As estrogen levels drop during menopause, the vaginal and urinary tissues become thinner, drier, and less elastic. This is known as genitourinary syndrome of menopause (GSM) and can cause burning, itching, dryness, frequent urination, or pain during sex.

Local estrogen therapy as the first-line treatment for GSM. It’s highly effective and considered safe, even with long-term use. Moisturizing gels or lubricants can also provide relief for mild discomfort.

Vaginal dryness affects more than the body — it can influence confidence and intimacy. Many avoid sex because of pain, but with treatment, comfort and connection often return.

Alma’s tips:

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  • Local estrogen is safe and effective — don’t hesitate to use it.
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  • Unscented lubricants reduce friction and irritation.
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  • Talk to your healthcare provider — pain is not something to endure.