.instagram.com/myalloy/ Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health. FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS drinkag1.com/youarenotbroken Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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