A menopause topic that is not discussed very often is about the urinary and genital changes that occur during menopause, called urogenital symptoms. In this article we are going to talk about sex during menopause.

You may be thinking, but WHEN do you have sex? Do you make time for this specifically or do it at a certain time each week? The years are going by and we haven't had any kind of romantic life (that lasts for more than a furtive 30 seconds) for ages. Oh, and it hurts!

Research has shown 70% of women with the condition called vaginal atrophy that causes painful sex have not sought help about their condition from a doctor. (1) This is a large number of women not getting the help or treatment needed. We believe women shouldn’t feel embarrassed or uncomfortable talking about these symptoms, and so we have written this article to shed light on the common symptoms associated with vaginas and menopause. The urinary symptoms are covered in our article called urinary symptoms and menopause

So what are the main genital symptoms of menopause?

What is genitourinary syndrome?

The genital symptoms of menopause are known collectively as genitourinary syndrome of menopause (GSM). It was previously called vaginal atrophy or vulvovaginal atrophy and encompasses symptoms such as (1): 

Treatment of GSM

Treatment of urogenital symptoms depends on the specific symptom or collection of symptoms you are experiencing. GSM can be treated by either a hormonal or non hormonal approach. The first approach is non hormonal treatment and could involve using moisturisers, lubricants or making changes to your lifestyle. The second approach is the use of localised hormone treatments, which carries no risk of breast cancer. (3)