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Genitourinary Syndrome of Menopause

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Recurrent Urinary Tract Infections (UTIs)

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Increased frequency of UTIs due to changes in the urinary tract. Preventative measures include cranberry supplements and vaginal estrogen therapy.

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Genital Prolapse

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Descent of pelvic organs causing a bulge in the vagina, due to weakening of the support structures. Treatment can involve pelvic floor physiotherapy, pessary devices, or surgery.

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Decreased Libido

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Reduction in sexual desire, often associated with hormonal changes. Options for management include hormone therapy as well as counseling and sex therapy.

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Vaginal Dryness

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Atrophy of vaginal tissues due to decreased estrogen leading to dryness. Treatment includes vaginal moisturizers, lubricants, and possibly hormone replacement therapy.

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Dysuria

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Pain or burning during urination, often caused by atrophic urethritis. Treatment may involve topical estrogens and managing urinary pH.

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Vaginal Atrophy

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Thinning and inflammation of the vaginal walls due to decreased estrogen. Treatments include vaginal moisturizers, local estrogen therapy, and possibly selective estrogen receptor modulators (SERMs).

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Urinary Urgency

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Frequent and sudden urge to urinate. Pelvic floor exercises and bladder training can help, along with topical or systemic estrogen therapy.

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