Estriol vs Estradiol for Atrophy and UTI | PYHP 144

In this episode, we discuss a listener’s question. ‘Hannah’ has been dealing with vaginalatrophy, frequent UTIs, low libido, and reduced elasticity in her skin. She has been toher doctor for treatment that has not helped.We breakdown Hannah’s question into:– Can vaginal atrophy be reversed?– Menopause and libido– Vaginal microbiome– Menopause and UTI– Estriol vs conventional treatment for vaginal atrophy– Genitourinary syndrome of menopause Hannah’s Question:Hi Dr. Maki and Dr. Davidson. I am told to keep using my Premarin cream. I was initiallyon estradiol 0.01% and changed to Premarin. I do not want to take Prempro. I haveused it for years with no improvement of my atrophic vaginitis and dysuria. I continue toget UTIs. And, as an OR nurse, I cannot drink water in the operating room, it is a risk tosterility. So I become water deficient, and I get urgency and I cannot leave the OR in themiddle of case. Sometimes a case can go 5 hours or more. Further, I am a 52 yearwoman and post menopause. I became menopausal in 2015. The skin on my face andneck are sagging — making wrinkles more pronounced. My vulva has become looserand sagging. I cannot perform sexually because I cannot get aroused using clitoralstimulation because it is so dry there. Lube does not help. I am very frustrated by this,as is my husband. I get anxious as well because my mind is constantly worried aboutmy atrophy and vulvitis. Going to a specialist— they are very conservative in treatment.My husband doesn’t understand. He continues to ask and I say my vagina is broken.Can you please help meIf you have a question, please visit our website and click Ask the Doctor a question. Disclaimer: All content in this blog, including text, images, audio, video, or other formats,was created for informational purposes only. This video, website, and blog aim topromote consumer/public understanding and general knowledge of various healthtopics. This content is not a substitute for professional medical advice, diagnosis, ortreatment. Please consult your healthcare provider with any questions or concerns you may have regarding your condition before undertaking a new healthcare regimen.Never disregard professional medical advice or delay seeking it because of somethingyou have read on this website. If your healthcare provider is not interested indiscussing your health concerns regarding this topic, then it is time to find a new doctor.