Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+ BONUS: Hormone Insights: Advocacy, Trends and Tips for 2026 with Esther Blum
May 4, 2026
Esther Blum, registered dietitian and bestselling author who helps women balance hormones and solve midlife health challenges. She talks about gaps in hormone care and testing advances. They cover uncommon menopause symptoms, pelvic floor therapy, sexual health strategies, HRT access and cost workarounds, and supplements for adrenal and liver support.
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Use Vaginal Estrogen For Genitourinary Symptoms
- Use vaginal estrogen (or vaginal DHEA) to treat genitourinary symptoms, urinary urgency, and recurrent UTIs; it stays localized and is very safe.
- Esther cites the Framingham Nurses Study showing no serum estrogen change after 18 years of vaginal estrogen use.
Esther's Story Of Her Mother Being Taken Off Estrogen
- Esther watched her mother be taken off estrogen after WHI and later receive inappropriate urology treatments instead of vaginal estrogen.
- She recounts taking her mother for bladder Botox when local estrogen would have prevented atrophy and UTIs.
Get Pelvic Floor Therapy For Bladder And Sexual Issues
- Pursue pelvic floor physical therapy for urgency, leakage, or nocturia; therapy can dramatically reduce symptoms like nightly urination.
- Esther describes a ‘magician’ pelvic floor therapist and reports going from seven times a night to one–two after therapy.
