Symptoms of Menopause

Hot flushes

Cold flushes

Night sweats

Dry eyes

Itchy/ crawling skin

Dry mouth

Burning mouth




Sore gums

Heart palpitations

Lack of energy


Breathing difficulties

Feeling faint

Headaches and migraines

Muscle and joint pains

Hair thinning or loss

Weight gain

Lack of concentration

Digestive issues



Sore breasts

Bladder incontinence/ urgency


Increased allergies

Loss of libido

Poor memory

Vaginal dryness


Low moods

Histamine intolerance

Dry skin


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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