Vaginal dryness or discomfort can be difficult to mention at an appointment, but it is a legitimate health concern. Changes around menopause can affect the vaginal and urinary tissues. Pain with sex, irritation or urinary symptoms may have several causes, so a private conversation and appropriate assessment matter.
What helps the discussion?
Say when the discomfort began and whether it is constant or occurs during sex or when passing urine. Mention itching, unusual discharge, bleeding, recurrent urinary symptoms and any products or medicines you use. This lets the clinician consider infection, skin conditions and other causes, rather than assume that every symptom is menopause-related.
NICE advises discussing genitourinary menopause symptoms and the range of treatments available. Some options are non-hormonal; others may involve local hormonal treatment prescribed after an individual assessment. The choice should take account of your medical history and preferences. Avoid treating repeated symptoms with over-the-counter products without understanding the cause.
A warning sign to act on
Bleeding after menopause needs medical assessment, even if dryness seems to explain it. Seek prompt help for severe pain, fever or significant bleeding. Otherwise, book a visit with Dr. Rina and say at the start if you would prefer extra privacy or a female clinician. Specialist gynaecology referral can be arranged if needed.