Tessa Krantz
Urogynecologist
05/31/2026
Estrogen helps keep the vaginal tissues healthy, hydrated, and resilient. As hormone levels change during perimenopause and menopause, dryness, irritation, recurrent UTIs, and discomfort with intimacy can become more common.
The good news? You don’t have to just “live with it.”
Small changes can make a big difference. 💗
05/28/2026
You deserve care care that explains the “why”.
05/25/2026
your symptoms are real.
and you deserve support 🤍
05/24/2026
Pelvic floor muscles are supposed to relax, lengthen, and coordinate 🤍
But sometimes those muscles stay tight, guarded, and overactive — contributing to pelvic pain, pressure, burning, painful in*******se, urinary symptoms, or difficulty relaxing the pelvic floor.
Pelvic floor Botox is one option that may help relax chronically overactive pelvic floor muscles in select patients ✨
It’s not a “quick fix” or the right treatment for everyone, but for some patients it can be a helpful part of a comprehensive pelvic floor treatment plan alongside pelvic floor physical therapy and other supportive treatments.
05/23/2026
Pelvic flare days can feel exhausting 🤍
Sometimes the nervous system, muscles, bladder, hips, and pelvic floor all start talking at once… and the body shifts into protection mode.
Gentle warmth can help create a sense of safety and relaxation:
✨ calming tense muscles
✨ soothing pelvic discomfort
✨ helping the nervous system settle
✨ creating a small moment of comfort during flares
There’s no “perfect” flare routine.
Sometimes it’s simply about finding little things that help your body feel supported again ☕🌸
05/21/2026
Sometimes postpartum pressure doesn’t go away just because you exercised more, strengthened your core, or did “all the right things” 🤍
After pregnancy, the body can learn protective movement patterns that keep the pelvic floor, core, hips, and breathing system from coordinating naturally together.
So even when someone is strong…✨ things can still feel heavy✨ disconnected✨ tense✨ or “off”
Healing is not always about tightening more.Sometimes it’s about relearning how to move, coordinate, breathe, and support your body again 🌸
Pelvic floor therapy is not failure.Your body may simply need a different strategy than “just strengthen harder.”
Bladder self-care era 💅✨
She’s setting boundaries… and yes, that includes iced tea 👀
Urogynecology BladderCare SelfCare HormoneHealth
05/17/2026
Vaginal estrogen has many ways it can help 🌸
For many women, it can support:
✨ moisture and comfort
✨ tissue health after estrogen decline
✨ the body’s natural defenses against recurrent UTIs
✨ comfort with intimacy
✨ overall vaginal and vulvar health
✨ and sometimes symptoms of urgency, frequency, and overactive bladder
One of the most important things to know: low-dose vaginal estrogen works locally and is different from systemic hormone therapy.
Women’s health deserves softness, education, and options 🤍
Recurrent BV is incredibly common — and it’s usually more complicated than simply being “unclean.”
Your vaginal microbiome is an ecosystem 🤍
Hormones, pH, antibiotics, s*x, irritation, stress, and inflammation can all influence that delicate balance.
Many people are repeatedly treated without ever understanding why it keeps happening.
The goal isn’t fear.
The goal is understanding, balance, and supporting the protective bacteria that help your body maintain its natural environment ✨
You are not dirty.
You are not alone.
And you deserve real answers 💕
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