Menopause Symptoms No One Talks About: What You Need to Know

December 18, 2025

When most people think about menopause symptoms, the usual suspects come to mind: hot flushes, night sweats, and mood swings. But there’s a whole category of symptoms that rarely get discussed—yet they affect more than half of women.

By Dr Louise Horrocks


These include vaginal dryness, pain during sex, bladder irritation, and recurrent urinary tract infections (UTIs). Collectively, these issues are known as Genitourinary Syndrome of Menopause (GSM), and they can significantly impact quality of life. 

 

What Is Genitourinary Syndrome of Menopause (GSM)?


As oestrogen levels decline during menopause, the tissues in the vagina and urinary tract undergo changes. This can lead to:

 

  • Vaginal dryness and soreness 
  • Painful sex and reduced libido 
  • Urgent or frequent urination 
  • Recurring urinary tract infections 
  • Urinary leakage


These symptoms often develop gradually, so many women assume they’re simply “part of getting older.” But here’s the truth: you don’t have to live with them. 

 

Why Women Stay Silent 

Embarrassment is the number one reason women don’t seek help. Talking about intimate symptoms can feel awkward—especially if your GP is someone you’ve known for years. Others worry they’ll be dismissed or don’t realise these issues are hormone-related, especially when symptoms appear years after menopause. 

 

Effective Treatments for GSM 

I want to reassure you; I talk to women about these symptoms every day, you’re not alone and you don’t have to suffer in silence. There are proven routine treatments that can make a real difference, often within weeks:


  • Vaginal moisturisers for daily comfort 
  • Low-dose vaginal oestrogen for restoring tissue health 
  • Pelvic floor support for bladder control 
  • Non-oestrogen options for women who can’t take hormones

 

Some newer treatments may not be available through the NHS but can be prescribed privately. 

 

Ready to Take the Next Step? 


You don’t have to live with discomfort, avoid intimacy or manage bladder symptoms alone. At The Women’s Hormone Clinic, we offer:

 

✅ Remote consultations across the UK 
✅ Minimal wait times 
✅ A relaxed, supportive approach

 

Book your consultation with me today 
Or

Contact The Clinic for more information 

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