Reclaiming Pelvic Floor Health and Vaginal Estrogen with Dr. Aleece Fosnight

In this episode, Mary is joined by Dr. Aleece Fosnight a medical advisor at Aeroflow Urology and a board-certified physician assistant specializing in sexual medicine, women's health, and urology, who brings crucial insights about pelvic floor health and the safety of vaginal estrogen therapy.Bottom Line Up Front: Urinary incontinence is common but not normal—it's treatable at any age. Vaginal estradiol is safe and effective, with virtually no contraindications, yet misinformation continues to prevent women from accessing this life-changing therapy that can reduce UTIs by over 50%.The conversation tackles the widespread misconceptions surrounding pelvic floor health and vaginal estrogen therapy. Dr. Fosnight reveals how the healthcare system spends over a billion dollars annually on recurrent UTIs—many of which could be prevented with proper treatment. She emphasizes that systemic hormone therapy doesn't reach genital urinary tissues effectively, making local vaginal estrogen essential for optimal health during and after menopause.Dr. Fosnight also demonstrates how proper pelvic floor assessment should be standard care, explaining her trauma-informed approach to examinations and why every postpartum woman should receive pelvic floor therapy—a practice already standard in Europe that dramatically reduces long-term complications.Connect with Dr. Aleece Fosnight: Website: fosnightcenter.com and aeroflowurology.comInstagram  @fosnightcenter and @sexmedpa Resources:American Urology Association Guidelines on Genitourinary Syndrome of Menopause (April 2025) GSM Guidelines Summary Cheat SheetLet us know if you're liking the show!I would love it if you could support the show. Go into the show notes and click on the button where you read "support the show." You have the option to donate monthly, $3, 5, 8, 10. Be a loyal supporter for as long as you want with recurring fee as little of three as $3 a month, and opt out at any time. Each investment goes directly back into producing episodes with even better content, improved audio quality, and we'll go a long way in bringing great guests onto the show. Support the showMeet the host, Mary, a certified Menopause Doula and Women’s Coaching Specialist. Mary is also a corporate educator, helping forward-thinking organizations foster a menopause-friendly workplace and design policies and accommodations for employees. Click to learn more https://emmeellecoaching.com/menopauseatworkTurn your menopause transition into a transformation with the Menopause Intelligence Course (MQ), an 8-module, self-paced learning experience, empowering you to take agency over your health and make informed decisions with your healthcare team. Connect: Instagram @menopausedisruptorpodcastLinkedIn linkedin.com/in/maryhelenlee/Subscribe on Substack @emmeellecoachingDisclaimer: Information shared is for educational and entertainment purposes only and does not replace medical advice. Always consult with a healthcare professional.