Your creams reach almost everywhere. Almost.

A note fromDr. Michelle Sands, ND

Whole-body creams reach “down there” last. Here's what to do about it.

First, you just did what takes most women seven appointments. One form, three creams, and a specialist who is actually going to listen. Your protocol should start moving things: sleep first, usually, then the hot flashes, then mood and energy over the next couple of months. I've watched it happen more times than I can count.

But there is one place it moves slowest, and I'd rather tell you tonight than have you email me in month three asking why everything is better except this.

The last stop on the delivery route

The vaginal and vulvar tissue has more estrogen receptors than almost anywhere else in your body, and it's the last stop on the delivery route. EstraDerm goes through your skin into your bloodstream and gets distributed everywhere: brain, bones, skin, sleep. The tissue down there gets what's left, last. For a lot of women that means the hot flashes are gone by week four, and the dryness, the burning, the third UTI this year, the leaking when you laugh, and the intimacy that hurts are all still there in month four.

That cluster has a name. Genitourinary Syndrome of Menopause, or GSM. It isn't “aging.” It's what happens when that tissue's built-in moisturizer retires: it thins, dries, loses elasticity, the pH shifts, the support under the bladder weakens. And unlike hot flashes, it doesn't fade on its own. It compounds. Only about four percent of women ever get real help for it, because it's the symptom nobody says out loud: not to their doctor, and half the time not on an intake form either.

Here's the picture I use in clinic. Your systemic creams are the water main being turned back on for the whole house. GLOW Below is the sprinkler head on the one patch of lawn that's been brown the longest. You need the main. But that patch needs its own line.

What GLOW Below is

GLOW Below is skincare for down there, the serum I made for exactly that tissue. A tiny, local dose of bioidentical estrogen in the morning, your moisturizer: thickness, elasticity, moisture, bladder and UTI support. DHEA at night, your night cream: sensation, sensitivity, comfortable intimacy. One pump, externally, under a minute a day. No applicator, no mess. Same clean standard as the creams you just bought: shea, hyaluronic acid, vitamin E, and nothing that ends in “-paraben.”

And it's not a leap of faith. Local vaginal estrogen is one of the most studied things in women's health. In 2024 JAMA Oncology followed 49,237 women with a breast-cancer history and found no increase in recurrence or mortality with it, which is why it's routinely used by women who've been told they can't use hormones at all. 391 women have reviewed GLOW Below at 4.89 out of 5. Brenda, thirty-two years post-surgical menopause, wrote that her bladder infections stopped. Rita had her moisture back in two weeks. Christine's line was that the DHEA brought back desire she thought was gone for good.

Now the part I want to be blunt about. GLOW Below is $99 a bottle on my site, $198 for the AM + PM pair, and I don't discount it on the site or by email. But you became a Clean Hormones customer about two minutes ago, it ships in the box that's already going to your door, and I would much rather you have both in the drawer than come back in three months to buy the serum at full price.

So on this page, and only on this page: the 3-month AM + PM pair, two 50 ml bottles, for $129. That's $64.50 a bottle and $69 off, a price that exists only on this page. Or the 1-month minis, both formulas, $59 instead of $79.96 if you'd rather start small. No extra shipping. The same 90-day guarantee as your creams. One click, your card is already on file.

Which one is for you

If dryness, irritation, UTIs, leaks or painful intimacy are going on your intake form (and for most women past forty-five at least one of them is), take the pair. Three months of both formulas covers the whole 60-day restoration protocol and the start of maintenance. If you're not sure it's you yet, take the minis and find out for $59.

“Why be dry when you can GLOW Below?”— Dr. Michelle

Virtual hugs, Dr. Michelle

Dr. Michelle Sands, ND · founder, Glow Natural Wellness