Why it happens
As estrogen declines in perimenopause and menopause, or temporarily after childbirth and during breastfeeding, vaginal tissue becomes thinner, drier and less elastic. Doctors call this genitourinary syndrome of menopause (GSM), formerly vaginal atrophy. It can cause dryness, burning, pain with intimacy, more frequent UTIs and urinary urgency or leaking.
Your options
Moisturizers and lubricants help with mild symptoms. Low-dose vaginal estrogen is a well-studied option for many women. Systemic hormone therapy can help when other menopause symptoms are present. In-office CO2 laser treatment such as MonaLisa Touch stimulates the tissue to rebuild collagen and moisture, and is often chosen by women who prefer to avoid or can't use hormones.
The right choice depends on your symptoms, health history and preferences. Many women combine approaches.
A private, judgment-free visit
Your consultation is one-on-one with a women's health clinician. We'll talk through your symptoms, examine only if needed and with your consent, and explain every option before you decide.
In-depth articles in this guide
Vaginal Dryness and Atrophy After Menopause: Your Treatment Options
Dryness, pain with intimacy and urinary changes after menopause are common and treatable. Here's an honest look at your options.
MonaLisa Touch vs. Vaginal Estrogen: Which Is Right for You?
Both treat vaginal dryness and painful intimacy after menopause, but they work very differently. Here's a side-by-side comparison.
Frequently asked questions
Is MonaLisa Touch painful?
Most women describe mild warmth or vibration. Treatment takes a few minutes, and most return to normal activities the same day.
How many treatments are needed?
A typical initial series is three treatments about six weeks apart, followed by yearly maintenance. Your clinician will confirm what fits your situation.
Can I treat this if I've had breast cancer?
Many breast cancer survivors explore non-hormonal options. Talk with your oncologist and our team; we'll coordinate with your care.
Schedule a private consultation
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