How common is vaginal dryness in genitourinary syndrome of menopause?

Vaginal Dryness is a very common presentation of Genitourinary Syndrome of Menopause. Lower oestrogen can make vaginal and vulval tissues drier, thinner, and less flexible. Symptoms may include burning, soreness, discomfort during sex, or urinary irritation.

Genitourinary syndrome of menopause describes changes affecting the vagina, vulva, urethra, and nearby tissues after oestrogen levels fall. Dryness can develop gradually and may continue after periods stop. It can be more noticeable with sexual activity, tampon use, or soap irritation. Dryness may occur alongside urgency, recurrent urinary symptoms, or small cracks in sensitive tissue; it is not a sign that you must simply tolerate discomfort.

Use a fragrance-free moisturising product designed for vaginal use regularly if advised, and use a suitable lubricant during sex. Avoid douching, perfumed washes, and products that sting. A clinician can discuss local vaginal oestrogen or other options, considering your medical history, breast health, medicines, and preferences. Treatment often focuses on both day-to-day comfort and urinary or sexual symptoms.

Book an appointment if dryness is painful, affects intimacy, causes burning with urination, or does not improve with simple measures. Seek prompt advice for bleeding after sex or after menopause, new pelvic pain, blood in the urine, unusual discharge, or sores. These symptoms can have causes other than tissue dryness and deserve an examination.

Ask which moisturiser or lubricant suits you, whether local oestrogen is appropriate, and how to distinguish tissue irritation from infection or another urinary condition.