How common is vaginal dryness in perimenopause?

Perimenopause is the transition before menopause, when hormone levels can change unevenly. Dryness may come and go with other symptoms such as irregular periods, hot flushes, sleep changes, or mood changes. It may cause itching, burning, soreness, or discomfort with sex.

Dryness is not specific to perimenopause. Irritation from soaps, some medicines, breastfeeding, infection, or other vaginal conditions can feel similar. A clinician can consider the full pattern, including period changes and any discharge, odour, pain, or urinary symptoms.

Try an unscented vaginal moisturiser if appropriate, and use lubricant during sexual activity. Wash gently and avoid douching, fragranced products, and repeated washing that can strip natural moisture. Allow time for arousal, since this can support lubrication.

If symptoms persist, a clinician can discuss local treatments and check for infection or skin conditions. Tell them about medicines, contraception, pregnancy possibility, and any personal history that could affect treatment choices.

Book an appointment if dryness lasts, interferes with sex or daily activities, or occurs with urinary burning or repeated urgency. Seek prompt care for pelvic pain, fever, sores, unusual discharge, or bleeding between periods or after sex.

Could my changing periods and dryness be related to perimenopause? Should I be checked for infection or another cause? Which non-hormonal or local treatment fits my symptoms?