You Are Not Broken

320. New GSM Guidelines: Science, Safety, and Speaking Up

Jun 1, 2025
Dive into the latest guidelines on Genitourinary Syndrome of Menopause (GSM). Discover why education on hormonal changes is crucial and how to have open conversations with healthcare providers. Explore effective treatment options including vaginal estrogen, even for cancer survivors. Learn about the significance of pelvic exams and non-hormonal treatments. This is not just about health—it's about enhancing your quality of life and intimacy. Grab your voice and make informed choices for your well-being.
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INSIGHT

Vaginal Estrogen Acts Locally

  • Vaginal estrogen mainly acts locally without significant absorption or raising blood estrogen levels.
  • It poses minimal risk to partners during sexual activity.
ADVICE

Screen for GSM Causes and Treatments

  • Identify medications and medical conditions that may cause or worsen GSM symptoms.
  • Trans men on testosterone may benefit from vaginal estrogen (called pelvic estrogen) to manage atrophy.
ADVICE

Pelvic Exam Focus and Cost Saving

  • Perform detailed pelvic exams focused on external genitalia for hormone impact, not just cervix checks.
  • Use affordable generic vaginal estrogen rather than costly brand names or tubes.
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