Vaginal Dryness in Women 60+ years

Vaginal dryness is part of genitourinary syndrome of menopause (Genitourinary Syndrome of Menopause). Estrogen deficiency causes vaginal tissue to become thin, dry, and lose elasticity. Unlike hot flashes that ease over time, genitourinary syndrome of menopause tends to worsen without active treatment. At 60+, most vasomotor symptoms ease although some women still experience them. Long-term risks are the priority: osteoporosis, breast cancer, heart, dementia. genitourinary syndrome of menopause needs active treatment as it tends to worsen. Starting systemic hormone therapy after 60 is usually more cautious; local vaginal estrogen may still be discussed with a clinician. Vaginal dryness at 60+ is can happen if untreated - can cause daily discomfort, pain during gynaecological exams, and recurrent UTIs. Local vaginal estrogen may be appropriate for some women after clinician review.