Vaginal dryness is one of the most common—and least discussed—health issues women face as they age. But here’s the good news: it’s completely treatable, and with the FDA’s recent decision to remove the black box warning on vaginal estrogen, it’s finally time for women to get the clear, accurate information they deserve. 

In this episode, I sit down with Dr. Margaret Nachtigall, reproductive endocrinologist at NYU Langone Health, and one of the leading experts in women’s midlife health, to break down exactly what’s happening in the body, why symptoms often get misdiagnosed as infections, and how women can feel comfortable and empowered choosing the right treatment. 

Whether you’re experiencing symptoms now or simply want to understand your options, this is a must-listen conversation about taking over charge of your vaginal health—without stigma, confusion, or fear. 

What We Cover 

• Why some women experience vaginal dryness—and why some don’t 
• The role estrogen plays in vaginal health and why symptoms worsen time 
• How vaginal dryness symptoms can mimic infections 
• Why ruling out infection is essential before starting treatment 
• What the FDA’s removal of the black box warning on vaginal estrogen means for women 
• The full menu of treatment options: moisturizers, lubricants, and hormonal therapies 
• Why more years without estrogen increases the likelihood of dryness 
• How to talk to your clinician and advocate for your own vaginal health 
• Why education and proactive care are key to healthier aging 

Connect With  Barbara:  

Have ideas for future episodes? We'd love to hear from you!  

- Email: agebetterpodcast@gmail.com  

- Connect on Instagram HERE  

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