She was on opioids because she was in so much pain and she couldn't sit. So we have lots of patients. So you take the applicator, you press a button and it puts what a tiny little pill in the vagina and you do it twice a week at bedtime and you set it and forget it and you're done. It's 10 micrograms, which is a tiny dose of estradiol or estrogen. If you don't like creams, and so many women don't like to put creams in their vagina. My website has a free downloadable where you can teach your doctor how to write the prescription, but you take one gram of this cream. They do not go throughout your body. So frequency, urgency, leakage, UTI, vaginal pain, any of those one, you have one symptom only- Now, we need more data on using these products in young people, but the reality is you won't hurt anybody. Now, I'm not saying you should never be on these medications, but when you play with hormones, there can be consequences. What caused her urinary pain, birth control pills and spironolactone for her acne. So anything we can do to prevent this problem, and nothing prevents urinary tract infections to the level that vaginal hormones do. It's due to hormones and that there is a very safe and very accessible preventative treatment of just buying or vaginal hormones that can help you prevent this. And one treatment is vaginal hormones, which is wildly effective- So any kind of hormone fluctuation that happens in your body will affect your genital and urinary health. And so many people, they are constantly feeling itching, burning, dryness, awareness of your genitals. That's if you've had a history of breast cancer, if you've had a history of any types of cancer, because quality of life is so important and dying of a UTI doesn't sound very good to me. There is what we call shared decision making in that you have to want it and your doctors have to want to give it. And I tell my patients that every day is that we keep taking action, we show up, we get loud. Honestly, the movement that's been happening, the interest in this, the guidelines coming out, the labels getting changed, the groundswell of grassroots women standing up and saying, no more. Sure, you can do the vaginal estrogen, but you have to convince the ICU team. If you're symptomatic, you need treatment with antibiotics, but we have so much antibiotic resistance happening, gut issues that are happening because of all the antibiotics that we're giving people. It is a localized low dose estrogen that you put in the vagina and you leave it in for three months at a time. A twice a week therapy for $13 a tube can save your life. So a 70-year-old woman on no estrogen therapy, her estrogen levels are zero. Some of us who are specialized, there's 1,700 within our women's sexual health specialty. So what often happens, the hormones cause a sunburn-like pain, your body guards and tightens to protect you, you fix the sunburn, the body is still tight. And if you want to do it with your body, you do whatever you want, but there are nerves in there that are important for sexual health. We give transgender patients 10 times the dose of testosterone and their health outcomes are fine. Oh, it has a lot to do with women's health because these bodybuilders got us in trouble and everyone was afraid that everyone was abusing testosterone. And we don't think that the whole body testosterone is high enough to get to the vaginal issues, which is why your patch isn't strong enough to fix your GSM symptoms. If that doesn’t help after six to 12 months, or you have severe symptoms, you may get other treatment. Eating nutritious foods and getting physical activity are the first treatments for low testosterone. If you have symptoms, they’ll order blood tests. To make a diagnosis, a provider will consider your signs and symptoms. They’ll also ask questions about your medical history, medicines you take, substance use and any symptoms you have. Most males with symptoms of low testosterone don’t have a problem with their pituitary glands or testicles.
