Vaginal dryness, burning, itching, recurrent UTIs, pain with intimacy — and a quiet loss of confidence.

If this sounds familiar, you're not imagining it. And it's not "just ageing."

In this episode of Hot & Healthy Menopause, Menopause Coach and TEDx Speaker Nicole van Hattem explains what's really happening to the vulva, vagina, bladder, and libido during perimenopause and menopause — clearly, clinically, and without shame.

You'll learn: • What vaginal atrophy (Genitourinary Syndrome of Menopause) actually is • How declining estrogen affects vulval and vaginal tissue • Why symptoms are often misdiagnosed as thrush, cystitis, or BV • How pH changes disrupt healthy vaginal bacteria • The link between vaginal discomfort, avoidance, and loss of libido • Why vaginal health matters even if you're not having sex — and may never intend to be

This episode is not about sex performance. It's about comfort, dignity, body literacy, and long-term health.

If you've ever felt embarrassed raising these symptoms — or been told to "just live with it" — this conversation is for you.

👉 Download your free Menopause Symptom Tracker at nicolevanhattem.com 👉 Ready for personalised support? Work with Nicole to navigate menopause with clarity and confidence.