07/08/2025
Have you heard of Genitourinary Syndrome of Menopause (GSM)/aka vaginal atrophy?
Shockingly (according to a Stuff article) "Independent research into GSM revealed that 70% of women aged 50+ had never heard of the condition - despite up to 84% experiencing symptoms. More than 40% had never discussed their symptoms with anyone, including their doctor or partner. Over 60% had never sought treatment." What?? :-(
I (Maree) remember not that long ago talking to my GP about vaginal estrogen. I was quite shocked then too when she told me that most women wait until years after symptoms start when things have become really bad. By bad, we're talking about sore, dry, painful sitting/walking/urinating, painful in*******se, reduced lubrication, increased frequency of urination and increased risk of UTIs.
And of course a common side effect of all of this especially in heteros*xual relationships is that the woman feels confused and ashamed about the changes, hasn't sought help but just knows everything feels really uncomfortable and sore. And then stops everything s*xual and sometimes everything physical with their partner ('cos they don't want it to lead to in*******se). If s*x hasn't been great in the past anyway, this might be the final straw.
If the couple hasn't learned to talk openly about s*x before, then the topic feels way too hard to bring up. And if the partner also doesn't know about GSM then they might not even be aware that their partner's ge***al health has changed, and is just feeling rejected and confused about why their loved one suddenly (and without discussion) declared they don't want s*x anymore and are feeling hurt that something so joyful has been taken away from them. This isn't fun for either partner!
The great news is that there are options for keeping things healthy and comfortable (a great goal for yourself regardless of whether you want to have in*******se or not). And treatments that you can start even if you've been experiencing pain for years. Lets look at them.
-- There is easily accessible vaginal estrogen. This is a Pharmac-funded cream prescribed by your GP.
-- There's a self-directed programme called The Vaginal Renewal Program which combines massage, vibration, lubrication and moisturising. Link for a downloadable pdf is in the comments.
-- There's a new NZ non-hormonal product combo called Myregyna - tablets and cream available from the pharmacy - not Pharmac funded though.
-- And if someone was wanting to explore even more innovative options and get specialised medical advice, we now also have the V Clinic in Ferrymead. They offer very thorough assessments (with longer appointment times than you get at your GP) and specialised advice with a clear treatment plan.
Have I missed anything that someone has used with success?
Send a message to learn more