Menopause brings many changes, but one often overlooked is Genitourinary Syndrome of Menopause (GSM). Affecting over half of postmenopausal women, GSM can cause vaginal dryness, urinary symptoms, and painful intercourse, yet many suffer in silence. Unlike hot flashes, GSM is a chronic condition that typically worsens without treatment. The good news: GSM is highly treatable, with options ranging from low-dose vaginal estrogen and DHEA suppositories to oral medications, lubricants, and pelvic floor therapy. Early recognition and treatment can restore comfort, intimacy, and quality of life—so don’t ignore symptoms you think are “just part of menopause.”

Just like the skin on your face, vaginal tissues change with age and shifting hormones. Dryness, irritation, and pain with sex are common—but they are not something you have to live with. By thinking of vaginal care like skincare—protect, hydrate, and restore—you can dramatically improve comfort, tissue health, and intimacy at any stage of life.

In this video, Dr. Ihnatsenka breaks down the vaginal and sexual changes women experience during perimenopause and menopause—and explores the full range of treatment options, including testosterone therapy.