Unlike menstruation, menopause doesn’t start in one day, it is a drawn out process that slowly happens over the course of several years. However, during perimenopause, menopause
and even postmenopause a woman can experience various unpleasant
symptoms including weight gain, joint pain, hot flashes, night sweats
and vaginal dryness.
Vaginal dryness, also known as vaginal
atrophy, is experienced by over an estimated 80% of perimenopausal
women; while as many as 50% of postmenopausal women suffer from the
condition. Furthermore, vaginal dryness primarily affects women between
40 – 65 years of age, but it can affect any woman regardless of her age.
Why does vaginal dryness occur?
Mucus membranes located at the mouth of the
uterus keep a woman’s vagina moist. The estrogen in a woman’s body
helps the membranes generate lubrication which assists the vagina in
staying moist, flexible and strong. In addition, the lubricant contains a
small level of acidity which works to protect the vagina from infection
by stopping foreign bacteria from invading.
Due to the fact that estrogen plays a vital role in maintaining a moist and flexible vagina, the decrease in estrogen levels that occur during menopause
means a decrease in lubrication production. As a result, the vagina
becomes thin and dry, and the vaginal walls become weaker and
increasingly sensitive. Moreover, with less lubrication, acid levels are
virtually non-existent which can lead to a higher risk of infections
such as yeast and urinary tract infections.
Additionally, the more a woman’s estrogen levels
decrease, the less blood will circulate to the pelvis tissues which
will cause the vagina to become thin and droop. Eventually, the vulva
and vagina will likely look different because the fat and tissue around
the vaginal area will start to vanish.
What does a woman experience with vaginal dryness?
Itching
– Just as itching is a symptom of dry skin, so is it a symptom of
vaginal dryness. Itching is a result of tightening in the vaginal area
from lack of moisture. It can be very irritable.
Pain during sexual intercourse
- The vagina becomes extremely dry and fragile without normal mucus
production. Therefore, it can no longer take rough penetration.
Menopausal women who experience pain during intercourse often have
vaginal bleeding or spotting after having sex. Bleeding results from a
tear in the vaginal wall from forceful entry. Many women who suffer from
vaginal dryness tend to avoid sex as they find it too painful and
receive no enjoyment from it.
Urinary incontinence and infections – Urinary incontinence (UI) is when the body accidentally leaks urine. The decrease in estrogen levels
causes weakness in the vaginal walls, which reduces a woman’s ability
to control urine from escaping unwillingly. About 40% or more of
menopausal women experience UI. Also, as was previously mentioned,
vaginal dryness increases a woman’s chance of developing yeast
infections and urinary track infections.
How can vaginal dryness be treated?
There
are different treatment options to help women increase the moisture in
their vaginal region. One of the most common treatments is using
lubricants during sex to allow for a more enjoyable experience. Topical
creams and moisturizers can be purchased over-the-counter and often
provide 24 hour relief from itching.
Many doctors actually
recommend that women with vaginal dryness engage in more sexual
activity. This may sound like a bizarre treatment, but intercourse
actually stimulates the mucus glands and helps to make the vagina moist.
In many cases, women who abstain from sex find that their dryness
becomes worse.
Finally, if a woman has constant vaginal dryness, her doctor may recommend oral or topical prescription estrogen therapy
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