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Menopause

Vaginal and urinary changes at menopause

As oestrogen falls around menopause, the tissues of the vagina and urinary tract can change. This can lead to dryness, discomfort during sex, or urinary symptoms, sometimes called genitourinary syndrome of menopause.

These changes are common and understandable, and importantly, they're very manageable. This page explains them sensitively and outlines the broad approaches to help.

Key points

  • Falling oestrogen can affect vaginal and urinary tissues.
  • This can cause dryness, discomfort or urinary symptoms.
  • These changes are common and very manageable.
  • They're not something you have to simply put up with.
Last reviewed 26 June 2026

What changes can happen

Lower oestrogen can make vaginal tissues thinner and drier, and can affect the urinary tract.

  • Vaginal dryness or irritation
  • Discomfort during sex
  • More frequent or urgent urination
  • Recurrent urinary discomfort for some

How they're managed

A range of options exists and can make a real difference, chosen with a clinician to suit you. These are framed as options, and this page doesn't recommend a specific product.

  • Vaginal moisturisers and lubricants
  • Local (vaginal) oestrogen options for suitable candidates
  • Broader menopause management where relevant

When to see a specialist

If vaginal or urinary changes are affecting your comfort, confidence or relationships, it's worth seeking help. These symptoms respond well to treatment, and support is available.

Frequently asked questions

Sources & further reading

This page is structured around information from reputable Australian health bodies:

Related articles

More plain-language reading from Dr Sivadas.

Bothered by vaginal or urinary changes?

Appointments are managed on the practice site.

Consulting locations

Parramatta

Monash IVF

Level 2, 1 Fennell Street
Parramatta NSW 2151

Bella Vista

Norwest Private Hospital

Suite 106, 11 Norbrik Drive
Bella Vista NSW 2153

Penrith

Somerset Specialist Centre

Level 3/38 Somerset St
Penrith NSW 2747