Back to Library
Pelvic Pain & Vulvar HealthPost-Visit
Vaginal Estrogen & GSM
Understanding genitourinary syndrome of menopause and how vaginal estrogen can help.
What This Covers
This video explains genitourinary syndrome of menopause, its symptoms, and how local vaginal estrogen therapy works as a treatment option.
Educational Guide
One of the most common—but least discussed—conditions in midlife is GSM.
It occurs when estrogen declines and affects:
- vaginal tissue
- vulvar tissue
- urinary tract
This can lead to:
- dryness
- burning or irritation
- pain with intimacy
- urinary urgency
- recurrent UTIs
Many women assume this is “just aging.” It’s not. It’s a treatable medical condition.
Local vaginal estradiol or DHEA:
- restores tissue health
- improves blood flow
- supports natural lubrication
- reduces urinary symptoms
And importantly: vaginal hormones are considered safe and effective for most women.
This is one of the highest-impact, lowest-risk interventions in women’s health.
Key Takeaways
- GSM is a medical condition, not just normal aging
- Symptoms include dryness, irritation, and urinary issues
- Vaginal estrogen is different from systemic hormone therapy
- Local estrogen has minimal systemic absorption