How common is vaginal dryness in menopause?

As ovarian hormone production changes, the vagina may produce less natural lubrication. You may notice burning, itching, soreness, discomfort during sex, or a feeling of pressure. Urinary urgency or repeated urinary discomfort can occur with related tissue changes.

The timing and intensity vary. Vaginal dryness can continue after periods stop and may affect sleep, intimacy, exercise, or daily comfort. It is a physical symptom that can be treated; you do not have to simply tolerate it.

Use a vaginal moisturiser regularly if recommended, and choose a water-based or silicone-based lubricant for sexual activity. Avoid perfumed washes, douches, and products that sting. Gentle washing and breathable underwear may reduce irritation.

A clinician can discuss local vaginal oestrogen or other options, taking your medical history into account. Mention any history of breast cancer, unexplained bleeding, blood clots, or liver disease before starting hormone treatment.

Arrange an assessment for persistent pain, troublesome urinary symptoms, or dryness that affects daily life or intimacy. Seek prompt medical review for bleeding after menopause, especially bleeding that is new or repeated, or for severe pain, fever, or unusual discharge.

Could menopause-related tissue changes explain my symptoms? Which moisturiser, lubricant, or prescription treatment is suitable? What should I do if I notice bleeding or urinary symptoms?