Vaginas, Vulvas, and Menopause with Dr. Fenwa Milhouse

Description

Hey girl,In this episode, I sit down with Dr. Fenwa Milhouse for an open and honest discussion about women’s health — covering everything from vaginas and vulvas to the realities of menopause. We break down common myths, talk about how these natural stages impact relationships and intimacy, and share empowering insights for women navigating these transitions with confidence and self-love.BIODr. Fenwa Milhouse is a board-certified urologist and fellowship-trained sub-specialist in female pelvic medicine and reconstructive surgery. She previously worked for the largest private practice in the state of Illinois as the leading pelvic floor surgeon. She is currently the co-founder and co-owner of Down There Urology in Chicago - a specialized urology clinic focused on sexual dysfunction, pelvic floor conditions, hormone therapy, and cosmetic genital enhancement in men and women.Dr. Milhouse enjoys using social media to destigmatize pelvic floor & sexual conditions, as well as demonstrate the importance of representation in Urology. Known by the world as "Your Favorite Urologist”, she has been featured on several media outlets including Yahoo, Forbes Health, GQ, HuffPost, Essence Magazine, CNN, and Insider to name a few. In 2023, Dr. Milhouse became the star of TLC network’s Dr. Down Below!Resources Mentioned in This Episode:IG: @drmilhouseYouTube @downthereurologyFacebook: @drmilhouse Subscribe & Review: If you enjoyed this episode, please subscribe and leave us a review. Your feedback helps us continue to bring you the best dating advice and resources.Follow Us:Whenever You Are ReadyHere are 3 ways I can help you:​Book A Call With Me - I've been getting A LOT of DM and email requests for to chat with me and answer specific questions about love, dating, relationships, and men so I'm opening back up my limited calendar for a few calls. So book a time with me here!Join the Get Your Guy Club- Wanna have Dating Support for a year to help you get your guy but at your own pace. You can get access to my 2 weekly group calls, my private Facebook group, Monthly 1on1 calls, and my online course with 40+ hours of content for just monthly payments of $300…​Check Out the Get Your Guy Coaching Podcast- With more than 100 episodes, you can binge and learn so much with my podcast. The latest episode is all about the safety is an illusion, check it out here.​Sincerely,Coach AnwarBook a Consult to Work with MeJoin my Get Your Guy ClubBuy My Dating Strategy CourseCheck out My Latest Podcast EpisodeSend us a textThank You: A big thank you to all our amazing listeners for tuning in! We appreciate your support and can’t wait to have you join us for the next episode!

AI Summary

when generating the clipping notes, pay attention to the time around 31:17 when she starts talking about GSM of Menopause

Transcript

hello hello hello ladies and welcome to the Get Your Guy Coaching podcast I have a very special guest and we're going to 0:06 get into all the tea and also all the V We have Dr Fenwa Milhouse here She is 0:12 the urologist and I had to bring her here because honey we got to we got to 0:17 we got to explore down there We got to talk about what's really happening and she is the only person that I wanted on this podcast to talk about it Dr Fenwell 0:24 Mehouse thank you so much for being here girl Thank you Oh my god I must tell you when 0:30 I got your DM like I want you to talk to I kind of was like fangirling cuz I 0:37 follow you I've been following you for a while Your tips your vibe everything I love it So I was like he wants me Oh my 0:43 god Little old I mean we only the best here girl Only the best And I what I 0:49 love about what you do is straight no chaser We're putting it on the table 0:55 We're talking about it So why don't you introduce yourself let the let the girls know what your tea is what you're all about Yeah So my name is Freno Milhouse 1:03 I'm a medical doctor board certified urologist and I did a fellowship so 1:08 extra years of training a subsp specialty in female pelvic medicine reconstructive surgery Um my niche in 1:14 urology is really about sex and genitals and pelvic floor Okay i deal with sexual 1:21 issues I deal with genital issues not just penises but vaginas and vulvas And 1:26 for those ladies that are just listening to audio she has her own muppet vagina here girl That she continues to move and 1:34 talk to me as if I've ever talk I've spoken to one girl and I have not Yes I've got my vulva puppet and is talking 1:42 to Coach Ammo Oh my god girl You You already on another level I'm living Yeah 1:47 And um pelvic floor issues Um and my practice is based on my own my own 1:52 practice which I'm very proud of I'm probably most proud of that very few of us doctors are owning our own practice these days and it is based in Chicago 2:00 Illinois It's called Down There Urology Um and in my practice I see all adult 2:05 individuals no matter what's between their legs I do tend to see more vulva and vaginal owners um than anything else 2:12 And I talk a lot about vaginal health and sex and pelvic floor stuff And 2:18 that's what we're here to talk about I love that Now I'm not going to put anything past our listeners Can you just 2:23 kind of describe the difference between the vagina the vulva and the pelvic 2:28 floor because some of us we've heard of it We don't know what it is And so I just want us to learn together in 2:34 community with no shame I agree totally I mean no one teaches us these things I don't think I I've ever heard the term 2:40 vulva until well well into medical school maybe even early residency But so 2:47 that everybody's on the same page Technically what we see on the outside externally the female part is the vulva 2:53 Okay we always refer to it as we kind of refer to everything as vagina but the vulva is all the parts we see The it 3:00 includes the the lips um the opening of the vagina the opening of the urethra 3:05 where we pee out of It includes the clitoris All of that is the vulva Okay the vagina is the inner tube It's the 3:12 part where we things go in and out Okay it That is the part we can't actually 3:18 see our own vaginas All right so if you're pointing down there and you're like "My vagina," you're really the 3:23 inner part is the vagina Okay we can see the medical doctors can see your vagina with the specula All right so that's the 3:30 difference The pelvic floor is a group and collection of paired muscles that 3:35 envelopes are genitals and wraps around towards and envelopes our anus Um and 3:41 pelvic floor exists in penis owners and vulva owners Okay And they're important 3:46 The pelvic floor is important for the three Ps as I like to say it Peen pooping and pleasure I know That's right 3:53 girl Not the three Ps Well my pelvic floor is uh more curious now that we've 3:58 gotten all of that out of the way So talk to me about I mean you're dealing with topics many women shy away from 4:05 obviously right why do you think conversations about vulva vaginal health 4:10 and pleasure are still so taboo even in 2025 you know we vagina owners have to live 4:20 in let's say a massage Can I stop you right there you continue to say vagina owners Talk to me about that I'm 4:28 intentional when I say that I know I want to know about it Yes Because not all vagina owners are women Uhhuh Okay 4:35 You see what I'm saying so if I say women then I'm excluding vaginal owners that identify as male or or male Okay so 4:43 I'm very intentional um the individ and and so I will be referring to um v 4:48 vaginal owners Now occasionally I'll say female and male That's more for like medical biological differentiation 4:54 differentiation but I want to be very inclusive I'm very inclusive in um my 4:59 terminology So we love that about you Thank you for having me Okay Talk to us about taboos girl Yeah So you know we 5:06 live in this misogynistic world and so um first of all our pleasure has never been discussed or even um investigated 5:13 um and it is not been taught to us Um we because our genitals are quote unquote 5:20 hidden right for us to see our vulva we have to take a mirror and look Whereas 5:26 for penis owners to see their genitals all they got to do is look down They have to like push their stomach in a bit This is right there So it lends its fact 5:33 into this is some secret hidden compartment that you know has babies um 5:40 and you know is therefore a penis's pleasure and that's it Okay Um a lot of 5:47 us have no have don't know our anatomy Okay A lot of us have never seen our 5:53 very own genitals Okay You know sometimes I'm in the office I'm like in the mirror I'm like hi well introduce 6:00 yourself I'm like in yeah like here you go So are you telling all the listeners they got to go today and get in there 6:07 and you know introduce introduce themselves Yes Correct Hi Or if it's 6:13 been a while be like reintroduce like oh it's been a while baby girl Where you been okay No I can hear half of the 6:19 ladies already saying I don't know if I want to do that That feels that feels nasty That feels like that's a lot What 6:26 would you say to that because you know even Charlotte and Sex in the City had to have one of those moments girl But for those ladies that are like I don't 6:32 know if I want to do that Why do I need to do that well first of all you need to stop and ask yourself why does it feel 6:38 nasty to you like think about it What is we what what have we been we've been conditioned to believe about ourselves 6:44 that makes looking at your own body feel nasty right that's crazy to think your 6:51 own body inherently is nasty to look at right it's how we've been conditioned up here right that the female part is kind 6:58 of gross and it's not Okay Um so we have to de we have to like deconstruct our mind and our mentality about it And the 7:05 other thing is just important to know because there might be things down there that are um that may be dangerous that 7:12 you may that unbeknownst to you might need uh um to be taken care of to be 7:17 addressed Um I have had the unfortunate pleasure of diagnosing vulva cancer um 7:24 in individuals that had really not looked okay um and not seen it Um and so 7:30 it's a good idea just like you know dermatologists they'll do like a skin exam all over your your body You know 7:37 that includes your genitals okay you know it's easy to do Just grab a mirror 7:42 you know put it on if you get a big mirror and sit like lay it on the floor and then straddle over it spread those 7:48 lips and see you know see if there's um a new pigmentation or new spots or Yeah 7:55 that's what I was going to ask What are we looking for yeah Okay You said patient spots Yeah So I mean lumps and 8:02 bumps right um looking for things that are protruding You know there are some 8:07 pathologies where things might protrude out of the opening Um you know there are skin changes on the lips and just inside 8:15 the lips that might um be signs of dermatic conditions that affect the vulva and the vagina There's a condition 8:21 called lykan sclerosis that is um can be quite devastating left untreated but can 8:28 be very much treated um and it can start with just losing pigmentation of the v 8:36 of the labia um and then manifest into like severe dryness pain itching 8:41 cracking um you know of the vulva and the vagina And so those of us that look 8:47 may notice some changes that are like you know this is looking kind of different Or and take a look at your clitoris What does your clitoris look 8:54 like take a look under the hood of the clitoris Every hitter every clitoris has a hood that is covering it almost like 9:01 the foreskin of a man's penis those that are uncircumcised But this hood you can 9:07 retract and ideally see the glands of your clitoris Awesome Okay Good Your 9:14 face But you have you have the the muppet You have the puppet I do have a muppet So I wish And for those that are 9:21 audio we'll put this on YouTube You'll see the visual so that you get a sense She is real Girl she putting the hood up girl We're at the We're at the We're at 9:27 the auto garage We're at the We're at the vulva garage girl 9:32 Um talk to me about some common mis uh misconceptions right that women have 9:37 about their own anatomy that surprise you I mean I'm no longer that surprised but 9:46 um believe it or not adult women may not know that they urinate out of a separate 9:53 orifice okay that there is something called the urethra that lives in our 9:58 vulva which is where you pee out of Okay i'm going to tell you a story and it's not 10:04 meant to shame but I saw an individual in my practice and she came in saying to she's peeing out of a new hole that she 10:10 never knew existed She all her life was convinced that she peed out of her clitoris That just isn't a thing Okay 10:18 And uh it turned into just a normal anatomy lesson I was like "This is your anatomy You you you know again has never 10:24 um been taught and never looked." And you know I pointed out like I you know pointed out the normal anatomy So your 10:29 urethra where you pee out of sits right above your vagina It sits literally it sweet mates with the opening of your 10:35 vagina You put your finger in your vagina and you go right above there's the urethra Okay Um and so uh that is 10:42 one thing Another thing that is even more pervasively unknown is the fact 10:48 that the clitoris that we see right here this this nubbin is not even the entire clitoris In fact it's only a small 10:54 portion of the entire clitoris Majority of our clitoris lives underneath the tissues Our clitoris is shaped like a 11:01 wishbone okay and has like two two sets of legs that extend down from the head 11:07 okay so you have this head and then you have two sets of legs that extend down I wore a clitoris necklace for months 11:14 around and I would ask random strangers all walks of lives um uh men and women 11:22 hey what do you think this is and literally 95% of people got it wrong 95% 11:29 of people couldn't tell me what it was Okay So vast majority of adults have never seen what the actual re full 11:35 clitoris looks like Um and certainly women um don't know this either Okay No 11:40 girl I'm Girl I'm learning too I love Wishful I love Thanksgiving honey Let's get it together Awesome Awesome Awesome 11:47 So following up on that let me say one thing Yeah One the other thing is your 11:53 clitoris The clitoris is think of the clitoris like a penis If you think of the clitoris like a penis then it all 11:58 makes more sense Okay the clitoris is our version of a penis All right and the 12:04 penis the head of the penis is very sensitive right okay the head of the clitoris is very sensitive If you want 12:11 to get a penis to orgasm you might focus on the head right mhm If you want to get 12:18 a vulva owner to orgasm you focus we don't focus on the head We 12:24 are focusing on other parts Like why aren't we focusing on the head this is where we how how 90 almost 90% of us 12:30 orgasm is here Let's talk about the orgasm gap because there is one right 12:36 and I you're a huge proponent of making sure that women are having their pleasure each and every time that they 12:42 want pleasure So can you talk a little bit about that and you know I know that there are some girls that are still 12:47 faking it I know you know and you know I'm not a fan of that But how can we 12:53 start to kind of narrow that gap but also advocate for our own pleasure uh 13:00 early on in dating but also in sexual experiences in general 13:06 Number one you have to own your orgasm I believe you cannot expect somebody to 13:13 figure out what it is that gets you off Okay you may learn from sexual experiences with others like "Oh my god 13:20 that guy that guy did that and baby I liked it." Okay but you have to do I am 13:26 a big proponent of self-exloration Okay when I see individuals who rarely or 13:31 never get orgasms it's a lot of self-work It is a lot of self-work Okay you need to I give them masturbation 13:38 homework I give them sex toy homework Can you get can you give the listeners some masturbation and sex toy homework 13:43 as well please doctor so I truly believe if you don't like sex toys it's probably 13:48 just because you have not met a sex toy that you you have not met the right sex toy for you Okay and everyone is 13:54 different right what might get me off and I love everybody's crazy about this rose Not a huge fan of the rose 13:59 personally but I love it for those people who love it But other things may be So you I would explore different toys 14:07 different feelings Maybe you like pressure Maybe you like vibration Maybe you like wetness and licking Maybe you 14:13 like squeezing Maybe you you don't maybe you prefer um the focus be on your 14:19 nipples and not your genitals and that gets you orgasming Okay Um you you are 14:26 not going to become addicted or conditioned or numb or whatever to toys 14:32 toys aren't going to ruin you Okay I think that's such an important point to make because I think sometimes there are 14:38 some women women that feel like if I do it too much I'm never going to find pleasure with another person and that's 14:44 not necessarily the case So I'm glad that you're pointing that out But you talked about you talked about the exact 14:49 opposite is shown when you do the exact opposite happens tends to happen Those who do explore with toys and to do use 14:56 those are more likely women are more likely to reach orgasm and to have orgasm than those who do not Well we 15:04 love to hear that girl We love to hear that Um you talked about the rose as a a 15:11 popular toy Do you have any other names that are quite popular that people who maybe don't know the space can look up 15:18 and see and just as a starting point to explore yeah So there are vibrators that just 15:25 focus on the clitoris There are vibr vibrators that focus on like the vagina G-spot type area There are vibrators 15:32 that do both There are vibrators that focus on clitoris vagina and anus Okay 15:38 There are um and so there are yes the fully baby Okay Um so traditionally when 15:46 people think about vibrators they just think about this like phallic looking thing that you know that they can stick 15:51 in their vagina which may work great for some and may not be adequate for others Like I said almost 90% of us need 15:56 clitoreral stimulation to get one orgasm Um there are C vibrators I'm a fan of a 16:02 C vibrator Um it looks like a C or like a U that's on its side And the and 16:08 they're dual vibrators Okay So they will vibrate or suck or both typically on the 16:14 top and then vibrate on the bottom And you can put the bottom in your vagina 16:19 right just in your vagina And the top one sits right on your clitoris And you can choose to have suction or vibration 16:26 on the clitoris while you simultaneously get vibration on that vagina that upper wall of that vagina the upper wall 16:33 because remember I said the clitoris has legs that are under that upper wall of the vagina tends to be a very sensitive 16:39 spot too because it's it's in contact with the inner part of the clitoris So baby that dual vibrator 16:46 I didn't I didn't know that they sucked now girl I might have to look something up now Hello 16:54 But suction is tea It is tea baby I know that's right So it's like a vibrator It's a C-shape or a U-shape Are there 17:01 specific brands that you like or you There's a lot of them There's tons of brands I um I'll tell you the brand that 17:08 I like And full disclosure they paid me but not I like them Even if they didn't pay me like I use 17:14 them Like I love multiple of their stuff and I really like them Blesa Boutique Um 17:19 they have C the C-shaped vibrators that suck or lick or vibrate Um and then the 17:25 bottom uh the clitoris and then the bottom vibrates and you can change the intensity of both um le like you know so 17:31 they both they have separate settings So if you like well I like the feeling of 17:37 the if you like the feeling of the vibrator in your vagina but you don't necessarily want it to vibrate you don't 17:42 have to but but you want the part to suck or vibrate you can do that So like you can change it up you can switch it 17:48 up It's very like customizable if you will Yeah Um and those um the one that I 17:54 love is called the Airvibe Um and that is my favorite Air sales just went up 18:00 200% Let's go Yes Okay Okay I want to get in I want to 18:06 talk about pH balances because I know that a lot of us might not be as aware 18:12 that some of the products that we're using might not be so great in terms of pH balance or not whether it's loops Can 18:19 we talk a little bit about that because I I think that page balance actually isn't talked about as much as I think we 18:25 need to talk about it So I'd love for you to share with the ladies Girl what should we be putting down there what 18:30 shouldn't we be putting down there yeah So the pH val pH of our vagina is really 18:36 important It is um it it tends to want to be what we call more acidic which is 18:43 a good thing Okay The pH we want it to be on the lower end Um when the pH gets 18:49 off then we can be prone to um uh vaginal odor number one Okay Um we can 18:57 be prone more prone to vaginal infections like BV or bacterial vaginosis We can be more prone to 19:04 urinary tract infections or bladder infections Okay Um and so it can really just wreak havoc on our what we call 19:11 genital urinary sense um um um area um things that could throw off our pH 19:17 balance Well our pH balance can gets thrown off as we age especially with estrogen uh levels declining And so 19:25 there is a known dec um there's a no known change in pH as women go through 19:30 pmenopause and beyond And that increases their risk of all of these infections 19:35 and um you know there are things that we can do to help with that PH can be thrown off by by semen Okay So semen um 19:44 can throw off your pH That's why some individuals may notice gosh whenever I have sex especially when he ejaculates 19:49 in me then I you know have itching and odor and other issues Okay So it may be 19:54 that your the pH of your your man's is throwing you off All right Um pH can be 20:00 thrown off by products that we use like you were saying All right things that you know certain cleansers or products 20:06 that we do can disrupt our pH and actually make us more prone to 20:13 opportunistic infections All right you know these products are meant to cleanse or make us feel smell like flowers but 20:20 they can you know in some cases throw off our pH So it's really really important that we are choosy with the 20:26 products that we use down there Okay Um we want to look for things that are pH 20:33 balanced We want to look for things that aren't having too many like strong o um 20:39 smells Um um and that you know just are 20:45 less um likely to um make our um pH get off the acidic and and go more towards 20:51 basic Have you seen any products just like in your practice that you're like "Oh my god this person's using this and 20:57 it's like it throws them off." Are there any patterns that you've seen or is it just really different just based on the body it's that's hard to like even 21:04 create those patterns So I will say this I mean I think over the last 10 years or 21:09 more there is a complete market of products for the vulva and the vagina 21:16 keeping in mind pH balance Okay Back in the day like I'm old enough like back in 21:21 the day these summer's eaves and whatnotss they were not they weren't doing good They weren't good for us Okay 21:28 Um but people are you know individuals are not really using those products anymore thankfully Um and the products 21:34 we now have on the market are m much more thoughtful um and careful um and 21:40 and and you know uh every individual might have individual like preferences but for the most part I'm seeing uh 21:47 these newer vaginal cleanser products being um um better suited Having said 21:53 that to be fair you don't need a fancy fancy cleanser You really don't Your 21:58 vagina itself is a self-cleaning organ So to the thought of cleaning out your vagina is actually quite ridiculous Okay 22:05 we don't recommend it People might want to clean their vulva Okay you could 22:11 simply let water run warm water run over your vulva and you know um cleanse it that way But if you want a gentle 22:18 cleanser I think there are the most of the current products out there that 22:23 you'll see on the shelf or online keep in mind pH balance So I have not run 22:28 into a bad actor in a very long time Okay that's good to know Now you had 22:34 mentioned a little bit earlier about menopause Yeah premenopausal And I want 22:39 to talk a little bit about that because I have a lot of women that are in that era So I would love for you to share 22:44 just kind of what that means for one's vulva vagina and if there are any 22:50 differences when it comes to women of color versus other women 22:56 Wait this could be its own separate Well girl let's get into at least a little bit honey cuz the girls got to know They 23:02 got to know They got to know you Please listeners I need you to understand that 23:08 as we get older per menopause is typically in our 40s Menopause typically 23:14 happens in 50 51 and then everything after that is postmenopausal And so as 23:20 we get older starting as early as in our 40s sometimes late 30s our vagina and 23:25 vulva lose estrogen And what that does is it actually changes how it looks and 23:32 how it feels and how it functions Okay it changes how it looks The labia inner 23:37 labia may shrink The clitoreral hood may get stuck the um you may lose 23:43 pigmentation Um it may actually shrivel the opening of the vagina Okay How it uh feels It 23:53 feels drier It may feel itchy It may feel hot or burning It may feel raw like 24:00 sandpaper How it functions it loses its ability to lubricate on its own So you 24:06 may be arousing your brain but nothing's getting wet down there Okay it loses the ability to um to expand and to widen So 24:16 an aroused um well estrogenized vagina actually is looser because we have these 24:21 these things called rug that and we have muscle that expands and so an aroused vagina widens and actually gets longer 24:29 like tremendously longer Okay that allows us and prepares us for penetration right mhm And um with 24:36 menopause pmenopause that ability to do that and get ready for penetration go um 24:42 gets weaker and may go away And so our vaginas essentially become this like stiff dry irritated pipes and the vulva 24:51 is this irritated opening None of that is fun for sex So 50% of people of 24:57 menopausal women have pain with sex 50 Wow 25:02 Okay we're talking about women as early as 40s okay you know these are not old 25:08 old people okay all right Um and almost 90% of us will have bothersome 25:15 noticeable vaginal dryness Okay one out of three of us will get 25:20 recurrent UTI because it increases the risk of that the pmenopause and menopause Okay We have all of this havoc 25:27 that is being wre in our lady parts And the most important 25:33 thing to remember is that we don't have to suffer like this Okay in my world 25:39 perfect world vaginal estrogen which is the holy grail to help combat everything 25:45 I've just said would be preventative care You are 40 Okay Fenna Milhouse you 25:52 have entered pmenopause just so you know you are you know very likely 90% um of 25:59 people have bothersome symptoms You know um but you don't have to you don't have to get that way We can start you on 26:05 vaginal estrogen It's very safe It doesn't get into your bloodstream It's not going to increase your risk of breast cancer It's safe to use if you're 26:11 a smoker It's not going to increase your risk of blood clots It's not going to um throw off your periods It's not going to 26:17 affect your man It's all of these things And it can help preserve your vagina and 26:22 your vulva Okay it can help preserve your walk It can help preserve your um 26:28 uh decrease your risk of infections Like sign me up today Okay if men had this 26:36 happen to them it would be like my friend says a vaccine Okay if penises 26:42 had the same thing happened to them there would be a vaccine All right every 26:47 man would know Oh yeah Yeah Yeah bro you gotta get this You got to get your you know your penis estrogen because da d d 26:53 d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d Okay it is um very 26:59 very setting for me as a physician to see the disparity that takes place when 27:05 we talk about men's health and women's health And then you you mentioned something about black women that's even 27:11 a double disparity right okay there's already a gender disparity now a race 27:17 and gender disparity Black women biologically are more likely to enter 27:23 into menopause earlier and to deal with menopause Yes And to 27:28 deal with menopause longer Okay Much longer So we are we are so 27:36 like you know three four five years longer Okay Black and Latina women Okay 27:43 Um so we are you know more likely to suffer if you will have more you know 27:49 but less likely to be offered or to use 27:54 any form of hormone replacement therapy um um or get treated 28:01 and probably as we know with medicine less likely to be taken seriously You got a black woman who's complaining 28:07 about vaginal problems and it's you know unless it's an STD or AIDS or some other thing you know they get swept they can 28:15 get easily easily swept and ignored and under the rug So it is um something that 28:21 I like am extraordinarily passionate about as you can tell Um and I will die 28:27 Like my tombstone will be like take care of your vagina use vaginal estrogen you 28:33 know because I just have seen so much suffering so much So for the listeners that are like damn I need to get on this 28:38 estrogen We just need to go to the doctor and tell them I need some estrogen and I need it now Like what's that process look like and how can we 28:44 advocate for our our health yeah great question Okay So first of all vaginal 28:50 estrogen is not the same as like hey I want HRT for like my hot flashes I say 28:56 that to mean honestly any vulva or vagina can get vaginal estrogen safely Okay Um you don't have to have gone you 29:03 don't have to be like well I'm not menopausal yet Do I can get can I get it technically you can Now will you find a 29:09 physician who is up to date and educated on this hot or cold but the what you say 29:15 is you you come in armed with education You say listen I am having um I am you 29:21 know um want to I want to um improve my 29:27 vaginal health You may be having symptoms or I'm having vaginal dryness or it kind of hurts when I have sex or 29:32 I'm itching and I know that vaginal estrogen is safe to use I know that there are very few contraindications 29:38 really none Um and that it um does not need to require there's no blood test 29:44 that you need before Okay There's no blood test you need to monitor Okay you could still be menrating and get vaginal 29:51 estrogen Um it's even safe in breastfeeding moms which by the way breastfeeding moms have low estrogen and 29:57 so they look like they can look like menopausal women Okay Um but anyway and 30:03 you you just say "Hey I know it's safe." There's been multiple studies to show it's safe Um and in fact um the there 30:11 are a coalition of of really and oh wait before I say that it's an it's now 30:17 became an American neurologic association guideline So just last month 30:23 the American Neurologic Association a um released new guidelines for what we call 30:29 genital urinary syndrome of menopause What I just described that just happens right that has a name It's actually a 30:35 diagnosis called GSM And the and the guidelines talk about the safety of 30:40 vaginal estrogen and how it should be used and prescribed to help individuals 30:46 with this with these symptoms So now it is an official guideline Go urologist 30:51 I'm so proud of us And they can say it's a guideline Yeah Check it out Love that Thank you so much for just sharing that 30:57 and even sharing some of the language that people can use when advocating for their own vaginal health I think this is 31:03 so important Um any final fire advice what's your top 31:09 glow up tip for vaginal wellness black women's vaginal wellness We want to know 31:16 the top Oh my top my top one is vaginal estrogen That is it That literally is it 31:21 My top one is keep that wobb wobbin Vaginal estrogen is your friend It is 31:27 the essential oil You know how we get all these we do all this stuff to our face right we get all these retinol creams and we have this face routine We 31:33 do the sunscreen You know we're very whatever Think about your vagina and your vulva like your face Like you think 31:39 about your face You don't want your face to age You don't want this to age Okay and so you get dedicated to some vaginal 31:45 estrogen and use it like you take care of it like you take care of your face baby That's my goal I know I think this 31:52 is a game changer because I'm pretty sure that 90% of the here are not on that and they need to be Yeah So I agree 32:01 Honey Dr Fenwa Milhouse has given you multiple homework assignments Don't get enough in this class Get an A 32:09 with the masturbation vibrators vaginal estrogen Yes That's it That's it Hit it 32:15 Hit it Hit it Awesome Fenwa Milhouse Thank you so much for being here For people that want to continue in this 32:21 education and even in the Chicago area work with you how can they contact you what are the socials websites all of 32:27 that um so I'm mostly on Instagram at Dr Milhouse and that is Milhouse with one L 32:33 M I L H O U S E If you search in Instagram or anywhere if you just search 32:38 in Google your favorite urologist you will find me I have I have adopted that 32:43 term You are the favorite urologist for your favorite urologist Yes exactly I am your 32:50 favoriteologist favorite urologist Yes Yes And I'm the people's urologist That's why I thought myself like I'm a 32:56 people's urologist I'm gonna be your favorite urologist Um I'm also on YouTube My practice is called Down There 33:02 Urology It's really easy to remember because everybody says Down There Down There Urology So my YouTube channel is 33:07 my practice name Down There Urology I do a lot of um like um quick but longer 33:12 than Instagram educational videos Super super helpful Um and then obviously if you want to be a patient of mine I am 33:18 accepting new patients I see patients in the office in Chicago Um Chicago's a 33:24 great city in the summer so I highly recommend come see me or virtually if you choose Um and that is down there 33:30 urology.com Awesome Awesome Awesome Thank you so much for sharing all of this amazing 33:36 information that I know that most people did not even know about So I'm just so grateful that you've been here to share 33:42 this information So thank you so much for being here Thank you Thank you for having me I look forward to part two We 33:48 going to have a part two We apparently we got to apparently we got to Awesome Awesome Awesome All right ladies You 33:54 heard it here first You got so much homework to do when it comes to your bulba vagina your pelvic floor 34:01 everything Girl I'm so happy that you're here that you continue to listen and continue to be educated about the 34:06 totality of who you are as a woman because this work is not just about getting a guy This is about becoming the 34:12 highest version of yourself and the healthiest version of yourself physically emotionally intellectually 34:17 and spiritually So with that said I love you all and I'll see you on the flip side Bye-bye