There are some menopause classical consequences that women are not always aware of.

The main one would be changes in your vagina and bladder. The vaginal mucosa is a primary target organ for oestrogens. Once the oestrogens are not there anymore the mucosa will thin and change. This physiological change will manifest with discomfort in having sex and often symptoms that women label as recurrent thrush.

This is a symptom that will happen to all women at some stage, unlike hot flashes and night sweats that can vary from woman to woman. You need to decide if this is an important issue or not for you when you are looking at treatment options.

This symptom will usually manifest itself in your late 50’s if you are not on HRT but can start earlier in some cases.

There are effective treatments available which your doctor will be able to discuss with you.

The main thing for now is that you understand that this change WILL HAPPEN and if your sex life is important for you, you need to make a plan.

Treating vaginal symptoms can involve sistemic  HRT but it can also be done without it.

Options without systemic HRT are:

-localised (vaginal) oestrogen. Using local oestrogen does not affect you risk of breast cancer or any other systemic disease.

-using proper lubricants. Silicone based ones are a better options.

-laser treatment. A non invasive non surgical approach to improve the quality of your vaginal tissue.

for more info :

http://www.femalase.com/renovalase