Inclusion Criteria:  menopausal women up to 65 years of age and with clinical signs and symptoms of Menopause Genitourinary Syndrome (dryness and irritation of the vagina, pruritus, pain or discomfort in sexual intercourse, bleeding after sexual intercourse) and who voluntarily participate in the research.  Exclusion Criteria:  patients undergoing hormone replacement for less than 6 months, diagnosis of vaginal infection, difficulty in understanding the proposed instruments and patients with chronic neurological degenerative diseases.