Pelvic & Vaginal Health
menopause
Pelvic & Vaginal Health
Menopause can also affect your vulva, vagina, bladder and urethra.
These changes are known as genitourinary syndrome of menopause, or GSM.
As oestrogen levels reduce, the tissues around the vulva, vagina and urinary system can become thinner, drier and more sensitive. There may also be less natural lubrication and elasticity, as well as changes to the natural bacteria and acidity within the vagina.
menopause
You may notice symptoms such as:
- Vulval or vaginal dryness
- Burning, itching or irritation
- Discomfort or pain during sex
- Changes in sexual desire
- A sudden or strong urge to pass urine
- Needing to pass urine more often
- Waking during the night to pass urine
- Bladder leakage
- Recurrent urinary tract infections (UTIs) or UTI-like symptoms
Changes in the pelvic floor muscles can also contribute to bladder or bowel symptoms, vaginal pressure or heaviness, pelvic organ prolapse and discomfort during sex.
These symptoms are common; however, a range of treatment and management options are available, including medical care, pelvic health physiotherapy and practical strategies you can use at home.