The decrease of estrogen results in atrophy of external genitalia, loss of vulval subcutaneous fat, thinning of vagina wall & change in the pH of the vagina which leads to frequent infections. The local use of acidic cleansers is effective in controlling infections.
Menopausal Flushing is also very troublesome for women around this time. It involves a quick feeling of heat and sometimes a flushed face and sweating. These hot flashes can occur at any time of the day. Sometimes it makes it difficult to go to sleep. Hormone Replacement Therapy may be given in severe cases.
Hirsuitism, or increase in facial hair, is another common problem encountered in menopause. This can be effectively treated by Lasers.