What does vaginal dryness feel like with menopause?

The vagina or vulva may feel less moist than before, especially during sex. Penetration can cause stinging or soreness, and irritation may last afterwards. You may also notice tenderness, a feeling of tightness, or urinary burning and urgency. These changes can develop gradually and may vary from day to day.

Menopause-related dryness follows reduced oestrogen support for vaginal and vulval tissues. Similar sensations can arise from irritants, infection, medicines, or skin conditions, so the symptom alone does not identify the cause.

Choose unscented products and wash gently with lukewarm water rather than using douches or fragranced washes. A vaginal moisturiser may help ongoing dryness, while a water-based lubricant can reduce friction during sex. If symptoms continue or affect daily life, a clinician can discuss treatment choices suited to your health history.

Arrange an appointment for bleeding after sex, any bleeding after menopause, repeated urinary symptoms, persistent discharge, or pain that limits activity or intimacy. Get prompt help for severe pelvic pain, fever, sores, or blood in the urine.

Could menopause explain these symptoms, or should infection or irritation be checked? Which moisturiser or lubricant is appropriate? Would prescription treatment help, and what symptoms should I report?