{"id":47223,"date":"2025-11-23T12:50:43","date_gmt":"2025-11-23T11:50:43","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?page_id=47223"},"modified":"2026-07-02T16:53:53","modified_gmt":"2026-07-02T14:53:53","slug":"uro-genital-syndrome-menopause","status":"publish","type":"page","link":"https:\/\/drromanovaleria.ch\/en\/besoins\/intimite\/syndrome-uro-genital-menopause\/","title":{"rendered":"Urogenital syndrome of menopause"},"content":{"rendered":"

WHAT IS THE GENITOURINARY SYNDROME OF MENOPAUSE ?
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Genitourinary syndrome at menopause<\/h2>\n

Le syndrome uro-g\u00e9nital de la m\u00e9nopause d\u00e9signe l\u2019ensemble des manifestations li\u00e9es \u00e0 la carence hormonale, notamment en \u0153strog\u00e8nes, qui affectent la sph\u00e8re intime et urinaire des femmes \u00e0 partir de la m\u00e9nopause. Il se traduit par des modifications progressives de la muqueuse vaginale, de la vulve, de l\u2019ur\u00e8tre et parfois de la vessie, entra\u00eenant des g\u00eanes fonctionnelles, des douleurs, une perte de confort sexuel ainsi qu\u2019une alt\u00e9ration de la qualit\u00e9 de vie. Le syndrome uro-g\u00e9nital reste encore largement sous-diagnostiqu\u00e9 alors qu\u2019il concerne plus de la moiti\u00e9 des femmes m\u00e9nopaus\u00e9es, et tend \u00e0 s\u2019aggraver naturellement en l’absence de prise en charge. Il ne rel\u00e8ve pas uniquement d\u2019un inconfort intime mais constitue une v\u00e9ritable condition clinique pouvant b\u00e9n\u00e9ficier d\u2019un traitement adapt\u00e9. Les solutions th\u00e9rapeutiques actuelles permettent de restaurer l\u2019int\u00e9grit\u00e9 des tissus, d’am\u00e9liorer les sympt\u00f4mes et de retrouver un confort durable.<\/p>\n

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Understanding the uro-genital syndrome of menopause : a progressive physiological phenomenon<\/h2>\n

\u00c0 la m\u00e9nopause, la s\u00e9cr\u00e9tion ovarienne d\u2019\u0153strog\u00e8nes diminue de mani\u00e8re significative et durable. Cette carence hormonale induit des modifications structurales et fonctionnelles des tissus vaginaux, vulvaires et urinaires. Les muqueuses s\u2019affinent, deviennent moins souples et moins vascularis\u00e9es. Elles perdent leur capacit\u00e9 naturelle \u00e0 s\u2019hydrater et \u00e0 se d\u00e9fendre contre les agressions ext\u00e9rieures, entra\u00eenant irritations, s\u00e9cheresse et inconfort. Le tissu conjonctif se rar\u00e9fie, les fibroblastes produisent moins de collag\u00e8ne et d\u2019\u00e9lastine, ce qui aggrave la fragilit\u00e9 des tissus. La flore vaginale se modifie, perdant en partie les lactobacilles protecteurs, entra\u00eenant une augmentation du pH et une plus grande sensibilit\u00e9 aux infections. Ces changements ne sont pas ponctuels mais progressifs, ce qui explique l\u2019apparition lente des sympt\u00f4mes, parfois plusieurs ann\u00e9es apr\u00e8s l’installation de la m\u00e9nopause.<\/p>\n

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What are the symptoms of the uro-genital syndrome of menopause ?\u00a0\u00a0<\/h2>\n

The manifestations vary from one woman to another but follow a comparable progression. Vaginal dryness<\/a> is often the first sign, causing discomfort, burning sensations, discomfort or pain during intercourse, sometimes interpreted as dyspareunia. Some women describe a feeling of tightness or increased fragility in the vulvar area. Others notice chronic irritation, itching or a burning sensation. The mucosa becomes more vulnerable to microtraumas and local infections. On the urinary side, the uro-genital syndrome may manifest as frequent urges to urinate, sometimes accompanied by burning sensations, as well as an increased tendency to recurrent cystitis. Involuntary urine leakage may appear due to relaxation of the supporting tissues, particularly during exertion, coughing or laughing (stress urinary incontinence<\/a>). Added to this is the atrophy of the labia majora<\/a> : losing their volume, they protect the vulva and labia minora less effectively, leading to chronic irritation, increased sensitivity and recurrent yeast infections. The loss of vaginal tone (vaginal laxity<\/a>) may also cause a sensation of vaginal looseness, decreased sensations and reduced sexual satisfaction.
These symptoms, often considered \u201cnormal\u201d or \u201cinevitable\u201d, can however be effectively alleviated with modern therapeutic approaches.<\/p>\n

Consequences on quality of life and psychological well-being\u00a0<\/h2>\n

Beyond physical discomfort, the syndrome affects quality of life, confidence and psychological balance. Painful intercourse can affect couples' intimacy, reduce desire or lead to avoidance. Anatomical changes may cause embarrassment or shame. Leakage or recurrent infection can create lost control and affect social life. Consultation restores dialogue, explains objectively and offers adapted solutions. Early care generally restores satisfactory quality of life.<\/p>\n

How is the uro-genital syndrome of menopause diagnosed ?<\/h2>\n

Le diagnostic repose sur un \u00e9change d\u00e9taill\u00e9, une analyse attentive des sympt\u00f4mes et un examen clinique de la zone vulvo-vaginale. L\u2019examen \u00e9value la qualit\u00e9 de la muqueuse, son hydratation, sa souplesse, la pr\u00e9sence de l\u00e9sions, de rougeurs ou d\u2019irritations. L\u2019\u00e9valuation des sympt\u00f4mes urinaires peut n\u00e9cessiter une analyse d\u2019urine ou, dans certains cas, un bilan urodynamique. L’objectif du diagnostic est de d\u00e9terminer le degr\u00e9 d’atrophie des tissus, d’identifier d’\u00e9ventuelles complications (infection, irritation persistante, fissures) et de choisir le traitement le plus appropri\u00e9. Cette \u00e9valuation est personnalis\u00e9e, car chaque patiente pr\u00e9sente une combinaison de sympt\u00f4mes sp\u00e9cifique. Ce diagnostic est fait en consultation sp\u00e9cialis\u00e9 avec un gyn\u00e9cologue.<\/p>\n

Non-invasive therapeutic solutions\u00a0<\/h2>\n

Non-invasive options are often first-line. Local moisturisers and lubricants temporarily relieve dryness and irritation, improving comfort without addressing hormonal causes.<\/p>\n

Aesthetic-oriented regenerative treatments \u00a0\u00a0<\/h2>\n

PRP, hyaluronic acid or vaginal laser biostimulation offers preventive and restorative tissue care, improving structure, function and quality for comfort, anatomical balance and lasting quality of life.<\/p>\n

PRP<\/a> (Platelet-Rich Plasma) uses own-blood growth factors injected into vaginal or vulvar mucosa to stimulate collagen, blood supply and regeneration. Biocompatible without reaction risk, it accompanies other techniques for optimal results. Biostimulation effectively treats atrophic mucosa, visibly improving comfort, hydration and tissue quality.<\/p>\n

Hyaluronic acid<\/a> deeply hydrates mucosa, improves quality and protective function and reduces dryness. Labia majora injections correct atrophy, restore volume and mechanical protection, limiting irritation, sensitivity and recurrent infection. Sometimes G-spot injection improves sensitivity and sexual comfort. Structural, hydrating and protective support preserves vulvovaginal anatomy and function.<\/p>\n

Vaginal laser<\/a> is a major non-hormonal advance. Controlled heat promotes collagen, firmness and mucosal elasticity, toning and strengthening vaginal tissues. Improved vascularity and natural lubrication address dryness and daily comfort. Effects on periurethral support may help certain stress incontinence cases through pelvic floor strengthening.<\/p>\n

Prices<\/h2>\n

The prices of intimate treatments vary according to the nature of the management, the product used and the desired objective, whether it is functional improvement, tissue regeneration or anatomical correction.
Hyaluronic acid injections are offered at 600 CHF per syringe. The number of syringes required is determined during the initial consultation, depending on the indication, the degree of atrophy or dryness and the desired result. The effects are immediate and last on average one year.
The vaginal laser is billed at 600 CHF per session. The treatment protocol generally includes three sessions spaced about six weeks apart, followed by an annual maintenance session to preserve the results on tonicity, lubrication or stress urinary incontinence.
PRP, a regeneration technique using autologous growth factors, is offered at 500 CHF per session. The initial protocol usually includes two sessions one month apart, followed by an annual session to maintain the regenerative effect and results on tissue quality. Each treatment plan is established in a personalized manner after a medical consultation, making it possible to adapt therapeutic choices to the needs, clinical indication and intimate anatomy of each patient.<\/p>\n

What is the role of perineal rehabilitation and medical follow-up ?<\/h2>\n

Pelvic rehabilitation may complement care, particularly incontinence or laxity. It strengthens pelvic floor muscles, tone and stability. Follow-up monitors symptoms, adjusts treatment and ensures tolerance, particularly as the syndrome evolves. Approaches combine according to needs and goals.<\/p>\n

Prevention and early action: comprehensive care<\/h3>\n

Preventive monitoring is recommended even if onset is years after menopause. Hydration, regular gynaecological follow-up and attention to discomfort support intervention before deterioration. Specialist consultation confidentially provides reliable information and personalised options.<\/p>\n

Psychological support and dialogue<\/h3>\n

Discussing symptoms may feel delicate, but they are common and legitimate consultation topics. Doctors also provide psychological support through explanations of mechanisms, options and progression. Dialogue clarifies expectations, restores confidence and supports care respecting integrity and comfort.
Treatment now goes beyond relief to restore structure and function and preserve long-term intimate well-being.<\/p>\n

Medical references on genitourinary syndrome of menopause<\/h2>\n