Menopause changes down there? Might be GSM (Patreon)

In this video, I break down Genitourinary Syndrome of Menopause (GSM), a common but often overlooked cluster of symptoms that can show up during perimenopause and after menopause. We talk about vaginal and vulvar changes, urinary symptoms, and sexual concerns like pain with sex, changes in desire, arousal, and orgasm. I share how GSM is diagnosed, what providers may see on exam, and why symptom severity does not always match physical findings. If you want to learn all about menopause hormone therapy from an expert, check out this video interview with gynecologist and sexual medicine specialist, Dr. Tami Rowen, MD.

I also cover current evidence-informed treatment options, including local vaginal therapies, systemic hormone considerations, moisturizers and lubricants, and the role of pelvic floor physical therapy in supporting tissue health, reducing pain, improving urinary symptoms, and enhancing sexual function. Most importantly, this video emphasizes informed choice, asking questions, and finding providers who collaborate with you rather than dismiss your concerns as “just aging.”

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Medical disclaimer: This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment from a qualified healthcare provider. Always consult your personal clinician regarding symptoms, medications, or treatment decisions.