In this episode of the Sky Women’s Health Podcast, Dr. Carolyn Moyers, board-certified OB/GYN and Menopause Society Certified Provider, breaks down the newly released 2024 American Urological Association (AUA) Clinical Guideline on Genitourinary Syndrome of Menopause (GSM).
What You’ll Learn:
* What GSM is and why it matters
* Key takeaways from the new AUA guideline, endorsed by ISSWSH and The Menopause Society
* How the 2024 AUA guideline compares to the 2020 NAMS Position Statemen
* tEvidence-based treatment options, including local estrogen, DHEA, and non-hormonal interventions
* What’s safe for women with a history of breast cancer
* The importance of shared decision-making and pelvic health referrals
* Why GSM treatment is not just about symptoms — it’s about quality of life
Whether you're a clinician or a woman navigating menopause, this episode provides practical, compassionate, and up-to-date guidance that empowers you to take action. AUA Guideline: https://www.auanet.org/
* Rubin offers insight into the guideline development process, which involved collaboration across multiple societies—including AUA, SUFU, AUGS, the Menopause Society, and ISSWSH—and incorporated patient perspectives alongside clinical evidence. The guidelines advocate for broader recognition of GSM as a urologic issue with systemic impact, including increased risk of recurrent UTIs, sepsis, and hospitalizations. Rubin underscores the evidence linking vaginal estrogen therapy to improved outcomes and reduced Medicare costs, pushing back on long-standing misconceptions about hormone...
Rachel Rubin is a board-certified urologist & one of the nation's foremost experts in sexual health. She shares her deep expertise on the topic of women’s sexual health, exploring why this area remains so neglected in traditional medicine & highlighting the critical differences in how men & women experience hormonal decline with age. Rachel explains the physiology of the menstrual cycle, the complex hormonal shifts of perimenopause, & the health risks associated with menopause, including osteoporosis, cardiovascular disease, dementia, & recurrent urinary...
In this episode of the You Are Not Broken podcast, I dive into the new clinical guidelines for Genitourinary Syndrome of Menopause (GSM)—because you deserve facts, not fear.
We cover:
-- Why education around midlife hormonal changes isn’t optional
-- The role of pelvic exams (and how to make them less intimidating)
-- Non-hormonal treatments that actually work
-- Why GSM impacts more than you think your comfort, intimacy, and overall health
This episode is your call to action. Use these new guidelines to spark real conversations...
Is one outdated warning label standing between millions of women and safe, effective care? In this episode of BackTable Urology, Dr. Yahir Santiago-Lastra, a urologist specializing in female pelvic medicine and reconstructive surgery at UC San Diego, joins host Dr. Suzette Sutherland to discuss the black box warning on vaginal estrogen, its historical context, and the ongoing advocacy efforts to update outdated FDA guidelines.
SYNPOSIS
The conversation covers the importance of low-dose vaginal estrogen in treating genitourinary syndrome of...
The guidelines are in and the myths are out. In this episode of the BackTable Podcast, Dr. Suzette Sutherland hosts Dr. Melissa Kaufman and Dr. Giulia Ippolito to discuss the new 2025 AUA/SUFU guidelines on genitourinary syndrome of menopause (GSM).
=========== SYNPOSIS
The doctors delve into what GSM is, its symptoms, and the new evidence-based clinical guidelines for screening, diagnosing, and treating this condition. The episode emphasizes shared decision-making, safe use of local low-dose vaginal estrogen, and addresses...
Predict estradiol, DHT, and free testosterone levels based on total testosterone
⚠️ Medical Disclaimer
This tool provides predictions based on statistical models and should NOT replace professional medical advice.
Always consult with your healthcare provider before making any changes to your TRT protocol.
ℹ️ Input Parameters
Normal range: 300-1000 ng/dL
Predicted Hormone Levels
Enter your total testosterone value to see predictions
Results will appear here after calculation
Understanding Your Hormones
Estradiol (E2)
A form of estrogen produced from testosterone. Important for bone health, mood, and libido.
Too high can cause side effects; too low can affect well-being.
DHT
Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth,
prostate health, and masculinization effects.
Free Testosterone
The biologically active form of testosterone not bound to proteins.
Directly available for cellular uptake and biological effects.
Scientific Reference
Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.
