Vaginal estrogen is one of the safest, most effective, and most underutilized treatments for the symptoms of perimenopause and menopause. In this episode of Strong Like a Mother, we explore why declining estrogen affects not only vaginal tissues but also the urinary tract and the vaginal microbiome. You'll learn how low-dose vaginal estrogen helps restore healthy Lactobacillus bacteria, maintain an optimal vaginal pH, and strengthen the tissues that support vaginal and bladder health.

We also discuss who can benefit from vaginal estrogen, including women experiencing vaginal dryness, painful intercourse, recurrent urinary tract infections, urinary urgency or frequency, irritation, or discomfort related to the genitourinary syndrome of menopause (GSM). You'll learn the different forms of vaginal estrogen, how to use them correctly, what results to expect, and why local estrogen is different from systemic hormone therapy. Whether you're in perimenopause, menopause, or simply curious about protecting your long-term vaginal and urinary health, this episode provides practical, evidence-based information to help you make informed decisions with your healthcare provider.

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