Only 9% of women fill this prescription… and it directly treats one of the most common menopause symptoms. Menopausal women are skipping one of the most effective treatments for Genitourinary Syndrome of Menopause (GSM)… In fact, a study published in the Journal of the American Medical Association found that among women over 65, only 9% filled a prescription for vaginal estrogen. Which is interesting because GSM symptoms often worsen over time As a pharmacist, I see this hesitation across all age groups for women dealing with: • Dryness • Burning • Pain with intimacy • Recurrent UTIs • Bladder urgency …while avoiding a treatment that directly targets the problem. Here’s what’s happening: Menopause lowers estrogen in vaginal tissue, leading to thinning, irritation, and changes in the microbiome (GSM). ✨ Vaginal estrogen works locally where it’s needed ✨ Systemic absorption is minimal and dose-dependent ✨ Absorption may be slightly higher at first, then decreases as tissue improves ✨ Different formulations (creams, tablets, rings) offer options depending on preference So why the hesitation? Many women are told—or assume: • “It absorbs like hormone therapy” (it doesn’t in the same way) • “It’s messy” (some options are much easier to use) • “I’m already on estrogen” (systemic therapy often doesn’t fully treat GSM) This isn’t about “more hormones”, it is about treating specific symptoms, the right way. This is a conversation worth having with your healthcare provider—especially as guidance continues to evolve, even for women with more complex histories. This post is educational only, not medical advice. If vaginal estrogen isn’t for you, comment Shop and I’ll share pharmacist-recommended options to support GSM symptoms. LTKOver40 LTKselfcare