Vaginal dryness can appear during menopause and interfere with sexuality. Why and what solutions, what treatments?
Menopause is famous for the appearance of vaginal dryness, in addition to hot flashes and worries of depression or mood swings … But what about this vaginal dryness?
Vaginal dryness of menopause and low estrogen
At the time of menopause, the ovaries greatly reduce the production of estrogen. These hormones normally pass through the blood and attach themselves to targets, particularly in the vagina and vulva. There, they cause good hydration of the sexual region and acidity of the vulvovaginal area. The effect of estrogens on the lining of the vagina and vulva results in what is called “good trophicity of the vulva and vagina”. In other words, when they receive sufficient estrogen, the vulva and the vagina are well hydrated, very soft, elastic … At the time of menopause, the significant drop in estrogen causes the estrogen receptors in the vagina and the vulva are not activated. Suddenly, the humidity is not so good. The vulva and vagina become drier and less acidic.
Vaginal Dryness of Menopause and Sexuality
Vaginal dryness at the time of menopause is not poor sexual lubrication, nor an insufficient reaction to sexual arousal. It is rather that at the time of menopause, at the base the vagina and the vulva are less humid, less elastic than they were before. At the time of sexual arousal, sexual lubrication always works the same way. But, as the vaginal area of a postmenopausal woman is less humid at the start, it takes longer for her to get arousal to obtain lubrication compensating for the less hydration at the start.
Overall, from menopause, a woman needs more foreplay to obtain the same lubrication.
Vaginal dryness during menopause, what is the discomfort?
There are two different genes to menopause. The first is the feeling of dryness and tightness in the vulva and vagina and also in the urine. We also speak of genitourinary syndrome of menopause. Less hydrated tissues become thinner and more fragile. This can cause discomfort, a feeling of dryness or burning of the vulva and vagina that you feel at any time of the day.
The second discomfort is sexual: at the time of sexual intercourse, if the preliminary caresses are not long enough, if the sexual arousal is insufficient, then the penetration becomes painful. Read for more info: Intimate dryness due to lack of sexual lubrication
Vaginal dryness of menopause, natural solutions
Several solutions are possible: keep a few extra pounds to have natural estrogen in sufficient quantity so as not to suffer from this dryness. And then, we know that the practice of regular physical exercise improves hot flashes and undoubtedly vaginal dryness!
Vaginal dryness from menopause, hormone therapy
It consists of bringing estrogen to the body by hormonal treatment for menopause. These hormones are provided in tablet or gel containing estrogen. Their effect must be counterbalanced by progesterone. So it is a treatment comprising two types of hormones. Currently, these treatments are reserved for women who find it difficult to bear the symptoms of menopause, being very embarrassed. Because these menopausal hormone treatment drugs have significant side effects. They should only be prescribed for a limited time and for women who are really embarrassed. However, for vaginal dryness, these treatments are not necessarily effective (even if they can be) … while they are almost always effective on hot flashes. It is therefore sometimes necessary to add other treatments.
Vaginal dryness of menopause, vaginal treatment for menopause (TVM)
Another possible treatment for vaginal dryness at menopause is to provide estrogen locally; that is, directly at the vaginal level. It is a cream or gel containing estrogen to be applied about twice a week on the vulva and vagina. The estrogen concerned is estriol, a weak estrogen that has little effect on the rest of the body; therefore presenting much fewer adverse effects than hormone therapy for menopause. Other estrogens are also used with more or less passage throughout the body. There is also a new drug in the form of eggs, Intrarosa which is inserted every evening in the vaginal area and formulated on the basis of Prasterone (a substance that is biologically inactive and transformed at the vaginal level into estrogens and androgens).
dryness during menopause, treatment without hormones Another possibility of local treatment exists in the event of vaginal dryness linked to menopause: use a long-lasting lubricating and moisturizing gel, to be applied several times a week. This is to provide hydration comfort to the vagina and the vulva. These gels attract water to the surface of the vaginal or vulvar mucosa. They, therefore, improve comfort in everyday life and during sex.
At menopause, being overweight = no more problem with vaginal dryness
Lots of extra pounds increase the risk of hot flashes at menopause, and probably vaginal dryness. So it is important to exercise, both to maintain good bodybuilding, a healthy weight, and as little hot flashes and vaginal dryness as possible. Be careful, a little extra pounds is beneficial, a lot of extra pounds is a lot more problems!
WATCH VIDEO: Vaginal dryness during menopause