Dr. Rachel Rubin

And our guidelines that we wrote were very clear that

to include these patients to say we should be giving these people vaginal hormones, either vaginal estrogen or vaginal DHEA, which are all FDA approved and should be used in more than just the menopause population.

So in GSM, we have urinary symptoms.

You mentioned arousal and orgasm.

So talk about those in this low hormone state.

So hormones are...

like water to a plant for the genitals, right?

So baby genitals, babies don't have any hormones in their body and their genitals don't look like grownup genitals.

So babies have no hormones.

Then they become jerky teenagers and their genitals literally blossom, right?

They grow labia.

They get bigger.

Your clitoris grows.

You get an opening that is not red and irritated, but it's lubricated.

It's pink.

It can put tampons in.

It can have sex.

It can make babies, right?

The genitals transform, and that is because of a surge of hormones, estrogen and testosterone.

And so with that surge of hormones, the genitals change.