Table 1 Current questionnaire survey (n = 1,031)

Q1. Were you aware that the vulva, vagina, and urinary tract undergo age-related changes?

(A) Yes/No, I was not aware of this

Q2. If you answered, I am “very worried,” “worried,” or “somewhat worried” about vulvar, vaginal, or urinary tract symptoms, are you doing something to manage these symptoms?

(A) I am receiving consultation

 I have received consultation in the past (but I am currently receiving none)

 I am managing the symptoms with over-the-counter medicines

 I am thinking about what to do but have not actually done anything

 I want to do something but do not know what to do

 I feel that I do not require treatment

Q3. If you answered, “I am receiving/have received consultation” in Q2, which specialty are you consulting/have you consulted?

(A) Gynecology/Urology/Dermatology/Internal Medicine/Family Medicine/Other

Q4. If you answered, “I am currently receiving/have received consultation” in Q2, what kind of treatment have you received?

(A) Ointment or cream/Lubricating jelly/Local estrogen therapy (vaginal suppository)/ Systemic hormone replacement therapy (HRT)/Other/I had an examination but have not received any treatment

Q5. If you answered, “I am receiving/have received consultation” in Q2, how satisfied are/were you with your treatment?

(A)Not satisfied at all/Not satisfied/Not very satisfied/Somewhat satisfied/Satisfied

Q6. If you answered, “I have received consultation in the past (but I am currently receiving none) in Q2, please give reasons for currently receiving no consultation currently

(A) I find the condition bearable

 It is not bad enough to require consultation

 It is an age-related problem and therefore inevitable

 I am dealing with it on my own

 I find it difficult to seek consultation

 It may incur unnecessary costs

 I don’t know what kind of treatment will be given

 I feel anxious about the treatment to be given

 I am afraid no coping method will be found for the symptom even after examination

 Other