I recently went home to visit my parents in Milan and found myself joining a Sunday morning exercise class with some old friends.
It was very enjoyable despite the heat and during a break a friend asked a few questions on vaginal dryness which was tormenting her. We started chatting about vaginal problems in menopause and I was giving her my best advice on what to do.
As we were chatting I realised that many of the other women (we were all of that age) were trying to listen and the chat become a lively group discussion. They were all keen on getting information and they all admitted to be plagued by the same problem.
I was quite surprised as I thought that Italian women would be normally be more open in relation to sexual issues. I turned out that when it comes to vaginal dryness and menopause even in Italy women are not happy to discuss it openly (apart from that protected environment) as it is embarrassing to admit that you have reached that stage.
So my message to all menopausal women is:
* You are not alone. We all have the same problem and we should not be afraid to discuss it and get advice
* Vaginal dryness is caused by the lack of oestrogen in menopause and it causes discomfort and painful sex
* This problem is treatable and there are new very effective remedies like vaginal laser that can greatly improve your quality of life
* Talk to your gynaecologist for advice and when you get better share your knowledge with your friends so we can eliminate this taboo

Treating vaginal symptoms can involve 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.

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