{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Peri & Pause The Podcast","title":"GSM - Genitourinary Syndrome of Menopause","html":"","width":"100%","height":180,"duration":1604,"description":"Symptoms, Risks, Vaginal Estrogen, Pelvic Floor PT & Radiofrequency Options\nThis Peri & Pause episode features Jamie Gallagher, a nationally board-certified family nurse practitioner and Menopause Society certified practitioner, discussing genitourinary syndrome of menopause (GSM), the updated term replacing “vaginal atrophy” because it affects both vaginal and urinary tissues. They explain how declining estrogen causes tissue thinning that can lead to dryness, burning, itching without discharge, pain or bleeding with sex, urinary leakage, increased UTIs, and even life-threatening urosepsis, noting symptoms are often underreported and frequently dismissed as “normal.” First-line options include vaginal moisturizers and lubricants, with vaginal estrogen emphasized as key and not “duplicate therapy” with systemic hormones. Additional approaches include pelvic floor physical therapy and emerging energy-based radiofrequency (including microneedling RF) to stimulate collagen, improve continence and tissue health, with a typical three-treatment series and annual maintenance.\n00:00 Welcome to Peri & Pause\n00:39 What Is GSM\n02:01 Why It Matters\n03:32 Estrogen and Tissue Changes\n05:10 How Common and Why Silent\n06:42 Diagnosis and First Steps\n08:31 Vaginal Estrogen Options\n10:35 Beyond Estrogen Treatments\n12:03 Radiofrequency Explained\n13:36 Practice Mission Break\n15:16 Expected Results Timeline\n17:19 Research and Incontinence Types\n20:35 Procedure and Downtime\n24:04 How to Get Help\n25:51 Wrap Up and Disclaimer","thumbnail_url":"https://img.transistorcdn.com/blIqoXV8cJEwQkLxFiT2hhmzV5NFQ3SQUL8ePL6tRgE/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8wMGVj/M2RkYjA1MGExODEw/MzY2Mjk3NzUwODE5/MmNmNi5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}