Menopause can lead to significant changes in vaginal and vulvar health, including dryness, discomfort during sex, and recurrent urinary tract infections. As estrogen levels drop, the vaginal pH increases, making women more susceptible to infections. Fortunately, localized vaginal estrogen treatments can effectively address these symptoms, even for those with a uterus or a history of breast cancer. Understanding these changes is crucial for maintaining sexual and urinary health during menopause.