VAGIFEM®—The only prescription vaginal estrogen tablet that is designed to relieve the discomfort associated with menopausal atrophic vaginitis.
Signs & symptoms of menopause
There are many physical effects that accompany the drop in hormone levels during perimenopause. The most common symptoms are described below.
Irregular menstrual cycles
Most women experience irregular menstrual cycles during perimenopause. The frequency of your periods may change, and they may be longer or shorter than usual. You may experience episodes of heavy bleeding during a period. Be sure to check with your healthcare professional if any of these irregularities concern you.
Hot flashes
The hallmark symptom of menopause and perimenopause is hot flashes, sometimes called hot flushes. A hot flash begins with a feeling of warmth in the face and upper body. Next redness, or flushing, develops and may be accompanied by heavy sweating. Hot flashes that occur during sleep are called night sweats.
Atrophic vaginitis
When estrogen levels drop during menopause, the lining of the vagina can become thin, dry, and prone to inflammation and infections. This condition is known as atrophic vaginitis, which can cause vaginal irritation, pain, and discomfort. Atrophic vaginitis can interfere with sexual intimacy by making intercourse uncomfortable.
Urinary tract changes
The lining of the urethra thins as estrogen levels decrease during menopause. This thinning, combined with weakening of surrounding pelvic muscles, can lead to more frequent urination, the sudden urge to urinate, and bladder leakage. Following menopause, women are more susceptible to bladder infections than before.
Loss of interest in sex
Another symptom of menopause may include decreased sexual interest and desire. After menopause, the ovaries no longer produce testosterone—the hormone responsible for sex drive in both women and men. Your sexual response may be slower and less intense than in the past. The thinning of vaginal tissue and less lubrication can make sex uncomfortable, which may in turn decrease sexual desire.
Emotional changes
Some menopausal women experience depression, mood swings, and irritability. No one knows if changes in the body’s production of estrogen causes these symptoms, but we do know that taking estrogen can diminish some of the symptoms.

