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When over-the-counter solutions prove insufficient, the modern medical toolkit offers highly effective, targeted treatments. Vaginal estrogen therapy—delivered via creams, rings, or tablets—works locally to revitalize the tissue without significantly increasing systemic hormone levels. This targeted approach restores the “biological youth” of the vaginal walls, thickening the tissue and re-establishing natural moisture levels. Additionally, pelvic floor physical therapy has emerged as a cornerstone of menopausal health. Specialized therapists help women release the involuntary tension that often develops in response to chronic pain, retraining the muscles to relax and function without distress.
