What does vaginal dryness feel like with genitourinary syndrome of menopause?

You may notice tightness, rawness, itching, or a burning sensation around the vagina or vulva. Penetration can feel scratchy or uncomfortable because there is less lubrication. Some people notice soreness afterwards, light spotting from fragile tissue, or urinary burning and urgency when nearby tissues are affected.

These symptoms reflect changes in tissues after lower oestrogen exposure, but vaginal dryness has other possible causes. A clinician can consider medicines, irritation, infection, and skin conditions alongside menopause-related changes.

Use a fragrance-free moisturiser made for vaginal use on a regular schedule if advised, and use a water-based lubricant during sex to reduce friction. Avoid perfumed products and internal cleansing. Hydration and gentle care may improve comfort, but persistent symptoms deserve a tailored discussion about local or systemic treatment options.

Book an appointment for ongoing pain, recurrent urinary symptoms, bleeding after sex, or any bleeding after menopause. Seek prompt care for severe pain, fever, sores, or blood in the urine. Assessment is also useful when dryness interferes with sleep, intimacy, exercise, or daily comfort.

Could my symptoms be genitourinary syndrome of menopause? Would a moisturiser, lubricant, or prescription treatment be suitable? How should unexplained bleeding or urinary symptoms be assessed?