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 hormonesThe definition of menopause and how we aren’t educated about what menopause actually is and the symptoms that can ariseGenitourinary Syndrome of MenopauseThe types of bladder leakage and howestrogen can helpThe different types of estrogen –vaginal and systemicWhy we need vaginal estrogen even when we are not sexually activeWhy 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 usevaginal estrogen.Biologic changes of theskin 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 likeGen X is the lowest users of vibrators in AmericaThere 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 takingthe side effects of the overactive bladder medications?When should you stop usingyour 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 patientshttps://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2021/12/treatment-of-urogenital-symptoms-in-individuals-with-a-history-of-estrogen-dependent-breast-cancerVagina Obscura by Rachel Gross https://amzn.to/46XHChXhttps://www.myalloy.com/ CASPERSON25 for $25 off https://www.instagram.com/myalloy/ Our podcast sponsor todayis AG1. Use AG1 to build a foundation for better health.FREE ONE YEAR SUPPLY OFVITAMIN D3+K2, 5 TRAVEL PACKSdrinkag1.com/youarenotbroken Did you get the You Are Not Broken BookYet? https://amzn.to/3p18DfK Join my NEWAdult 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