Genitourinary Syndrome of Menopause

GSM affects vaginal and urinary health, sexual function and quality of life, yet its presentation can be complex, symptoms can include, but are not limited to, dryness, burning, irritation, sexual symptoms of lack of lubrication and discomfort, as well as urinary symptoms such as urgency and recurrent UTIs. What should practitioners be considering when supporting patients through these changes? 

In this podcast, Sandra Villella joins fellow naturopath and women's health expert Lisa Costa-Bir to unpack GSM through an integrative lens. They outline the hormonal changes underlying GSM, including the role of oestrogen and the often-overlooked influence of androgens, and examine the relationship between vaginal tissue health and the microbiome. 

The conversation is rich in clinically relevant takeaways, delving into the evidence behind naturopathic interventions such as shatavari, sea buckthorn, linseeds, soy isoflavones, vitamin D, and probiotics.. From vaginal dryness to libido and sexual function, this episode offers practitioners a nuanced perspective on supporting genitourinary health from perimenopause to the post menopause period.