{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/60d64d877183ff001912797c/6a275e7c401089d02d7f5256?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"Episode 90: GSM Essentials for 2025: Top Treatment Updates, Safety Guidance, and Patient Impact","description":"<p>In this episode, Jillian Moehle focused on the latest evidence-based strategies for recognizing and treating Genitourinary Syndrome of Menopause (GSM). She explored newly updated guidelines from the American Urological Association, emphasizing the importance of proactive screening, a comprehensive approach to patient history, and the range of therapeutic options available, from non-hormonal treatments like moisturizers and lubricants, to hormone-based therapies including low-dose vaginal estrogen. Several points were raised, including safety considerations, the removal of the FDA black box warning on vaginal estrogen, and the crucial role of pelvic floor health in patient outcomes.</p><p><br></p><p>Enroll now in: Under-Recognized, Under-Treated, and Misrepresented Realities of the Perimenopause and Menopause Transition, with Leslie Fuller, ND and Jillian Moehle, ND at <a href=\"https://pages.kharrazianinstitute.com/fuller-moehle-perimenopause\" rel=\"noopener noreferrer\" target=\"_blank\">https://pages.kharrazianinstitute.com/fuller-moehle-perimenopause</a></p><p><br></p><p>00:00 Vaginal treatment recommendations and concerns</p><p>05:26 Discussing hormone therapy alternatives</p><p>08:13 Treatment options for vaginal health</p><p>13:16 FDA removes black box warning</p><p>15:24 Support for vaginal estrogen use</p><p>18:13 Using GoodRx and applying cream</p><p>22:00 Possible side effects and management</p><p>24:54 Impact of GSM on women's health</p><p>30:59 Podcast outro and resources sharing</p><p><br></p>","author_name":"Datis Kharrazian, PhD, DHSc, DC, MS, MMSc, FACN"}