ACERCA DE ESTE EPISODIO
“For vaginal estrogen . . . there’s no window of timing. If you’re 80 years old and your body has not seen estrogen in 30 years, you can still start local vaginal estrogen. It’s not too late. You can start.” — Dr. Margaret Nachtigall
We talk a lot about protecting our hearts, our brains, and our bones as we get older. But what about vaginal health?
In this episode of AGE BETTER, Dr. Margaret Nachtigall joins me to talk about what really happens to the vagina and urinary tract after menopause — and, more importantly, what we can do about it.
We cover vaginal dryness, burning and discomfort; why urinary urgency and recurrent UTIs can be connected to menopause; when symptoms are normal and when they’re a red flag; and the treatments that can make a real difference. Dr. Margaret explains the role of local vaginal estrogen, hyaluronic acid, moisturizers and lubricants, pelvic floor physical therapy, and other options — including what women with a history of breast cancer should discuss with their medical team.
We also talk about sex after 60, STI protection with a new partner, pelvic exams as we age, and one message I especially want women to hear: you do not have to simply accept vaginal discomfort as part of getting older. There are treatments, and it is never too late to ask for help.
If you’re in your 60s, 70s or beyond — or care about someone who is — this is an important conversation to hear and share.
Listen now, and then talk with your healthcare provider about what makes sense for you.
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See you next week!
