Vaginal Symptoms of Menopause: You Have Options, Say Experts

Menopause brings a tide of changes, and for many women, vaginal symptoms like dryness, discomfort, and changes in the vaginal tissue – collectively known as vaginal atrophy – can significantly disrupt daily life. As David Steen Martin's article, reviewed by OB/GYN Kris E. Barnsfather, M.D., points out, these are not inevitable woes of aging but treatable conditions.

Understanding Vaginal Atrophy

Vaginal atrophy stems from the decline in estrogen during menopause, leading to a loss of elasticity and natural lubrication in the vagina. It's a common yet less-discussed aspect of menopause, affecting roughly half of all postmenopausal women. Unlike temporary menopausal symptoms like hot flashes, vaginal symptoms tend to intensify over time. “Vaginal atrophy can affect your quality of life, your self-esteem and intimacy with your partner. There’s no reason you have to accept that as a part of aging,” asserts Dr. Barnsfather.

Exploring Treatment Options

Your healthcare journey should start with a candid conversation with your primary care provider or gynecologist. Several treatment routes are available, and choosing the right one is a personal decision:

1. Hormone Replacement Therapy (HRT): HRT addresses vaginal atrophy by raising estrogen levels throughout the body. While it can also alleviate other menopausal symptoms, it's essential to weigh the benefits against potential risks, such as increased chances of stroke, breast cancer, and blood clots.

2. Vaginal Estrogen: This local therapy boosts estrogen levels directly in your vagina. Applied regularly at first, then maintained a few times a week, it's a targeted approach. However, it's not recommended for use right before intercourse, and its safety compared to systemic HRT remains a topic of discussion.

3. Lubricants and Moisturizers: For immediate relief during intercourse, water-based lubricants and long-acting vaginal moisturizers can be effective. Remember to avoid alcohol-based products and those with harsh chemicals or fragrances to prevent worsening symptoms or causing irritation.

4. Oral Medications: Options like Osphena and Senshio are specifically approved for painful intercourse due to vaginal dryness. These, along with other potential medications, are under continuous study for safety and efficacy.

5. Physical Therapy: Applying mineral oil to the vaginal introitus can help maintain tissue health and manage changes in the vaginal entrance due to fat loss.

Breaking the Silence

Despite being a widespread issue, many women attribute these symptoms to natural aging and don't seek medical advice. It's crucial to recognize that vaginal atrophy is a medical condition linked to menopause and not just an inevitable part of getting older.

If you're grappling with symptoms of vaginal atrophy, remember that you're not alone, and more importantly, you have options. Opening up to your healthcare provider is the first step toward finding a treatment that aligns with your health, comfort, and lifestyle.