Segmentation by type distinguishes delivery mechanisms that affect patient adherence, safety profiles, and cost structures. Local delivery—encompassing vaginal creams, tablets, rings, and pessaries—dominates the market due to its targeted action, reduced systemic exposure, and favorable side‑effect profile, accounting for the majority of volume despite a modest price premium. Conversely, systemic delivery—including oral tablets, transdermal patches, and injectable formulations—captures a smaller yet growing share as clinicians address severe cases or patients with extensive genitourinary syndrome of menopause. Systemic products command higher unit prices and are subject to stricter pharmacovigilance, influencing overall market valuation. The interplay between these types shapes product pipelines, with manufacturers increasingly pursuing hybrid technologies that blend local efficacy with systemic convenience, thereby refining the market taxonomy and guiding future R&D allocations.