Menopause & Vulvar Health: What No one told you
The Skin Real ®15 Sep 2025

Menopause & Vulvar Health: What No one told you

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When was the last time you thought about your vulvar health? If your answer is “never,” you’re not alone. Most women avoid talking or even thinking about this part of their body, but during perimenopause and menopause, changes in vulvar and vaginal health can have a huge impact on your comfort, confidence, and quality of life.

In this episode, I sit down with Dr. Diana Londoño, a urologist who is breaking the silence on intimate health. We talk about the changes estrogen loss brings—from dryness, itching, painful sex, and recurrent UTIs to the lesser-known issues like bladder urgency and vulvar atrophy. She also explains how simple solutions like vaginal estrogen cream, hormone therapy, and lifestyle tweaks can protect your vulvar health and prevent years of suffering.

✨ Key Takeaways:

  • Why vulvar health is central to your bladder, vaginal, and sexual health during menopause.
  • How to know if your symptoms are normal aging or a red flag that needs further evaluation.
  • The connection between UTIs, GSM (genitourinary syndrome of menopause), and vulvar atrophy.
  • Why vaginal estrogen is safe, preventative, and worth considering even if you’re not sexually active.
  • How stress and mindset affect bladder symptoms and overall well-being.

If you’ve ever felt embarrassed, ignored, or confused about what’s happening “down there,” this episode will give you clarity and confidence.

Dr. Diana Londoño is a Board-Certified Urologist and one of the 10% of urologists in the US who are women and the 0.5% who are Latinx and women. She is originally from Mexico City and attended Claremont McKenna College for her undergraduate studies and then went on to attend UCLA for medical school. She completed a 6-year residency in Urology at Kaiser Permanente in Los Angeles.

She has experienced burnout twice, which has led her to write and speak about it to raise awareness and help others. She has published multiple articles in prominent medical platforms, including Medscape, Doximity, Kevin MD, Men’s Health, Giddy.com, and WebMD, among others. She is also a contributing author to the books “Thriving After Burnout” and “Medic S.O.S.” She has also been a guest on numerous podcasts, discussing various topics, including wellness, stress, spirituality, and energy.

Her burnout journey led her to become a certified life coach and founder of Physician Coach Support.com, a peer support platform she ran for 3 years. In 2022, she received the Los Angeles County Medical Association Physician Leadership Award for her work.

She is an international speaker and guest on multiple podcasts, discussing topics such as wellness, boundaries, ego, humanity in medicine, mindset, and mindfulness. She has also been featured on TV on Univision, Telemundo, Mundo Fox, CNN Latino, KCET, and ABC News as a health consultant discussing urological topics.

She is also a Reiki Master, a Pranic Healer and the mother of two determined and joyful 7- —and 9-year-old girls, Daniela and Paloma.

Follow Dr. Londoño here:

Website -https://dianalondonomd.com/

LinkedIn - https://www.linkedin.com/in/dianalondonomd/

Instagram - https://www.instagram.com/dianalondonomd/

YouTube - https://www.youtube.com/@dianalondonomd

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Thanks for tuning in. And remember—real skin care is real simple when you know who to trust.

Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.

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