Perimenopause - Vagina (atrophy) dryness

symptom

Vaginal Dryness

Perimenopause results in drops in estrogen levels and production. This drop in estrogen can result in less lubrication of the vaginal walls. Typically, the vagina stays lubricated with a thin, clear liquid that mimics the texture of a flexible mucus.

Engage in healthy sleep habits. Use melatonin. Try to avoid using prescription sleep aids, since these should only be used short-term.

Especially during the menopausal transition (perimenopause) and menopause, sleep is commonly affected. The inability to fall asleep or stay asleep is called insomnia. Due to the hormonal changes ongoing, insomnia is a common symptom during this phase. Following healthy sleep habits can help mitigate some of the effects on daily living. These include:

Follow a regular sleep schedule.
Avoid napping.
Have a soothing bedtime routine.
Don’t use screens at least 30 min to 1 hour prior to bedtime.
Keep the temperature in your room comfortable.
Exercise regularly, but not prior to or close to bedtime.
Avoid caffeine, especially late in the day.
Avoid alcohol. Alcohol can make it harder to stay asleep or cause earlier than normal wake ups.

-Written by Kaila An MPH

References
Vaginal Dryness: Causes, Symptoms & Treatment. (2022, July 26). Cleveland Clinic. Retrieved January 30, 2023, from https://my.clevelandclinic.org/health/symptoms/21027-vaginal-dryness

Vaginal Dryness: Is It Perimenopause? (n.d.). Gynecology and Obstetrics Medical Group. Retrieved January 30, 2023, from https://www.gynobmedgroup.com/blog/vaginal-dryness-is-it-perimenopause

LIFESTYLE TIPS

Vaginal dryness is a symptom of low estrogen levels. Smoking can contribute to lower levels of estrogen - to better manage it, consider quitting smoking.

HOLISTIC APPROACH

You can increase sex drive by changing your lifestyle.

If you're unsure that you're going through perimenopause, we recommend reaching out to you health care provider for further testing. Your doctor may suggest blood tests to check if you're in transition to menopause (aka perimenopause).

for additional support join the perimenopause community here.

According to Nebraska Med, using "vaginal rings, suppositories and creams - helps with vaginal dryness and loss of elasticity ."

Other options include over-the-counter personal lubricants that can be used regularly that help moisturize the vagina.