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Dryness, painful sex, bladder urgency, or frequent UTIs during perimenopause or menopause? You’re not alone—and you don’t have to just live with it.

Welcome back to Menopause 101! I’m Julie, the Menopause OT, and today we’re talking about something no one prepared us for: Genitourinary Syndrome of Menopause (GSM).

Estrogen plays a key role in keeping vaginal and urinary tissues healthy. When levels drop, things get… uncomfortable. But here’s the good news: low-dose vaginal estrogen is a safe, effective, and often life-changing treatment.

It helps restore moisture, elasticity, pH balance, and bladder function—with minimal absorption into the bloodstream.

In fact, local estrogen is considered safe even for many women with a history of hormone-sensitive cancers. And yes—you can use it along with systemic HRT. I do!

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#menopause #perimenopause #GSM #VaginalHealth #MenopauseRelief #UTIs #BladderHealth #MidlifeWellness #mht #hrt