TMI Talk with Dr. Mary
Welcome to TMI talk with Dr. Mary where we dive into non-traditional forms of health that were once labeled as taboo or dismissed as Woo. Dr. Mary Grimberg is an orthopedic and pelvic floor physical therapist who helps people navigate perimenopause by addressing the fascia, lymphatic system, musculoskeletal system, viscera , and the nervous system.
Her whole body approach goes beyond hormone replacement therapy, showing how movement and rehab professionals can play a much bigger role in this process.
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"TMI Talk with Dr. Mary" was previously known as "Sex and Wellness with Dr. Mary"
You can learn more about Dr. Mary at drmarygrimberg.com
TMI Talk with Dr. Mary
Episode 22 - Vaginal Changes During Menopause and Treatment Options
In this episode, we have Dana Wicker, who we already had on the podcast in the episode where we talked about libido. This time, we will be discussing vaginal changes, specifically vaginal dryness, urinary leakage and urgency, UTI, and pain with sex, during menopause and the treatment options you can choose from.
The information from this episode isn’t strictly for those who are in menopause. You can most definitely use the tips from this episode at any time of your life where you have low estrogen.
Give this episode a listen so you can find resources outside of pelvic floor physical therapy!
Let’s talk about:
- Introduction to today’s guest
- Introduction to today’s topic
- Discussion on vaginal dryness: Its causes and why is it more prominent during menopause
- Vaginal Dryness treatment: E-String – What it is, how it works, the pros and cons of this treatment, and the cost
- Vaginal Dryness treatment: Creams – What it is, how it works, the pros and cons of this treatment, and the cost
- Vaginal Dryness treatment: The Mona Lisa Procedure – What it is, how it works, the pros and cons of this treatment, and the cost
- The importance of knowing what treatment works best for you and what are the emotional costs to you of each treatment
- The non-hormonal options and treatments for vaginal dryness
- Treatments for vaginal dryness for cancer patients or post chemotherapy patients
- The other option to treat vaginal dryness: Using lubricants
- Discussion and looking into leakage and urgency, and the medications and treatments that Dana and her team usually prescribe
- Discussion on other treatments for leaking: Urethral bulking, pessaries, estrogen, and other treatments
- UTI in the older population, how it’s often overlooked as a symptom of underlying conditions, and the stigma with sex in older population
- Discussion on pain with sex and the change in sensation: Possible causes and treatments
- Discussion on pH level: Symptoms and treatments and discussion on vaginal hygiene
- Conclusion
If you want to know more about Dana and the work she does, follow her on Instagram.
Want support for perimenopause that goes beyond hormones?
Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.
I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.
If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.
Subscribe to my email list here
I’ll see you in 2 weeks!
PS:
If you are interested in being a guest on the show, please fill out the form here.