Estrogen Down There? Here's Everything You Need to Know

Estrogen Down There? Here's Everything You Need to Know

From The Tamsen Show by Tamsen Fadal

April 20, 2026 · 18 min · Episode 72

About this episode

Tamsen Fadal discusses the importance of estrogen for women's pelvic health and available treatments during menopause.

So you've heard about hot flashes and night sweats. Maybe you've even heard about brain fog. But nobody sat you down and said: by the way, the tissue of your entire pelvic region is completely dependent on estrogen to stay healthy. And when it drops, everything changes. And most women have no idea, because no one told them. But here's what Tamsen wants you to know: there are actual treatments for this and most women have never been told they exist. Whether you're on hormone therapy or never plan to be, this is its own conversation entirely. You'll learn: - What GSM is, why 100% of women experience it to some degree, and why it gets worse if you wait - The symptoms most women quietly adapt to without realizing they don't have to - Why the most common treatment is considered safe even for women who've been told hormones are off the table - How recurrent UTIs in menopause are connected to estrogen loss and what actually treats the - What to bring to your doctor and how to ask for it This episode is part of the How to Menopause series, where Tamsen goes deeper on each chapter of her book right here on the podcast. Less than twenty minutes, everything you need to know. Stay connected…

People in this episode

Host: Tamsen Fadal

Topics covered

  • menopause
  • estrogen
  • women's health
  • GSM
  • hormone therapy

Keywords

  • estrogen
  • menopause
  • GSM
  • hormone therapy
  • UTIs

Mentioned in this episode

Books & works: How To Menopause

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