Vaginal Dryness in Perimenopause & Menopause
Many women experience vaginal dryness during perimenopause and menopause, although it is not always widely discussed. Changes in hormone levels, particularly declining oestrogen, can affect the tissues of the vagina and surrounding structures. These changes may lead to symptoms such as dryness, irritation, discomfort during sex and urinary symptoms. Understanding vaginal dryness in menopause can help women recognise that these symptoms are common and that effective support and treatment options are available.
What Causes Vaginal Dryness?
During perimenopause and menopause, levels of oestrogen gradually decline. Oestrogen plays an important role in maintaining the health of vaginal tissues.
Lower oestrogen levels can lead to changes in the vaginal lining, including:
Thinning of the vaginal tissue
Reduced natural lubrication
Increased tissue sensitivity
Reduced elasticity of the vaginal wall
These changes are sometimes referred to as Genitourinary Syndrome of Menopause (GSM).
Unlike some other menopause symptoms, vaginal dryness often does not improve on its own over time and may gradually worsen without treatment.
Common Symptoms
Women experiencing vaginal dryness during perimenopause or menopause may notice:
Vaginal dryness or irritation
Discomfort or pain during sexual activity
Burning or itching sensations
Reduced natural lubrication
Increased urinary frequency or urgency
Recurrent urinary tract infections
Discomfort when using tampons
Symptoms may range from mild irritation to more significant discomfort affecting daily life or intimacy.
How Vaginal Dryness Can Affect Wellbeing
Vaginal dryness can affect more than just physical comfort. Some women find it impacts sexual confidence, intimacy or relationships.
Because these symptoms are not always openly discussed, many women assume they are something they simply have to tolerate during menopause. However, vaginal symptoms are very common and there are several ways they can be managed.
Treatment Options
A number of approaches may help improve vaginal comfort during perimenopause and menopause.
For some women, vaginal moisturisers and lubricants can help relieve dryness and improve comfort during sexual activity.
In many cases, local vaginal oestrogen therapy may be recommended. This treatment helps restore oestrogen directly to the vaginal tissues and can improve lubrication, tissue health and comfort.
Other treatment options may also be considered depending on individual symptoms and medical history.
At My Menopause, we regularly support women experiencing vaginal dryness and other symptoms of genitourinary syndrome of menopause. A consultation can help explore the factors contributing to symptoms and discuss appropriate management options.
When to Seek Support
Vaginal dryness is common during perimenopause and menopause, but it can sometimes affect comfort, relationships and quality of life.
If symptoms such as dryness, irritation or discomfort during sex are becoming bothersome, it may be helpful to speak with a clinician experienced in menopause care.
At My Menopause, we aim to provide women with clear information and supportive care to help navigate the menopause transition.
Our goal is to support women with knowledge, empowerment and choice so they can make informed decisions about their health during perimenopause and menopause.
References: Australasian Menopause Society. Genitourinary Syndrome of Menopause Information Sheet.
North American Menopause Society (The Menopause Society). Management of Genitourinary Syndrome of Menopause.
Kingsberg, S. A., et al. (2017). Vulvar and vaginal atrophy in postmenopausal women. Journal of Sexual Medicine.
Disclaimer: This information is intended for general educational purposes only and should not be considered medical advice. Every woman’s experience of perimenopause and menopause is different. If you are experiencing symptoms or have concerns about your health, you should seek advice from a qualified healthcare professional.