Vaginal dryness and discomfort; real talk and relief

One of the most common and least discussed symptoms of menopause is vaginal dryness. Many women feel embarrassed to talk about it, but you are far from alone. Up to 50 to 60 per cent of women in mid-life years experience dryness, itching, irritation, or pain during intimacy.

If left unspoken, it can impact not only physical comfort but also self-confidence, relationships, and overall quality of life.

Vaginal dryness and discomfort are often caused by a drop in oestrogen levels, frequently occurring after menopause, during breastfeeding, or due to certain medications or treatments like chemotherapy.

Symptoms may also include a burning sensation, itching, soreness, pain during sex, and an increased risk of urinary tract infections (UTIs).

More than one in three females age between 57 and 69 years report vaginal dryness. However, most don’t talk to their doctor about it.

Why Does It Happen?

• Oestrogen decline: As oestrogen levels drop during menopause, vaginal tissues become thinner, less elastic, and less able to stay lubricated.

• Reduced blood flow: Lower hormone levels also mean less blood circulation to the vaginal area, which affects natural moisture.

• pH shifts: Vaginal acidity changes, sometimes leading to irritation or increased infections.

• Lifestyle factors: Stress, smoking, dehydration, and certain medications (like antihistamines or antidepressants) can make dryness worse.

Why It Matters?

Vaginal dryness isn’t ‘just uncomfortable.’ It can cause:

• Burning, itching, or irritation

• Pain during intimacy (dyspareunia)

• Urinary discomfort or infections

• Emotional stress that affects confidence and relationships

What Women Can Do About It:

• Stay hydrated and nourish your body: Drink water, eat omega-3 rich foods, and keep caffeine and alcohol in check.

• Use lubricants and moisturisers: Over-the-counter options provide immediate comfort.

• Try vaginal oestrogen therapy: Creams, tablets, or rings can restore elasticity and moisture (ask your doctor what’s right for you).

• Explore non-hormonal options: Hyaluronic acid gels, laser therapy, or DHEA-based treatments may be recommended.

• Open up the conversation: Talking with your healthcare provider (and your partner) is the first step to finding lasting relief.

The following lifestyle changes can help combat vaginal dryness and discomfort.

• Avoid fragrances: The vagina contains a delicate balance of good bacteria and is self-cleaning. There is no need for douching or using fragrant soaps around the sensitive vaginal area; these may cause irritation or dryness.

• Regular sex: Regular sexual activity, whether alone or with a partner, can manage vaginal dryness. Blood flow to the vaginal tissues increases during arousal, and this helps stimulate moisture production.

• Stay hydrated: Dehydration can lead to vaginal dryness. Drinking six to eight glasses of water daily, and potentially more in hot weather or when exercising, may help prevent vaginal dryness.

• Phytoestrogen supplements: Phytoestrogens are compounds that act similarly to oestrogen in the body. They occur in plant-based foods, including soy, nuts, seeds, and tofu.

SOURCE: Power In The Pause with Nicky Clarke