Why might vaginal dryness remain even when my hot flashes improve?

Different symptoms may respond differently, and improvement in hot flashes does not establish that vaginal symptoms have been adequately addressed. Local vaginal symptoms can need their own assessment and treatment discussion. The Menopause Society hormone-therapy guidance.

Tell your provider what improved and what did not. Dryness, irritation and pain should not all be treated as proof that a systemic hormone dose is too low.

At MedFIT, we want to separate the remaining problem from the part of treatment that is already helping.

Next: Describe the persistent symptoms so Valerie can discuss the appropriate next step, including gynecologic evaluation when needed.