Presentation

Genital

• Vaginal Driness → Dyspareunia

Urinary

• LUTS - Lower Urinary Tract Symptoms
• UTI
• Stress Incontinence

Sexual

• Sexual dysfunction (Low libido/Arousal)

DDx

• R/O Endometrial Cancer
• Lichen Sclerosis
• Can make diagnosis based on clinical Hx

Management

Caused by vaginal dress

• Vaginal moisturizer and lubricants
• 1st Line = Estradiol Vaginal Cream 0.01%
• Second Line = Ospemifene