Specialist Care for Vaginal & Urinary Symptoms of Menopause in Central London
Vaginal atrophy and dryness are common but under-treated consequences of oestrogen deficiency during and after menopause.
At LSDC Healthcare, we provide consultant-led assessment and treatment of genitourinary syndrome of menopause (GSM), addressing vaginal, urinary, and sexual symptoms with evidence-based therapies.
Care is delivered in a private, discreet setting in the City of London, with sensitive examination, clear counselling, and tailored treatment plans.
What Is Vaginal Atrophy and GSM?
Genitourinary syndrome of menopause refers to progressive thinning, dryness, and inflammation of the vaginal and lower urinary tract tissues due to declining oestrogen levels.
Symptoms may include:
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Vaginal dryness, burning, or irritation
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Pain during intercourse (dyspareunia)
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Recurrent urinary tract infections
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Urinary urgency or frequency
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Reduced sexual comfort and confidence
Unlike hot flushes, GSM does not improve without treatment and often worsens over time.
Who Is This Treatment For?
This service is suitable for women who:
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Experience vaginal dryness or discomfort
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Have pain during intercourse
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Develop urinary symptoms after menopause
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Have persistent symptoms despite lubricants or moisturisers
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Cannot tolerate or do not wish to use systemic HRT
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Want discreet, consultant-led management
Clinical Benefits and Indications
Clinical benefits include:
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Restoration of vaginal tissue health
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Improved comfort and sexual function
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Reduction in urinary symptoms and infections
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Improved quality of life
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Long-term symptom control with local therapy
Common indications include:
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Postmenopausal vaginal dryness
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Dyspareunia
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Recurrent UTIs linked to oestrogen deficiency
How LSDC Delivers This Differently
GSM management at LSDC Healthcare is distinguished by:
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Consultant-led diagnosis, not symptom-only treatment
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Clear differentiation between local and systemic therapies
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Individualised treatment selection
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Consideration of cancer history and contraindications
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Access to advanced non-systemic options where appropriate
This is medical vulvovaginal care, to the Utmost Standard of Care.
Diagnostics and Investigations Involved
Assessment may include:
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Detailed symptom and sexual history
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Vulvovaginal examination
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Urinary symptom assessment
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Exclusion of infection or dermatological conditions
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Review of breast and gynaecological history
Investigations are performed only when clinically indicated.
Treatment Options Available
Treatment is tailored and may include:
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Topical vaginal oestrogen (creams, pessaries, rings)
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Non-hormonal vaginal moisturisers and lubricants
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Advanced therapies for selected patients
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Adjunct pelvic floor or sexual health support
All options are discussed with clear explanation of safety and efficacy.
Follow-Up and Ongoing Care
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Symptom response reviewed after treatment initiation
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Adjustment of therapy as required
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Long-term maintenance planning
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Coordination with oncology or breast services if relevant
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Ongoing support and review
Insurance and Self-Pay
Vaginal atrophy treatments are typically self-pay, particularly when local therapy is used.
Some consultations may be claimable when medically indicated.
Transparent pricing is provided in advance.
LSDC Healthcare
A couple of minutes outside Liverpool St Station, this excellent facility is conveniently located for Medical consultations in London.
This facility is open during the evenings making it an excellent choice for busy professionals.
Book A GSM Consultation
If vaginal or urinary symptoms are affecting your comfort or intimacy, our consultants provide expert, discreet GSM treatment in Central London.
FAQ — Vaginal Atrophy & Dryness Treatment
Is vaginal dryness a normal part of ageing?
It is common during menopause, but it is not something you have to live with. Effective treatment is available.
Is topical oestrogen safe?
For most women, local vaginal oestrogen is safe and carries minimal systemic absorption.
Can I use treatment if I can’t take HRT?
Yes. Many women who cannot use systemic HRT can safely use local treatments.
Will lubricants alone be enough?
Lubricants may help temporarily but do not treat the underlying tissue changes.
Does treatment improve urinary symptoms?
Yes. Restoring vaginal tissue health often improves urinary urgency and infection risk.
Is this covered by private insurance?
Treatment is usually self-funded, though some consultations may be claimable.