So you've heard about hot flashes and night sweats. Maybe you've even heard about brain fog. But nobody sat you down and said: by the way, the tissue of your entire pelvic region is completely dependent on estrogen to stay healthy. And when it drops, everything changes.
And most women have no idea, because no one told them.
But here's what Tamsen wants you to know: there are actual treatments for this and most women have never been told they exist. Whether you're on hormone therapy or never plan to be, this is its own conversation entirely.
You'll learn:
- What GSM is, why 100% of women experience it to some degree, and why it gets worse if you wait
- The symptoms most women quietly adapt to without realizing they don't have to
- Why the most common treatment is considered safe even for women who've been told hormones are off the table
- How recurrent UTIs in menopause are connected to estrogen loss and what actually treats them
- What to bring to your doctor and how to ask for it
This episode is part of the How to Menopause series, where Tamsen goes deeper on each chapter of her book right here on the podcast. Less than twenty minutes, everything you need to know.
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guest appearing in this episode
Tamsen Fadal
This episode is part of the How to Menopause series, where Tamsen goes deeper on each chapter of her book right here on the podcast. Less than twenty minutes, everything you need to know.
Resources
medical disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
00:00 Intro
01:23 The Viral Moment That Sparked This Conversation
03:10 GSM Explained and The Overlooked Menopause Condition Affecting All Women
04:36 Why These Symptoms Get Worse Over Time And Don’t Go Away
05:30 Painful Sex, UTIs, and Hidden Signs of Estrogen Loss
06:47 The Symptoms Most Women Miss or Normalize in Midlife
07:31 How Vaginal Estrogen Restores Tissue and Comfort
09:30 Vaginal Estrogen Options (Creams, Tablets, and Rings) Explained
11:10 Why Lubricant Isn’t Enough and How to Actually Treat the Root Cause





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