When to worry about vaginal itching with genitourinary syndrome of menopause

Lower oestrogen levels can make vaginal and vulval tissues thinner, drier, and more easily irritated. Genitourinary syndrome of menopause may also cause burning, soreness, pain with sex, urinary urgency, or repeated urinary discomfort. These symptoms can overlap with infection, allergy, or a skin disorder, so a change from your usual pattern merits an assessment.

Use plain water or a gentle, unscented cleanser on the outer skin and avoid douching. A vaginal moisturiser used regularly may help dryness, while a water-based lubricant can reduce friction during sex. A clinician can discuss local vaginal hormone treatment or other options when appropriate, especially if self-care does not help or symptoms interfere with sleep, intimacy, or daily activities.

Contact a clinician for bleeding after menopause, a new lump, sores, marked skin colour or texture change, unusual discharge, pelvic pain, fever, or pain when passing urine. Seek urgent help for severe pelvic pain, heavy bleeding, fainting, or feeling acutely unwell. Do not dismiss new bleeding as dryness without an examination.

Ask whether the pattern fits genitourinary syndrome of menopause, whether an infection or skin condition should be ruled out, and which moisturiser, lubricant, or prescription treatment suits your health history.