New GSM Guidelines Every Physician Should Know

madman

Super Moderator

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 with your healthcare provider—especially if they’re not up to speed.

Your body. Your voice. Your choice.





Chapters
00:00 Introduction to GSM Guidelines
04:31 Shared Decision-Making in GSM Care
06:24 Screening and Diagnosis of GSM
08:25 Psychosocial Aspects of GSM
10:36 Hormonal Interventions for GSM
12:27 Non-Hormonal Treatments and Recommendations
14:43 Safety and Efficacy of Treatments
16:12 Understanding Hormonal Changes in Menopause
18:42 Prevalence and Discussion of GSM Symptoms
20:04 Role of Lubricants and Moisturizers
22:47 Addressing Concerns About Hormonal Treatments
24:52 Engaging Patients in Treatment Decisions
26:20 Impact of Medications on GSM
28:51 Importance of Pelvic Exams
30:50 Long-Term Management of GSM
32:12 Research and Evidence on Treatments
34:10 Addressing Myths and Misconceptions
36:57 Guidelines for Managing Recurrent UTIs
39:20 Breast Cancer Survivors and GSM Treatment
40:42 Conclusion and Empowerment
 
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

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.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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