Vaginal Dryness and Its Impact on Menopause

Understanding the Symptoms and Treatments of Vaginal Dryness

By Dr. Sonia Verma, GP and Menopause Specialist, Sydney Menopause Treatment Clinic, Bondi Junction

What You Need to Know About Vaginal Dryness During Menopause

Vaginal dryness is a common yet often overlooked symptom of menopause. As women approach this stage of life, hormonal fluctuations, particularly a decrease in oestrogen, can significantly impact vaginal health. For many, this dryness can lead to discomfort and affect quality of life. Fortunately, effective treatments are available to manage this condition and improve comfort during menopause. In this article, we’ll explore the causes of vaginal dryness during menopause, its symptoms, and treatment options to help you feel your best during this transitional phase.

Why Does Vaginal Dryness Happen During Menopause?

As menopause approaches, the body’s production of oestrogen begins to decline. Oestrogen is crucial for maintaining the elasticity, moisture, and thickness of the vaginal walls. When oestrogen levels drop, vaginal tissues can become thinner, drier, and less elastic, leading to discomfort during daily activities, including sexual intercourse. Vaginal dryness typically begins in perimenopause and can continue post-menopause as oestrogen levels remain low. This condition is often accompanied by other menopausal symptoms like hot flashes, mood swings, and sleep disturbances.

Symptoms of Vaginal Dryness

The most noticeable symptom of vaginal dryness is discomfort in the vaginal area. Common symptoms include:

• Itching, burning, or irritation
• Painful sexual intercourse (dyspareunia)
• Frequent urinary tract infections (UTIs) or discomfort when urinating
• Increased vaginal discharge that may be thick and dry
• Sensitivity to certain soaps or hygiene products

If you experience any of these symptoms, it’s important to seek advice from your healthcare provider to determine if they are related to menopause or if another underlying condition might be contributing to your discomfort.

How Vaginal Dryness Affects Your Quality of Life

Vaginal dryness can significantly impact physical and emotional well-being. For many women, painful intercourse or chronic discomfort can strain relationships, leading to frustration and anxiety. In severe cases, this discomfort can affect overall mental health, causing feelings of embarrassment, sadness, or depression. Additionally, because vaginal dryness can increase susceptibility to infections like UTIs, addressing symptoms early is essential to prevent complications.

Treatment Options for Vaginal Dryness During Menopause

Fortunately, several treatment options are available to manage vaginal dryness and improve comfort during menopause:

1. Local Oestrogen Therapy
   One of the most effective treatments involves applying oestrogen directly to the vaginal tissues in the form of creams, tablets, or rings. Local oestrogen helps restore moisture, elasticity, and thickness to the vaginal walls, providing relief from dryness and discomfort. This treatment targets the vaginal area directly, minimising systemic effects compared to oral HRT/MHT and is considered safe for long-term use.
2. Lubricants and Moisturisers
   For immediate relief, vaginal lubricants and moisturisers can be very helpful. Lubricants reduce friction during sexual intercourse, while moisturisers help maintain vaginal moisture over time. Look for water-based or glycerin-free products to avoid irritation, and choose those specifically designed for vaginal use.
3. Systemic HRT/MHT
   In some cases, HRT/MHT (Hormone Replacement Therapy or Menopausal Hormone Therapy) can help manage vaginal dryness alongside other symptoms like hot flashes and mood swings. HRT replenishes oestrogen in the body, improving vaginal moisture and elasticity.
4. Non-Hormonal Prescription Medications
   For those who cannot or prefer not to use oestrogen therapy, non-hormonal prescription medications, such as ospemifene, may help improve vaginal health without hormones. Discuss this option with your doctor to see if it’s suitable for you.
5. Pelvic Floor Exercises
   While not a direct treatment for vaginal dryness, pelvic floor exercises (Kegel exercises) can strengthen the muscles around the vaginal area, improve blood circulation, and promote overall pelvic health. Incorporating these exercises into your routine can contribute to better vaginal health.

IN Conclusion

Vaginal dryness is a common and manageable symptom of menopause. With the right treatment – such as local oestrogen therapy, HRT/MHT, or non-hormonal options – you can relieve discomfort and improve your quality of life. The Menopause Treatment Clinic can provide specialised care for women experiencing vaginal dryness and other menopausal symptoms. Our clinic in Bondi Junction offers menopause management, providing personalised treatment options tailored to your needs.

If you’re struggling with vaginal dryness, don’t hesitate to reach out to a healthcare professional who can guide you through the best treatment options.

For additional symptoms like heart palpitations or mood swings, consider reading our articles on managing these issues during menopause for a comprehensive approach to your health.