Many women who are in the peri-menopausal or post-menopausal period experience vaginal atrophy, or atrophic vaginitis, a condition characterized by the thinning, drying, and inflammation of the vaginal walls due to decreased estrogen levels. This condition, which can make sexual intercourse uncomfortable & and lead to urinary symptoms, is broadly referred to as ‘genitourinary syndrome of menopause (GSM)’.
The good news is that GSM is manageable, and there are effective treatments available to help alleviate these symptoms. If you’re a woman facing discomfort during intercourse or experiencing troubling urinary symptoms, it’s possible that these are due to a decrease in estrogen levels. Please read on to learn more.
Sincerely,
Dr. Guy “A Care Beyond”

MD, Board-Certified Internist, Concierge Medicine Physician
Dr. Guy Delorefice has been practicing in Sonoma County since 1999 as a board-certified internist. He earned a degree in Biology from St. Mary’s College of California, then completed his medical degree at Creighton University. While at Creighton, he launched medical clinics in third-world countries and became fluent in Spanish. His internship and internal medicine residency were completed at Providence St. Vincent’s Medical Center in Portland, Oregon. After finishing his training, he relocated to Sonoma County to be closer to home and family. Dr. Guy has built a reputation for exceptional patient care and has been voted by peers as a top physician in his specialty in consecutive years.
Outside medicine, he is deeply family-oriented — married to Rebecca, father to Lani and Capri, with a black lab named Hank. He’s passionate about the outdoors and spends time mountain biking, road biking, abalone diving, fishing, hunting, and skiing. He’s often seen biking around Sonoma with his family.