At some time, many women will experience vaginal dryness.  Beginning in the perimenopause, the vagina may weaken or shrink and produce fewer secretions.  Due to a relative lack of estrogen, the vaginal tissue can be more easily injuerd.  Also, decreased acidity of the vagina can lead to infections.  A thinning of the tissue lining the vagina may lead to pain during intercourse. Vaginal dryness can also occur, as may itching or irritation. Although few women experience serious problems with vaginal dryness and thinning right after menopause, both dryness and thinning continue to occur over time. Some doctors estimate that at least half of all women older than 60 years have some degree of vaginal dryness.  

Other causes of vaginal dryness include medications, such as antihistamines, oral contraceptives, fertility medications, some chemotherapy and other prescription medications. 

Physical conditions such as stress, vigorous exercise, recent childbirth and/or breastfeeding, and hysterectomy can contribute to vaginal dryness, irritation and discomfort. 

A discussion with your health care provider will help determine the cause of vaginal dryness. 

Treatment options are numerous and include:

1) Avoid irritating soaps to the genital region.

2) Increase water intake to help the body enhance secretions.

3) Water based vaginal lubricants and moisturizers can  greatly improve dryness.

4) Topical estrogen therapy, under the direction of your physician, can overcome vaginal changes due to the lack of estrogen associated with the menopause transition. 

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