Menopause and peri-menopause are natural stages in a woman’s life, signifying the end of reproductive years. While these phases bring about various hormonal changes, one often overlooked aspect is the impact on vaginal health. Vaginal dryness and painful intercourse can be distressing symptoms that many women experience during menopause and peri-menopause.

Let’s explore the causes of these symptoms and discuss strategies to manage and improve vaginal health:

What Is Vaginal Dryness?

Vaginal dryness is a common symptom during menopause and peri-menopause, primarily attributed to hormonal changes, particularly the decline in estrogen levels. Estrogen plays a crucial role in maintaining the health and elasticity of the vaginal tissues. As estrogen decreases, the vaginal walls can become thinner, drier, and less flexible.

What Are Some Causes Of Painful Intercourse?

Vaginal Dryness:
Insufficient lubrication due to reduced estrogen levels can lead to friction and discomfort during sexual activity. This dryness may result in irritation and even microtears in the vaginal tissues, causing pain.

Changes in Vaginal pH:
Estrogen helps maintain a slightly acidic pH in the vagina, which is conducive to a healthy balance of beneficial bacteria. As estrogen levels decrease, the pH can become less acidic, potentially leading to an overgrowth of harmful bacteria and increased vulnerability to infections, contributing to pain during sex.

Thinning of Vaginal Tissues:
The decline in estrogen also results in the thinning of the vaginal lining (atrophy), making the tissues more susceptible to irritation and discomfort during intercourse.

How To Address Vaginal Dryness and Painful Intercourse

Topical Estrogen Therapy:
Topical estrogen creams, rings, or tablets can be prescribed to directly address vaginal dryness and atrophy. These localized treatments help replenish estrogen levels in the vaginal tissues, promoting moisture and elasticity.

Water-Based Lubricants:
Using water-based lubricants during sexual activity can alleviate friction and discomfort. These lubricants provide a temporary solution and can be applied as needed for increased comfort.

Regular Sexual Activity:
Regular sexual activity, including self-stimulation, can help maintain blood flow to the pelvic area and promote vaginal health. This practice can also prevent the vaginal tissues from becoming overly sensitive or tight.

Kegel Exercises:
Kegel exercises can enhance pelvic floor muscle tone, supporting vaginal health and potentially reducing discomfort during intercourse.

Maintaining Overall Health:
A balanced diet, regular exercise, and adequate hydration contribute to overall well-being, which can positively impact vaginal health. These lifestyle factors can also support the body’s natural ability to produce moisture.

Open Communication with Healthcare Providers:
Women experiencing vaginal dryness and painful intercourse should openly communicate with their healthcare providers. A healthcare professional can assess individual symptoms, recommend appropriate treatments, and address any underlying concerns.

Vaginal dryness and painful intercourse are common challenges faced by many women during menopause and peri-menopause. Understanding the causes of these symptoms and exploring proactive measures—like hormone replacement therapy—for managing and improving vaginal health is essential. By embracing a holistic approach that includes medical interventions, lifestyle adjustments, and open communication with healthcare providers, women can navigate this aspect of the menopausal journey with comfort and confidence, reclaiming a fulfilling and satisfying intimate life.

Explore Better Hormone Health

ReVital offers free consultations where you can speak to one of our clinicians about ReVital’s Bioidentical Hormone Replacement Therapy. At ReVital, we can conduct simple blood tests to evaluate the levels of these hormones in your system and prescribe supplements or therapies to treat and control the majority of hormonal imbalances. Remember, every woman’s experience is unique, so it’s important to consult with your primary healthcare professional for guidance and support throughout your personal health journey.