10/21/2026
ESTROGEN WEEK 🌸 Let's talk about something women don't talk about nearly enough…
Your vaginal and urinary health.
If you've noticed more vaginal dryness, discomfort during s*x, urinary urgency, burning or recurrent UTIs as you move through perimenopause and menopause, declining estrogen may be part of the picture.
Here's why.
Estrogen helps maintain the thickness, elasticity and moisture of vaginal and vulvar tissues. It also supports healthy vaginal tissue function and the environment that helps protect against unwanted bacteria.
Estrogen also plays a role in the tissues of your urethra and bladder.
As estrogen declines, those tissues can become thinner, drier and more sensitive.
You may notice:
🌸 Vaginal dryness or irritation
🌸 Pain or discomfort during s*x
🌸 Urinary urgency or frequency
🌸 Burning or discomfort with urination
🌸 An increase in recurrent UTIs
These changes are part of what's called genitourinary syndrome of menopause (GSM).
And no, you don't just have to accept them as your new normal.
Depending on your symptoms and medical history, options can include vaginal moisturizers, lubricants and prescription low-dose vaginal estrogen. For many women, local vaginal estrogen can be highly effective for vaginal and urinary symptoms.
And here's something important: vaginal estrogen is different from systemic hormone therapy. It primarily treats local tissues, and whether it's appropriate for you depends on your individual circumstances.
If you're experiencing burning or urinary symptoms, don't automatically assume it's hormones. A UTI and other conditions can cause similar symptoms and may need treatment.
Your vaginal health is part of your overall health.
You deserve to feel comfortable in your body, enjoy intimacy and go about your day without constantly thinking about your bladder.
Let's stop treating these symptoms like something women simply have to live with.
And here's something I really want women to know…
Vaginal estrogen is a highly effective option for many women experiencing vaginal dryness, painful s*x and certain urinary symptoms during perimenopause and menopause.
Because it is used locally, low-dose vaginal estrogen generally results in much lower systemic absorption than systemic hormone therapy.
For most women, it has a favorable safety profile, and many women who aren't candidates for systemic hormone therapy may still be candidates for low-dose vaginal estrogen.
Even women with a history of breast cancer may be able to consider it after discussing the benefits and risks with their healthcare team.
It isn't automatically off the table because you're in menopause, have concerns about hormones or can't use systemic estrogen.
But your medical history matters, so the decision should be individualized.
You don't have to suffer through vaginal dryness, painful intimacy or urinary symptoms simply because you think they're an inevitable part of aging.
There are effective options. Ask about them.