Symptoms of Menopause
Hot flushes
Cold flushes
Night sweats
Dry eyes
Itchy/ crawling skin
Dry mouth
Burning mouth
Dizziness
Nausea
Tinnitus
Sore gums
Heart palpitations
Lack of energy
Fatigue
Breathing difficulties
Feeling faint
Headaches and migraines
Muscle and joint pains
Hair thinning or loss
Weight gain
Lack of concentration
Digestive issues
Bloating
Insomnia
Sore breasts
Bladder incontinence/ urgency
Anxiety
Increased allergies
Loss of libido
Poor memory
Vaginal dryness
Vertigo
Low moods
Histamine intolerance
Dry skin
Depression
Vaginal Atrophy/ Genitourinary Syndrome
This is where the tissue lining your vagina begins to thin and become dry. Your bladder and urethra also become thinner and weaker.
In a healthy vagina, the lining and connective tissues are thick and moist
Here, you can see the significant changes when the vagina is depleted of estrogen. The lining and connective tissues are much thinner and drier
Vaginal Atrophy Symptoms
Vaginal dryness
Recurrent urinary tract infections
Vaginal burning
Frequent urination
Burning when urinating
Vaginal discharge
Genital itching
Bladder urgency/ leakage
Vaginal Oestrogen
Vaginal atrophy affects about 80% of women of menopausal age. Vaginal oestrogen is a part of hormone replacement therapy that is used to treat the associated symptoms we mentioned above.
This replacement oestrogen is a localised oestrogen and comes in various forms such as a cream, pessary, tablet, gel, or vaginal ring which is inserted into the vagina.
Loss of libido ....
How do I get it back?
Loss of libido, or our sex drive, can be very common in perimenopause and menopause due to the physiological changes that are happening in our bodies. This is largely mediated by the hormone oestrogen. Decreasing oestrogen production affects the integrity of the reproductive tract tissues. Decreased vaginal lubrication and vaginal atrophy can make sexual intercourse more painful. Decreased blood flow to these organs also decreases vasocongestion which can make it very difficult to get a male or female erection.
As we age, our testosterone levels also decline. Testosterone is commonly thought of as a male hormone, but in fact, our ovaries produce 3-4 times more testosterone than we do oestrogen. So it is a very important hormone.
Testosterone is responsible for many things and these include:
- Muscle strength
- memory
- clarity
- libido
- low moods
- brain fog
- lack of concentration
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