Understanding Common Gynecological Issues in Older Women
As women age, they may experience a range of changes—some expected, others more concerning. Common gynecological issues in older women can include everything from vaginal dryness and pelvic pain to urinary incontinence and abnormal bleeding. While some symptoms are a typical part of aging, others may point to underlying conditions that shouldn’t be ignored.
At Lona Sasser Obstetrics & Gynecology in Coral Springs, FL, we’re here to ensure you feel supported, informed, and empowered through every stage of life—including after menopause.
If you’re experiencing new or uncomfortable symptoms, schedule an appointment today or call 954-340-1050.
What Happens to the Reproductive System as You Age?
As estrogen levels decline during and after menopause, the body’s reproductive tissues respond. These hormonal shifts can affect everything from your menstrual cycle to your vaginal and urinary health.
Even women who had minimal gynecological issues in their younger years may start noticing new or persistent concerns as they age. Recognizing what’s normal—and what isn’t—can help you stay proactive about your health.
1. Vaginal Dryness and Discomfort
One of the most common complaints from older women is vaginal dryness, often accompanied by irritation, itching, or painful intercourse. This is primarily due to decreased estrogen, which causes thinning of the vaginal walls and reduced natural lubrication.
Treatment options may include:
- Water-based vaginal moisturizers or lubricants
- Low-dose vaginal estrogen therapy (available as creams, rings, or tablets)
- Prescription medications designed to support vaginal tissue health
These options can provide relief and restore comfort, particularly during intimacy.
2. Urinary Tract Changes and Incontinence
Aging also affects the urinary system, which shares close anatomical ties with the reproductive organs. Many older women experience:
- Increased frequency or urgency of urination
- Urinary tract infections (UTIs)
- Stress or urge incontinence (leaking urine during activity or with sudden urges)
Pelvic floor therapy, lifestyle adjustments, and medical treatment can significantly improve bladder control and reduce the risk of infections. If you’ve had children, your pelvic floor may be especially vulnerable to these changes.
3. Postmenopausal Bleeding
Bleeding after menopause is never considered normal and should always be evaluated by a healthcare provider. Causes range from benign conditions like polyps to more serious concerns such as endometrial hyperplasia or cancer.
If you notice spotting or bleeding after going a full year without a period, your gynecologist may recommend an ultrasound or biopsy to investigate further.
4. Pelvic Organ Prolapse
Over time, the muscles and tissues that support the uterus, bladder, and rectum can weaken—especially in women who have given birth. This can lead to pelvic organ prolapse, where one or more pelvic organs drop lower than usual or press against the vaginal wall.
Symptoms may include:
- A feeling of heaviness or pressure in the pelvis
- Difficulty with urination or bowel movements
- Discomfort during intercourse
Treatment varies from pelvic floor physical therapy to pessaries (support devices), and in more severe cases, surgery.
5. Changes in Sexual Health
Sexual desire and response can shift as you age. These changes are influenced not just by hormones, but by health conditions, medications, and emotional well-being. Women may experience:
- Lower libido
- Difficulty becoming aroused
- Discomfort during intimacy due to dryness or other physical changes
Open communication with your doctor is key. Solutions range from hormone therapy to counseling or sex therapy, depending on the cause.
6. Osteoporosis and Bone Health
While not a gynecological issue on the surface, osteoporosis is closely tied to estrogen loss and is a major health concern for postmenopausal women. A gynecologist may be the first to identify your risk during routine exams and help coordinate bone density testing or discuss calcium and vitamin D intake.
7. Gynecologic Cancers
Older women are at an increased risk for certain cancers, including uterine, ovarian, and cervical cancer. Symptoms may be subtle but can include:
- Postmenopausal bleeding
- Bloating or pelvic pain
- Unexplained weight loss
Routine screenings, like Pap smears and pelvic exams, continue to be important—even after menopause, depending on your health history.
Staying Proactive With Gynecologic Care
Aging doesn’t mean you stop needing gynecologic care. In fact, these years can bring some of the most important conversations you’ll have with your provider. Regular exams, open communication, and staying informed can help you manage symptoms and prevent more serious health issues.
At Lona Sasser Obstetrics & Gynecology, we’re proud to support women through every life stage—from adolescence to menopause and beyond. Our care team is here to answer questions, provide relief, and offer solutions that align with your health goals and lifestyle.
If you’re facing changes and not sure what’s normal, we’re here for you. Book your appointment online or call us at 954-340-1050.
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