Menopause is about more than hot flashes—it also affects vaginal and urinary health. In this episode, Melissa Slemp and Kim Hines get candid about their decision to start vaginal estrogen, even without obvious symptoms, and how it can support long-term wellness.

They dive into genitourinary syndrome of menopause (GSM), share the benefits of vaginal estrogen, and highlight proactive steps women can take to protect their health. From intimacy to bladder health, Melissa and Kim answer common questions about safety, cost, diabetes management, and working with your doctor.

This conversation is an honest look at why prevention matters, the importance of speaking openly about women’s health, and how to confidently explore your options with the right information and support.

Melissa and Kim share:

• Why vaginal estrogen is different from systemic HRT.
• The common symptoms it can help prevent dryness, painful sex, UTIs, and bladder leakage.
• Our personal experiences starting it, even without symptoms—as a proactive choice.
• What we’ve learned from experts like Dr. Kelly Casperson and Dr. Rachel Rubin.
• Questions to ask your doctor if you’re considering it.
• Practical tips on application, types available (cream, suppositories, ring), and cost.

Takeaway: Vaginal estrogen isn’t just about comfort, it’s about prevention, confidence, and quality of life as we age with diabetes and beyond.

Connect with Kim @kimhyneshealth and Melissa @type1.in.midlife on Instagram for ongoing support, inspiration, and opportunities to join their communities.

Two experts we mention:

Dr. Kelly Casperson

Dr. Rachel Rubin

Connect with Kim Hynes:

Emotional Eats Podcast with Kim Hynes — Kim Hynes Health & Wellness

IG @kimhyneshealth

Website

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What to do now:

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Disclaimer: Nothing you hear on this Type 1 in Midlife Podcast should be a substitute for professional medical advice. Please always consult your medical professional before changing your diet, insulin dosages or health care plan.