Which specialist treats genitourinary syndrome of menopause?

Genitourinary syndrome of menopause can affect the vulva, vagina, bladder and sexual comfort. A clinician will ask about dryness, itching, urinary changes, low desire and pain during sex. They may offer an examination or tests when infection, skin conditions or another cause needs checking.

Treatment is matched to your symptoms and medical history. It may include moisturising care, lubricants, pelvic health support or local vaginal oestrogen. Explore [Vaginal Oestrogen Therapy](/treatments/menopause-and-hormone-therapy/vaginal-oestrogen-therapy/) and the condition overview for [Genitourinary Syndrome of Menopause](/conditions/genitourinary-syndrome-of-menopause/).

Book with a gynaecologist, menopause clinic or primary-care clinician who can coordinate referral. Write down when symptoms began, whether they are linked with sex or urination, products that irritate the area and any medicines or hormone treatment you use. Tell the clinician if you have had bleeding after sex or after menopause.

You can request an explanation of each examination and discuss privacy, comfort and treatment alternatives. Symptoms can be treated even when they are affecting intimacy, sleep or exercise.

Seek review for new vaginal bleeding after menopause, repeated bleeding after sex, blood in urine, persistent pain, unusual discharge, sores or symptoms that do not settle. Urgent assessment is needed for severe pelvic pain, fever, faintness or heavy bleeding; these signs should not be assumed to be caused by menopause.

Ask whether your symptoms fit genitourinary syndrome of menopause, whether an examination or infection test is needed, and which treatment is suitable with your health history. Ask how to use local treatment and when improvement should be reviewed.