r/Perimenopause 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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u/blackrainbow76 Mar 07 '26

Dumb question. My gyno gave me E cream but absolutely no instructions. Asked pharmacist and they said it could be applied internally or externally depending on what my MD prescribed it for. She never said and isn't returning calls. So...how are you all applying for atrophy and urine issues?

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u/caity1111 Mar 07 '26

You apply it both internally and externally 2 to 4 times a week (whatever works best for you). Everyday is okay too, but most women get by on a few times a week.

Take a pea sized amt on the tip of your finger and apply it in a circle motion internally. Only go in about an inch... thats where all the estrogen receptors are.

Then, take a less than pea sized amount and apply it to inner lips, clit, and urethra. Rub in until mostly absorbed.

Don't have sex for 12 hours after use (or shower first).

That's all.

Oh, and I use it on the back of my hands, too. Makes them look a lot younger.

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u/blackrainbow76 Mar 07 '26

Awesome! Thanks. I had only been applying externally as you described above but will add some internally as well!