The Truth About Your Skin Down There

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Is vaginal burning, itching, or pain just “a normal part of aging”? Absolutely not—and you don’t have to suffer in silence. In this recap episode, Dr. Mina revisits her conversation with urologist Dr. Diana Londoño to break down the real changes that happen to vulvar and genital skin during perimenopause and menopause.

From the drop in estrogen that causes thinning, dryness, and discomfort, to the surprising connection between vulvar skin health and urinary tract infections, this episode clears away the myths and delivers real, practical solutions.

You’ll also learn why topical estrogen is one of the most effective (and safest) treatments available, and why it’s time to talk openly about a part of the body that’s too often left out of the conversation.

Key Takeaways:

• Menopause affects more than facial skin: Vulvar and genital skin also become thinner, drier, and less elastic due to estrogen loss.

• Functional impact matters: Shrinking of the labia minora removes protection around the urethra, increasing the risk of recurrent UTIs.

• Topical estrogen is safe and effective: Despite outdated warnings, localized estrogen can restore comfort and reduce infections without systemic absorption.

• Sexual activity isn’t the only reason to treat: Even women who aren’t sexually active benefit from vulvar estrogen therapy for comfort, bladder health, and overall wellbeing.

• The mind-body connection is key: Stress, grief, and stigma can worsen physical symptoms—awareness and holistic self-care matter.

• Normalize the conversation: Understanding and talking about vulvar health helps remove shame and empowers women to seek the treatment they deserve.

Whether you’re in your 40s, 50s, or beyond, this episode will empower you to better understand your body, take charge of your health, and embrace aging with confidence.

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Thanks for tuning in. And remember—real skin care is real simple when you know who to trust.

Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.