Management of postmenopausal vaginal symptoms in women

Although menopause is a normal, physiological process in the lives of women, many report uncomfortable urogenital symptoms as they transition through this stage. Such symptoms include urinary frequency, increased urinary tract infections, vaginal dryness and irritation, and painful intercourse, among others. While each of these symptoms presents unique challenges for clinicians, this article specifically focuses on the management of vaginal symptoms. A thorough medical history, physical examination, and laboratory testing assist in confirming a diagnosis and selecting a treatment plan. A careful and detailed discussion with women to elicit their knowledge and concerns about the use and risks of hormone therapy prior to initiation can avoid misunderstanding, improve adherence, and enhance quality of life.