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Reply to "Urogynecologist Recommendations"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I’ve seen the uro/gyn PA at GW in the urology department and she’s great. Her name is Shirley Yancy. If you’re at all near perimenopause, she’s likely to start you on vaginal estrogen and pelvic floor therapy. [/quote] Yikes. She just puts everyone on estrogen? [/quote] No, but if you have frequency/urgency due to low estrogen (i.e., genitourinary syndrome of menopause), vaginal estrogen is indicated. [/quote] In your medical opinion? [/quote] Declining estrogen levels can cause or exacerbate bladder issues like urinary frequency, UTIs, and leaking/incontinence. Low-dose topical estrogen applied to the vulva and vaginal canal can improve and even eliminate these issues. It also is a big help for painful intercourse due to vaginal dryness. Vaginal estrogen is considered by experts to be safe for most women, even for many for whom systemic estrogen is contradicted.[/quote]
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