These symptoms are preventable. With the loss of estrogen, the vagina becomes thinner and shorter making it susceptible to irritation and infection. These symptoms are remarkably similar to those of PMS and both probably are related to a drop in estrogen levels. One may suffer from depression at menopause. Frequently this requires treatment other than hormone replacement therapy.
Women suffering from depression often have negative attitudes towards menopause.
Poor social support and poor marital relations can contribute to feelings of depression. Often women see menopause as an end of their youth. This is especially true as our society prizes youth and one may feel less attractive. This transition from youth to maturity often triggers a self-examination and review of life's ups and down. However, the downs have a way of overshadowing the accomplishments, especially when all of those other menopausal changes are occurring simultaneously.