Bipolar Radiofrequency for Genitourinary Syndrome of Menopause

Inclusion Criteria: * Women aged 40 to 65 years * Postmenopausal status * Presence of at least one symptom of genitourinary syndrome of menopause (e.g., vaginal dryness, irritation, pruritus, urinary symptoms, or dyspareunia) * Sexual activity at least once per month * Ability to understand and complete study questionnaires * Provision of written informed consent Exclusion Criteria: * Active vaginal infection * Neurological, neoplastic, or sexually transmitted diseases * Diagnosis of vulvodynia or vaginismus * Pelvic organ prolapse stage II or higher * Pelviperineal hypoesthesia * Presence of pacemaker or other electronic implantable devices * Use of estrogen hormonal therapy within the previous 3 months * History of pelvic radiotherapy * Pelvic surgery within the previous 6 months * Active anticoagulant therapy * Previous vaginal laser or ablative vaginal rejuvenation procedures within the previous 6 months * Cognitive impairment preventing completion of questionnaires