Genitourinary symptoms of menopause (often called vaginal atrophy) are incredibly common — yet so many women suffer in silence.
After menopause, falling oestrogen levels cause the tissues of the vagina, bladder, and urethra to become thinner, drier, and more fragile. These changes can develop gradually but often worsen over time if left untreated.
💬 Common symptoms include:
• Vaginal dryness, soreness, or itching
• Pain or discomfort during sex
• Light bleeding (due to fragile tissues)
• Burning or discomfort when passing urine
• Frequent urination or urgency
• Recurrent “UTI-like” symptoms (often without infection)
These symptoms can have a significant impact on confidence, relationships, and day-to-day comfort — but they are very treatable.
✨ First steps:
• Vaginal moisturisers used regularly (not just during sex)
• Lubricants to reduce discomfort during intimacy
• Avoiding irritants such as perfumed washes
💊 If symptoms persist:
Local (vaginal) oestrogen is highly effective. It works by restoring the thickness, elasticity, and moisture of the tissues, directly treating the underlying cause.
✔ Very low dose
✔ Minimal absorption into the bloodstream
✔ Safe for long-term use for most women
Other options include:
• DHEA pessaries (converted locally into oestrogen and testosterone)
• Non-hormonal oral treatments for those who prefer alternatives
🚨 Important:
These symptoms are often mistaken for thrush or infections, leading to repeated treatments that don’t work.
💛 You don’t have to live with discomfort — speak to a healthcare professional and get the right support.
