320. New GSM Guidelines: Science, Safety, and Speaking Up

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5 • 743 Ratings

🗓️ 1 June 2025

⏱️ 39 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode of the You Are Not Broken podcast, I’m diving into the brand-new clinical guidelines for Genitourinary Syndrome of Menopause (GSM)—because you deserve facts, not fear. We’re breaking down what GSM actually is, why it’s so often overlooked, and how these updated recommendations can help you and your clinician make informed, collaborative decisions about your care. I walk you through the full range of treatment options—yes, including hormones—and explain why vaginal estrogen remains a safe, effective choice, even for breast cancer survivors. We also talk about: Why education around hormonal changes in midlife isn’t optional The role of pelvic exams (and how to make them less intimidating) Non-hormonal treatments that actually work Why this all matters: GSM impacts your quality of life, intimacy, and overall health This episode is your call to action. Use these new guidelines as a springboard for conversations with your healthcare provider—especially if they’re not up to speed. Your body. Your voice. Your choice. AUA 2025 GSM Guidelines ⁠⁠⁠⁠Order my book⁠⁠⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠⁠⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠⁠⁠ Listen to my Tedx Talk: ⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠ ⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠ ⁠⁠⁠⁠My Website⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠Waitlist is open⁠⁠⁠ To learn more about GennaMD by Solv Wellness, visit ⁠⁠⁠⁠gennaMD.com ⁠⁠⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠⁠⁠gennaMDHCP.com⁠⁠⁠⁠. Thanks to our sponsor ⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

Transcript

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0:00.0	As a urologist, I see many patients with recurrent urinary tract infections.
0:04.1	While vaginal estrogen is my first-line therapy for women in menopause,
0:07.8	I also like to offer my patients alternative proven treatment options.
0:11.5	That's where Solve Wellness comes in.
0:13.6	They've just launched Jenna MD, the next generation UTI defense.
0:18.7	And while Jenna MD is new, Sol solve wellness is not. They were the first
0:23.1	to bring doctors a clinically proven UTI supplement to the U.S. back in 2010, using 36 milligrams
0:29.1	of soluble pack, PAC, the active ingredient found only in pure cranberry juice extract that
0:35.9	helps protect against UTI causing bacteria.
0:39.0	Building on that same trusted science, JennaMD delivers twice the pack concentration found in most
0:44.6	other supplements, all in a smaller, easier to swallow capsule for maximum UTI defense.
0:50.2	To learn more about Solve Wellness's latest innovation, visit genaM-D.com.
0:56.2	That's g-en-n-n-a-m-md.com, where new customers can get 20% off their first purchase.
1:03.7	And for an additional $5 off, use coupon code, Dr. Kelly 5.
1:08.5	That's D-R-K-E-L-L-Y-5.
1:12.1	Providers can request patient education materials and samples by visiting jenna M-D-H-C-P.com.
1:20.4	Welcome to the You Are Not Broken podcast. I'm your host, Dr. Kelly Casperson, a board-certified
1:27.0	jurologist, thought leader, and conversation starter on midlife living, hormones, and sexuality.
1:33.6	Enjoy the show.
1:34.6	Hey, everybody, it is Dr. Casperson.
1:36.5	Welcome back to the You're Not Broken podcast.
1:38.3	We are doing a live stream on Instagram today, and we are going to talk about GSM, genital urinary syndrome of
	...

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