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Menopause

Vaginal symptoms in the menopause: cause, impact and treatment combination options

A combination of vaginal, vulval and / or urinary symptoms comes under the umbrella term – GSM (genitourinary syndrome of the menopause) but is historically termed vaginal atrophy (VA), and more...

Vaginal atrophy: what is it and how can it be treated?

The main symptoms of vaginal atrophy are vaginal dryness and irritation (Palacios et al, 2020; BMS, 2021). Table 2 shows the whole range of symptoms that can occur..

Female sexual dysfunction: what the practice nurse needs to know

Female sexual dysfunction (FSD) can affect women of any age and the causes are varied and complex. Perhaps the most widely adopted diagnostic criteria for female sexual dysfunction are contained in...

Hormone replacement therapy: update and practical prescribing

Symptoms are experienced by around 70-80% of women during the perimenopause and menopause (O'Neill and Eden, 2012). The symptoms are varied and include vasomotor symptoms, such as flushing and night...

Management of bleeding in women on HRT

Post-menopausal bleeding is defined as unscheduled vaginal bleeding that occurs a year after the last natural menstrual period (SIGN, 2002), or any breakthrough bleeding on cyclical HRT, or...

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