Vaginal Dryness
Postmenopausal vaginal dryness is a very common condition that occurs when estrogen levels decrease after menopause. Lower estrogen causes the vaginal tissue to become thinner, less elastic, and less lubricated. This can lead to discomfort during daily activities, exercise, or sexual intercourse.
How Common Is Vaginal Dryness After Menopause?
Vaginal dryness affects over 50% of women after menopause. Many women do not mention it to their doctor because they believe it is a “normal” part of aging. While it is common, it is also treatable.
Symptoms of Postmenopausal Vaginal Dryness
Women may notice:
- Vaginal itching, burning, or irritation
- Pain or discomfort during sex (dyspareunia)
- Vaginal bleeding after intercourse
- More frequent urinary tract infections (UTIs)
- Increased urgency or burning with urination
Why Does Vaginal Dryness Happen After Menopause?
The main cause is low estrogen levels. Estrogen keeps vaginal tissues moist, thick, and flexible. After menopause, when estrogen production decreases, the vaginal lining produces less natural lubrication. This condition is sometimes called genitourinary syndrome of menopause (GSM)because it can affect both the vagina and urinary system.
Treatment Options for Vaginal Dryness
The good news is that effective treatments are available. Options include:
Non-hormonal moisturizers and lubricants
- Provide temporary relief
- Can be used daily or before intercourse
- Readily available over-the-counter
Vaginal estrogen therapy
- Low-dose creams, tablets, or rings placed inside the vagina
- Restores moisture and thickness to vaginal tissue
- Works directly on the vagina with minimal absorption into the bloodstream
Other prescription therapies
- Oral medications (such as ospemifene) that act on estrogen receptors
- Vaginal DHEA inserts to improve tissue health
Lifestyle support
- Regular sexual activity or vaginal stimulation to maintain blood flow
- Avoiding harsh soaps or irritants
- Staying hydrated and maintaining overall health
When to See a Urologist
If vaginal dryness is interfering with intimacy, daily comfort, or bladder health, it is worth discussing with a specialist. Postmenopausal vaginal dryness is not something you need to “just live with.” A urologist who focuses on women’s health can help identify the right treatment for your situation.
Key Takeaway
Postmenopausal vaginal dryness is common, but highly treatable. Safe and effective options can restore comfort, protect vaginal health, and improve quality of life. Talking to a specialist is the first step toward relief.
Disclaimer
The information on this website is for educational purposes only and is not medical advice. Use of this site does not create a doctor–patient relationship. If you have a medical concern, please consult a qualified healthcare provider. In case of emergency, call 911 immediately.