Brigid TitgemeierBeingBrigid Functional Nutrition · Transforming Women's Health Using Food as Medicine

The Vaginal Estrogen Truth Women Need to Hear with Dr. Amy Killen

16 Jun 2026 · 1 min

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In this segment Dr. Amy Killen explains why vaginal estrogen is a crucial, safe, and inexpensive treatment for maintaining pelvic floor health across a woman's lifespan. She outlines how it alleviates painful intercourse, supports a healthy vaginal microbiome that reduces recurrent urinary tract infections (UTIs) and the risk of sepsis‑related mortality, and helps prevent structural issues such as urinary prolapse and urgency. Dr. Killen emphasizes that the therapy is effective for women of any age—from breastfeeding mothers with low estrogen to elderly women—typically administered three times per week, and highlights its broad public‑health impact.

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Vaginal estrogen is really important for keeping the pelvic floor healthy. And that's not just, you know, making sex less painful, although that's part of it. It's also, you know, keeping the microbes and the microbiome healthy so you don't get urinary tract infections over and over again. It's helping to prevent the urinary prolapse, you know, the bladder kind of falling down. It's preventing things like urinary urgency, having to go to the bathroom over and over again. But, you know, even if it was just preventing urinary tract infections, that's something else that, you know, that kills women. Like, women die of UTIs and sepsis. So I tell women, you know, whether you're 35 and you're breastfeeding for several and you're low estrogen from that, or you're 75 and you're low estrogen from that, vaginal estrogen is an excellent, extremely safe, very inexpensive tool that you can just take 3 days a week and it makes a huge difference.