The Genitourinary Symptoms of Menopause – Your Essential Guide
Menopause is a natural stage of life, but it can bring changes that feel anything but simple. While hot flushes and mood changes are widely discussed, many women are surprised by symptoms affecting the vulval and vaginal areas.
At Dr Helen Medical, a private GP practice in Ringwood with an expert women’s health team, we regularly support women experiencing genitourinary symptoms of menopause. These symptoms are common, treatable and nothing to feel embarrassed about.
What Are Genitourinary Symptoms of Menopause?
Genitourinary symptoms of menopause, often shortened to GSM, describe a group of symptoms caused by declining oestrogen levels after menopause. These changes affect both the genital tissues and the urinary tract.
Oestrogen plays a key role in keeping vaginal and bladder tissues healthy, elastic and well lubricated. When levels fall during perimenopause and menopause, these tissues can become thinner, drier and more fragile.
Unlike hot flushes, which may settle over time, GSM symptoms often persist and can gradually worsen if left untreated.
Recognising the Symptoms That Can Impact Daily Life
Many women in Ringwood, and across Dorset and Hampshire, tell us they did not realise their symptoms were linked to menopause. Common signs include:
Vaginal dryness
Without adequate oestrogen, the vaginal walls can lose moisture and elasticity, leading to dryness and discomfort.
Itching or burning
Persistent irritation, soreness or a burning sensation may occur, even if you are not sexually active.
Pain during sex
Thinner and less lubricated tissues can make intercourse uncomfortable or painful. This can understandably affect intimacy, confidence and relationships.
Needing to wee more often
You may notice increased urinary frequency or urgency, including waking during the night to pass urine.
Recurrent urinary tract infections
Lower oestrogen levels can alter the natural balance of bacteria in the vagina and bladder, increasing the risk of UTIs.
Mild urinary incontinence
Small leaks when coughing, sneezing, laughing or exercising can develop due to changes in the pelvic tissues.
If any of these symptoms sound familiar, you are not alone. It is estimated that around half of postmenopausal women experience genitourinary symptoms, yet many do not seek support.
Why Do These Changes Happen After Menopause?
Oestrogen supports blood flow, elasticity and natural lubrication in the vaginal and urinary tissues. After menopause, the ovaries produce significantly less oestrogen.
Over time, this hormonal change can cause:
- Thinning of the vaginal lining
- Reduced natural lubrication
- Increased tissue fragility
- Changes in the urinary tract
These changes tend to develop gradually and will not usually improve without treatment.
No! You Do Not Have to Put Up With It
Many women feel embarrassed discussing vaginal or urinary symptoms, or assume they are simply part of ageing. In reality, GSM can significantly affect quality of life, sleep, relationships and emotional wellbeing.
At our private GP practice in Ringwood, we offer a calm, confidential and understanding environment where you can speak openly about your symptoms.
Effective Treatments for Genitourinary Symptoms of Menopause
The good news is that there are safe and effective treatments available.
Vaginal oestrogen
Local vaginal oestrogen is one of the most effective treatments for GSM. It is available as creams, pessaries, tablets or rings.
These treatments deliver a small dose of oestrogen directly to the vaginal tissues. Because the dose is local and low, it is considered very safe for most women, including many who are unable to take systemic HRT.
Vaginal moisturisers and lubricants
Over the counter vaginal moisturisers can be used regularly to improve hydration of the tissues. Lubricants can help reduce discomfort during intimacy.
Choosing products designed specifically for vaginal use is important.
Systemic HRT
If you are also experiencing symptoms such as hot flushes, night sweats or low mood, systemic hormone replacement therapy may be appropriate. This can be discussed during a menopause consultation.
Lifestyle measures
Simple changes can also support vaginal and urinary health:
- Staying well hydrated
- Wearing breathable cotton underwear
- Avoiding perfumed soaps and vaginal douching
- Practising regular pelvic floor exercises
A personalised plan is often the most effective approach.
Compassionate Menopause Care in Ringwood
Every woman’s menopause journey is unique. At Dr Helen Medical in Ringwood, our experienced women’s health team takes time to listen carefully, assess your symptoms thoroughly and discuss evidence based treatment options tailored to you.
You deserve to feel comfortable in your body at every stage of life.
Menopause & Sexual Health Support in Ringwood
If any of this resonates with you, the good news is that you have come to the right place.
Call us on 01202 022956 or click here to book your first menopause consultation with one of our Women’s Health specialists today.
Frequently Asked Questions
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What does genitourinary syndrome of menopause mean?
It is a medical term describing vaginal and urinary symptoms caused by reduced oestrogen levels after menopause.
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How common are genitourinary symptoms after menopause?
Around 50% of postmenopausal women experience symptoms such as vaginal dryness, discomfort or urinary changes.
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Will genitourinary symptoms go away on their own?
Unlike some menopausal symptoms, GSM often persists and may worsen without treatment.
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Is vaginal oestrogen safe?
Local vaginal oestrogen is considered very low risk for most women because it acts mainly on the vaginal tissues with minimal absorption into the bloodstream.
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Can I use vaginal oestrogen if I cannot take HRT tablets?
Many women who cannot take systemic HRT can still safely use local vaginal oestrogen, but individual advice from a GP is essential.
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Why do I keep getting UTIs after menopause?
Lower oestrogen levels can change the balance of healthy bacteria in the vagina and bladder, increasing infection risk.
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Does painful sex after menopause mean something serious?
Painful intercourse is often linked to vaginal dryness and thinning tissues due to menopause, but it should always be assessed to rule out other causes.
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Can pelvic floor exercises help with urinary leakage?
Yes, regular pelvic floor exercises can strengthen the muscles that support the bladder and reduce mild incontinence.
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When should I see a GP about vaginal dryness?
If dryness, discomfort or urinary symptoms are affecting your daily life, relationships or wellbeing, it is worth booking a consultation.
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Where can I get menopause support in Hampshire & Dorset?
Dr Helen Medical offers private menopause consultations in Ringwood for Hampshire and Dorset patients, with an experienced women’s health team providing personalised, evidence based care.
Book your appointment online now or call 01202 022956.