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

Vaginal Itching is a common presentation of Genitourinary Syndrome of Menopause and may accompany dryness or burning. The skin may feel tight, delicate, prickly, or irritated, particularly during washing, urination, or sex. Some people notice discomfort mainly at the vaginal opening; others feel itching deeper inside. Symptoms can develop gradually after hormonal changes around menopause and may vary from day to day.

Genitourinary syndrome of menopause is linked with lower oestrogen activity in vaginal and nearby urinary tissues. These tissues may become drier and less flexible, which can make friction feel sharper and leave the vulva sore. Urinary urgency, burning, or needing to pass urine more often may occur alongside vaginal symptoms. Itching can also result from thrush, bacterial vaginosis, an STI, eczema, or a reaction to a product, so the timing of menopause does not settle the diagnosis.

Use a plain, fragrance-free moisturising product intended for vaginal use if a clinician or pharmacist recommends one, and use a suitable lubricant during sex. Rinse gently, avoid douching and scented products, and wear loose breathable clothing. A clinician can discuss local or systemic treatment options when dryness and tissue irritation continue. Mention any urinary symptoms, bleeding, or pain so the assessment addresses the whole pattern.

Arrange a medical review for persistent itching, pain, new discharge, sores, or burning when passing urine. Any bleeding after menopause needs assessment, including spotting after sex. Seek prompt help for fever, pelvic pain, vomiting, severe pain, or rapidly worsening symptoms. Testing may be needed before treatment when the symptoms could reflect infection or a skin disorder.

Ask whether the dryness and itching fit genitourinary syndrome of menopause, whether an infection or skin condition should be tested for, and which moisturiser or lubricant is appropriate. Discuss treatment choices, possible urinary involvement, and the follow-up plan if symptoms do not settle.