11/16/2025
Vaginal Estrogen Safety for GSM: Genitourinary Syndrome of Menopause.
I wanted to talk you about some exciting news that happened this week for women dealing with Genitourinary Syndrome of Menopause, or GSM.
“GSM” is a common condition that affects women in perimenopause and menopause due to low estrogen levels. GSM can cause symptoms like va**nal dryness, persistent va**nal and vulvar itching, irritation, and even bladder leakage, burning when you urinate or p*e, va**nal dryness and discomfort with in*******se.
For years, many women have been hesitant about using estrogen cream because of an old black box warning suggesting safety concerns. But here’s the great news: this week, the FDA removed that warning—agreeing with years of scientific research that estrogen cream specifically does not increase the risk of heart attacks, stroke and breast cancer. This means estrogen cream is now recognized by the FDA as a safe, more reassuring option for relieving GSM symptoms. It can help restore your va**nal comfort, improve va**nal pH balance, and even provide hormonal support to your pelvic tissues to reduce the risk of GSM, bladder leakage and prolapse down the line. This is a real win for women.
I typically recommend my patients apply estrogen cream with the applicator that comes with the cream or a pea sized amount with your finger in the va**na and another pea sized amount outer va**nal opening, in between the minor l***a, an even some on the opening of the urethra or p*e hole. This combination addresses not only symptoms in the va**na but symptoms that irritate women at the opening of the va**na and urethra.
So if you are perimenopausal or menopausal and you’ve been hesitant in the past about using va**nal estrogen cream, now you can feel more confident and reassured about the benefits of local va**nal estrogen.And if you’re looking for a trusted urogynecologist and Atlanta Top Doctor to guide you through your pelvic health journey and improve your quality of life, I invite you to work with me. Visit my website at DrTugbiyele.com to complete the consultation request form or call 770-292-4200 to schedule an appointment.
Imaging how more comfortable and confident you’ll feel when you no longer suffer from GSM symptoms like va**nal dryness, persistent va**nal and vulvar itching, irritation, and even bladder leakage, burning when you urinate or p*e, va**nal dryness and discomfort with in*******se. All of this is possible for you when you work with me.
I previously recorded a YouTube video about GSM. Click the link in the comment to watch that video and I’ll see you in that video.
