Vaginal Atrophy
Breaking the Silence
Vaginal atrophy is a tough part of menopause that you might not hear about often, let alone talk about. It’s one of those topics that gets swept under the rug, even though it’s incredibly common. But here’s the thing: ignoring it won’t make it go away, and it’s time to have the conversation.
Why should you care? Because vaginal atrophy isn’t just a physical issue—it can affect so much more. You might start avoiding intimacy because of pain during sex, leaving your partner feeling rejected and you overwhelmed with guilt.
Over time, this distance can strain your relationship, leaving you both frustrated. Outside the bedroom, it can take a toll on your confidence, lower your self-esteem, and influence how you emotionally connect with others.
You don’t have to suffer in silence. It’s treatable, and there are steps you can take to protect your relationships and well-being during menopause. It starts with being open, honest, and getting the right care.
What’s Going on Down There?
Vaginal atrophy, or GSM, occurs when estrogen drops during menopause, causing the vaginal walls to thin, dry out, and become inflamed.
How Common Is It?
According to the North American Menopause Society, nearly half of those in menopause or post-menopause experience vaginal atrophy, which can also occur after ovary removal, cancer treatments, or certain medications.
What Does it Feel Like?
You may notice symptoms like:
- Serious dryness
- Pain during sex
- Itching or irritation
- Burning sensations
- Frequent UTIs
- Bleeding after sex
- Shorter or tighter vaginal canal
Why Does it Happen?
The main culprit is falling estrogen levels, which can result from:
- Natural menopause
- Surgical removal of your ovaries
- Cancer treatments
- Certain medications
What Can You Do About It?
Here’s the great news—there are effective treatments! Early action can make a big difference. Consider these options:
- Vaginal moisturizers and lubricants
- Low-dose vaginal estrogen therapy
- Sometimes, systemic hormone therapy
Lifestyle Changes
Simple lifestyle changes that can help:
Stay hydrated by drinking plenty of water.
Regular exercise to boost circulation.
Quit smoking if you do.
Stay sexually active, with or without a partner.
Avoid irritating products like scented soaps and lotions.
Kegels, bridge position, and yoga strengthen your pelvic floor muscles.
Foods rich in phytoestrogens like soy and flaxseed.
Time to Speak Up
You might feel embarrassed to bring this up with your doctor but remember—you’re not alone. Studies show that about 70% of women with symptoms of vaginal atrophy don’t talk to their doctors about it. And unfortunately, many healthcare providers don’t ask about it either.
Vaginal atrophy is more common than most know, but it’s not something you have to suffer through. Understanding it and exploring your options are the steps you can take to not just your sex life but your emotional well-being. Don’t let hesitation stop you—your health and quality of life are worth prioritizing.
If you found something useful here don’t hesitate to click like and don’t forget to subscribe to Fabulous at Forty & Beyond and check out more at INC’s Fabulous at Forty & Beyond – The Menopause Transition pages!
*Health and wellness coaches engage in evidence-based, client-centered processes that facilitate and empower clients to develop and achieve self-determined, health and wellness goals. We do not diagnose, interpret medical data, prescribe or de-prescribe, recommend supplements, provide nutrition consultation or create meal plans, provide exercise prescription or instruction, consult and advise, or provide psychological therapeutic interventions or treatment.
Help! I’ve had Vaginal Atrophy since I had a Hysterectomy in 2011. I’ve been managing it with a vaginal Estrogen called Imvexxy. It’s been working fine but these last 2 weeks I’m having burning and frequent urination. I know it’s not a bladder infection because it tapers off during the day. It’s gotten really bad and I’m having to urinate every 15 minutes. Of course it’s the weekend so I can’t get into to see my Dr. Any ideas?
Hi Donna,
I responded directly to you via email. Though I can’t diagnose, I did provide a suggestion to share with your doctor.
Healthy Hugs, Jen