Just Between Us Girls

March 23, 2017

What our mothers didn’t tell us about aging and menopause.

I have just completed an update of my New York Times bestseller Before the Change. During my research, it struck me how the female population is indeed living longer and living more years of our life post-menopause. Therefore, we are spending more time suffering from atrophic vaginitis and the negative effects of aging and menopause. It’s a topic that nobody is talking about, so I will.

Here goes:

Postmenopausal atrophic vaginitis, which is more commonly known as vaginal atrophy, is an inflammatory state where there is thinning of the walls of the vagina due to decreased levels of the hormone estrogen. Lubrication of the vagina—both during intercourse and on a daily basis—decreases, resulting in discomfort. The mucosa on the inside the vagina and the skin on the outside on the labia loses its elasticity—which often results in painful intercourse.

Based on an international survey of 3,250 postmenopausal women between the ages of 55-65, the following stats became apparent:

• Nearly 45% of all postmenopausal women suffer from vaginal atrophy
• 63% did not know that vaginal atrophy is a chronic condition

Natural menopause is the major cause of vaginal atrophy but there can be other stimulators of this chronic condition including pregnancy, child birth and breastfeeding.

Chemotherapy or radiation done for cancer treatment can also cause premature menopause and result in vaginal atrophy. Vaginal atrophy and menopause, in turn, are risk factors for other conditions that profoundly affect lifestyle including bladder leakage and overactive bladder symptoms (that feeling of gotta go, gotta go!).

As I speak to my doctors and my friends about my experience, one thing comes to mind. “Why don’t women talk about this? Why haven’t my friends and I talked more about this?”

Women need to be advocates for each other and make sure that none of us feel alone in our suffering. My research on these issues has shown me that every one of these issues are common, with many women having more than one issue. Women often make lifestyle changes—they stop exercising, stop having intercourse, and have disruption of their relationships or even divorce as a result of these issues. We need to talk openly about issues that affect our lives so profoundly and make sure that we are supporting each other—not subscribing to any social taboos that keep women from seeking the help they need and decreasing their quality of life.

Fortunately, I’ve come across a new treatment and a physician that I believe can offer women some relief. Dr. Natalie Drake in The Woodlands, Texas offers a new procedure called ThermiVa which uses radio-frequency to treat the vagina and perineum.

It treats:
• vaginal atrophy,
• stress urinary incontinence,
• urinary urgency,
• painful sex due to dryness,
• sexual dysfunction,
• vaginal laxity

Plus, it improves the cosmetic appearance of the labia.

ThermiVa is an office-based, non-surgical procedure that gently uses heat to regenerate and remodel collagen resulting in better structural support to tissue. It has also been shown in biopsy specimen to improve the thickness and quality of the vaginal mucosa. Many women have had their lives changed by this procedure, and we need to be spreading the word.

I would encourage all of you who are experiencing vaginal atrophy to check out this procedure and find a “Dr. Natalie Drake” in your area.

We all need to support the women in our lives by talking about the issues that are important to them and affecting their quality of life. Don’t let anyone suffer alone. And if you are one of the many women who suffer from any of these issues, know there is hope.

You are welcome to contact Dr. Drake or a physician near you who performs ThermiVa and see if you could benefit from this amazing new treatment.

For more information see Dr. Natalie Drake’s website at www.Practice-Happiness.com.

Please share your thoughts below!

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Ann Louise Gittleman, PhD, CNS, is an award-winning New York Times bestselling author of more than thirty books including The Fat Flush Plan series and her latest book, Radical Metabolism. She’s been rewriting the rules of nutrition for more than 40 years and is internationally recognized as a pioneer in the field of diet, detox and women’s health issues. 

For a FREE daily dose of tips and strategies for maintaining healthy weight, conquering insomnia, and much more…check out my Radical Health Tips.

I’d like to meet and greet you on my Facebook groups, so won’t you check us out at the Radical Metabolism RevolutionFat Flush Nation, or my Inner Circle!


  1. Lisa

    In my experience, vaginal atrophy, lichen sclerosis, and pelvic organ prolapse are all caused by a decline in sex hormones. I was able to reverse lichen sclerosis, restore lubrication, and halt the progression of my prolapse by taking OTC pregnenolone, from which your body makes most other hormones – so your body’s wisdom makes what it needs. Most doctors look only for your lab values to be within “range,” not for optimal values and ratios, so you don’t get the hormone replacement therapy you need for vitality until your wellness is long gone – and then you’ll probably be prescribed toxic drugs for your failing health instead of the nourishing bioidentical hormones that your body needs to maintain healthy cardiovascular and musculoskeletal systems. Young people don’t have POP, ED, high cholesterol, osteoporosis, etc because they have optimal hormone levels. It is no coincidence that our health declines with age along with our hormones. Please read Suzanne Somers’ books and look up your health concerns at Life Extension Foundation so you can talk to your doctor or find one who’s literate in anti-aging medicine, or treat yourself when all else fails. Empower yourself to understand what’s happening in your body and learn to make informed decisions.

    • Karin

      Thank you so much for your comment, Lisa! You gave me such a lot of information so I am prepared to talk to my doctor. Here, in Germany, I just do not get any replies to many of the issues you mention. Warmly, Karin

  2. Cammy Sue

    I, for one, am very grateful for this post. I have tried the natural, bio-identical hormone route (both oral and topical progesterone). I used estriol vaginally for years. And although these natural hormones brought some relief, they did not heal nor relieve my atrophy nor my sense of urinary urgency — but, thank God, Thermi Vi, did in three short treatments! I have been a follower of Ann Louise Gittleman’s books for years. She was on the scene long before any one else and all of her advice has stood the test of time and scientific scrutiny. I suggest everyone reads and rereads her Before the Change to get everything you need to know for your hormonal health from foods, supplements, herbs, to bio-identical hoarmonal treatments.


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