Jen Gunter Instagram – Love this pharmacy vending machine at USC! No GYNO crap to be found! Instead, birth control pills, plan B, condoms, tampons, COVID tests, and hydrocortisone (the thing to use in a pinch for a bad vulvar itch instead of Vagisil, the devil’s own sav. (Vagisil has benzocaine and this can cause allergic reactions and irritation. And we hate Vagisil because of they are a massive part of the feminine hygiene industry invested in the messaging that women smell).

Jen Gunter Instagram – Love this pharmacy vending machine at USC! No GYNO crap to be found!

Instead, birth control pills, plan B, condoms, tampons, COVID tests, and hydrocortisone (the thing to use in a pinch for a bad vulvar itch instead of Vagisil, the devil’s own sav. (Vagisil has benzocaine and this can cause allergic reactions and irritation. And we hate Vagisil because of they are a massive part of the feminine hygiene industry invested in the messaging that women smell). | Posted on 22/Apr/2024 08:52:42

Jen Gunter Instagram – Lots of questions about testosterone lately and I am not sure why, but because of these I wrote a very detailed post for The Vajenda last week.

I have included several slides summarizing the Global Consensus Statement on the Use of Testosterone for Women and a summary of the British Menopause Society recommendations. If the data is there to support testosterone for many reasons outside of low libido, why can’t any menopause of endocrine society find it? I also included a slide with the organizations that signed off on the statement.

Here is the summary from my piece. Head to The Vajenda if you want the whole piece or the references:

✅ Testosterone levels gradually decrease throughout a woman’s lifetime. There is no sharp drop around menopause.

🤝The majority of testosterone is bound to carrier proteins, but we still don’t really understand what that means regarding testosterone’s impact on the body.

🏭Testosterone has a significant intracrinology, meaning it is also made inside cells, so testosterone levels really do not tell us the whole picture.

✅Checking testosterone for well-being or symptoms of menopause is unhelpful and a waste of your hard-earned money.

❓Testosterone levels don’t predict symptoms.

📊Current studies do not support the use of testosterone for ANY reason outside of treating libido. This includes muscle mass and protecting bone health.

📑Studies with primary ovarian insufficiency don’t show an added benefit from testosterone.

💪Improvement in muscle mass/strength likely only occurs when testosterone levels are much higher than normal.

$Jen Gunter Instagram – Thought I would share this bone density screening info that I posted on threads. It seems there are people recommending baseline DXA (bone density) scans for all women in their 30s and 40s, but screening under age 65 is risk based. For people age 50 and older we screen earlier than 65 based on weight, history of parental hip fracture, and if someone smokes. There are other risk factors to include as well, and a variety of medical conditions and medications that would promote earlier screening. For example, anyone with primary ovarian insufficiency should get a bone scan when they are diagnosed as should people with relative energy deficiency of sports (REDs). When to screen under age 50 depends primarily on risk factors. Other tools to help determine risk and if you ahold be screened earlier are FRAX and OST and if you Google them, you should find the calculators. For people with no risk factors, screening earlier isn’t recommended.$

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