Genitourinary Urinary Symptoms of Menopause

Genital symptoms:

Vaginal dryness

Burning your irritation of the vulva or vagina

Itching around the vulva

Tissue thinning

Fragile vaginal tissues

Decreased elasticity of the vaginal tissue

Pain or discomfort during sex

Spotting or bleeding after sex due to fragile tissues

Urinary symptoms:

Decreased lubrication during intercourse

Reduce arousal or orgasmic response

Pain leading to the avoidance of sexual activity

Other changes:

Increase in vaginal pH

Changes in the vaginal micro biome that can lead to infections

Treatments include:

Local/vaginal estrogen therapy

DHEA

SERMs

Pelvic floor therapy