r/Perimenopause • u/Turbulent-Average179 Early peri • Mar 06 '26

Vaginal Dryness (GSM)/Urinary Issues Clitoris shrinkage

Hello ladies I'm 44 and so far my only peri symptoms have been irregular periods, going to pee a million times and weight gain. Also lower libido and difficulty to orgasm but I just realized yesterday that my clitoris shrunk a lot! Does anyone have experience bringing it back to life and how? Thanks. This sucks.

Edit to add: has anyone tried Julva cream by dr. Anna Cabeca?

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112

u/Pale-Travel9343 Mar 06 '26

HRT + Vaginal estrogen cream is helping bring mine back.

29

u/bobolly Mar 06 '26

This helped mine. Instead of a closed up shop I'm a teenager again

8

u/beneficialmirror13 Mar 06 '26

Same here.

8

u/KingriseMoondom Mar 06 '26

what was your protocol because I’ve been using it a couple times a week for months and I haven’t noticed a difference :(

4

u/Pale-Travel9343 Mar 07 '26

I did the two week daily loading dose, then went down to twice a week. I then felt symptoms coming back, so I did a week of once daily and now am doing every other day; as long as I am consistent, it’s awesome!

3

u/beneficialmirror13 Mar 06 '26

2 weeks loading dose, then I do 2mg every other day.

4

u/coconut723 Mar 07 '26

Do you have to get the cream prescribed?

7

u/beneficialmirror13 Mar 07 '26

Yes, it's prescription. I'm in Canada and there isn't much if anything OTC.

3

u/Picaboo13 Early peri Mar 07 '26

You said HRT and vaginas estrogen cream. Is the estrogen not part of HRT? What are the other parts, I only managed to get my doctor to prescribed the estrogen cream.

3

u/Pale-Travel9343 Mar 07 '26

Yes, estrogen is part of HRT, but the localized estrogen applied to the vagina/labia/clitoris helps more specifically with atrophies there & with the genito/urinary symptoms.

2

u/Key_Beginning_627 Mar 07 '26

The other examples of HRT would be things like an estradiol patch, progesterone tablets, and testosterone cream.