ဤအပိုင်းအကြောင်း
Women have been told for decades that vaginal estrogen stays where you put it, which means no progesterone and nothing to monitor.
I do not believe that is true, and this week I lay out why.
We start with what genitourinary syndrome of menopause, or GSM, actually looks like, including the urinary half of it that almost nobody connects back to hormones. Then I make my case for what happens to the estrogen after it leaves the vaginal tissue, and what two safeguards I think every woman using it should have.
I also share an ultrasound finding that changed how I think about yearly screening, in a patient who was not using hormones at all.
In this episode you'll learn…
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What separates local hormone therapy from whole body hormone therapy.
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What genitourinary syndrome of menopause (GSM) covers beyond vaginal dryness.
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Why dryness comes from estrogen loss rather than from aging.
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How the tissues change without the blood flow estrogen provides.
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Why painful sex often goes unmentioned until a relationship is already threatened.
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Why recurrent urinary infections after 50 are a hallmark of GSM.
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Why medical training has left doctors unprepared to recognize GSM.
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What drives the bladder spasms behind urgency and frequency.
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How pelvic floor treatment compares with thousands of Kegel contractions.
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What common overactive bladder medications carry as long term risks.
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Why the vagina has long been used to deliver medication into the body.
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How absorption from vaginal estrogen varies enormously between women.
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Why some women need progesterone despite using only vaginal estrogen.
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Why blood testing will almost never detect vaginal estradiol.
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Why whole body hormone therapy does not always remove the need for vaginal estrogen.
Check out my article "Why Is Your Bladder Going Crazy After Menopause?": https://mirelacernaianu.substack.com/p/why-is-your-bladder-going-crazy-after-menopause
Connect with Dr. Cernaianu
https://www.herabeautyandwellness.com/
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