Vaginal dryness or irritation
Dryness, burning, itching, or tissue sensitivity around the vulva or vagina.
Explore this symptomIntimate health
Comfort, confidence, and intimate health deserve real care.
Talk privately with a specialist about vaginal, sexual, bladder, or urinary changes. These concerns are common, but they are not something you have to quietly accept.
You may be noticing
Private symptoms still deserve clear answers.
Changes in estrogen can affect vaginal and urinary tissues, but dryness, pain, irritation, and bladder symptoms can also have other causes. Evaluation matters because similar symptoms do not always need the same care.
Painful sex
Pain at the vaginal opening, deeper discomfort, or pain that changes intimacy.
Explore this symptomChanges in desire
Lower interest, reduced arousal, or changes that feel distressing to you.
Explore this symptomUrinary changes
Urgency, frequency, leakage, burning, or urinary infections that keep returning.
Explore this symptomWhat a specialist considers
Intimate symptoms are connected, but not interchangeable.
A clinician starts by understanding the exact symptom, its timing, and what else is happening. Some concerns can begin with a virtual history; others need examination, urine testing, vaginal testing, pelvic-floor care, or another specialist.
Where and when it happens
Dryness, burning, pain, urinary symptoms, bleeding, discharge, and whether symptoms are constant or linked to intimacy.
Possible contributors
Menopause stage, medicines, infections, skin conditions, pelvic-floor concerns, prior treatment, and other health conditions.
Sexual wellbeing
Desire, comfort, arousal, relationship context, and what a satisfying outcome means to you.
When testing or examination matters
Persistent pain, bleeding, new discharge, severe urinary symptoms, or unclear findings may require in-person evaluation or laboratory testing.
Care may include
Care is matched to the symptom and its likely cause.
ACOG describes nonprescription and prescription options for genitourinary symptoms. A clinician can explain which options fit your situation and when additional evaluation is safer.
Moisturizers and lubricants
Nonhormonal vaginal moisturizers and lubricants may help dryness and friction. Product choice and consistent use matter.
Targeted prescription treatment
Low-dose vaginal estrogen or other local prescription options may be considered for appropriate patients with vaginal or urinary symptoms.
Symptom-specific planning
Pain, desire changes, urinary symptoms, and recurrent infections may need different combinations of education, medication, testing, or referral.
Coordinated follow-up
When symptoms point to an infection, pelvic-floor problem, skin condition, or another diagnosis, the next step may involve testing or an in-person specialist.
Your visit, step by step
A clear conversation. A plan you understand.
STEP 1
Tell us what changed
Share the symptoms, questions, and health priorities that brought you in.
STEP 2
Review the full picture
Your clinician considers history, medicines, prior care, and available records.
STEP 3
Understand the options
Discuss reasonable next steps, including benefits, risks, limits, and alternatives.
STEP 4
Leave with a plan
Your next step may include treatment, testing, follow-up, or coordinated in-person care.
Learn from our clinicians
Straightforward education for personal questions.
Our clinical library covers vaginal health, desire, and urinary concerns without treating them as embarrassing or insignificant.
From our clinical library
Dry As A Desert? Try These 6 Steps To Help With Vaginal Dryness
If it feels more like the Sahara desert than the Amazon rainforest between your legs, this article is for you. Most of us will experience vaginal dryness at some point in our lives.
Read article
From our clinical library
Top 5 Reasons To Use Vaginal Estrogen In Menopause
Bioidentical vaginal estradiol is a life changing medication for many perimenopausal / postmenopausal women. Learn how it can transform not just your vaginal and bladder health but also your sex life!
Read article
From our clinical library
Testosterone Therapy for Frustrating Low Sex Drive.
Topical testosterone therapy is a game changer for women with low sexual desire. New medical guidelines allow for safe and effective treatment.
Read article
From our clinical library
UTIs After Menopause: How to Prevent Them
Suddenly peeing razor blades is no fun! Menopause makes UTIs more common. Learn how to prevent them - it’s easy.
Read articleFurther reading
Want to read more?
Explore trusted resources from other leading medical organizations to learn more.
Start with a conversation
Get care built around what you are experiencing.
Meet virtually with a menopause specialist to review your concerns, health history, and reasonable next steps.
Book a virtual visitMost major commercial insurance plans accepted.