Vaginal health is an essential component of active and healthy aging in women at midlife and beyond. As a consequence of hormonal deprivation and senescence, the anatomy and function of urogenital tissues are significantly affected and vulvovaginal atrophy (VVA) may occur. In a high proportion of postmenopausal women, progressive and chronic VVA symptoms have a strong impact on sexual function and quality of life. The new definition of genitourinary syndrome of menopause (GSM) comprises genital symptoms (dryness, burning, itching, irritation, bleeding), sexual symptoms (dyspareunia and other sexual dysfunctions) and urinary symptoms (dysuria, frequency, urgency, recurrent urinary infections). Many variables (age, sexual activity and partnership status) influence the clinical impact VVA/GSM symptoms and attitudes of elderly women to consult for receiving effective treatments. Psychosocial factors play a critical role in sexual functioning, but the integrity of the urogenital system is as well important affecting many domains of postmenopausal women's health, including sexual function. Several international surveys have extensively documented the need to improve VVA/GSM management because of the strong impact on women's daily life and on couple's intimacy. Health care providers (HCPs) need to be proactive in the early recognition of VVA/GSM in order to preserve urogenital and sexual longevity, by using hormonal and non-hormonal strategies. The clinical diagnosis is based on genital examination to identify objective signs and on the use of subjective scales to rate most bothersome symptoms (MBS), especially vaginal dryness. Recent studies point to the importance of addressing VVA/GSM as a potential early marker of poor general health in analogy with vasomotor symptoms. Therefore, a standard of VVA/GSM care in elderly women is desirable to enhance physical, emotional and mental well-being.

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Background: The flow of papers about surgical and non-surgical vulvar rejuvenation techniques parallels the steadily increasing interest by the general public and the market. All vulvar rejuvenation procedures share the goal of correcting vulvar aesthetic imperfections and alleviating the related physical and psychological burden experienced by the woman in her everyday life (irritations, discomfort, possibly unrewarding couple relationship). Dynamic Quadripolar RadioFrequency (DQRF) is the latest-born technology in the evolving world of light-and energy-based therapies as effective alternative options to traditional techniques of aesthetic and cosmetic surgery.

Improvement of signs and symptoms of vulvar hypotrophy by DQRFTM rejuvenation of the labia majora was confirmed as a technically simple outpatient procedure with virtually no complications or side effects. In women with mild to moderate hypotrophy, this was possible with a rapid rejuvenation program of shortly spaced sessions.

Women with PCOS underreport foods rich in simple sugars rather than underreport their total dietary intake. These results may have implications for the interpretation of diet and health correlations in this patient population.