
Menopause is a major life transition for many women, often bringing unexpected changes in sexual function. Postmenopausal women may face factors such as genitourinary syndrome of menopause (GSM), vulvovaginal atrophy (VVA), and pelvic organ prolapse (POP), which are changes associated with decreased estrogen levels and, in the case of POP, weakened pelvic floor muscles. They may also be dealing with chronic conditions that they developed later in life.