October 9, 2026

Hidden Menopausal Symptoms: The Overlooked Urogenital Struggles Women Face

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When menopause is mentioned, most people think of hot flushes and night sweats. But for many women, another set of symptoms is just as distressing—vaginal dryness, itching, bladder urgency, and painful intercourse. These issues, caused by oestrogen deficiency, can significantly impact daily life, relationships, and overall well-being.

Despite their prevalence, urogenital symptoms of menopause often go unspoken. “Women are often too embarrassed to speak to their GP about vaginal or bladder problems,” says Norma Goldman, founder and director of The Menopause Exchange. “Yet these are common problems that can usually be easily treated. Some low-dose vaginal oestrogens are now available to buy from pharmacies without a prescription.”

In the Winter 2024-25 issue of The Menopause Exchange newsletter, senior menopause specialist Kathy Abernethy sheds light on these symptoms and explores various treatment options, including local oestrogens, non-hormonal alternatives, and lifestyle adjustments. She emphasizes the importance of seeking medical advice and not suffering in silence.

Established in 1999, The Menopause Exchange provides independent, expert-led guidance to women navigating midlife health challenges. Its quarterly newsletter, now reaching over 13,000 subscribers, offers evidence-based articles from UK medical professionals, including menopause consultants, GPs, pharmacists, and dietitians. The latest issue also features topics such as the different stages of menopause, frequently overlooked HRT questions, and foot care tips for midlife women.

Raising Awareness Through Education

Beyond the newsletter, The Menopause Exchange is working to improve menopause awareness through online webinars led by Goldman, who has been educating women on menopause for over 25 years. These webinars cater to various audiences, including women approaching menopause, those who have experienced early menopause or hysterectomy, and even men seeking to better support their partners or colleagues.

Workplaces, too, are recognising the importance of menopause education. Goldman’s sessions for HR teams, occupational health personnel, and managers aim to equip organisations with the knowledge needed to foster a menopause-friendly work environment.

Attendees of all webinars have the opportunity to ask questions and receive an informative factsheet.

For more details on the newsletter, webinars, or workplace training, visit www.menopause-exchange.co.uk, email norma@menopause-exchange.co.uk, or call 020 8420 7245. The Menopause Exchange is also active on Facebook and Twitter (@MenopauseExch).