Itchy vulva during menopause: what to know

An itchy vulva during menopause often relates to dryness and more sensitive tissue, but irritation, infection or a skin condition can cause it too. Lower oestrogen can affect the vulval and vaginal tissues, sometimes alongside vaginal dryness, discomfort with sex or urinary symptoms.

Dryness may cause tightness, burning, tiny cracks or itching, especially after washing or sex. Scented products, pads, detergents and friction can inflame the outer skin. Thrush and other infections may cause itching with discharge, odour, soreness or pain when passing urine. Persistent pale, thickened, cracked or bleeding skin needs examination for a vulval skin condition.

Menopause can be part of the picture, but vulval itching does not prove that menopause is the cause. Note whether symptoms are external or internal, whether discharge has changed, and which products or activities make them worse.

Wash the vulva gently with lukewarm water or a fragrance-free emollient, then pat dry. Avoid douching, scented wipes, deodorants and bubble bath. Wear breathable underwear, change out of damp clothing, and use a suitable lubricant for sex if dryness contributes to friction. Avoid scratching and do not use repeated over-the-counter treatments without advice.

A clinician can examine the skin, test for infection when needed and discuss menopause-related treatment options. Read more about [Menopause](/conditions/menopause/) and [Vaginal Dryness](/symptoms/vaginal-dryness/) if these symptoms occur together.

Arrange a review for itching that persists, returns often, disturbs sleep or does not improve with gentle care. Seek prompt assessment for sores, blisters, bleeding, a new lump, marked swelling, unusual discharge, bad odour, pelvic pain or pain when urinating. Urgent care is needed if swelling makes it difficult to pass urine or if symptoms become severe quickly.

Does the skin look dry, irritated, infected or affected by a vulval skin condition? Do I need a swab or examination? Which moisturiser, lubricant or prescription treatment is appropriate? Could my other symptoms fit [Periods Stopped](/symptoms/periods-stopped/) or another menopause change?