Menopause and vulvar irritation

Lower oestrogen can reduce moisture and make vulvar skin more delicate. Friction from underwear, exercise, sex, or wiping may then cause stinging, soreness, itching, or a burning feeling. Soap, bubble bath, fragranced products, shaving, pads, and laundry products can add irritation. Similar symptoms may also come from thrush, bacterial imbalance, a skin condition, urinary leakage, or another infection, so menopause is not the only possible explanation. Cracks, sores, blisters, discharge, or bleeding should be assessed.

Rinse gently with lukewarm water, pat dry, and avoid douching, perfumed washes, deodorants, and antiseptics. Wear breathable clothing and change after sweating. A plain, fragrance-free emollient used externally may protect dry skin; use a suitable lubricant for sex and stop if it stings. Avoid scratching and do not apply steroid, antifungal, or other medicated creams unless a clinician or pharmacist has advised you. Treatment depends on the cause and may include help for menopause-related dryness.

Book an appointment if irritation lasts, keeps returning, disrupts sleep or sex, or does not settle after removing an obvious trigger. Seek urgent care for severe swelling, intense pain, fever, difficulty passing urine, rapidly spreading redness, or a blistering rash. Any bleeding after menopause should be assessed, including blood noticed after sex.

Ask whether the skin needs examination or a swab, what products are safe for your skin, and whether dryness or another condition is contributing. Discuss treatment choices, how long to try them, and which changes should prompt an earlier review.