Kenton Bruice, M.D.

Women's Health

Vaginal Atrophy & Genitourinary Syndrome of Menopause — Denver

Genitourinary Syndrome of Menopause (GSM) — formerly called vaginal atrophy — causes vaginal dryness, painful intercourse, urinary urgency, and recurrent UTIs. It's highly treatable yet rarely discussed.

Book Appointment →

Common Signs & Symptoms

  • !Vaginal dryness and irritation
  • !Painful intercourse (dyspareunia)
  • !Urinary urgency and frequency
  • !Recurrent urinary tract infections
  • !Vaginal discharge changes

What Causes This?

  • •Estrogen decline at menopause causing thinning and dryness of vaginal tissue
  • •Reduced vaginal lubrication from estrogen loss
  • •Urinary epithelial changes from estrogen withdrawal

Treatment Approaches

Local Vaginal Estrogen

Low-dose vaginal estradiol cream, ring, or suppository — minimal systemic absorption, highly effective.

Systemic HRT

For women on systemic HRT — vaginal estrogen may still be needed for local effects.

Ospemifene

Oral SERM for GSM — an option for women who prefer non-hormonal vaginal treatment.

Frequently Asked Questions

Does vaginal estrogen cause breast cancer?▾

Local vaginal estrogen at recommended doses has negligible systemic absorption and is not associated with increased breast cancer risk.

Related Topics

Think This Could Be Your Issue?

A proper diagnosis is the first step. Schedule your consultation today.

Book Appointment