The medical term for vaginal and vulvar dryness due to low or no estrogen is genitourinary syndrome of menopause, also known as GSM. Your vagina dries up, your labia shrink, and vaginal walls lose their elasticity, causing pain with sexual activity. There are also non-sexual symptoms such as vulvar itching, burning, and irritation. But that’s not all. Changes in the urinary tract from GSM can be responsible for bladder symptoms such as urinary urgency (that constant “gotta go” feeling) and recurrent urinary tract infections.
This episode describes the physical changes and symptoms that occur in up to 80% of post menopause women.
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EPISODES*
The WHAT, the WHY, and the WHO of COME AGAIN
Are YOU Having Good Sex? A visit with Dr. Ruth
Sex: A Word With Many Meanings The Definition of Sex is Not Straightforward
What Could Go Wrong? A sexual problem and a sexual dysfunction is not the same thing
Is it Menopause or Midlife? It’s Not Just Your Hormones Sabotaging Your Sex Life
I’d like to buy an O-A historical prospective
A View from My Side of the Stirrups Making Your Privates Less Private
Requirements to Get the Job Done Estrogen is not on the list
Why Orgasm Tanks in Menopause And why estrogen helps
Whose Vulva is This and How Did It Get on My Body? Genitourinary Syndrome of Menopause
Over the Counter Options for GSM Lubes and moisturizers are not the same thing
Prescription Rings, Creams, and Other Things- Estrogen is not the only option
I’m Using Vaginal Estrogen but Sex Still Hurts Like Hell When and Why Treatment Fails
How “Hygiene” Can Harm -A Walk down the Fem Hygiene Aisle
When Non-Hormonal Pain is an Obstacle to Orgasm- Dryness is not the only thing that makes sex hurt
Medical Conditions That Make Your Clitoris Malfunction Diabetes, Heart Disease- the list is long.
How I Treat Orgasm Issues Everybody Come!
How HORMONES Help -Estrogen, DHEA hey, hey!
Say YES to TESTOSTERONE -But pellets are a problem
AROUSAL Options- what works, and what might work
Can CANNABIS Make You Come?
Why VIBRATORS Work So Well-The scientific explanation
Is the Only Thing that Vibrates Your Cell Phone? It’s time to go shopping
A Personal Trainer for Your PELVIC FLOOR- Meet the Vagicians
Vaginal Orgasms are a Thing but Not for Everyone
Here COMES the PAIN! When orgasm is excruciating
Has your Hysterectomy Hijacked Your Orgasm? Here’s why, and here’s help
Did Your SSRI or Other MEDICATION Make Your O Go? You have options
Cancer and Sex Yes, they do go together
Sex and the Brain These Prescription Options May Be your Answer
WEIRD Things That Might Happen When You O-Laughing when nothing is funny
*Subject to change
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For more information on Dr. Streicher and the COME AGAIN podcast
About Menopause: The Inside Information
Inside Information-Menopause, Midlife, and More Podcast
Glossary of Medical Terminology
Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.
Rachel Zar PhD, LMFT, CST, holds a doctorate in clinical sexology, a Master of Science in Marriage and Family Therapy from Northwestern University, and certificates in sex therapy and sexuality education from the University of Michigan and is an AASECT-certified sex therapist. Her clinical interests and areas of expertise include painful sex, difficulty or inability to orgasm, and low or diminished libido. She is trauma-trained and informed.
For more information: https://www.rachelzartherapy.com/
