
Which hormonal options exist for GSM?
The four pages linked below describe the hormonal options for GSM, so read them, note which options you could keep up in your routine, and make the choice with a clinician.
Where the options are described
The Office on Women's Health treatment page is a good first read for general menopause treatment. The Cleveland Clinic's vaginal atrophy page covers treatment for this condition in particular. The Menopause Society's sexual health pages give the patient view from the society, and MedlinePlus on menopause covers the wider picture.
Fitting a hormonal plan into your weeks
A hormonal plan has to fit your real weeks, so tell your clinician how they actually run. Ask what to do after a missed dose, what to do when you travel, and how long to wait before judging whether it is working. Write the answers down before you leave the visit.
Also tell them about your health history and everything else you take, since that shapes which options are suitable.
Choosing a hormonal treatment is a clinic decision
Keeping a hormonal GSM plan workable through busy stretches starts with the right questions to your clinician, and no article can pick a treatment for you. Treatment choices for GSM belong with a licensed clinician.